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0021 BANCROFT CIRCLE - Health (2)
2 i BANCROFT C\�C\+L c Page: 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Prepared For: Report Dated: 6/27/2008 Lisa Bancroft New Adventures Day Care Order No.: G0847199 812 Oak Street `West Barnstable, MA 02668 Laboratory ID#. 0847199-01 Description: Water-Drinking Water Sample#: Sampling Location'21.'.Bancroft'Cir.W.Ba_nstabli','MA.r? Collected: 6/25/2008 Collected by: L.B. Map 215 Parcel 013 Received: 6/25/2008 Test Parameters ITEM RESULT UNITS RL MCL Method# Tested Total Colifonn Absent P/A 0 0 SM9223 6/25/2008 Water sample meets the recommended limits r drinking water of all the aboveove-le—sledparameters. / - --- -— f, Approved B l (Lab Director) N C= C:� CLl C ctsj N > 1V yr� 4 N M I ND None Detected RL = Reponing Limit MCI-�"iaxhnt:n i ontaminarn Level Superior Court House, PO. Box 427. Barnstable, NI.A 02630 Ph.: 508-3%5-6605 _ Su �f 1,`� r CERTIFICATE OF ANALYSIS Page: 1 y, Barnstable County Health Laboratory ss�cHus" Report Prepared For: Report Dated: 6/13/2008 Lisa Bancroft New Adventures Day Care Order No.: G0846783 I 812 Oak Street West Barnstable, MA 02668 Laboratory ID#: 0846783-01 Description: Water-Drinking Water Sample#: Sampling Location 21 Bancroft Cir.W.Barnstable,MA Collected: 6/11/2008 Collected by: L.Bancroft Map 215 Parcel 013 Received: 6/11/2008 Routine i ITEM RESULT UNITS RL MCL Method# Tested Nitrate as Nitrogen 0.70 mg/L 0.10 10 EPA 300.0 6/11/2008 Copper 0.24 mg/L 0.10 1.3 SM 311113 6/11/2008 Iron 0.16 mg/L 0.10 0.3 SM 3111B 6/11/2008 Sodium 12 mg/L 1.0 20 SM 3111B 6/11/2008 Total Coliform Present P/A 0 0 SM9223 6/11/2008 Conductance 100 umohs/cm 2.0 EPA 120.1 6/11/2008 pH 7.0 pH-units 0 SM 4500 H-B 6/11/2008 Recommended maximum contamination level exceeded due to Coliform Bacteria. Retesting is recommended .�� Approved By: (Lab ector) (`f, a 3 . ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA. 02630 Ph: 508-375-6605 CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory >3af j£ � Report Dated: 8/12/2005 Report Prepared For: Order No.: G05324471 C cr, Lisa.Bancroft 1 _ 812 Oak Street ` W Barnstable, MA 02668 Vl co z Laboratory ID#: 0532447-01 Description: Water-Drulldng Water Sample#t: 32447 co Sam P Sampling Location: 21 Bancroft Cir.West Barnstable,MA Collec t 8/U172005 Collected hy: L.B. Received: 8/I1/2005 Routine , ITEM RESULT UNITS RL MC1'_, Method 4 Tested LAB: Inorganics Nitrate as Nitrogen 0.61 mg/L 0.10 10 EPA300.0 8/11/2005 LAB: Metals Copper 0.21 mg/L 0.10 1.3 SM3111B 8/12/2005 Iron 0.10 mg/L 0.10 0.3 SM3111B 8/12/2005 T,I.So.dium 1 r- 9.8 mg/L 1.0 20 SM 3111B 8/12/2005 LAB: Microbiology Total Col►form Present P/A 0 0 309 8/11/2005 LAB: Physical Chemistry Conductance 100 umohs/cm 1.0 EPA 120.1 8/11/2005 pH 6.7 pH-units 0 EPA 150.1 8/11/2005 Recommended maximum contamination level exceeded due to Coliform Bacteria. Approved By. � y.a Director) RL = R6p6fting Limit 'MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 h r.94 Page: CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Prepared For: Report Dated: 03/21/2002 Order Number: -G0213659 Lisa Bancroft 812 Oak Street West Barnstable, MA 02668 Laboratory ID#: 0213659-01 Description: Water-Drinldng Water Sample#: 13659 Sampline Location: 21 Bancroft Circle,West Barnstable Collected: 03/12/2002 Collected by: Lisa Bancroft Received: 03/12/2002 Roudne ITEM RESULT UNITS MCL Method# Tested LAB:IC Lab .Nitrates 0.7 mg/L 10 EPA 300.0 03/15/2002 LAB:Metals Copper 0.5 mg/L 1.3 SM-311113 03/19/2002 Iron 0.2 mg/L 0.3 SM 3111B 03/19/2002 .Sodium 10 mg/L 20 SM 3111B 03/19/2002 LAB:Microbiology Total,Coliform Absent P/A Absent P/A 03/12/2002 LAB. Physical Chemistry Conductance 100 umohs/cm EPA 120.1 03/12/2002 pH 6.6 pH-units EPA 150.1 03/12/2002 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. Approved By: (Lab Director) 3�z z�z.oh Z ..... 1 .. _ i Superior-Court House, TO.Box 427, Barnstable, MA. 02630 Ph:.508-375-6605 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS ' ' DEPARTMENT OF ENVIRONMENTAL PROTECTIO ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 c9 or Alls�.4 �'ce►� '. ' DY C. Secr a /" ARGEO PAUL CELLUCCI D B.STR S Governor /Qortunu`'si•ner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM `�`' � PART A y�y CERTIFICATION �- Property Address: rL 1 Name of Owner L [(L - Ti— W Address of Owner- Date of Inspection: A"'n toe 'Zcx-S C T' L,4—(A- �^6 Name of Inspector:(Please Print) cJcx.,P�kr�(e 1 am a DEP approved system inspector pursuaht to Section 15.340 of Title 5 1310 CMR 15.000) Company Name: $ clZ�( � -T-If"u.1:1 Se[L✓Z�S Maaing Address: �41 too P4A-. O 2 3 S� Telephone Number: 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature, \G.Nt. l Date: 1_ ( 9 /q The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(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 Department oKnvirorimental Protection. The original should be sent to VW system owner•and copies sent to the buyer,if applicable, and the approving authority. . NOTES AND COMMENTS revised.:.9/2/98 Page 1 of 11 iJ Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A q� n CERTIFICATION(continued) Property Address: 6�_c 1 r ` Owner: Date of Inspection' INSPECTION SUMMARY: Check A, B, C, or D: �TEM PASSES: I have not found any information whic'i indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any fail,re criteria not evaluated are indicate CnL b w. 1 rCOMMENTS: � I S,i B. SYSTEM 60'N 4 TIONALLY 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 repl@cement or rope r,as approved by the Board of Health,will pass. y�Indicate yes,no,or not determined(Y,_,N,or NC). Describe basis of determination in all instances. If "not determined",explain why not. _ The septic tank is met�l,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)ind`ce,ting that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or hot metal,is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system-4viill pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. 1 i I _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) I or due to a broken, settled or uneven distribution bola The system will pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced _ - The system required pumping-more than four times-a year-due to broke or obstructed pipe(s). The system willpass- inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed revised 9/2/98 Page 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A p (CERTIFICATION(continued)) Property AddrassK Owner: L.- c 3 c.rz 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 the public he th, safety and the environment. 11 SYSTEM WILL ASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTI f�ING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH.AND SAFETY AND THE ENVJRONMEN.T. Cesspool or p�vy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 1 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALT"(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption systerit nd the SAS' within a Zone I of a public water supply well. The system has a septic tank and soil absorption system as the SAS is within 50 feet of a private water supply well. The system has aseptic tank and soil absorption system and a SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for colifo bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of a onia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (appro ' ation not valid).- revised OTHER revised 9/2/98 Page 3orii SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address- 2 Owner: LI-S c 20j i?c,>)C�. Date of Inspection:' 2--a _ D. YSTEM FAILS: You m indicate either."Yes" or"No" to each of the following: ave determined that one or more of the following failure conditions exist as described in 310 CMR 15.303. The basis for this det mination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No ackup of sewage into-facility-or system component-due to an overloaded orclogged'SAS o -cesspool. Discckliirge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid' iquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in resspool is less than 6" below invert or available volume is less than 112 day flow. 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 Soil\ orption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or p ivy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or pri�'s 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="�an 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the wb)I has been analyzed to be acceptable,attach copy of well water analysis for .►coliform bacteria,volatile organic,compounds ammonia nitrogen and nitrate nitrogen. - E. LARGE SYSTEM FAILS: You must indicate either"Yes" or"No" to each of the following: The following criteria apply to large systems in addition to the cr eria above: The system serves a facility with a design flow of 10,000 gpd or gr ter(Large System) and the system is a significant threat to public health and safety and the environment because one or more of the fol wing conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is•witWn 200 feet of-a-tributary to a surface drinking-water pply ----• - --• - the system is located in a nitrogen sensitive area(Interim Wellhead Protecti n Area:IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR .304(2). please consult the local regional office of the Department for further information. revised 9/2/98 Page 4ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST J f Property Address: � Owner: 4--1•5C• `2a��t-� 3 a_j Date of Inspection: Check if the following have been done:You must indicate either "Yes" or"No" as to each of the following: Ye; No Pumping information was provided by the owner,occupant,or Board of Health. _ None of the system components havoe,baen puwVed4cPatJeast two weeks an&the'system hasbaso+seceivingweriaal.flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. _ All system components,excluding the Soil Absorption System,have been located on the site. _ The septic tank manholes were uncovered,opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction,dimensions,depth of liquid,depth of sludge,depth of scum. The size and location of the Soil Absorption System on-the site has been determined based on: Existing information. For example, Plan at B.O.H. Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) (15.302(3)(b)l _ The facility owner(and occupants,if differeuf from..owner).:were.provided.with information on.the prnper.rnaintanaaca-0f --c SubSurface Disposal Systems. Pj � �,n, c�.�`' .. }.J e / `I.. revised 9/2/98 Page 5of11 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:l J-1 30 � C C f e - W. ^�4 S b�r Owner: Lis R SQL dttj- Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow:-23)g.p.d./bedroom. Number of bedrooms(design): Q Number of bedrooms(actual): Total DESIGN flow 3 3 C7 Number of current residents: Gv Garbage grinder(yes or no): / Laundry(separate system) (yes o ✓ If yes, separate inspection.required _ Laundry system inspected (yes of ; Seasonal use(yes or no):__�J ed Water meter readings,if available(last two year's usage(gpd): �C�� q d J S� Sump Pump(yes or no): 1U d Last date of occupancy:�A COMMERIWNDUSTRIAL: Type of establis ent: Design flow: d ( Based on 15.203) Basis of design flow Grease trap present: (yes or no Industrial Waste Holding Tank presen . es or no)_ Non-sanitary waste discharged to the Title stem:(yes or no)_ \J IA Water meter readings,if available: - Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATIO PUMPING RECORDS and so rce of information: System pumped as part of inspection:(yes or no)_ If yes,volume pumped: gallons Reason for pumping: 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) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components,date installed{if known)-end source oCinformation: l 170 Sewage odors detected when arriving at the site: (Yes or no) revised 9/2/98 Page 6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C h n SYSTEM INFORMATION(continued) Property Address: PA (7r p.( I r o Owner: L j S4 4a •t,Q 4 >E Date of Inspection:' BUILDING SEWER: (Locate on site plan) /I Depth below grade: Material of construction:_cast iron "',40 PVC_other(explain) Distance fromprivate water supply well or suction line WY `70 r t Diameter _ Comments:(condition of joirlts, venting,evidence of leakage,-etc.) —- - I—egr'G p;-- is wP// - SEPTIC TANK:_ (locate on site plan) Depth below grade: r— Material of construction: concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age_ ls.age-confirmed by Certificate of Compliance_(Yes/No) Dimensions: 6 �` Sludge depth: I Distance from top of slHdge to bottom of outlet tee or baffle: .^+ -- Scum thickness: 1> ,r Distance from top of scum to top of outlet tee or baffle: (O � Distance from bottom of scum to bottom of outlet tea or baffle: How dimensions were determined: rPQdb (�— Comments: (recommendation for pumping,condition of inlet and outlet tptis r affles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) P t(IC-1 ,Y .(' J✓�^1!? `� y GREASE TRAP: (locate o ite plan) Depth below grad8 Material of constructio concrete_metal_Fiberglass _Polyethylene_other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outle ,or baffle: Distance from bottom of scum to bo of out t tee or baffle: Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tee r baffles, depth of liquid level in relation,to outlet invert, structural integrity, evidence of leakage,etc.) revised 9/2/98 Page 7ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(c nued) P< address: Owner: Date of Inspection: TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) (locate on site plan Depth below grade:_ Material of construction: ncrete_metal_Fiberglass_Polyethylene_other(explain) Dimensions Capacity: gallons Design flow: gallons/day Alarm present — — Alarm level: Alarm in working order:Y'asNo Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX:- (locate on site plan) 14--- Depth of liquid level above outlet invert:--lu— Comments: (note-if level and distribution is equal, evidenee of solids carryover,evidence of leakage into or out of box, etc.) - — PUMP CHAMBER:_ (locate on site plan) Pumps in working order:(Yes or No) Alarms in working order(Yes or No) Comments: Lk (note condition of pump chamber,condition of pumps and appurtenances, ) revised 9/2/98 Page 8of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) ZjG�_C�oI� C f, 'J� ��tC.)J Sj y Property Address:� ((}} //�� Owner: \S< V_O �� 3c^-"c-0 Date of Inspection:' n% SOIL ABSORPTION SYSTEM(SAS) (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: 1000 Type: leaching pits, number: leaching chambers,number:_ leaching galleries,number:_ leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number:_ Alternative system: Name of Technology: Comments: (note condition of soil,signs of hydraulic failure,level of ponding, damp soil,condition of vegetation, at , e3p L\ a S l DQ V N� r CESSPO LS•_ (locate on s plan) Number and config tion: Depth-top of liquid to i t invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumpe s part of inspection) Comments: (note condition of soil, signs of hydraulic failure,level of p ding, 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 vegetatio etc.) revised 9/2/98 Page 9of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) I Property Addss re : P= C c/` �•— c� ;,2 C `Y 5 Owner: Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) S r Scw�2 D•30�- P' � DQ� C E)-(' SEPrI c TA4�- 3,o r s�so; 'r0 scALL Syr►r sc � wlcoi3L3L�5 1010 S�L4y_ p (.JAB 17.0� s revised 9/2/98 Page 10of11 ��r z `7 • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: (�I �o..cl�aJ" •I C' �� C� c (tI, 1���Q_�S 7 S��Y Owner: Date of Inspection: ` NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth:/Shallow Moderate Deep _ SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater Feet Please' dicate all the methods used to determine High Groundwater Elevation: �tft—ained from Design Plans on record ObAerved.Site(Abutting property, observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators,installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) V revised 9/2/98 Page 11of11 w z W THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOWN THAT James Kelly Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. tor of the i sion of Wa Pollution Control April 2 ,1996 Vr C Registered Professional Engineers& Land Surveyors (508) 255-6511 CoastalEngineering.4"n. •Civil&Architectural Engineering/Site/Foundation/Shore Protection/Sanitary• 260 Cranberry Highway •Consultants for Structural Analysis,Project Feasibility,Environmental• •Land Surveying• Orleans, Mass. 02653 File No. : C-11-819 July 26, 1989 Barnstable Health Department ATTN. : Gerry Dunning 367 Main Street Hyannis, MA 02601 Re: Septic System Installation Robert & Lisa Bancroft Lot 13, Bancroft Circle West Barnstable, MA Conditions of Variance Request Approval (2/22/89) Dear Mr. Dunning: As per the Board of Health's Conditions of Variance Approval (Item 1) , dated 2/22/89 regarding the above referenced project, on July 21, 1989, Coastal Engineering was at the site to supervise and inspect the installation of the new sewage disposal system. Elevations and locations of septic tank and leach pit are in substantial compliance with the Coastal Engineering plan entitled: "Sewage Disposal System.. .", dated 2/14/89, revised 4/5/89. As discussed with you, the pre-existing 1,000 gallon septic tank was destroyed during construction at the site and was replaced with a 1,500 gallon tank. In addition, the location of the distribution box was adjusted closer to the septic tank to prevent damage to existing vegetation (30' Blue Spruce). We hereby certify that the sewage disposal system has been designed and installed in conformance with Title 5 of the State Environmental Code and that the system is in substantial compliance with the plan submitted and approved by the Barnstable Health Department with the noted exceptions (see attached As-Built sketch). If you have any questions, please contact our office. Very truly yours, COASTAL �EERING CO. ,INC. Thomas W. oy, .E. TWJ/ca Enclosure cc: Robert & Lisa Bancroft 9 v� C2mmcnwea ith :� :II -Robe t & Lisa Bancroft {rr"Qf�IaSSaC:".<rS2K5, • 313I1'T].g. •Ir ; ! ACCslcsnt k : rr r .�\ ;' ■AMR q e �•'�'"a,S`;f r ' t L ,r a ' � .:a� r O t0 ai tt a �f ,t' so•'- � i ^, 6, `�*r,rt :: I ti n !.� ,j, "' 1 d".C.i ye, r• 19•����.f �.,,w ....kgT 3St , {.-,•• Y} n L' /• r}+ 9.1�',sh.t t `F 1 r ,• ,I A'( M1 f't J 7Ir ' S. h t i a 4 ..r i f� e ,..t:•r,:,U tL. rtKr .. is j,�! .,t' WICALWAD A?A 16 ki . 1/1` ' S ::t J / r.Order of Conditions e >k ..'t; . ;� •! �. ;,•. rr ..:r t'' t'�lri�►SS:�CHUSx.TTS WZTL�YDS PROTECTION ACTr � :131 § 40 S p....t �}v r�{�Lti w �7 7 5 : • • a#tF 6 a at.•, t r :4 ,}"•-•ryx..,.�'<TS T0W 4 OF. B UUNSTAILE.NMLANDS PROTECTION BY-LAW. Ch.-3. Ar-a¢?e XXVII FROM: BARNS I�BLE CONSE1171 ,TION CO1�IMI E .P. f ►w,,, r+e+'��u1� {,.:v ri•}..�j +i 5.f•6 (. S`... .�'Y. 3.F,e Y rC.r -r, t ,1.�t Y•{ ;t9^' r9tij�• iuJ far �� t � r �.,'. Robert and Lisa B ancroft ' ' Robert and "June Bancroft r ' (Name of AFCi�c..nt) ! (Name of Frooem owner,) ' 'a -� 30! Race Lane `. 4. ' ;'• ; , !.', ,t 812 Oak- street. s South.: Sandwich, MA. 02563 Address w. Barnstable. 'MA. �02668 . ..t. ' '�'. '!�, ,�!n+ n+,; r �!•rr ',tt ;t C CS'!• ,{" r.yt4- '}Pi'';8 r•yr •`.S '�`"tzti� '"„�';��t',r �, ' s 5 .. •cer is issued and detivered.as foilcws e hare ce:iver/ . a�w c :-,ic..m,crre^resentative en (dG12•. r ;,. 1 .• ,a. -' ' April 141, 1989 rd3tel cam.;:ec rrau•°re•urn rereict requested.on -cier:Is:cc-.tedat Lot #13 Bancroft Circle , West. Barnstable, MAR 4 tccer••/ is rep c Cec at the Pe ism/4of Deeds In Barnstable t ��� d�tir 5E r e � 1 �i � Y �F � .l�" K4A , ti 1..�41� �� .�� y • ' 1222 t c`g, 573 t tx `x " :t• •? « •. r}.q *si t S""'•. :' �. r+«-r lvr�t- `4� t.j a�.',,,i`," "� ' ,cote ;if re;istere^` :coca ir,tent;cr Grc;ec'was filed cn February ?A . 1 989 1(dzte! March 28 1989 (cd�et :�c'.ic-earrl5�Ne: ed cn ----dL l " :n s /µ t _ aZ � .r �-., Z J I�..s� � , S e �3 ya ,•�r I,�Sft ' a �l .v�r f�s ,• t; } 1 .�. . / , t e Barnstable Conservation C^""n, _qs;nn has reviewea the aczve-refe e^:C2^. r -- ;d has,c ng cn.the c:c;ec. casec do.;t.e mic a:cn avatiac:� to :: e �•• CaaL*ziss;nn ._terrr.;rEc •`'a. Commission at .I4-.is .Ill.e• the' . .^ :• ^' ��• ' ;>"e fcticwin interests in act.'�,:_sr C?'NIt:" :rea c�wr'tc^ t;;e ^sec•Ncrx is .V „e d;.ne s /,f/c ra .V 5 1 1 ��• •V�1/V�� �1 ♦• ,1 •. /� _.^-:L•^•�-••IcriS CI V '•-.itl.rl `'.F�et n In t�1e1 re;_!allcils IV, a v.Araa V•�•�,e�•••c t'♦C•e� •"rT t„r-c_r ,�2 w c Hal�e.� mot:^ �1 fR : [:r` F3ccd cc^t,': �,Jr. 13rd ccntatrirc "s:, r 4• •� • ,i .._,,, ' Stcrm,da„lade mrevera,cn ' µ C �•Fis;/eries, r:va:e water su..... _ ._. ^^�lu•tcn "° C F•c ec• c-t of rviid'il s• der r F•everricr/ c► ,... r ' 1 �. 1 e ra..;,�, G.curc water ...y '. =C Z 27 .Only: '1 ;,c••ac•�lt__s Rec_sat. crai s �'� a �• 1 :r � , + 1, ,.. .. ,reiore. the Barnstable Conservation Commifts� h ri ereby Fnds that the following cdnditions are necessary, in accordance with the P.eriorWance Standards set forth in the regulations. to prptecc those interests checked above. The Sam. scnble Conservaton Committee orders that all work shall be pe::crmed in accordance with said conditions and «;th the Notice of Intent referenced above. To the extent that the following conditions modifv or differ from the plans. specifications or ocher'proposals submitted with tl\e Nocice of Intent, the conditions shall concoL GENERAL CONDITIONS"•t' .1� i•t � �c1'� .,t �,r r{ � � ; £ {al i.y. i°&r:� 1. 'Failure to comply with all conditions stated herein. and Rich all related statutes and other regulatory treasures. shall be deeWed cause to revoke or modify this• Order "> 2.,,Th,.s Order does not.g- t any property rights or any exclusive,privileges:.it',does not,authorize any injury to private property or invasion of private nights-,___ 3. This Order does not reeve the pertaittee of any other person of the necessk ,of compiying with ail other applicable.federal. state.or local statutes; ordinances..by-laws.or regulations:. 4. The work authorized hereunder shall be competed within three years from the date of this Order u.^.iess gutter of the following apply- . (al the work is a maintenance dredging project as prodded for, in the.Act: or (b) the time for completion has been extended to a spec':ed date more than three.years• b'ut less than five years, from the dace of issuance and both that date and the special circumstances waranting the exterdEr Lime period are,,?set forth in this Order. 5.(.This Order trav be ex:ended by the issuing authority for one or mort periods of up to t• ee years each u;.on a^oi'cation_to the issuing authority at 16asc,30 days prior to the expiration data of,the brcer. 6.. r.knv fill use in connection with t1Ls project shall be'clean fill. containing no trash• refuse.,rubbish or debris. irciu'Ring but:at limi;xi to lumber,br'ciss, piasEer, wire.lac.Z pacer cr.reboard.pipe. tires aster. re-geracors. s motor•vehicles or pars of any.of..the foreg`oirg. a.+iriiriL-i.rarve appeal periods from t'h:s'Order have elaps#d or.if suc^ . an.appeal F.as been. Etted. until all proceedings,before the Depa.*t=eat.haye�been completed. ' 4 '-e Lard 8. No work sh.-:l be.urder:aken until the Final Or cer has been recorded in the' Rex srry of Deers or t.. Court for c a district W which the land .is located. wit:.'.: the c ain;of citle.oi the afiec:ea property. In t e c---e of reccmed lard. the'Final Order srall also be Hated is the Re?iatry's.�Grantor Index under ::e rr.^:e . ` of :`.e o«rer ai the la:^ "pon wi•:c: c:a -rcrosed word's w be dere{In.che c=,e.oi.ez ste:bd '_-nd. .:a F:-"n; C, , r -z the La.:.d Cou_ C�''::.cace of'::::e of tits owner -=+ y=s per sr..:._,o be no:r::. -e ?n.or. ac:cn snail be subr.-ma to the' - wrr is to be cone. T:. :eccrdi:.g 4 l ea the for- at the end of this Order'p:.or-to coma:enc_.r_..t of c e work."°�: , 9. sign shall be dirpia;:°r at the site not less than c:vo scL:re feet or more tlia.*t th.-ee square feet in size be�- i=g the ivo 4.,"Niasszc:-ects Depart—merc of Enviror. e�cal 6tu�iicv Eng^eer•�3 SE3-1940 i F.y r ie Nurnce: x { 10. V,hE:e E.L.e ?'.Jar:yes: OI.^.n�1rC.:�.e.^.CP.i wC.':.C;: E:.a:�:.^- :S :'-'r'1eSCE� :0 ...tit 3 C .E. y C .•o-re� i 2'. the Cv �e^:3C:cn Cori..:'=5IC7 °,.ill�e a'Jarr. CO ail3�?^C ;:CCEE'' .':29 inc ^• i issue a u_ e=g rim qq r••-Ont. � ✓'�,'" k� .:! Yi�`.�#,} br;''.�"i ir'y�,* s�' ,S�",: r, �,' ,1. .. i:.•-s before .:e De^:. ._ N, 1. I:r•-ediace -oilow:z _ . ^!ec.cr..?t..e en-. = "- -„ .� :oiec: si::il be c_. :o be as'per these cendi.:crs and �a :G"':' Bar::sr:e CGrsenac:cr CGr='SSiOr. b;' •:e rrc'.ec.: --oc.- • \T iC �' ts; Q �•i t i 4 `• i-.0 snail -e :eg:scer'= : tre state of Villa- , 12. t Con c _ion b•. .:.= proles• r• ^"*' the apc_c:nc shall ►'or.::tic: reruEst. nr- _- i�^ •Ce irS�:e4 sCaC-. c:.a: ^ sagstact.^..^.:f.cc:n-. Cf sz t ac a Cara°-ace oi.C, .rice ^3 . work.has bee.. L site. ail !2zJ ad�:arisi:3 tits .-C aa:ec .0: rite pec::iane: :s a_en :o 1 :. P-:or to,a::: work be�=.g done at t..e si i "' r. t� '«et Lean:.^_ :eid on t.s p:o•. a°-1 r r k.' 1 s , i1 0� :e •t'ow:. cf 3�-:a:a�' ,.L`:< :vet.' d=: `.:_ss. C.L. 1;, T.-� Order suer ...-der Ax,,.c.e . .:e B;. - . Of- sec. =0. T:e,�—scaQl2 CCr=e^:ac:cr•C •^�..:5s::s o: C.; er:aC:or. Oirce: eke,". be ^.G:::.'_'^_:J -Cie C lvl. Jr er ram, '« :e -+ •, °^Ce:-eL: Of 7�OCk. and ...e au:.. :C : .':0 �•tas ncr :a_s than two Cie::S nr:C. :0 ...E C...r.._r calce=znt _ - _ •:.Is C er:are 0. co...a:.e^ 7.\..r :he to _= or :e..• �/t ..r ; icy. , i 1. •e ' de cc•crac:- s :vzr: a5 ccov:oi .:s Order arid, :o ens ' ::-`.s C.`.e a::::'_Ca..=.'s re�_casibir co ^.c'•. .,r =r .or:e:s _.:cr-E--- the ccnci:icrs of ..:s Order ce:c:s the•. cEgz we:i a: t:e• rice. ' «�3 . r.�r..�__:"�" _.: -' ' r ,, a. ( "....., x,.n,xF tat ..�t r£'x- ✓.r� v. . C �r1s5 f � C 3;iY ,.�::r.— 1{,ri i1.Gxk 4 �d,ys !, :wu -kF.!'..:J aa:Y.wwrr�..' ^{.w - ' �� �'� {� ����� .-.r f it�+�=�t g, *•;+,, w d, F _ .. - ,^ tea. 16.. The_work shall conform to the following Plans and special conditions: S. �, T � `Signed and Stamped by xa" Oe File «ith: Title ., , Dated Barnstable Conservation .Plan of Record,revised "' 04/05/89 --' David J. -Michniew}cz,P.E. •" Commission ! i.-;'i-dia.:. ;f kl,i`3, brj.t? {.L.{ fir.. :"E ,'J.}NJC j•'.''!. ;}f'�: '� �tCr., p"1' " ti4- ,,�L3f'"`„u.".iJ ( t. N �4.+�Y•{n7.a �i {�,i M � 4.i.� }1J �: L 4 L�21E Jw V .a ,$) �+^ ., u . .atf.,,�.4 ` 's s'•�.l.:! :,,ra.-'.''3?6 Ct- "`.,•i, �r. ', - Special Conditions (Use additional paper if necessary) il 1: ) % Prior%.to h the :start of;.work;: ,General' Condition number: 8 shall ' be..,complied with. $r _ 2. ) it is therresponsibili•ty o.f the applicant, � owner and/or successor (s) Ito"ensure 1`that'� all'!-conditions 'of" 'this Order',are complied with. The project' engineer"and contractors"are�''4to be provided with a copy of ,ahis.'.Order 'and ,�referencedE'doAcuments ,before the"commencement of . construction. !•C :Nf g�ti=fit . 3 .r) Staked �haybales shall 'be set at the .work , limit prior to the start of work at. the site a#d ,maintained throughout construction. 4 . ) Drywells shall `be�installed ¢to ',accomodate'* roof' .runoff. 5. ) i^All wooden portions of the structure permitted herein shall be CCA- equivalent No creosote treated materials shall be treated}or the. q , used.. ;,' ?��i Y' '. ;�, .^"�.. ,,;f+b ,r...: , ..�., ,:,p.;,:. .., a o :Y.�+ �«.'h,.rT r ".r r...e: i r rrpj•' 6. ) All areas disturbed during construction shal-1 be revegetated . immediately following , completion of` work at, the site. No areas . be=left-ur•.cgcta=eJ-or--unmulched,=for=more than 30 days. 4. 7 . ) The applicant shall abstain from any andj.all lawn care chemicals Qwithin-• 50' of the wetland; edge.- :.... 8. ) {The `lawn `within 35'' of.`' the:'wetland'''.,edge shall-Tbe abandoned and 5 enous_;;,spccies. • shall r be,,replanted with indi.g 9 . ) The Conservation Commission, its employees, and—its', agents shall have a right of entry' to inspect for compliance witjh' the provisions of the Order of: Condition. . s A "O 10y -s:. ) At the completion of taork, or by the expiration of .the present permit, General Condition number 12 'shall be, complied with. ! iY j P,-'W as •. + •,f '. Issued By Barnstable Conservation Commission Signature(s) C7�13?01 i This Order must be signed by a majority'of the Conservation Commission. 14 th April 19 8�. before me On this day of * personally appeared Douglas Bruce MChenry to me known to be the person described in and who executed the foregoing instrument and fcknowl edged that heishe executed the same as hisiher free act and deed. ' Octobe r 28 1994 m 101 7 My co mission expires The applicant.the owner,any person aggrieve by this Order,any owner of land abutting the land upon Which the proposed 77777 work is to be done or any ten residents of the city, or town in which such land is located are hereby notified of their right to request the Department of Environmental Quality Engineering to issue a Superseding Order, providing the request is made by certified mail or hand delivery to,the-Department within ten days from the date of issuance of this Order. A copy of the request shall at the same time be sent by certified mail or hand delivery.to.the Conservation Commission and the applicant. Detach on Dotted Line and Submit to the Issuer of this Order Prior to commencement of Work. . To Barnstable Conservation Commission•(Issuing Authority) _ PLEASE BE ADVISED THAT THE ORDER OF CONDITIONS FOR,THE'PROJECT AT 7. i FILE NUMBER HAS BEEN RECORDED AT THE REGISTRY OF ' s„ ON (DATE) Ifrecorded land. the instrument number which identifies this transaction is If registered land, the document number;which identifies,thisSigne transaction is ..a ( d .applicant.. x ,fin•. A A {I i tA. R .ks. ,f P�OSIRE TO�y TOWN OF BARNSTABLE OFFICE OF DeaslTeDL NAM BOARD OF HEALTH . 7� l639• �{� 367 MAIN STREET HYANNIS, MASS. 02601 February 22, 1989 Mr. and Mrs. Robert Bancroft 30 Race Lane Sandwich, Ma 02563 Dear Mr. and Mrs. Bancroft: You are granted a variance to install a septic leaching pit 123 feet from your well located on your property at Lot . 13 Bancroft Circle, West Barnstable, Ma. , with the following conditions: (1) The designing engineer must supervise the upgrading of the onsite sewage disposal system and certify in writing that the system was upgraded in strict accordance with his design. Ak (2) The water from the existing well must be tested annually and must meet all of the standards established by the Safe Drinking Act of 1974. (3) The existing well must be__relocated _.and.--meet--Title 5, of , the State Environmental'"Coder distance requirements if the water does not meet the prescribed standards. ; This variance was granted because the existing leaching pit is located only 105 feet from the well. Therefore, by upgrading the septic system as proposed, the leaching pit will be located further from the onsite well. Sincerely yours, C�,UI� 0�J1ti1� Ann Jane shbaugh . Acting Chairperson . copy: David Bennet Coastal Engineering AJE/bs j .� � f i f , C y No.... 1-!.2.®3 �G O 0 2 Ob 1 Fim$....;7 V THE COMM NW H OF M A EALTASSACHU S 97 BOAR® O EALTH ....................0F..U)as.v. ................................... ( G�nCh, Appliration for Disposal Works Tonstrurtion Permit Ur4. Application is hereby made for a Permit to Construct (7O or Repair ( ) an Individual Sewage Issposa ') Slf System at: / 3 -- - - ��=�---------- :Location ddr ss .......... _c v _..( � ------------------------- ---' - _ = r `. °: rn:l< =------------------ Owner Address W Installer Address � d Type of Building Size Lot. AL m-----Sq. feet aDwelling—No. of Bedrooms............3..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............._.............. Showers ( ) — Cafeteria ( ) Otherfixtures .. --------------••-- ------•-•--••••-•-------------------------------._...-•---•--•-•--•••••.- ----------•-•---•-.-•- W Design Flow......................_'~ ............gallons per person per day. Total daily flow......... _.......................gallons. WSeptic Tank—Liquid capacity. gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length...... ........... Total leaching area_. ..._____.._...._sq. ft. Seepage Pit No......... -- Diameter..... i........ �.__.____ �.�,,. Depth below inlet..... Total leaching area ��sq. ft. Z Other Distribution box (-) Dosing to ( ) , W Percolation Test Result _ Performed by.--__�_ 1�__ ± n�._. rjeq Date. Test Pit No. 1____ ......minutes per inch Depth of Test Pit-___2�: .... Depth to ground water._ Test Pit No. 2.....14A...minutes per inch Depth of Test Pit----- 22;®.... Depth to r nd O Description of Soil....( --Ct11f!n.�..l _. � - { "--,�.... ----� °--- -•- (11 x -.-•� -0,90 -- -.......--•--•--•-•••..--•••----------------••......-•-•..-------•-••---••---•---..........------•-----------•--•---••----•-•••-- W Nature U -- U of Repairs r Alterations—Answer when applicabl � ._�9�I.v.!.Y _._ _._. _�.��r/P�•.�•••_.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Ii:f'1 T/'1'-� t 1-S 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b th board of health. ,- L r Signed.4.......... 2 tt Application Approved By 1 -••-•-•-•-• ► `- -- ^..^}--------------------••---.-•-•-- ------.577.fi-1_'-'21.......... lJ Date Application Disapproved for the following reasons:----•-----------------------•-----•--------------------------•-------------------------------...._........--•--- •--•••••-•--••---•--..........•••.......•-•-•-••-•-•••----•...•--•••....---•••....•--•-......--•--.......••.._......---•••-•••-••-•-•••••---•••-•----•••••••••-••••----••••------------••-•••----•_••--- Date PermitNo------- _..`. ................. Issued....................................................... Date Fss...No... f � 3 (, ._... s THE COMMONWEALTH OF MASSACHUSETTS ;7 ,r BOARD lluoe------------------_OF...... ..............U) OF H q�MA H a ApVftruftou for Uhqpaaal Works Towitrur#iuu Vamit ` Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal syste>L& �G►�cioe........ _... 13►-Q -t- --------------- o `jLj o ion � iU 1 5 I.. ck(ch)1 ---......-•................................••---•--...------•--•-•-•----................z...._.... -•---...----•------•----------•-----•-----...........•---•.......-•--•-..................----•_... Owner Address W Installer Address QLQ7t UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............3..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............_--------------- Showers ( ) — Cafeteria ( ) dOther fixtur55------------------------------------------------------""------------------------------------------- W Design Flow................................j&y.)gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter-__-_-__--_-_- Depth................ x Disposal Trench—Nr--------------------- Widt44............... Total Length.......-/......... Total leaching area.. S(Ddsq. ft. Seepage Pit No____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (� Dosing tank ( ) Percolation Test Results Performed by-----�._ _.C,�I�_ (�Q1( ....... Date____ .................. Test Pit No. 1....2-------minutes per inch Depth of Test Pit----22:_L7.. _ Depth to ground waPer'. ----------- 9L, Test Pit No. 2.....ti-Q...minutes per inch Depth of Test Pit-----22t0.... Depth to ground water.._'T_25........... x -2mnliA----o__b1er1n►_ w>m,.- ' ---1.....���-:= ------------ Description of SoilILl1 �/I` '. ` i }' �ttitJ 12 4i.222---- """ -------------------------------------------------------------------------------------------------------------------------------------------------"---------- x ------------------------------------------------------------------------------------------------------------------------- ---------- -------------- ------------ - ------ - -------- -- U Nature of Repairs or Alterations—Answer when applicable._V --._-. iv, Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of:TTLv p 5 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. Signed............."""-"--•---------""-•--......•.........------------.....•----.........__. ................................ Date Application Approved By........... ...•--•---• ...--:� •-""""......... Application Disapproved for 'the follow, g reasons ________________________________________________________ __ /.^ t __.....____ ........--•"--"-"---"--""-----"-"-----"-"--"....."•------"-"-....-------"-----•----------------"---....--•---------....._....-------•---•-------------•••••--•-----------•--------•-----•..••--•----•-•. Date •----"-----------•----•-----•--•-•--- Permit No. .. Issued--------------"---3--------------------- ii;.t.. THE COMMONWEALTH OF MASSACHUSETTS .BOARD OF HEALTH � �...............OF......... ........................ . ...................................... Trrtif iratr u uutl taurr THIS IS TO C'JWIFI', Thaz"the Zn4iividttal Sewage Disposal System constructed ( ) or repaired ( ) nf�.a ,s's, by ------------_= �_..,t��- Installer at.............. --"-"------•------"-"-----------------•--"-"--•--"------------------•-•-------------------•--- has been installed in accordance with tie ov sions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. i__....... .................. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHA . O�E O LT NSTRIIED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............2......!.SL �------•-------•------------ Inspector............... ................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH "•' =N AND CEia'Ti=- ' ." r ,.T_-A WAS INSTALLED I." ; .� .... :.. ..................... / �t��u��1 urk� �uu��rUau rrntt# �5,�..............--- Permissionis hereby granted............................................................................................... ...............................-•----.....---- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No............ �' f o"f! r Sueet {,l l�, j�.GEC— = �--�kQ�l(--`----••----...-•----•---•-- as shown on the application for Disposal ��orks nstruction Permit g`�`.�_ __..-----_------ mated.......................................... Qf�.� Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS { ` —410 1,0 ti...s1 Tj t T S4 wwv 1 ' ^ _� ►4r�'uet , GA4Q�T 5 .+..,t,,.i-T�•`0.��.�.._..... _.r-. ._.__..- - Vi+ l'I'} Btv+CBpFT i' 11..1S c <0Z ' F' f`: iTGK� Y L1A1C ,' wy 7' LC�GUS y-- P. aZ,I.1G _l _ �UQI1.lG. M+�.t u�A,L 51iG 4'ti3at�* iEU ti3.(c ; - C,5- Z,X z - ,l�I jt� o[t7 ,�/ FYf nF T��iT I -ZFnNe: r 4 Ta('sai (OLD F�M, 'EDGE 4: " aF r-� att_ �uat 4. - 5u91 WET LA,1 J-D EVE. r 7.'7 T- -,)L- , 1<�l RA.7E g � �N/►,1.� 2 t�11.\/ 1►.tCH _._ __._ _ ... SPw L_, v,/ SA,�a Q �., v 1.�> ,t _ A ii.'.C? 4 �AQT L`/ 'T- T.�LI►.l tl t 11t; i--�E'A.1_Tl-1 Ar._,E.N T � ' ` O 11 � r Alw o Lc ZZ.0 ZZ,O t 1 ..� WA;>✓ k'_ �A1C�111i`tTE_Q a `--� 4 AREA Z '5:DF j UL A.TIC ' 1.1 t , "F=lT 'Trj lae t�1dT>\9EL': � ASdANOU A 12�x C.' LEAC1-! p1T �w/ 3�-C�p EF ECTtVE AE'P'TH> CAM LEACH { 1 F�1ELD (t2.)(3j/,4 = 3�'7 .v GPD �i t ,a�si��= _ (ASpDtTJ� Muo j FX\5T1�1G trJOf, :,Ati Ile SET"r i C ZJIINIC \y F"' LFtiC►-t nt T !w/3 '&I E-lr. v team) VT = 4 c to CPU > 3 3o GPD Z944 p ,- �-1AW BALE `,51 LT� M r CIS ST 1 U iz %000 GAL- 51~F-r i C A1.� ---__._ ___._ - � � '�,.,, fit,,,':M,t T.7F WC�211�1 _- _.�„_,,. '�ti,►Crl Xt \` i v t -,._. - ,. A.E.Sc3A :.E ��yl.���Z �i � w1T1-•i TF115 ��S4Gd�1 6TA1fLS �� -- _ �, �:��.3 N * Qb CHAmc e mi I-auKeE{- CIF' eF-Mc0M,5 -- ---_- - - - J l �.'�`f -'E r --T�-''�"kZF-_KMk-, �' f APPa�X �c�caT►O.►- �� _ -- — w.,►na-n .► (� ¢ ., > >� '`--il 2M'O =V Z91sl o x f 6b 37.5 \F St C7171'E V1ST 1 5 3 1:F4 G I U. hEPT\C T ,1414 �a pp PE i�EMdVt=1� � �, �r THIS IS A REVISED PLAN REV. Py: -tOP � �iwbAT\c�wt RA.tS� l�vE25 � wrTt-ttl•1 DISCARD ALL PRIOR PLANS t3(2jC1C PATIO, '1a�1Q'S MLID {Z _►� Q- _. .._ � f r�-ZD W H1. tO+ll � \ q 2EYIS�L7 - ASYJ�_G ?D r 94t)lA x N 4o W(: - I. 4u T>4A '<GN 40 PVC _ B>cNLN M�' 1� SAYE 0 CI 'TO -5TZ-)WE 1o�4.cL7 �, �RtvEvdP� rtLE .K ►� Ext sz tw►G I LL A rAeF.. c� IUOp GA1_ f. > -to-fir At7l7EU E3cthctwc, - 13' Pizc\M "I'nM aF �z �EYI".EO p t r To c� PAQG&-c c TMt�G TQ.t,►1_ - aT7U 2.E ML\I t l 13�u'1Z bid 2 -O ,^..t1r.SL O �daAIT"TY -rr-E,S ?7r�at►IG DO*^4 n LEACtri PIT t_Ee.G►-t '' / G►, .�-O EFFECTIVE tL eE-�/I'S1� �Z-L4-E3 : Ct..AQ.ItcIm A.S P..FG2'D U P�.UL.Ct�•JG �tv�'C��"tC'ttC711 ' ''EpT t TIAE 1►.tFa Mn�: .i HE+ZE.c� NAS 8E� PIZFRPAuz_E� PROJECT �+ ---- - A�CUY.G►JCa T� TNfE QEC1ttt2EM�t�►JTS �F T►TlE S OF L-')T 13 Z4JCZ0FT CAMCA-Z CIA.R STAGLE MAYS THE 57A.7T: lam/1 Q .IM,E!►tTAl ^JCS l' FM TUE- � C, T TLE ALL L1 WIL . rq �f=T 't,1 -�'' 13 -o" SU35�lG�FA�E t�i5. O!' 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F:>Z THE N M ( Z TITLE -)F AL-LPk" U N6S CJD y'I �FT `3E ��I -c>' i t-1®r o" G S1J�C3SV�\ZFY� U14.f�'_YSA�. �F' SA7,1 tTA2y SE>r•14G�s A`1.1t7 --.Tcl-k (Kim) ,, , , "� t� '_o„✓ *. t.�acAt_. C-0-k'R.P OF- V46ALTG-1 P�Gu�.TtdPiS WITtk THE _ usy+Gs� P,T Tp e. l.,! � A►�! >rki�c�rt �RAWN BY f �1 Y1T ! _�...._ _ _.. . . ���C�, � C�CE PT ION, L1F ; Ttv1Cj Q a n� • Penngic REVISED ` FLov'I '�.'.�/ FQ0K T�t2p�5E'l: ✓ ,,K. ' 1 /� 1 \�''t' ' , ARCHITECTURAL AND CONSTRUCTION ENGINEERS �'�j �`Y ` T"� d"� LIEp�C►�.l 'PIT �27 Vg21hN�.'E f -- ;j 6 -IWL 1�h;� 260 CRANBERRY HWY ORIEANS,MASS.02653 (508) 255-6511 • �- \tNST/��,-�T�G►t�j�j M1J�aT Q�NF��MI "�v T1.1'�'_ trtllJ INU..I`►.r�. ` -cL'ti2\,tt Qt`MEP1�'S Ot� T1'�'L.•E � ••-+r .�i` r ' '` y� �^1 SCALE CHECKED BY DATE DRAWING NUMBER MAK!►E.AC[