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HomeMy WebLinkAbout0037 WHITMAR ROAD - Health 37 Whitr �ar Road Marstons Mills p i { 7 p f � 1� TOWN OF BARNSTABLE' LOCATION U�ht+mor ra SEWAGE#.X08 -07 VILLAGE (nc,06, rni iLs ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. -4PQ 1d g$g-o10/U SEPTIC TANK CAPACITY 1500 LEACHING FACILITY.(type) Al 5'00 (size) Ufa NO.OF BEDROOMS OWNER PERMIT DATE: _3—a �- 0 COMPLIANCE'DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility V Feet Private Water Supply Well and Leaching Facility.(If any wells exist on site or within 200 feet of leaching facility) IU 06L4Q Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) AMA)47 Feet FURNISHED BY �� lk, : 81 / i����,k 0 13 fig 3�'ai b`Bt* y A 3 381 oil t; t „ l No. aa1 C� C Fee t� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 21pplitatlon for Misposal 6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3-7 W i-4 L-r"'A K Pb Owner's Name,Address,and Tel No. M.,/n W¢Lt,r*O$k b��b�aMA'(i�1264 Assessor's Map/Parcel 05 1( '. ` 3 wPtT)kf4k_ M Was a, ' ut_5 Installer's Name,Address,and Tel.No. 5'019 Designer's Name,Address,and Tel.No. c4A-M&E D O 4:Prt _P�� S Type of Building: ii Dwelling No.of Bedrooms Lot Size I t C rft. Garbage Grinder( ) Other Type of Building RG&IDtXMM, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Alt n� we T3 7KOK �70p F�UT_Q&LS eoX, U-ooS Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heajtil, ,J gn Date as I )_ Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued 17 Jp� • .fir,-� - No.. 9 d/ (J Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 21ppYication for disposal 6pstem lConstruction Permit i Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. •'3-7 W 1 A t lwt4 K Owner's Name,Address,and Tel No. W tuc.�,fdk ��N.nwc�a.�4 Assessor's Map/Parcel 6 5 (1 M(V\ 3 LvP#TW4s4e_ ]?T) M4v_S y_. -1 nA_ Installer's Name,Address,and Tel.No. Z1'019-4{?1-at-n Designer's Name,Address,and Tel.No. C!>kl�Il�E' �TrXPaS��S Type of Building: Dwelling No.of Bedrooms Lot Size 1 1 U 1 Garbage Grinder( ) Other Type of Building QMmtXM A=(_,, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd,,. Plan Date Number of sheets Revision Date i f Title Size of Septic Tank Type of S.A.S. Description of Soil Nadu a of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: I The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Hea Date -Application Approved by Date i Application Disapproved by Date for the following reasons Permit No. G(�, T=�� Date Issued 101 --- - - - ---- ---- ---- - ------------------------ THE COMMONWEALTH OF MASSACHUSETTS (� �r BARNSTABLE,MASSACHUSETTS \ Certifitate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by e. xrwou SLR at 3 q ( _A41 Twd PP, R 0 M.NI has been constructed �in�^acccordance wit-the provisions of Title 5 and the for Disposal System Construction Permit N69C dated t 7 -- Installer 6#VGZC.Y[)E b�1X04_1 S1SS a C •Designer #bedrooms 5 �'�, Approved de 'gn of ► and The issuance o this ermit shall not be construed as a guarantee that the system,w1111 funs on as designed. Inspector r , ------`---- No. Lqg� Fee JUG THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposar *pstem ConstrULtion Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at �', 19A7'_QX A A b 7wi al/u S I and as described in the above Application for Disposal System Construction Permit. The applicant recognized hi!/her_.duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed w}`thin three years of the date of this permit. Date 1 �/ / ' / Approved-by-} No. e , c e as Fee /�� THE COMMONWEALTH OFMASSACHUSETTS Entered in computer: -TOWN OF BARNSTABLE MASSACHUSETTS s PUBLIC HEALTH DIVISION , a Plication for 33topont 6p.5tem Con0truction Vermtt Application for a Permit to Construct( ) Repair X Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address;and Tel.No. L\aO Ma�rS�ong Mi,\�5 Cri-i`Q-`• W -\\:t+ r,r� rn CA)r�lrl.o.f�`. Assessor's Map/Parcel 05 1\ rvm -5 4- 2d rvx, M. . o C,i_k 9 Installer's Name,Address,and Tel.No. 30�5 Designer's Name,Address and Tel.No. 1 Ll c a4v� S2�ces�:ci�, '^ a�v"0 C Type of Building: Dwelling No.of Bedrooms S Lot Size (a 01 A`e-e5 sq. ft. Garbage Grinder (A Other Type of Building Gas. l CG_ s No.of Persons Showers /a) Cafeteria(lP) Other Fixtures gn avers Design Flow(min.required) 6 O gpd Design flow provided gpd Plan Date Fed 91 Ooo-53 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of a Sign- 4 Date 10 Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued �.. r-w ti. �.:^. ^+F ./..''•.� ..... .•s-t•..A`. »•My.ern-•.,."Vys'...+.+wr:...3.... +1._a�v�...r^. .,. ..,...+.-^."'.-... .,fNo. �aRvI ,,f� ! .r✓s a } ;,� .�, j Fee ` Entered in computer: THE COMM&IMEAL-0.64IAASSACHUSETTS p E PUBLIC HEALTH DIVISION -TOWN OF.BARNSTABLE, MASSACHUSETTS 2pprication for Migogal *p!gtem Conotruction Permit 4 Application for a Permit to Construct O Repair pgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. -3 Owner's Name,Address,and Tel.No. W)o 1�nc�rSY�g (Vt\�J ` tU°f� t-.j °aw.o.✓�, a• Assessor's Map/Parcel ;.r'n u >1 o rY S ? V .`1 YY Yv YL, C y.,.r �5� Installer's Name,Address,and Tel.No. 30,S r- V4� Designer's Name,Address and Tel.No. I Lk L -av� v,y�v� D o:J M`SOYI / C SE Scv-'6$b F Type of Building: Dwelling No.of Bedrooms s Lot Size +¢ -�• Acf-�> sq. ft. Garbage Grinder8. (I Other Type of Building s yp g 5• (cLy.No.of Persons Showers(vj/�) Cafeteria( ) 1 Other Fixtures 'f Design Flow(min.required) S 5 O gpd Design flow provided 5(0 / gpd I Plan Date feC, 09 acc):B Number of sheets Revision Date Title I Size of Septic Tank s Type of SrA S. Description of Soil' } Z Nature of Repairs or Alterations(Answer when applicable)' r } Date last inspected: Agreement: The.undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance-has been issued by this Board of eal . it i Signed 9 n' Date Application Approved by �, _,.: , � Date rX Application Disapproved by: Date for the tfollowingreasons Permit No. i Date Issued —. —-———————————————————————— ——————————-- kY THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that t erOn-site S$,ewa e posaI System Constructed ( ) Repaired ( ) Upgraded ( ) I / Ab ydoned( ),by at _ a Z as been constructe in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. _ r dated Installer Designer j #bedrooms , Approved design flow / gpd The issuance of this pe it s��alobeco trued as a guarantee that the system wil ction as desi ned.��r� � Date Inspector ---No. --—�"� ------ Fee _ �'r �\ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 1=t!9poga1 *pztem Cow9truction Permit I Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( ) Svstem located at `?)y`�7 (,i> o —rrN , A)O � _/ / l a ✓-��C_ � r Il 5 4 , I and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Constructio must be completed within three years of the date this phis Date // !Q Approved b�y� I I Town of Barnstable An ., .; Regulatory Services Thomas F.Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644. -Fax: 508-790-6304 Installer&Designer Certification Form Date: i Designer: Installer: Address: Address: On 3"-ZY'of.3 _ A�1_I � was issued a��.,� permit to install a t (date) L� (installer) septic system at based on a design drawn by (address) dated-2- -Z Co -a� (designer) -dicertify that the septic system referenced above was installed substantall a&or-ding'to e design, w 'ch a include mini a .sign, hi may i 1 approved,changes such as lateral rtelocat�0A of the ctribution box and/or septic tank. I certihat the septic system referenced above was instald wztk''max changes Cae, greater thug l D lateral reloeatio� of the SAS yr any vea-ieal:t GQd''on of an compon fi of the septic�,xp em). but in accordance with State&Local Regdations. Plan revisioxt oil certified as-b* y designer 6 follow. er's S ) (Ins., i,gnature � 6�-%50N sq ►7AR�P . (1�►° er s Si ature � ) . ( fig ., � �'s Sta�hp Here) . .. PLEASE RETURN TO B .ST . '.� PUBLIC HEEALTR DIYkSIt9 . RT)[�'I:C�_TE. 4F 9O1VII' ANCE WtU NO E SSITE� BOTH°TYIS`'I BUII.T AR ARE RECEMD�' �T :B A$LE P LtC O 1, TRAM,Yfii7U. Q:Health/Septic/Designer CertificAon`Forrn M COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION r �y V� TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: J 1 Owner's Name Owner's Address: AML Date of Inspection: RECENED Name of Inspector: (please print) ITGDRja N Company Name: MailingAddress:1 -6 9 DEC 0 7 zuul Telephone Number ' TOWN OF BARNSTABLE HEALTH DEPT. CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the=time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes -. Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: 2&�� UO Date: l The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5jj4ection Form 6/15/2000 page 1 1 Page 2 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A t� CERTIFIICATTION (continued) Property Address: / ��13, /�i9R /'/,g/A Owner: Date of Inspectio : Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. stem Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. 'A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of tke Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 i Page 3 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 7 Property Address: t U/!1% f�tj X 9i Il Owner: Date of Inspection: / C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System wit] pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS.and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGEDISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: AY reMPWk- Date of Inspecti n: i4 / D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes Np Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool 3 Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or / clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or 4 cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than 'h day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number / of times pumped . V Any portion of the SAS,cesspool or privy is below high ground water elevation. _ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. _ Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] k"0 (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• ; You must indicate either"yes"or"no"toieach of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 t OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B h �Q CHECKLIST Property Address: / aN5 Owner: �°f171-51VAMAAA Date of Inspec on: i4z/tv Check if the following have been done.You must indicate`des"or"no"as to each of the following: Yes No Pumping information was provided by th owne occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection? V. _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) V. _ Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components,excluding the SAS,located on site? _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and'location of the Soil Absorption System(SAS)on the site has been determined based on: Y�s no Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] ,� 5 Page 6 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: l NI-1 A "R01 m6ESTON- Owner: l- Date of Inspectio d FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): '�_ Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 3 3 Number of current residents: Does residence have a garbage grinder(yes or no): T�C� Is laundry on a separate sewage system(yes or no):K6 [if yes separate inspection required] Laundry system inspected(yes or no):112-5) Seasonal use: (yes or no):LO O F d � Water meter readings,,if available(last 2 years usage(gpd)) �d a aoj 0 0�%�(1 j ri ` "� �� Sump pump(yes or no): N Last date of occupancy: <j u 'A; � O r o"P id COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): and Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: 01-1- r Was system pumped as part of the inspection(yes or no):_ If yes, volume pumped: gallons--How was quantity p ped determined? Reason for pumping. �7 Lw n. t� J�Uant t i i e YPE OF SYSTEM _Septic tank,distribution box,soil absorption system Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate ate of all components,date installed(if known)and source of' ormatio Were sewage odors detected when arriving at the site(yes or no): 6 Page 7 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: fo Owner: 'McNAMARA Date of Inspecti n: / BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction:_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK:_(locate on site plan) Depth below grade: Material of construction:1concrete_metal_fiberglass polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 10 d , Ilk � Sludge depth: 2 J Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: 0\ Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: /l How were dimensions determined: M&,A S U n 110 S 1`, Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as rpJated to outlet invert,evide ce of leaka e,etc.): _ n IF.S N lti ';�fcom r, ! ti �pVkp �6 GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: ) MAR 0 Owner: PJAMARA J Date of Inspectio : z TIGHT or HOLDING TANK:e(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): r DISTRIBUTION BOX: V (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.):n 1, , ii l�Ok f f;.U� I No �,�_�5 �� Sd I I d,s I�� I .i. PUMP CHAMBER: ` (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 r - Page 9 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 30-JrPAR- sa Owner: k L QL (-IVAMA9 Date of Inspecti : / SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: krT Pe leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): ? ' V,,A 1�(L V� ' '°6 \A CESSPOOLS: � (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: \-"" (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): f Page 10 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 2)? W h� ► j,12 ' J Se tJ-,I, Owner: IJr.,QRVc Date of Inspect' n: / ) ' SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.Locate w ere public water supply enters the building. � G Fi� g C IAN r ra,' 10 r Page 1 I of I 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 9 ��h (y)A RAJ (DAR_CT6'".6_ Owner: F- Date of Inspection: 4zi6 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground waterj0 ��feet 1 10 t"/ Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the hi h ground water elevation: C�SGS o a A c Q 16c'ti A am R a om o ` 11 W — U II'rl O W /s I l f �o OAT I'_ •�5/17/01 37_ -ylhitmarRoad PROPERTY ADDRESS; - Maratnnc �ttills;r___..____ Mass. On the abOYe date, I Inapeoted the aeptlo sy3tarrl at the above address. Thla system consists of the following, 1 . 1 -1000 gallon septic tank. 2. 1 -Distribution box. 3. 1 -1000 gallon precast leaching pit. eased on my Inspectlon, I certify the followlnta oonditlona; 4. This is`<a title five septic system. ( 78 Code ) For a three bedroom house. / r;5'. The septic system is in hydraulic failure. A new leaching area f needs to be installed. ( A 4-bedroom design. 6 Pumped the septic system at time 6f inspection. SIG NATUREI./ _24 Compeny; Jo,•yh_P : N.comb.r_b Son , Inc " Addre95;_ Box. 66— _wCentervilleL. Na--02V2-0066 Phone:___ 508_775.7378 THIS CERTIFICATION OOES NOT CONSTITUTE. A OVARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tinks•O9sspools-loa<chllslds FAILED INSP IQ Pumped In nootd "own Ssw�� CionnlQId P. 0 66 Clntlr lIll, MA 026J2-0066 776JJJ8 7 6 64 12 .r' .\ COMMONWEALTH OF MASSACHUSETTS l; EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION i TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Add ress:37 Whitmar Road 9—6 rs ons�;MiIIs,Mass. Owner's Name: Kerry McNanara Owner's Address:37 whit-mar Road Maras-��� � , , ,• *R--- 02648 Date of Inspection: 1;17 1 Q 1 Name of Inspector: (please print) R)-Pnh P Maciomber Jr. Company Name:J P MacomhPr R son Inc. Mailing Address: Rox 66 rimntarv; 1 1 o Telephone Number: 5 0 8—7 7 5—3 3 3 8 CERTIFICATION STATEMENT 1 certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes _ Conditionally Passes eeds Further Evaluation by the Local Approving Authority XFails Inspector's Signature: 16 Date: The system inspector shall mit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments - - �**•'This report only describes conditions-aCthe time"of inspection and under the conditions of use at that { time.This inspection does not address how the system will perform in the future under the same or differs .conditions of use. t. Title 5 Inspection Form 6/15/2000 page I i Page 2 of I I ' OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:37 Whitmar Road ars ons , . Owner: Kerry McNamara Date of Inspection: 5 1 7 0 Inspection Summary: Cbeck A,B,C,D or E/ALWAYS complete all of Section D A. System Passes:1 Al- a 1� have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303'or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The present septic system is in hydraulic failure." _.`, �'A new leaching area needs to—be—ins a B. System Conditionally Passes: Q_ One or more system componenu as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair,as approved by the Board of Health, will pass. Answer yes, no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. _f2 The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. 'A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, sealed or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: VO The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: i 2 I r� Page 3 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 37 Whitmar Road Marstons Mi s,Mass. Owner: Kerr McNamara Date of Inspection: 5 1 7 01 C. Further Evaluation is Required by the Board of Health: VQ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health,safety and the environment: 4 d Cesspool or privy is within 50 feet of a surface water ,�ZQ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any)determines that the system is functioning in a manner that protects the public health,safety and environment: 4�42 The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. NO The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. N() The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than�1 0 feetbut 50 feet or more from a private water supply well". Method used to determine distance This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 y T Page 4 of 1 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:37 Whitmar Road marstons M111s,Mss. Owner: Kerry McNamara Date of Inspection: D. System Failure Criteria applicable to all systems: You must indicate`yes"or"no"to each of the following for all inspections: Yes/,'No acku of se facility or System comaonent duT to overloaded or clo eed SA or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or / clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool / y—Ajv ow squid depth- is less than 6"below invert or available volume is less than 'h day flow equired pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped�. Any portion of the SAS,cesspool or privy is below high ground water elevation. Any ponion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. z y portion of a cesspool or privy is within a Zone 1 of a public well. : portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [Tbis system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) dK�(Yes/No)s he system fails. have determined that one or more of the above failure criteria exist as described in 310 CMR 15:303. therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no v the system is within 400 feet of a surface drinking water supply v' the ystem is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IA)or a mapped Zone I1 of a public water supply well W. If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 1 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 37 Whitmar Road Marstons miiis,FFass. Owner:Kerry McNamara Date of Inspection: 5/1 7/01 Check if the following have been done. You must indicate `yes or no as to each of the following: Yes No Pumping information was provided by the owner,occupant, or Board of Health 4/Were any of the system components pumped out in the previous two weeks? V — Has the system received normal flows in the previous two week period? 2 Have large volumes of water been introduced to the system recently or as part of this inspection? ZWere as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? _ Were all system components,�iuding the SAS, located on site ? Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees, material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ? _L1_ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes no Existing information. For example,a plan at the Board of Health. (/ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance _ is unacceptable) (310 CMR 15.302(3)(b)) 5 Page 6 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:37 Whitmar Road Mars tons Miils,Mass. Owner: Kerry McNamara Date of Inspection: 5/17/01 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): '� Number of bedrooms(actual): DESIGN flow based on 310 C 15.203 (for example: 110 gpd x#of bedrooms): �� Number of current residents: 17 Does residence have a garbage grinder(yes or no): e. Is laundry on a separate sewage system_(yes or no): [if yes separate inspection required] Laundry system inspected(yes or no): 5 Seasonal use: (yes or no):4/D ) Water meter readings, if available(last 2 years usage(gpd)): Sump pump(yes or no): —J � ) 7 bf�u Last date of occupancy: Of COMMERCIAL/INDUSTRIAL Type of establishment: ,fig Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): .e) Grease trap present(yes or no): &Zy Industrial waste holding tank present(yes or no):,�iq Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no): If yes, volume pumped gallons--Ho wa quantq pumpe d tF med) 9 Reason for pumping: 4-' /y�_/ � �r4 TYPE F SYSTEM 1/Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be o,bj�ained from syst�em�owner) Tight tank ,(/f�Attach a copy of the DEP approval Other(describe): Approximat ee of all co m o e s,date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no): 6 Page 7 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 37 WhitmartRoad Marstons Mills,Mass. Owner: Kerry McNamara Date of Inspection: 5/1 7/01 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: ast iron /40PVC 4.0 other(explain): Distance from private water supply well or suction line: ;0 ' Qomme£ts(on condition of'o is ve ing, evid ce of Icak Joints appear t� `ignt. o evi�'ence oaf'-fetc.)akage.System is vented through the 1"Q'4 SEPTIC TANK: (locate on site plan) c' Depth below grade: it i / Material of construction: /Concrete metal 4�e fiberglass ,tl&polyethylene ,V&ther(explain) I±tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no):4 ' (attach a copy of certificate) Dimensions: r ,� 1�d / /T'r� Sludge depth: Distance from top of sludge to bosom of outlet tee or baffle: Q Scum thickness: 0— D!stance bom top of scum to top of outlet tee or baffle: D Distance from bonom of scum to bo m of out t tee or ba Ho,A Acre dimensions determined: fug" 6144 Comments (on pumping recommendation , inlet and outlet tee or Mc cotfdition. structural integrity, liquid levels as related to outlet inven,.evidence of leakage,.ctc.):. _ _ { Once system is repaired The septic tank should be pumped yPypry 2—yParG _ Inlet & outlet tees are in place The- tank--is structurally sound and shows no evidence of leakage. GREASE TRAPk(locate on site plan) Depth below grade: Material of construction:4Qconcrete444 metal/Qfiberglass.# polyethylene.#other (explain): AM Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: AO Distance from bosom of scum to bottom of outlet tee or baffle: t _ Date of last pumping: I)X Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease trap is not present. 7 ' Page 8 of 1 I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Add ress:37 Whitmar Road Marstons Mi11s,Mass. Owner: Kerry McNamara Date of inspection: 5/1 7/f)1 TIGHT or HOLDING TANK4 (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal 1 fiberglass polyethylene,&other(explain): Dimensions: Capacity: gallons Design Flow: 04 gallons/day Alarm present(yes or no): Alarm level: AM Alarm in working order(yes or no): Date of last pumping: -A Comments(condition of alarm and float switches,etc.): Tight or holding tanks are not present. DISTRIBUTION BOX: Zof present must be opened)(locate on site plan) Depth of liquid'level above outlet invert: Comments(note if box is level and distri ution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box,etc.): Distribution box has one lateral.There,' is evidence of solids carry over.No evidence of leakage into or out ot the box. PUMP CHAM3ER (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no):io Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): Pump chamber is not present- 8 • Page 9 of 1 I h OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 37 Whitmar Road ars ons Mills,Mass. Owner:Kerry McNamara Date of Inspection: 5 17 0 SOIL ABSORPTION SYSTEM (SAS):Zoocate on site plan,excavation not required) If SAS not located explain why: The SAS was located.SAS in hydraulic failure. A new leaching area needs to be installed. Typ leaching pits, number: leaching chambers, number: 6 leaching galleries,number: ja leaching trenches,number, length: leaching fields,number,dime sions: overflow cesspool, number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): _ - .- _ ._ Loamy sand to fine sand.,The leaching pit is in hydraulic failure. {A new leaching are needs to be installed Soils are -wet. - Vegetation is plush and green. -� CESSPOOLSd) t (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum laver: Dimensions of cesspool: _I Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Cesspools are not present PRIVY(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy is not present - 9 Page 10 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM'INFORMATION (continued) Property Address: 37 Whitmar Road Mars tons Milis,Mass. Owner-Kerry McNamara Date of Inspection: 5 1 7 O 1 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. • 3'i t,•�� air � � �� 1s L la KC�r oT ��Se „ 10 • Page I I of I I I. OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Propem•Address: 37 Whitmar Road ars ons, ai s Mass. Owoer: Kerry McNamara Date of lospectioo: 5 1 7 01 SITE EXAM Slope Surface water Check cellar Shallow wells E st:mated depth to ground water�r feet Please Indicate (check)all methods used to determine the high ground water elevation: b esi tans on record • It checked,date of design plan reviewed: Observed site abuning grope bservation hole within 150 feet of SAS) hecked with local oar o ealth•explain: Checked with local excavators, installers- (anach documentation) _ Accessed USGS database explain: You must describe how you established the high ground water elevation: Used water contours Map. Gahrety & Milier Model' 12/16/94 a II •n*.nT*rnrrr••n� rnrmr•nmrrsTnf7+'rtT'1f::�rr:Afrt�R*e*rlrn fferM1`�J Tf�'flfpisT •. •�' TOWN OF Barnstable BOARD OF HEALTH l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION I ^•rn�r••.-::.-r. a-.-rrwr.+n•rr.�rww•eerra+e�rnr:•t*•�mnn�rnw►-�'+nwwrne�ett•,�� .s.n •.+�rrr•r•„•-..A -TYPE OR PRINT CI.EARL1'- PROPERTY INSPECTED STREET ADDRESS 37 Whitmar Road Marstons Mills,Mass. ' ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME Kerry McNamara PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber & Son Inc�w. COMPANY ADDRESSBox 66 Centerville,Mass. 02632 Street Town or City State LIP COMPANY TELEPHONE ( 508 1 775 - 3338 FAX ( 508 ) 790 - 1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at ID his address and that the information reported is true , accurate, and omplete as of the time of .inspection . The inspection was performed and any ecommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper , function and maintenance of on- site sewage disposal systems . Check one: Systeui PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 160303 ► Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* The inspection which I have con ircted has found that the system fails to Protect the public health and the environment in accordance with Title 6 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature ADate 'J `A Dncopy of this t.ification must be provided to the OWNER, the BUYER ' where applicable ) and the BOARD OF HEAL1'1(. +' If the inspection FAILED, the owner or•""operator shall u within one year of the date of the inspection, unless allowed dort required he m otherwise as provided in 3,10 CMR 16 , 305 , partd .doc TOWI�OF BAr1STABLE 'l NSc�i o Yv LOCATION li��^/7/ � /tc' SEWAGE # VILLAGE /��IdNs ��/� ASSESSOR'S MAP & LOTOV /1:6 E-:STALLER'S NAME&PHONE NO. U SEPTIC TANK CAPACITY w I Od LEACHING FACILITY: (type) w iej NO. OF BEDROOMS S BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �to TPA a � 60 A as u 33 3 50 �a r c , TOWN OF BARNSTABLE 1,02 CATION SEWp-GE # VIL1 LAG 1_? A 7F�-520 ASSES t'S MAt �i SLOT�:�' it's INSTALLER'S NAME 6i PHONE NO. Mc f / SEPTIC TANK CAPACITY LEACHING FACILITY:(type) /&-0 6 ,t (size) NO. OF BEDROOMS��—PRIVATE WELL ORQUBLIC WATER_ T BtTII_IUER OR OWNER �rn DATE PERMIT ISSUEDc_ DATE COMPLIANCE I:iSUED: VARIANCE GRANTED: Yes No c/ y � � e 7 t . T�, << "� . , . � �` �`� \ ., �� � ,� f!� �\ DS 7 � Fzz ®© 9 00 THE COMMONWEALTH OF Mp.GSACHLSETTS f7r� F, BOAR® OF HEALTH ;er �jn ..._.T&M ...............OF.- A . vt it t n Mspwial Works Tonoirnrtion ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: Y 3 R � M � ........... ` .................................._ . ... 1N _, ....... ................� L cation dre Lot wa - .... Address ....---`TO � . r ....._ ..........................•••---•-••-•----•. Installer Address LL�� r� hh Type of Building Size Lot__Z'1__711/.....Sq. feet U Dwelling—No. of Bedrooms..........3..............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons_____________________________Showers — Cafeteria Q' Other fixtures ____________________________ _ w Design Flow.___._-_./J0__________________________gallons per person per dray. Total dakyy f ow......... _.3?.._______.___._...._..__gallons. R: Septic Tank—Liquid capacity_/.QQO_gallons Length.-?.*,(a... Wldth__y__!�___ Diameter________________Depth.._ _gd_- Disposal Trench—: o..................... Width____y-----_-------- Total Length_._______r----,_ Total leaching area_.__�.__r___________..sq. ft. Seepage Pit No..___..I.......... Diameter.....6_________- Depth below inlet:_.S_�rj....._. Total leaching areal.��?l_..sq. ft. Z Other Distribution box ) Dosing tank ( ) '-' Percolation Test Result Performed byl�!l�1RQ.l��... ,P_Ea_._.... Date.../u--=/-- minutes per inch Depth of Test Pit_.__. ____ Depth to ground water_______ Test Pit No. I------Z. f3, Test Pit No. 2........Z___minutes per inch Depth of Test Pit___._1_�e______. Depth to ground _ -- p water er________ • / -----•--- ---------------- ------------•-••••�••-------•---••--•-•-f.... ODes tion Soil---- P �r ` (I--- x ._!71 ._._C U _...__ w UNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sew ispo 1 System in accordance with the provisions of iITU 5 of the State Sanitary Code—The undersi ed furt era es not to place the system in operation until a Certificate of Compliance has been iss the bo of Signed.-- - - -••-- ... . ........ .......... ................... •--•--1.1 Date .....Application Approved By---_----aen )___________________ ......... �' �- _��•• Date Application Disapproved for the following reasons---------------••-----••----••--•-----------------------••-----•-----------------•-•••--••-----._......••-•-••-- .................................................... ._... Date PermitNo----7 .. ..................... Issued......................................................-- Date FPS.. ..���..... THE COMMONWEALTH OF MASSACHUSETTS / R ET V .......................... ............OF......................................------------............_.._._.................._... Appliration for Disposal Works Tonatrnr#ion ramit Application is hereby made for a Permit ,to Construct kV) or Repair ( ) an Individual Sewage Disposal systS'> �VHJ-_ MAR Pip IV'\ , 111�_ MAP S) G&` !!`� ..... _ ........ ...... - L reAk•..t:•n- ....------•-•-•------------n-.,_....-••. �y ----YYy--••--•----...--•--•---•----- ------ ----•---------------•-------------•---- •-..............._ ---------.-. � ..............._...-----• O� �J d S 1 ....}...:J V�ar. ..J Address - Installer Address Z�3 Type of Building ?, Size Lot...................v_....Sq. feet U DwellingNo. of Bedrooms............................................Ex anion Attic— p ( ) Garbage Grinder.( ) Other—Type of Building No. of persons............................ Showers a YP g -------•----------------•--• P ( )--- Cafeteria ( --->- Other/btures .._.......•••-••••••----•-••---------••-•-••••-•--•-........................••---•-•---- ............. . w Design Flow................................. 0.gallons per person(Xaty.er/-d . Total4a11few...........................................04s. C4 Septic Tank—Liquid capacity.._.........gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—N10..................... Widt4-.2.............. Total Length.....5..!_,r!!. Total leaching area... $--sq. ft. Seepage Pit No - _ . Diameter.................... Depth below inlet.................... Total leaching area........._........sq. ft. Z Other Distribution box (I) Dosin . 1 P S-61 fl Percolation Test Result&Z Performed by-- ........................•• Date........................ a Test Pit No. I..............minutes per inch Depth of Test Pit...... Depth to ground water.......... ..__- (i, Test Pit No. 2................minutes per inch Depth of Test Pit___......._...... Depth to ground water............ ......... a i . D o Sof 0 - Oi°"t �ijsD DUi ��rS `` A ° -''� w -- ��--------------� � �--*--fir._-�....� ----- ' ....... UNature of Repairs or Alterations—Answer when applicable............................................................................................... ..---------•---------•.........................•-••....•. Agreement: The undersigned agrees to install the aforedescribed Individual ewage D si p sal System in accordance with the provisions of TITLE 5 of the State Sanitary Cod The and s ign�d f. thr r--gees not to place t system in operation until a Certificate of Compliance ha b n i ed y the b -{d 'f� `� 1 x 4v\ W ! Signe -•. .. ...... .............. . ......................... ................................ Application Approved B •�__ Date Application Disapproved for the following reasons:.............................................................................................................. ..............................•••-----•-- -•--------•---•--•--•-----•--••--••••-••--•-••--•-•-•------•--•-•-••--•-•-••--------••......•--••••....__..._ 1 Date PermitNo.. -•---`-- ........................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t1,.............. ...... CIrdifirate of Toutplittnrr j THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed i�_) or Repaired ( ) by........••-•-•.......••--•••--•........................•---•-------••-•---••-•--.._....-•---- --....-•-•---------•-•-----.....---•--------------•----•----------....-••---•--•......••-•...._ --� - _ 5 Installer � r t j, . at.............: ? � : .z:_�.�.�.!-1{ .� t� J has been installed in accordance with the provisions of TITZ� 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............f�.`. �. ................................. Inspector.......--•-•-V r= THE COMMONWEALTH OF MASSACHUSETTS y BOARD OF HEALTH • 'J'f t t i f 1 j ...... ...................OF............. ... ....:.............ri....................................... No................... FEE....................... Roposa1 Workii Tuntrnrtion rrnti# Permissionis hereby granted........................................................................................................................................ . to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No...-............................--••••l�.....••.` '`.... ...-'...----•----•...i• �'.....----•--------•--------------------------------------------------•--.....---.... , Street as shown on the application for D sposal Works Construction Permit No..................... Dat _.�.. '.....•..........•._.T/ f ..-. i _ Board of ealth ` �- DATEJ'.r.5g ----------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS I 0 0 0 0 t T 4T-6112' q --------- T 36-0' to -B 1/2' .. 1 0) 6-51/Y 13'-912' B-2' 3''O' . V a c Q N 3'-9 1/4' T-91/4' 2-6 3/4' 3'40 3I4' 4'6 1 Y T 7-6 4'-41/4' 4'9 3/4•; m N / ING CL TW3D32 2 r TW3042 I V.I.F.STEPS DN i - ccic GN ci� w TO GRADE I .ti`Jcs v tz BATH I NOTE:MATCH NEW WINDOW 9'-51/2' j I I i i 4 Zr TO EXISTING WINDOW SIZE -m I II (�_-_ -�_ —_ ----- (�. ❑ Z Q DO NOTE:BUILDER TO VERIFY V j. I I CONF.AREA n Z. F— r' : oMo EXISTING&NEW DIMENSIONS TW3042 I 4 I I ! i Z Q .51co00 co 04 ❑ Z D] �- - DESK - - I-I._ ._...-�I 1 Q 0 ❑ W EXISTING L__-- _______- w 1�''�'r LI\ .�� I1 I _ , Z REMOVE O WALL _ ;�_— t/ I / , o ^ O POST DN FOR I� 50' r Ic �1 RIDGE ABOVE - ' I,`1/ z W OPEN TO BELOW a �D w -OPTIONAL WALL ` NEW LOFT " OFFICE w/a c.o. I OPEN RAIL ` 7�ao �� __--__ _ _____-- Q I _________________ . KNEEWALL 14 4EEWALI KNEEVALL 1D n ALL o s `o EXISTING }�, i o EAVE 4 Z . ��.. EAVE � I - O --NOTE:BUILUE TO VERIFY - �_2 i N EXISTING&N \4 MENSIONS �. - I I y R lW3 2-2 .........Al....... . o Q _A31 T-0 1/2• ;3'-0' _ 6-0' s-0• a-p• ia'-0 - : U EXISTING p Z W F— cl W ❑ A - ------ _ ❑ cc Q Q � �x2 SECOND FLOOR PROPOSED 0 Q z 1,070SO.FT_ 0 z F- cL _-LEA` TELLO SCALE IW-I'-0' d UAIL lilzeirz 4 JAN 1 C ENT'D DRAWN BY PAB n �STIIiATING RE��DNS: . tq DRAMANG NUMBER A4 COPYRIGHT SPD DESIGNS 2012 O M e � id A U ..7 m _ II .a❑ x N o a',z� it I II ' � II I I II a I r3emooM II I I as a II L _ -J Q. Li I lj Q F-X15-'ING 5F-Cow FL�OOi-, PL-AN PL-AN j rr-cr Ir� -EXI571N6 WALL TO MMAN ®- EX15 WCA WALL t0 DE MMOVEI2 N 00 M t0 A .'tea — JJ r II00 X pp mzv�i I I I I ON O RS �r u MATGN E STING ORS STYLE I I M12ROOM y M 2'-I' NEW WPLL OVER WALL DELOW II i (DI r L PELLA L - LL JJ �i341 N7 -1 II L J II Ll lij F� 5F-CON12 FL-OOP, FL-AN PLAN A6 scA,F; i/a"=1'-0'I NOp1�-I L�G�NI� 0-EXI5YIN6 WALL TO REMAJN O ®-NEW WALL V 2X4 INTERIOR/EXTERIOR WALL5 CONFIRM 512E &LOCATION OF WINDOW P PRIOR TO ORDERING 00 - o Q MIXA FWLINE DOLOLE-HUNG 15541 — U MATCH EX15T1NG: .w1 51VING MI5CELLANE01,15 VE W-5 CRIM 5z TYPPICAL) O 4" MIN. ® ® / ®Nil \ d Ll l SECOND FLOOR — mo — — — — — — — — — — — �wov 00 o 00 W C1Zv1 TM Flrz5r ft-ook 51-AO 7 b " ° � J L , � I mow ~ x ~ >~ L l J Q P-o" P9 II SECOND FLOOR 21b52 21552 Irr��1.,1 _- 0 M N RIDGE VENT A ICE &WATER SHIELD ENVRE 1200E IN5TALL 5HINGLE5 A5 PER MANUFACTURE RECOMMENDAT10N5 FOR SLOW 5LOPE APPLICATION R-3O IN5ULAnON -� 1 PROP-A-VENT OR CO. 5/8"CDX ROOF SHEATHING 2x10 a16"O.C. H m b �00 12 MATCH EXISTING c °O o Ix 5TPWPING 00 r�N VAPOR GABBIER c c 00 f I/2" 5HEETROCK a C1 Z COWNUOU5 50FFIr VENT MATCH EXI5nN6 51DIN6 TYVEK BUILDING WRAP F 1/2" CDX PLYWOOD �. �X 2 x 4 5'fUl5 'd , DEDROOM l�=i R-15 IN5ULAnON VAPOR BARRIER .-- cd 1/2" 5HEETROCK H c� cn IN�TE IOR F NrI51_ MATCH EXI5VN6 FIN.Ist, FLOG u z M z } EX15nNG WALL � �r EXISTNG � -i f O l3UI�f�ING S�C�'ION A9 SCALD; I/ 4��GI �-oII s PUTNAM ROAD pi,I /1V yZ0 3S 53��� sZ� 5 ' 141C, W, NOAI r—LVVkQT\ 6 \. I— LOT 118 �Vv1CIj(_s LOT IIZ C= tNCIL_ F� r, 5 �T 3,)50 FIT 2 �3 T U_._�Z \C�M-T_ st 3S' N Y r; o, N vv s , s r P Va R T C� ,�.._.._............. ... L OF i t I Invc. � i PT 1C . CCl11PC)�li ' ys ZSS I 7,3 197t 14.9' ofS5.97 g L S2 + EOWASO L. �� � , S y2° ,35�S3�'G✓ PESCE p f 0, 7? CIVIL ` 1� A�O "0. ECISTE 3 r WHITMAR ROAD R����`�� ONAL�% S GERrsFY THAT THE �ti>7/�T?oAJ S/a0u/N ON Tess lO�Ep oN T &, 2wa �c Q-i,wd, cc- l 51) PGA AvA THAT 2rrs AoszTT-v: G J wr. 5 cwropm TD j-m�: 3 GV M ID :T L095 NOT LrlE WCTH' vV THE Fro f 4paq "P MR,fim9s, Kj�_,eky mckwopf -' �X 11yy sT�vra, MA OZ6 <257 PA'rf—= MAP - Com pjn rlry PANEL No, Z-7OOQ1~ SCALg : J RAF 0019 Q , tTea o az y 2 , i��z . yo' io sir q3 q�y ��ARD L . PEE SG - ..�.—�'t`� natal r:-,.v,.•..�t � t... Y —• �' r• Q�'k 3S 4.� K a A y��t>{�/Jr'9�` �'. �r>k ` - dF:, .Y c # "F F.[r a{ '� ;.• i !s di dh µ .« _ •. fiC �FA�; �1:Fs S• R '.^. ..Ye, yL t:w 'R,4 .' y� - ;em ''�. e „ .:,�. zrt ;F .j, '�',-. F.+... i$ Ft! 2r . 1ix X. .f'IL F'y yhR; � ' Yre `r �1 - u s , r+ 3z = dt Z ASSESSORS MAP : TEST HOLE- LOGS �oU7- 06 PARCEL: NOTES: �� ><gn �E. SOIL EVALUATOR : FLOOD ZONE _ r__. WITNESS : P A\/l 17 5T'9v.TTU R S REFERENCE: C'E /�1� r�GG"�" �}� DATE: 2-�— Z� 'j 1) The installation shall comply with Title V and Town of Barnstable Board of PERCOLAT ION RATE: Z MikI, I IJ Health Regulations. 07 _._ ._ ' ' � ��b� �,a �� 2) The installer shall verify the location of utilities, sewer inverts and septic components prior to installation and seiling base elevations. TH- 1 TH-2 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8" per foot. The first C5/ SZ _ _ �� 6 1►� �� Ail 5 ob�� � two feet out of the d-box to the leaching shall be level. f a .0 Y Z 4) This plan is not to be utilized for property line determination nor any other l>7Ww1 5 ID y, 2 LU" b LO purpose other than the proposed system installation. 1,� / 1� �� , 5) All septic components must meet Title V specifications. _ Y _ LOCATION MAP �('s �� �4! \\ �J� - � `17� ( 6) Parking shall not be constructed over 1110 septic components. C 7) The property is bounded by property corners and property lines. JOID, S I VISO' `� 8) The property owner shall review design considerations to approve of total r o design flow and number of bedrooms to be considered for design. Receipt � � e `� of payment for the plan and installation based on the plan shall be deemed it bZ/ approval of the design flow by the owner.9) The existing leaching or cesspools shall be pumped and filled with material per Title V abandonment procedures. Those within the proposed SAS shall G0,4r7",G A-lo 01 be removed alongwith contaminated soil and replaced with clean washed „ --- sand per Title V specs. 10)System components to be 10 feet from water line. Sewer lines crossing the SEPTIC SYSTEM DESIGN water line shall be sleeved with 4 Inch SCH 40 PVC with ends grouted if applicable. FLOW ESTIMATE 11) If a garbage grinder exists it is to be removed and is the responsibility of the owner to ensure such. 12)The installer is to take caution in excavation around the gas line. v4. E' DROOMS AT ��a GAL/DAY/BEDROOM - 50GAL/DAY 13)The installer shall verify the location,quantity and elevation of the sewer 4 lines exiting the dwelling prior to the installation. SEPTIC. TANK o �l rL n , T�b \ Jr:50GAL/DAY x 2 DAYS - GAL ►0 , i ` �� \ USE 15700GALLON SEPTIC TANK E,�r7ACE EXJ,57 N 1G'1,�' l & -— _�pT�.___ !����--c.��_ '�'� Z�_ / � �. F,,: ��IL�1�}� C�►21cr,lt�J��. �o�" �j-(�l, �D�, I � F �► S01 L ABSORPTION SYSTEM - ____._.__ �Xi4'�i�.C� g04 if �A/ ,�q►ti�l, - -. ODD, t t ) S �. I DE AREA �2 `�-- 12, E3� X Z,� , � = / 2'� ` r BOTTOM AREA: S X `/ \ I :T ! C SYSTEM SECTION ,T,5, 2- �nv� -_-- _-_ MIS �kX. Safi ! M. �� O a�,• 6 5T* ay _ GAL - ulyol I S 5 7► 3 ►P jam___ ►��+ z c 6r-n� >✓ `� SEPTIC TANK U _ _ _. pp,x� r t. `f. �5 S, SITE AND SEWAGE PLAN .b o �t\ LOCAT I ON : o d PREPARED FOR : Blu, nl-hl��"1 lot 1 SCALE: f �` Q xd DAV I D B . MASON,R5 DATE:,2 Z S z DBC ENVIRONMENTAL DESIGNS { U 9 EAST SANDWICH . MA DATE FIEALTN AGENT !-+ 777 i SI �T� E P LA E:> FES1 +G N ID A-IF .�. II SCALE 1 :40 z PUTNAM , AVENUE � � 16 �u� 3 �. �sG_ � —__ y� �ssE B y �t�,. aV , lt/r--N t-, N y2 35 53 tr _ x - , Tp /001 r *' S s _ � � [� zGN �o� UGH � G �A� 'A . Lj1rl i 'Y r (l.b(,A tir BUr AR / z _ 1._ C�'u y.A,JQ L _ I T01A 6 AL l r l I d-7 } LOT 118 r /QT�G 1� .. _ ZSI. e, L T � f �.b � �2�i' R Gl-tZ1,;� 0 17 � 0 II � � rti L T 119 � � \ A1�7 LyrarR p ` 103 i NOTES x , V GENERAL NOTES -Fouj tj C( Q f�aPas�A i � 1 �acssT�NG G�'G�+,vL �r- ' ( A>s uM6 MAPK4 ` IMWO }} 1. Construction of this proposed septic system shall be in conforn.ai.ce with -- T Title 5 of the MA Sanitary Code. An as-built certification is required prior to � �� J . .� Wo , y �xz rs G �'a�r, pCFiPssrpn backfill ', zr k � _y 2 .' No changes are to be .made to this plan or design without approval h g P _ g t of tl e � Z C T S �F Board of Health and the Design Engineer. Frei 3 . The contractor is responsible to ensure that the septic s stem Is i S P P �' TAP B�arN \ ,� constructed as per the design herein and location indicated. K , r OZ „ /GD I Y t t L 4 . The septic tank- -should be checked annually and pumped as required. -OL � - - - S N \ WHITMAR ROAD r , cB 7 S 9 �,P qSf a ti P F Z 01= 1 L FEE 1 �/Y EDWARD L G o ..PESCECIVIL , H - NOT i o AL e 02 No. 32001 o FGIS FS 6� S/ON N AL E i S 1 S , D� Certification tlflcat�on of this drawing In is not valid unless.. i tt�e stain above is provided In 1 � - P P red irilc. r g i � � w fVG p Pvc, 11177 r d s C 0 y0 f VC RKI� DATE S- OZ 0 r JIN Oo OO 61r! 00 q ,I - a �.-- W .yl'" t o 3 ,..� �, t o000 � y M, MC-1hIwA 000Pf 7J t _ : 4:_ : -� 4 e . . Gr S.5 O fuAa »` � kR D o� I � N o0000 7 a � X 0000 z 0 0 A L L�=F`TTG L K 0 0 OOO. 0 P � D;t~AwN Y PA N� D 1 i i. 5 , s t ALt S - r- 0 1- A _ l � s, ou p�rr,�+v ��� !� RTN� �a - �ssoG s a 3 L L � 0-s--Tr-AVVL5J� AAr 3 I I