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0025 FIELD STONE ROAD - Health
25 Field Stone Road W. Barnstable F/R - A = 111 048 , v f s Page: CERTIFICATE OF ANALYSIS i Vim. Barnstable Count Health Laboratory y y Report Dated: 11/10/2005 Report Prepared For: Order No.: G0533660 Laurel A. McCarthy 25 Field Stone Rd. W Barnstable, MA 02668 Laboratory ID#: 0533660-01 Description: Water-Drinking Water Sample#: 33660 Sampling Location 25,Ficld Stone Rd.West Barnstable,MA Collected: 11/8/2005 Collected by: L.M. Received: 11/8/2005 Routine ITEM RESULT UNITS RL MCI, Method# 'Tested LAB: Inorganics Nitrate as Nitrogen 0.25 mg/L 0.10 10 'EPA 300.0 11/9/2005 LAB: Metals Copper BRL mg/L 0.10 1.3 SM 3111B 11/10/2005 Iron BRL mg/L 0.10 0.3 SM 3111B 11/10/2005 Sodium 11 mg/L 1.0 20 SM 3111E 11/10/2005 LAB: Microbiology Total Coliform Absent P/A 0 0 309 11/8/2005 LAB: Physical Chemistry Conductance 210 umohs/cm 1.0 EPA 120.1 11/8/2005 pH 8.7 pH-units 0 EPA 150.1 11/8/2005 Water sample meets the recommended limits for drinking water of all the above testedparamete'r �. --L� I Approved By: ( irector) J � I CA M RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 s TOWN OF BARNSTABLE V LOCATION SEWAGE # 07003— � VILLAGE ASSESSOR'S MAP & LOT P ' 0 N INSTALLER'S NAME&PHONE NO. e re-1I-cllad SEPTIC TANK CAPACITY f ddy cQC LEACHING FACILITY: (type) (size) NO.OF BEDROOM p BUILDER O OWNE / ��Ir PERMIT DATE: DATE: rI 2 D 3 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) Q t Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Fee[ Furnished by f��t�s�=-- L1N�- �a3 ` 31 �s 3f6 c RP,o�aawG �)a TOWN OF BARNS'�ABLE TI LOCAON 710"A* �J SEWAGE # VILLAGE W. (A ASSESSOR'S MAP & LOT L11 G4' INSTALLER'S NAME&PHONE NO. r SEPTIC TANK CAPACITY znp 661r LEACHING FACILITY: (type) yX(0. Pi* 66U 4' 4ize) 3 NO.OF BEDROOMS 3 p BUILDER OR OWNER (Z o�AA)1 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 leachin facility) Feet Furnished by 271.ro Cc1 o^ c1 . ror LA � ey l a i A (3 i ;L-7ay O 3 a 3a /7 3 S 3/ 1 r No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: VYes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Migooal *p5tem Cow6truction Permit Application for a Permit to Construct( )Repair( )Upgrade(P/)Abandon( ) O Complete System L*individual Components Location Address or Lot No. Owner's Name,Address and elA ® /e Assessor's Tffarcel / ����✓r fa�/� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7 71 Q3 rr-3 Z Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( � Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date 03 Number of sheets / Revision Date Title Size of Septic Tank S Type of S.A.S. Description of Soil �// /l�i��T'��� f�X✓r�X�© �� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 ofthe Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b is o4 of ealth. Signed a Date 7/ Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued" ,71(71 —� .ram , � �xl// ".•'(/�l7,�' � .. No. j Fee.._ Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS Yes s. PUBLIC HEALTH DIVISION -TOWN OF,BARNSTABLE., MASSACHUSETTS 2pprication for Moozar *Pztem Conotruction permit Application for a Permit to Construct( )Repair( )Upgrade(Y )Abandon( ) 11 Complete System L"I individual Components Location Address or Lot No. i Owner's Name,Address and el.No. Assessor's /Parcel IT, &, L�l f m,5 `a, le Installer's Name,Address,and Tel.No... Designer's Name,Address and Tel.No. 7 71- �W Type of Building: Dwelling No.of Bedrooms 3 A Lot Size f sq.ft. Garbage Grinder Other Type of Building A61f;11yP1d��� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow_ .gallons per day. Calculated daily flow 3�� r �> gallons. Plan Date 4,1112 O3 Number of sheets / Revision Date ` l+ Title Size of Septic Tank V1 /YKZ511W Type of S.A.S. fy°;—/Yf e��A0 II V Soil Description of So d Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of'the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b Jthis ojd of Health. Signed 7 �°` - tit Date 7���_3 Application Approved by _ � Date Application Disapproved for the following reasons Permit No. V Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Swage Disposal System Constructed( )Repaired( )Upgraded(� Abandoned( )byQ at Z-5— //'� 7�O�1" / IV, d'"5r1. life has been constructed in accordance with the provisions of Titl6,5 and"the for Disposal System Construction Permit No. 2003-3Z-'-1 dated 7! ! U O 3 Installer Designer The issuance of thisipermil shall not be construed as a guarantee that the system '1' . xtcti 5 d 4D Date Inspector _/� �/ /. No. —�—�— -----------------------Fee `/ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS niopaal *pztem Construction 3permit Permission is hereby granted to Construct( )Repair( )Upgrade(w )Abandon( ) System located at 7.. 5 �`/tPM7e? and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be co eted within three years of the date of th's'peermit Date:_ * w Approved by + a I • i TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE /i/ ASSESSOR'S MAP & LOT r ' 0 y INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITYddy LEACHING FACU-=: (type)1®41na1^; C0 (size) // 76 X ro NO.OF BEDROOM BUILDER O OWNED %��r , PERMIT DATE: `7 r(r/,0 2 COMPLIANCE DATE: Z Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) lrQ f Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by fNear I 3J, Y4.c (036` i � r SWEETSER ENGINEERING P.O. BOX 713—SOUTH DENNIS—MASSACHUSETTS 02660 TEL(508) 398-3922 FAX (508) 398-3063 LAND SURVEYING—ENGINEERING—TITLE 5 SEPTIC SYSTEMS SEPTIC DESIGN PROPOSAL PAGE:2 PROPERTY SURVEY AND FLOOR PLAN SKETCH Please fill out this form,including the floor plan sketch and return to us with the signed proposal and retainer. This information is necessary to properly prepare your Septic System Design. IF YOU ARE PLANNING AN ADDITION PLEASE INCLUDE THAT INFORMATION ALONG WITH THE FOUNDATION DIlVIENSIONS AND LOCATION FOR THE NEW ADDPTION. Total#of Rooms v' Year Round Home Seasonal Home f Owner Occupied Rental —2—#Bedrooms ✓ Family Room/Den ,Living Room Dining Room #Bathrooms ✓Washer/Dryer ✓ Dishwasher Garbage Disposal t./Gas Service Town Water In-ground Electric Wires* In-Ground Oil Tank* In-ground Sprinkler* ✓ In-ground Gas Pipes* * Please note on sketch where located. Sweetser Engineering assumes no responsibility if in-ground components are damaged during Soil Testings, Inspections, Locations of and/or Installation of New Septic System. Cellar: ✓Full Partial(Crawl) Slab Wells: Main Use Irrigation Only (please provide location of all wells) PLEASE USE THE SPACE BELOW AND THE BACK OF THIS SHEET TO PROVIDE US WITH A ROUGH SKETCH OF THE EXISTING FLOOR PLAN(ALL FLOORS). Also include any items that should be avoided,IF FEASIBLE,i.e.shrubs, trees,patios,electric lines,tanks,etc. IF YOU ARE PLANNING AN ADDITION,PLEASE PROVIDE THE LOCATION AND FOUNDATION DIMENSIONS A i),/0 6 �►U�n RM I I. t r S y sue+3reaa 4 01 SALT = _ d1, S...ES a � `�' ,�-,-'��. T� }���" s xix t� f t �• 3 tat. �?,_"��+.3d""� f:,,���� .'F� '< � :1�'.#» y��. 1 �s� w� t., �^ C _ a r r''• �}i. .� y ` ✓ Fad °i '. I „�\ k IZZ '511.1 ,35 f' v. , 3 ��=s,,.was,• � ,,, ,a�yaxs a � ��,;: � -�' ,�,_, �r _ ; ��','�.��+ �.LllF1l1 +^� -o.S p �Tjr''1'1�"4'� 3 IC •t r tie w■ ■ �} p ' Y.,�s r r 4,xJt .,i z"fir � rya f..�, tFse..... �es� e 't"�yr+` a• R ''q�':�m eAl J0 a `�' E s '+-�t�r3� `ST�^ ,cx s "� a�'�F ✓ .2- f. y, t5-�,4' b "'kR .k-` -u 1 - x,,,.'�-'a' .r 'a rG"r- 0111INGIKITCHEN h - c"y NING BELOW L� DI J a �Y "y '... t 10 10a8 STORAGE I O a a O BATH ' L.- , BATH KITCHEN j VAULTED CEILING etax too WALK-IN . - CL BALCONY CLOSET GARAGE 130 X 274 . STORAGE LIV114G ROOM BEDROOM BEDROOM 120 174 CL. 12 D It 13e 118 a 178 DEN/BEDROOM lie=136 J L 42'x28' Saltbox with attached one-car garage. Spacious floor plan with fireplaced living' room - open to the dining-kitchen area with vaulted ceiling and skylights. First floor bath with laundry hook-up and den or 3rd bedroom, complete the first level. The second floor consists of 2 additional bedrooms (master suite with walk-in. closet), additional full bath and balcony overlo= oki ng the dining-kitchen area. PLAN C/7 24 School Street P.O. Box 186 West Dennis, Massachusetts 02670 (5 8)39443090 f ° COMMONWEALTH OF MASSACHUSETTS UV EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ' FA�I_ED INSPECTION TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 25 Field Stone Road RECEIVED West Barnstable, MA 02668 Owner's Name: Steve Robitaille Owner's Address: MAY 12 2003 Date of Inspection: April 19, 2003 TOWN OF BARNSTABLE HEALTH DEPT. Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Map: I I I Mailing Address: P.O. Box 49 Parcel: 048 Osterville,MA 02655-0049 Lot: 12A Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Na'79 Further Evaluation by the Local Approving Authority ✓ F s Inspector's Signature: Date: April23, 2003 The system inspector shall subf copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 ' Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 25 Field Stone Road West Barnstable, MA Owner: Steve Robitaille Date of Inspection: April 19, 2003 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 25 Field Stone Road West Barnstable, MA Owner: Steve Robitaille Date of Inspection: April 19, 2003 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15303(l)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is Gee from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 25 Field Stone Road West Barnstable, MA Owner: Steve Robitaille Date of Inspection: April 19, 2003 D. System Failure Criteria applicable to all systems: You must indicate either`yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z 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 SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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 (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 System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either`yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well ` if you have answered`yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 25 Field Stone Road West Barnstable, MA Owner: Steve Robitaille Date of Inspection: April 19, 2003 Check if the following have been done: You must indicate`yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection ? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ _ Were all system components,excluding the SAS, located on site? ✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum ? ✓ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 25 Field Stone Road West Barnstable, MA Owner: Steve Robitaille Date of Inspection: April 19, 2003 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 Number of current residents: 3 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Private well. Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Pumped in Dec: 2002-per owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: Qallons--How was quantity pumped determined? 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) 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: Jan. 25195-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 25 Field Stone Road West Barnstable, MA Owner: Steve Robitaille Date of Inspection: April 19, 2003 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: I' Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 0" Distance from top of sludge to bottom of outlet tee or baffle: 32" Scum thickness: I" Distance from top of sum to top of outlet tee or baffle: 9" Distance from bottom of scum to bottom of outlet tee or baffle: 12" How were dimensions determined: Measuring stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There were no signs of leakage. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of sawn to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 25 Field Stone Road West Barnstable, MA Owner: Steve Robitaille Date of Inspection: April 19, 2003 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: -- Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): The D-box was level. No solids were present. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 f Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 25 Field Stone Road West Barnstable, MA Owner: Steve Robitaille Date of Inspection: April 19, 2003 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: I -4'x 6'with 3'stone(per as built card) leaching chambers,number: leaching galleries,number: leaching trenches,number,length: . leaching fields,number,dimensions: overflow cesspool,number: Innovativelalternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): The pit was full. The liquid level was up to the inlet pipe. The leach pit was in failure. The cover was 2'below gN*. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of 11 O OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 25 Field Stone Road West Barnstable, MA Owner: Steve Robitaille Date of Inspection: April 19, 2003 Map: III Parcel:048 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. B a A C3 i W7 pi-/ O 3 Ca 3g �� 3 S 3l 10 I } Page 11 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 25 Field Stone Road West Barnstable, MA Owner: Steve Robitaille Date of Inspection: April 19, 2003 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 50 +/- feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) ✓ Accessed USGS database-explain: topographic and water contours maps You must describe how you established the high ground water elevation: Using the USGS topographic may and the Cape Cod Commission water contours map, the maps were showing approximately 50'+/-to ground water at this site. This report has been prepared and the system inspected and failed of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 TOWN OF BARNSTABLE LOCATION C',t�t , / U.�Z' SEWAGE # -9�0-474- VILLAGE /l J ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE N0.<;R/U-Uw'i"1 SEPTIC TANK CAPACITY iejZO '-T LEACHING FACILITY:(type) (�l I�i (size) d: NO. OF BEDROOMS P IVATE WEL PUBLIC WATER FOR OWNERS DATE PERMIT DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t x1 °' �� aa— 31 r N 3 - yS' g 17' P- 3 - 31 ` low M THE COMM/NWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Diu.pngal Workii Tomitriir#iun f rrmit Application is hereby made for a Permit to Co truct ( ) or Repair ( ) an Individual Sewage Disposal System at: Vj , ,t •- E4-U. � � ._`Qc* ................... ..."n w P--- ���.....j_�{,�4E�.d-` h.---•-••----•--•---.....---- ,Lovation-Address o Lot No. 0 AM..... ................. ....................... f��. ....................... Ad ress Installer� Address UType of Building Size Lot_._ !fg2_____Sq. feet ,. Dwelling— No. of Bedrooms----------- ----------___________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ ___ W Design Flow.................I_L_ .................... per person per day. Total d1ily flow----------_7-�_ _5_©__.____._.__.._.___�lons. 1:4 Septic Tank—Liquid capacitv!�0_gallons Length_ lZ____ Width.4_Ylf--- Diameter________________ Depth___ ___ W Dis osal Trench—No. .................... Width-------------------- Total Length Total leaching area...... ft. x P � g 4, r------- g q• Seepage Pit No.-.__Du_.-.__. Diameter.__...JZ--...-. Depth below inlet____________________ Total leaching area_l...C7.1V._sW=*F Z Other Distribution box ( ) Dosing tank1>0 ( ) Percolation Test Results Performed by. Y�. _- i>NE -41�t6)___________________ Date...................................... ,al Test Pit No. 1__� .......minutes per inch Depth of Test Pit------ ��._ Depth to ground water----- . rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water_--____--______________- --------------------•--.._...-----••-•---.._._..__.__...----•-•--...---•••--•------------•------•---•-•-----------•••--••-•-------...__...._......•••-....._. Description of Soil V^' Zy ' `t� i�� �' Su�3SoI .. - t�V&t ��••tt� U ►1 ----------•-------------------------------------------•------•--•-•--•---• W U Nature of Repairs or Alterations—Answer when applicable- ..••------------------•-------...-•-•---••--•---•---••---••-----•------•-•----•-•••-._.....-••-•--••-------•----•---------------------------•-•-----•---...--•--•-•-•-•-•-------•--••--.......-•--__-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned f er agrees noto place the system in operation until a Certificate of Compliance as been issued b th b a f alt Signed --- ------------- ...... Application Approved B} .....:............... ---------- -------------------------------------------- .................. ............ - ---- .. . Dace Application Disapproved for the following rearons: /.................................................................................. ............. ..........................- ......... --------------------------- --------..-...........-......-.-..-.. // G Permit No. � `'. Issued ..... l...�'-. G.---- ..--- Date (( f F . 6F ilA' THE COMM ZNWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphration for Diripwial Workii Tonstrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: , 16 L .. z �, ��_�- -;�,, .._-2 �= �------------------+ _--rvl �------!t `? ,R c F4 `� ' Location \ddress or Lot No "_i_?`- Ccac?T'" k'it .tC�iy�C�ca V t� 14. It ........................................................i �l•�1 a ti -•---._.....__. ..---•-•-- . ..._ Obvner Address - — —� ' Installer / Address I f-t LI� I- Type of Building Size Lot_________,_ ...............Sq. feet Dwelling—No. of Bedrooms________________________________________----Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) aI Other fixtures ____________________________ W Design Flow..................._=_......_._._.______.gallons per person per day. Total daily flow.........._-3_-.5_U.....................gallons. WSeptic Tank—Liquid capa6tyLC4?�a_gallons Length__-_ Width_`4_>> ....... Diameter................ Depth_ ? x Disposal Trench—No. .................... Width............__...... Total Length.................... Total leaching area................ ft. Seepage Pit No----- ...... Diameter.____. Z�_____ Depth below inlet...... Total leaching area_fi`_<<:'oh__sq=fA; Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed b rh r t .. t_L hLt 1 fv��_______________ 1 �' �= Y---•--- 1 '" = •••. Date------------------ ,`�a Test Pit No. 1_K?:_-______minutes per inch Depth of Test Pit...... Depth to ground water..... t_r•?_c`_._. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •---•-•---------------------•••--------•--••-------•------•.._..-•--------•-........------------•-_._........•-•--------------•--------...._....-----------. Q �) 1`Zrr, Lt f� Ij,� 1'2- '�C.�% �jt r?iesC IL 3C:I ! �6It r^L.E •I P,,) Description of Soil--------• ------ F% - - ►� 1 1.. 1� . S tl l- 1� W x •---...----•----------------•-•--•-••-----------•-------------••-•--•-•-•---------------•--••--•-----------•---------•----------------•---••-------•-•--------•--••----•-•-----•--•---••............---- U Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------------------................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance as been issued by the,board,of health. Si ned61k�.( .g 1 ,- r.� .�.: -,- ....... ---,.. Application Approved B _......................... 4 PP � `----�---- ��7 ----------------------------------- ......._.. -- �,f Dace Application Disapproved for the following reasons: ........................................................................................................................................ ........ .. ............................. N......-------------------------------------------------------- ---- --------------------------------------------- .------------7-- -------------------------------------- ,X ".f�.... � Issued .....�/� �'' T....''��...��............Permit No. .................... ..................... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certifi ate of V-IIittyliancie THIS IS TO CERTIFY, That the Individucal,�ewage Disposal System constructed ( �) or Repairedby ( ) .................:........ ..... Z - . �. .1.- sf0 ..... has been installed in accordance with the provisions of TITLE-5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. Ins ector ,,DATE ---- ----------- .. ..... ' - ------------------------ ------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No,9�! TOWN OF BARNSTABLE ....... �f FE E.......�.-.............. Disposal Workv TAntrnrtion "omit Permission is, hereby granted............M.'�i'A.......s}_© ! `-•-.---.-- to Construct (/) or Repair ( ) an Individual. Sewage Disposal System ( / at No................................... ic,l�-S'1-0 t� �.: .......... . t.........................i ? ���,// ---------------•--..._...---••-•--- st as shown on the application for Dis;:�2 Works Construction Permi�JN'o.`"� �,__ Dated.._ ^ _. ................�i�'-.......�=.----�..- _h�-�,71-- . !�1 ------------------- I �/f/ vBoard of HealthDATE / ... �(((. ------------------•-----•- FORM 36506 HOBBS&WARREN,INC..PUBLISHERS ENVIROTEGH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 . Sandwich, MA 02563 (508)888-6460 . 1-800-339-6460 FAX(508)888-6446 CLIENT: Reef Realty LOCATION: Lot 2 Fielstone ADDRESS: School St. W. Barnstable, MA Dennis, MA SAMPLE DATE: 9-6-94 COLLECTED BY: F. Clifford/Clifford Well DATE RECEIVED: 9-6-94 TIME: 12:30PM SAMPLE I.D. : 2F JOB TYPE: New well WELL DEPTH: 61' RESULTS OF ANALYSIS: Parameters Units Recommended Limit Result Coliform bacteria/100m1 (MF Method) 0 0 pH pH units 6.0-8.5 5.67 Conductance umhos/cm 500 323 Sodium mg/L 28.0 31.8 Nitrate-N mg/L 10.0 0.30 Iron mg/L 0.3 0.30 Manganese mg/L 0.05 0.048 Volatile organic compounds EPA 601/602 See report attached. None detected COMMENTS: Low pH indicates high corrosive characteristics. Sodium level is not a health hazard. Yes No WATER IS SUITABLE FOR DRINKING URPOSES OR PARAMETERS TESTED. XXX 1 7 Date / o ald J. ari Laboratory irector IT = Less Than s GROUN13WATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Fi eld ID: 2F Lab ID: 8631-02 Project: Reef Realty/Field Stone Batch ID: VG2-0452-W Client: Envirotech Sampled: 09-06-94 Cont/Prsv: 40mL VOA Vial/HCl Cool Received: 09-07-94 Matrix: Aqueous Analyzed: 09-09-94 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 5 Chloromethane BRL 5 Vinyl Chloride BRL 5 Bromomethane BRL 5 Chloroethane BRL 5 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL 1 Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane BRL 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropene BRL 1 Bromodichloromethane BRL 1 2-Chloroethyl Vinyl Ether BRL 5 cis-1,3-Dichloropropene BRL 1 Toluene BRL 1 trans-1,3-Dichloropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL l Ethylbenzene BRL 1 meta-and para-Xylene * BRL 1 ortho-Xylene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloiroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 30 99 % 87 - 113 1,2-Dichloroethane-d4 30 33 111 % 83 - 117 BRL = Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). No.��� �GG --z--�--�L Fee--------------------- BOARD OF HEALTH TOWN OF BARNSTABLE App[icationArIvell congtruct ion permit A pl'cation ' ,h r by ade for a permit to Construct ), Alter ( ), or Repair ( )an individual Well at: Q Location — Address ssessors Map and Parco _��"-��LO�—---------------------------------------- --�•�.�ll�'_�F �/�_Gait_�-�/f�------------------------- / Owner Address _--------------------------------------- Installer — Driller ddress Type of Building �7 Dwelling / /r ---------------------------- Other - Type of Building--------------------------------- No. of Persons------------------------------— --- Type of Well-- de - - - ----— - - Capacity— Purpose -- - -------------------- --------- Purpose of Well - -- ='r`9U =`� 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 u f'ca rn ' ce has been issued by the Board of Heal Signed - - ------------------------------ -- -- - ---------- date Application Approved By , ------------- ----- date Application Disapproved for the following reasons:----_—________-______—---—--------------________—_—-------_—_—____—______—_ — —-- --�/�---- --/ ---- - — —------------------ ---- l'li / L ! date Permit No. -------- __—-_- Issued--- - - = `�- - ------ date — —— BOARD OF HEALTH TOWN OF BARNSTABLE Certificate (Of (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by----------------- p � �Insta�ller /I at-- - ------ —1 G==fir /Y�iJ __L= ------- '-----Lhas 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 Nolte-'111/-'---` 5V Dated-,10--' - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- ---—— ------------- ----- Inspector-----------------------------------------—- ------------- d / No. ------- �----- � Fee-------1"9�-----�� BOARD OF HEALTH TOWN OF BARNSTABLE pplication-*rVell Cootruction Permit A A ation i h r by' ade for a permit to Construct K), Alter ( ), or Repair ( )an individual Well at: 1 Location — Address assessors Map and Parcel Owner Address --------��� ------------------------------------------------- ---- �� �� /�.P,��;�--- ---- Installer — Driller ddress Type of Building �/77 Dwelling-------- (/✓----------------------------- - ----------- Other - Type of Building---------------------------------- No. of Persons--------------------------- - --- Type of Well- C - - --- - Capacity--/ �9 Purpose of 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 u 4 'ficat �Ornpl' �nce has been issued by the Board of Healt . Signed - — — - ------- -- - - date Application Approved By r -- - ----- --- -� `-- date Application Disapproved for the following reasons:--------------------------------------------------------------_____________________ ------------ - - ----- --- - ------------- ------ --------- ----------- -------- ---- ------- -- - ----------------- date Permit No. - � 00, ---------- Issued---- ` ----- - --/ --- —••-. date - E'iW—dWA'*GOMM Mk 400.q+rw�s��11Ywr•w�a.rwa MwM ww�A .+.qw}CA6 W��RAie.glTr!.iAl!f%�..ms'.�i ORY'�...�4.a�oer wv!fin n®.a..v.�.�N ww���H�.irr.+C� T BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance s THIS IS TO CERTIW, That the Indiv' ual Well Constructed ( ), Altered ( ), or Repaired ( ) by------------------- — ---------------------------------------------------------------------------�-=- - --- Installer . at- — -� !- - =------ - --- ---------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection f'� J� � Regulation as described in the application for Well Construction Permit No --✓r -- -=--- `Dated -------!1�tor -� 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 Vell Con5truct ion Permit No. Fee--�� --� Permission is hereby granted--- -- - - ;--- - - ---------------------- -- - . � to Construct (!i), Alter ( ), or Repair an Individual e No treet as shown /oonn the application for a Well Construction Permit No. -------a�L--r ''s Dated -------- DATE - r ' ,• �,.. '` Board of Health -----------------------�y� - 4� TOWN OF BARNSTABLE 2012 V AY 10 PIM 3 I 60) Yval/� -ire Al� ol t.. _ s�oN� �i-oalz /lil �' L�1- !C A,1 c r�2WiJ 5 L /�tc.l�Y 1 h 2— I'7 ' w1n G 2OW �G`etti 11�ii r � aCe ohe- cc�r 9czra9� , -i% door Ar a t /r I t\ z�u, fiirl Lug/ /�I�CTfI a.fl7 i STZ)ViSF )QD.. � G1/E5 _ � - �� -ems x +•. av_'*.- i. ' l 'U Q (' s a i E`�'. l a :< S � P ! � � � ,c... ._.� tit '�t� . :i-�• {�' .o - S®ri A9,c 5' �� P - f i E 1 s''c s .� ",� ee `i' '-•-" c. �� 4 w i E �# 1 Y � An r t a ( � .--- _- -- _ =�`i'�...,"^«+e--•--`e`:....-e_r--'"-,.._. - - ..may-! • 4 YYJJ , i N 'i ,ASSESSORS MAP: ,/ 111 PARCEL TEST HOLE LOGS NOTES, . v} 1. VERTICAL DATUM:_ASSUMED FROM (NGVD QUAD - .ENGINEER: DOYLE ENGINEERING Q CURRENT .ZONING.. RF 2. MUNICAPAL WATER Is NOT AVAILABLE. BUILDING SETBACKS: j'ITNESS: THOMAS McKEAN, R S. _ " 3. SCHEDULE 40 4 PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. WE:F. 30' S. 15 R. 15 p 9 3-86 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO H-10 & H-20 PERCOLATION RATE: < Z MIN/IN LOADING SPECIFICATIONS. FLOOD ZONE: C TH-1 TH-2 5. PIPE PITCH = " PER FOOT. 42.9 1,/4 g Env 6. FIRST 2' OF PIPE OUT OF D-BOX TO BE LAID LEVEL. LOCUS LOAM 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE Ad USE OF A GARBAGE DISPOSAL. SUBSOIL / 8. ALL CONSTRUCTION DETAILS ARE TO BE I W 76" 39.9 N CONFORMANCE WITH THE STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL LOCATION MAP PROPOSED WELL CLEAN HEALTH REGULATIONS. LOT 2 (155' TO LEACH PIT) MEDIUM SAND 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR 31,842 ± S.F. LOT 1 (SOME (0.73 ± AC.) GRAVEL) TO CONSTRUCTION. UTIL17Y 10. PROPOSED SEPTIC SYSTEM AND WELL LOCATION ARE IN ACCORDANCE cLvsraR ze WITH MASTER PLAN ON FILE WITH THE BARNSTABLE hEALTH DEPT. 48 46 / so sz s4 56 58 60 sz _ 64 11 66 NO GROUNDWATER ENCOUNTERED 68/ 46- ..... ... ........ S;EPTIC SYSTEM DESIGN : DRNE / 70. 3 49 / /•. ' /.• 7 WALK-OUT EC% / ❑.. :• / 42 . : ❑ _ LOW ESTIMATE: TH-1 : m GARAGE / / 80 / /: J v 70 / 3 PROPOSED / : / . : / s — BEDROOMS AT 110 GAL/DAY/BEDRO+OM 330 GAL DAY s BEDROOM z4 10' / 5 j/� fir,. i - / ./ / z DWELLING 4,� s IN PRO / / /''•• /. % i T s PosED /: / ! i / / EPTIC TANK: GAR. aDROo,Y 4g / / / / / 72 72. 6 40 Ei aroc Q / / / 330 GAL/DAY 1.5 DAYS _ 495 GAL 14• / q z8' LP Ec T.F. _ 50.0 i / / / �' i ,USE 1000 GALLON SEPTIC TANK ....... - i / / / / . s8� :� ! 74 - ,EACHING AREA: • / / / PROPOSED DWELLING 44 USE ONE LEACH PIT (6' x 49 WITH 3.0' OF STONE 36\ / / / / / O (12' EFFECTIVE DIAMETER x 4' DEEP) ss lool / ,. / / i ! l q SIDE AREA' 12 x 4 x PI = 151 SF (2.5) = 377 GAL/DAY ae 76 k BOTTOM AREA: 6 x 6 x PI = 113 SF ` (1.0) = 113 GAL/DAY 40 42 _ 177. 1 44 // / / / ' / ' , ' / / 7 / ' 68 70 74 SEPTIC SYSTEM SECTION 2" PEASTONE 50 i / /i / i i EDGE OF PAVE loe 54' ' ' -68 CLUSTER OF 3 4" 1 1 2" 50.0 WASHED STONE se'- PHONE TOP OF FOUNDATION ey i , 70 * 62 / / �Z1 RISER 265' 64 / / BENCHMARK AT 66 / / 72 ELECTRIC MANHOLE . ELEV. = 759 68 70 74 t \,.40.41 n 72 40.66 1000 GAL ELEV. D-BOX 4' , p ELEV. 4018 SEPTIC TANK 40.35 ' ELEV. 433.0 74 '1.0 ELEV. <--,. .-;-,ELEV. E; ,EV. TEE SIZES: 37.0 3' 3 (L' NDER INLET: 6" UP, 10" DOWN ELEV. .- 12' -� I B, SEMENT OUTLET: 6" UP, 19" DOWN ONE LEACH PIT (6' x 4') WITH F.,OOR) 3' OF STONE (12' EFF. DAM. x 4' DEEP) (H-20) BREAKOUT CALC.: (37.5 36)/44 x 150 = 5' N W SITE AND SEWAGE PLAN i KEY: LOCATION. EXISTING CONTOUR: :. PROPOSED CONTOUR: ,1 ", ._ y %-" .F�, LOT 2 FIELDSTONE ROAD EXISTING SPOT ELEVATION. 25.5 { , . WEST BARNSTABLE, MA PROPOSED SPOT ELEVATION. 25 „_.� . _ # ca ho;3.17t p EST HOLE: '� u w T '� � � � �,,,,;� . �, t; � PREPARED FOR.: UTILITY POLE. x . FENCE LINE. REEF REALTY HYDRANT. -6 DEYAREST-YcLELLAN ENGINEERING ~J SCALE: 1" = 30' DATE: 7-24-94 24 SCHOOL STREET P.O. BOX 468 v WEST DENNIS, MASSACHUSETTS 02670 - REFERENCE: PLAN BOOK 413 PAGE 99 DM # 94-039-2 THOMAS McLELLAN, P.E. [JOH:N Z. DEMAREST JR., P.L.S. ICI Ali , ASSESSORS MAP. �11 ` TEST HOLE LOGS NOTES. PARCEL: 48 1. VERTICAL DATUM: ASSUMED FROM_QUAD (NGVD v ZONING: RF ENGINEER: DOYLE ENGINEERING 2. W V CURRENT Z N MUNICAPAL WATER.�5.NOT AVAILABLE. WITNESS. THOMAS McKEAN R.S. BUILDING SETBACKS: 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. 9 �� F: 30 - - ' S: R. 15, DATE: 9 3 86 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO PERCOLATION RATE: < 2 MIN/IN H-f0 & H-20 sT LOADING SPECIFICATIONS. 4z.9� FLOOD ZONE: C TH-1 TH-2 5. PIPE PITCH = 114" PER FOOT. ELEV. 6. FIRST 2 OF PIPE OUT OF D-BOX TO BE LAID LEVEL. 5 .. LOCUS 12- LOAM 19 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE SUBSOIL USE OF A GARBAGE DISPOSAL.`l'? B B. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE 3c 39.9 STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL LOCATION MAP PROPOSED WELL HEALTH REGULATIONS. 15S TO LEACH PIT) CLEAN , LOT 2 ( MEDIUM 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR LOT 1 SsoM� 31,842'± S.F. ( TO CONSTRUCTION. 0.73 ± AC. GRAVEL) UTILITY 10. PROPOSED SEPTIC, SYSTEM AND WELL LOCATION ARE IN ACCORDANCE. 46, CLUSTER 16 .9 WITH MASTER PLAN ON FILE WITH THE BARNSTABLE hEALTH DEPT. 28 48 60 \ 46 z 50 56 58 ` / 62 / 52 54 / / Ile 64 / / r 66 681 NO GROUNDWATER ENCOUNTERED .... 179. 67'/ • ; SEPTIC SYSTEM DESIGN / DRIVE / / 70. 3, W ECK .49 / / .. / 1 i7 WALK-OUT /. 42 44 - OW STIMATE: _ ® / �---►�---7- -- FL E PROPOSED TH-1 GARAGE so / / l '' 70 I 3 BEDROOMS AT GAL DAY BEDROOM = 33 GAL DAY 3 BEDROOM / . / / / _. _1LQ- / --Q / 10' / 50 / : '_ _�;- 2 DWELLING 24' S • PROP ./ •'••.• /•'•... '/.. i � � , T 3 osgD �- r / I / / SEPTIC TANK. CAR. DRooat / / / / / 7z 7z. s GAL DAY * 1.5 DAYS 495 GAL 14' LLING / / / / / / 28, J / Lp Ec T.F. 50.0 / / / / / USE 41 DO GALLON SEPTIC TANK 74 LEACHING AREA: PROPOSED DWELLING 38� 4o I ❑ / / / w 1 USE 0 ' x 4'(PIT LEACH ONE 6 WITH 3.0' OF STONE � . I . I 44 / - � i � / / � j / / / .�• 4. 8 p (12' EFFECTIVE DIAMETER x 4' DEEP) n SIDE AREA: 12_x 4 x PI= 151-,SF (2.5) _ 377 GAL/DAY 76 - t^ r rF' _�T I.nd Y a " / / / / - . ' / / / / / / � � / �'•r ;.. : er _,9. a - _ter_-_ .Ile 7 44 70 74 SEPTIC SYSTEM SECTION s8 2 PEASTONE 50 i ✓ i i EDGE OF PAVE / .. UTILITY OF 3 4" - 1 1 2" 54' 68 CLUSTER 1 1 50.0 WASHED STONE 5E PHONE TOP OF FOUNDATION 62 ' 70 ONE 64 / / / BENCHMARK AT 66 / / -72 ELECTRIC MANHOLE ELEV. 75.8 68 70 \40.41 / . 74 y, 4, o 40.66 1000 GAL ELEV. DI-BOX 72 40.18 ELEV. SEPTIC TANK 40.35 ELEV. 33.0 / Z41.0 ELEV. .� .--;ELEV. 74 ELEV. 3' 3' .. ..TEE SIZES. 37.0 UNDER ELEV. <- 12' ( INLET. 6" UP, 1�0 DOWN BASEMENT r H OUTLET. 6 UP, 19 ,,DOWN ONE LEACH PIT (6 x VAM. WITH FLOOR 3' OF STONE 12' EFF. x 4' DEEP (H-20) BREAKOUT CALC. 37S 36 44 x 150 = 5' SITE AND SEWAGE PLAN KEY: F LOCATION. EXISTING CONTOUR. LOT 2 FIELDSTONE'ROAD kY' PROPOSED CONTOUR: ................................ EXISTING SPOT ELEVATION: 25.5 ..: WEST BARNST ABLE MA PROPOSED SPOT ELEVATION. 25 - � = � TEST HOLE: PREPARED FOR ' { j UTILITY. POLE... --0- 4 x �.. .. . _ ./l . . ... REEF REALTY � FENCE LINE: •- •• - DEMAREST-McLELLAN ENGINEERING t i SCALE 1" 30' DATE: 7-24-94 HYDRANT. -�} 4m i 24 SCHOOL STREET P.O. BOX 463 •l lJ WEST DENNIS, MASSACHUSETTS 02670 REFERENCE: PLAN BOOK 413 PAGE 99 DM # 94=0��2 THOMAS McLELLAN, P.E. JOIIIV' Z. DEMAREST JR., P.L.S. 46 - .._. -. .. -_ -__... .._..._. .__..-......e._................. ........:..»._ ..-._......+r...m. ...._.......-..e.e.......» ....mn..-«....,...®.....-w.«.«...•-..........:.-«.-w..w..e.....-..s....a,...:,..+w-+....«....e.e...s...w...-.....,.....-.++.-...-......e,.m..+a.--...-...--,a_...._... 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I I I I I I I I � I '' � . . � - � , � ., _ , I - . , ' - . I � I � - , � . I , . I � I I I - , I � �I.� 1� � 11 _tj _GtNELRIO__.� : - � , , � � I _ , ,� , - D. .P. : ,2�',,; � I : %,�� 11 . ,_� I ,� ' I I . I I . , , -1. ,�ALLVCOK�ANSHIP, AND MATE'R'IALS SHALL CONFORM TO I L , - I I I - - . . I L I I I I - I I I - I I , i" - ' I . I I , , li��.LN2.NEE&MG � - 1� , � I I ' ' � I I I I I �� I . I -- � �'SOIL TEST DONE,Byf) EN � I I I I I SOIL.,,TEST, DONE 13Y , . I �, ,- . I I - �� �, ,; I I L5 fOR THE 7 ' I ' ' I I 1, - I I I I � 1, I ,, I I I I I I - I I . I.. -'- 'S'RULES�AND.REGULATIONS � j- � I I'' � t I 1 . I I . I I ",-. - 1. I I 1. I � I 1_1 i- , I � - . , I � 1 � "I -_� � � _� , � I I ,1 s-M TNESSED BY � - . . I I 11 �� - III I 1,- : TITLE" -AND THEJOWN I I I 11 -1 . - I I - 111 � I I . I .-I I I I I 1, I - � � , . I ''I I .''. I I ' ' I � . I 1�,, I I �L� WITNESSED 13Y _L KEAN , ' I- 11 I I I . . I I ,� 1.� " I 1 . I I - I 11 I I-, I � I I - I � I I � L �� . � I I I I I I , I I , , 1 I - I . 1 . 1 . 11 I I 11 � I I . " , . 1% , I I I I I - I I I I , - I'll -f I I 11 I I I . I � I , : ELEV.. $8.70 ' � �', � � - ". , SUBSURFACE DISPOSAL�OF SEWAGE., , � I 10 , , - � I - I � . I s , � I 11 . .. I I . I 11 �. . . I I I ,�, I I : "_I ��, . . ,� � " . � 11 I I I I z - I I I .1 I � � I � I I - -' 92.40 1 OBSOVATION H= I .1 . ' I I I I I I � � I .1 I� � I � I I" I I I I - I �ELEV. I I I -_, � 1 2. ALL COVERS JO ,sANITARY UNITS SHALL BEi'BROUGHT TO i, i , - . t I � � - I � I I I I � � I - I . I . � i I .." .08SMAMON H= 1 1 1 I I I �11 I I I I .1, I � I - I . � � ' I I , I - I � I I � I . I I � I I I I I - I I" � ,. ' MIN./INCH AT - -,INCHES I 11 - , - � I I . , � I I I I . , . �� 1. 11 �I I � 11 I I " I I � " I - ,e�, '2�_ "MtN./INCH fN ,C HORIZON �, I � I ,PERCOLATION.RATE ,.��, � 42'� 1 . I �,�_ -GRADE.- - - - --' �, I I , I I I 1, � - I . � I I I I .1 I 111. I I I I I ,� � . I � � I � . I PERCOLATION,RATE - 11. I I . I I I I., ,, ,�., � WITHIN� 6" .OF,fINISHED � 11 I - - -1 �, .1 � I I I I '. I I . � I I I . ", ' � 'BE CAPABLE OF - 11 I - . I � I I I �1'1 I I �I % I I 1.i� I I I I I ' I' , .. 1. I I - I � I � � � I I - I - I I � � � I -OF THE SANITARY SYSTEM�SHALL - � I., , I I I I I I I � � I I i. , 11 0 � ,, I I I I � ., 11 I DEPTH HORIZ TEXTURE COLOR MOTT. OTHER I I TEXTURE � I COLOR MOTT, OTHER- . - - - - 1 1' ALL COMPONENTS ' . � I I � I I � � I - I � I I I L I - I I � DEPTH ,,HORIZ, I I I, I I � 11 - . � � �, WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN - I I � I � I I I � I . - ': I " I I � , . - . I I i- �, I I � - I 11 � I �� I . I - - , n I - I I " - 4, � - ; I I I . I I ��- � I I I �. I / , I I I I I � I I � - '' I � - I 1i , -i I � I I I . . I - I I���; .11 10 FT. OF DRIVES OR PARKING AREAS.,�H-20,0AIDING�SHALL BE 11 - ,� .I, ,-I I 11 I � � �, % - I �. . I— � � / I I � * I I I � 1 . ,," ,I ._,�I I I., - � I . - ,LOAM I 11 �, - I li� , I. - ' A , LOAMY.SAND - 10YR3/3 --NO, - , I�, 11 �. .I -1 1. " 1� I , , - ]a[ 0 4 . - 1, I I � " , -, , I \ I / I I � I � � 11 � 6-1 2 , A I � I - - I , , � I I " � � I,� I I I I I . I � I I I I I � I I I � ' 'I . I �L, I � I . - I � , . I � � ,,, , . . 11 1 , . " . �I , ,. . I I 1 I 11 I d'. ,, " � I I �. 1, I i � I I I I - � I - I I I � � I I I �. I- �1' I" USED'UNDER OR 'WITHIN 10 FT. OF DRIVES OR PARKING ,AREAS. I I . 11 , I \ - / � I 11 . 11 �.11 I I I I I � I . I 11 . 1' . 1'� ,� � � I 'll I .1 . 11 I � I 9�_ , I . ' I � I � I 1. I i 1 . 1� 4. ANY MASONRY UNITS USED TO BRING 'COVERS TO GRADE SHALL BE � 1. � I .. � I 1 : \ � , , ,// I . ,� I �� I - I "I � I- I I I' B� L 1� , I I ,� � I� I_ � '4�29 11 -1. - �, 1. . �, I � . - I �, I I I I I I 1\ I t I I I - I - � � - I - :, 12-36 SUBSOIL I I � � B . LOAMY SAND 10YR5/4 L I I I _� - I - I �� , ' ' , , - 11 I I \ � \ ./ I I I I I I I I 11 , - I I - �MORTAREO IN PLACE. '_��, , " . . I I I __ I I I I � � �I I� I I 11 I / I� � � I I .� 11. I- I- . . :- I I ' 'I , � I - . I I , - � I I I I . ,� I I I I .� I 11 I � I .- 41 1 1 I .. � . � I . . , I I, - ON HAS BEEN I MADt AS TO,COMPLIANCE WITH , ' ,�, � I I I I \' I � \ I , I I I I _� - -, , 11 11 I I I � I I I : I I I . I I - I I 1, I . . 5. � NO DETERMIN-ATI , - I I .S . I�.,�I I I ''I I,I � I. N I 1 \\ J�/ .� I � 1 -1� _�I -1 I 1� -11 . I I ., . '.� � , ,I _\ I -I I .I I 11 I I - I I I . SOME GRAVEL 6 29l;_1 32 C-L LOAMY SAND 10YR5/8 : I I L SOME GRAVEL � � 1 . � I �A+ I "I , , - 6 I I .� , -DEEDED -OR ZONING REGULATIONS. it TO - 1� � I . . � \ : I �, / I - I I I , I 1 36"l 8 Ci I OEDIUM I SAND �, I I I 11 I - � I � � I - I -1 I I � . - - - � I � - I I I I I , 11 I � . I I � I I I I . \ . I I I I % . '' I - � 1, I I I I 11 I � I - I � OBTAIA SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. , � , - �11 � - , � \ � . -I I, ." I � I I I I.%,- I - � 2 c � I � - : , I I 11 11 r - I � � � I I I 11 � I . I . I . I , I N\ A I I I - -�' "�� �I I ,� �� 1. I 11 , I . ,I r..� - 11, I'll - � I� ,� I ," I . � I I - . I I I . 111 I I I . � � I I - � �� I -1 � . 1019 j , I I I I I .I 11 -6. � UTILITIES SHOWN APE APPROXIMATE ONLY, EXCAVATION " � I I I \ \ , I I ,jt 2.8 . 11 . I , , � ,:1 �, 1,� I � I , I � � I � I I I 1. I I : � I � I I I I � - ,92Z8 1 1'1�I I I I I I I I I I � I 1. 11 1, I \ 1 \ , I" - I � I - I I� - � , , I I I I �I I I I. � � I I I I I I I � . r� I L " I . 11: , I NTRACT 1S TO-CALL "DIO-SAFE* AT 1--�888-�344-7233 .," �, L I � - .1 I I . I . I . I I I , . L - . " � cb OR , , - I . � k L' � I !I I I � I � I . I � s" r I . ; I � ,�. .11 I I I �� I ., \ \ _', I 1. I,I, 1;� I I _' �, I". I .1 I I I � - 1, t - � �, 2 1 . �,'-,i, e I�. I I . I � . I - I � � TE. :� - I I I I I \ I I I,, . ;'r I �__ , i I , � I I I � � I � ,�, I I .1 AT,LEAST 72,HOURS PRIOR I TO ,COMMENICING ,WORK ON St I I � il \ . I I\ I I I _ - I , J I ' ': 4 ,� I I I I I I I � I I . I I I . . " - ,. I I I I '.11� ,.�7.,, CONTRACTOR IS,TO'VMIFY G�AbES AND ELEVATIONS AS WELL,,- I I . I� I I 11 � , I ,,, \ I I�,1%\ - � \\ I ., ". I I � " / I � I I I t 1. . � _ �I .1,� -5 ,"�_"/ i , - I ,�, IIII. . ls�� � I I I I It � I I I I "I I I . I I � I I I I �, I. I - - � ; . , I � I - .r T I __ I I I � I � - ,- I I I I - I I I I I It I I I I I I I - , . / " il . � 1� I I , u 14.3 , , I _ �, I . I I .I I I I 11 I I I ' I I - �� :� \ � ,,, \ N I f�, "I , - 1. I � I � , q I � I .., I 1, . � � '" , SITE CONDITIONS PRIOR'Tib COMMENCING WORK ON SITE.�, I I'll I I I 1 \ I \ -11: ' I � � , , , 11 I I I . � I . I ! . ., I I � 1, i ,� � I " '' AS I I I "I� � \ , I I \ I I\ I I. .1 . I �_-_ , �- 1 - , I I", I �, 1, � �J ."" '_ I - , "I I , I t, . I I I - I I I I I �:e _� I , :ANY VARIA-nowts ,Tb BtBROUGHT TO THE ,ATTENTION OF � I I �� I i, I \\ ,_ , I -_ / e % �_'', � I � 11 �I I I � I � I I - I 11 I I . I I I I�11, I , I I I I I I� � � I \ - 1 - I " . SOILj � � , 'I r- " "� N." �1. I I - � �,,-, . I" . I' ll, I I 11 I i- I �I 11 .I I I I - I I I I I I I - I - . � - 1. . I , ,� . I i �- �11, I '', I,- I - \ . I \ I . 'tEST'I , � f 11 � I , , I . I .1 " � I I I . I I I 1, I . � I I , I N i 1 98�7 . I I r 1 17 \ - . - I '1� ", -, . N 1: -, , I . -1 � .1 I � I 'll, TH'EtEsiGN 'ENGINEER IMMEDIATELY. , ,,, I I I I � I I � \ I \ . - I 11 I I � ��,/Nl� � � 11 11 1, - 1 � � I - ,� I I , " I 'll I I- � � I 11 � � � \ I I - , , I - - � I - � ,,, . 4 I 11 � . I I 1 \ _ . I I I,— . I I , . - _ , , . � I", - ' ' � � . \ I 1, -1 I 1 , - ,�' , , � I � I , -PARCEL IS IN --. I s I , � \ .. , 11000 GALtON I ': 1-1 ''I . 1 -1.,I , -4.-I.- I I ,�j 18.1 tLOOD ,ZONE,�_� I I . li � I I � , \ 11 _', " / ' I-e , , � I . � I '-, , 1, I - _ I I . N, I I I I I 1.1 I .I I I � . .� 11 I I f " I i , 1 I " I I � I , . � III ` ,�AS PARCEL --49L-- , m 84.0 � ,,\ , 98.6 11\1 , 11 ' ' ,t I I I _ � �,% � 'I I . 19. - LOTAS SHOWN �ON ASSESSORS MAP, \ I . � I SEPTIC TANK I I . � . I \ - , I , I - , - I � ' I I I I I 11 _,. \ . 1$x � - 11 - I I 1 "'o �, - . 1 ��9.2 ,� � t 99. 1 1 __� , - _azo_, - I I AND REMOVED.`-,' �,, . 1 I - I : _\ , \ � 11 I I A I �, ..r I" � I � 11 , ':, � NO WATER ENCOUNTERED AT --iLr- ELEV. - �_�Q_ , I NO WATER ENCOUNTERED AT,� 1.32" 1 ELEV. � . � I 11 , jO. .EXISTING LEACHING PITAS TO BE PUMPED , I � " -- I 11 � 11 . I 11 1. I I 11 - � I I I , 11: I It- ALL UNSUITABLE MATERIAL,SHALL BE REMOVED FROM. UNDER "AND FOR - ' ': � -'" I I I .\ 4 \ S -I .. _� \ I " I I I � - I ,_�, S.,, I I I I -1,111 I � I I I I I . I I I , I I I I � ., I . , I - �, t , -1 I I I , . 'I, '1� I I - I I . - . : � ,I� . - � - . 1,, : .1 JI�:.I ,, 11 I I I I N _�K I: !, �","., �, I- I. I I I., �. I I I � I I I, I I . 11. . I 11 I - I . 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