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HomeMy WebLinkAbout0040 APOLLO DRIVE - Health 40 Apollo Drive W. Barnstable 131 045 ,j a Nov 26 12 10:44a p.1 Commonwealth of Massachusetts - Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Apollo Drive Property Address Y Frederick Clausen Owner Owner's Name — --- -- - information is West Barnstable MA _ 11/12/2012 required for _..._ every page. . City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:"'hen filling out A. General Information forms the \ ll n computer,use 1. Inspector: onlynly the to the tab key t v to move your Wayne Archambeault _ cursor-do not Name of Inspector use the return key. Company Name PO Box 914 -- -- -- Company Address Hyannis MA 02601 W�X City/Town State Zip Code 508-775-1362 _ 355 _ Telephone Number License Number O w u B. Certification 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 i spectiam was performed based on my training and experience in the proper function and maintenance of orb site sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ° rn ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 11/12/2012 I e-ctor's Signature Date The system inspector shall submitcopy 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. **'*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. t5lns-11110 Title 5 Official Inspecion Forth:Subsirface Sewage Disposal System•Page 1 of 17 'n �I V Nov 26 12 10:44a p 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Apollo Drive Property Address Frederick Clausen Cwner Owner's Name information is required for West Barnstable MA _ 1 1/1 21201 2 _._. every page. City/Town State Zip Code. Date of Inspection B. Certification (cunt.) Inspection Summary: Check A,B,C,D or E I always complete all of Section D A) System 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. Check the box for"yes","no"or'not determined" (Y, N,ND)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. ❑ Y ❑ N ❑ ND (Explain below): t5ins•11110 Tere 5 Official tmspeoion Form,Sidsaie.ee Sowaoe nisposar Systerr•Pale 2 of 17 Nov 26 12 10:45a p.3 Commonwealth of Massachusetts �; - - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessment$ 40 Apollo Drive - Property Address Frederick Clausen Owner Owner's Name information is required for West Barnstable MA 11/1212012 — - — every page. Ciynown State Zip Code Date of Inspection B. Certification (cont_) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)cr 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ 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 ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): 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 will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a mannerwhich 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 s ino Ttle 5 Official Inspection Forms Subsurface Sea^age DISDMI sysleR•Pag?3 of 17 Nov 26 12 10:45a p.4 Commonwealth of Massachusetts Title 5 official Inspection Form hJ SuhaurFace Sswago Disposal System Form -Not for Voluntary Assessments 40 Apollo Drive Property Address Frederick Clausen Owner Owner's Name information is required for West Barnstable MA 11112/2012 -- - - - --- every page Uyrrown State Zip Code Date of Inspection B. Certification (cont.) 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 fecal coliform bacteria indicates absent 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. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS 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 ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins•i ono Tate 5 Off cW Inwec ion Form:submirraoa Sewage Dismsal System•Page 4 of 17 Nov 26 12 10:45a p 5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Apollo Drive — Property Address Frederick Clausen Owner Owner's Name information is West Barnstable MA _ 11112/2012 required for - every page. City/town State Zip Code Date of Inspection B. Certification (cunt.) Yes No ❑ ® Required 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 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 1 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails.I have determined that one or more of the above failure criteria exist as described in 31 D 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. For large systems, you must indicate either"yes'or"no'to each of the following, in addition to the questions in Section D. 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. Title 5 Oftial Inspection Forn:subsffiem Sewage vismsal Systerr•Page 5 0l 1? Nov 26 12 10:46a p.6 C Commonwealth of Massachusetts Title 5 Official Inspection Form ce ewa n Disposal System Form- Not for Voluntary Assessments Subsurface 5 y rY 9 P 40 Apollo Drive Property Address Frederick Clausen Owner Owner's Name information is West Barnstable_ _ MA _ 11112f2012 required for frown' every page. C itY State Zip Code Date of Inspection C. Checklist 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 ❑ ® 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? El ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were 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, 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: ® ❑ 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(5)1 D. System Information Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms(actual). 5 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 550 t5ins-11110 nle 5 OfTdal Inspection Fom:s=udace Sewage Disposal System•Page 8 o1 17 Nov 26 12 10:46a p.7 Commonwealth of Massachusetts Title 5 Official Inspection Form k subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Apollo Drive — Properly Address Frederick Clausen _ Owner Owners Name information is West Barnstable MA _ 1111212012 _ required for state Zip Code Date of Inspection every page. City/Town D. System Information Description. 3 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): - Detail: _.. - ❑ Yes ® No Sump pump. 11/12/2012 Last date of occupancy: Date Commerciallindustrial Flow Conditions,: Type of Establishment: — Design flow(based on 310 CMR 15.203): GaRms per day(gpd) Basis of design flow (seatslpersonslsq.ft, etc.): - - Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings,if available: t=in5.11110 Title 5 0ffictd Ucspemon Form:subwrtace sewage Disposal System•Page 7 of 17 Nov 26 12 10:46a p•g Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Apollo Drive _.--_ Property Address Frederick Clausen _ Owner owners Name information is West Barnstable MA _ required for -. ____... ,. ._ .,.__ .._ 11/12/2012 every page. CityrTown State Zip Code Date of Inspection D. System Information (cost.) Last date of occupancy/use: Date Other(describe below): General Information . Pumping Records: Source of information: owner— Was system pumped as part of the inspection? ® Yes ❑ No If yes,volume pumped: 1500 gallons How was quantity pumped determined? site gauge Reason for pumping: maintainace Type 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)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11110 Title 5 official Inspection Form'.Subsurface Sewap Disposal System•Page 8 D1 17 Nov 26 12 10:47a p.y Commonwealth of Massachusetts - Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Apollo Drive _ Property Address Frederick Clausen owner Owner's Name information is required for West Bamstable MA 1111212012 - •— — — - -` — every page. Cityfrown State Zip Code Date of inspection D. System Information (cont.) Approximate age of all components,date installed (if known)and source of information: installed 8131/2004 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 2 Depth below grade: feet Material of construction: ❑cast iron 0 40 PVC ❑ other(explain): — Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): 2 _ Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass Q polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 10.5'x5'x5' Dimensions: 3" Sludge depth: t5ins 11110 Trle 5 Official Inspection Four:Su�sudaoe Sewage Disposa,System•Page 9 of 17 Nov 26 12 10:47a p.10 Commonwealth of Massachusetts . Title 5 Official Inspection Form is Subsurface Sewage Disposal System Form- Not for Voluntary Assessments N. 40 Apollo©rive Property Address Frederick Clausen Owner Owner's Name information is required for West Barnstable _M_A 11/12/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 36" Scum thickness 2 Distance from top of scum to top of outlet tee or baffle 5 Distance from bottom of scum to bottom of outlet tee or baffle 12' How were dimensions determined? measuring rod 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(locate on site plan): Depth below grade: -....._..--._.....--....— ---- — -- -- - feet 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: Date t5ins•11h0 -Ale 5 OHM Irspeotior-=o m:Subsurface Sewage Disoosal System-?age 10.E 17 Nov 26 12 10:47a p.11 Commonwealth of Massachusetts � Title 5 official Inspection Form l 1C Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Apollo Drive Property Address Frederick Clausen I Owner Owners Name --._....... ..._.........._..............-------- information is required for West Barnstable MIA 11/12/2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Molding Tank(tank must be pumped at lime of inspection) (locate on site plan). Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: --- — gallons per day AJarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc_): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No tsns•11110 TiUe 5 0M6a1 Imoediw Pow SubsuAaea Sewage Disposal System-Page 11 of 57 a Nov 2612 10:48a p 12 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments .— 40 Apollo Drive Property Address Frederick Clausen Owner Owners Name _--_ information is West Barnstable MA 11/12/2012 required for __-_ . _-..__ every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 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.): box level and water tight Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: GSms' 1�1� Title 5 01ficial hspection Form:Subsurface Se'rage Dispersal System-Page 12 of 17 r Nov 26 12 10:48a p.13 Commonwealth of Massachusetts Title 5 Official Inspection Form s` Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,4 40 Apollo Drive Property Address Frederick Clausen _ Owner Owner's Name information is required for West Barnstable _MA_ 11/12/2012 _ every page. Citylrown State Zip Code Date of Inspection D. System Information (cost.) Type: ❑ leaching pits number: ® leaching chambers number: 3 ❑ leaching galleries number: ❑ leaching trenches number, length: — ❑ leaching fields number, dimensions: - ❑ overflow cesspool number: ❑ inn ovativelalternaLive system Type/name of technology: - Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil, condition of vegetation, etc.): liquid level 1.5'below inlet pipe 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 const,uction Indication of groundwater inflow ❑ Yes ❑ No tsins•1 silo Title 5 Official Inspedon Form:Subsurtace Sewage Disposal System•Page 13 of 17 Nov 26 12 10:48a p.14 Commonwealth of Massachusetts --- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Apollo Drive _ Property Address Frederick Clause_n Owner Owner's Name information is required for west Barnstable MA 1111212012 __. ___..-.-. --- - — every page. C4 Town State Zip Code Date of Inspection D. System Information (cost.) 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.): S IS•IU10 Titles Official InspezAion Forth:Su su,faoe Sewags Dispe [Sys -P.s�.e 1a of 17 Nov 26 12 10:49a p.15 Commonwealth of Massachusetts --- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Apollo Drive Property Address Frederick Clausen Owner Owner's Name requiaeon is red for West Barnstable MA 11/12/2012 required every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately I I i i Gns•MID Title 5 Official Immetion Farm:Subsurface Sewage Disposal System•Page 15 of 7 NOU-26-2012 00:56 From:BARNST HEALTH 15087906304 To:5087718012 P.2/4 JL` ' - tW�y d L K < -< 2 T ��� LV Lu V =-"r[r .!Sn y 'c p Lll ; s t c - y coil ' {r5nm LU Lu 0 LU U o LLl LnLU 0$ uj I, W x a -) - �' �)0 V �� v� LL ! L LJ'T Il? oc"a j � V I oz 1G{rVr R U a 0 - s ,r �... \ ` w l,9 Vl NN LL y � )V-1 0 F g�ro � 4'WLU Q �y p mtn+ys3 oc•o: 19 )INV�l JI1d�S �w,rxa WIDE• (M IA 9N-31 IYv 1 19./ �45I �•t�U��� I/\ ' SALSAS w ;)NIHJVZn SJ Pz �NUIS 'JMIS7X:7 NVI,I.INVSl7V lUt TGU'K :to woll"s �v �7-I'Y8 113M.UX7 I^ :•^vo .8V - ��Nuslx� 9N01� 1SY�9ild �-^" 1 _8/1� is 0IHAY/I e XO / \ r mil. i OW-30YND /VM1 1'Itl)H SY N4 31 Y;)µWl ONY r_'� fa]'7W)r,o a AO-',SS(Ve- /�' SCSI 92van �vra= � u! �� /r NIHIn 01 S113AO) IS!bL J Nt9ldc nod .w1J Nov 26 12 10:49a p.16 <C\ Commonwealth of Massachusetts Title 5 official Inspection Form I Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 Apollo Drive Property Address Frederick Clausen Owner Owner's Name information is required for West Barnstable MA 11/12/2012 - ---- -- every page. City/Town State Zip Code Date of Inspection D. System Information (cons.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells depth to high round water: >12 Estimated de P 9 9 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 5/12/2004 Date ❑ Observed site (abutting propertylobservation 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 high ground water elevation: test hole on design Plans no water at 12' as per engineer i Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5rtu-11110 Title 5 Official Inspection Ferm:Subsurface Sewage Disposal System-Page 16 of 17 Nov 26 12 10:49a p 1 7 Commonwealth of Massachusetts Title 5 Official Inspection Form -- Subsurface Sewage Disposal System Form -Not for Voluntary Assessments } 40 Apollo Drive Property Address Frederick Clausen Cwner owner's(dame _ — information is required for West Barnstable MA 11/12/2012 _._-. every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B,C, D,or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information--Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5vrs•11/70 Title 5 Official Impec ion Form:Subs mace Sewage Disposal Systen-Page 17 of 17 TOWN OF BARNSTABLE LOCATION '� ��G SEWAGE # L 3 VILLAGE 6 ASSESSOR'S MAP & LOT 1 3 jNS' INSTALLER'S NAME&PHONE NO. 1-eg 77 SEPTIC TANK CAPACITY ne rr/ & r LEACHING FACILITY: (type) 3 — G (size) P NO.OF BEDROOMS ., � S �`"�O UJ �/7 BUILDER OR OWNER 4flA PERMITDATE: Q-!� 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 � r � - �� ,. .-, h r � � �'� 1� �,� t ,. e, � �,`( �� o� �/� p'3✓ Fee$50 00 / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: k, L Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETt'S 2pplication for Zigool bpotem Construction Permit Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 3 6 2—6 4 8 4 40 Apollo Dr, W. Barnstable Prederick & Sharon Clausen Assessor'sMap/Parcel 1 31 /45 40 Apollo Dr, W. Barnstable Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich, .. Type of Building: Dwelling No.of Bedrooms 5 Lot Size sq.ft. Garbage Grinder(n9 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ` Description of Soil ag ,s Nature of Repairs or Alterations(Answer when applicable) Install new Title 5 leach system to plans of Eco—Tech #ETE-1595 c 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 Certifi- cate of Compliance has been issue thi93oSO of Health. Date a Application Approved b Date a Application Disapproved for the following reasons Permit No. a �—� "� Date Issued « CJ ------------------------------ ------ -- = THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS,-. N f ' 1pplica�tion forl0i6pool 6peum.- ongtruction Permit Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. > Owner's Name,Address and Tel.No. 3 6 2—6 4 8 4 40 Apollo Dr, W. Barnstable Frederick & Sharon Clausen Assessor'sMap/Parcel 131 /45 40 Apollo Dr, W. Barnstable Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designers Name,Address and Tel.No.3 6 4-0 8 9 4 Wm E Robinson Sr Septic Eco=Tech PO Box 1089, Centerville 43/Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 5+ Lot Size sq.ft. Garbage Grinder(n) Other Type of Building �� No.of Persons ShowPers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 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) Install new Title 5 leach system to plans of Eco—Tech #ETE-1595 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 Certifi- cate of Compliance has been issued-b this oar of Health. S'gned ./.�': Date Application Approved by Date ` ' Application Disapproved for the following reasons Permit No. Date Issued L r Clausen THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) l_ Wm E Robinson Sr Septic Service Aba4d0on1 p( 1l� rive, Barnsza e , at has been cons&acted hi accorda►we with the provisions of Title 5 and the for Disposal System Construction Permit No. 200 9-)3 3 dated A U V Installer Designer The issuance of this permit shall not be construed as a guarantee that the s em ill fti c on as desi red. (` Date Inspector Tom? No. Fe$5 0.0) Clausen THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ligozal *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at 40 Apollo Drive, W.. Barnstahl p 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:Consttrruc `on m st be completed within three years of the date of this, er-trait. Date: Approved by / TOWN OF BARNSTABLE .LOCATION e /y 0, 4 SEWAGE #©L VILLAGE ASSESSOR'S MAP & LOT 1 3 I Cal S� INSTALLER'S NAME&PHONE NO. 2-7 J_do 77� SEPTIC TANK CAPACITY---,' 16rlJ U j2tr b 14tv ~ I LEACHING FACILITY: (type) "Z_G (size) NO.OF BEDROOMS O Us4-4 7 BUILDER OR OWNER �.I ..PERNIITDATE: Q_c- COMPLIANCE DATE: K_7l1�z 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 �'�► U a y .. 3`l j 15"64& Pic( tea.. Town of Barnstable •.°� ''° ° Regulatory Services . . Thomas F. Geiler,Director 9�A A 9. ��e� Public Health Division �Ee►�'� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: z Designer: Eco-Tech Installer: Wm E Robinson Sr Address: 43 Triangle Circle Address: PO Box 1089 Sandwich, MA Centerville, MA On Wm E Robinson Sr Sept es issued a permit to install a (date) (installer) septic system at 40 Apollo Dr, W. Barnstable, mhased on a design drawn by (address) Eco-Tech dated 04-17-03 \ /(designer) l� I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. � NOFMASSgcy DA N ; D. COUGHANOWR y (Installer's Signature) 9 # 1093�o s • . �A �Ab/HAA�P (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BA.RNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form l TOWN OF BARNSTABLE LOCATION ` 0 17/J' d/�� SEWAGE #®L VILLAGE ��!/ �6a�"�,5 �.�6iL% ASSESSOR'S MAP & LOT 1 3 I —Cat� INSTALLER'S NAME&PHONE NO, 77 Z SEPTIC TANK CAPACITY - kv v v q� �e- ,— D laLEACHING FACILITY: (type) Z- C- (size) �— NO.OF BEDROOMS s 1 r O U � > f BUILDER OR OWNER 4:�:IA PERMITDATE: C��1 --o�-, COMPLIANCE DATE: K-sl-o 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 I �I i tO%CATION / / SEWAGE PERMIT NO. V I L L A G E ASSESSORS- i 3 p s' At a'" `h,�f cq iJ`L `r PARCEL INSTA LLER'S NAME & ADDRESS _ 2Z ( a v -V I BUl-LDER 4R OWNER DATE PERMIT ISSUED 7- 7 7 DATE COMPLIANCE ISSUED js �� ,•�, G � fo ,2 e � �'° is. � .� .._, 5�, z,i p -�' ' �� � � .. . b �4( �. !' 77 ;t FILE...... ` .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD F H A TH /3 _ ©�,� _... ..IZf".�'1� OF....... 14'/..... .. ... Appliration -fur Biipuiittl Workii Tomitrurtiutt Vamit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: '10 ............. ....,�.?/ca/�-..----------------------�.+�. ... ..--------------------------��.......//............................................. Location-Address or Lot No. ........ -`-` ---f ,�.---•--- - ......... -----Easy--��-'se'�•�C--����•�?._'c...... -- /1 Owner ----•---•---------------------------------Address Installer Address d Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms----------------� ___-.E;xpansion Attic ( ) Garbage Grinder (Ale? Other—Type of Building ............................ No. of persons--..-------.------.--- ( ) ( )_.____ Showers — Cafeteria a' Other fixtures ------------------------------------------------------ W Design Flow.................:5V...................gallons per person per day. Total daily flow-----------5'jRb___-__.-____._-.- _-gallons. WSeptic Tank-t Liquid capacity...../ tllons Length................ Width................ Diameter---------------- Depth.-..-____-.--._ x Disposal Trench-No_ ____________________ Width___-__S_ ----- Total Length--_-_____-___-_--- Total leaching area--------------------sq. ft. Seepage Pit No......... �____ Diameter./AOB ....... Depth below inlet.................... Total leaching area------------------sq. ft. z Other Distribution box ( ) .Dosing tank C - 2- 2,,V--77 Percolation Test Results Performed by--------- ------------ Date----•------- ,� Test Pit No. 1________________minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-._-..-_-_--___-_.-.... R+' ---------------/---- ---------- ------ ------------ ------ -- ----------------- - -- O Description o oil-- 40.�• - ---- ------ - --------------------------- W ------------- ' U Nature of Repairs or Alterations—Answer when appl' ble._.----------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. igned �� Date -2 '„2S. 7 Application .Approved BY ... � '------------------- Date Application Disapproved for the following reasons:................................................................................................................. ......................................................................................................................................................................................................... Date PermitNo...............-•--•••••-•---•-•-----------............. Issued........................................................ Date a No........T ........ zu Fi ..............4- .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD ...... . ........OF ...... .................................... Appliration -for Uhipoiial Works Tomitrurtion Vrrufit Application is hereby'made I 6or,,a Permit to Construct w-Rdpair an Individual Sewage Disposal System at: ........... --C....................................... ............................. ......//........................................... Location-Address r Lot No, .................. .................................... ........................................... Owner Address ------I�p ---------------------------------------------- ----------_-----_----------------------------------------------------------------------------- Installer Address Type of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms-------------------5-0 ---_-------------Expansion Attic Garbage Grinder Other—Type of Building --------_------------------ No. of persons..._._._.._............._... Showers Cafeteria Otherfixtures ---------------------------------------------------- ------------------------------------------------------------------------------------------------ Design Flow........... .......................gallons per person per day. Total daily flow...........,< 0--------- 0 ...........gallons. ---------- Septic Tank J Liquid capacity.-_AWallons Length---------------- Width..____......__.. Diameter__---:'......... Depth..-------------- Disposal Trench_' No_--------------------- Width____--__ Total Length__..._........__.... Total leaching area.............. .....sq. f t. 57)01----- Seepage Pit No.......... Diameter__/!��O!........ 'Depth below inlet_--•-•-----•-------. Total leaching area..................sq. it. Other Distribution box ( ) Dosing tank ( ) 2 - Zf--7;p Percolation Test Results Performed by--------C/1411S.- ............... Date____-----_-------_-___----_-----_--._. Test Pit No. 1................minutes per inch Depth of 'lest Pit....._.........._... Depth to ground water...-----------------_-- Test Pit No. 2................minutes per inch Depth of Test Pit.............._.___. Depth to ground water_..--._-___--------..___ O Av %911" Description oil..,w.........0. .................... &bftf6.1 . A 90.. ------------------ ------------------------------------------------- ------------------------------ ............ -------------------------------------------------------------------------------------------------------- ------------------------------------- U Nature of Repairs or Alterations—Answer when applicable---------------------- ................................................ ------ . ------------------------------------------------------- ....................................................4--------------- ---------------4_,�............... ---------------------------- ......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ,,!jjgned --------------------- - -----------D-------------4�;­ Application Approved By------ -- I �.. 2-,2..k- 6............t-------------------------- Date Application Disapproved for the following reasons:................................................................................................................. -----------------------------------------------------------I-----------------------------------------------------------------------------------------------------------i_�--------------------------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTj OF......... .. .... . . ......................... Tntifiratr of 09,01uphaurr THIS T CE IFY That Individual Sewage Disposal System constructed ( 4100or Repaired ---- - ---------------------------------------------------------- ------------ - - at -------------------------------------------------------------------- .. has been installed in accordance with the provisions of Ar XI of The State Sanitary Code-as described in the application for Disposal Works Construction Permit No._".6"t................. dated .....;L 7-0.k.777............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. . DATE.............. ........ �:........ Inspector ,------ ................................. j THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH N ......... ... .......................OF........... ................. FEE---- Binplial War iiAomitrgltion Vamit 2 Permission is hereby gran, ied__i_-..._,0PVar ... .. ./Ift,-------- ......................................................................... to 41 Construct;? Ind/ iVual S&VaeZposal ?'4, Sy� ................ Street as shown on the application for Disposal Works Construction Per zlgN/.. Dated.__. .7 I ..... ........ 0� 0 ---------------------------- Board of Health DATE........................................................ ...................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 7 /�'©• O4 1 •J 1106 c� .4oG M s p � C L,p Woo b ��,"ly moo, IVERarrH. 's /o 3. S'� A'�'' wNCKLRT o�pF` 13230�vq Iq O z z D Y,� IV 1 � O / OMAL i CERTIFIED PLOT PLAN S��vrT L O C A r 1 0 Nt �✓.L�-S ? .E3 /�✓.S ze!2,6:, ,q wo Alo Qom. r�. r S-A. SCALE: 1 DATE: -2 --ag -,77 .sy,4 7-4- j ,, is ��T '.vet ter✓. R E F E R E N C E_ /3-=-iNG L o 7- /D ,4S /V .s o ok Z2& _212817 c�u�/T A T E 1 HEREBY CERTIFY THAT THE BUILDING E LAND SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORM TO THE t CFAtc ZONING GY - LAWS Of THE TOWN Of c i _ 4$'�� WHEN CONSTRUCTED . ,? M tf µnh .HAN'. A !U t:eeC N C M S ASSOCIATES INC . REGISTERED ENGIWEERS Q LAND SURVEYORS MID -CAPE OFFIC'E BUILDING - 126S ROUTE 28 SOUTH YARM O UTH., MASS. 02664 ?a FLOW PROFILE TOP OF FOUNDATION RAISE COVERS TO WITHIN 6 in OF FINAL GRADE EL 35.75 - RAISE I COVER ON GALLERY AND INDICATE ON AS BUILT FINAL GRADE - 51.0 2- LAYER OF 1/8- /D—BOX I/2- STONE . f �3' DROPL d _ FLOW LINE EE 3/4 -I 1/4 r7to = STONE is PRECAST EXISTING ?� �3 a8- GAS <:. DRYWEII BAFFLE �cvatc r, s . 6 in BOTTOM OF 3I.05t STONE LEACHING SYS ABSORPTION EXISTING BASE V24J5 SYSTEM EXISTING 28.32 28.00 GALLERY a S.I f1 ISOO GALLON (END VIEW) 26.00 EXISTING SEPTIC TANK 27 r 01 5 rr 13 r' bl 16 r► 120.qo— ESTIMATED HIGH GROUNDWATER ll0� 6*3 0' - m �d 5iro ou Q M �rrn o<o Z _ \� L1 ►1 GS�� a n Z O j N 3 —+ D v Ln b w 3 g x y rp ,a m m N a rr ��O do 1 O wp u ° D� r "Z ok tv,1 o D o // -v w M. G) z - s; m 7 OOMI1lpN� 0io, b0 ` v ry wo Z 0 0 00- a yo/a00-0 /M co 1 0m n OO N z --I r :V � m t (7)M m vL^�n 7° m �' m O � m o I m V.n Z— v W r m Ln X bm a X i G) '^^1 r�CmvD to p � fJ> •C N � Z r b�@@° �z V 1 O O � DR�1'F m�'3 W Z � V> �b� III � n O� y -4 Poco) = 3y ~ r-O � mosz -p3nM "1 n� D3ma IV mozm _ o —{ m C G) r m > <oyB�Ro Mn z N m sT'�FFT vvmq 1V t r— D z Z M SOIL TEST LOG DATE OF TEST: APRIL 14. 2 ATIONS SOIL EVALUATOR: DAVID D. COUGUGHANOWR. RS D��- SIGN G ' `� CA LCUL WITNESSED REQUIREMENT WAIVED TEST PIT I PAORENTTUNDWATER MATERIAL: E ROGLACIALDOUTWASH ELEVATION PERC AT 66 in : 2 MIN/INCH IN C SOILS DESIGN FLOW: 5 BEDROOMS X 110 GPD - 550 GPD - ;- A SEPTIC TANK: 550 GPD X 2 DAYS 1100 GALLONS DEPTH HOSOIL RIZON USDATEXT SOIL SOIL IIELLOR MOTTLING OTHER USE EXISTING 1500 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. (INCHEDISTRIBUTION BOX: USE 3 OUTLET D-BOX. 0-10 AP LOAMY SAND 10 YR 2/2 NONE FRIABLE 10-40 B LOAMY SAND 10 YR 5/6 NONE LOOSE SOIL ABSORBTION SYSTEM: A 41.5 ft x 13 ft x 2 ft LEACHING GALLERY CAN LEACH Abot - ( 41.5 x 13 1 - 539.5 sf 40-144 C MEDIUM SAND 10 YR 6/3 NONE LOOSE A s d w - ( 41.5 { 41.5 13 { 13 ) x 2 - 218 s f Atot - 757.5 sf Vt 0.74 x 757.5 - 550.55 GPD USE A 41.5 ft x 13 ft x 2 ft GALLERY. Vt - 560.55 GPD > 550 GPD REQUIRED GROUNDWATER ADJUSTMENT OBSERVED GW: 18.90 INDEX WELL: SDW-252 ZONE: B LEACHING GALLERY READING: MARCH 2004 LEVEL: CONSTRUCTION DETAIL ADJUSTMENT: 2.0 f t ADJUSTED GW: 20.90 DRYWELL UNIT STONE 8'-6'x 4'-10'x 2'-9' 2 ft EFF. DEPTH 41.5 f t NOTES M L M 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN i 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 4 fr� 8.5' 4 ft 4 ft 8.5' 4 ft 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM. REQUIREMENTS 8.5'41.5 ft NOT TO OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) SCALE 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 5) EXISTING LEACH FIELD AND D-BOX TO BE ABANDONED IN PLACE. 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE . INSTALLATION OF LOW FLOW FIXTURES, SEWAGE DISPOSAL SYSTEM PLAN AND APPLIANCES. AND BIANNUAL PUMPING OfFr-THE, SEPTIC TANK 9) SYSTEM IS NOT DESIGNED TO WITHSTAND V,E�HICULAR LOADING. DO NOT -TO SERVE EXISTING DWELLING PARK OR DRIVE VEHICLES OVER SEPTIC STEM. 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. FREDERICK SHARON CLAUSEN 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL 40 APOLLO DRIVE WEST BARNSTABLE. MA STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING ECO-TECH ENVIRONMENTAL 12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. 43 TRIANGLE CIRCLE SANDWICH MA 02563 ETE-1595 TAPRIL 17. 2003 2/2