Loading...
HomeMy WebLinkAbout0194 PACKET LANDING WAY - Health 194 PACKET LANDING A=179-039 r} t No. 4210 1/3 BLU ESSELT 10% 0 0 ® . a. Bu�L-�) C, U, ?-�I—k z 'S��s mm C N�YK-rAp— -13-(Z�,s 40o r i f - P i r . Ao ,rlv RAM ; br` (gip: 1C�1 � e �dV v.a � 11 � tt� ; Ad- o- KI Li e � JOE r. .. - oil' Y0. into - , _ �ice• : r .. � f 2/ 17 194 Packet Landing Way,Barnstable,MA 026301 Zillow r , 0,....._}:,y e,,� �:;:.t `• ..l .'` •511 .,``.rl _� 1[. ., `r Dining living Rrsosti �F Rtmns Yx"axe' 24N 1 r . 4k'al {s sir ry'sR' kttc��n r-� 1`��ytr 64 - � _ 1 I''A[nBt4' row PY Room" 'T e: g: F All measurements are approximate and not guaranteed. This illustration js.,provide 'narketih and convenience only: All information should be verified independently. (D K http:/twww.zillow.com/homestfor sale/194-Packet-Landing-Way-Barnstable-MA 02630 rb/?fromHomePage=true&shouldFireSellPagelmplicitClaimGA=false&.. 1/' 7 194 Packet Landing Way,Barnstable,MA 02630 1 Zillow Balcony F g _xgE WIC 14'X-12' Master Bedroom 22'X16l Bedroom ................. Open ,f l to s , a 0. 1.3fxi7' 6 I •� _. pz it All measurements.are.,approximate and. not guaranteed. This illustration is provi rr r t nq n cor�r�On nc �nl : All inf rr atian he Auld b v ritied it�d P�..d ntf y: 0 http://www.zillaru.com/homes/for_sale1194-Packet-Landi ng-Way-Barnstable-MA-02630_rb/?from HomePage=true&shouldFireSell Pagelm plicitClaimGA=false&.. 1/1 + =017 194 Packet Landing Way,Barnstable,MA 026301 Zillow Bedroom T. X2 6'x2 X31. utilifty Room 14' :1 ' All measurements are approximate and not. gUara tLned, This iflu-stration is pro, erketir end drive ierine only. III inform on . ould b� V0, f ied independently. ; httpl/www2illow.com/homestfor sale/194-Packet-Landing-Way-Barnstable-MA-02630 rbt?fromHomePage=true&shouldFireSellPagelmplicitClaimGA=false&... 111 ...L i 1 f I �1_T(INC�`F�OON� gEN\OT/E'E3ifh TIN d W -1�_�y° V'��• � II wA\..I��AGPt-ACE 3 � �, a -- 4'_O EMOv+'- pg7Pa$P�E4QGAT1= \.1 yP .�E moo, Q A Oaoo��� Go�uM\.ly ri'.'uox3o 7' a N O -FAM t L`(gOOM / > _F L 00Ftj F.g:A M 1 N P L—A N 2. o' a' .4rr i r OPENING (p r' / 1._A�`cou hTp,,UGTI�o Tom\ �iHALL 6L \\.l coti FO PSM POOcE� YO 6LL W\T1-\.c fviA�ih1?..cHu_S.�f'j 5.-raTC FS1��L01\.IC-1_ e-141 IN G OOE: AtiIO (A l:;L LOGAL. 'rOWtil GOD ES _ F1.,_Z7.�..P� Pt_�N 2,ALL o�nAe�5lorl5 .5.1-(ALL L-3E VEFSI�'1Eo SCa 1'-O co\:aT -Ac:Sol?n: Pgrcr�"-t-rx �5'TAP�T ' 'OooFS' ScHE�l-11-E. 3i �NOI GA.z�`j EXI�jTItJi� J-4 1hT'O 6E _ IL I 'L-OK 4v.-S N_Y�lCIEU Zo .4-�-lE =LAw�Q\NG=F3on0-- �E:'S.�t.__CitcF'SN�P�.�:.t= 8 81PNi�T{N4 3'P.A\.1E'L - ._ . F-U-AW,FV2>AMINC1 S.GNEouLa ....Q:— •""'1 _..._3-4_K._ta,-.8_ __W i.iJ G1.EP .-- -....Cn'_P:!�NEL._._ :F_I,FS CF�i'A'ci=c] _.. _ _ McKean, Thomas From: McKean, Thomas. - Sent: Monday,April 10, 2017 9:49 AM To: gdrown@outlook.com' - Subject: 194 Packet Landing Road The Town of Barnstable Health Division has no objections to approving four 4 bedrooms at the above-referenced J pp g O location. The existing septic system is sufficient for four bedrooms. 1 f _ APPROVED r. r Cl NOTE CHANG TOWN OF ARNSTABLE Building Inspection Department, I i I•I I I •� Y,, I .,n, , � I 3,a f tj I I 1 _ls. i . I I I°--17-T— �I✓�I I >•_ "e III-''iir� � I _ I �01 •'7�� "`e I r px I ly_ —ter° I°-- lam.Liz: - I' 11 �• I a? --p I I Fly I I I d_1 el-4 •I I I_ n.. I 1 _ 1' L II1IlS�j. 1 t I Hill pj . � c A- I°-� 1� ale ��� III'lli!I II':1•' O All I[ � i; PROJECT: O TE RY WFF Assoc. ARCHITECTL ^ r ~ n i TITLE: 32601 (508)778.155= -_ _�� - 0 SIx MOin Stteet•Hyennts,pAn }[ I i I U a i n• E°C,�4 u.����,'ainc �1�n w, Fw—� n • � ���nV _ '� ,t�ev`1G (�K4e1 ,'.j� Ix .--_ o 0 LJ .L•R� _ ..-_bl•..1 I 1 'b i1'nwa..e ___ •O -- �11ERS 1 MALTCR -- �•� .._—_ Id.w - rs./a _ r rr nl,.•.e..�..I u t I .r u..c:1,�""" --wr.ncvr A•ne. [II 1• lu il. II�.IIIIIIII III la u :i l I'I�.I:,.;qi i �h lid�; y„, "� [rlf K�Nae--1 �• � ;1 ,jj� •ll., Ili I IIIIII III��. ' - � 'f o ,� •I. II �� :, al �;I 1 - I •Y w���� I Va IIII fPl.WS.- �II i'IIII, T.L. - •i � � ���u�MALL 111.1 I - 1 SHEET M- 'e-ecoNb 1'LooR PLAN ^---•-.' \ �� - I �f Down cape en ineerin , inc, q q CIVIL N61W5 & LANn 51,11MYR5 959 MAIN 5f/ kOL9 6A YMMOUTHPOf?1 MA 02615 C 508) 562-4541 FAX (508) 562-9880 oi1���SN OF h9gss�cy DANIELA. Gn 0,1ALA i CIVIL Date: 3-30-2017 ND.46502 �o , �o TO: Thomas McKeon RS=Town of Barnstable Health Director � sS/ONA FROM: Daniel A. Ojala,PE, PLS down cape engineering,inc. ) 1 r RE: #194 Packet Landing, West Barnstable, MA DCE Job#16-410 Enclosed please additional information to assist in your review of this site. The site is served by onsite well and septic, and is 48,100 sf in size, so is limited by Title 5 to four bedrooms of design flow. Based on a review of the original system's design size,the site was allowed.to increase from three to four bedrooms in 1996, and a building permit was issued at that time. The applicant now wishes to reconfigure for a family apartment, adjusting the floorplan to remain four bedrooms. The crux of the issue is the original design used a very conservative 8 minute per inch pert rate for the 1978 code system, even though there was a massive soil removal down to clean sand. The removal was for 35' all around the leaching down to the sand layer below the clay,see attached 11x17 sketch. The site had about 16' of blue clay on top of the medium sand horizon, but this was all removed for the large area shown on the plans, creating an excellent leaching field area. Attached are two sieve analysis of the soils under the leaching. The samples were taken during testing of the lot, and we retyped the results to show that the soils are at least<5 min./inch.material. In my opinion the 8 min./inch rate that was measured in a dewatered hole in 1974 was very likely slowed due to the saturation of the dewatering process. The huge amount of sand set over this sand layer produces an excellent leaching area with tremendous reserve capacity, as the biomat beneath the leaching is generally the restrictive layer, and effluent passing past this layer has a very large surface area to infiltrate down into. In 1996 an analysis showed that using the proper leaching rate, a six bedroom home could be supported by the existing leaching and soil conditions, but since Title 5 limits the design flow to four bedrooms per 40,000.sf acre, only four bedrooms are requested to remain at this time. Hopefully this additional information will assist in your office allowing the current proposal,which does not increase bedrooms, to proceed. Enclosed are: Site plan dated 3-13-17 showing lot size and system location Sieve analysis for two holes showing<2 and<5 min./in. material 1987 Site Plan with testhole locations, original system design 11x17 sketch of soil removal for the site, section view. 1974 Crowell and Taylor perc results 1996 plan showing SAS adequate for up to 6 bedrooms with 1978 loading rate. down cape engineering, inc.SIEVE SOILS ANALYSIS PACKET LANDING RD W. BARNSTABLE, MA DATE OF REPORT: 8/31/88 JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: Packet Landing Way, West Barnstable LOCATION: DCE Test Hole #7 SIEVE ANALYSIS Weight Sample(Grams): 1217.5 SIZE ;WEIGHT RETAINED % RETAINED % PASSED (sum) . ........................ -A--------------------- ------------------ 1/2" 0.0; 0.0%: 100.0% -------------i------------------------- r---------------------r------------------ 3/8" 0.0; 6.0%; 100.0% .-------------r.......................-"-v---------------'-67-1--------------�--- ------ ..........................b---------------------............ .... - #10 81.1. 6.7% 93.3% #20 225.9 18.6% 81.4% -------------;..................... ,---------------------;----------------- #40 456.8: 37.5%; #50 456.8; 37.5%; #80 872.8: 71.7%: 28.3% #100 ----- .......................... 1,131.1;-------------92.9%;------------7.1% ------------ - - -- -------- - - --------------------- ------------------ #200 1,131:1;_ 92.9%: _7.1% -------------r------- ------------------ ----------- PAN: 1,213.1 100.0%; 0.0% SAMPLE: 1217.5; NOTE:TEST ON PASSING#4 ONLY, 0.2°% RETAINED ON.#4<45% O.K. RESULTS:. SOIL CLASSIFIED AS AASHTO A-3 (FINE SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL,PASSING#4) OK #5010%-100% OK #100 0%-20% OK . . _ . . . #200 0%-5% CLOSE SAMPLE IS CLOSE TO MEETING TITLE 5 FILL SPECIFICATION >92% SAND RESULTS: PERMEABLE MATERIAL-CLASS 1 <5 MINAN. MATERIAL(0.74 GPM/ tt+OFMtis NONCOMPACTED SOIL DESCRIPTION: FINE SAND W/TRACE OF SILT ° DANIELA. s OJALA i CIVIL I No.46502 o �Q� ONAL down cape engineering, in&EVE SOILS ANALYSIS PACKET LANDING RD W. BARNSTABLE, MA#5 DATE OF REPORT: 8/31/88 JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: Packet Landing Way, West Barnstable LOCATION: DCE Test Hole #5 SIEVE ANALYSIS Weight Sample(Grams): 868.4 SIZE ;WEIGHT RETAINED %RETAINED % PASSED ____ sum 1" 0.0: 0.0%: 100.0% -------------,..---------•-- ------.....--------------------- ------------------ 3/4" 0.0: 0.0%.. 100.0% 0.0 0.0%; 100.0% --------------r---------------___-------..,---------------------r-----=------------ 3/8" 0.0 0.0%; 100.0% ....... . ..........................v------------ - ------�.--------- -------� #4 0.0: 0.0%: 100.0% --------------�----------------------- --b---------------------�------------.-._.- #10 0.0: 0.0%. 100.0% #20 ------------------ 191.1: 22.0% 78.0% #40 411.9: 47.4%; #50 411.9; 4TF/,: -------------:--------.................--.-------------------- ------------- -- #80 759.2: 87.4%: 12.6% #100 759.2; 87.4%� 12.6% ------------- ---- ....... ,--------------------- ------------------ #200854.9;_ 98.4%;____________1_6% -------------l..._...- - --------------------r PAN: 866.0; 100.0%; 0.0% ---��--- -- -��--------------------------*---------------------------------------- SAMPLE: NOTE:TEST ON PASSING#4 ONLY, 2.6%RETAINED ON#4<45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-3 (FINE SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% OK #100 0%-20% OK . #200 0%-5% OK SAMPLE IS CLOSE TO MEETING TITLE 5 FILL SPECIFICATION >.98% SAND RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MINJIN. MATERIAL (0.74 GPM/SF NONCOMPACTED ; ti of 4yj SOIL DESCRIPTION: FINE SAND. a�31 �cti as DANIELA. DJALA a , CIVIL tn No_46502 o �- • �l NY f i r --------------- INITT -- jam✓ i � � I Commonwealth of Massachusetts Title 5 Official Inspection Form e Subsurface Sewage Disposal System Form Not for Voluntary Assessments 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name informat,on is West Barnstable MA 02668 9-29-14 required for every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling A. General Information onn the the out forms ccmputer, use only the tab '1. InS ector: key to move your; p cursor-do not Matthew Gilfoy use the return key. Name of Inspector l B& B Excavation,lnc. Company Name i 14 Teaberry Lane / Company Address Forestdale _ MA 02644 City/Town State Zip Code 508-477-0653 S113640 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 'V 9 29 14 Inspector's.Signa ure 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. a 10 I t5ins•11/10 Title 5 Official Inspection Form:S surface Sewage Disposal System•Page 1 of 17 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information is required for every West Barnstable MA 02668 9-29-14 page. City/Town State Zip Code Date of Inspection 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. Check the box for"yes", "no" or"not determined (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form v- Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information is required for every West Barnstable MA 02668 9-29-14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a 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 t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .' 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information is required for every West Barnstable MA 02668 9-29-14 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and.the SAS is.less than 100 feet but 50 feet or more.from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w 1.94 Packet Landing Way ) ` Property Address Phyllis McDonnell Owner Owner's Name information is required for every West Barnstable MA 02668 9-29-14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ Z 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. ❑ Z 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 ❑ ❑ 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 El ❑ 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. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .�' 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information is required for every West Barnstable MA 02668 9-29-14 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 6 Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 748 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name informatiol is required for every West Barnstable MA 02668 9-29-14 page. Citylrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 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 Water meter readings, if available last 2 ears usage 9 ( Y 9 (gPd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Date Commercial/Industrial 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: t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts ID Title 5 Official Inspection . Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information is required for every West Barnstable MA 02668 9-29-14 page. City(rown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: 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 ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•1 Ill 0 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information.s required for every West Barnstable MA 02668 9-29-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components,date installed (if known) and source of information: 1996 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): >20 Distance from private water supply well or suction line: feet Comments (on condition of joints,venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in working order. No sign of leakage or blockage. Septic Tank (locate on site plan): 1' 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 Dimensions: 1500 gallon Sludge depth: 3" t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information is requlired for every West Barnstable MA 02668 9-29-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (Pont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 30" Scum thickness no scum Distance from top of scum to top of outlet tee or baffle no scum Distance from bottom of scum to bottom of outlet tee or baffle no scum How were dimensions determined? scour 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.): At time of inspection septic tank appears to be structurally sound. No sign of back-up. Grease Trap.(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•1 V10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 f Commonwealth of Massachusetts Title 5 official inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments s 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information is required for every West Barnstable MA 02668 9-29-14 page. Cityrrown State Zip Code Date of Inspection 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.): 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): 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.): j Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name informations required for every West Barnstable MA 02668 9-29-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): At time of inspection d-box appears to be in good condition. No signs of carry over or back-up. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information is required for every West Barnstable MA 02668 9-29-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) I, Type: ❑ leaching pits number:: ❑ leaching chambers number: ® leaching galleries number: (4)4'x4' ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ Innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At time of inspection appears to be in working condition. No sign of hydraulic failure. 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 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 . Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information is required for every West Barnstable MA 02668 9-29-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Ins ection. Form Subsurface Sewage Disposal System Form Not for VoluntaryAssessments ents 1:94 Packet:Landing Way Property Address Phyllis McDonnell Owner Owners Name information is ... required for every West Barnstable MA 02668 9-19-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system,'including ties to at least two permanent reference landmarks or benchmarks: Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: O ® hand-sketch in the area below drawing attached separately W eU_ 7 � � A 13 A2= 3 q _D3 =341 ' 27 t5ins 11/10 Title 5 Official:lnspection Form::Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information is required for every West Barnstable MA 02668 9-29-14 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 12 feet Please indicate all methods used to determine the high ground water elevation: Z Obtained from system design plans.on record If checked, date of design plan reviewed: 11/20/95 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: You must describe how you established the high ground water elevation: plan on file @ BOH Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection- Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,. 194 Packet Landing Way Property Address Phyllis McDonnell Owner Owner's Name information is required for every West Barnstable MA 02668 9-29-14 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF B:ARNSTABL. ' LOCATfON :SEWAGE 109. VILLAGE ASSESSOR'S MAP &LOT/ �7 y f3 I INSTALLER'S NAME&PHONE.NO: SEPTIC TANK CAPACITY t 5 CJ' G41J` LEACHING FACILITY: (type) Flow tYwSSes.S. ' (size) NO.OF BEDROOMS, BUILDER OR OWNER. O-ew_ �: . PERMITDATE: COMPLIANCE DATE'.. Separation.Distance Between the:'. . - Maximum Adjusted.Groundwater Table and Bottom of Leaching:Facility Feet . Private..Water.Supply Well and Leaching.Facility (If any-wells exist . on site or within'200 feet:ofleaching facility). Feet Edge.of Wetland and Leaching Facility, (If any:wetlands exist. within-.300 feet of leaching facility) Feet Furnished by ..�/i { ` R e r _ Assessor's Map' �, Parce Permit a l �. �T# ( )( ) / 1: �7 ��9,',Date Issued Conservation Office 4th floor 8:30- 9 30/1:00 2.00 �0�, l Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) �Gb `� �,9j� ee Engineering Dept. 3rd floor House# dmin.Bldg.) SEPTIC ST BE and 19 INSTALLVW;E ° PLIANC7.. TOWN OYBARNSTAB LFaNiVIRONMENTAL corm w; Building.Permit Application TOWN REGULATI et Address l Fo ck2T LA ri-DJN9 D Village UJe��' 3RRNstN6 Owner �MCDONNr_I ' Address 1 TRoyTp;Roo Telephone Soy_ 3 a- 8 Yy T 5V8- 72s- 0s6 0 Permit Re uest R A `First Floor square feet Second Floor square feet Estimated Project Cost $_ 115; 060 .c0 o Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use 40 M e_ Proposed Use Construction Type W De?0 ; Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure 5'V R5 Basement Type: Finished Historic House Unfinished Old King's Highway 6 Number of Baths 3 a- No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel of Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name I\y W ry Co N st R V41c3`),0 at Telephone Number -7 •7 1 Address 2`r CE L-A N e License# O 15"05-9 Iq ro N S rq� • D D-&o 1 Home Improvement Contractor# 1.0 y 9 S a Worker's Compensation# we i -3 I a-may q 7 3-,o NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. 4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 1392Ns� wb(e L-lkNDR, II SIGNATURE W -- DATE BUILDING PERMIT DENIED FOR 6 FOLLOWING REASON(S) 'A TOWN OF BARNSTABLE LOCATION 1914 SEWAGE# 109 VILLAGE Mini—w1k ��'�fi ��t�sa�l� ASSESSOR'S MAP&LOTS INSTALLER'S NAME&PHONE NO.Bob Qelzl 4S uC SEPTIC TANK CAPACITY l 5-QO LEACHING FACILITY: (type) (size) NO.OF BEDROOMS y BUILDER OR OWNER Inc, PERMITDATE: 17 4� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching fa ility) Feet Furnished by *1- XLG,94- vj- r V Vv4� ` -C w �i t j pyry A� �1 t LW � w f� "' is e� r r..r...,.,._ ` 4155� &manN�' 1 No. �� - - - PARCEL MY- Fee- " THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYicatiou for �Dizpogar *pzteut Comaructiou Vermit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. PAC G nNJ N� 7, 'PRu[ 1r7GDo v&-c- t 1 w . 5P,aNzif4 6 36 a-- S5 '-17 Inst er's_Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No. of Bedrooms Garbage Grinder(nld) Other Type of Building 3 t%i FR olit N No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of Repairs or Alterations(Answer when applicable) 41 a ✓e :)5A N kg1gezg7 p` S4� Date last inspected: /0— I a 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 by this Board o ealth. Signed Date_ Application Approved by Application Disapproved for the following reasons Permit No. �"'1� 9 Date Issued �� .�\-'� Ir '� � ;��'-.,^� t Yr .� .. w-rtsa'T�'+..�..,r�,� - - ,,, 'rrF.,.. `.. r... . _' .. •,,.e�,,,a..,�. .mow.- No. ..- Fee r IT HE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS S . 0[pprication for Migonl *pgtem Congtruction 3permit Application is hereby made for a Permit to Construct( " )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. " w . i3 A R ry st n 7 t Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. c.V-,Jt,V� Type of Building: Dwelling No.of Bedrooms Garbage Grinder(NO) Other Type of Building 5 ,A FAM l-/ No. of Persons Showers( ) Cafeteria( ) Other Fixtures _ Design Flow gallons per day. Calculated daily flow gallons. ' Plan Date Number of sheets Revision Date Title Description of Soil f 1 Nature of Repairs or Alterations Answer when applicable) W,I ✓e ` t j Date last inspected: l U— t✓ Y ', I r � Agreement: r � The undersigned agrees to ensure the construction and m 'ntenance 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 operationXunfrl a Certifi- cate,of Compliance has been issued by this Board ofHealth. Signed Date ; Application Approved by i Application Disapproved for the following reasons s Permit No. 0 I Date Issued , j THE COMMONWEALTH OF MASSACHUSETTS j PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ij " F I Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System instL led( )or repaired/replaced(4_�on by for as �' �''� ! has been constructed in ace rdance with the p�..visions of Title 5 and the for Disposal System Construction Permit No. dated �'�°'' Use of this system is conditioned on compliance with the provisions set forth b low: i No. ��`Z& _ Fee A0 i THE COMMONWEALTH OF MASSACHUSETTS . PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS lwigoal *pgtem Con5truction Vermit r Permission is hereby-granted to ' �r?� _ to construct( )repat ( 4 n On-site Sewage System located at - - and as described in the dbo've Application for Disposal System Construe ion Permit. The applicant recognizes his/her duty.to comply with Titles and the following local provisions or special conditions. °V j All construction must be completed within two years of the date below. r Date: ���� � � Approved by Assessor's office(1st Floor): Assessor's map and lot number' �`� �� SEPTIC SYSTEM M?: CO IN� Board of Health(3rd floor): � INSTALLED Sewage Permit number VWTH TIT Engineering Department(3rd floor): ji ' f ENVIRONMENTAL House number " `f FJS ° so• TOWN REGULA Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only I TOWN OF BARNSTABLE BUILDING INSPECTOR ht)APPLICATION FOR PERMIT TO �1 TYPE OF CONSTRUCTION Q C � 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following.information: .._ C�° �a` ', ��l Location ��G � � N �� yv` 6A�zt,-� Proposed Use L� �-'. l �A Zoning District Fire District Name of Owner PA 1 1-1U L H cD0 N► 19L� Address r O'�O 1� pOVCP- "Ar (' 20940 Name of Builder A�LAddress \/ Name of Architect 1�� � Address �� ST �'�" T�f��� S Number of Rooms � Foundation �� ExteriorI + E�c i.(� Roofing- Floors �� Interior seating Lc"Ir�- "• Plumbing eplace - 1 C� 0 E-c) -Approximate Cost Area �' `l' Diagram of Lot and Building with Dimensions Fee voff A;zy4 i- DNT OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction, 1 Name / J Construction Supervisor's License b 443 1 0 f No...,;/��-.. .1I Fps.... ..:.�....... ..._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 0.Jfi. ....................OF.......` Appliration for Diopooa l Warkg Toni raartion ramit Application is hereby made for a Permit to Construct (>/ or Repair ( ) an Individual Sewage Disposal system at: // ............. t ' ---..... ............... ......-- �.. .................................................... •---•-••-......----...........------ Location-Address. �.. cl Lot No.P_®• ® -----•• �................................................. .. . . .....5a 2. .....t.'... ......29 10 Owner Address a .....�...._�... .......... �� �� -----------------Ht!tv.----•......................•---. Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............ Expansion Attic (J� Garbage Grinder ( ) 3- aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -------T.................................................................. ...................................................•...........-........... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid"capacityL ...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 ( ) Percolation Test Results Performed by............................................. •---•-•..................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ LL, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ----•-••----•--- ---------------------------------•---- --•-••--------.....•--------------•---•---------•-•--••--------•--------•----...._.......----.- 0 Description of Soil_......�.Z_..._._.V ....x t?I:StGPi11VG�Ni�INE"�I 11ilUST SUPERVISE t� ''�"�` �' *ems = c- MI-STA UA�'IOU-AND--CERTIFY-IN WAITIPIG W ... ?- -' s ic.s.�-----------c Ake.---------------- - . -T+IE-�SYST77EIt-WAtS-tNSYAt-PIED--IN-STRICT-------. ---- U Natare of Repairs or Alterations—Answer when applicable ACCORDANO TO-PLAN................................................. •-----'•------------------------------------------------------------------------------------•--------------•-------------.....-----------------...------------------------------------...0....••.••.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of il'i 114, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation u it a Ce ti- to Compliance s been issued by the board of health. �--- Signed...... --- -•------��.P-c------•-•----------------•---•- ----C�-��-6�•&�----•-- ,e, .�--� Date PPlication Approved ----•-------�J .. JQi. . Date Application Disapproved for the following reasons---------------------------------------------------------------•----------------------•----------•-••-----_...__ -------------------------------............................................................................•.......................................................................................... Date PermitNo......... ----------------- Issued.........-............................................. Date Firm............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..'T'i..�_111.......................O F.... �.1S'S P!5� :.......------......... Apphration for Dispngtt1 Works C�nnitrnrtinn ramit Application is hereby made for a Permit to Construct (>p) or Repair ( ) an Individual Sewage Disposal System at: �e► r kZ ..............' ................................................................. ...................... --•--.............-.-.......----•-.......................... Location-Address n Lot No. ....... o:3 ° � ..---.. .......................... , . -a3. Owner Address W Hcc K.L .._..CS?n?3� -.X:!.c..,�...................... ... c� 4t� .... --------•-- -----••- f. dr .._...lie.. ---.....-•---.......---- Installer Address UType of Building Size Lot............................Sq. feet �-, Dwelling_ No. of Bedrooms..........��- --------------------------Expansion Attic :(_<7) Garbage Grinder ( ) Other—T e of Building No. of persons....................... Showers ) a YP g ---------------------------• P ----- ( ) — Cafeteria ( Otherfixtures ............................................................. •-•--•............-•------ -----•••----•-•---•--------•---••------•-•--•-•••---.._---•-- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacityl.i '....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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (s,, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W --••-•-•--••-•-•••--•-••••••••-••-•--••-----•-••--••-••••--------••-••----------•--•-•-•-•--•-------......................................................... O Description of Soil......45_ ------...rLraa.v......-- ---...-----•-•----•-----------------•--------- U `.y r>,, .._...C�#�Q Z........-•.PA............................................................................................................................................. 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 TITI:i� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in p p d by the board of health. operation until a Certificate of Compliance gneds.been��4� `A --�-- • --•--• ................. ................................ Date Application Approved By.......... 1�..�.a =` "" �0 ^Date -•= -1 Date Application Disapproved for the following reasons-----------------------------------------------------------------------------•----- -------------------------•--- ..............................................-•-•--------....-----------...------......--------••---------•------------------------------------------------------------------------------------------- �` C� Date Permit No.•-----.�2..-f -r_-: .. .61................. Issued---------------------------------•--...---•---•------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......` ....................OF..... . f'`ctvJ�lv�(flL . ................................................ (9rrtifirate of Tontp$ittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructedX or Repaired ( ) ------------------------------------------------------------------------•--------...-•----•-- Installer t at......A'Dt..........�`� e?A.CCC.. .�,�plw......9-" W. 13A�L aS(R�� has been installed in accordance with the provisions of T T'Ll"' 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__.._..._2 J�&/_.______- dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.__..j ... Inspector.... `' ' - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH k .,JvV.....................0F.... ....... Roposa1 Workii Tnntrnrtion amit Permission is hereby granted_..c-1 <<a `'" -�.'("` to Construct or Repair ( ) an Individual Sewage Disposal System , atNo"c l� ... ----•-••�'�t K ......................wp� _ ...�a .................................................... Street as shown on the application for Disposal Works Construction Permit Dated.......................................... x --------------------------------- • �r ------- -••------••-••---••-•-•--------------------•- DATE. IT.-ad f Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS J w. No.- -ag Fee----- = '-------- BOARD OF HEALTH v TOWN OF BARNSTABLE 0(ppYitation forlVell Con5tructionPermit Application is hereby made for a permit to Construct ( ) Alter ( ), or Repair ( )an individual Well at: ---------------------------------------------- ------------ — �/ o a. a rceh Loc,Pion — Address ��� ,� �Ty �s°e �)v1 pr�rf�f�''a� � �� 30 -1 e rry cr � -��� rj� - -�d'- ma-//n� _ � -f/j_f�' n h/S= -�� 0o)(r,6 l,.,..Owner Address / f r r �-.� r,r �1�. t f f � ' 'o_ k /P, Me'? - � Installer — Driller Address Type of Building Dwelling-------- -all (-WW- �Q!?�P� i Other - Type of Building ---------- No. of Persons----------------_-------------------------------- ry . rr Type of Well- — r'—-- — —- - Capacityf----- ;Jam- YP - - — - Purpose of Well- ---�-^-k fr ----- -------------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed----- - q=' date + Application Approved By-----------. _______ date Application Disapproved for the following reasons:-----------------------------------------------------_________________________ -------------------------------------------------------------------------------------------------------------------------------------------------------- / date Permit No.- "'-- ' ��'' -------------------------- Issued-- -/ i / _ --------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (,K Altered ( ), or Repaired ( ) __ /1'1,.vr� - � , '�_a iv-=-`-------------------------------------------------------------- --- ---------------- - -- -- -- -- -- — - Y Installer ----------— -- - - ___- --------------------------- has been installed in accordance with the provisions of the T wn of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.W'!-f-art- ---------Dated�A;-�1--�--4�� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. 4� C..� /D - ---------------- DATE------------- - - -- ---------------------- Inspector- -- - BOARD OF HEALTH TOWN OF BARNSTABLE Vern Con5tructionVrrmit No. --'-"-�-�/-�---�-Z Fee-�=- --------- i Permission is hereby granted �----------------------------------------------------------------------Fee '----------=--------------- to Construct ( ), Alter ( ),-or Repair ( )ran Individual Well.at: } ,, 1< 1 Street as shown on the application for a Well Construction Permit No.----------------------------------------------------------------------------------------- Dated-------i)/�%-�-----'--------------------------------------------------- ----------------------------------------------------------------------------------------------- 1 f� Board of Health DATE----------=- -�- - -- ---------------------------- r BARNSTABLE COUNTY 11EAU11 AND ENVIRONMENTAL DEPARTMENT A �j SUPERIOR COURT 116USE O J ,� ©ARIISiABLE, MASSACHUSETTS 02630 PHONE: 362-2 EXT. 330 VOLATILE ORGAII I C C011POUNDS REPORT LAB 337 ----------- - - --- - -- CLINIC 340 Client: Meehan Well Drilling Collector: S. O'Brien Mailing Address: P. 0. Box 800 Type of Supply: private well ForestdalarMA 02644 Date Collected: 10/18/89 Telephone : 477-9808 Date Received: _ 10/18/89 Sample Location: Lot 38 Packet Landing Analyst: S. Williams ?a West Barnstable, MA (late Analyzed: 10/20/89 LOCATIOU E604 COMPOUIID Lot 38 Packet Land ng West Barnstable, U NOTE: NOTHING DETECTABLE. cc Barnstable Board of Health All values are in micrograms per liter (equivalent to parts per billion, or ppb) . EPA Method 502.1 was used and only those compounds listed above were detected. Attached is a list of chemicals which the method is capable of detecting . Detection limits for these compounds are stated on the attachment. Chloroform is commonly found in Cape Cod groundwater at levels ranging from 0.2 to several ppb. The drinking water limit for Total Trihalomethanes , of which chloroform is an example , is 100 ppb. — -- --- -- '-- - - ---- -- Log Number: Bottle # D071 '�' Date: C- 4 $aR�s BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT � a 7 SUPERIOR COURT HOUSE v BARNSTABLE, MASSACHUSETTS 02630 wse DRINKING WATER LABORATORY ANALYSIS PHONE: 362-2511 Ext. 337 Client: Meehan Well Drilling Collector: Sean O'Brien Mailing Address: P. 0. Box 800 Affiliation: BCHED Forestdale, MA 02644 Time & Date of = . Collection: 10/18/8.9 3:10 p.m. Telephone: 477-9808 Type of Supply: we11 :1r Sample Location: Lot 38 Packet Landing Rd. Well Depth: 114' W. Barnstable, P1A Date 'of Analysis: 10/19/89 11:35 a.m. i d PARAMETER. ,. , SAMPLE RESULT. RECOMMENDED LIMITS Total Coliform Bacteria/100 ml 0 0 H 7.0 Conductivity (micromhos/cm) 300 500.0 Iron ( m) 4 0.3 0.3 Nitrate-Nitro en ( m) 0.5 10.0 Sodium ( m) 10 ` 20.0 r s I. X Water sample meets the recommended limits for drinking of all above tested parameters. II . Based only on results of the parameters tested for this sample,- the water is suitable for drinking but may present the problems checked below:' A. Water sample has higher than average levels of Nitrate. Future monitoring is recommended -(2'3 timei�yp,er'year) to establish any•upward ..trends. B. The low pH of the water may shorten the 'useful life of the house's pl'umbil-ig. = C. Water may present aesthetic problems (taste, odor, staining) due to D. Water sample has high levels of sodium. Persons on low sodium diets should consult their doctor. III. Due to one or more of the reasons checked bel*ow,�this water sample -is unfit for human consumption: A. High Bacteria B., High Nitrates REMARKS: The iron level is at the limit, CC: Barnstable Board of Health CC: Laboratory Director, j 1 /7/85 J Explanation of Test Results Total Coliform.Bacteria Coliform bacteria are an indicator of the sanitary quality of a water supply. Water supplies may become contaminated from malfunctioning septic systems, cesspools and surface runoff. A total coliform count of zero indicates that your water supply is safe and approved for human consumption. A total coliform count of greater than zero is most often the result of accidental contamination of the sample bottle through improper sampling methods. For this reason, it would be advisable to retest any well water that is not approved. pH pH is the measure of acidity oralkalinityof the water. On the pH scale,the number 7 is neutral,less than 7 is acidic and more than 7 is alkaline.,.The pH of water on Cape Cod tends to be acidic in the range of 5.0 to 6.5. Conductivity Conductivity is a measure of the dissolved salts in solution. Amounts in excess of 500 micromhos/cm are generally considered unacceptable and may have a laxative effect upon users. I y p Iron The presence of iron in water in concentration of .3 ppm or greater may: give the water a bittersweet astringent taste, cause an unpleasant odor, often gives the water a brownish color and cause staining of laundry and porcelain. The average concentration of iron in Cape Cod's water is .2 - .6 ppm. Although the presence of iron in water may cause the problems listed above, it is not considered deleterious to health. Iron may be removed by use of an iron removal system. Nitrate-nitrogen The Massachusetts Drinking Water Regulations have set a maximum contaminant level for nitrates at 10 ppm. Excessive concentrations may cause methemoglobinemia (an infant disease) and have been suggested to form potentially carcinogenic nitrosamines. Contamination sources include fertilizers, cesspools and industrial wastes. Copper Due to the acidic nature of the water on Cape Cod, copper tends to leach from pipes. This normally does not present a health hazard; however, concentrations in excess of 1.0 ppm may cause a metallic taste and/or a bluish-green stain on porcelain fixtures. Sodium A concentration of sodium over 20 ppm is only of concern to people who are on a low sodium diet. If the water supply has more than 20 ppm sodium, it is up to the people who are on such a diet to find another source of drinking water or contact their doctor to determine if consuming the water is advisable. Concentrations exceeding 50 ppm indicate that there may be ocean water or road salt runoff water getting into the well. r .>,°v BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT + Z SIJPER10,13 COURT HOUSE r' BARNSTABLE,•MASSACHUSETTS 02630 Y Mg55 TABLE 1. Compounds Detectable by EPA Method 502.1* PHONE: 362-2511 EXT. 330 LAB 337 COMPOUND D.L. COMPOUND D.L. CLINIC 340 t Benzene 0.5 1 ,1-Dichloroethane 0.5 Carbontetrachloride 0.5 1 ,1-Dichloropropene 0.5 l ,l-Dichloroethylene 0.5 1 ,3-Dichloropropene 0.5 1 ,2-Dichloroethane 0.5 1 ,2-Dichloropropane 0.5 para Dichlorobenzene 0.5 1 ,3-Dichloropropane 0.5 Trichloroethylene 0.5 2,2-Dichloropropane 0.5 1 ,1 ,1-Trichloroethane 0.5 Ethylbenzene 0.5 Vinyl Chloride 0.5 Styrene 0.5 Bromobenzene 0.5 1 ,1 ,2-Trichloroethane 0.5 Bromodichloromethane 0.5 1 ,1 ,1 ,2-Tetrachloroethane 0.5 Bromoform 0.5 1 ,1 ,2,2-Tetrachloroethane 0.5 Bromomethane 0.5 Tetrachloroethylene 0.5 Chlorobenzene 0.5 1 ,2,3-Trichloropropane 0.5 Chlorodibromomethane 0.5 Toluene 0.5 Chloroethane 0.5 para Xylene 0.5 Chloroform 0.5 ortho Xylene 0.5 Chloromethane 0.5 meta Xylene 0.5 ortho Chlorotoluene 0.5 Bromochloromethane 0.5 oara Chlorotoluene 0.5 . Dichlorodifluoromethane 0.5 Dibromomethane 0.5 Fluorotrichloromethane 0.5 meta Dichlorobenzene 0.5 Hexachlorobutadiene 0.5 ortho Dichlorobenzene 0.5 Isopropylbenzene 0.5 trans-1 ,2 Dichloroethylene 0.5 n-Propylbenzene 0.5 cis-1 ,2 Dichloroethylene 0.5 Sec-butylbenzene 0.5 Dichloromethane 0.5 Tert-butylbenzene 0.5 D.L. is Detection Limit in micrograms per liter or parts per billion (ppb) . This table lists our normal limits of detection. If we report a smaller amount, then our detection limit was lower for that analysis. *'A photoionization detector is used in series with the electroconductivity detector, thus allowing for the analysis of most of the compounds listed in EPA Method 503.1 as well . TABLE 2. Compounds which have Maximum Contaminant Levels (MCLs) set by the Environmental Protection Agency. COMPOUND MCL (in ppb) Benzene 5.0 Carbontetrachloride 5.0 I ,?-Dichloroethane 5.0 l ,l-Dichloroethylene 7.0 para Dichlorobenzene 75 1 ,1 ,1-Trichloroethane 200 Trichloroethylene 5.0 Vinyl Chloride 2.0 Total Trihalomethanes 100 Chloroform, Bromodichloromethane, Chlorodibromomethane, and Bromoform comprise the total trihalomethanes. No.-°� nx 1q------ti-� Fee----- '-------- BOARD OF HEALTH { TOWN OF BARNSTABLE Zipplication Ar Vell Con6tructionPermit Application is herebj made for a permit to Construct (iV-), Alter ( ), or Repair ( )an individual Well at: - - - Loc ion — Address arpi lO i Q0 i7�AS a InA' 030 -------------- ----- /p (/ f Owner / T /� Ad— dress"' f� L'` /l � —�Tl-1 ; +Lf2�'------------ —Yk �1�,_ Installer — nller Address Y Type of Building / Dwelling----- -----�� �'�-�-L--- -- LthZP� Other - Type of Building-------------------------- No. of Persons------------- Type of Well— -= — -- — ---- Capacity- � ' m - —/. 1L?�1�1 Purpose of Wellt �L- -- -- - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of-The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate of Compliance has been issued by the Board of Health. Signed-- UZ — - _ � - — d to 9---- - Application Approved By - yl�!<c " �'-'�-�r_r� — ✓�_�J� _ date Application Disapproved for the following reasons:-----___ __--___—__________—------______ ---------------------------------------------------------- - date Permit No.- ^_ -�-� ------- --- - Issued-----------�� -� � ----- -- J` date — J°c�ne' 25,, 74 A lay Rea Lot, No...38 Pac'kett, Landing, West, Barnstable , , Mr. � Wi2ared'.Tay3.or <r r 89". Willow Sheet: ' Yarmouth Port, Massachusetts. 4, - Dear -Mr. Taylor We recently received a- letter fam .the St t c;Depa trent 'k of Public 'Health clarifying their:°interpretat ion' of, Regulation J.3 of Article.•Xi�of �t3 a State,' Sanitazy',Cc e' ' tnclosed is a,Fcopy of the .States* policy+ in regrs .ta' .,pervious material beneath the bottom of"'the' lea izig area { I have also" enclosed, their:; interpretat3can' of Regulation,`T,3 of January '=,:8 974r.,f, " . if, you 'hive any further quesf3.6ns. `please -cal, a r Yours -v erY truly r . r 'ohn Ri,. Kell , 'Director of•Public .Health', , endl.. 2 r . • Try , y + r � ...r . r .,q a s;:�• a' `,': P t ~ k T ? ,r • 1 , •9 w,• � y •, .,1.k ; � ♦� } � � , 9 f v. ht r ".1 r rr � - n -r .• s F • • , ., ,. • . .r. T r,.. $ ''. ram,. 1. " ,' � ..e - r. r. .t r /C2 7 Yf Y r 1 • F, � TE4j NG. 362-262.6- CROWELL & TAYLOR .CORPORATION Land Development C.V Engineering June 10, 1974 89 Wallow Street Yarmouthport, Mass. Board: of Health Town. of Barnstable. Hyannis., Mass.ahhusetts: Re.:. Test Hole. Log on Lot #38, Packet Landing, Nest Barnstable Gentlemen-_ Please., be. advised that on. May 20th I. observed. a test hole with Mr. Paul. Murray of your Department, noting the following soil strata:-. 0 - 7 inches loam 7 108 inches: blue. clay 108. - 120 inches.1 coarse. sand: 120- 1.92 Acdhes. blue_ clay 1.92_ 2.40.- inches.. medium coarse sand with water in evidence: at 1.6 feet below grade This: test hole eras: Located in the- southerly corner of Lot #38 near. Packet Landing. In talking with the Darner, Mr.. John Karras, who owns_ Lots: #38. . 37; and 36 which he. desires. to combine, into_ one. house_ location only, he would like to know if your Board would approve a. deep pit sewage installa- tion at this. location. I.. personally have conducted several:, other tests in the area. and- have not en.countered. any other: location which would be. as. suitable asthis.. one.. I therefore request that your Board review this at your next meeting and. make- a decision as to whether or not you will:- issue. a permit for this location., Respectfully submitted, � OF s WILFRED F. yN Wilfred-F. Taylor, P.E � TAYLOR OC:a Mr. John Karr.as: Route 6A9Fc/STER��•<c`� Yarmouth,Mas.s. `S�'/ONAL 534'19'07"W - 152.70' , S34'19'07"W n ?I 15270' �' ' \ -•mac !� � 1133?1 I CD V \ \� Q / \ 152.70'' I - - - - - - - - - - - - - N 9'07"E - - - - - \ 152.70' PACKET LANDI - - - - - = - - - - - - - - _ _ _ _ _ - - - - - - - - - - - - - - -- - - - - - - - NG WAY � - - - - - O c_ �i C i�l r1C� �--E i't--� � . 12" Z4 P 0 r ,,d t to "7 o ¢. t , r6s•©jt�1..ArP:� �,1"`A,,'��n,. F Ag �s4 r�r � rzl3 �5 � .�, \ / t7,b: Ste" `t P � t�ti Mau t►1c - �j , '` ._ o reRx,RAG A. L nds MAF Sr.LitJe Zrx ,.- .r.•. ! � :laDDt'f 1 �dL,."P� t...l�"f"t�7 t �. . S , AQ © t 3 �, y - 1, hdT�N ,t��, u �.E�1 >rt�oM �=�ca'�r� Nth*�?"-. • , MuN1UPeL W&IM #nY l TED, f t2 192 .! 3 PIPE PiT�� 4 Ft ut,► o-r2w sE tilo �t-i C' cc / C��tl�t.l I.t�.Ottitty e.trLtAST U►3R� o 44. r s U Opt OFTdtt.6 o BE Co GOt�I TK GTl T � "ClT(,E SL opt� brit co�Cxl i-D►�1d7 � ..'.' � I, l..r �.."1<'...�i•.rz?"1�,��"��.5?l.bu'..•CD 11 s �.t.Er 1 ; V r / ALL- LID Y'rD 'SGbL%E c ^ y-t- �..a Grp i ,. r -QJ /�,--� ckxr! '_ �{ N Z3 GO 0 � 1 / i u Cats�- t? / r, �, L{ y/ ( M' D{,tTLE;TC:"�' �dc � i - , ,.�• L4Q(}.T - /r t r i. . t o,61'L �-v -t Iz t.1��tEv IsTmis s.d i a�, � ��-�' "'T,� .moo � 1 C.� � '� `C'`( �::� ¢ �t.►a, Ay - . ct .z .R e r o / �v['..�-x�NtS Ito_ t� BSI? G Ol f . � h• o �. GPD'x (� �. �41.. tX.�E I S E3+dda orJN K AGrt,iv ,. :. i 0 "�c��'1_.•AG�' A G�Ft. At3��E�''TIG S�S � -_ ; r A:L.O'j":vE�S `[N Ut 5� 8� Z�x►o Zzo,p a,�' � � . L- �(Y'E ago �k�OC�L PI.� 21 0 pv t ct.t S 1,, / LIS Tc3� / �EF1F �►,L T� '� �`t<.. D:�' �T�''t .'P'eEP IF t,ZS,S FAU c c H ..t tr p_I t� OF AONS H. OJALA v t V', y. - w fVll t 4-0 ocvn e en rnccr ns s , l..Q1C7 Q L&KIP 7�( rta .. . SAS _ o�iau� R.t..�.: d n: .. M , : i O Q -7 b Fie c.ICS, • vr .1(>10Svse- OJaLA P,i; �',Fal �;PE v iE QQ / , � t7a S uG to t ckM A-0. , Ig,19P� ►,34 707.�{- ® ?03'1 z Z , y-- g` �,\\ r 11 �q f/ ` (Z hr I_OG1JS M kF SCALE qc� AW tT lOr.b�r<"$�C 0(.ATI O tl -CtS"r So��V �! W I L r-fLE D t=.T y gyve r'PE , ,/ �, � p" � �I tJ 'I tom, L{�• I1.1 /\ \ S� J. _ / � \ � © ,•� _ ;La,, U 13.'1 � A CCGALZI I ,P �t.1D� �PT+-I- OF L� SILT`( V ha'rum M5 t,► �Er] ►FP_oM Pogo �f , i �d co 1 �,q Z.MUkJV &L WaT>r IS rJo� bvaLl�P�t,E , vl a, � i / �/ (qz' sAHo 192" cc,�.l : �,PIPE; PI?��. I�4'�FT U�1t� oTl•}EewtsE rio��. a, c�ssje a i�.ota� e.�l,�eer�esr UQr M a►+ o 10 -4�{ \tl !► .>� / %/ / — SF .- / / i ' 2 o.el G.PI96Jott:1.TS 5+-4 LL P,,E r-tnoE. WAT5IZn r�T. Vl p f�' // \ % % �: -- ,- %� Cv, conlsTRUG'ftotl DETea�6"ro �£ T eD4NGt: WIn-I / / Mass. EI�1VlROal1�ENT� GODS CI l,� �L ,� Is�D���'P�L77N11.1t-15tAjosT-le4Wj- �Ao�iW n1C1T ,' ,. :� ��' / , /� ��: 8• �1� uusc tT _&LFt- .c�--c>=2te � t.� l �c L. ?��'""f i LJoT To scb 13.E -70 3E'�-E M n V F�P�nt� �EPt-SLED ►�rT�+C_1.1=�*• R ST"S- gkZf ��� L4:: � • l,.t�e-uc-a r7 � ,/�. / ;' / �/ \ // / ,I�� f�ssNat�+.l �SEDt�-^IE�►TI>,-ri0e.1 �'<-C-IE� , , _, b' i\, /- �i f r 2p? � / ;•] "ibP of�ot�N•Pd•1�� Ml►1 It ymolvt:e (Z3 •b�- • .\�: -�t`�'�-n� ,-: � _ �' t r z3•� v Z3.o5 - ==1_ cz2z� C', _ ♦ 1` J Z 0 � _ ;" �,. � i, r � � ,-- /. I N'�..E7TE�. co in Io a'►•�^t) I Co �^'RG_'ST ZOF ' , / ��'' � 4: � �• � `�` ', UT TTct Gi u "PIS Ou7 O� �p�Jj- , O C✓ (� U 14G'OW� ZO \ v / �/ /� • 1� � I j�JCSII1L�l.., ,�M'd/ M.�. i .l i ' / 6 8E LAI>Laq�� • - �L, �� G'Z NCV�? � 3 3�4t�It�Z, I��S�Et7 STot,l•E S.O , 1 -` 7. �.� C;,E4G}� Alf 'I wK �.L•13,z --, -y - - - - - ��-- - - .I cl `'U J mac: -- � � �o t 4-9 INSTALLATION AND CERTIFY NUWRITING - ww � •.\ / !' /�j GPD x (I• S � �.>✓ INSTALLATION THE SYSTEM WAS INSTALLED IN STRICT I S©O C-r�LLoai "T�►.liC ., � `+�./6�.zz•2 � � ACCORDANCE TO PLAN. • `__ yam r Q til c Es �E ca_I F�r�c /'/ /' gIDES',�2Z,�o�Z�5,3•ztt,7r �l,ZS� =c�4.o - - J / [`[p►"� ZZYl0 ° Zz0 ,P COG3� : I �G ' U i" t '1'0 GJ�a�'"�".�_;c.�' �-. =-i_.�•-�,� �.�• ; r. ,_• ,, ., f ,<< [.��- � 1�ac�7 Ld.►��Jr►�C KoAD � i�; % / ,b.Cs t. L-1 tct•-i t.E�-• TNt,�..>, [k' o�'F�.:,"t_"_`�1 C-t �..�✓ O �- ,� b,E;.�.1 G cam-�-�.��o >, t1. , ;z `- �- ' � 4.� 4 x 4 r��c.a,� ►mac�l WrnI 3 cF s roe I i� t�t.Arotl ND. �l GS'� 1l�Tdf �E ,tildSS. LE,k(-rI Y IO FFF k� p� x 3,3 SAT R�� � DPP-EPd�ED "��J� FA t_ M oo �l E t� _ -- \H g� �111 OF Aqc T� ARNE ARNE H. �OGJr7 Gape en9%nGGrirlC�_� lnG . _ ojf�e -I s �;°,�' y gr�i c 11= ' 1► q� 02'CQ4 41 No.3379 4-� I cr\IIL Et �S , � 4r,r",liFcO,iZ I f Q\ OF L�£ALTI� '�� • IT Ir� I 03 �?TE tod aLMoU"f>rl, 1�1 oSS. i?e7. >7AA-I 5 AHI'r-Oy�D 124;Tc : , 7 v.-1 31 'CE v -7 �f3 y- -1 i y i i2' .00M Z4,8 �o I l0Z AND 70�� d � J ,OJ nt..a F,, FA V-,P E WtT►.le��'+ J,�Llftl n.i�- col V �, 4l.tGZZ Ike ,a LOAM 1Z.0 Loc.US MbP SCALE I 2rz� �z EU `3 , Tc- Apprr to►.t,n.L T'Oe L-4-TtoKt It S®y.{ ZS2 _ (D..• Qj M tt.l �t� cr{+ I►..I Al (v ,9 Z.MuWICUPeL WX11M 15 NJ b\JwLA A4 . vi Ica 192'' c,;jeAa 3 PtPt: PITG4• 1/4'/FT UtJLge-j;' 0T4E21'AiSE r40rt;P. v / a, >7�st�r�i c�o+a sr uW - -44. u� C> �t_�e�cn ado�(� 46 {09 Sr- -'± /' / I ' 2 o,� S.Pi6 lotWils -54- L-L P.;e Mbor- ►.J4.TcszM-44717. - Co. �1.1sTRUG'Ttotl• 'JETe-it6""�o � 1t.1 eDD.t.1Gl; WIT�I Mass• ENVtRowtM5N cv s -Tilue � ��\ / �� � f � 1- � _:. -�/ / �5. "l .`('t-•IIS�tI�L e t'�l�SPD` E'D Wo2ko*�L drlp�vl�Ol.1 r �� � � .. t7 � 1►,1.�STD l® y,' % �f ,.� /, / `� --- 8. htL utyStklTlBt��-t�-�21n� �T►.�E tl 20 -7 \V _ �/ 41 / l . 13,� To 3E. ' M n Y E� �►.t� CEP t ac.ED t l ITk+C�tEJ`*I Sol / / Llo'f To Scdt�E 'SAND woe-40, R�ot_�rlf� 7 t_t f�A ,, /�, /JJ - :'"r .• (�j � � ' 0� \'� // /� (t 1.' ��Sl-�D Ll ra �SED(til E ta�Tl Otil ��.;LC1.E1F . Gf / 26 V oir +tea TorlE J-y > �roP of Fou�oaTio� ' ' c Z'>,e�;'f _ C �f �'<o ���/ �\V. I�7�C7 GAL. ZL �9 E �2. 'ID �r� ?EE; (o UFt(o Do��t� 1 Co u C,'UGt 14�C�Ot t tit) Zp 'F(4-C- o tt OT- op lzsl ,/ I--� .o '- ,\�� _ _.1---' \ ` / / �SETt C+�I f`,lt:L � _ / j i . � /r '�. •/ J 3;1 Z h1 r. 1/ih � --� // � ,) �� . .•- �_\` � � / �i' ` -- - ! �-����I G '�A-� �-5v - -- � - - - �,,E4G}� '�11•�I U� t..11TF{ �.L.13,Z T-Pr3 I IO 3�D o>3S. WA-1 4R •T N 6-- �L= G•'� - -- \ % /� //� 3�D GPD x (!• t q-a Goal L� S j LS©O Cr,�l_l.Dhl 'TbtltG �- yti�t�}-ICES �t1c�_lr✓GT�t✓ I t.EAG►�ft,lC� Ca P� MtrJ�tN�t4 .._•1 � /'�,/� `�IDES',�Zztto�2x's.3'-7►1.,7r C1 ZS� Z�,4.o I , - \ \ ��)`i y ;/ • r ..r.` ,�• a }--+ '._`'r �/ l�l +1 i.L I ,Z � '_I b Z I� �D �. 4 x 4 f CSTsT , -toss. Wrn•13nF szotlif it� LE?4('11t Y 16 u F -kA I DT-•' x 3,3 Df�7�► _'P�-E'Pd>I?E n Ta or 0.1 ® �. t� F r�l o AR y\, o' AR�1E H. ems\. _ �t '�G'1�C..E� I'l,l.t,-1 1:, (G I-1 7 f C-T q 3 _ H. -1 -OJAt1� j down , ,;p ,.�A civil- Pe- -�� en �nccrin �n� . - 9 [ s P 2fl348 No.3379 1 SC�1� ► f = �h.� -t bGr z 4 c►�►t_ EEE�S s vN f � I t Its �z9 I , 1?-t l%7Aek P-ev, -7 IZ7E -',&CM0UT9/ MoSs. aQti15. odacA , R.L,S. t � � ' -7 �,1 -V E v -7 �f3 j 0 �q C' r - ;/ � .� A. '�..� A 'S D,H t.�!l.:+r '•+'1C��':.,...1 ��",+ f'T a+�.., �4 Z � -� '` i 15 41 © ,/ �►4 i GL -C Y m r L�Z j j t far-a t f r e of Fr To � r i r- y / \VII — � ►' w� �� . Ir � ec f} / Ile, l ' ` r-I GAv/J � i ��L-✓� �f iT ) r / 7A4a r' .a a caT.s t. �c P'(.' D E'" �; ,,►� i p i�f T L--54,{ ,J ETA , at �* ARNtx i G L �� ✓�r ±tJ Ge ✓lr S OJALA 1Ne. tl. C:O.44t.�l. fait t�-a ��w.Tti� c _ ... -: .. • .. .a _ e .. ... .s.. . . v f. .v.. .. .ice[ .y„ --. . .... -:., , .. s n , Y tv•n�G , i I \ I� s r • r r 4C.s. 3 •� • +r4 r ,!p ..+oa ;" Z•a's i 0•SOAC i0 13,'76AE- 26 24 r.SB/�C i 2B j 11 I AC-S i r ` b f 4 R EV. � A 1 M0�`, i OR ''1 tM 'jlrQ'� �k fir♦ - - �� „— . 1 ;4,� --- 0 �\ ►r (� ' r y 9lop •i� r L, '' 00 60 y Ole qr Pitr 1 of • (L( '(1.�.✓ `ram , N. A "�Y I II j 1 7 I �.�--ram I J A 1- pr• r d / • rf r ..-__.__ ------- "LIARLO UkDER TV& ��i�L 398 .. �______- ---� I SCALE r,t •t Z �' �.a t1. 7/•r1 t DkEbl3?pae_L ltOARO .•' ..... 3 5 9 av,s AIRMAP cct�CTO 4 J arAc. 10 ti• ` •f ^4 y s r2 tom` All c ltt, o o. ps . t •flit • `J �" � � ' e• O 1+r o O R F k . f r y F 1 1 , n 5. ROOM, m / FAl AV -'2',N-L2`f�,•'`Yf '.`, A ..,r�,iJ.. f.'j., _/`',-t Vfs, } chi Gm.' �cs A-06r 11T 13IV i L.oGc1S M dP 1 Sr�t.e peV _ re- 'ttilt 1 v! f f' ✓ � !� ram'- �f 1 , y � 1, hn.-rUM MS u ICE11 �eoM �-rG�";>C:' �•�{�, y ,.: ,` °- > - Z•Mu►lice Poi WI&MUZ, t r LW.II�►P�I,E 3,919e Q1'TCA• 1/q:'/FT U t1LerwC7 OT460111SE t4OTED. 1 A, pr��"�a� a�.L'�ces�- uurrs ar�o 1 � •.,� � �' 1,,� ,r i � ;1 �,?'� 2� , ;; i':'�'_/`�Fi°`� 1, ;,% ,,�-�.__--__..__..�-�•—. ;_�4 �.=� 5.Pt� .bttl.TS '��t•kdU. �.� MCOE t,l�►TER'TtCrNT. fi' 1� �r '' •-• ' �T Ca, co+.lsTlzt,t [0�4 DET&I-G To 8E % �4 e 4c'e wmw / . _.j J ,s/ ; / ._X Me+S�a EoJVIROa►MEtUT,dt, GOOF -TITLE 1L ` f '1 .�NtS�c l �oe"t A'psEv woPac-o��y a�tp c:&AcxA t-D►107 pae u!jeo Fc)e Poa eN w"6 sT�►wNG- ` j r f , � ,r � ;, ,f !f s ,~"• f � .'� �r � d� .i�..f' ^ t �,C.- �'.� '�E�'�..�c'..+` -'• y'1++ ��-L.E I_r•j �T TD �' F—_.:I�&•» !.-1'f'%.o..'�C" ".. '-.i.� �tA- ...t•;+`'�G1 t L j LG F y � f ,. ,�4a�/' �, ' � /! t�j �'� D.,.t.+s.i � ...;r�.:a��,s i7,.'�'"1 F.�r '. i~`w`.+�' _`''�iE-•.... '� f,. 3 d ,�► � � �.. • .r' �� � 'ram � '!bP c+F Vfl 1 ,R f tr' l ( C1J � b1� r �: / c �• �J ; LI,N t Etw' y: 3 MZI 0 10 / F , _... F f .�4 - _ r _..- .- _�`�� g:- i - �� ,.tc itl--t �'�^ � .- �' ,' /r �1','��•;;. or '1 ,18.4 U 4. \ '` 5 . �� �• 1 _ N ,tr IJ �s ktaskv STbAe 6.0 C�AL'('JLA�lloNi� i 0-7 � , '1 ` .z1.Q <` � J� .,�\ I.��fr/ � ��Z.��� { f J 'jy � } <, � �• � ___�,,. .�__r. w414 R 'T N l �s ( r'? n ter'Y Q I.EaG�i 1.16►- `�' tit t t`l�!!1f k't 1,Z7) s z-Sc^['.0,L3 i rTE 0w o G.:,�kA A&e !FLA KI .a ��% 3 f ' r • '�D ►.I -t icz' P"C ` «�S 1 r.i d laT6L �. 4- x 4- AFT �.{ >r, � r; ._ .�P�eEfl Ter- L a j W •.1 �i[ - .k r 2} rf^ .7l L LAW P r G 1 JI-Y ' . � `✓ �` _; � �::'�" - L�i7f/oC�-�'!� - .t �i'/ •. !4 4 sl ' E G.d� `'f� MoljTL�, MdMS+S► P: F a"CE N..•; 1 ., . , , :