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HomeMy WebLinkAbout0040 DESIRE'S LANE - Health 40 Desires Lane W. Barnstable A=088-088-002 -- - - 0 0 TOWN OF BARNSTABLE 'ZCATION �OR S�t"'�� �,C,�.��. SEWAGE# 0 O�- �Qs- �J VILLAGE_�yJ ,�3�rr,�k �� ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE rA V-r�IA- S-V k'7 7 S r 06 le SEPTIC TANK CAPACITY t ED(y e,X C LEACHING FACILITY:(type)�_�pt' � . CA A940j k-,,, r-Es+Ifn�(= NO.OF BEDROOMS OWNER PERMIT DATE: ,, Ir1 t COMPLI'ANCE DATE: � t _ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility o_r-� Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) /S-0 r-4 + Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) N 0-'-� Feet FURNISHED BY �vk Or • � a o(, .r a �p �. r Q�a � as R-4 �- � � " ass NO. ' j Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for Migonl �&pztem Con.5truction Permit Application for a Permit to Construct( ) Repair X Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. es(, r- P l Owner's Name,Address,and Tel.No. tt�� �c N®c \Akiy^ Assessor's Map/Parcel C4, Lin S, Installer's Name,Addjr4s and Tel.No. Designer's Name,Address and Tel.No. 34 Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) rj 3 d gpd Design flow provided �( (� gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank p)c�t y zu, 6--k LType of S.A.S. Description of Soil e Nature of Repairs or Alterations(Answer when applicable) SKZ— Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt Sig ed Date Application Approved by Date 7 .Application Disapproved by: Date for the following reasons Permit No. —3 O57— Date Issued No. 6 `-'`/ ;' n , ;�.. Fee /0C . �l t --..� -;THE COMMONWEALTH OF MASSAC.HAISETTS Entered in computer: Yes PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE,-MASSACHUSETTS Application for M gpant �§p5tem Construction Permit Application fora Permit to Construct air( j Re Upgrade( Abandon( ) Complete System Individual Components PP P � Pg ) ❑ P Y ❑ Location Address or Lot No. �(. — — Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel O Installer's Name,Add,;ss,and Tel.No. Designer's Name,Address and Tel.No. �rl� tr ��i � C.N\ Ue. M 3a Q �r^S �� a �513 a Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 4� 0 gpd Design flow provided US,�(r , gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank (�X\v \S(SU �'C�,IS/rr.Type of S.A.S. y���a Cr Description of Soil ,<�-E? Kr,�f� � I b � k' Nature of Repairs or Alterations(Answer when applicable) ��\/ ' s Yr4... Date last inspected: -y Agreement: " i' 1 , The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. \ Sig ed �' DDate Application Approved by Date 7 6 o Application Disapproved by: Date for the following reasons Permit No. 3 t75— Date Issued' � `t THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( Upgraded,,( ) Abandoned( )by W at l P. \ S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. O(7 30 dated -7/`7 b Installer '-C• X � (`r�n.,�,(._ Designer /-{ _ L14, CA #bedrooms _ Approved design=flow gpd The issuance of this per/mii 0s/haall/not'be construed as a guarantee that the system will/fun�ctioJn/asf dye�signed. / C Date `-� I f/YD�� / Inspector rT-7�4Wy ;��1/' � Pa�l`( "!���_ � No.cPSO GP 30 -j Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS =ig;Po.5ar *p!6tem Construction Permit Permission is hereby granted to Construct ( ) Repair (Vo') Upgrade ( ) Abandon ( ) System located at l(0 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. s Provided: Construction ust b completed within three years of the date of t`I`iis pernit't- Date 7 ApprovedMby� f ' I owls of Barnstable P# t I 1 7:1 Department o Health,Safety,and Environmental Services / �t►�'�yy�y I ublic Health Division Date 367 Mein Street,Hyanals MA 02601 refp � 1 tte Scheduled_ � Time Fee Pd. Soil Suitabh h v Assessment for Sewage Dis osal Por)btmod; 57217Al`C-..j /4.4.4 x /yE Witnessed B : j — Y tow Loc atlon A tress TV a t-S 1 rz" �-^Q E Owner's Name Ctf+I+'"Y &U4ztV' 6 °s--0jf C— Address S,OMd41IF7 Assessor's ap/Peraol: 9MG OOPS- C:P2 Engineor's Name S7LVWeY- f+v%4,5 NE H CON rRycrION T wAl t Tele:lone N s'b,$-,&'L $13L lard Use. 1[t5r D60-M 4-C _ _ Slopes(%) _4'7— _ Surface Stones Dis ances s m: Open Water Body N A— _ft Possible Wet Area!�4 ft Drinking Water Well q!� ft Drainage Way — _ft Property Line�L ?R Odwr ft SKET( 4:(Street name,dimensions of to, exact locations of test holes R^arc tests,locate wetlands in proximity to holes) W ri.L L—YISreAsr, N off: ALSO 7-7 9Z70 06 4t . _ �rvt�yrla4 1 l sA5 ti Pa,ant met as(geologlo)NQf k." b ti !00s i 7-S Depth to Bedrock J Dc Ato C undwatcr: Standing Walor In Hilt Weeping ftom Pit Pace_ N(A 9st imated Mortal High Groundwater /A A� `i?RM:ITC Q Mr tied Us L• apth Observed standing 1n obs.to : in. Depth to soil mottles: in epth to weeping from side ofob 11e: in. Groundwater Aq)uslment ft. InnexWol: _ Reading Date: Index Well level_ Ato.factor Adj.Groundwater Level 77 _._ '„j'iAv ;'Or Rmm J- bR Y ` Ob tervatic r Ho e N Time at 9" De dh of P 60 0. Thne at 6" 3Ir Sin t Pre•s( K Time® 6.00 _ Time 74 i3n I Pre•so R.a Min! SW Suitab ty Assessment: Site Passed __ Site Palled: Additional Testing Needed(Y/N) Ori;inal: I rite Health Division Observation Hole Data To Be Completed on Back j Copy; 4 )Ileant r r E 0 ':25 50 4302846 MCNAMARA DF-POT ST PAGE 01/06 [DEPOT STREET NURSERY or; Perennials • Ornamental Grasses 492 Depot Street N: Harwich, MA 02645 (508)430-7878 7'EEK 011 JULY 3R"q 2006 VE',R ANIALS - $3.75/EA - UNLESS NOTED I-(ILLE h Casts FLOWERING Summer Pastels FLOWERING Moonshine FLOWERING GASTA,~l-11 Apache Sunset (Dwarf White FLOWERING Pink Pops (Dwarf Variety) BUDDING M,NOk I_, Pasque Flower 01 JILE(IrI A McKanna's Giant IG�BIS Snowcap White _ ?2AER.I, Mariti_ma Splendes JCCEMI`iI A Si.lvermound ,',''ILB1" Bridal Veil FLOWERING Cattl.eya FLOWERING Ostrich Plume FLOWERING Peach Blossom FLOWERING Purple Candle FLOWERING Rheinland FLOWERING 1 APTISI A Australis IO LTOYI.A Snowbank ;AMPAt0A A Pearl. White BUD/FLOWERING Pearl Blue BUD/FLOWERING Cup & Saucer Mix DI EP+D�SJ�R'4 A CXOIN UO X UG �010# _ Depth Ror Soil Horizon ;ol Texturo Soil Color Soil Other Su face(Ir (t oDA) (Munselq Mottling (Structure,Stones,Boulders. Arr A 4 5 IvYIL 1/t _ I U 6 L S 0qC�/13 13z c >r�rS taYo. IMP olss»R`A rION xo><410,,G-: Hale 0. De pth fror Soil Horizon ioi Toxture Soil Color Soil Other Su face(h (t 30A) (Munscn) Mottling (Structure.Stones,Boulderss. R9-10 03SER`A['1ON.kiOLE.LOC De pth fror 8011 Horizon tot Toxture Sc11 Color Soli Other SU.face(it (I IDA) (Murall) Mottling (Structure,Stones,Bouldomi. DT)� SER`I T O1V: OLE.L(D;G Xa . .,,,�. Depth 90r Soil Horizon lot Textu- Soil Color Soil Other Su face(Ir (l FDA) (Munsell) Mottling (Structure,Stonos,Boulderss. Oravell uranee Rote MppMno- bove 500 year flood boundary N Ycs o ^ ... �Ithin 500 year boundary Sc Yea C..) 21! Y 'ithin 100 year flood boundary Jo Yes � L: ry Occurring a d,ua Material CA o CVDJWh4 VatI,. .all Does at I tst four feet of naturally o:ct Ming pervious material exist in all areas observed throw hout theme � ar.:a pro) sed for the soil absorption s;stem? _ ` W n LACD If tot,w it is the depth of naturally oc :urring pervious material? �rIi11Si i9� I c�rtify at on (t 9 (d;to I have passed the soil evaluator examination approved by the Dc partm ,t of Environmental Prote,ti,n and that the above analysis was performed by me consistent with tht requi d '' pertise and c KI ;rience described in 310 CMR 15.017. Silmaturt lam' �_„__ �......._. Date 07 07:25 50f 201846 MCNAMARA DEPOT,ST PAGE 02/06 DEPOT STREET NURSERY 'rn►�r Perennials • Ornamental Grasses 492 Depot Street .•� N. Harwich, MA 02645 (508) 430,7878 9VfSANTH �,MUVI Little Princess FLOWERING Crazy Daisy FLOWERING Marconi FLOWERING 11TIOPSI:S Early Sunrise FLOWERING Zagreb FLOWERING Limerock Ruby FLOWERING 1ABALARI, Muralis .L0SPEI(M, . Bright Eyes Pink FLOWERING Hybrid Yellow J11'Iffm UM Magic Fountains Mix BUI)/FLOWERING A.T lUHUIS Arctic Fire FLOWERING A renarius Maths Piny Confetti White Firewitch Microchips FLOWERING Rose Feather FLOWERING So Bright Rose ENTR�� Spectabilis Alba Spectabilis Exima ITALIS) Foxy �'►iIMUVI Linifolium ►ILLA UNA Arizona Sunset BUD/FLOWERING JUNIUJ 4 Biokovo FLOWERING Brookside FLOWERING I Town of Barnstable Regulatory Services Thomas F. Geiler,Director MAM Public Health Division Thomas McKean,Director 200.Main Street,Hyannis,MA 02601 i i ij Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form i Date: 4 Sewage Permit# 2666- 36'' Assessor's 1VIaplParcelc4ft-d!>08-csc't` i Designer: 57Z-�PH 64-J A.N g PC Installer: 's C,0 �144/ F 5✓/j-i/���G . /mod _ Address: � q? 3_ �y%,'� �� � Address: On -7 7 0& i ` �h-rL'\J"`vGas issued a permit to install a date) (i Fier) septic system at '&y DEr S f R 6 5 LSE based ou a design drawn by (address) STD k+e-%J A- FPS 'I'C dated Z h a i (designer) i 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. ' I ' NO nstaller's Signature) (Designer's Signature) (Affix p Here) PLEASE RETURN TO BAR.NSTABLE PUBLIC HEALT DIV1S ON. 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. QASepticTesigner Certification Form Reviscd,dw i i OPEN SPA C' E PP-OPOS' ti !e 1•36 , POOL �® " e \ \ LOT ;e-pTrc. Our 0 LOT ` -79 `33 E ��N�� L�g4.46 DESIRES LANE [RE.S ZONE.' "RF" This MORTGAGE INSPECTION ��hiss°onzy FLOOD ZONE "C" IST ES AND ME MENDS O P I AN UTA B B 1NS1Yt SU O _____ REGISTRY _EED REF: _�2043/��4 _—___ OWNER: �'ITZPA_TBICf IH-OME BLDG CO_IN_C. DATE: _V27�99-------- BUYER: -f�5�P � JET-L— r---- — - PLAN REF:-54�27_______ SCALE:f= 50' FT. I HEREBY CERTIFY TO �P .- - -- -THAT THE BUILDING •YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES ____ CONFORM TO THE ZONING LAW SETBACK REQUIREMENTS OF THE �, .� 40B (SUITE 1) TOWN OF _ BARNSTABLE ,___ 4 ,_ ,,., _ AND THAT =_;,-<, INDUSTRY ROAD IT DOES NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD = ` '�#�' '� TONs MILLS, Ma. 02648 AREA AS SHOWN ON THE- R U.D. MAP DATED 428-0055 :t.t. ,;; C mmunit -Panel 050001 0015 C_ ?'� �" - •.•_- FAX 420-5553 .. ------ THIS PLAN NOT MADE FROM SURVEY SENDER: COMPLETE THIS SECTION THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A.7COMPLETE item 4 if Restricted Delivery is desired. X Agent ■ Print your name and address on the reverse b Addressee so that we can return the card to you. B. Re ' ed�y(Printed Nam C. Dat of D livery ■ Attach this card to the back of the mailpiece, �� or on the front if space permits. D. Is delivery address different from item 1? ❑Y s 1. Article Addressed to: If YES,enter delivery address below: t�o -10 :r f Ms. Janet Kennedy 40 Desires Lane West Barnstable, MA 01984 t, 3. Service Type ❑Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • PUBLIC..' HEALTH DIVISION TOWN OF BARNSTA0.�"E 200 MAIN STREET HYANNIS, MASSACHUSETTS 02601 0 p Postage $ �3' \S W-A 0 u7 Certified Fee •3 Postmark 26+0! Return Receipt Fee Here r� C M (Endorsement Required) Z, J SEP LO�J Restricted Delivery Fee J (Endorsement Required) / O p Total Postage&Fees $ USPS It ` - p Sent To _._ tc5.__-u.h_e_t_lSn e__d_c Street,Ap ,or PO Box No. O Ci ate,ZIP 4 i .�8 -1a,-n bCe 44 o/ Myw. mw mo Certified Mail Provides:. o A mailing receipt o A unique identifier for your mailpiece o A signature upon delivery o A record of delivery kept by the Postal Service for two years Important Reminders; ~ o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o.Certified Mail is not available for any class of international mail. n NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt'ma be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the.article and add applicable postage to cover the fee.Endorse mailpiece `Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- j cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.,Save this receipt and.presgnt,itmhen making an inquiry. PS Form 3800,May 2000(Reverse) s 102595-99-M-2087 f COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION V TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION 11 Property Address: 40 Desires Lane W. Barnstable Owner's Name: Janet Kennedy Owner's Address: Date of Inspection: O Name of Inspector:(please print) W i 1 1 i am E_ . Robinson Sr. Company Name: William E. Robinson Septic Service Mailing Address: P O Box 1 089 Centerville, MA Telephone Number: (508) 775-8776 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.lam a DEP approved"system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes NN�Further Evaluation by the Local Approving Authority ails Inspector's Sigiiature: � vl Date: 'Ilse system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Heatth m DEP)within 30 days of completing this inspection.If the system is a shared system or has a design now of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I Page 2 of 11 , OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 40 Desires Lane W_ Barnstable Owner: Date ofInspection: Inspection Summary: Check A,B,C,D or E I ALWAYS complete all of Section D A. System Passes: r S , 1 have not found y information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15. 04 exist.Any failure criteria not evaluated are indicated below. Comments: O B. System Conditionally P�sses: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon co npletion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determ ed(Y,N,ND)in the explain. for the following P statements.If"not determined" kale The septic tank is me 1 and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits.substantiai 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 p s inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is 1 ss than 20 years old is available. ND explain: Observation of/ewage backup or break out or high static water level in the distribution box due to-broken or _ obstructed pipes)or Leto a broken,settled or uneven distribution box.System will pass inspection if(with approval of Board o ealth): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obsmxted pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstivcfon is removed ND explain: it Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 40 Desires Lane W. Barnstable Owner: Tanet . Kennedy Date of Inspection:—ZL—,Z,P i) C. Further Evaluation is Required by the Board of Health: ConditiInt which require further evaluation by the Board of Health in order to determine if the system is failing to prolic health,safety or the environment. L Systemss unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system unctioning in a manner which will protect public health,safety and the environment: Ceor privy is within 50 feet of a surface water Ceor privy is within 50 feet of a bordering vegetated.wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: — The�system has a septic tank and soil absorption system(SAS)and the SAS is within.100 feet of a surface ater supply or tributary to a surface water supply. e system has a septic.tank and SAS and the SAS is within a Zone 1 of a public water supply. he 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 frotrl a prr ate water supply well** Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: I 3 Page 4 or 1 l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 40 Desires .Lane W. Barnstable Owner: Janet Kenned _ Date of Inspection: —LS D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No i/Oackup 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 j cesspool— ' Liquid depth in cesspool is less than 6"below invert or available volume is less than'/,day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number yyf times pumped ✓ y 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. y 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 Net from a private rater supply well with no acceptable water quality analysis.(This system passes if the well water analysis, performed M a DEP certified laboratory.,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate Nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails.I have determined that one or more of.the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E: Large Systems: - To be considered large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicat either"yes"or"no"to each of the following: (The following e�riteria apply to large systems in addition to the criteria above) yes no the sl stem is within 400 feet of a surface drinking water supply the System is within 200 feet of a tributary to a stnface drinking water supply th system is located in a nitrogen sensitive area(interim Wellhead Protection Area—1WPA)or a mapped Zinc 11 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 fnr'cd.The owner or operator of arty large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 40 Desires Lane W. Barnstable Owner: Janet Kenneddy. Date of Inspection: V-1,o Check if the following have been done.You must indicate`yes"or"no"as to each of the following: Yes No o _ Pumping information was provided by the owner,occupant,or Board of Health t/ 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? 1/Have large volumes of water been introduced to the system recently or as part of this inspection?. *—Zwere as built plans of the system obtained and examined?(If they were not available note as N/A) � — Was the facility or dwelling inspected for signs of sewage back up? _ Was the site inspected for signs of break out? V _ 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: Yes no / Existing information.For example,a plan at the Board of Health. y _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CIAR 15.302(3)(b)) 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 40 Desires Lane W. Barnstable Owner: Janet Kennedy Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):. 3 Number of bedrooms(actual): DESIGN flow based on 310 CMR 13.203(for example: 110 gpd x#of bedrooms):4/ j � Number of current residents: d/ Does residence have a garbage irder(yes or no):�D Is laundry on a separate sewage system(yes or no):CCU [if yes separate inspection required] Laundry system inspected(yes or no):4i6 Seasonal use:(yes or no):L?/ v Water meter readings,if available(last 2 years usage(gpd)): well water Sump pump(yes or no): Last date of occupancy: t- A COMMERCIAIZNDUSTRIAL Type of establis ent: Design flow(b4sed on 310 CMR 15.203): gpd Basis of desigh flow(seats/persons/sgft,etc.): Grease trap fesent(yes or no):_ Industrial w ste holding tank present(yes or no):_ Non-sari waste discharged to the Title 5 system(yes or no):_ Water met r readings,if available: Last date -f occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records 1 Source of information: Was system pumped as part of#6 inspection(yes or no): If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYP �OF SYSTEM _Septic tank,distribution box,soil absorption system _Single cesspool Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no): /li o 6 ' Page7ofII OFFICIAL INSPECTION FOI01—NO'T FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORAI PART C SYSTEM INFORMATION (continued) Properly Address: 40 Desires Lane W. Barnstable Owner: Janet Kennedy Date of Inspcctlon. BUILDING SEWER(locale on site plan) DcpUt below grade: Materials of eonst ction:_cast iron _40 PVC_outer(explaut). Distance from p vale water supply welt or suction lilt: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓(locate on site plan) Depth below grade: I � Material of construction: ✓concrete metal fiberglass�olyeUrylene _001cr(explain) —' — If tank is metal list age:— Is age confinrned•by a Cenifncate of Compliance(yes or no): ecni _(attach a copy of ftcate) Dimensions: Sludge depth: f t Distance from top of sludge to bottom of outlet Ice or baffle: Scum thickness: " Distance from top of scum to top of outlet tee or baffle: (s Distance Gorn bonom of scum to bottom of Oct tcc or battle: t I low were dimensions determined: k-,ti �f, Comments(on pumping recommendations,inlet and outlet tee or baflle condition,structwal integrity,liquid levels as related to outlet invc.tevidence of leakage,etc.): CREASE TRAP: ,410cate on site plan) — Dcpdt below gra:Cc Material of consn:—concrete metal fiberglass—yolyediylene _other (explain): — — Dimensions:--I Scum thicknesi. Distance iro�Ibottorn lop of scum to top of outlet Ice or baffle: Distance Go of scum to bonom of oullet Ice or baffle: Date of last pumping: Conunent (on pumping recon►ntendations,utlel and outlet tce or baffle cunditio:t,structural integrity,liquid levels as relate to oullet invert,etidence of leakage,etc.): 7 � R I f lagc 8 of I 1 ' OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION F0101 PART C SYSTEM INFORMATION(continued) Properly Address: 40 DPRi rec T.ane W Rarngi-ahl a Dwner: Janet Kennedy Dritc or Inspcctlon: �l d . TIGHT or 11OLDZG TANK:' _(larlk must be pumped at time of inspection)(lucate on site plan) Depth below grad Material of eonAruction:_concrete_metal_fiberglass___polyethylene other(explaut): Dimensions:_ Capacity: gallons Design Flow- gallons/Jay Alann presc t(yes or no): Alarm Icve : - Alarm in working order(yes or no):— Date of la pumping: Comrnenl/s(condition of alarm and float switches,etc.): DISTIUBUTION BOX: y(if present must be opcncd)(locate on site plan) l I Depth of liquid level above outlet invert: _ Continents(note if box is level and distribution to outlets equal,any evidence of solids can-yover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: locate on site plan) Pumps in working ordcf(yes or no): Alarms in lvorking odilioil cr(yes or no): Continents(note eoj of pump cllanlbcr,condition of pumps and appurtenances,etc.): f Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 'Property Address: 40 Desires Lane W. Barnstable Owner: Janet Kennedy Date of Inspection: O S, SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type _Teaching pits,number:_ ,/leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): CESSPOOLS: (c spool must be pumped as part of inspection)(locate on site plan) Number and configur ion: _ Depth—top of liquid�o inlet invert: Depth of solids layer: Depth of scum layel Dimensions of cesspool: Materials of cons&- ction: Indication of gro dwater inflow(yes or no): Comments(not condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials o construction: Dimensions. Depth oolids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 1 l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 40 Desires Lane W. Barnstable Owner: Janet Kennedy Date of Inspection: Q SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. FEE:] >33 10 Page)l 1 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 40 Desires Lane a W. Barnstable Owner. Janet K nn d,y- Date of Inspection: 1 s 5 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 1 Meet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting propertylobservation hole within ISO feet of SAS) Checked with local Board of Health-explain: /Checked with local excavators,installers-(attach documentation) —7 Accessed USGS database-explain: You must describe how you established the high ground water elevation: ;Lo 11 li 7t/ �IS TOWN OF BARNSTABLE c„ SEWAGE # VII.LA / ASSESSOR'S MAP & T INSTALLER'S NAME&PHONE N0. . {.. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) /=o ter` .IC•= ,r �� ize) .4 L NO. OF BEDROOMS .� BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: T 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 ; � f I -% j TOWN OF BARNSTABLE I ON //0 '�-�-d.�-c���/�'-� SEWAGE # l '`AGE � _ ASSESSOR'S MAP & LOT INSTALLER'S NAME&'PHONE NO.6JAAI� c � SEPTIC TANK CAPACITY 15T 4-L-L n S LEACHING FACILITY: (type) (size)l 3 a`� NO.OF BEDROOMS PA�% ' -BE R OWNER ` ,O PERMITDATE: IANCE DATE: Separation Distance Between the- ® v Feet Maximum Adjusted Groundw�ea le to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any wetlands exist Feet within 300 feet of leaching facility) Furnished by Property Address:40 Desires Lane .. - ,W .Barnstable Owner. Janet Kennedy Date ofinspeclion: SKETCH 00 SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. A >3 1 t TOWN OF BARNSTABLE ©CA 0 _ ` - - SEWAGE # ,ZLA _I',-IL � �= ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY AS � LEACHING FACILITY: (type) A-C—' NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r r:.s. is ` � �/' d t S� \ 0 �-\\ r ,� ; ,� w, �°�� i i _ � �i � � .` 1, 1 _ ` No. `- FEE ( cam THE COMMO WEALTH OF MASSACHUSETTS ,e MASSACHUSETTS L�` lirafivu for Pievasal Sgotent C onstrurtion jJerntit Application is hereby made for a Permit to Construct or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. T J Owner's Name,A dres and Tel.No. A44 -,ffr4,b R N'I 5-V A44 61e4q Installer's Name,Address,and Tel.No. Designer's Na e,Address and Tel.No Qua S S Type oFBuilding: Dwelling No. of Bedrooms Garbage Grinder( ) Other Type of Building No. per Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flows gallons. Plan Date ///>>��'r S� Number of sheets Revision Date Title c `l- c E�, Description of Soil - V C�,,J Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by t is B04rd of Health. Signed Date Application Approved b Date Application Disapproved for the following reasons Permit No. y` Date Issued .No. FEE THE COMMONWEALTH,OF MASSACHUSETTS ( Z MASSACHUSETTS . � _ c���1tr�#ton for �ts�osttl �-�$#em C�.artstrtxrttun �Prz�tX# Application is hereby made,for a Permit to Construct (Xor Repair( )an On-site Sewage Disposal System at: Location �Address /o�rr Lot No. 4 � Ow er s Name,A/ddres/$and Tel..No.15 F� M �"�L t�r UL /�Mr /�..1 l�`� � �n �+• .,.z Installer's Name,Address,and Te1.No. Designer's Na e,Address and Tel.No ^ r T QPUl�I�! 1 �fir1�J� �T� T O�y�z �lr�e.. P Type of Building: Dwelling No. of Bedrooms Garbage Grinder( ) ' Other Type of Building No. per Persons Showers( Cafeteria( ) .� Other Fixtures Design Flow b gallons per day. 'Calculated daily flow Z;!o gallons. t Plan Date �V�q f Number of sheets Revision Date Title -te S" C r o 4ek!g-F ,C_ 44 ti �i'ir L / Description of Soil }d co -L�c r,c f — 3 3P `— +` j �`• W Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site sewage disposal , system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by t 's Board of Health. . Signed _ Date Application Approved b ; 4 Date ?Application Disapproved;for the following reasons Permit No. q 9 Date Issued THE COMMONWEALTH OF MASSACHUSETTS MASSACHUSETTS (ferttftrate of CZoam Xtttnre ` F A ^- THIS IS TO CERTIFY, that the On-site Sewage Disposal System installed( ) or repaired/replaced( ) on r _ r� foT �. at �l %? �t ` � Lllj�f_ . 1A I p OA P2_61 r [.MJJ 1 77 has been constructed in and the forrDisvosal System Construction Permit No. 1 `y X q dated accordance with the provisions of Title 5 a p y Use of this system is conditioned on compliance with the provisions set forth below: yry t The issuance of this certificate shall not be construed as a guarantee that the system will-functio-wiasAesigned. This Certificate expires on DATE. /+' Inspector q p THE COMMONWEALTH OF MASSACHUSETTS No. �` Yrq , MASSACHUSETTS FEE ,Vtsposal Sgstem Conotrurtton 1ermtt Permission is hereby granted to to construct ( or repair( ) an On-site Sewage System located at _ / r~ „ c" f 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.-, � All construction must be,completed_within three years of the date below. L DATE }~� >/ %`` Approved by f FORM 1255 Rev.3/95 A.M.SULKIN CO.-BOSTON.MA � r r r r , .1. k } NO.--- - — Fee-----e-1p --- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rVell Con!9truct ion Permit Application is reby made for a permit to Construct (✓), Alter ( ), or Repair ( )an individual Well at: cLblo Location — Address Assessors Map and Parcel F� ems,-L_K-------)4of tot,,� -Cc). �'a^ ��----1s�-----&-I^_ Qi � �• �c.ti� Owner Address EOM M art Installer — Driller Address Type of Building Dwelling A I =�--------------------------------------------- Other - Type of Building ----------- No. of Persons---------------------------------------------------- Type of Well ------------------------------------------- Capacity ----------------- --— Purpose of Well---- --------------------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a ertificate f C pliance has been issued by the Board of Health. f ►q_ �-- Application Approved By-!� - 1 = =------- -— _--_---- date date Application Disapproved for the following reasons:---------------------------------------------------------------------------------------------- ----------------------------------------- -------------- - - - - -------------------------------------------------------------- e, date Permit No. ---=z--� Z- ------ ----------- Issued-------/ - -- ----------------------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well 7structed (//) Altered ( ), or Repaired ( ) ------------------------------------ Installer ° — ----------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ---------------------------Dated----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- ---- ---—--- —-- -- _— — -- Inspector--------------------------------------------—— - ------------ 10, No.-------------------- Fee-----��5_ Z� ABOARD OF HEALTH . ,.TOWN 4OF BARNSTABLE ,t ' A0 ficat.'on-forlVell Congtruct ion Permit Application isyereby made for a permit to Construct (1,<Alter ( ), or Repair ( )an individual Well at: nS�rca bI -------------- C --------jpA-rcS- = f Location - Address Assessors Map and Parcel Owner d Address 3 F-c� r,_rd M�mha •eil,ra -f �- -der;i�,n � �3 - -c - ca .,r_ �;r_� P(fq o Installer - Driller Address Type of Building Dwelling =-------------------------------------------- Other - Type of Buildingr� -------------- No. of Persons----------------- ---=--------------------------- i -£- ----— s Type of Well---------------------------------------------------- ------ Capacity--------------------------------------------------- ,. Purpose of Well ---------------- ------ 1 n Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agree's not to = place the well in operation until a(f Certificate•f C-mphance has been issued by the Board of Health. �,J Signe ---=�, =' -- --- L'=r-q'- --------- da te Application Approved By - 1 -=------ -— -- - ---- ---------- date j Application Disapproved for the following reasons:-------------- - !. - —-- ----------�j-------- — - ---- ----------------------------------- �( Z.- _ ---___--- / �O____�-�-________ — date---------------- date .J Permit No. --------- ---- ----- Issued---- -- BOARD OF HEALTH TOWN OF. BARNSTABLE C ertif irate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( Altered ( ), or Repaired ( ) b = `r'- -- ! -�f LI 1-^% c�_I mac•mac _P_._r"�1_e .ka - --- - Y- - -- -- -------- Installer a t--�C?" l —! S _ ✓�___ _. r nit cLO-' ------- t' '------------------------ --------- { has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --------------------------Dated----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM,WILL FUNCTION SATISFACTORY. DATE- - -- - — -- ---- - --- -- Inspector- - - _-- - ------------------- BOARD OF HEALTH TOWN OF BARNSTABLE , Well Construct ion Permit a tom .- 9f-Z- No. ---------------- Fee---- -- -•------ Permission is hereby granted- --------- b r' ------------------------------------------------------- to Construct ( el","Alter ( ), or Repair ( ) an Individual Well at: No. -- "r --- -- - '-S'-f ---------- ?-------� �� =--------------------- Street as shown on the application for a Well Construction Permit g No. ------- l�v 9 1 - ---k-.----=-------------------------- Dated -- -/-7 ----------------------------------------------------- -Q- ' - - _DATE Board of Health ------- --------------------------------- � V Town of Barnstable P o Department of Health,Safety,and Environmental Services �I Public Health Division Date_/C, 367 Main Street,Hyannis MA 02601 S eAtwerAB MASS, i 039. 06. Date Scheduled QC 7'066-k 28 N'I eo µtct ��8 Time D �4 Fee Pd. _�IDnO D Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: G. b61A11V1ArC LOCATIQN& GTERAL I�vFQR1Y[AT1QN _.. ... Location Address Owner's Name ............ Lo T I 11ES/,QES GANs` F/TZpA?pICI< F{DME SUIT DIN(, Address B)( J S4 Assessor's Map/Parcel: AMP g$ 8-7- Engineer's Name ✓. �OYG E <}�SOCtf}T�s NEW CONSTRUCTION _ REPAIR c+Telelephone# Land Use V� �- Fv�r�!a Slopes(%) j Gd Surface Stones s0/'T� � Distances from: Open Water Body> 300 ft Possible Wet Area > 204) ft Drinking Water Well ft Drainage Way 2 ft Property Line _ 6 ft Other ft, SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) c� N LoT A[®s I N M T Z N_ LR� 33,0� Parent material(geologic) S19AId y LO���i-w �/ —J Depth to Bedrock AIA Depth to Groundwater: Standing Water in Hole: N LAIC, Weeping from Pit Face Estimated Seasonal High Groundwater 6-t-C-V, 35- P95-4 6C-10-41j47Y 47410 .: :. .......:.. ry+y� �Y p rev �t�v A w �q�r�y VAT y� y Syr D 3 L` 1�Lf 1 l�l\ i` EH�7®11.��11�11y VY AT R TA 7L :`:`'';<:::::..::: Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: a in. Groundwater Adjustment ft. 4ndex Well# 'Reading Date:_. Index Well level...--- Adj.factor Adj.Groundwater Level >':. ... PERCOLA'TtON TEST Hate -. Ttr��J ......................::;.... ..:<.;;:::...:::.:: ..... q ........................... ::; Observation Hole# Time at 9" /D;j Y;Z D Depth of Perc Jr'Zt1-Z0" �Z 7,6 Time at 6" ///0 6:Zo /J:OS%S6 Start Pre-soak Time® /D 116 /01' O W Time(9"-6")1-/ '-'Z/ 7/i3.`3 Z_ End Pre-soak /Oi S /014 '20 Rate Min./inch �' /Nirif� 5ntiil/INcy Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) 6A4 Ssff- 5,0/LS : .. . . Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant . .. . DEEP UBSER ATI.i.N: HI I,E L_ Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. ° Gravel) r� DEGaa?0os/ 6" 3 L C-14Vr;;j SOA°i, 3q'1- g�" C 2-SY 7 Z 8¢ J3Z" c2 s�'oA i Z, 1090 DEEP UBSERVATIQN HAL.E.........1............0........ Lid Dole Depth from Soil Horizon Soil Texture Soil Color Soil = I Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel) 471, OD r/ G'/ /���.5�✓D 2,.5Y/7 Z /�N�R/�!/�L'CUL3(3GES 13Z,� G� � Y 2,SY��/z _ . DEEP OBSERVA'>CION IOI,E Y.'(JC Hole# Depth from Soil Horizon Soil,Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,° Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulderes. ° Flood Insurance Rate Map, Above 500 yeai flood boundary No_ Yes 1/ Within 500 year boundary No V Yes Within 100 year flood boundary No—Z Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? VE 5 If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the.soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required train expertise and experience described in 310 CMR 15.017. Signature �� Date //`03-Q T V own of Barnstable P# Department of Health,Safety,and Environmental Services �V Public Health Division Date 367 Main Street,Hyannis MA 02601 f BARNB[ABr$ � MASS Date Scheduled &;ra,86-2 Z8 8 Time D AhI /DD• O o fo nt�+ 99 / Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: .14W-Af AYLIf- Witnessed By: AV/t/i IA16 LOCATIQN& ENERAIl INFOR1VtATI01 Location Address Owner's Name L o T 2 bc-s/,elr--s LAAi� FI?ZPA17��K hbmr-W0/9& lV�isX V'X�vtu� Address ts4 Assessor's Map/Parcel: MAP Engineer's Name ,J. D o yt,6- �y-soc1•4zEs NEW CONSTRUCTION ✓ REPAIR Telephone# •16 73-/994- Land Use V4&4'N-r-/V'A6�Z&0 Slopes(%) /¢V Surface Stones IVW' 67VZ% Distances from: Open Water Body> 360 It Possible Wet Area\/AAZ O G ft Drinking Water Well �ft Drainage Way r7 ft Property Line 4,0 It Other ft SKETCH:(Street name,dimensions of lot,exact locations of lest holes&perc tests,locate wetlands in proximity to holes) 10 6 `P e' A4ro4 LAB Parent material(geologic)5ff/ z Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face /✓/� Estimated Seasonal High Groundwater ELEV✓ 35- 620616 -7Y /(f/�/o DTENATr01�1 POYt SEASONAL,]CGVA................ Eti 7Crb > ::>::::::: ..:...... ....................:.....:.......:.....:::;..:..:.........:.:..:.:::..::...................: Method Used: ,..:::::::::::•.::::;:::::.:::::.. Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. -Index Well# 'Reading Date:_. Index Well level...--- Adj.factor Adj.Groundwater Level .::. ...:.:: .:.... .:::.. :.....:...:.; .. _... .... .......:..:.::::PERCQLATtItN..TEST. ..,.;: `: pate: .'. Tiine. .. ..... ...... ::: .::... :...... ::.:. . .:.. .:......:.. . . .............................. � 1776 Observation T� ,r � /BIZ i3': $ ) Hole# Time at 9" Depth of Pere .$Y—7611 Time at V 11,17' ZI %33 Start Pre-soak Time® 1/%12��3Q6 Time ff'-V) D ;3 3 4 ' End Pre-soak Rate Min./Inch OZr Jc�//✓. S�/�/�� Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) C44 SS _X' Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant DEEP OBSEIIVATIO Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Strucl tones,Boulderes. o O q 3 s�� `J'. AIo C Cz DEEP OBSERVATION HOLE LOG . Hole::#: Depth from Soil Horizon I Soil Texture Soil Color I Soil I tier Surface(in.) ! (USDA) ! (Munsell) ! Mottling (Structure,Stones,Boulderes. I Cons °. Gravel I' �ECOrs?F, 0- 4- ai' G2G.¢N�'cs 11 /a''' 36" Bw 4AY LaA� 2,5 Y 0 -13 2" C2 Lo�ifJ 7,s Y 8 v DEED' OBSERVATION MOLE LOG Role Depth from Soil horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.° Gravel) •i I�C�O/'�7�i d-3 �6rll%CS P' 7,SY wl �- .;. .. .. :. . . DEEP OBSERVATION HOLE LOG Hole .. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulderes. ° Gravel) Flood Insurp..nce Rate Map: / Above 500 year flood boundary No_ Yes 'I Within 500 year boundary No V Yes Within 100 year flood boundary No Yes r Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? y6S If not,what is the depth of naturally occurring pervious material? Certification I certify that on 9-�� (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature ���' Date Town of Barnstable 7f�, V/1 Department of Health,Safety,and Environmental Services °ova Public Health Division Date—Jb--�j- Q, 367 Main Street,Hyannis MA 02601 = engNgrABM MAM Date Scheduled AIMl —,W,66 2 3 /99$ Time P '-*� Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: '/o441VJO Y4,15- Witnessed By: 6 'J/UN/U11V_6 LOCATION & ENERAIl INFQRMATtON Location Address Owner's Name ......................................... G-o T 3 L F1TZPA7I_It k N�INI�BUI�DIntG Address 8X !54 � Assessor's Map/Parcel: IAP $$ 8"Z ' Engineer's Name I/• b0Yt e As5V C-i z�S NEW CONSTRUCTION REPAIR Telephone# 563-/99¢ Land Use VgG17"(7: r-0,06S�—J_) Slopes(%) Ve Surface Stones Vg4 y j j ELkl Distances from: Open Water Body >,706 ft Possible Wet Area ZO b ft Drinking Water Well 15.6 It Drainage Way 60 ft Property Line 2 0 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 67a� J oT 013 2 ~� 2' s P ��We Parent material(geologic),jRAM epth to Bedrock /U,C Depth to Groundwater: Standing Water in Hole:T Weeping from Pit Face C Estimated Seasonal High Groundwater P6IZ C,6,e/dV r�p ...... . DTEItNATYOIrt F( tt SASONAt, G 'WATR TAPL ;: :< ::: ::< .<> ... .. .... .::.:::::.... . Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. .-Index Well M -Reading Date:_ Index Well level.,.--- Adj.factor Adj.Groundwater Level PERCOLAT�t7�;N TEST Date B T,m ;i 1 , 1.gRg _. Observation -r—/ T ?-- Hole# Time at 9" f! 4 �r 1/ Depth of Perc .5S 70 6 b 7 X Time at 6"1'32%4D f�rg,✓r/r[%% f 22 / Start Pre-soak Time® /�o 6 f 3 6 �!J ,f 3� Time(9"-6")O6: :L d��0/ •Z I� End Pre-soak l'ZZ!13 36 Rate Min./Inch 0,01,0i 2 %/v 5�Ily l v Site Suitability Assessment: Site Passed__ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant . DEEP OBSEIYATIOlN TOLE .UO Io�e# ",� . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. ° el 2G63N/GS 4`t.- Xf �sAA✓,6 5y_17 , ley er G LOH/?I 2,9Y 7 ,� ss s6" c �o°y 75........... . ............... .. ... ........ y�e z DEEP OBSERVATION HOLE LOG Kole . ,. _r. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USQA) ., (Munsell) Mottling (Structure,Stones,Boulderes. ° : Gravel) O 6.09-AlI C-S A) leVI k_ Gv Gr 7 syk 2- DEEP OBSERVATIO1�( IOLE Y.bC 1 ole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling 11 (Structure,Stones,Boulderes. Consistency.° DEEP OBSERVATION HOLE LOG Hole#::... Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,° Gravel) Flood Insurance Rate R'Ian: Above 500 year flood boundary No_ Yes >/ Within 500 year boundary No� Yes Within 100 year flood boundary No ,1� Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? YLS- If not,what is the depth of naturally occurring pervious material? Certification I certify that on 9—�S' (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature ��� Date //-D,3—1 __ , . � . , . - . , _ ,:: . , , - II 7I�. -II I.,..�7�,,�..l I�I,'I1:1..:I%�,,,��..,1"-:,I�I)/.II 1 11 I1II.�..1.�,;,�I.II,1 III��1�1I I,1. 1I.I�.�I..,�III�I I'�-",�,,I.I,-��-t1I 1�',I�I 1�1I�-�,II�I-�I I--,.1,.II I 1��II I. .- S V RS `MUS BE W I THI N , ._ <: ACE CO E T ' 9 MINIMUM / NV EIS T E- E VA T,I ONS DES l GN CR / TER l A GENEII RAL NO TES ,. , ^.,; ., 6 FINISH SH GRADE „ , 3 MAXIMUM MUM COVER :_: , V 99.0 ... IN ERT OUT SEPTIC TANK. . .. , ..: - DESIGN FLOW. _ FIRST TO . I:" THLS PLAN tS FOR :THE`DESIGN AND `CONSTRUCTION' " _,_ ._. INVERT 1N O/ST.' BOX. 98.'67 3 BEDROOMS AT I!0 G.P.D. PER ,. , B EVE ,. E.L L OF AS NE r M!N 2. PE TO A OF TH S W G D SPOSA Y. M ON Y_ . , , _ . . _ `98. 7`,, BEDROOM:;EOUALS'330 G.P.D. E E' E ! L 5 TE L INVERT OUT DIST,' BOX. / PIP . ' 1NVERT IN LEACH'CHAMBER. 98.4 - ,. 3/4 .1 I/2 DIA. e - R 2. VERTICAL DATUM ./S ASSUMED. :FOR BENCH MARKS o <, - , DOUBLE WASHED STONE BOTTOM AF TEACH-CHAMBER, 96:4 - GA BAGS GRINDER . 2 , SET. SEE S/TE PLAN, . 4 N/A . , •c ADJUSTED GROUND WATER. • g8.87 ;, SEPTIC TANK REQUIRED, OBSERVED'GROUND )YA7 R N/A , M E 4 SOO GAL LEACHING CHA BERS U T x :! 3.: ALL CONSTRUCTION METHODS AND MATERIALS AND .,. , 3 0 TLE __ 330 G.P.D X 200 660 GAL. S �: , EXI TIN G BOTTOM"OF TEST HO A. 91.3 - z - . ,W/4 STONE AROUND. 12.8 r ,x 42 / .x 2 d LE , D BOX SEPTI ANK PROVI D. I N MAINTENANCE OF THE' SEPTIC SYSTEM-SHALL ,,. C T DE 500 GAL. EXIST! G - , T500 GAL '" _- : ONfORM TO MASS. D.E.P. TITLE-SAND LOCAL ` C ;"' S PTIC ANK - - E T b CRUSHED STONE OR OAR OF TH R G A IONS SOIL ABSORPTION SYSTEM REQUIRED: B D HEAL E UL T -.,, OMP ASE - . , -' , C ACTED B . t D S G P R A, .. ; E I N E C R TE ( IO M/N/INGH - _ 4 P R_ A�L_SEPTIC SYSTEM.COM ONENTS LOCATED UNDE \ : • SOIL TEXTURAL 'CLASS I l '. PROF I � . NOT ,TO ,SCALE R L - A 0 A R A A S SUBJECT T VEHICULAR R FFIC OR G E TER " : EFFLUENT LOADING RATE 0.60 GPD/SF RE T ' :' - THAN 3•; I N DEPTH SHALL BE" CAPABLE OF W/T - .,. s 330 GPD /-:0.60 GPD/SF 550 S.F. REQUIRED H II .I.,..�I.,l 1-lI',,1..II II�1�I 1.j..,t,��I,..�I I\.::.�-1.1I_:iI-,.��II 4II_�iI'�I:.I__--I, �II IIt.­,.�-.I, 1II."�'I I�'I�,I-�I:�'II.`I 1.'-"I�­-II-'­�I..1,I 1 I' _\_III I II.I.�I l,-lI­�1' I/��._I_1.I.I, I,I1._I-1.I.I 1.I l_-1 lI.I-�II 1 I I1.­�..I1 II..1�,I,��I1I I11I:.'-I I,-[.;-:.�.�I�1-IIlI vI-�l�,.-I L-I�I, -.',III_�1I-.­"1� .I/ II 1.1 II I. �` . . I. I II S' S , . , 5* I . - - - \ STANDING H-20 WHEEL LOADS. - s, . / 9 �•, ' _. �'i. PROVIDED. 4-500 GAL LEACHING CHAMBERS . - �*. , E` ,5. ALL SEWER PIPE SHALL BE SCHEDULE OR W/4 STONE AROUND, A �S7 S.F. - 757 S.F. x 0.60 454 G.P.D. APPROVED EOUAL. 1s \ \ b. SEPTIC ;TANK AND D-BOX SHALL BE REINFORCED 0 0o To,- \ _ \ , \ PRECAST CONCRETE AND.WATERTIGHT. D-BOX SHALL P i . 0 Et \ \ , , . / �S - \ ' t \ BE WA TER TESTED FOR LEVEL WHEN THERE IS MORE ' r r \ N \ ..- \ . oo tic i . q 1 ; THAN ONE OUTLET. " _ :j y l <1. \ 1 l e O y : 1 + , 1� 1 v i 1 0 p p 1: ^_ l , . e A \ < \ ti 7.- BEFORE. CONSTRUCTION CALL D!G-SAFE . o n 1 l ! ti \ \ 1-888-D/G-SAFE AND THE LOCAL WATER DEPT, p r S \ , 0 �, -\ \ . FOR LOCATION OF UNDERGROUND UTILITIES. RM.CORNER BRICK \ ,, \ , : 0 1, 1 \ O STEP Ft lOJ.30 \ ! \ 1 \1 h y i -/ t 8 ` SEPTIC SYSTEM INS A ER`SHALL NO FY THE ,� \ ,, �a \ \ \ \ T Lt T .0. + \ \ , 2 r ` DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION �, � \ 1 \ . : 1 \ t %' 1 OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE s, - 0�. 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EX1STlNG SAS TO BE PUMPED DRY. REMOVED ALONG 1 . o� F. \ Q 1. \ \ O W I TH ALL CONTAMINATED .SOIL AND BACKFI LLED W!,H_ - - : "EXISTING lSflfl G ;" \\ . , r r { ` \ � i a sEPrlc TANK CLEAN SAND. Cl LAYER BELOW THE SAS TO BE pti`' I` EX I ST l NG 5�{5 { Q � I LS'� N TO AN R P C 6 0• TO WELL / I {. t r ' REMOVED D0W THE C2 LAYER © E LED i�'t Tu; _ CLE � , �0 • AN SAND ='� `SECOND FL OOR PLAN YL ,/ , \ , - ' � - , F / u, - �_ __ _ - - \ � \ . �� < -, Ir , CJ 1 ,1,� - y -_ .:\ . . I' / -V_, / r fl� "��' ``�'� LOCUS I y _ ` -- 1 _ _ • I \ 0 e 2 J 5 "° o E; ,� - / R 1 ,�D _� _ , \ „ A ,. .. q .. '�_,,. , A , --I�-I I,.I," 9 t." ,.ENr -. , 5 9 33 4C .� :T" f _q7 4 p I lY 1 a c .a a , 6 Q 1 �,- \ ,. z :/„> ! - • ..•. o '�. _ , _+. -, 4. �/'.. , P T A TA SO L TEST ! _ _ . , DE'SI R�'S LANE' t /J . INDICATES INDICATES • g PERCOLATION OBSERVED: : carcN easlNs TEST . GROUNDWATER , +� .: P 1I177 . OCUS MAP _ - L T 1 T 2 TP.. A ' c HOR I ZON TEXTURE' ' COLOR- HORIZON TEXTURE COLOR HORIZON_ TEXTURE COLOR S C P / C S / S T�f t// �D E S' / ON V 0'., 104.9 0 104.0. 0 102.3 - . . . . OAMY . - , L JOYR : .:o oiE A :S ND _ A 3/2 40.;< G� "S / RE'S L �4 /VE . MAP �38 PARCEL 8 2 ,. - , , ,. � .. � _ 3 I04,T. : ,!O : : SANDY : IOYR SANDY lOYR : LOAMY IOYR r,�,c ' , -,r e e R? T :LOAM , - 6/8 LOAM 6/8. SAND 5/8 W - E..S T 8 4 /V S .�4 3 L • , -I ; :. - - ......,....., .............. ,. ....: ..... . . 0 /0 20 ., 40 lO1.7 47 ,....�:. 100. l l6' . 101.0 . , . } . - - OAMY SAND , !OYR MEDIUM = 2.5Y L RE-PA RE-D FOR , MEDIUM ,,2.5Y i P C/ 1 A ND S ND:WITH 7/2 GR VELA 6/6 :. SAND'W/TH !:T/2. .. - A G N - bo ,_EEO -.� TON S. .,70 GRAVEL. COBBLES GRAVEL. COBBLES'_ S E ` , , _:AND.BOULDERS N :B S, ti J S I l-7 ' / V ! V L� Y . :.. > ❑ CB CONCRETE BOUND . , .a . ,,- . .:................ .. ... .... 96.5 /00` ...;.... '. :;,.... .:: '94.0 -W WATER LINE 84 . 97.9 90 ;... .... .: _.. . , . �, . F Y 9 2006 M Y O S C.�4 L E / . 2 O EB R 1J,4'R SANDY , 2,5Y. , SANDY 2.SY LOA Y ,. m- !0 R HYDRANT ., C2 C2 C2 . <> / AND - / . / LOAM 8 2 S b 3 . . : _.._G_. A '1 N _. ; ;: . ,, , LOAM .. 8 2 G I E �' i l ( ! G , E ,�\ GL� E BUR EY r . .:: : _, y AD WI _ OHW y . .: _ .. . : .. �. , _ _ . .. 923 : Rotate f>A - <: # LIGHT POST � � A : . Ya rma u t Fi o r t M 02575 0 A NO,WA TER NO WATER E UNDERGROUND EL ECTR I G L I NE _.. : P . '132. N W TER 93:9 132 93.0 l 32 9 I.3 / - : - _ / `� S�8 _362--8 , .,: T UNDERGROUND TELEPHONE L/NE i� / 1 - - .: �/ ,, � i h X _ „ ... / 5O8 4:32 5333 _. N 0 TV UNDERGROUND CABLEVlSJD LINE , DATE DECEMBER,14.., 2 OS .. DATE. 6CTOBER :28. 1998 . . . „ . -: , A .' , . 4 "4 ! SPOT`ELEVATION : ___ + ,. . TEST S EP EN HAAS. , _ EST BY, ,J. DOYLE . . . , . E BY T H ,. w . _ _ . ,'" 40- EXISTING CONTOUR - ' _, SMA AIS, , _,WWI TNESSED 'BY. G.. DUNNING WITNESSED BY:_DaN DE R _ - , , .. - , , 0 PROPOSED CONTOUR . _- ; - -, PERC,RATE. ,C_5 MIN/INCH -:: PERC RATE. l /0 M!N/INCH . • .' . : ., ,,.. .- F A C: ' H%CFW HECK: CFW`=N: . SAH ,, „ M JOB :NO b5 129 FIELD C WlEEK - C L SA C , , J. ' ,� v. v •'- -" 4 .... --. �:. u.' i ,v _ ,. - , _ - , ,... - _ 11 „ - .. .. ,. .SELi/.4 GE sYSTK PROF/L� 5"G►JG5 TLST M VGTS TOI- /23-5 o M aoE of 2 T/ T-Z. 6 MAX,• G0VEe3�.�M/n/. „ G MAX. 5•,t9/i/ %ZZ.G O --T- 7 MAX h/S T ,r 3 Q' �X t�/ G S Mom' Mslx. / O 3� Z _CoyE� DF� P STp�/E i LEANS q, a 1/7 7� 3 NlE.O/IN G F I Pi' sCN. 40 Nn PVC 5C- , G _ _ _ ._ .. _ SA 1AIVtQ cr/ uio �/M6Y D' ti >- D L VE /Nf/ / ,_ i / B / / , �- / 2 3 / /�/ / o // / . lIB.5 7 //8- 1B•/ 7 97 / . o c� .. 35 / / 78 C+ Q c7 . ...�., w N 57t'�� � S�1NOY C o G.` c C A RS ,,, BW r (4 Sao G Es► N H l�BE Z OFF KEPT/`/ 38 Gf�.9tit 6 gED of I a C c 15,70 t 4 !o 7'2 -2 `5TD/+TE ; G opt/ SEA � ?ANC• �; USE /500_ AL C C. 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