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0410 HIGH STREET - Health
410 High Street West Barnstable A= 111-046 i l Town of Barnstable P# gyp' Department of Regulatory Services &UW6rABLK = Public Health Division Date Huss 200 Main Street,Hyannis MA 02601 Date.Scheduled -0 Time Ill A-M Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: !1'c4lae t ei'me-otf-1 e T-,CSG Dalii ul, Skonkyn 9.5,. Witnessed By: d. LOC TION& GENERAL INFORMATION Location Address ! r L/ / Owner's Name p I Address Po [i�X yS2;w.ac+nsFdde,�q aZr,bi Assessor's Map/Parcel: C AP J ToO. 13 3 - 02 Lp — 0 D Engineer's Name ANEW CONSTRUCTION REPAIR Telephone# 5L�6 27.3'0377 Land Use _Sni5le_�wni( / reSedenNi4( 5-ya ,..j� Slopes(°!o) Surface Stones '- Distances from: Open Water Body ft Possible Wet Area IOU ft Drinking Water Well '1 Jd ft Drainage Way ft Property Line 7(0 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) Parent material(geologic) outuaS�l Depth to Bedrock >t 2(o 1055 Depth to Groundwater. Standing Water in Hole: 71 26 h Weeping from Pit Face- -712.(, 65S T T. Estimated Seasonal High Groundwater 7 t 2(o4 in�5 DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: D rreck 6cpse.UalioY] Depth Observed standing in obs.hole: 7 t 2(G in, Depth to soil mottles: Depth to weeping from side of obs.hole: -� I Vfe iti. Groundwater Adjustment ft. Index Well# - Reading Date: - Index Well level Adj,factor Adj.fltoundwater lAve1 PERCOLATION TEST bate 1-7-/e Time J6#q .Observation ' Hole# 1. - Time tit9" �0`Zy6N_,,, Depth of Perc 20 _3 S. Time at 6" 0 Start Pre-soak Time @ 10:0 S AY - Time(9"-6") 2 rncns, - End Pre-soak /0;U AH, Rate Min./Inch 2 Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division.at least one (1) week prior to beginning. QAS EPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# i Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) ,(Munsell) Mottling (Structure,Stones;Boulders. Consistency,% ravel Fat LS 100ir $12 16, 20 L S /U.it 516 — 20-I Z46 C. FS 5 Y`-/o DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,% ravel 4/-i0 A /®Yr is - ZvTl2(o G FS DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon, Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Oravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsi e .t Flood Insurance Rate Man: Above 500 year flood boundary No— Yes ✓ Within 500 year boundary No `� 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? Y�5 If not,what is the depth of naturally occurring pervious material? Certification T 0- -��/ / 27 evaluator examination approved b the date I have passed the soil evalu o p y I certify that on (date) p P Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and a perience described in 310 CMR'15.017. Signature Date QAS.EP nC�PBRCFORM.DOC it V TOWN OF BARNSTABLE LOCATION 41/Q 41, S-/- SEWAGE#,?CV'-51f7- VILLAGE ',/a /* ASSESSOR'S MAP&PARCELS INSTALLER'S NAME&PHONE NO. �/°ht�7LjL, ��{S1�sy�r�ie✓ y.��' /Z� SEPTIC TANK CAPACITY LEACHING FACILITY:(type (size) /d "st� Jd X1' NO. OF BEDROOMS OWNER PERMIT DATE: /Q,27 ®I,, 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) IrO feet. Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility). lee -,04- feet FURNISHED BY V F 00?�. /�®' No. " Fee THE COMMONWEALTH OF MA SAC SETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye Application for Milo *pgtem Cougtructiou permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑ Complete System Individual Components Location Address or Lot No.7l. d S Owner's Name,Address,and Tel.No. Assessor's Map/Parcel S/& Installer's Name,Address,and Tel.No "/" e ��• Designer's Name,Address and Tel.No� �• s/�-�' �•� ���-N�•/�� 0, 979 ��✓ lid Type of Building: 7L Dwelling No.of Bedrooms 13 Lot Size o /J $��"� sq.ft. Garbage Grinder ( Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3�� gpd Design flow provided 3� gpd Plan Date // Number of sheets Revision Date Title ,//e- s� -t ah D/` f 4 Gr/ / .Ol11-i X1j/r Size of.Septic Tank eXislibS /s Gop O� Type of S.A.S. y— T.OID Description of Soil ��,r��7 Nature of Repairs or Alterations(Answer when applicable) X,74, Z"'I' — 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 rd f H 7y Si _ Date /to Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. i Date Issued No. ss+r• " x Fee h THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye ZIpptication for Migpogal *pgtiu Con0truction Vermit Application for a Permit to Construct( ) Repair(grade( ) Abandon( ) ❑Complete System [Individual Components ' `Location Address or Lot No. Owner's Name,Address,and Tel.No. lejA/s Assessor's Map/Parcel l M - Installer's Name,Address,and Tel.No._ sv Td�l 7 C-CNJt` • Designer's Name,Address and Tel.No.( i ®7 rfHr Type of Building: Dwelling No.of Bedrooms 3 Lot Size '77 8 r-7- " sq.ft. Garbage Grinder (1)'!1 Other Type of Building No.of Persons Showers( ) Cafeteria i Other Fixtures % - t Design Flow(min.required) gpd Design flow provided 3J gpd Plan Date /�� / 1j_,ry-7" Number of sheets < Revision Date .Title 'T���ti �, �. ��sa., ,� f// ( t �/ /�� ti.J /_ � i Size of,Septic Tank en,-/ c�r� �,, L r` Type of S.A.S. Description of Soil s r r Nature of Repairs or Alterations(Answer when applicable) /l,r ,ar I,,, . Af 4 . Date last inspected: r Agreement: r l 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' AYWZI,yl""j/l _ I-,,, r� Date 14—r� 2f_=C ' 7S Application Approved by �7 '! Date �..°�y`i- / v" Application Disapproved by: / \ Date for the following reasons Permit No. .r U Date Issued I / v� b� ---------------------- ----- -Y----- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance +. THIS IS TO CE.R.�TIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired Abandoned( )by /�ia+r ,�i���. • �.�.,r f'� .f ag✓ at l��g /,� S�V (�/_ / ��„J/��f/� has een constructed in acco.dance " with the provisions of Title 5 and the for Disposal System Construction Permit No. _ dated Installer &I/,�r,t` Cam„C1/i11,tio-✓ Designer yrJ l:� e. _ _ g ./� l . ,O.r �''�f r #bedrooms 3 Approved design flow f gpd The issuance of this permit shall not be lonst/rued as a guarantee thatthe system wi.l,l function as des gne� &q::4:: Date /J�J /� Inspect m-----=--=------ — _ � _ ——------ y /v V No. — J (. --- Fee /t THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Ti5po5al li§pgtem Con5truction Permit Permission is hereby granted to Construct ( ) Repair ( V) Upgrade ( ) Abandon ( ) System located at /d �/ 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 musebe comilee'tteed�within three years of the date of th&permit. , Date Y/j - � t /� Approved by / ♦ w � / I /'i' Y V �� `fir/' 1 • FROM :down cape engineering inc FAX NO. :15083629880 Nov. 06 2008 10:08AM P1 Town. of Banistable. Regulatory Senrices . .� '.Fhomas F. GeHer9 Director ' 61Ar�VA�'AAI31'. �I Public Health Division �63g t� o -a Thomas N6c can,, Director 200 Alain Street,Hyannis, MA.02601 Office,,: 508-80214644 Fax: 508-790-0304 Installer& Designer Ceirtification Form Date: -2 Svnv.%ge Pcirnjit# Q00oa ` ' 03 Anwcsuaer'q MalaU1 zrcel //� 7 Designer: j 0 �1, Cube ��l/i.�er► Trortaller: p Address: / � NQ 1.ti. Address: tP 0. 4 ox '70 _..... { aV# (.7n /�� was issued a pennit to install a (date) (installer) septic system at f} i_ .k. A, _ based on a design drawn by �\\ i (address) dated (designer) .t certify that the septic system referenced a1mve was in.stall.ed substantially according to the design, which may include ruiner approved changes such as lateral telocalion of the diMa,ii.buti.on box an.d/or septic tank. T certify that the septic system. referenced above ww; installed with jmgj.or changes (i.e. greater than 10' lateral relocation of the SAS or:uzy vertical relocation of any component of the septic system)but in accordance wit!) State& Local RegWations. Plan revision oT certified ati-bui.l.t by desi�pler to f0llOW, nA IN PL A. nsl' er�5 �rtilgnatLLPE)_. _ .__._ OJALA N CIVIL No.46502 (L)esibner's Signature) - (A1 ix Designer's Stamp!Acre) PLEASE TtETU N TO BARNSTABLE PUB C fl A1.T11 DTVTSDON. C:1 RTUTC:A.7IE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THYS FORM. AND A:4-1($i1ILT C:ARY) ARE RECEIVE))li�('l ID,JiAANSTABLE PUBLIC l.xil DIVISION. THANK YOU. (j:I I�n11h/,,eidic_/DesiAjier Certification Form 3-26.(K.doc FROM :down cape engineering inc FAX NO. :15OB3629960 Oct. 27 200B 07:26AM P2 - - - - pOVVN CAPE ENGINE IN-G,..INC_. — — — — —9.ig Mein Street, Suite C, Yzirmoutl) Port, MA[i2G'l5 - !iO3-362-4,141 ph f�f1P,-3Ci2.-g�3CJ`x PREPAPEK) FOR: 00/AD l m i s S SOIL ANALYSIS D �� (SANAPLE ) LOCUS: DATE: SAMPI.E DRY: _-.. .. WT RL r °/, RFT % PASS 1/2" 3B" tit #4 #20 - .-. - y71. 0 FROM :down cape engineering inc FAX N0. :150836298BO Oct. 27 2008 07:26AM P1 down:,,ape engineering, inc. SIEVE SOILS ANALYSIS 08-241,xlsx DATE OF REPORT: 10/13108 JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 410 HIGH STREET W.BARN LOCATION: DCE-TESTHOLE SIEVE ANALYSIS Weight Sample(Grams): 482.1 SIZE ;WEIGHT RETAINED ; % RETAINED ; PASSED --------- .... (sum �__...... . ----- 1 �, - ------ - .------- 0=0 --------- 0.0% -----_- 100.0%0 3/4" --; 0.0'- -0 0% - 100.0% •-•-----.-.-... .-------------------------A-----`-------••-.M-i----------------- 1/21P _121: 2.5%: 97.5% 3/81, 21 1 4.4%: 95,6% ----------- ...............31-5------------6.6%:----------93.5% ^_^----------•--------------------- -------^------p- .................. #10 55.6; 11.5 : 88.5/o ------ -....-- -•--• -------- --. . --- #20------— ....................146 3� -------- 30 3%' - 69.7% #40 349 2' -72.4%; 27.6% --------------------------- *50 414.4: 86.0W 14.0% ------- ----------------- --------- -- #80 462.6: 96.0%: 4.0% #100 471.0; 97.7%. 2.3% -\..................• .A--------- -i...--...._.... #200 479.4; 99.4%: 0.6% PAN: ----- .:, 82� ......--•---•------41a---------100 0%�--_-__-^-----0.0% 4--------------------- ,SAMPLE: 482.1; NOTE: TEST ON PASSING#4 ONLY, 6% RETAINED ON#4 <45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-1-b(GRANULAR,SAND)(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING 94 SIEVE MEETS : #4 100% (TEST ONLY MATERIAL PASSING#4) #50 10%-100% #100 0%-20% #200 0%-5% REQUIREMENT FOR"FILL"IN TITLE 5. <5% PASSING#200 SIEVE RESULTS: PERMEABLE MATERIAL-CLASS I <2 MIN.IIN. MATERIAL DAN I C=1_A. NONCOMPACTED �; O.IALA SOIL DESCRIPTION: MEDIUM SAND 0 CIVIL +o.48502 IT `g/0 Al. �qolDt ��SEN DER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items-1;2;and 3.Also complete A Sign re Vern 4 if Restricted Delivery Is desired. X ❑Agent ® Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. ad by(Printed Name) C.Date of Delivery ® Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from Item 1? ❑Yes 1. <.rticle Addressed to: If YES,enter delivery address below: ❑No V� C 3. Service Type p Certified Mail ❑Express Mail 6F�► 0 Registered ❑Return Receipt for Merchandise / ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7006 2150 0002 1041 7 712 (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 ' 'fowl of Barnstable P# 'A � Department of Health,Safety,and Environmental Services �,t,:,qy� Public Health Division Date 367 Main Street,Ityannis MA 02601 M"sa. q AM $ 100� 'rfo J�� Date Scheduled V NC �, ���� Time 9 Fee Pd. Soil Suitability Assessmetzt for Sewage Disposal r � 'DowN c�►P>r ' t�Performed By: �AN%EL- A.,O tLA 'BLS ETK1rlErft-\N(1Witnessed By:'` '3�4n 1�y. C �0" l .....r y:�n 1F t tit ♦ . :: ..:...: Location Address ��t_2 W IGH 5. r_ - Owner's Name 1C,gZL WC S i_—t4^,r N STA 5L-V_ , ^^A Address ->owN Ch'Pq ENG trt,2 Engineer's Name -30k MhwN 1' (Vr 6A Assessor's Map/Parcel: � )O r g yftftt"V- q?Wt-T,AAIj P I- Sob .362- 45y 1 NEW CONSTRUCTION REPAIR., Telephone N Land Use \/ACAl`'T_ Slopes(%) D' 5 Surface Stones Distances from: Open Water Body R Possible Wet Area R Drinking Water Well >150'R Drainage Way — R Property Line r7 mot" R Other R SKETCH:(Street name,dimensions of lot,exact locations of lest holes&perc tests,locate wetlands in proximity to holes) 7-2- ri 1.o c.%A> 4� 'TH2 LA Parent material(geologic) Depth to Bedrock �7 2oV Depth to Groundwater: Standing Water in Holle:: Weeping from Pit Face �— Estimated Seasonal High Groundwater y. /"/ /j0 ......................:.....,......:...:.,..::....:...:..,........:............ .:.........:.,;:. .....;..,....,,:........:,....:;..........,...:..... . ...:. »:: ::>::>::>:z:><_>: ::<:<; :>»:::T� `E 1 A'r'It lt1 'C Tt; ASUNAL HAG T, . ........................ 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 R. Index Well H -Reading Date: Index Well level .__ Arli.factor Adj.Groundwater Level_�✓�� ::;:::;:::;:::::•s>::: :: :.....<:..:. .;::::::;:: ..: ...:..::.:>:<:<:«««:»;><>;:.:::.::::.PERC( L 't~t.Ui�t.`x'E T............ ,......... 013servation o Bole N � Time at 9" � t -• Depth of Pere ll'�"' Time at 6" t D t Start Pre-soak Time® 0, Time(9"-V) 2 v End Pre-soak \.�.00 �s,00 n 2- Rate Min./Inch / A' Site Suitability Assessment: Site Passed ". Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back Copy: Applicant ��>��'.+�:�#SYG���'�'Y+()�`��HL� LAG► IYo�e# ' .;:,.::: Depth I.froni Soil Ilorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,B.oulderes. e p_ t_ 6 $-3to � S I o � A 3G --7g t: 1 MIF L- '5 z .sy��3 0cws s, It 1 E.136, G*—L A/C SAND 2..5. 7/3 c� Gp- N i7w DEED OBSERVATIIN HALE LUG Hole# '` Depth from Soil Elorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % a - $ Ar L• Z7 to l-GO M/r- L 5 2 .5y-1/ Po` I06/0Ic}obb45 i;d — 132 c.2. M1 t SAND 2-5-/ /3 AID viuDw Tt`M 1:--cv,'il7 �JT3SERVA'I'tHN HU LUG Hole# Depth fro Soil Elorizon Soil Texture Soil Color Soil Other m Surface(in.) (USDA) (Munsell) A (Structure;Stones.Boulderes. Consistency.° Gra el) DEEP OISCItVATI01`�1 HiULE LOG Ial6# Depth from Soil horizon Soil.Texture ,Soil Color Soil Other Surface(in.) (USDA) (Munsell)' Mottling' (Structure,:Stones,Uoulderes. % Flood Insurance Rate Map.• Above 500 year flood boundary No_ Yes !/ Within 500 year boundary No_ Yes Within 100 year flood boundary.No_ Yes Depth of Naturally Occurring Pervious Material Does of least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ' If not,what`is the depth of naturally-occurring pervious material? Certification I certify that on /VD V, (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 Barnstable 1: kxgkd ` ° AlA�' Regulatory Services Department �►Ca BARNSCABLE, g Y P p� 6 9. ,� Public Health Division Q 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-5304 Thomas A.McKean,CHO August 13, 2008 Glenna Weiss .19 Lewis Street C Newton,.MA 02458 ( l Lp ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 410 High Street, West Barnstable, MA was last inspected on July 22, 2008,by James D. Sears, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. P o r ERr E BOARD OF HEALTH C 4�1- � David Stanton, R.S. Agent of the Board of Health CERTIFIED MAIL#7006 2150 0002 1041 7712 Q:\SEPTIC\Letters Septic Inspection Failures\410 High Street.doc S t Smarter.Cleaner.Greener. t ka July 22, 2008 �r177 Glenna Weiss �'` m 19 Lewis Street Newton Ma 02458 _ To whom it may concern, I am writing this letter regarding 410 High Street in West Barnstable, MA. I at the above stated property to perform a Title V Inspection of the system. Upon exposing all system components the following conditions were observed. The line from the septic tank had heavy root infiltration within 5 ' of the distribution box. The distribution box itself was severly corroded and also had heavy root infiltration. The box was so corroded and the roots were so heavy liquid was only going to one leaching pit. The newer leaching pit which was installed in 1991 was overfull and in failure. This pit was added when the orginal leaching pit was not functioning. The orignal leaching pit was bone dry due. to the pipe blockage. However since the new leaching pit was installed in. 1991 and was completely overfull and the system had been upgraded, I am deeming this .Title V Inspection a failure. Since the original leaching pit has not recieved flows there is no way to determine how will function in the future. Should you have any questions regarding this letter or the .Title V Inspection please feel free to contact me at (508) 775-2800. James D. Sears bluewater septic c)14 Commonwealth of Massachusetts ' Inspection Form Uv u r Tale 5 Official Inspe � Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 410 High Street 1 Property Address Glenna Weiss . Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for State Zip Code Date of Inspection every page. City/Town Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your James D. Sears cursor-do not Name of Inspector use the return key. Bluewater Company Name 350 Main Street Company Address West Yarmouth MA 02673 nom City(rown State Zip Code (508)775-2800 — (0 � Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The 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 ✓❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority k 07/22/2008 1 ctor's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****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. t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for State Zip Code Date of Inspection every page. City/Town B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. 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 t5insp.doc•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 x Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ 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: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a 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. t5insp.doc-03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 410 High Street Property Address Glenna Weiss Owner Owner's Name information is. West Barnstable MA 02668 07/22/2008 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 indicates absent and the presence of ammonia nitrogen and nitrate nitrogen-is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or El u clogged SAS or cesspool ❑ M/� Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow ❑ 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. El tributary portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M o 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ 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. ❑ LAG Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet . . ... ....... _ from.a.private water supply well with no acceptable water.quality. analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. .,� ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No kin water supply i within 400 feet of a surface drinking pp the system s 9 Y ❑ ❑ Y ❑ ❑ 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. t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for every page. CitylTown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No ❑ [/ Pumping information was provided by the owner, occupant, or Board of Health ❑ [� Were any of the system components pumped out in the previous two weeks? ❑ [S Has the system received normal flows in the previous two week period? ❑ 5e,/, 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) Mel, ❑ 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, exIIadiog the SAS, located on site? ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ❑ Existing information. For example, a plan at the Board of Health. ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] l5insp.doc•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form _) Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ^M 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for State Zip Code Date of Inspection every page. Cityrrown D. System Information Residential Flow Conditions: 3 Number of bedrooms(design): 3 Number of bedrooms(actual): Unknown DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 0 Number of current residents: Does residence have a garbage grinder? ® Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ® Yes. No Laundry system inspected? Yes ® No Seasonal use? Yes ® No Wellwater Water meter readings, if available(last 2 years usage (gpd)): Sump pump? ® Yes IS No Seasonal Use Last date of occupancy: Date CommercialAndustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ® Yes ® No Industrial waste holding tank present? ® Yes ® No Non-sanitary waste discharged to the Title 5 system? ® Yes ® No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System form Not for Voluntary Assessments 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for State Zip Code Date of Inspection every page. Citylrown D. System Information (cont.) General Information Pumping Records: Unknown Source of information: Was system pumped as part of the inspection? ® Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ (' o� Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ ` Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. Other(describe): Approximate age of all components, date installed (if known) and source of information: pp 9 -lo Septic tank and Pit A original and Pit B was installed in 1991. Were sewage odors detected when arriving at the site? ® Yes ® No t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15. Commonwealth of Massachusetts u r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ' 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): 25" Depth below grade: feet Material of construction: © cast iron ❑40 PVC ❑ other(explain): Over 110' Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): -W Building sewer is in good condition. No evidence of leakage. Cast iron pipe entering tank Septic Tank(locate on site plan): ---�m.2111 Depth below grade: feet Material of construction: ❑✓ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ® Yes ® No -------------------------------------------------------------------------------------------------------------------------- 1,000 gallons Dimensions: 2" Sludge depth: 29° Distance from top of sludge to bottom of outlet tee or baffle Off Scum thickness 7" Distance from top of scum to top of outlet tee or baffle 16" Distance from bottom of scum to bottom of outlet tee or baffle Measured How were dimensions determined? t5insp.doc•i03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/12/2008 required for State Zip Code Date of Inspection every page. City/Town D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): lowInlet baffle is in good condition. Outlet baffle is corroded and needs to be replaced. Liquid level is normal. No evidence of leakage in or out of tank. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): t5insp.doc:•03/08 Title 5 Official Inspection.Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System form Not for Voluntary Assessments ^M 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ® Yes ® No Alarm level: Alarm in working order: ® Yes ® No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ® Yes ® No Distribution Box(if present must be opened) (locate on site plan): ----W 0 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.): —s—: Box is severly corroded with heavy root infiltration. No evidence of solids carryover. Box is leaking and only one of two pipes is recieving flow. Box is 52" below grade. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ® No Alarms in work ng order: ® Yes ® No t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System SAS locate on site plan, excavation not required): p Y If SAS not located, explain why: Type: / ---� 2 @ 6'x 6' ®/ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: level of ondin dam soil, condition of Comments(note condition of soil, signs of hydraulic failure, p g, p vegetation, etc.): -- Pit A is original and dry. Pit B is overfull and was installed in 1991. System is in hydraulic failure. Vegetation wooded area. t5insp.doc-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments ,M 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ® Yes ® No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 i Commonwealth of Massachusetts d Title 5 Official Inspection Form Not for Vol n to Asse ssments a Subsurface Sewag e Disp osal I System Form ry. j Subs g p Y M 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for State Zip Code Date of Inspection every page. Cityrrown D. System Information (cont.) n s'+ 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. Az - 3z A3 - -71 " 4 -IS AS- W Z bI 14� 1),L - Ice Pi r r3 3 t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form 10, Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 410 High Street Property Address Glenna Weiss Owner Owner's Name information is West Barnstable MA 02668 07/22/2008 required for every page. Citylrown State. Zip Code Date of Inspection D. System Information (cont.) Site Exam: ✓❑ Check Slope ❑✓ Surface water ❑✓ Check cellar ❑✓ Shallow wells 116" Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ 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: Well SDW 252/Zone A/Level 47.0'/Adjustment 1.1 x 12"= 13" You must describe how you established the high ground water elevation: Original leaching pit was bone dry. Bottom of pit was at 116". t5insp.doc 03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 52 --------------- L ---------- b6o-A I t ------- ...... Ii ! I i I i i ! I i_._. ____I- __.�__._;-_.L..__ I __i,-._-I'--- --�- --5---_*----j.__ -_�__-j_ 1_._. �.. ._. -_._. ... .j.. _!- -,--- I---- - i ----------- p r A ... ....I- ota 1 '5:.-$lT- TA�_,M ... 1pi"'T .......... ---------- ................. .......... -------....... ------- A .......... j. AT! il.7,11111'r I. J, LLJ CPU ---- -------- ------- ------ ------- .......... -------------- ----------------- 1 Town of .Barnstable ypF THE Tp�� y�P o� Regulatory Services sexr+srnsLe. ; Thomas F. Geiler,Director y MASS. 039- Public Health Division ATED Mp`l A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 REGARDING SEPTIC INSPECTIONS BY PRIVATE CONTRACTORS DISCLAIMER This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original or copy of the report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observations and interpretations contained within this report. In addition, by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would be listed on the "Disposal Works Construction Permit". If you should have any questions regarding this report, please contact the certified Septic System Inspector who conducted the inspection. _QASEP'rIC\Disclaimer Private Septic Inspections.DOC u TOWN OF BARNSTABLE LOCATION -!16 I7fi SEWAGE # VILLAGE 1✓ ��cr/dtSJ4h�P� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �i,� (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR .OWNER DATE PERMIT ISSUED: Fla bf , . ,L/ DATE COMPLIANCE ISSUED: VARIANCE GRANTED: 'Yes No r o co K •� r � 1 � IS fq y 0 �. 1 J3 Fss 3O.00 No.- ........L THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE ,� �irtt#i�an for i� u1 lark C�o .ear ��� Application is hereby made for a Permit to Construct ( ) or Repair P) an -n ividual Sewa 1 System at: 410 High Street West Barn stable ,Mass. _ ...Soo cation-Address..........•.•....•........... .... - or Lot No. Rose ''ll nnpp Owner Address aJ.P.Macomber Jr. -•-•....................... ---•--... f ----.... .. -•-------... Installer Address dType of Building Size Lot............................Sq. feet V g .Expansion Attic ( ) Garbage Grinder ( ).Dwellin �No. of Bedrooms...............�._.._._.............___.__ Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ---------------------------------- d W Design Flow............................................gallons per person per day. Total daily flow..__.....___..........._.._.................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total'Length..__................ Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........ ----•----•-----------•-----------------------•-------............ Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water---____--__-___----____. frq Test Pit No. 2................minutes per inch Depth of.Test Pit..._................ Depth to ground water........................ P4 -•--•--•-•-•-----•-•-••------•---------------------•-------•-•-•----------------...............••............................... ............. ............ 0 Description of Soil------------------------------------------------------------------------------------------------------------------------------------------------------------------------ W +5arid...&...Gxa' mel................................................................................................................................................................... W -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•---.•-- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ 1-1..00---gallon---leach---pit.�............................................................................................... Agreement: i The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—T e ndersigned further agrees not to place the system in operation until a Certificate of Com ance hap been iss d h board f h 1th. Signe 10 0 1 Date Application Approved By ....... .. . .. .....�......... .!......... .. .... .. ... . . ..... .. ....................... ..................................... .-....-..--- ---- Date Application Disapproved for the following rear s: ------................------------------------------------....... ..... ..........-------------------------- ------------------------q ----- ---------------------- ..---------........--- . ----............---------------- --......-----...------. -------- --------.--..........--.--- DatePermit No- --- -- ---- . 51-- --- -------------- Issued ---------------------------------------------- --- . . ...... Dace No.._... .. Fmi $....30..00. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE - Appliratiun for Uispuaal Vorkii Tai mitrnrtiun ' rrmff Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: �b 410 Hig . -••••--•••----•--•...-•--•-••........•---•-•-••-•----••-•--•-••-•--............................._. Rose L Location-Address or Lot No.. - W J.P.Macomber Jr. Owner Address � Installer Address d Type of Building Size Lot............................Sq. feet V DwellingXX No. of Bedrooms..........................................Expansion Attic ( ) Garbage Grinder ( ) `PL4L4 Other—T e of Building ----- No. of persons............................ Showers — Cafeteria Q' Other fixtures ...................__._._..._____ ------------------------------------------------------------------------------------------------ ------- W Design Flow............................................gallons per person per day. Total daily flow............................................ WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth........... x Disposal Trench—No..................... Width.................... Total"Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) _,r" " Percolation Test Results Performed by.......................................................................... Date........................................ ,.� Test Pit No. I...............'minutes per inch Depth of Test Pit.................... Depth to ground water........__...._.._...... 44 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water'" ...... jX -•••--•-------------•--•---•------•----...------•-------------------------------•----•••••......--••......................................................... ODescription of Soil........................................................................................................................................................................ W -------------------------------------------------- -------------------------------------------_----------------------------------------------------------•----... ---------•--- U Nature of Repairs or Alterations—Answer when applicable._____.......................................................................................... .......-.............................1-1�00---gallon..leach_.tait.-----------------------------------------------------------------------==-------------_.•-- . 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—T e undersigned further agrees not to place the system in operation until a Certificate of Com 'ance has been is d b� �jh board 6f health. -- ---- - .-:--- -�! .-Sig .... -. 10/3 /9 -- Date Application A roved B � � i�- -------------------- PP Pp Y vt�' - - - ; , - - Date Application Disapproved for the,following rear ws- ----- --------------------------------------------- ----------------------------------------------------------------------- ...................................... ................................... ....... -- ---....----------.....---...---------........----.---------- ----------- --------- ............--------------------------- Date PermitNo. l ".. Issued ----------------- ----------------.................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 1� 1 v Crr#ifirntr of C ompliana - . '7 ` THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) by----------J P-,Ma,c.omb-er.--.Jr.-�-------------------------------------------------------------------- ----- --......... .......---------------------------------------------------------------------- 410 High Street West Barnstaljlet f at ---------------------------------- ----------------------------------------....................................................----------- ---------------------......---------....................................................... has been installed in accordance with the provisions of TITLE yAf The Sr*w_ E-vironmental Code as described in the application for Disposal Works Construction Permit No. -...�X... ........... ``,..�.,........ dated ------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION �SF#CTORY. C DATE.......................................... 11- .. ------...........------.: Inspector ..........9 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No. q FEE.... � — TOWN OF BARNSTABLE $....30. ...00 •. ........... .. ........... Dispollal urkn Tunitrudiun umi# J.P acomber Jr. Permission Is hereby granted. ------- ---•--------••------_--.-.-------------- to Constr ct ( ) or air )f Indi d. S e rage Disposal System 4Y0 High re e( V �3'�ids L' L 1 atNo.....................•--•-----------....-•-•• ---------••-•---••------•--------------••••••--.----•--• ------= .......................... St eet I as shown on the applicati n for isposal Works Construction Pe=mitL*1No.-�1-.�___..._Date *.../1.1641)....... II Y d of HI CS i�Boar fh , DATE...................t--1•i-:--------•---•--•-••-•---------•-•-------------------- FORM 36508 HOBBS h WARREN.INC.,PUBLISHERS Ala . sr, LOCkTION SEWAG JER IT NO. VILLAGE s IN.STAfL-LER'S NAME & ADDRESS Byd WD—E-R OR ' OWNER DKTE PERMIT ISSUED 0ATE COMPLIANCE ISSUED_ q� �. %, � , _. � • i �` . �' �- � I. ��. ..� �,,, . � ' �, '�° � 11 �� �p� ��� � -� r �. / ! r � � ! -J � � i i � - - - - - - L 1 r , z No.Ca. --•---................. ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ... . ... . ..TOWN.....O F.......WEST...BARNSTABLE- Appliration -for Uiipoial Works Tonstrnrtion Vrrntit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: .....................Higl..__.Street ••._---•--.Lot No.---P......._...--••--•--...-------------------•--••--•--•-•---.. •��-�,, Location-Address or Lot No. 1.5�h............ J f}� _ t S!.------1.��.�'� ti�lre.......-•--•--- 01, Address Installer Address UType of Building Size Lot....87.,.853+....Sq. Ire-t Dwelling—No. of Bedrooms._-__three---_____-_-_•__--.._-.-•-Expansion Attic ( ) Garbage Grinder ( G� aOther—Type of Building ............................ No. of persons.--------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------------------------ ---------------------------------------------------------------------------------------------- W Design Flow_____________50......___.__...__........gallons per person per day. Total daily flow-___________.300•_-__-.__-------------gallons. WSeptic Tank—Liquid capacitylD -gallons Length.$___-6."_. Width.4.'-10'biameter________________ Dept11.5!-41' x Disposal Trench—No_ ____________________ Width•_-_-.._-______-_--- Total Length--_-____-___-..__--- Total leaching area--------------------sq. ft. Seepage Pit No...... ------------- Diameter.12_...-0°__ Depth below inlet-6..'--011..... Total le ing area__-_.339.....sq. ft. Z Other Distribution box (X ) Dosing tank ( ) 10'� 3-/%71 G r Percolation Test Results Performed bygApe.--Cod_--Survey-•ConsultantqDate.....March.14_�____1977 Test Pit No. 1....2.E_0---minutes per inch Depth of Test Pit iA_Q.'.__. Depth to ground water .no water 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--------,-___--_--_----- Ix ----------------------------------------------------- •-----------------------------------............................................ O. Description of Soil-------O...Q-'--1-,_0 '-- _ topsoil - loam &- wood mulch �ziA OF .. rocky clay a� �y RENW1t;K G ---------------------------------------— -------11---0_..--clean----medium---sand--------- --------------------- � ----------$.---------- N U Nature of Repairs or Alt rat ons—A ' icabl .__ �____-._ r��. ....G44APpq.A�_.... y ---------------------------•- Tv�_l59-- ------ -1,-------6-4 e �C " --- N4__2Z654-4 EB oe� - ----- - Agreement: G�STE� ��`` _ `2, The undersigned agrees to install the aforedescribed Individual Sewage isposal System n y the provisions of Article-XI of the State Sanitary Code— The undersigned further agrees not to place th in operation until a Certificate of Compliance has been issued by the board h�11.thh Signed.. _..--•---.-• ------ - -1/ ` ----------- -------------------- � Date Application Approved By------ � ------------------ .4 =, e a. Date Application Disapproved for the following reasons--------------------------------------------------------------------------------='--............--•-----_.._.. ---------------------------------•-_...-------------•----•••----•---•--....•-----•--•--------•--•-•---•--••-•-••--•••--------------•-•-----•------••--•--••--•--•----------------••••-------•-••-••----- n Date Permit No.... Issued (,l'o2 1' . Date No..........oa•44. — Fizic ..l�•�......... THE COMMONWEALTH OF MASSACHUSETTS BOAR6 OF HEALTH TOWN WEST BAISTABLE .................... Application -for 43l11poittl Worko C ngtrnrtion Prrniit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage.Disposal System at - -- H.... .......................................et ---------------- ------------Lot,No. A = = Location-Address or Lot No. 'f 1+ ` 1t�.::.�.` ...-.. -. r►'tr, _I......... . f�wner Address '--•-----•-•-•-------•-•----.---•-------------• ...JOEP V41-47...-••---•-•- ! :.... Installer Address QType of Building Size Lot-----8T.-853+-_-Sq. feet V Dwelling—No. of Bedrooms...... h..................................E Expansion Attic ( ) Garbage Grinder (� aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( 0.1 Other fixtures --------------------•----------• - -- ---- Design Flow--------------50.......................::gallons per person per.day. Total daily flow............... tllons. WSeptic Tank—Liquid capacityld00_gallons Length__g 1_'6___ width_.4.."l� iameter................ Depth__ �_"---'- Disposal Trench—No. .................... Width.................... Total Length___.-____ _-- Total leaching area._.__._.____..__ sq. ft 3 Seepage PitiNo------1------------ Diameter..1-'.'©``_ Depth bel° mlet_6_ ":____ Tota,� a ug area------ 19----sq. ft. z Other Distribution box (X ) Dosing tank Percolation Test Results Performed byCdpe---�O4_..Survey Consultantgjate...._March 14 1977 a -- --.t_ ._. Test Pit No 1,-___2 - __minutes per"inch Depth of "Pest Pit...z 0'_. Depth to ground water I1ter 0---W------ R. f� Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground w _ __-____.-___ - ` ------------•-------------•--•-•---•-••-•---------- ----------••-•- ............ .... -OF ---- O 0 ` 0° to soil - loam & wood mulch �P�i ��ss Description of Soil -- ---- '----- ------------------------------------ --•-•-••-- ---- --- -------- U -3---- ;_Mc.Q--------rock r._.CZayr--------------•- °� REN.�VJ.C1(.. y� 6.C 11.0-- clean, medium sand - .._.. Z . B. x - ------------------------------------------------------ - - -- ---------------- -- ..... -- U Nature of Repairs or AAe-p- Agreement: rat" ns—Arrsvt a icable. -- -- -CR A2T654 - --- -----•-•-------------------------------- .' FST �f G The undersigned agrees to- install the aforedescribed Individual Sewage Disposal S to ce with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board 9bhe th Signed....... ---- -- ------ --- --Aa- . ._._..-•------- te Date Application Approved By------ --- -: - -...........-•------ ���" �t Application Disapproved for the following readons:............................................------•-•----•----•--•••-••--•.......-••----••-•---•--•-•-•------- --••••---------------------•---••-•-•----------------------------•--•---•---......-•--••---••--•--•--•-••------•-•-------------••-•-•--•--•-------------------.-----------------------•----•---------- Date PermitNo.......................................................... Issued......................................................... :Y' _ Date THE COMMONWEALTH OF MASSACHUSETTS a. BOARD OF HEALT t .+ � f ............ . ... ... OF a .. .... .........I. . Trrtifirate lQf f�olli Haw THLSIIS TO CERT That the Indi al S e sal System.-constructed ( or red ( ) - --- ---------------- ,�r� still at:-----?!t....P - - .1 ...7 - -- . . .....4!�� has been installed in accordance with the provisions of Ar " XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No . ......2-4 ---I.... dated--_. w ►.*at------------------- THE ISSUANCE OF THIS; CERTIFICATE SHALL NOT BE CONSTRUED AS A UA ANTPE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.:. DATE.................................................................................._ Inspector............................... ' .............. ............................... THE COMMONWEALTH OF MASSACHUSETTS r ,l tBOARD OF -HEA.L-TH _ t ' OF No..._....IO .--- y: FEE;_ L-- Uinppiial orki T10 riirtivit rrr tJ Permissio is-jaereby granted--------- - "` to Coils ct or pair:,( ) ivi Se e,Dispb %ys em , at No. R ��--•---• treet as shown on the application for DisposalP:works Const uction Permit N ____________________ _._Dated __r.__ ' ......... y,oIr,r��,r -- - r f Bo r of �Iealth � --•--•_------ x\: DATE----- ----------------------------- ----------------- FORM 1255�HOBBS & WARREN. INC., PUBLISHERS ~• 2 -.,,�,. --�--_• .•,-�r...�.-.r►+�+,�. -� - -- rs�+-+-r"sTT !i ?.1�7-r"T'�+ �.r y i l' 901 L L 08 \Xxl�)l�(t�V•1\Vnrvv-,4At�riris.�.rrJ^y�Virr`Ni��rx 8 '? . 2',.PEASTONE •LOAM B FILL-, 12•'M�T� 457-7 � ' 1 41tC.1. DIST. / 10° BOX 10 .° '' ° oo U• s'MIN. 1000 ;� d 1000— GAL. a0 o f p ` GAL. I. ° PRECAST OR 0 SEPTIC 6'�, 0�° BLOCK TANK I� ° p p SEEPAGE PELT v u { 8 Z'7 o� I o 0 20' MINIMUM ----•{c,°°• °o _ _ _ _ — O a °I q FOUNDATION 1 I 4 I %x" WASHED STONE wvro6 CALE�v1"=.4' ' ELEVATION SKETCH 12 PQRC. RAT¢ SCALE: I 4' i TEST BY A.m. 4.mo- TOWN INSPECTOR: mot PAvll ~woo ko (� BACKHOE OPERATOR : .a.�r�.:,ey t °^•�+fl+' (�`J►, j .4 ',. TEST MADE ON :• eyi..r n/ !/ 977 17. > �\ Ptp�o . +1 e / o� V 1 m?' " "` 2 s, �"�'� $ S'3 eat ow- Immomb "Waft 11 ss/s.c•rs�rY �a uN,p�rira�0.♦� / �� 84 •�'F��uc�E g .�' �eraa�scoV�t��bi• � :tiirLr�zF� _ ,tom� ` � � If 10000'000 .r.b .......f'r4 •�• + Y�wtA:.�- .w.�.w R.} "#a 1«..�..-t"n(a.« v.w /-41k• �`r!'+a J..... .•.wr — .� a .. _ ol? •f 'I i erBj1 ce•,enArve r.bf s r r..As 6+�� ��• s r�cr.,e r..ccs.s..bAav .r�i..,e.sar.>,•v was 1 • ot q0 e 'Ai�� •. ..._r'�„%a./ �'b ;S.+AC�ir'r •H /�'fi�0 y.°�/p.`i�?? ,G�y ../' �- ''' �i�r/® /f'��. SH OF JAMES tiG. N 5-7p / / No. 11029" b 01 STE�� Q' '� 1. � V�.1v�c.F�1.�•E'D � To�v� ��lq•� � ,7 O'W APPROVED BY BOARD OF HEALTH DATE 19— Zµ OF,yqs o REINIWIGJE, . �N CHAPMAN �, a$ ,o .p No. 2765dO - EX�ST�Nts E�fcvAT�A►J �0F�G�ST50( �c . 'LEST P� -aC.A'T t CrJ SS/ANAL ENC> _. E LEVATI ON SCHEDULE �. • PROPOSED SITE FLAW 1. IN,V. AT FOUNDATION QQ • M SEVABE SYGTIZM DESUGN 2. INV. INTO SEPTIC TANK 15 •25 .IN 3. 1 NV. OUT OF SEPTIC TANK =� t•US•�- Wcsr �.a.�sTsQG .. .ass 4. INV. !NTO DISTRIBUTION BOX SCALE: I� = so' • .+r.p44-.✓ I977 5. INV OUT OF DISTRIBUTION BOX C—S'39 ' 6. INV INTO SEEPAGE PIT _ QO CAPE COD SURVEY CONSULTANTS 0. ROUTE 132 7, BOTTOM, OF PIT = C71•r�� HYANNIS,MASS. 0. A DIVISION BOSTON SURVEY CONSULTAI:TS, 'NC. 8. BOTTOM OF STONE LAYER A L SHALL NOTES LEGEND. SYSTEM PROFILE MARKED WTHCMAGNETICTTAPE OR BE �y (NOT TO SCALE) ' " 1. DATUM �IS APPROX. NGVD (GIS SPOT EL.) - COMPARABLE MEANS FOR FUTURE LOCATION. 99 - EXISTING CONTOUR SYSTEM DESIGN. ACCESS COVERS TO WITHIN 6 OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE 2. MUNILAFAL WATER IS NOT AVAILABLE Locus o X 99.1 EXIST. SPOT ELEV. GARBAGE DISPOSER IS NOT ALLOWED \ TOP FOUND. EL. 47.5' FILTER FABRIC OVER STONE PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. y. �� 46.0 2% SLOPE REQUIR OVER SYSTEM 38.7 C9h S MINIMUM .75' OF COVER OVER PRECAST t 99 PROPOSED CONTOUR DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD 4"SCH40 PVC 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS 198.4 POT EL. USE A 330 GPD DESIGN FLOW PRECAST H-,o 1 PROPOSED S RISERS (TYP.) TO BE AASHO H-29 2 TEEA - PIPES HLEVEL 1 ST 2' 2" DOUBLE WASHED PEASTONE 40 PVC TH1 5. PIPE JOINTS TO BE MADE WATERTIGHT. HOLE SEPTIC TANK: 330 GPD (2) = 660 TEST OR GEOTEXTI E FABRIC REUSE 1000 GAL. SEPTIC TANK** cc DANCE WITH 4' T'0; 1EXISTING 14 m35 8' 310 GMR 6 CONSTRUCTION DETAILS TO BE IN A OR SLOPE OF GROUND 1000 GAL H-10 TEE ' �43.3 f*�' � 15 000 (TITLE v.) Q � SEPTIC TANK u- u ` o I 4' LIO. LEVEL ° °o°o°o°o°o°o o° oo oo� 7. THIS P AN IS FOR PROPOSED WORK ONLY AND NOT TO P UTILITY POLE LEACHING: GAS BAFFLE .. ° °°°°°°°°°°°° °° o 35.3 0 3 AT SIDES BE USED FOR LOT LINE STAKING OR ANY OTHER 5 SIDES: 2 (30 + 9.83) 2 (.74) = 117 GPD (RE-USE) ° °°°°°°°°°°°° FIRE HYDRANT 35.47' 35.3' 2' 1' AT ENDS PURPOSE. P tiY0 o NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING BOTTOM 30 x 9.83 (.74) = 218 GPD o�go ��� r , .., 'r' '` ' o000 0000 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. c� TOTAL: 452 S.F. 335 GPD DEPTH OF FLOW = 4' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED s, WITHOUT INSPECTION BY BOARD OF HEALTH AND TEE SIZES: 6" CRUSHED STONE OR MECHANICAL 3/4" TO 1 1/2" DOUBLE WASHED STONE PERMISSIOIf OBTAINED FROM BOARD OF HEALTH. USE (4) 3050 H-20 INFILTRATORS WITH INLET. DEPTH = 10„ COMPACTION. (15.221 [21) (4) H-20 3050 INFILTRATORS *THE INSTALLER SHALL VERIFY THE WITH 1' STONE AT ENDS AND 3' AT SIDES, OUTLET DEPTH = 14" 1 ' /� u? 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCATIONS OF ALL UTILITIES AND ALL DIGSAFE BUILDING SEWER OUTLETS AND LOCATION (1 F ALL UNDERGROUND AND VERIFYING THE LOCUS MAP - PRR TO INSTALLING ANY LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. NOT TO SCALE SCALE 1"=2000'f ELEVATIONS PORTION OF SEPTIC SYSTEM ( 2'5% SLOPE) (8•5% SLOPE) ( 1 % SLOPE) 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE MA f BOTTOM TH 1 EL. 25.8' REMOVED 5' BENEATH AND AROUND THE PROPOSED ASSESSORS MAP 111 PARCEL 46 LEACHING APPROVED DATE BOARD OF HEALTH FOUNDATION EXIST. SEPTIC TANK 92 D' BOX 2' LEACHING FACILITY. FACILITY **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT - 12 EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE WITH 1500 GALLON H-10 SEPTIC TANK IF NOT SUITABLE. /10.0s �f �f 9.0, /1,.as 41 TEST HOLE LOGS ENGINEER: DAVID FLAHERTY, R.S., SE2755 WITNESS: DONNA MIORANDI, RS VACANT DATE: OCT. 2, 2008 PERC. RATE _ < 2 MIN/INCH x23.98 �' ,y�o NOTE: SIEVE LASS I SOILS P# 12,373 ANALYSIS PERFORMED x29.12:/• 'a�.�- - IN C2 . ELEV. 5' REMOVAL OF UNSUITABLE SOIL REQUIRED 4 4 AROUND PERIMETER OF LEACHING FACILITY, 0" 38.5 ELEV' 0" 38.5' DOWN TO SUITABLE SOIL LAYER (TO C2 LAYER). REPLACE WITIH CLEAN MED. SAND. FILL FILL ENGINEER TO INSPECT AND CE TIFY REMOVAL 32 $x 38.06 TH 1 `� /' I�\\ - -_._ .i 33 ✓ TH 2 o - LS LS x 33.28 10YR 3 1 10YR 3 1 LID 1 0 as 39 SHED LS LS �O �1 40 /a .za 41 10YR 6/8 10YR 6/8 54" 34.0 567f 33.8 /x 40. 2 42 - 43�.76 - C1 C1 q 44 - P GRAVEL/GRAS 44.34 45 --ka515 s SILT LOAMJ% SILT LOAM �;1.3PARKING&2 0. SANDY LOAMCOBBLES SANDY LOAM 0 x 45.73 EXIST. ,/''x 41.43 "' DECK WELL i9 , 46.46 96» 2.5Y 6/4 30.5' 96" 2.5Y 6/4 30.5 / 7 E S // �t41.,Y1/ �.•• x 44 42 O T x 46 476. / / , g 76 40 3 C2 C2 ///. V- �V 6 57 MS MS EXIST. DWELL. 46.63 G�145.52 ��•� 2.5Y 7/3 2.5Y 7/3 / x 4. / 7. 421 6 Gx0 46.52 152» 25.8f 144» 26.5, NO GROUNDWATER ENCOUNTERED / 4 3 x46.83 _ 4r i43.38 p• I 2.99 , / EXIST. i I j op. WELL x 4A.12 3.43 BENCH MARK - TOP OF BOTTOM / STEP AT CORNER EL. =s 47.3 4.7543.56 'm E P L A N 43.12 -T I T L FE %wo %.�p I ,T..B"_w ... OF 42.41 �.........�,,n 41.96 � xa0.93 ��, 410 HIGH STREET 39.90 WEST BARNSTABLE LOT A � 87,853E SF PREPARED FOR x..51.5a y BORTOLOTTI CONST./WEISS L°to OCTOBER 6, 2008 x 48.00 Scale: 1"= 30' 9p 0 15 30 45 60 75 FEET M off 508 OF . -362-4541 ��s '(HOFN fax 508-362-9880 o� DAANIEL DANIELA.9ctio�, downcope.com a R` o a U O JA LA �„ o OJALA ' a 4 � down cope en ineern 0980, CIVIL g, in c. � -.0 �No.:65 Civi/ engineers dSURVE�o SfT land $U/"VeYO y 4/off rs � / 939 Main Street ( Rte 6A� DATE DANIEL A. OJALA, P.E., P.L.S. J YARMOUTHPORT MA 02675 08-24 >