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Home My WebLink About0043 POINT HILL ROAD - Health 43 Point Hill Road W. Barnstable A = 136 018 o I i Commonwealth of Massachusetts 1,7 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 43 POINT HILL ROAD Owner Owner's Name information is required for every A-BARNSTABLE V/ page. City/Town State Zip Code Date of Inspe�t_ion___ 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 out forms A. Inspector Information 6 1.* 16LI 7:�- on the computer, use only the tab Trevor Kellett key to move your Name of Inspector cursor-do not Cape Cod Sep�ic Services use the return key. Company Name 350 Main St. Company Address City/Town State — Zip Code 508-775-2825 Telephone Number SI License Number B. Certification | certify that: | am a 0EP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CK8R 15 �OO)' | have personally inspected the sewage disposal ba t�h . ' system eprope�yaddress listed above; the infnnnadonrepor�dbelow in �ue. accurate and complete aoo-the time ofmy inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined � that the system: - � � 1- Pmasea � 2. Conditionally Passes 3. Needs Further Evaluation by the Local Approving Authority 4. E] Fails � Inspector's Signature --------- ------- � Date ��— ------- TheSystominepectorsheUaubmitacopyofthisinspocdonreport to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent b} the buyer, if applicable, and the approving authority. Pie.ase note: 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 ofuse. t5i"sp."oc-rev.n26ou`e Title 5 Official inspection Form Subsurface Sewage Disposal System'Page 1mm Commonwealth of Massachusetts Title 5 Official Inspection Form � ,!I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 POINT HILL ROAD Property Address -- — —-- ---- MICHAEL_& ELYSIA C_O_OKE - 135 UNIVER_ SITY_ROAD#1 BROOKLINE MA 02445 Owner Owner's Name — ---information is W BARNSTABLE _ _ __ required for every _ _ MA 02668 6/1/2021 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: SYSTEM IS IN WORKING CONDITION 2) 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 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. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 I c1Xa'\ Commonwealth of Massachusetts Title 5 Official Inspection For 111 — = I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 POINT HILL ROAD _ Property Address - — -- — — M_ICHAEL & E_L_YSIACOOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner Owner's Name — — -- information is W BARNSTABLE required for every _—______ MA 02668 _6/1/2021 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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): 3) 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. a. 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: 15insp.doc•rev 712612018 Title 5 Official Inspection Forn:Subsurface Sewage Disposal System-Page 3 of 18 - i f Commonwealth of Massachusetts -_P `title 5 Official Inspection For -: } Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 POINT HILL ROAD Property Address - MICHAEL & ELYSIA_COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner Owner's Name -- ---- -- required information is W BARNSTABLE _ _ _required for every _MA_ 02668 _ 6/1/2021 _ page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. I . ❑ 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. c. Other: 4) 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 5insp tloc rev 7128/2018 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 4 of 18 Commonwealth of Massachusetts it l_ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments iX, ,'r 43 POINT HILL ROAD Property Address - ------------ -------------- MICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner - --------- -- ------ ----..__.._ ------ ---- - - Owner's Name information is W BARNSTABLE _ MA_ 02_668 6/1/2021 required for every _ _ page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cost.) Yes No ❑ ® 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 1/2 day flow ❑ 0 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. ❑ g 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 water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for 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 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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 CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area — IWPA) or a mapped Zone II of a public water supply well t51nsp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts ,1}_ -;Wry Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 POINT HILL ROAD Property Address ---- -----.— MICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner Owner's----—----- --- — --------------- ner's Name ------ -- -- information is W BARNSTABLE required for every _..__.__ _ ___..__. MA_ 02668 6/1/2021 _ page. City/Town State Zip Code Date of Inspection C. 9nspecti®n Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes" to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no" for each of the following for all inspections: 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 df 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 _ i Commonwealth of Massachusetts Y %;s Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 POINT HILL ROAD Property Address -- - --`-------- --- - MICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner Owner's Name - ------------------ ------------ -- information is W --ARNSTABLE required for every NIA 02668 6/1/2021 page. City/Town State Zip Code Date of Inspection D. System information 1. Residential Flow Conditions: Number of bedrooms (design): 3----- -- Number of bedrooms (actual): 3 — DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 _ Description: Number of current residents: SEASONAL Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: -------------- — ----Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes No information in this report.) p ) Laundry system inspected? ❑ Yes ® No Seasonaluse? ® Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): WELL WATER Detail: Sump pump? ❑ Yes ® No Last date of occupancy: SEASONAL Date t5lnsp doc•rev 712612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 ommonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 43 POINT HILL ROA,D Property Address Owner Owner's Name information is required for every W BARNSTABLE page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Cornmercial/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? El Yes El No Water I treatment unit present? El Yes Ej No If yes, discharges to: Industrial waste holding tank present? Yes [I No Non-sanitary waste discharged to the Title 5 system? Yes El No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: N/A Was system pumped as part of the inspection? El Yes No |f yes, volume pumped: gallons How was quantity pumped detennined? / � Reason for pumping: � ' minsn.du 'rev.n26uue Title s Official inspection Form:Subsurface Sewage Disposal System'Page umm Commonwealth of Massachusetts Title 5 Official Inspection Form fit'! Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 POINT HILL ROAD Property Address MICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner -_.__---------------------------------------'------------- ---- ---- Owner's Name -- information is W BARNSTABLE I requiredquired for every ------..- --------------- _ ------------------- MA 02668 6/1/2021 page. City/Town - , __._.... State Zip p C Codd e Date of Inspection D. System Information (cont.) 4. 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): Approximate age of all components, date installed (if known) and source of information: 2003 PER BOH Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer (locate on site plan): 44" Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): ---- Distance from private water supply well or suction line: 1 + feet Comments (on condition of joints, venting, evidence of leakage, etc.): LINE CHECKED WITH SEWER CAMERA AND WAS FOUND TO BE CLEAN AND PROPERLY PITCHED ------------ t5msp.doc•rev 712UJ2018 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Foy Subsurface Sewage Disposal System Form - Not for Voluntary Assessments —" ' 43 POINT HILL ROAD Property Address - ------------------- ---— MICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 --- ------------ caner Owner's Name ------- - ----------------- -- information is required for every W BARNSTA__BLE_ _ _ MA_ _ _026_68_ ___ 6/1/2021_ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank (locate on site plan): " Depth belov✓grade: 34 _.______._.______�_.__ li feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ other polyethylene (explain)Y ❑ . I - - I If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 GALLONS Sludge depth: ______—__.— Distance from top of sludge to bottom of outlet tee or baffle - ----- 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 --- -- - How were dimensions determined? ESTIMATED _— -- — Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1000 GALLON TANK IN GOOD CONDITION. PVC TEE INLET IN PLACE CONCRETE OUTLET. TANK AT NORMAL OPERATING LEVEL. COVERS 14" BELOW GRADE --- ---------------- . ...._.-----— —------- t5insp doc-rev 7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 POINT_ HILL_ROAD_ Property Address — ------ MICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner Owner's Name --- -- information is W BARNSTABLE required for every MA 02668 6/1/2021 City/Town — _.._.----- - page. y/Town Zip Code Date of Inspection___ _- _ D. System Information (cont.) 7. 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.): 8. 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 t51nsp.doc•rev 7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 ` C.ommonwealth of Massachusetts Title 5 Official Inspection Form , l_w g f" Subsurface Sewage Disposal System Form Not for Voluntary Assessments - 43 POINT HILL ROAD Property Address M_ICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner Owner's Name ------ —_—_...------ ---- --- —_ information is W gARNSTABLE required for every MA _ 02668 _ 6/1/2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) 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 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert EVEN_ 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.): DISTRIBUTION BOX LEVEL AND WATERTIGHT. COVER AT 6" ON RISER t5insp doc•rev 7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts - Title 5 Official Inspection Foy �;y I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 POINT HILL ROAD Property Address-------- — — ---------- ------ — M_ICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner Owner's Name ----- -- ------- -- --- -- information is W gARNSTABLE required for every MA 02668 6/1/202_1 a e. City/Town/Town ------- ---------......- A 9 y State Zip Code Date of Inspection D. System Information (cont.) 10. 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.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ (leaching pits number: ------------ ® leaching chambers number: 2-500 GALLON. ❑ leaching galleries number: — ❑ leaching trenches number, length: - --- ❑ Leaching fields number, dimensions: -- -- ❑ overflow cesspool number: -- ---- ❑ innovative/alternative system Type/name of technology: _._-----------.__..-------...._.. —.- — (51nsp doc•rev.7/23/2018 Title 5 Official Inspection Form*Sub surface Sewage Disposal System-Page 13 of 18 I Commonwealth of Massachusetts 1, -- .s Title 5 Official Inspection Foy - It Subsurface sewage Disposal System Form - Not for Voluntary Assessments ?� 1� 9 p Y y 43 POINT HILL ROAD Property Address — MICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD #1 BROOKLINE MA 02445 ---------—-...----- ------------- ------— -- ----- ------ Owner Owner's Name - - - information MA ation is W BARNSTABLE _required for every - -- -- --- -- - - ------- --._...,_.- 02_6_68 6/1/2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 2-500 GALLON CHAMBERS FOUND DRY DURING INSPECTION WITH NO EVIDENT STAINING. COVER IS 6" BELOW GRADE ON RISER 12. 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.): _ _- ------- -- it I5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 i Commonwealth of Massachusetts ` -de 5 official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ' �r3 43 POINT HILL ROAD Property Address MICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner Owner's Name — information is W BARNSTABLE MA 02668 required for every 6/1/2021 __ --- ------- ------------..._...--- page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. 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.) :51nsp doc•rev 7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 43 POINT HILL ROAD Property Address - MICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner Owner's Name ---- — information is W BARNSTABLE required for every _.._._---_----- _._._..___-.--- -_.___._...._._ MA 02668 6/1/2021 page. City/Town Zip Code - State Zip Code Date of Inspection D. Systern Information (cont.) 14. 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: ® hand-sketch in the area below ❑ drawing attached separately � L 3 V � I t5insp.doc•rev.7126/2018 Title 5 Official Inspection Fonw Subsurface Sewage Disposal System•Page 16 of 18 _ i f - Commonwealth of Massachusetts Ti _= ;-� Title 5 Official Inspection Foy Subsurface Sewage Disposal System Form - Not for Voluntary Assessments y"= 43 POINT HILL ROAD Property Address MICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 -- - ------._ -- --------- - --- ---wner Owner's-Name --------- - --- mation is required wired for every W BAR_. ..,_NSTABLE ___... _ ._ MA_- -_ 02668 _6/1/_2021 page. City/Town State Zip Code Date of Inspection D. System Information (coat.) — 15. 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: ❑ 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: You must describe how you established the high ground water elevation: HAND AUGER PERFORMED ONSITE AT TIME OF INSPECTION TO 12' ENCOUNTERED NO GROUNDWATER. BOTTOM OF SAS AT 6.5' Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5nsp doc•rev 7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form °`a = - ii Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 POINT HILL ROAD Property Address --- MICHAEL & ELYSIA COOKE - 135 UNIVERSITY ROAD#1 BROOKLINE MA 02445 Owner Owner's Name --------- -- —�- -- information is required for every W BARNSTABLE _ _ NIA 02668 6/1/2021 ------- --------------- page. tty/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed &Dated and 1, 2, 3, or checked Z C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tig-)t/Holding Tank— Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp doc•rev.712612018 Title 5 Official Inspection Form Subsurfaca Sewage Disposal System•Page 18 of 18 r c Commonwealth of Massachusetts /3&-0/9 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments i&_ GSM 43 Point Hill Road Property Address ..p Tendoh Timoh Owner Owner's Name ;5 information is West Barnstable ✓ Ma 02668 4-3-19 1 required for every - �, page. Cityrrown 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 out forms A. General Information S1 a(aR on the computer, use only the tab 1. Inspector: key to move your cursor-do not Matthew Gilfoy use the return Name of Inspector key. Excavation Company � Company Name 374 Route 130 Company Address Sandwich Ma 02563 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 4-3-19 Inspector'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. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 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 an information which indicates® y c nd Cates that arty 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: System was in working order at time of inspection. 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 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. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection F Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. 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•3/13 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 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 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 ElBackup 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 El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than /z day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 page. Cityrrown 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. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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 ❑ ❑ 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 page. Cityrrown 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): 3 Number of bedrooms (Actual) 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 331/GPD t5ins-3113 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 4M ,•''p 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage See below 9 ( Y 9 (gpd))� Detail: "*WELL WATER" Sump pump? ❑ Yes ® No Last date of occupancy: CurrentDate Commercial/Industrial Flow Conditions: Type of Establishment: NA 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments , 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 page. Cityrrown 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: Last pumped 2015 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 obtaindd 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•3/13 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 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Tank and old pit 1992, new leaching added 2003 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 3'6" Depth below grade: feet Material of construction: El cast iron E 40 PVC El other(explain): Distance from private water supply well or suction line: . feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 2 5 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: 1000gallons Sludge depth: 4 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 32 Scum thickness 1 Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank was in working order at time of inspection with liquid level equal to outlet invert. Tank is not in need of pumping at this time but should be pumped every two years for maintenance. . Grease Trap(locate on site plan): Depth below grade: NA 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M ,•''y 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 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: NA 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.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 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.): D-box is in working order at time of inspection with liquid level equal to outlet invert. D-box did not show signs of back up or carry over. 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.): NA * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: (1) 6'x4' ® leaching chambers number: (2) 500 gallon ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching was in working order at time of inspection with no sign of hydraulic failure. Both Leaching areas were dry when viewed. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 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: NA Dimensions i Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 page. Cityrrown 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: ® hand-sketch in the area below ❑ drawing attached separately REAR A14t, '�1-23" 82-22`8`.' Of "29,';. 01 17' well t5ins-3/13 Title 5 Official Inspection 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 43 Point Hill Road Property Address T n h Tim oh do oh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 page. City/Town 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: No GW 192" 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: Feb-8-2003 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 with BOH. Before filing this Inspection Report, please.see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Point Hill Road Property Address Tendoh Timoh Owner Owner's Name information is required for every West Barnstable Ma 02668 4-3-19 page. City/Town 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 l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y: r 4 43 Point Hill Road M Property Address Patricia Sci le Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 page. City/Town State Zip Code Date of Inspection ..� CA 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 out forms A. General Information s�# 70 on the computer, use only the tab 1. Inspector: key to move your cursor-do not Matthew Gilfoy use the return Name of Inspector key. B&B Excavation „b Company Name 374 Route 130 Company Address Sandwich Ma 02563 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 5-25-16 Inspector'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.Thi's inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 /ads Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 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: System was in working order at time of inspection. Dehumidifier is hook into system and it is recommended thati unhooked. t be u oo ed. It Is also recommended that an outlet tee be added In tank to prolong life of SAS. 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," pease 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. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/allarms are repaired. 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 page. City/Town 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 El ® 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 El ® than '/day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °wM 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 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. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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 ❑ ❑ 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 page. Citylrown 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 differentfr m wn r provided ❑ ® y ( p o owner) p o Ided 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): 3 Number of bedrooms (Actual) 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 331 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments C�M , 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ® Yes ❑ No Water meter readings, if available last 2 ears usage d See below 9 ( Y 9 (gp ))� Detail: "WELL WATER" Sump pump? ❑ Yes ® No Last date of occupancy: Weekends Date Commercial/Industrial Flow Conditions: Type of Establishment: NA 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 page. Cityrrown 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: Owner- pumped with in the year 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 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: Tank and old spit 1992, new leaching added 2003 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3'6" feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 2 5 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: 1000gallons Sludge depth: 5 t5ins•3/13 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 ;M 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 31" Scum thickness 0 11 Distance from top of scum to top of outlet tee or baffle NS Distance from bottom of scum to bottom of outlet tee or baffle NS How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank was in working order at time of inspection with liquid level equal to outlet invert. Tank is not in need of pumping at this time but should be pumped every two years for maintenance. Outlet tee to new SAS in missing. Tee should be replaced. Baffle to old leach pit is still intact. Grease Trap (locate on site plan): Depth below grade: NA 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 page. City/Town 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: NA 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.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c�M 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 page. Cityrrown 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 11 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.): D-box is in working order at time of inspection with liquid level equal to outlet invert. D-box did not show signs of back up or carry over. 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.): NA * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: (1) 6'x4' ® leaching chambers number: (2) 500 gallon ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching was in working order at time of inspection with no sign of hydraulic failure. Both Leaching areas were dry. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every west Barnstable Ma 02668 5-25-16 page. Citylfown 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: NA Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 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: ® hand-sketch in the area below ❑ drawing attached separately REAR .. ... B A1.14' B`123' -2:V A A3-240 83-27' A - 9' 84 Z ' '137' well t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is required for every West Barnstable Ma 02668 5-25-16 page. Cityrrown 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: No GW 192" 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: Feb-8-2003 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 with BOH. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 43 Point Hill Road Property Address Patricia Sciple Owner Owner's Name information is West Barnstable Ma 02668 5-25-16 required for every — 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 4 TOWN OF BARNSTABLE LOCATION qsO1/c'I � ' SEWAGE # o)003'��'3 VILLAGE 1 Iti h '�e ASSE & LOT 13 6"&018 INSTALLER 'S NAME&PHONE NO. 4 SEPTIC TANK CAPACITY !E�/ SDI— I1Mz W-If l�J ,mac LEACHING FACILITY: (type) 5 dll ��/�yy`�g�� (size) v2! Y`—� NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: 3 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by fd �, )3' No.�v0 � FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, �0�� ,MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT � Application for a Permit to Construct( Repair Upgrade( ) Abandon( ❑Complete System individual Components Location 4 - Owner's Name JOh Map/Parcel# Address �' n Lot# Telephone# (��. Installer's Name Designer's Name , Address Address M Telephone# _5?J Telephone# 5 Type of Building CO C.1` Lot Size 'soT 2JS sq.ft. Dwelling-No.of Bedrooms - -,[ 6� _ ,2-, ^ Garbage grinder (M/(� Other-Type of Building �}-�Q Cam"`Q �Gt;C, No.of persons d Showers ( *Cafeteria Other Fixtures 1 � rs `k"Ck91 &-i\ ek� I Cr Design Flow(min.required) 3�J� gpd Calculated design flow _ J Design flow provided 33 gpd Plan: Date ' g f7 r) Number of sheets I Revision Date Title c kDStJC 4-4G2 f 4qL&)9,g,Q Description of Soil(s) Ip o Soil Evaluator Form No. C Name of Soil Evaluator % ate of Evaluation cR`4'03 DESCRIPTION OF REPAIRS OR ALTERATIONS a.— DESIGNING ENGINEER MUST SUPERVISE INSTALLATION AND CERTIFY IN WRITING THEE SYSTEM WAS INSTALLED IN STRICT The undersi ed agrees to install the above described Individual Sewage Disposal Syst93fiq1c�E'drel ce wiifh�lie provisions of TITLE 5 and further agrees not to lace the sys o era'on until a Certificate of lianpie has been issued by the Board of Health. Signed Date J J lJ� Inspections No. + 1 ,$ E �•',;. . _FEE D Boardf6f H/'ealth, i��; G�`-�•ems ; MA` �1 K 1 t APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION MMIT Application for a Permit to Construct( Repair Upgrade( Abandon( - ❑Complete System *dividual Components ;Location 4 26, A A� Owner's Name �t (1•n 6C� Map/Parcel# ` \ Address Lot# Telephone# / Installer's Name � �s Designer's Name v Address Address PC (YM u__ " Telephone# ��J �_ S�1 a Telephone# A)a ,S Type of Building s \ �.n- C� i, t - Lot Size ��y sq.ft. Dwelling-No.of Bedrooms ''":iJe1 ��[ SAC C \�-`�(1 Garbage grinder (J�� Other-T eofBuildin �-�_ c - ,r� /Type g �� \G C-�`V [, (��C` CQ �^N`o.of person c2 Showers ( )k Cafeteria ( 0/ Other Fixtures �-.S: �'-Z� \,. % &-L3 r-,&k, Design Flow (min.required) 1,11 0 gpd Calculated design flow �, J lt�!-Design flow provided 33 i.� gpd Plan: Date 5 "Q Number of sheets ` +• �Ry e ision Date S_ w Y�Sti1C �c GG`2 ��' cCr P l�.�fl>� �s < Description of Soil(s) i . 1 � � l i r ..�, 1• ;M Soil Evaluator Form Not F Name of Soil Evaluator t � ' �� Cs-Cl'Y�2,(lt ate of Evaluation C:p �. ; DESCRIPTION OF REPAIRS OR ALTERATIONS - p SS 41-1 �"',," G C��.•" 1 �-,r t The undersi .ed agrees to install the above escri a In a.d b d Individual Sewage Disposal System in accordance with the rovisions:.of T' '5 and further agrees �ttof dace the sysspim;iln�o�pperation until a Certificate of Compliance has been issued by tlietBoard of Health " Signed ` 9 f.� _ llw'/1�4 Date �' f. ��'�� `" y F 1 Inspections / ! #.�-,r7��.rc�.��'=-�-++=`--n.:�,-o�n.r-.t.;._:...• ;�'_..,_--�i--.---mot=- -� - ...� ,.-.-' --� t - _-..�_�.n y-.. :...,-. ...--�y-'�..-. .... '. � _ a No. , COMMONWEALTH OF MASSACHi1JSETTS FEEj Board of Health, tl ,!',!/I � �/I f'11 MA_ Description of Work: t individual Components) ❑Complete System w The unders�i�gnedf hereby certify that the Sewage Disposal System; Constructed O,Repairedz( Upgraded Abandoned ( ) at 11�J. ._f4 /� J� has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the app�oeed$design plans%as built'plans relating to a application Nol dated Approved Design Flow Installer Designer: Inspector: ^'' Date: #� The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. m 3 "��3 FEE 5 COMMONWLALT14 ®F MASSACHUSETTS Board of MA. Health DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( Repair( Repair(�)� Upgrade( ) Abandon( ) an individual sewage disposal system at L t' �� `eJ/ / - �. ILL_ �f�l. /, � � /� � � as described in the application for Disposal System Construction Permit No. dated i Provided: Construction shall be completed within three years of the dat of is er, it: All loc�conditiotis must be met. /� Board of Health ••.,. d Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date 05/01/2003 07:03 5085480796 CARMEN E SHAY EN11IR0 PAGE 02 CARMEN E. SHAY (508)-548-0796 ENVIRONMENTAL.SE11VICES, INC. P.O.Box 627,East Falmouth,MA 02536 April 30,2003 RE: Certification of Title V Septic System Installation: Residential Property—43 Point Hill Road, West Barnstable, MA Dear Sir or Madam: On April 28, 2003, Roger Roberts,Inc. was issued a permit to install a Title V Septic System at 43 Point Hill Road, West Barnstable, MA, based on a design drawn by Shay Environmental Services, dated, February 8, 2003. XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan I Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at(508)-548-0796. Sincerely, CARMEN E. SHAY ENVIRONMENTAL SERVICES,INC. H OF MAs�C CARMEN y� E. Y y 0. 1181 Carmen E. Shay, R.S., C. President 4I1ITAR��`N TOWN OF ARNSTABLE SEWAGE# P003-43 LOCATION VILLAGE ASSE & LOT ef INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I LEACHING FACILITY: (type) , '�� (size) NO.OF BEDROOMS I 1 BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the* Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by I �3 a 4 Department of Environmental Management/Division of Water Resources a � WATER WELL COMPLETION REPORT WELL LOCATI N GEOGRAPHIC DESCRIPTION Address ko "3 a.jtrl N S E W of (ICCf) (ClTla) City/Town S Well owner ��"^ CcwS (road) Address L/�nr w.®v�l^ ,. tl ^ N S E W of . YmL In tenths) (circle) Board of 171e'alth permit: yes-10 no intersect. w/ (road! WELL USE WELL DATA / Domestic ®�ublic❑ Industrial ❑ Total well depth' ft. Monitoring❑ Other Depth to bedrock rft. Water-bearing rock/unconsolidated material: Method drilled � �`'`� ,.� c>,"� Descriptions "� Date drilled Water-bearing.zones,. j CASING ^� 1.) From U To Type t't l �r / '21 From To Length Sy It. Dial.I.D.) in. 3) From To Length into bedrock ---ft. Gravel pack well: dia.. Protective well seal: Screen: dia. Grout-0 Other Nam` Slot"`.l 5 length 4 ' from sy toy ' STATIC WATER LEVEL y Static water level below land surface U ft. Date WELL TEST hr. min.at I U gpin ' Drawdown�ft. after pumping p 9 How measured. T� Recovery L/ ft. after'—hr. / mIn. LOG of FORMATIONS COMMENTS c xi Materials From To - - y��Sc ' Driller i). J. /`A7Jo�i.s" e-C (�' Mass. Registration# /4 Firm / r Address. n,elo% So•�d 40' 6 Z' City/Town /�A6.: Rd i signalurp o mipervis/n lsterod well dr!ller - Please print firmly BOARD OF HEALTH COPY - .cA. DEED RESTRICTION Bk 16812 Ps305 50018 04-28-2003 & 1 O = OOCL This Deed Restriction is entered into this April 26, 2003 by Mr. John J. Gabellini & Mrs. Lorraine R. Gabellini of 43 Point Hill Road, West Barnstable, MA 02668 and the TOWN OF BARNSTABLE, by and through its Board of Health. Whereas, Mr. John J. Gabellini & Mrs. Lorraine R. Gabellini is the owner(s) of certain real estate located at 43 Point Hill Road, West Barnstable, Barnstable County, Commonwealth of Massachusetts, as described in a deed recorded at the Barnstable County Registry of Deeds in Book 3045 Page 208, herein after referred to as the "Property", and further described as follows: ASSESSORS MAP 136 , PARCEL 18 and filed at the Barnstable County Registry of Deeds in Plan Book 249 Page 107. WHEREAS, Mr. John J. Gabellini & Mrs. Lorraine R. Gabellini as the owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.00 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage. WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to grating a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and/or authorizing the issuance of a building permit for the construction of a single family home on the property, is the requiring that the agreement for the restriction on the number of bedrooms in any house existing and/or constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW, THERFORE, Mr. John J. Gabellini & Mrs. Lorraine R. Gabellini does hear-by place the following restriction on his above referenced land in accordance with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. #43 Point Hill Road may have constructed upon the lot a house containing no more than three (3) bedrooms. DEED RESTRICTION Mr. John J. Gabellini & Mrs. Lorraine R. Gabellini agrees that this shall be a permanent deed restriction affecting 43 Point Hill Road located on West Barnstable, MA and being shown on the plan recorded in Plan Book 249, Page 107. For Title of #43 Point Hill Road, West Barnstable, MA, see the following deed: Book 3045 Page 208. The consideration for this restriction is the approval of the sewage disposal system for the Property by the Town of Barnstable Board of Health at its meeting of April 15, 2003 Executed as a sealed Instrument and Witness our hands and seals this P' `day of Npele- 2003 ers Sign r Owners Signature L/ tary Public My Commission Expires JE 881CAlYMAN ,r �'� 26e" 2003 CommcmNA oU S NCNI . 2CJ , 29 Barnstable, SS. MCommon Wo Nor.20,2W Then personally appeared the above named, Mr. John J. Gabellini & Mrs. Lorraine R. Gabellini known to me to be the person who executed the foregoing instrument and acknowledged the same to be Mr. John J. Gabellini & Mrs. Lorraine R. Gabellini and acknowledged the foregoing.instrument to be his/her free act and deed, before me. 44 ' Town w of Barnsta 1 t � be Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MS Wayne Miller,M.D. April 18, 2003 Mr. Carmen Shay, R.S. Box 627 East Falmouth, MA 02536 RE: 43 Point Hill Road, West Barnstable A= 136-018LI Dear Mr. Shay, You are granted conditional variances on behalf of your client, John Gaballini, to construct a replacement soil absorption system at 43 Point Hill Road, West Barnstable. The variances granted are as follows: PART VIII, SECTION 1.00: The soil absorption system will be 52 feet away from the bordering vegetated wetland, in lieu of the 100 feet setback separation distance required. 310 CMR 15.211 (1): The soil absorption system will be located 2.5 feet away from the garage slab foundation, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.211 (1): The soil absorption system will be located 18 feet away from the home's foundation wall, in lieu of the twenty (20) feet minimum separation distance required. PART XIV, SECTION 2.00: The soil absorption system will be located 137 feet away from the private onsite well, in lieu of the 150 feet minimum separation distance required. These variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and I ShayGaballini similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the revised engineered plans dated April 11, 2003. (4) The designing sanitarian shall install stakes at the four corners of the proposed SAS location prior to installation. (5) The designing sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the close proximity wetlands, neighbor's well locations, and due to the shape of the lot. The proposed soil absorption system appears to meet the maximum feasible compliance standards contained within the State Environmental Code, Title 5. Sincer ly yours, Wayne Mi r, M.D. Chairman ShayGaballini C <t I� I . • Al •ae2TQ flcc P.ftoo.nAj Li r } coo. J�. 7 r k Jam —o l j or /rrtcum �� a (� . I� 0 h�1l�` _... ES Eq[toor•!I�'. ac.'G. • 14 4 �TO STCO :[=our ... -. ._ h { I� J c r LV �. VVaa�• ,'.r ' J • ILA, �- - " ro ,,�� ... ° �•� � �--- i j or f f 1 jili ape, CL C>. r 4n .. - e .. .. g NAR.24.2003 9:29AN BARNSTABLE BOARD OF HEALTH` NO.080 P.1/1 DA�Et 4 SEFt as ea RSiC. By Town of Sarnstablet CHED. DAM Board of Health 200 Main street, Hyannis MA 02601 fice 508.862-4644 sutnaerKau Susan o.Rask,R.s. Of FAX: 508-9 4644 fman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE RE-0IMST ORM LOCATION Property Address: '- W Assessor's Map and Parcel Number: M1�,? l"J11 LjO Size of Lot: Wetlands Within 300 Ft, Yes Business Name: No Suu�bdi\visioa Name, A"LIC T'S NAM&:_ Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNE3ta_NAME CONTACT PERSM Name; 1Cl r•� Name. cr-mc.� S V 1�_ Address: ��'� �� Address: lg � n Oa-S3C P'aone: ?hone:. V&K&NCE F CAUL (l.lstseg.) REASON EQ4 VkRIA=Nay utsoh if more spaco aeeded) t•S • a It C,1 NATURE OF WORK: House Addition CO House Renovation ❑ Repair of Failed Septic System b� eels 0o be completed by evo sia,�r-person reeetying vcrianes requess application) Four(4)ooples of the oompleoed variance request form _ Pour(4)copies of englneerod plan submitted(o.g,scptio$yawn plans) Your(4)ooples of labeled dimonsional floor plans submitted(e.g.house plans or restsatrsnticitcltert pIana) _ Slgnod lettet stating that the propetV ownor authorind you to ropresent him/her for this tequest Applicant understands that the abutters must be notified by certified mail at least tan days prior to mooing date at applicant's expense (for ntle V and/or looal sewage regulation varianooa only) Full rsmu submitted(for grans&trap variance requests only) Variance request application fee collected (no fee for lifeguard modifloation renowsls, grease trap variance renewals (saute owner/imeo only),outside dining variauoe reucwab[same owner/louce only],and vari utoes to ttpdr failed iowagc disposal gystoms (only if no expansion to the building proposed)) _ VvjvDce roquest aubmittad at least IS days riot to meeting date Susan Q.Rask,RS.,Chotrman VARIANCE APPROVED NOT APPROVED Sumner Kaufman,M.S.PH REASON FOR DISAPPROVAL Wayne A.Miller,M.D. qt\XiLkLTH\Application Fcrns\VARIREp,DOC r r. CARHEN E. SHAY (508)-548-0796 ENVIRONMENTAL SERVICES, INC. 34 Thatchers Lane,East Falmouth,MA 02536 April 15, 2002 Mr. Sam White Health Agent Town of Barnstable Yarmouth Road Hyannis, MA 02601 RE: REQUEST FOR LOCALVARIANCE FOR PROPOSED TITLE V SEPTIC SYSTEM: Residential Property 43 Point Hill Road, West Barnstable, MA Dear Mr. White: In accordance with MGL 310 CMR 15.00, CARMEN E. SHAY- ENVIRONMENTAL SERVICES, INC.(CES) request a local variance for the proposed Title V septic system Repair for the residential property located at 43 Point Hill Road, West Barnstable, MA. The following details the type of variance requested, technical justification of the variance and evidence that the granting of the variance will not pose a risk the environment as defined in 310 CMR 15.410 (1) (b). The following details the type of variance requested, technical justification of the variance and evidence that the granting of the variance will not pose a risk the environment as defined in 310 CMR 15.410 (1) (b). Tyne of Variance: 1. A variance is requested which will reduce the distance from the proposed SAS from 10 feet from the concrete garage slabe foundation to 2.5 feet. A 40 Mil Rubber Liner has been proposed. 2. A variance is requested which will reduce the distance from the proposed SAS from 20 feet from the House full foundation to 18 feet. A 40 Mil Rubber Liner has been proposed. 3. A variance is requested to reduce the setback from the onsite private well from 150 feet to 137' 4. A variance is proposed to locate the new SAS 52 feet from an isolated wetland. Justification of the Variance: CES has located the Title V System components as shown on the attached plan entitled " Proposed Septic System" due to the following site constraints: • Due to the constraints posed by the isolated wetlands, a right of way and both onsite and could only abutters private drinking water wells, the SAS y be sited as shown on the proposed plan. • The sited area has previously been cleared and is unobstructed relative to access for equipment, overhead utilities. Justification of No Additional Environmental Risk Currently, the existing septic system is failed and therefore not able to provide adequate protection to public health and the environment. This will not only pose a health hazard to site occupants, but also to the habitat associated site groundwater and with the nearby wetland. The proposed scope of work would involve installation of a septic system, which would be constructed in accordance with current Title V. regulations to the extent possible. The proposed system would consist of a 1,500, gallon septic tank, a'd-box and a 12' x 25' leaching field for 3 bedrooms maximum. The proposed leaching system has been sited at the maximum distance away from the Wetlands, feasible while still maintaining compliance with applicable Title V regulations. CES has made provisions in the design for double staked hay bails to be placed in the work area to protect the wetlands during the work activities. Based on the following: 1. The presence of the Wetlands, the presence of private wells and constraints posed by the property size requires siting of the Title V Septic System within 100 feet from these resources. 2. All alterations to existing topography that will be made to the property relative to the installation of the Title V system will not significantly affect storm water flow. 3. The installation of a limited 330 gpd system will ensure adequate protection to public health and the environment. 4. The proposed septic system installation activities are proposed no closer to the resource areas than the existing dwelling. If you have any questions, please do not hesitate to call the undersigned at (508)-548-0796. Sincerely, CARMEN SHA Y ENV IR ME " AL S R , INC. Carmen E. Shay, R.S., C.S. President TOWN OF BARNSTABLE LOCATION �1 /�c�yr j�,/l /2�3 SEWAGE # VILLAGE ASSESSOR'S MAP & LOT 13,1g,- Q INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY/Gflo rw1. LEACHING�FACILITY:(type) Zoo? # i'iT (sue) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC .WATER ` A�' 47 BUILDER OR OWNER J�i�V a 41yPZeSA1V DATE PERMIT ISSUED: III DATE CObIPLIANCE ISSUED: "? _f 4 " �3 VARIANCE GRANTED: Yes V No �. �i ` a i — — .._— . �1� f � e ' �,. C' � � ' +°'L.l.. ✓' aJ 4 y •�' ` ;�6 y` �, -, /. ,,. . �� -�� a 1S No.- 71::.y.66 ` FiE$.....4.0�...�-....._ THE COMMONWEALTH OF MASSACHUSETTS 1 72 79 BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dispasal 11irkii Tatuitrnrti in ramit Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal System at: , L oT_.�a.............'d,^�:----.,=��---•'� ............... .....................................R^� ......................................... ............ .. r r�z L 'on-Address' u or Lot No. �j 19.f� .... p:-�---..i .pl__g�.�1!ti•1.............•----•--------- _! �tt/v�t` s '-----• mgkv��---f-94..`-.-•---•......-- a /s �/�.7s' OWI..�� + a�l7 RaS Addr s,,,, . - ...................... .... •- Installer Address Type of Building Size Lot.5'jQS ?�.....Sq. feet U Dwelling—No. of Bedrooms-33.....................................Expansion Attic (qd) Garbage Grinder (46) Other—Type e of Building No. of persons............................ Showers W YP g -------------•-•--...------- P ( ) — Cafeteria ( ) Otherfixtures ---------------------------•---------------'-----------------•----------••----......----------"'--'-'---•----•--•-•--•....-----•••-•-...._......---- W Design Flow.......................f.1.q.............gallons per person per day. Total daily flow...............�dc)..................gallons. WSeptic Tank—Liquid capacityigPO.gallons Length................Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.....................Total Length.................... Total leaching area._........j..._.__...sq. ft. Seepage Pit No........j........... Diameter.....6............ Depth below inlet.................... Total leaching area..�td�-�-�sq. ft. Z Other Distribution box (x) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of.Test Pit---4................ Depth to ground water........................ - - - ---- - D Oescrton ool------- n ------------------- -•--•• 7 � .---------------------•----•----.....-----•...---...----------------•------.:•......---•---------------•-.'-------------.....------------•-•--'-' wU Nature of Repairs or Alterations—Answer when applicable._.............................................................................................. --------'-----------------------•--'•----------....--------'•-----'-------------------------........------'--'--------------------------"-'••-•--------------•---------'----•••-----'--'-----......•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha be n issued by t board of health. Signed........-- . --......... . -- .... ----- ----------------------------- - . Date Application Approved B ----------------------------------------------- PP PP Y -------------- .. .- - ------- ------------------ -------�--'-lei--"--�'`� Application Disapproved for the following reasons- ----------------------- -- -- ------------------------------------- ........................................................ ----- -- ------------ -------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------- ........................................ Da PermitNo. ........7 L..".-----� ------------------- Issued ------------------------ -------...---...---------------te ...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTHDESIGNING ENGINEER MUST SUPERVISE TOWN OF BARNSTA 'YST M AND CERTIFY IN WRITING. !� SYSTEM WAS IN TALLIED IN STRICT Tertifirate of C o raptiaACCORDANCE TO P THIS IS TQ CE'RTIFY That the Individual Sewage Disposal System constructed ( ) or Repairedby ( ) r .Lt.s------.-6&. S......... ................ Her atL -Z. 3 �`,........ .tL........ �.. ...............................................�-- has been installed in accordance with the provisions of TITLE 5 o.f The State Environmental Code as described in the application for Disposal Works Construction Permit No. ....... ........... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE--------------------- ---------------- -------------------------------------------------------------- Inspector ...........------........------..............:-------------------------------------............. , THE COMMONWEALTH OF MASSACHUSETTS 7 a 7'�5` BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dispuaa1 Works Tontitrurlilau thrutit Application is thereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: + , Pm .. R ....W.....................................` RN L ...................................... L ton-Address C 85tA t-t7 S'T. or i niAu,S . ow - e � Add" .,�oN 7 :_ "..................................•-----•-••--------•----•..•--•- ............................. 'CRs / + u Installer Address U Type of Building Size Lot.5-_��- ?t .....Sq. feet �-, Dwelling—No. of Bedrooms.3.....................................Expansion Attic (Hd) Garbage Grinder VC) Other—Type T e of Building a, •, yp g ____________________________ No. of persons......�_.____.__.._.-..._-_•Showers ( ) — Cafeteria 4 ( ) ' Other fixtures W Design Flow.......................0 -------------gallons per person per day. Total daily flow---....-------.3.19..................gallons. WSeptic Tank—Liquid capacitykPO_gallons Length................ Widtli...=:-.----..... Diameter---_.........1. Depth................ x Disposal Trench—No. .................... Width.. .............Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........j........... Diameter.....6.-......... Depth below inlet.................... Total leaching area..l,a-ysq. ft. Z Other Distribution box (X) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ W Test Pit No. 1................minutes per inch Depth of Test Pit--.-.-.---.-..----_. Depth to ground water.--........................ fX4 Test Pit No. 2................minutes per inch Depth of Test Pit--..........--...... Depth to ground water...---.................. n . ;--- . O Description of Soil-------/l-S------••--®�--•----`L�N4� 'VLO x W U Nature of Repairs or Alterations—Answer when applicable.----------------- -••••--••-•---•------•-----------••--••-•---------•------•••-••••••••••--•-•--•••••----••-•-•---•---•---•---••-•••••••---••---------•••-•-••----•----••-•••-------•----••-••-•--••••--•........••--.••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha be'n issued by t .e board of health. p Signed � ....�...t...��--------------- - -------- --------- Date Date Application Approved B --------- --- ------- --------------------------------- PP PP Y Date Application Disapproved for the following reasons: .......... ......................... ............... ..................... ................................................. ------------........................................----------------------------------------- --- ------------------------------------------------------------ ---------------------------- ---- ---------------- ---------------------- v Dzte PermitNo. --------- --- ------------------- Issued ------------------------------...----- -- ----------------------- Date � . t THE COMMONWEALTH OF MASSACHUSETTS ? BOARD OF HEALTH TOWN OF BARNSTABLE Geztifirate of Compliance THIS IS T ERTIFY That the Individual Sewage Disposal System constructed ( /) Or Repaired'( by ..... ..................L t-- ........�dR �r '7",.................----- ------.......------------------------...............--------------------------....---------------............. at ............... o F-...- 7----6-...-------- ..-.--..--....'v.......4 f-- 1._.... staujt has been installed in accordance with the provisions of TITLE 5 o�The State Environmental Code as described in the application for Disposal Works Construction Permit No. ------._-_. ---_----11.6.6........... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------- ------------------ -----------------------........--------------------------------- Inspector --.....----------.........----------.......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No...C� L//h TOWN OF BARNSTABLE ----....'....�� FEE...... .Via........ Disposal 19orkii T.uuitrwtivit Prrmit Permission i thereby granted........��ll/•5 &Rd 5`. c .........................--- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No..........2L -7--•2'..... Q c -- /-,f..// ?,�.�Q t.V_ _� 1/?�� . .......•••...•----•........ . ----- = Street QQ as shown on the application for Disposal Works Construction Permit No._?2-.y�(n.. Dated.......................................... •...........................••-----......-------- ... . .......... Board of Health FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS uFTHE T� TOWN OF BARNSTABLE OFFICE OF i Daa MU& : BOARD OF HEALTH � M0. i639' 367 MAIN STREET HYANNIS,MASS.02601 January 16, 1992 Paul Anderson 6 Carriage Lane Yarmouthport, MA 02675 Dear Mr. Anderson: You are granted variances to install an onsite sewage disposal system at Lot 3 Point Hill Road, West Barnstable with the following conditions: ( 1) A vent shall be installed at the leaching facility. (2) The applicant shall obtain a well construction permit from the Health Department prior to construction of the proposed onsite well. (3) Prior to approval of a Disposal Works Construction Permit, the applicant shall submit water sample results to the Health Department. The onsite well water shall be tested for all the parameters as required by the Board of Health Private Well Protection Regulation adopted 1989, and shall meet all the standards of the Safe Drinking Water Act, adopted 1974, revised -1986. (4) The onsite sewage disposal system shall be installed in strict accordance to the submitted plan dated revised December 16, 1991. (5) The dwelling cannot contain more than three (3) bedrooms. Dens, study rooms, finished cellars, sleeping lofts, and similar type rooms are considered bedrooms according to the Massachusetts Department of Environmental Protection. (6) The designing engineer shall supervise the installation of the onsite sewage disposal system and certify in writing to the Board that the system was installed in strict accordance to the submitted plan. V/(7) The applicant must receive the approval of the Conservation Commission. The variance is granted .because the wetland was inspected by the Town's Conservation Administrator, Robert Gatewood, who agreed it is a small isolated perched wetland, which does not contribute to any other wetlands. Also, it does not support any wildlife other than possibly, salamanders and toads. It is the Board's opinion that the proposed system will . not adversely affect the health of the public in the area. Very truly your , t C, Snow, M.D. an OF HEALTH TOWN OF BARNSTABLE JCS/bcs Copy: Lynn Hamlyn John Gabillini i t t� No.--------------- ---- Fee- BOARD OF HEALTH TOWN OF BARNSTABLE Application-*rVeir Con5tructionPermit Application is hereby made for a permit to Construct (✓f Alter ( ), or Repair ( )an individual Well at: ------- ------------------------------------------------- ------------------- Location — Address Assessors Ma--and Parcel -1 ------------------------ Owner Address --41c --- Installer — Driller Address Type of Building Dwelling --5�^��2--- ire �x---------------- Other - Type of Building -------- No. of Persons--------------------------------------------------- Type of Well y'� -�!/G- ------------------------------ Capacity -------- -------6M - ---------------------- Purpose of Well---S`'.!',P - 'fir _ --- -- - 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 as Certificate of Compliance has been issued by the Board of Health. Signed- �1 1�---� "-"�{- --- - / 2- date Application Approved By----------------_ --- ------------- -- ------------------- _ � ------------------------->-- L��%'%� date Application Disapproved for the following reasons:----------------------------------------------------------------------------------------------------------- -------------— - --- date � i - ---- Issued---------- ------da --- -- ------------------- Permit No.-- ----- -------------------------- �--- date BOARD OF HEALTH TOWN OF BARNSTAB LE Certificate ®f Compliance THIS IS TO ERTIFY, That th dividu 1 Well C structed Altered ( ), or Repaired ( ) by---- --- ----------- ---------- - -—-- -- Inst e �j�---------------_--- - - ---- -- ----- --•�--- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection 01 Regulation as described in the application for Well Construction Permit No. '"41,---•--`---_;65 ed - :5J THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE.CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- -- - -- —------- ----- ----------- Inspector------------------------------------------------------------------------- i �cr e� No.- Fee— 9=�- --L! BOARD OF HEALTH TOWN OF BARNSTABLE ZIPPritat ion ArMelt Co0tructiollPermit Applicgns` hereby made fo a pem�o Construct (V), Alter ( ), or Repair ( )an individual Well at: r- Location — Address Assessors Map and Parcel --s----�h�-_fin _s :-_ 2u-<_�? •i�oyy --- Owner Address Installer — Driller Address Type.of Building Dwelling----- ��'-__ L l/----------------- Other - Type of Building--------------------------- No. of Type of Well-- U - v__G-------------------------------------- Capacity ------ Purpose of Well — -;-r�`-- s --- - 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-- C = ------- - j 3 2- date Application Approved By- - 4 date Application Disapproved for the following reasons:------------------------------------------------------------------------------- date Permit No.---- — -- - - Issued-------------- - F, date BOARD OF HEALTH" TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TOO CCERTIFY, That the Individual Well Constructed (�j j Altered ( ), or Repaired ( ) Installer at- ,--- - - / -repprovisions vas�---- -- -y�--------- has been installed in accordance with t of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE - ------ ---- --- -------------------- Inspector- ----------------------------------------------- -- BOARD OF HEALTH TOWN OF BARNSTABLE Melt Cootruct ion Permit NoFee----------------- , � Permission is hereby granted - --- --- n - — ----- ____ to Construct (,,) Alter ( ), or Repair ( ) an Individual Well at: ( '" No. _�_---- — '_ ----- Streeft as shown,aon the application for a Well Construction Permit No.--r --- ' —=—"�-� - _____ Dated Board of Health DATE-------- E L L I S BR0S . C 0 N S T CO . TOWN 13igR,V _SEWAGE PERMIT NO . OWNER N A M E aI flGAS t)N y3 i oxw z,& PERMIT DATE ISSUED COMPLIANCE ISSUED,-)�-13 BUILDERS NAME ?4zlZ AND 'iZtnk' WATER TABLE FINAL INSPECTION BY : :J-'' 6— DATE -- 1(o-cl3 NEW ��+c+ ;T Ud, �cee-,REPAIR . DRAW SKETCH OF COMPLETED SYSTEM WITH DIMENSIONS ON BACK 1 ;j ,t.6 a a ENVIROTECH LABORATORIES Mass. Cert. #:MA063 449 Route 130 Sandwich, MA 02563 • (508) 888-6460 CLIENT: Blae Reels Well Drilling LOCATION: Lot 3 Point Hill Rd. ADDRESS: E. Dennis, MA Barnstable, MA COLLECTED BY: — pelis; SAMPLE DATE: 9-4-92 TIME: DATE RECEIVED: 9-4-92 SAMPLE ID:RB 4 JOB #: New well WELL DEPTH: RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 pH pH units 6.0-8.5 Conductance umhos/cm 500 Sodium mg/L 20.0 Nitrate-N mg/L 10.0 Iron mg/L 0.3 Manganese mg/L 0.05 Hardness mg/L as CaCO3 500 Sulfate mg/L 250 Potassium mg/L 20.0 Alkalinity mg/L 200 Chloride mg/L 250 Turbidity NTU 5.0 Color APC units 15.0 Background bacteria a COMMENT: EPA Method 601/602 - See attached report. M No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PA ETERS TESTED. UX 0 DATE 9-14-92 -16.53 ;GROUNDWATER A\AL'-T_C'T, �Oo 759 447.5, - 21� � q .w GROUNDWATER ANALYTICAL EPA METHODS. 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: BR4 Lab ID: 3719-01 .K Project: Point Hill Lot 3 Batch ID: VHA-1054-W Sampled: 09-04-92 Client: Envirotech Received: 09-08-92 _ Cont/Prsv: 40m1 VOA Vial/NaHSO4 Cool Analyzed: 09-10-92 Matrix: Aqueous 1 'i CONCENTRATION REPORTING LIMIT PARAMETER (u9/L) (u9/L) BRL 1Dichlorodifluoromethane BRL Chloromethane BRL I ' ° Vinyl Chloride 5 Bromomethane BRL Chloroethane BRL 1 Trichlorofluor.omethane BRL 1 1,1-Dichloroethene BRL 1 ' BRL 1 4 Methylene Chloride _BRL 1 i trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane cis-1,2-Dichl,or6ethene * t 2 BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane 1 Carbon Tetrachloride BRL BRL 1 Benzene BRL 1 1,2-Dichloroethane Tr`ichloroethene BRL 1 1,2-Dichloropropane 1 Bromodichloromethane BRL 1 2-Chlor.oethylvinyl Ether BRL 1 trans-1.,3.-Dichloropropene BRL 1 Toluene BRL 1 cis-1,34ichioropropene BRL 1 1,1,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene BRL 1 m+p-Xylene * BRL 1 o-Xylene * BRL 1 Bromoform BRL 1 1,1,2,2-Tetrachloroethane BRL 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene BRL 1 QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 27 90 % 83 - 117 % Fluorobenzene 30 31 102 % 87 - 113 % BRL Below Reporting Limit. Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). a The variance is granted because the wetland was inspected by the Town's Conservation Administrator, Robert Gatewood, who agreed it is a small isolated perched wetland, which does not contribute to any other wetlands. Also, it does not support any wildlife other than possibly, salamanders and toads. It is the Board's opinion that the proposed system will not adversely affect the health of the public in the area. Very truly yours,, L-%• , �.. Lam. ,f Z-c.,J v--� � �� °U o ph Cr Snow, M.D. hairman OARD OF HEALTH TOWN OF BARNSTABLE JCS/bcs Copy: Lynn Hamlyn John Gabillini h PyofTHfTa�` ' TOWN OF BARNSTABLE o a � OFFICE OF a AX& N ML BOARD OF HEALTH 0o i679 eta - 367 MAIN STREET MAY�. HYANNIS,MASS.02601 January 16, 1992 Paul Anderson 6 Carriage Lane Yarmouthport, MA 02675 Dear Mr. Anderson: You are granted variances to install an onsite sewage disposal system at Lot 3 Point Hill Road West Barnstable 'with the following conditions: ( 1) A vent shall be installed at the leaching facility. (2) The applicant shall obtain a well construction permit from the Health Department prior to construction of the proposed onsite well. (3) Prior to approval of a Disposal Works Construction Permit, the applicant shall submit water sample results to the Health Department. The onsite well water shall be tested for all the parameters as required by the Board of Health Private Well Protection Regulation adopted 1989, and shall meet all the standards of the Safe Drinking Water Act adopted 1974, revised 1986. (4) The onsite sewage disposal system shall be installed in strict accordance to the submitted plan dated revised December 16, 1991. (5) The dwelling cannot contain more than three (3) bedrooms. Dens, study rooms, finished cellars, sleeping lofts, and similar type rooms are considered bedrooms according to the Massachusetts Department of Environmental Protection. (6) The designing engineer shall supervise the installation of the onsite sewage disposal system and certify in writing to the Board that the system was installed in strict accordance to the submitted plan. (7) The applicant must receive the approval of the Conservation Commission. :a ENVIROTECH LABORATORIES Mass. Cert. #:MA063 449 Route 130 Sandwich, MA 02563 . (508) 888-6460 CLIENT: Blue Reek Well Dr-411ing LOCATION: Lot 3 Point Hill Rd. ADDRESS: E. Dennis, MA Barnstable, MA COLLECTED BY: d Kapel i s SAMPLE DATE: 9-4-92 TIME: DATE RECEIVED: 9-4-92 SAMPLE ID:RB 4 JOB #: New well WELL DEPTH: RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 pH pH units 6.0-8.5 Conductance umhos/cm 500 Sodium mg/L 20.0 Nitrate-N mg/L 10.0 Iron mg/L 0.3 Manganese mg/L 0.05 Hardness mg/L as CaCO3 500 Sulfate mg/L 250 Potassium mg/L 20.0 Alkalinity mg/L 200 Chloride mg/L 250 Turbidity NTU 5.0 Color APC units 15.0 Background bacteria COMMENT: EPA Method 601/602 — See attached report. M NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. fix �L.. DATE 9 1 y a 9-1=-92 16:63 ;Ii�VJ'iDw' iER ANALYTICAL , 508 7=9 4476. 211 4�_ a GROUNDWATER ANALYTICAL EPA METHODS''601 and 602 Volatile Organics (GC/PID/ELCD) Lab ID: 3719-01 Field ID: BR4 Batch ID: VHA-1054-W M Y Project: Point Hill Lot 3 Sampled: 09-04-92 Client: Envirotech Received:. . Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Analyz09-10-92 Matrix: Aqueous Analyzed: 09-10-92 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) BRL 5 Dichlorodifluor-omethane BRL Chloromethane I Vinyl Chloride BRL 5 Bromomethane BRL Chloroethane BRL I = Trichlorofluoromethane BRL 1 BRL I 1, 1-Dichloroethene BRL Methylene Chloride _BRL 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane 1 cis-1,2-Dich1or6ethene * 2 BRL 1 Chloroform BRL I 1,1,1-Trichloroethane Carbon Tetrachloride BRL I Benzene BRL I 11 2-Dichloroethane BRL 1 BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL I 2-Chloroethylvinyl Ether BRL 1 s trans-La-Dichloropropene BRL I Toluene BRL cis-1,3-Dichloropropene I 1,1,2-Trichloroethane BRL I Tetrachloroethene BRL I Dibromochloromethane BRL I Chlorobenzene BRL I Ethylbenzene BRL I m*Xylene * BRL I o-Xylene * BRL I Bromoform BRL I 1,1,22-Tetrachloroethane BRL I 1,3-Dichlorobenzene BRL I 1,4=Dichlorobenzene BRL I 1,2-Dichlorobenzene BRL . 1 QC SURROGATE :COMPOUND SPIKED MEASURED RECOVERY QC LIMITS Bromochloromethane 30 27 190 % 87 - 113 % Fluorobenzene 30 31 BRL - Below Reporting Limit. " Non-target compound. Method References: Method 601 - Purgeable 986). Halocarbons and Method 602 - Purgeable Aromatics,. 40 C.F.R. 136, Appendix A (1 TOWN OF BARNSTABLE LOCATION 38 r� . to-k t'�rr-6 f2�.. SEWAGE # S'& - VILLAGE CS ,ate-� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) F�Q (size) /o " :�4 ,/o�— NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 4 A DATE PERMIT ISSUED: DATE .COUPLIANCE ISSUED: VARIANCE GRANTED: Yes No i,-� t t y IlG �O 2.pO o b � ,j l P,W. .- 362-4541 939 main street,rt 6a yarmouth port mass 02675 down cape engineering civil engineers& land surveyors structural design Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys February 26, 1993 site planning sewage system designs Thomas McKean, Health Director Town of Barnstable 367 Main Street inspections Hyannis, MA 02601 permits Re: Septic inspection, Lot 3, Point Hill Road, West Barnstable Dear Tom: On February 16, 1993, Down Cape Engineering, Inc. supervised the installation of the septic system at the above-referenced site. This is to certify that the system is in compliance with the site plan prepared by this office, dated revised 1-28-92. Sincerely, Arne H. Ojala, PE, PLS Down Cape Engineering, Inc. 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I , I I � I I � I : 1, .11 � '' �,� 1,- I , . - . ----_ ------- : "__� xzll'� I I I � I _ I :. f I � I I I 1. .� I I : I I I I - � � . � r � I I I . I- I 11 � , 11 / I �- 4�L � I 11 I [.*.' � 1, ,- , , � , I I .-,� I I I I - 11 I I I I � � / W I S - 0.02 - - I�I . I I I I �I PROFILE VIEW OF LEACHING SYSTEM - 1, I � I 11 - I C , I I 1. I I I : - - , � I I _`31 1 I I � I I I 111 I :,;1'r �, _ I I . .,Excavator Shay Environmental Services, Inc. � 1 7----------- I � I I - 1� `4 I . I I I I - I I . I 1. �K�� I / I Percolation Rate: Less Than 2 min./inch 0 90" 1 --"- - 1 3 HOLE 11 . - � �, THE ACCESS WWRS FOR THE WTIC TAW, 11 I I - � �,�! I I - I . I � I . 1 1, I � �,�� ' / .. i . I , I �,." I L .0�01 DIST. BOX 4 1 1 f I I I I I L INLEI - DtSTR8JTION BOX AND LEACHIING,COMPONENT ,, ' I :, � L I ". I i'I 1, L .I� I . � I I I I L L , I I I L I , , ' ' � I I I � I I '� -, f,1�_____ I � I ' .. 10' 1 Y M*Ximufft Co%W /,-Top of SAS-Ele, .75 . . I I I I I� I I .. OUTI E7 SET DEEPER THAN 6 POCKS SELOW FINISHED I I . :� 'P ,L ,, , .111 I I . ", � L' I I I L I � I , , L . 8 1 1 . - , - � - a I L I , � I . I I , I� EXIST. PIPE I EXIST. 1,000 GA L . r q . I *. , e� GRAM SH" BE RAISED TO WITHIN S' OF -" I I � I , I I I I ,,, � I � S- 0.010'per foot I A � ,to I r/T *raphird C"W"d$1o,vt ll, - #06heit P"Oftimi I ,� - "I ... -11 I �11 L L I I I . 20' 1 � I/ - I/V . -.4 ,. , I I , FINISHED GRADE :�L ''I I I 11 1 4 1 1 . 11 I I I " � , - I , I I I , 11 " I I I 6 , r I I � . I L -I I I PI) I I L I , - I .1 � I . L . I 11 (� 1. I I - :, , I 1� , . I I I L 15 1 � I I.. I . I re ., L 11 I I I I I . L . I ''I I .. I 11 I � ,� I I i I 1. I rROH1 r DATION , r-� � H-10 I I I ___1 I . . I - �I I I � �.L�,� I I I , � I I I. SEPTIC TANK I , I I �, , L I . I � I 11 . � Test Hole . le) Elfective DeW I I . I I I INSTALL TUF-T1TE GAS SAMIS OR IWALS I I . , I I I I I I L I I 1 . 11 . I X)Ny 11 I to 6w" 1i � . I 1� � I I I I �,- " - I 11 �' . _41:. 1 1 1 L � ,I I I I I . I L�'. I 1 11, L 1, I . I I I I I 11 L �111�: , I I I wi = = . I I . . _J -11 " . I . _' I � I � I . 11 ,� L 1-1 I�� ' - I > 'S , � -, , - - --," .' - ,.,,.,,', ,, ZT�'�.-*' I I .11 L , I I I L Hi h � , I I � CONCRETE F FOU I -__1,41IM-213 I I I r _,- --��,� _#_ I. I I I ,, I - ! I 1,- - , L I . ._� . - �7,.�7.�.FT�7 7�7 1 1 . I � I � g S,treet , I I � ' ` L 0 it $I) W) I - I , I , L I No. 1 . .1 I I L - 'L 11 - " L- . I . I : .1 "I I L 4) . W) 11 I L I I IL I I I . 11 I 11 � I �,::- I I �- I L , , , �_� ,,, . I I E.I , I I . I . I r,,L I L I I L� 1� �, I I L . I L i -_,,�� - I - I I I .I I I 11 � 11 L I L . 1. I . L 0 It A I I " I I I I L STEEL REINFORCED PRECAST CONCRET I I , I I I I L . 8 I I �, DEPTH SOILS ELEV. �; > 3.5' 3.5' 1 M A E3 in In � I I -� I .1 - I I 1 ocus ''MAP �� , , I - I SYSTEM PROFILE , ;) . I " ��:, : I I 1 W 0 A-) I . I I I I V = 2000' t/ I I 1 I 1 41 M C , I C3 C3 C3 C3 C3 C3 L I I PLAN VIEW I I I I 1. I I . , . 0 . 11 - 4) W ); 12. 1 \ Q Q Q /-\ Q I I I L I I I I I ,�, ,� I Not to Scale 0 C3 / � I L I I I I . I �11 . _L I � 1: I I I I I L . I I I . I �, I X"�', y � , Star* . I I I I ; I I r I � . -1 ''I'', I I 1 I I � ��. 11 L I . Loom I ).; �; 1 2 ts @ 8.5' - 17'+2' Stone in Be - 19' : � I L �. IL ,.I 1, .1 . I I S' , r ' I L ; - L -I L �.,r. �11�1 I I I � I I I , I I . . I I I I �._L - - I I �, I o � . ! I I I . I I I :L I., GENERAL 'NOTE I I '.1 I . L I I I r I L - I - _\ I I - 11 1, L I . I :, � I . I � �r I FILL I L C C 5 1 1 30 1 1�9 I I . .N-24' REMOVABLE COARS I I I .1 . . I I �, 'L, I . O YR 3/2 1 1 ± I I I L / I I � I . L L L I � I I . . � - . >1 V . I I 11 . I I �L' I I I I .S I � .� . . I I . I . , I . 1. I : ,� - I ., I I . , L i9sofe notif ication L ,� � I 11 I L I�� I �., IL 1 6 in-of 3/4'- . . :. --�-1 .-Y.ii, �� -!- . .. I � �-,,--k .1--.I,f 11�1:.-,. L 1. LControctor e � . ..L ,4 r . I I I I I . 1 1/2" 1 ..; 11, - 'is responsibl -for Di I , O'_6' A 39-50 compacted stone . I. I .-.%- I :; r 0 1 : ""'.1.,.14 .. ,:-.4..,,, ... I -,... I..1 4 1 1 �I , . I - I I I ,. " ,� , I , l� I I . I nderg - . J I I M I _ir_t`e-t-U'L@n9th .; I _J .X.Mk%_~0nc# I ".� . ?� I -ro'i end .protection of oll,,u round utilities and pipes 11 I 11 . 11 � I L I I . , I Y INLE7 I I ,. .. , - .11 � � I L I I I POLE T �7MI*.!nji--fK_!��-�- --t to -A'-( �or ink, .... . -� 1,-,... 12, The septic;.itonk .and -distribution box shall be set I I , � '1 � * ' � _1 L I � . Loomy � I I I I I L - - OUTLET. .., �'i I level on 6 ,of 3/4'-1 1/2" stone. I I . I I 1. � I I L Sand I I � SOIL ABSORPTION SYSTEM (SAS) ` Liquid level I ,� I I I I I I I -QotLqr-n-.of-1,.4iLjlg.lp-lfltx!tO.Z-.�A---------j� i. 0,rim. Ile . I . � --; I I ' . I -� , I �L I I . I L . I , ;. I , 1 3., Sockfill''should be, clean Sand *or grovel with no I I I._L% L , I 10 YR 5/6 1 1 1 � � I :_ f I I "T I I � I ,1. I � . 1 1500 - C H-20 LEACHING UNITS / WIGGINS PRECAST L 5' .r N -Im" 7 � I '.� - I '1� ..�5* -7- ', L I I ,stones ove' 3" in size. ": � 11 .1 I - � ,_ .1 111� I . - r L _. IL - � I I - I - I .1 I I I 11 BW I . . .tf Y L ,� 11 I � 11 I I r, � 1 6"- 24 59-00 ) I I . . , I I I I I I ' ' I L I I . L. I . I in. ... L � I - I . . Not to Scott , � I ... 4*-O* Mi . L 1 4. 'This SyStem is subject to inspection during installation ,�� I Silt ..., I E f , O.... r� I :. I I 11 . . I- . . . .11 �, '111�, � Loom I I .J 10 i '�i'. I LiQuid depth L .;,! � I� by Carmen E. Sho ," Environmental, Services, ln4_- , , I ��L: , , I .. I I I L Y , I I 1 . I , I 11 � I L I L ". 11 &,' ,, I .1i . I L I I -I I I ; � I , , I . L L 1 5. The contractor shall install"this system in accordance , I I � 2�5 Y 8/4 wr I I 1� I I. I I o'. I � , � L � I I. . , ,�,I L L . I I ,� , , i� I ..,. L .. I - �- 1 --4" 1 ''I I with Title' V of.the Massachusetts state. code, the approved plan I . . �, I I I I ; L , 24"- 90' C, 133.50 L I !, _C%.� " , .�.,-. ,^-- J , L I I .11 I L . I L . I , L� L .� 11;�1;-+1' '. � - - ': I I r'L ,� , I I I I I L I I I 1 G, 11 I - I - ..l0`.`,...t0n A - �. , -E==- t TJ ._� I� . and'Lol�ol'Regu a ions.. I I L L'L- I Med-Fine I - : ,=,. f I . I t, " I . I . I I . I - . . - 8'-O' - I I L 4! -11 0 �_L L L I I I I . � L - Sand I L I I I L 6. if, 'dueing instolloti L on, t ' controctorL encounters any, . . . I I I I'll 11-v ,I ,1 2-5 y 7/4 1 1 1 1 L 11 ''I he . I 1, "I 11 I l . I i I I I L . 1� �, I END-SECTION , I soil conditions or'site conditions that-ore different . " - . I � L I . 1 90,_ 192' q 25,00 . I I I .. . I � � I I 1� I I from those shown,on ,the soil log or 'in I our design L - L I I � . I 1: IL 11''.,� :1 k I L 'L I � � I /, - � I I I ' I I I I � 1- ,� - L . . L L . I., 1. I m " I I 11 11� I t�, L. I . installation'must ,fiolt ,& i mediate notification be I 11 , I I . I I - ., I I . . ;7 � � ., � I . I I USE EXISTING 1 000 GALLON H- 10 SEPTIC TAN K I I made to Carmen k E. Shay .7 Environmental I Services, Inc. I I I - I I-,I.11 I I L � I . .'' � I I IL , � I LL I I 'I., I � - I I � � I I I 1 7. No vehicle ,*r, heavy ,machinery shall drive over the - �, . I I I I I 11 i I � : ,�� . I I � , FOUNDATION low a SEPTIC TANK ---�20' D-BOX --W-----45' a. LEACHING FACILITY NOT TO SCALE I I i I L ,I septic system unless noted as H-20 septic comporienti. L I :, I I L I I I I . �" � L I I I I I f ' I�� ,-," _ I I 1 8..Instaff Tu -�-rite!�gas baffles or equals on�,oil 'outlet tee ends. L ,L I I ''I " ,, I L� , ' I 1. - " , �I I � 1. 2�11-, .�-I I I I I I I 1, I I 9. I ' I I I I I I ,�I � - _. I I All Distribution Lines shall be 4" diameter Sch' 40 NSF PVC pipes. �11� I 1 I I I I I I I I I L, 1111 ; I I 11 I L . 1, I L 11L I L Perc #1 I . . I 11 10. All solid,piping, tees & fittings,shall,be 4' diameter,: I I L ''I L . I 1�� 11 I I I Depth to Perc: 90" to 108" L 1 40 Mit Rubber Liner L I I q I I I � 11�.� I , :,� 11 � I �, Wrapped Around Garage . I . I I I I Schedule 40 Nsr PVC plpeS with water tight join L ts. , I I L L L I� . I L", . I ., 11 �, I Perc Rate=<2 min./inch 0 90" . . L I I L S ' SIL I � . I � I I 11".I "'. , � L r L Groundwater Not Observed _ _ N 62d 51' 50" E - 11 I - Footing Until 1 0 Feet ,From SAS. I I L . .. I 11. ITE and' urrounding Propedies ore I - I I . I 1:"Ll L 7 111 I/ PE F ailed I IC, . I . I . . I� 1�, . I I �, . 1 I No Observed ESHWT 274.78" Leach Pit I . I . 911 I I L I ALL CONNECTED to PRIVATE WELLS AS. SHOWN. I ''I 1:'A ADJUSTED H20 Elev. = None / L I I I . 1 , . I . . . L L . . � I ie , . I `1, / TEST HOLE #1 I #9 I L I I I .1 , I I I I : .1 I I I I I I I I -Y, 0') � / I I (Approx.) I . 1. I I � I 11 IL 11 I :_ ,'�,L ___ '.'� / / I ELEV.- 41.00 LOT . 1i I I n -_ - - - _"1�_ I I I I I I I I �� I O'� 1�1 --,mT-, , :�,�_- - - -77- 7 __r - ,_ -1 - - IN . I I . I I I I �_____ - -_ - - - - - E4S TMG- - I I IL I 30- -- - , , I EXIST. 1000 got. I � - � I I 1q11 <P. ,7-- -17r ---_, _._�_ ___��, / I I . . Septic Tank DRI VC 4/ 'y - . . 11 I 11 : , �� .� L I I . I � L L� ,I ,m . I I I I I I I 1. I I I I I, I I I . _�I - " _�� I I dl�.. .I i , 0 Ay : I THE PROPERTY LINES & WETLAND LOCATIONS ARE APPROXIMATE AND I I 11 L 11 . EXISTING ----I 1. I I I: I " 1 42 ---- 1 1 . ; . . ..;- ------ \ '11� I ---- - I . I I COMPILED :FROM,THE SURVEY PLAW.-GENERATED BY 1. - I L WELL 9 I "TOP CATCH 13ASIN I L I I . 11, I : ,. 4 11 ALL OUTLE7 PPES FROM THE L I 1�, 1� I I 11-\_____ XISTIN I".1. . L I � I � , , ,I L �,�'.�- . . L ,, I -- ,1. `1 . I DOWN LCAPE ENGINEERING OF YARMOUTH, MA� I I I . 11. L DIS71RIOUT" BOX SHALL SE 12, __1 I / -1 . . I I I I I 1. I "I L .I I' "I� SET LEVEL roll AT LEAST 2 FT - - CONCRETE COVER , 1 ,39 r I 1 2 li, - . ELEV. = 38.69 (NCVD) I ENTITLED " SITE, PLAN OF LAND IN ,W BARNSTABLE, MA OF .. I'll � r � . I .�_I � _� \ ____- I I _�/ - 1% I-.-�-�.."...�'. 11 I I I . I I I L I I I g L. L I , � I 'L �f..... I .!�-I " - ____ I � , \ k �. ,!,�f -\Ie I . I I I � ___ , 3- S'OUTLET -,,, I . lm.,:1.1.�, 2 / � \ L I , , I - � , , _ , I t,;. it ". . I -BUILT OF EXISTING FOUNDATIONS. , . � . I I I I 1; I . .;_ , .� KNOCXOUTS :� 11%. - --------------------I I i 38 T ,\ I \ - I I (J I I .4 I � I L �� .1 I / . I . I . I �� I 11 I % .,I.-, �._ I -- I � STING L I 1. I I I L . � .1 .1 I 1 �. , ..;W ,�, I T ____ - __I� L I I 111_� I \ --, I'.'i �� :.1 I D-BOX LJ EXI I I I I L , . / ( � I . I THIS PLAN IS �NOT INTENDED-TO BE A SURVEY PLOT.,PLAN L " -- I I .- - 115 .L �- lffik - I - / t": C:) ,� I .. r I I I . -, 1. _r - - , , I W INLET - � I / � I I \\ �-,-1:�', HOU L I 11 . , I � I I 1, L 11 ,� I-r O�TLE`T I I \/ I 'I-, 1*::* ", S E . L I I AND 'SHOULD "BE USED�FOR NO PURPO L � � I . - 4!- -_ I . ;7-..: .L, I I . I I . � ,, I I .11, - ; / ) /k371 ) 1 i _,,,,,�, .�_ I I I � I - . I � il � � L I � !, I- \ ..6' / 04 I I I THE SEPTIC SYSTEM INSTALLATION I I .. L I ,!" I :. 1-1- " '�� kl 11_�5�. 41--__ \ I � I 1 -----4 50' . _�, EXISTING I . L I I I , . I el 11 I .- - I h< � I it I I . I � � L � I �� I i:� .:�, , I L / r, 0 1 16' 1 � - - I I I I I � - I " I I �, I I I I L L I I I I 1: `�:"J 1 ,."�.'.. '-1l;%A_-,,AJ'.: 2- -, / / / I " I 11 1. I 11 I � I I I ,. I I .2 - I / I / I N I I WELL I I I I I I . .1 I 11 � L L I I . L I I -11.1 _',' L -1"5, 1 ,/ - 4 1 1 _ " 4�11 � I �� - L I I I i 11 I.,L I I � . . I I L L -�;, L 1 4' - SCH. 40 7 1.75 --- ., I / / I . � I I ,. I . I I � I I � p I I - I - I I . I , I - I � - I L I I L I .I - L - I 'L 1�_, L' I � 11 I I � . I '.. , - - I I I I . #43 1. � I .I I I �, � I . I .. I I I I "I , L . I I L PLAN SECTION CROSS-SECTION, ' -, -_ I �__/ / I I � I I I I I L I .1.1 . � 11, I . . .� I 11 I I , _____ -_ ------,/ ( // I L I 11, I L L I I 'L -_ 1. I I 11 : �, ", _ . . - I . I I I I I . I I I 11 I � I I I I I I . \ _____z-t L \_ - L I I L � 11 I I I I . � I I I 11 L I I I I L_ I L ,_ x� 11 It /I /J ,--- I ��, . I I L 0� / -, I - . L 11 I I - . I I L I L I I - I LL I I I I � .,� \ ,4/ V ---: 4/c TL I I / -I, V0_,0__,_,, (ZI I I I . l I � I NOTE, , -�ANY STRIPPED OUT SOIL CONTAINING LEACHATE , 11 L � I I : - I- I : I., 3 HOLE H-20 DISTRIBUTION BOX 4 __�_ A/V1) I t / / -, ��_ I L'� L I I. �I I I . I I I L I 1 . I, I , ---, I .� FROM'THE EXISTING,LEACH PIT TO BE DISPOSED . � ____ , so, I L I � LV : I- I NOT TO SCALE "I" A/ 14/ \4/ 1 1 1.-/ I/ 4 1 1 , I I 1, I L IL ' . I ' I � I � , ,�: I I I I . L , I . L . I I , I I I \ I I I I � , I L I I I I OF AS PER BOAPD ,OF HEALTH SPECIFICATIONS. , I I I I ,,, , .1 1L. ___�L 1i I I--- 40,Mil Rut��b _Liner 1pulr> � I I I . I I . ,��, � I � , . I . I 11 . . I r I r " ,.., � , r \ I - I I I I I I I 11 I I -, �. I '' I I . I 11 I � I I" _i . . . L pe;� --, 11 I I � I L . L I., 1, ' - L -.I,- \1/ 41 I \ /I/ I(/ __-, ELE\,�-A,:t,�O to'35-00 1 1 1 "_ � - L� I '. 1 ,L - � ,--, -z L I '11� �__, I 11 -_ , -, /-,�, ---, J.'' rT- r:)' _LA IV.,E ; EXISTING FAILED LEACH PIT TO BE PUMPED DRY & .. � I � - .1i I 1! � I (P \J/ \1/ . I ) ___ , L,, -,I 1_" -r� 'L L I I I I I'll I., r. \ 14/ 1 \I/ -4/ '1� �_ ---- �� ---, �i , �, -1 -AF ff I L REMOVEDJO FACILtTATE�NEW, SAS INSTALLATION. . � I � 'L � I � I I I . I I I I 1� - I � I I I / , -- I I I I .1 I �, � I I 1 . ��k. �,, - I I 0 / I- I - , -- 4,z- 1 �1� , 14-; ��. _U U-R.Z\T-F-zv C I I L I I r " I I 1;W I "I " ___ �4 1 1 1 . 11 I I � ,L . . I I I k 1, - I I � I I -,I/ Ill/ ,-I- L q/ `I/ I4, / L I �, - - 1�1 r 0� I . . � I - I I ., I - L I I I I I I , _ ill L L \ , I - 'qA�o *t I.A.- 40' RIGHT OF WAY L I . L I �, L' I I I I I I 11 , I I I I L - �_ 11- I I I L L __/ I- __,� -_-,- T . 14-4 0 1 1 1 1 1 1 11 'L I - 18 �, I I �, �I I L I I I I , � 1, I � I 1, I- - I I I : .1 11 I L I .1 I 11 I 0 L M I I . I I ASSESSORS .MAP - 136 LOT l I I I X1.1 I \1/ I I I �, " ___1 t- I I � L I I .1 � I I I . ,� L L 1. 'i� r Area to be Re-Vegetated I '-, L I .1, I I . e I - I - ', �_ I L,I I . 11 .' I I L 11 I I I ... .1, 11.1 � I . . \ I _ , " IN - - I . I ZONING - RESIDENTIAL, I - I L I , . "I 1,7t� 41'' W/Indigineous Plants --- I -1 N I I L . IL I L . I " . I � L "_- ,___ � I -_ I � I I I I I . L I � I � I I I L I I I 11 I 'Ll� �.. I I L I I <:? 100- To Maintain 50' Natural Buffer 1J/ I'll- '1� / L ____ -_ __1, ,\\\ 0 1 1 L I FLOOD ZONE C I I � � I I I I - � "�. ,,r I . I I I a I ,�i . I N'�',// L -I- 1,-_ �', 11\ I I I I I I L � I L � I � - I I 11 -, 11 I ''I I .1 I I I I I � I ,.I..�!,�' I I r 11 , \ L I I I __ I W L I I I �:': ':L, ,� � L � - . � . I .1 . I I I �13 11, 11, I Ill/ 14/ 1.1/ -A- 14/ 1 1 1 -_ 1�_ �, � :, L - 11 11 1 . .1 I I I L I I . :�� ,-:,: ,., I I 1 17 %,,��, - " , \ , I I L I 'L � .1 " 'I, L LL �11 . I I I 11 11 L." I I �� " �, , I I I I I I 1 I � � I � - I I , , �, 1, 1� \ 0 1 L I . � "�," �, .� I . -em ��, I I L L I ,.11 1, I 11 . I . . -I,- \ ., I L I I 1, . � "\ \ .�f I � . . I I I I THERE -ARE WETLANDS LOCATED V[THIN A 200' RADIUS - I L I ILI . - I I \i- -4/ _V I "I/ ,4� ,4- L I N I I I r I I I . � ;11 , � ��, 11 I 17 14, 0/_ , , \ \ I I I I I I 11 . I �I 11 I 11 I L I : �2 ---"�--V-____ , . I \ \ IL I I I . I I I OF THE SITED SEPTIC SYSTEM AND,ARE �IDENTIFIED ON THE PLAN. I ; L 11 I 11 I- I . I I I 't I NN I \ I I L I I I Q�I I 11 I I I , I % . � I ' I I I � . I 11 I I L L . ��\ I I I - - I . I . I . I � I . r " I L I . I � I I I - I " I - I I ': I'�, � L I I I L "'. I I i � ",� . t�L L � ' L , 11 L. - I I , , � I j I � , T� . , t I : I I � 'V '4' 1 1 -7--\ L \ I\ L I I -� � I I L 1� , -1 ! L � " L� L L L % �; , . L I I I I I - -,��'?z ,- , , ?.,P I 1-1 � I I ' - 11 � . I , � � I I 11 ' L J 1 1 � '�� - - I L I I \ -41 14/ . ,I/ , -11 \Il- -1, -� ., I \ , , 1 �4 1 1� i I I i ,� I , i .- _`��!-_- �_ ., _,",__ ___ ---------'-- - - ' ---1L -- L __,-L_ � 1- '--- - -- _____ , -,-,.- I -I ___ I 1,---'- '-"-- I __ -, - - I � I . , _� - �_ I . I -- ��, 11 �L , I : I I I 'I'll I ,� � I I,, I I I I L I I I I I I - -- I ��: � "� L , - - - _', 110 - � I <P I - _ __ - - , -, .- � ", L' L L - ,1.�_�______�___- __ . - - ____- 1. - I I I � _":_1 Li- _', I . - - I , - -, - - - _ . I - - ll I -_-_�_7--_ 11- ,�- 1�.____- ___ --- ��--- - -,,- ---- � ,- - , 11, ��, 1�1� - .1 11 I I I I � L I I I - I � � - I., � , .r,L 1, I I I I 1. L I � , L I - � _ " I �� . I I I L 1 '4' � I 'I,' I I I � I�L I I I I . I I . I I I , I L I 11 I I I . . I I L') I 1� 11 ,� f I , , -,I---I--- I �, - . I r I � L __\ - �41 + -41, 41 lj� 41 � Ill, - I - 14, 1 I ��I� 4A , I _ �_-, - \ - __ __I_'_ --'---__-____ -�__ L __ �'_____�_�_I, I L I I r I . 11 I-, . I � � ,"�< Vo \-, , 1\ \ . 11 I . ��,\ \ . \ 0 1 1 1 , L I � I 1. r - k,I I I I I � ��- I I I 'I-, \ . 1\\ \\ \ I I . � .." L I . � I I I 1. ,. I I I I I I I I L I I I I � "I 1. I I I I � '' I - �-, I . I I I I � 11 � ic I � I \ I \ 11 L � I I I , I I � I I I I , I c �-�� I ,� '. . �, L I 1� 1; � . � I I I 'IV 14, : q/ '1� \ L I . � � I I �1, 11 I I i \ . L 1 1� I ; � �' . I \I/ 11, ISOLATED PECHED ,i,, , I \ \ I P16 I I . I I I I I . .I L . . � I �! :1 I . I I 01.\ \ I I _< � \ \ 1_� I I I L I i r, I I I I L I I 1�' , 1 I I . � I � I W . I I � \ 1;1 I I � I I I . . - I L I I - L��-' 'Ill � I I , I I I � 14/ 111, ,I/ 14/ ,I/ , 14/ 14, \ CP I I I I I I I I I V", . � I I . . I I I I . . i : � I I � � I I L , � I I I IL � L, : � I r ! . . � L I I I `�L I "� I , . �_ \ \ (� I I I - 1 �. L . - I I I I I . I 11 � � I I I � . 4- -4/ 11, -,I/ \l/ 14- \I/ 14/ ,4/ -11, \ I P.a L I I I . I I . I I L , I f , , . I � I � : LOT ,#f4 I . I I �, I '-'L I I L ! �-, I .� \ ki L LEGEND -11 I I�. : , ) I I I I I " I . � � 1:� 1, : . 11, 14/ \I/ 111,1 \�_ 1-11 14, \1/ q, A/ 11, I L L L L � I I I I L - -� I . � "I ; I tllo Q0 I r I 0 , . I I I I 1 _ . � ..a I . WELL�IS 0 VER 150' ,L L I I I I I I � . I 11 � , . I. I "I I I I i - � I \ I � : L I . I I . � I . 1 Ir : � 1 30-, A/ 4- 41 Ill/ -111, 41 -1/ I 11- ,I/ Ill/ ,I/ I I F � L I L!. -_ 1 ii� I . 1 . I IZ> L I I I 8XO ,DENOTES PROPOSED � I ,L;� I gI L L L I I - I " N . L L L L . , , , I I I i _4/ . I ,L , . I I� ! I � . L SPOT GRADE I I . : , . \ q/ q, q/ 'IL- \I- ,I/ \V , \L� Ill/ 4 1 1 1 1 . . " : � I, I . I I � L I I L I i � . . i I I L I L L L � I I I , ,, I . � I . I � . I I I �, I i 'L I I I I I I I 11 I I I - , ! I 11 I I " I I I I I I I 11 DENOTES, EXISTING :L � � �, 1+ 14/ , 14' -4/ Ili/ ,I/ ,\1/ \1/ Ill/ \4/ . C* I I I I I L , , I I . 'L ii t 'e, , I i . I \ I 14- � I X 104.46 1 1 1. I 11 - I .1 I L I I I I � I I I SPOT -GRADE . I I I I 1, � - :�: ,,, : ,�, I . L I� 11 , i � � I I � I I I L I I L � I . I .1 I I . L I 1 17, 1 ,1� ., , . � I ,I/ \I/ 11, 14� 14/ 14/ 1 \JI/ ,I/ \I- -4 L , L L � L I I . I 1. �, L I I I I I - . � I - I I I � I . I I � , � I I Id . . . . I � : �r I I I I L : I I L k,�" I I . . I I . - L I I , I I � I I - I- I , I ,� -1/ I I I - PL � - LINE I - I I : ,,s I . -4/ 14/ A/ -11 -4/ 11, I <z) . I ,PROPERTY I I - I , , , , I � L 1, ce) L I I. I I I . I L I I L . 11 L � � � L I � � I - , i " , I I L L I I I I I 11 L I I I . I "-**' � I � � I I I . 1, �11 1 j. ,, � ,, I L I . I I I . I � I I " I I I , L I � : , I I I I I : I I I � " I . I L I . - I - I :� I i �� . i I \1/ -4- \J/ \t/ \4/ 14, 14/ 14/ C01) I JIE- ,:`�PROPOSED .CONTOUR . r I , i I - 1 " : I I I I - I . I I L I I I I � I ., I ��',' I t, I I I - . I I . I I , I I . I I I I - . . L I I , I � I I - ! � L I I I , � f, I � . I I I I I L I IL I I 11 1; '�L'1'1 ,,, I lqv 11 \J/ \4/ 111,1 11, A/ \4- 1 1 �1 97- - - - - -97 ,-' EXISTING CONTOUR � . 11 . IL I I . � I - . I I , I . I ., . . I , 11 "I 11 ,_ I I I 11 � ! #',:�,� � . "I/ - I I I I I I ! � I L . . I �, � L I I L I . I L I I I - I L I . I . I I . :' ' �L�I- I . � L - � I . L I . I I I I - 11 I L I '1� I L I 11 I I I L L 11 . i 11 I A, -------' � . � . I I 1. ; .�,� L I I I I . 1 i� I I I - ,- . I I I I � . �, I I I L I L I � L L I " ": I I : I 1� - I I I I I I I L 11 I ''O" , I I I L I I I . � , L I I _L DEEP TEST . HOLE L& , 'L . . � L I I � "",,I � I � I I � - I I I � I I � I I L � '., I .I I I I I I I I L I � - � : i I I L I - I , I I 'll I I ,,� � L I � I 11 li I I 11 PERCOLATION TEST 10CATION .1 r � � I I I I � I I � ll i __ , I I I 11 11 I Desian Calculation I I : I .1 . I - 1. I I I I 'L, -i 1'� , , I I . r � i I I L' I 111; I I L I I I . I I I I . ,� . ` : I, I . 1:�� 1, I - L I I V) L �_ I I I I I L I � o r :L "I � I I I L L I L : 1, �� I i L I I I I I I - I 1 i,�",_. . � Number of EBedrooms: 2 Equivalent to 220 Gol./Day (330 Gal./Doy Min. per Title I - � I I . I I I _, ,�� .. I I I � - . I ''I . I L I � I I : , 'L � � I I I , I I . I I � - I I , �I I C� �y I Garbage Grirrider: No " ,I � I I I "iL' � I 0 - FENCE . I L I I ; i -1 LL I 1 0- - I L . - . i . Leaching Colptcity Proposed: 330 Gol./Day Minimum' (mink. Per Title V) : , I I . , - I I I � i 1 1. , , I;zi* '0� . I I L I L I I I I I I IL ILI � " I 1. � L r L�_ I I - : 111",�, . V ,;z, I� ". I . � Septic ,Tank : - 2 x 330 Got./Doy = 660 L USE 1,500 GAL. Septic Tank. . . I I !; f, , - I WAT L , L I , . - I L � I I L I � I L I I I I I . 'Ll 1 �,,� I . 41 � I I SOIL ABSORFPTION AREA: Using percolation rote,of <2 min.,�inch I . - ,� I ': * , '. , �PRIVATE 'DRINKING ER WELL I 11 .L I . I I 11 L . I 1 �`l 1, %_ I I I I I I � � �- I I I I ! - I I Bottom Akreo: 0.74 get/sq. ft- X 3OOSq_ ft. _1L 222.00 gallons -., , IL I L - I I I I .1 L I i I "k, :1. I . I I . I I I I � � I I I I . I : . L � Sidewall Area: 0.74 goll/sq. ft. x 148 sq. ft�'�- 109,50 gallons . I I I , I L L � . I . L I I 1 ,:, I I I ' L ' I REVISIONS ' ' I L �r L L. 1. :� I L . . I I IL _ I I : 4, 11�1, I I I I � I Providing: 331.50 gollons� ,, I I 1, I � I I . � I .L. ! i" I L I � I I LOT #3 , L . I I � I � 11 . I . e ,. I . I L � ."� . L , . I I L �i I I I I I I . 11 . .1 I � I 11 � ., , -, r ; L Use: (2) PfRECAST 500-C UNITS, HAVING A 2' EFFECTIVE DEPTH, I L . No. , 'L I I I I L I I 1, 11 . I . L . � , . i ' �r ' L 1 60,435 S.F. +/- I I L , DATE' DEFINITION . I � ; . I . 11 I � � . i � - , I � -_ I - : _ . TO BE USED WITH 3,5' OF WASHED STONE ON THE $IDES AND I � 1 ,, I I I . I L I . I � r . I . I I I " �, li, I � � I I I I - I I L I I I L' I _ r ! �5, � I L � I L.I 1 , , I I I 1 3' OF WASHED STONE ON THE ENDS AND 2 FEET IN BETWEEN 2 UNITS. I I � I I I I - . Ir Il:L . . IL I 11 L I I I L ,I L I ; I I . I I . I- I . 1�. I L L ! 11 . I IL I I I L -_ I .�,, I - I I . I � � I I � I I I I . I I I I I I I . I IL I ��, , I I 15, I I I I 11 - i' , L I I I I : -�, I � I . L 11 I I ,� I I . . . I I I I I I I I I _ r 1, I � I I ."�� _ . � I I I . I I I : I;Q� I . I I - I L I � . I 11 1,, I fl,�- 1, - I : L I - I I I 1 . � I I I L I r - I L I '1� L L i, I . . � . I �, I I . I "I L L � I : � I � , I I I . - �. I - I I � , I I-, I I � L 1?1?I �, I L I . . � J� L � I I I I I I I � I " I II I I I I � � . 1 :1 I . ,1, I L : I L I . .I I 11 I I I I L " I I . I � I I I I - I I �, I,::, I L I � I I I L I I . I I � �:,',- - , : L � #1 � . I I I L I � I L I I I I I L I I : l , . I � I I . I � I I I . I . I I L I I L� I I ! I . I ��- -, : I I I � �'� , I I I I I . - I I I 11, i � ,�, I L � . L I L I I I L I - � 1, . I iI : I � . L . . L 11 L I I I I PROPOSED L, i � I . I I L L . 1 , 1 - 1 - 111 I , . I 11 I I .1 . I I I i " I � . I i I I I I - � I I i I I 11 I I I 'L � k � �, i . L � � i , l, L _�>� I . I I I , - L I - � I . I I . �� : I I I I L I �L '_ I - - � I I I . � I L . I I I i t"' L 0e, I I . . I _. I I I I I . I I I I - . . I � I'll 1 t I . I I L � ". . I I I i I . - I , � I . I , � I : I I I I I . - e I I � . . I PREPARED , F10 R ., 11 L I I " . ! I � I I I r I � ,: � ��' 1, -, I I SUBSURFACE SEWAGE , DISPOSAL SYSTEM � .1 i VARIANCES REQUESTED: L I I '�L . I . I I IjL I I I I., � I . L _L 11 � I I � . � - I I I I ,� 1. I I I I I I � I 'll I - " I I I I I . ; I � I . I I . I 11 : .� I � I � I I r lll� 1 � ; I I BOH VARIANCES: I I I L I L' I I . I . 11 I �, I I I I . I I . � I . L I I OF L I . I I I I 'L L � 1.I� I . �I I I � I I � I I � I . I '� I ' � I I" I I I � I I I I I I I I I I L. 11 1.1, i t I r . I . I I I I I I 1, , , I �: I I I I I I i 1. . I 1. Request a reduction from the setback from on SAS to a Garage I I I I . . I L I I � I . I I 11 1, �,"I I - I I I . I I I I 1 43 LPOINT HILL ROAD . I I .1 . 1 , I L I I I � I - . 11 11� I ;, �, ' ' . I � r . 1 # , , _ - I I L, 1. I 1 . . I I ' ' i r e - I Slob to be reduced from 10' to 2�5' (WITH A RUBBER LINER). . 11 I I � , I I I I I . � I . I L I I , I I I - I � 1. I � I � 1 � 11 � I I I L l I I I L I ' BARNSTABLE :` LMA I I .1 t 11 11, � I . I rWEST 1 , M R . JOHN GABELLINI I 1 2. Request a reduction from the setback from on SAS to a HOUSE . I . I L I 1� I I L I 'L I 1, I I 11 . I I I . 9 , I - I I ,� L -- �` I , � I � r � "I I 1I I � L I � L I . _ Lk - - - I I I I I L L � I 1. i,�, I r � - (WITH A RUBBER LINER). I I NIF PA UL M. WHITE L I I I I L . � � L I I I L I I - I � � I I I L � I :, I . . I I I I .1 I - p . L 11 I 11 ��, � .I FOUNDATION to be reduced from 20' to 18 I I L I I .:�IL I L I I . � ''. I .I _. I L I I I L � L . . I I - . I � ,� � I I . 43 POINT HILL ROAD I - 1� I 1, � , 11 I I 'll �, L 11 I . I I . - I I I 11 . IL I � � I . , �� . � I I � I L' I I �L o.i 11 L I . I I I I I ;� 11 - . � I . I . I I I - I , I I I i ,� , L I I * - I I . 11 � 1, �L - � I . I I I .� 11 . I 1" . L� i 1 3. Request a reduction from the setback from on SAS to the Onsite Private Well I L I I 11 I L 1 . I ; i �1_1_ . : I to be reduced f I rom 150' to 137'. 11 I I I EXISTING I � I I I �. L I I � I �11 11 I�1 I 'L I I - PREPARED BY: I L , � I . L I � I - L L I_� I I I L. , I 11 . I I � I I I I I I 1: �rl I�,- I I I 11 A� lA - L '��L � 1, '�"'' LL � " , �11 - . 1 . I 1, I I I L ; I � I I . � I I L. � I I I WELL I I a,:, ., ,� � ,, ", L , I ,, , I I � r L L'' � 11 . I - 1-1 I I L,'' . '�L . L "� L, L I I 1 �", �L I L I W . BARNSTABLE, � I 1, i � 11 IL I I L " 11 I L . I �k 0 , I �f�', � ,I ' E ' L � L L,I I I r 4 , I . I I L I I I I I L I I I I . 1, I I ,� I ��at:, I I , gAf . _ '.E? ,�"e, ffA ' lr� , ; � I I I I � . 1. � , � �,j , L I I I I I .1 I L . I I I I �, (I ��,L-,". , N_ I I - . 1.� I ,�;, % I I i I ' - I I �� L I I I I 11 � I I I I 11 I , I , , S 'Y' - , �"I L 11 . . 1.11,11 ,�L I L ' I L L L I I - I , -11 L I � I _ ;, I I I � L 1: I _ _ ' � . I I . , , �, : ' L � I I � I I I I 11 I r I , " i ['' I I I I I I . i, I I L I I � L I 1. L I - I , i , . I � I . � . . :L I . I I I . I S I I I I �i�', I � I I : ER VICES . I I I I� _ -; I . I I I I I � ,� I - I I . - . Ir �EATIRONAMNTU , INC I I 1,i I 'L 11 , � - � � 1 �I L I I I I I I _�� . L L'' , L I � CONSE RVATION VARIANCES: I . I - . L -. 1 -4 1 1 "' I I 1.I I I -I I I ,I � " ! 1".1 I . I � I I . L I I I I L I I . I I I I :-,'�, , I �11 �",L , ��_ LL ;' :, _.,�,_�_,, � -,.-�,- � �,. I I I I I L , �I � L 11 I I i . `- i . r I L ,r I � L � I r � I I I I I I I I 11, I. I I "I I to . ,, I ;,., . _ , I " I , I I . L I , I 11 � r�,��,:, ,r , � I � I 11 I . I I I I I 'S , , ,"�f �' ,�Z , L- �''� I ��" - 11 I � I � I I , - I � I I I I I . � 11;, I I L �- I i � I � . , I ,�,,�',''�,�L � L I I L � L , L ' I I I , I L I - I I � I I � I � 1 , " : , � ' N tL �, - e. ,, , _ ,. ,� - � L � . I, �� _', .11, I I r I L I L I I L I . r I , O.,�1,8 "I _ �," -1 I- . LL r I I I . '�L �_ L L�,.�, . I I I 11 L I I r - I . I � I I L �, �, I I , I 1. Request 0 reduction from the setback .from on SAS to an ISOLATED WETLAND , I I I I I . � I L L� � 1� 7 S,��,LA I I . . � - ,I ,, I ii if., I I , I r I I -� , I � . 1 I I I - I I I I I I I 1� ,." 1'�,, L"�� I L I I_;, , 11 L I I I I _ I 1 . . 1 . I I I � ,,, I ... , ' L I �, I , . ; L': - -I'-� � I I I I , , . __ , 1 I I � � L ',,', '�' 11'.�, � 1- 1 � I � I 11 I - I I I I , I I IL ,1,� � - � -1 I .� . L I I - . , "��',�,� L 11, I ,- . "L � I 1.� I I 'L 1 , .1.1 I I I to be reduced from� 100' to 52'. 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ACCESS MANHOLES � SIT m P 1 a =. 0 min. from-, VENT PIP 24 inches tots E ® Least ch s R h ,c tan k k use t septic Schedule 4 h r I F 0 o s c P w Odor d S edv a PVC C o coo er ,� t Foundation a Existing to Covet m e Set must b `` O. T. F 4 . D T.O.F. ev. 8 00 N : ..:wdhm 6 m. OI Ln,Yhed rode - ,... .... .. .�. ..:.. . r . ,T F R ARY 7 20 3 9 .. . . .. ". Dote f Percolation est EB U 0 a o , .. _ ade over S S 00 , T 41.00 o D o 41 Grode Over w de ver B 00 , 5 HAY 'R. C.S.E. T Performed B . CARMENE. 5 S rk Test Y SECTION A A o A H i I WAIVER (PER ARN T BLE BO f Witnessed B VE E B S Results t ssed esu Y t ) Inc. I x v r hEnvironmental Serv,ces c E co ato . Shay PROFIL : VIER LEACHING --, --\ .. � Ys a E OF LEA SYSTEM 2 e HO LE T„ 6 0- 3 E A R F T_. CC S OR THE TIC TAW, min./inch � ESS COVE SE Rate: Than ®i 90 Percolation a Less o 2 0 T X l a .s Bo INLET D1STR�UTWN BOX AND LEACHING ENT jj CHI COMPONENT S. . T 0 1 , 0 _ f A 1 v. i To S e 3 75 R THAN.. o S E 3 � SE DEEPS ,N w FIN m i 6 INCHES BELOW FINISHED pp 3 Maximum Cover P OUT E 1 �.T. v XI T- 00 GA x7 PIPE E S O m A •P EXIST. _ A R, GRADE SHALL Al WITHIN O10 1 � r r e r r ► BE RAISED TO ti OF 0 per oat � a edet LYuWt S,av e.MJ Peaeeaw n Q FROM FOUNDATION 2 0 FINISHED a f SHEO GRADE. SEPTIC TANK M C l _ O 1 5 � f c F H t 0 W) M .. _ 5 o o .. . . INSTAL : F TI BAFFLES -N e.n. II n L TU TE GAS 8 RES ORE AL5 ow Effective t OU O Test Hole M q es o i. .� T _ �. L OlR4W,ON--� w . CONCRETELIL N M ,� No. 1 _ 9 Street M eet v o N n 0.' F. STEEL REINFORCED PRECASTCONCRETE H V --► S DEPTH -SOILS ELE . 3.5 3.5 _ PR FIE m ` o L LOCUS MAP SYSTEM > _ _ u M n o 0 0 0 0 1 - 2000 +/- PAN VIEW 4,: L E 0 00 _ > • o 00 0 0 N i 1 A Not to Scale 2 2 Unit 1 t e • Loom > > Stone ,n een 19 Y a, 3-7 REMOVABLE COVERS FILL d 1 _ 3 3 R G N AL NOTES l E E 0 YR c J n.ot 3/4 , 1/2 '- om tone _ : .- - acted s . . ... ., . . . 1. Contractor Is responsible for DI safe notification 0 -6 A 39.50 Compacted o 25 t P g Length - Effective Len2. m9 3 mn, clearance .. . . . and protection of all underground utilities and pipes. - -- - :. P 9 P P ,3 ' WET 8 ms l 2 mn- nit ootl INLET T e t owlet ' _ 2: The i tank- - --- -�------ e t ndistribution x h II Loam _ a .n.. septic to and box shall be set Y .. P A T „ PT M (SAS) a,n SD ABSORPTION SYSTEM E IL S ST cS S T H I ev I n f I e o 4 1 1 n . L a 6 0 3 2- t o F l _ evd S O n .R2ttum-si__4;<L-_Qs_2�t __8 �.&__ _ _ - Sad ro� / / w1 ,o YR 5/6 3. Bockf,ll should be clean sand or ' rowel with no ---- 9 _500 C H 20 LEACHING UNITS / WIGGINS PRECAST _ � .. rs T � > . s -7 , - 4 B. 39.00 s_ ,r . stones over 3 In size. 6 2 E 4 min. Not to Scale .. 0 4. This system I inspection during installation s s s subject to sect on du I sto at,on Silt � .. Y 1 P 9 ' - Liquid to Loom m 0 Mu depth 0 rm n h ,E. a Environmental I Services, Inc. - b Ca e S En ro ento Se ces I _ , s Y Y Y ♦ ' as a h 5: The contractor hall to II h, m in accordance s install this system acco do ce Y wi th h Title G 33.50 ` t t o V of the Massachusetts state code the approved pion 2a 90 .. �. •. .„• ,,... , ... . e app o p o -Fine Med , e and Local Regulations. - 4 -t0 Sand 8 0 . If, during installation h 6 du n t l t o n encounters Isaao tec contractor r n o c r e cou to s a 4 9 Y EN I - ,lConditionsi ,D SECT ON so or site conditions an not re different TIe c s t o e cRoss Ec N 90 - t 92 Ci" 25.00 s 0 I from hose shown on h soil I r in r i t the so 0 0 our design h 9 9 installation f must hat & Immediate notification be I mo de to Carmen E. Shay rvl ( Services', Inc. USE EXISTING 1000 GALLON H 10 SEPTIC TANK Y I 7. N vehicle r o eh ci o he machinery shall drive over h ' : e heavy c e sal d e o e the -- _ rY FOUNDATION SEPTIC TANK ••r-- -� D BOX -.�--- -----�-'LEACHING FACILITY D 20 15 NOT TO SCALE _ septic system unless noted as H 20 septic components - f P � P P Install n tl T f it baffles r sta u T e gas bo es o equals on all outlet tee ends. 9 All Distribution ,, 9 D str button Lines shall be 4 diameter h. 40 NSF PVC pipes.t Sc S C Pe c N 4 ,I Ru bber u r Liner 0 bbe L e I I piping,1 All i f.. 0 sod n tees fittings I 4 diameter h Per 9 t t 8 __ LOT 2 UNDEVELOPED LAND PP 9 ee & tt s shall be d a eter Depth to c 0 0 0 __ # P -_ . 43 .. W rapped 'Around Garage PP - h 1 4 NSF V Schedule e 0 S PVC pipes with water tight joints. Perc Rote-<2 min./inch Inch ® 90 �� , �, P P it 1 F F m 50Unt 0 eet ro SAS:.2 5> E6 C11Groundwater Not ObservedN ' 11. SITE and Surrounding Properties :are 4. ry WT 27 78 No Observed ESH , ® A N h P, ALL CONNECTED to PRIVATE WELLS AS SHOWN. Leach t ADJUSTED H 0 Elev. = None � ; DJUS ED 2 TEST tTH �- A rox. ES HOLE 3 i � PP ) V 41_ r I ELE 00 _ LOT 9 a� -r / N 137 EXIST. t000 al. G.,, v D .. R / I V _ Tank l,/ MOTE. i . . Y J i _..,. �_ r t : -- - EXISTING T P/ H PROPERTY__ E T N � E 0 N WETLAND I N R APPROXIMATE I 4 E U ES & LOCATIONS AREAN� r. ... C O S D 2 �- PROJECT BENCH MARK 4 - WELL -� _ r i COMPILED FROM THE 'SURVEY PLAN GENERATED BY ------- _ E�CISTIN ... rn . . TOP CATCH BASIN ALL OUTLET waEs r,eoM THE B S l DOWN AP ENGINEERING RM A / DO CAPE ENG EE ING OF YA OUTH M x � t .oisT,aeuioN eo SHALL BE f GARAGE _ r G R GE EX ISTING TI G _ a 9 E S I v COVER 3 ELE. 38:6 N V CONCRETE c ,.. 9 G D T LEVEL AT LEAST / t SE LEVE OR L AS / _.. 1 / ENTITLED T r � 2 E LED SITE PLAN OF LAND IN W. BARNSTABLE MA'OF ___ I... + ___ __ - r . . _ . � I Y HOUSE TH1 _ _ HN' A INI A r.„ / \ JO G .BELL TED NOVEM R t 1 _ � _,.,..._ � cT ------- � .. D BE 2, 993 3 S OUTLET �- t f 1 1 x� O t 38 Naas /a, s o: A 7 N N AS-BUILT F` X T f„ D SAI I NAT N I 0 EXISTING NG OU D 10 S / I_ TH. , 2.. D OX B i I I THIS PL AN T_S LA N INTENDED. T A Y PLOT P,� ) e.. q S 0 E DED 0 BE SURVEY LAN s s T ', , T tt INLE r 1 \ t . . ' ounE ., . -s .. AN D H FOR P , . 7 t r _ � SHOULD BE USED 0 NO PURPOSE OTHER .THAN /t r / � 150 EXISTING THE SEPTIC SYSTEM INSTALLATION . _ a /. --- 1 WELL 5. `c' _ _ 1 SC 0 e ,7s .� r / 3 BEDROOM _ : I , I � r PLAN SECTION CROSS-SECTION L SEC 0 ,. t 4 E 1 \ # 3 0 / O t w _ 4 0 w t o E T NOTE: ANY STRIPPED T 0 E ST I ED OUT SOIL. CONTAINING LEA HATE H I T TI N X C , I / k c 3 HOLE 20 D S RIBU 0 BO � A i � ,, N t t, S 0 FR OM M THE EXISTING PIT T 0 E E ST G LEACH I BE DISPOSED NOT T SCALE �L �L 0 D S OSED 0 0 /I -4 5 <. B ' OF A P AR F T S PER BOARD HEALTH HSPECIFICATIONS.U D 0 E 1 �# M,I finer � r 9 L R bber� u F �1- F t r ELE 00 to 35�Q _ �. IT I EXISTING FAILED LEACH P T PUMPED RY ,. � 0 BED & r A 7 o E' L a R CA \ EMOVED fi0 FACILITATE NEW SAS INSTALLATION: w IN B R N y AY � F W LL< RIGHT 0 I � 40_ , N S 0- O � A�t R MAP 1 ASSESSORS 136 LOT 8 st Area to Re-Vegetated A be t` in I N -- dl n n W e Plants _ _ ZONING RESIDENTIAL c� ouS a _ ZO G ; r _ 0 T Maintain i _ . o M tan Buffer a Natural B r o N a e a 50 atu FLOOD ZONE C y F r II o G _ �L THERE ARE WETLANDS AT ITHI A w .t✓ .� � .� :� LOCATED WITHIN 200 RADIUS TH E H ITSEPTIC, SYSTEM T 0Y AN ARE IDENTIFIED IFI N TH E SITED E D E DE PLAN. 1, E S S ED 0 E LA F 7 9 f _ rr ,r O ti � ISO LATED HED , w 0 ti y `LWETLAND 'y W T E LAND. 0 TEST PERCOLATION E S , 9 t , s , ,. LOT; 14 . l n 12 91 f Percolation Test. 5 16 89 and 5 Dote o / / LEGEND / r � � �E D W. HAM YN ' W . M M L E N & L L T cCLE L DOWN APENGINEERING0 rf rm 0 E T P e D C e o d B Test , Y )K' V T off � L IS i A N A B WELL J 50 r r n R LE 1 I n MI o d B S B I Witnessed Paul Lodes & D o \Results t essed 6 ) Y Unknown O 0 Excavator: DENOTES N 8 X D PROPOSED r R Than 2 min./inch ® 60 Pe Percolation ate Less SPOT GRADE '" � - y , EXISTING 01 DENOTES E NG x 1 S -�' : 04.46 , SPOT RA , S 0 GRADE T I , f Test Hole Test Ho e es .� � �T Hoe 14, �Test :� N 2 No . 3 No. 1 I o PT IL E V- DEPTH SOILS ELEV., DEPTH SOILS ELEV.;, , � y .i. � O PL PROPERTY LINE OE H SO S LE M a1 0.0 - 4t. 0 0 41.75 0 , 0 5 : � � \ , 7 PROPOSED CONTOUR Loamy Loom Loam y Y Y Y i , I n n Sand Sand Sad EXISTING CONTOUR 97 S G C0 0 U I 97 A 4 . _ A B 4 -30 i B O OO i r 4 A B 39.50 0 t 8 / 0 � 0 2 / 0 2 / I I i i i j d si ft si ft S1 P TE ST ST I Loam D E HOLE & Loom Loom � I I , 1 a S i nCalculations D es PERCOLATION T T A N i 0 9 ES LOCATION c c c 0 , I _ 6. _ 30: 3 001 4 34.00 18 68 36 12 60 90 Number f r mEquivalentI• D Min. r ill V 2o Bed coo s. 3 to 330 Go 0 330 Gol. Do e Title'\ .. / Y � / Y P ) Medium r rin r. N Gob e G de Sandti O O Medium I 9 �_ I iFENCE: . E C� E Sand Sa nd er ---- Sand i , ,n Pr i Leach Co ocitt o osed. 330 G I D Mln m Min. P r T, I V 0 nJ P Y P a. a mu � e to 9 ✓ Y ) r I O I Septic Tank x !. - 1 A :S 2 330 Gal./Day Da 660 USE ,500 GAL. Septic Tank. " _ S P Y _ 77 1 8 G 5 _ 2 5 - 60 6 29.50 68 1 8 Gi 144 6 9 Cr 0 � A SOIL BSORPT Ot`N AREA, Using real , n rote of '< min,/inch h U e nt o at 2 n. Inc PRIVATE DRINKING WATER WELL I I I 9p / m Area: 7 I ft. _Bottom ea 0 4 o s ft. x 300s 222:00 gallons I 9 / 4 4 9 I Area: 7 f S dewoll eo. 0. 4 a! s ft. x 14 t 1 gallons 8 s 9. o on/ 4 4 0 50 9 I I g _ REVISIONS j Prowdin � 331:50 gallons , I g, 9 I LOT 3 Use. 2 PRECAST 500 UNIT HAVING A 2 FE TI DEPTH, O C S. E F C vE D , 50 435 S.F. + • / N DATE_ 7 WITH F WASHED STONE THE 0 DEFINITION r , 0 BE USED H 3.5 0 S ED S O E ON SIDES AND A P r Te st From 1 F � TI Added e c est om 993 I 3 0 WASHED S T N -0N THE EN AND F N BETWEEN UNITS, i S D 0 E E ENDS 2 EE BE WEE 2 1 4 1 , 1 03 / / Revised T Three Bedrooms I I` s d Typo to T ee Bed oo s s a r 1 I` 3 Pe c 3 if : Pr : 6 - to78"Depth to e c 0 1 P Pere Rate <2 min./inch ® 60 - �fY Groundwater`Not Observe d ry HWT e E No Observed S T H I v n ADJUSTED 20 E e No e I PROPOSED 0 0 o e PREPARED . FO ,R . VARIANCES REQUESTED. SUBSURFACE SEWAGE DISPOSALY T , SYSTEM EM 1 E )' BO H VARIANCES. I OF "- n A Garage from setback SAS , h set oc o Request a reduction o the b 1 e est 9 r , 4 . 4 PO INT 01NT HI LL ROAD L. L 0 D Slob to be reduced from 10 to 2.5 WITH A RUBBER LINER), � I MR. HN A L IN j JO G BE L I WE ST A T k from n A t o HOUSE ES B RNS ABLE MA from the setback f o SAS o R reductionse o o 2 e Request o _ / 4 WH ITE P UL M. H TE 'N F A t WITH A RUBBER R LINER). fr 2 to 8 U FOUNDATION to be reduced from 0 4 POINT 3 0 HILL ROAD 0 • Private Well n A h On site P ate e kfrmo SAS 3. Request a reduction from. the setback from r a PREPARED �. � ._ EP RED BY. EXISTING G from 1 to 13 E S reduced o 50 to be ,, s W � H 0 F vl , WEL L P r, � W. ARN TA MA .. B S LE r B 026 68 . R I . A CARNEY .LJ SHAY VARIANCES. CONSERVATION � - �, EN VIRONMENTAL IRDN.�LL�'NTAL SERVICES, INC. n ISOLATED WETLAND s m n A t o from h k from SAS o R reduction f o t o setboc o a t. Request a 4t O 4 THATCHERS 3N� LA, E f m 1 ... F reduced from 00 to to be educe 52 4 R 0 20 0 50 .:,, S T - , EAST F E A T S LM U H M a 0 A 02,536 . A A N R • � f h isolated wetland TA 4 feet a the s oted e d 2. Work Are within 0 et o Request o 0 0 4 c f � ,e T re-ve etote as noted. o be d 9 T FAX _ EL 4 7 , 508 5 8 0 96 1 SCALE 20 SCALE: 1 11 20 DRA WN WN BY:< CE DA TE:AT F R 8 2 E EB ARY 003 U ' PR J T � . 0 EC SD 3 98 F NAM .tLE PP W E SD398 .D G SHEET 1 F S EE 0 1 t - s. 7 7 771- 7 7 4NOTE: ALL PIPES ARE TO BE 4' SCHEDULE 40 P.V.C. Aq Q7, PERCOLATION TEST 2-18' DIAM. ACCESS MANHOLES SIT 10' min. from VENT PIPE (0 Least 24 inches Existing Foundation �hl.se to septic tank SeptiC tonk Cov*(S must be Schedule 40 PVC w/Charcod Odor r a Dote of Percolation Test: FEBRUARY 7. 2003 T.O�F. el". - 48.00 within 6 in. of finished grode t, S 41.OD Grode *�w Septic Tor* 41.00 Groo ow D-Sox 41-00 SA Test Performed By. CARMEN E, SHAY. R.S., C.S.E. I � //[\ -11_� /" I, SECTION A -A Results Witnessed By- WAIVER (PER BARNSTABLE BOH) 7- PROFILE YIEW OF LEACHING SYSTEM Excavator: Shay Environmental Services, Inc. S 0.02- 3 HOLE THE ACCESS COVERS FOR THE SEPTIC TAW, Percolation Rate: Less Than 2 min./inch 0 90" - DIST� BOX INLE T DISTRIIBIJTION BOX AND LEACHING COMPONENT S-0-01 i I I I 'SET DEEPER THAN 6 INCHES BELOW FINISHED 10' 3' Moximum Co�er Top of SAS-Elev.=33.75 OUT ET T� 1, GRADE SHALL BE RAISED TO WITHIN 6' OF 014'to 1 1/2 Wawked Cr.RW 84100W EXIST. PIPE XIST� 1, A 0-010 per foot A Of 1/0" VOW%"P*404M 20' FINISHED GRADE. FPDH FOLINDATIDN SEPTIC ANK H-1 Effective Depth INSTALL TUF-TITE GAS BAFFLES OR EOLIALS Test Hole CONCRETE FULL FOLN'TJ K) No. 1 4) High S-trept STEEL REINFORCED PRECAST CONCRETE 4) C! DEPTH SOILS ELEV. SYSTEM PROFILE C3 L.J C3 LOCUS MAP A C3 C3 1.3 PLAN VIEW V 2000' 0 41.00 C3 r-\ C=l C3 12'- __C� /-\ Loom y Not to Scofe > 0 2 nlit t-9.5' = 17'+2' Stone in e ween 1 3-24' REMOVABLE COVERS GENERAL NOTES FILL 6 E in.of 3/4*-1 C 1/2' >1 3 9 3' 10 YR 3/2 1 Contractor is responsib e or 9sofe notification A 39-501 (.*mpocted stone 4 -1.1 Effectl�e Length min. cloormce and protection of all underground utilities and pipes. 00 wy r- INLET- 4EE�, a" mM.T_f2'_min. inlet to outlet min. 2. The septic tank and distribution box shall be set Loamy SOIL ABSORPTION SYSTEM (SAS) UUILLI level on 6" of 3/4"-1 1/2".stone. Sond rni.� 3. Bockfill should be clean Sand or grovel with no 10 yp 5/6 500 C H-20 LEACHING UNITS WIGGINS PPECAST 6"- 24- BW 39-00 stones over 3' in SiZe. sift Not to Scale E9 4'-0'min, 4. This system is subject to inspection during installation C_b.". Liquid depth % Loom by Carmen E. Shay - Environmental.Services, Inc. 2.5 Y 8/4 5. The contractor shall install this system in accordance 90' C, 3350, with Title V of the Massachusetts state code, the approved plan 24' Med-Fine 4' -10'- and Local Regulations. Sand 6. If, during installation the contractor encounters any 2.5 Y 7/4 CROSS SECTION END-SECTION soil conditions or site conditions that ore different 90"- 192' C2 25.00 from those shown on the soil log or in our design installation must halt & immediate notification be USE EXISTING 1000 GALLON H- 10 SEPTIC TAN K made to Carmen E. Shay -- Environmental Services, Inc. FOUNDATION too SEPTIC TANK -20' D-BOX LEACHING FACILITY NOT TO SCALE 7. No vehicle or heavy machinery shall drive over the septic system unless noted as H-20 septic components. 8. Install Tuf�Tite gas baffles or equals on all outlet tee ends. 9. All Distribution Lines shall be 4", diameter Sch. 40 NSF PVC pipes. Pere #1 40 Mil Rubber Liner 10. All solid piping, tees & fittings shall be 4' diameter Depth to Pere: 90" to 108" 43--- ------------------- LOT #2 UNDEVELOPED LAND Wrapped Around Garage Schedule 40 NSF PVC pipes with water tight 'oints. Pere Rote=<2 min./inCh 0 90" N 62d 51' 50" E Footing Until 10 Feet From SAS. J I I Groundwater Not Observed I/ Failed BTE3 11. SITE and Surrounding Properties are No Observed ESHWT 2 7 4.78, BIB ALL CONNECTED to.PRIVATE WELLS AS SHOWN. ADJUSTED H20 Elev. None Leach Pit TEST HOLE #1/TH3 (Approx.), ELEV.= 41.00 LOT #9 -7L- --r 137 EXIST. 1000 got. .1 k (;6- 5' Septic Ton &QIL 91 ONS ARE: APPROXIMATE AND THE PROPERTY LINES WEILAND LOCATI EXISTING 42 --- 0 PROJECT BENCH MARK WELL XISTIN TOP CATCH BASIN COMPILED FROM THE SURVEY PLAN GENERATED,,BY DOWN CAPE ENGINEERING OF YARMOUTH, MA ALL CUTLET PWES FROM THE /,39 OISTRIBUTION SOX SHALL BE 12' GARAGE EXISTING ELEV. 38.69 (NGVD) ENTITLED " SITE PLAN OF LAND IN W. BARNSTABLE, MA OF SET LEVEL FOR AT LEAST 2 FT TE COVER I I 1�* , I I F 'N 2 51*."*., -.1 ---------------- !''I TH1 JOHN GABELLINI", DATED LNOVEMBER 12, 1993. 3 5" OUTLET 2" V4 HOUSE " - I t38T fis � AND IS AN AS-BUILT OF EXISTING FOUNDATIONS. KNOCKOUTS q THIS PLAN IS NOT INTENDED TO BE A 'SURVEY PLOT PLAN I T 41 D-BOX THf INLET AND SHOULD BE USED FOR NO PURPOSE OTHER THAN 7�_t�TLET t %'. A371 15 0% 41 EXISTIN THE SEPTIC SYSTEM INSTALLATION 2' WELL 4 SCH. 40 75' It 3 BEDROOM PLAN SECTION CROSS-SECTION 1 #43 40 NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE 3 HOLE H-20 DISTRIBUTION BOX NOT TO SCALE 4 1 5 ao, FROM THE.EXISTING LEACH PIT TO BE DISPOSED OF AS PER BOARD OF HEALTH SPECIFICATIONS. '40,Mil RuOb�,Liner ELEV_-4,:�.00 to'35-QO I,- I _LA Z\TAF EXISTING FAILED LEACH PIT TO BE PUMPED DRY & 14/ J REMOVED TO FACILITATE NEW SAS INSTALLATION. 13 U�R LL. 40' RIGHT OF WAY ASSESSORS MAP - 136 LOT 18 Area to be Re-vegetated r- W/Indigineous Plants ZONING RESIDENTIAL To Maintain 50' Natural Buffer, FLOOD ZONE C cr_ V Nt THERE ARE WETLANDS LOCATED WITHIN A 200' RADIUS TIFIED ON OF THE SITED SEPTIC SYSTEMAND ARE IDEN + 7- ISOLATED PIXHED \4/ A/ 31 WETLAND o PERCOLATION TEST 1/ 4, -4/ q/ 41 14/ 4- NLI LOT #14 Dote of Percolation Test: 5/16/89 and 12/5/91 4, 4, LEGEND Test Performed By. DOWN CAPE ENGINEERING - TOM McCLELLEN & L,W. HAMLYN to Results Witnessed By Paul Londers & D_ Miorondi (BARNSTABLE BOH) 14- 14/ WELL IS 'OVER 150' Excavator: Unknown DENOTES PROPOSED Percolation Rote: Less Than 2 min./inch 0 60" A/ 41 SPOT GRADE A/ q, -4/ -11 -41 14/ DENOTES EXISTING X 104.46 SPOT GRADE Test Hole Test Hole Test Hole No. 1 No. 2 PL 4, PROPERTY LINE DEPTH SOILS ELEv. DEPTH SOILS ELEV. DEPTH SOILS ELEv_ No. 3 41,001 0 41.50! 0 41.75 0 1 7 PROPOSED CONTOUR Loamy Loomy Loomy Sond Sand Sand 4� 97- - - - - -97 EXISTING CONTOUR A/B 39-50 1 0"-18" A/B 40.30 0*-12" A/B 40.00 0"-24' sit silt silt DEEP TEST HOLE & Loom Loom Loom Design Calculation PERCOLATION TEST LOCATION C, C, C, Number of Bedrooms: 3 Equivalent to 330 Gol./Doy (330 Col./Doy Min. per Title V) 24*- 90' 34.001 18 68 36.30 f 12 60"1 36.0l Medium Medium Medium Garbage Grinder: No I FENCE Sand Sand Sond Leaching Capacity Proposed- 330 Gal,/Day Minimum (Min. Per Title V) Septic Tank 2 x 330 Gal./Doy = 660 USE 1,500 GAL. Septic Tank. 90-- 1441 29.501 68"- 168* C2 27.751 60"- 168' C2 25.001 Using percolotion rote of <2 min./inch PRIVATE DRINKING WATER WELL SOIL ABSORPTION AREA� Bottom Area: 0.74 gol/sq. ft. x 300sq. ft. = 222.00 gallons Sidewoll Area: 0.74 gal./sq. ft. x 148 sq- ft. = 109.50 gallons REVISIONS Providing: - 331.50 gallons LOT #3 50,435 S.F. Use: (2) PRECAST 500-C UNITS, HAVING A 2' ErFECTIVE DEPTH, NO. DATE: DEFINITION TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES AND Added Pere Test From 1993 3' OF WASHED STONE ON THE ENDS AND 2 FECT IN BETWEEN 2 UNITS. 4/1 1/03 Revised Typo to Three Bedrooms Pere #1 Depth to Pere: 60" to 78" Pere Rate=<2 min./inch 0 60" Groundwater Not Observed No Observed ESHWT ADJUSTED H20 Elev. None PROPOSED PREPARED FOR -0 VARIANCES REQUESTED: SUBSURFACE SEWAGE DISPOSAL SYSTEM BOH VARIANCES: OF 01 DEC N1 (7.gll 1. Request a reduction from the setback from on SAS to a Garage #43 POINT HILL ROAU,111�,,,, 'VLSNI Sym )OV Slab to be reduced from 10' to 2.5' (NTH A RUBBER UNER). M R . JOHN GABELLI,NI 1H1. WEST BARNSTABLE, Qk""' 0 irn�,v L,?_.,9,,_-,, �01-LV'IVL3NI 2. Request a reduction from the setback from on SAS to a HOUSE r:::,.,Z;33C1 FOUNDATION to be reduced from 20' to 18' (WITH A RUBBER LINER). NIF PA UL M. WHITE 43 POINT HILL ROAD: 3. Request a reduction from the setback from an SAS to the Onsite Private Well EXISTING PREPARED BY: to be reduced from 150' to 137'. OF k1f WELL W. BARNSTABLE , MA 02'668 A CA RAIEN E. SHAY CONSERVATION VARIANCES: ENVIRONMENTAL SERVICES, INC SH 1. Request a reduction from the setback from an SAS to on ISOLATED WETLAND 34 THATCHERS LANE to be reduced from 100' to 52'. 0 20 40 50 GIs' f- EAST FALMOUTH, MA 02536 "INIT 2. Request a Work Area within 40 feet of the isolated wetiond Pill To be re-vegetatedos noted. TEL/FAX 508-548-0796 SCALE: 1 "=20' SCALE: 1 "=20' DRAWN BY: ,CES1 DATE: FEBRUARY -8. 2003 ' PROJECT#SD-398 FILENAME: SD398PP.DWG SHEET 1 OF 1 E 4 2*U-3t. 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L .1 I I �11 �� . , � - I I . � . -;I 1/2-L.stione. ,.�-�, �_ , , I . r I , I ,�� I I , . I I I " Loomy I I I . . I ia2ttm-pf-lttLhtis-2-Jatt-!t4lAfL---- � I � SOIL ABSORPTION SYSTEM (SAS) . � I I � % I Li;j�ld I*vW7'7 :' 5�a OUTLET ,I � �, -, . I . ,level,oii 6 , *V�3/4 w I : I I . � I :t�', I � - I � � . � . , ,., '' 1 � - , , � I..I . I 0 I . 11 I I ., I I I I . I .. I . P, ;-_ � I I I �, 1. 3._`�Bockfill thbLildl be�tleon's4 it "� . I I , , , ,; %",,": I I .I I � I i I . I - I 'I , ,r , I ., I �� - I . I �. I .1 I � I Sand I � . . I I + . � I 1 7 - , Ile . , . �. I . ..I - I' "* L I , � �Ad, or grovel 1`1w h no .� : ,: , I I I . I I . , - I � - i I . - , : , � 1. i . 7 11�]� I . '.I , �1:I I I . � . . . I . . . F j ' 500 - C H-20 LEACHING UNITS i WIGGINS PREcAST r "A 1 . ..4 1 � � � r � :_ .;.71 1 11 I., ' ' - .1 . . I I 1. , � I . . I . 16 YR 5/6 I . . 51�. ,,� I I L . ,, F . : , r- !� , - -s-over .3 �in-tsize ."' ;,' "'r �, .1 � . - , . � I I, I � -, I , I ; - I I I � I I : . . it � � . I I 1, . A, � I - � I � I �, , - ,,stone I I . . i_F,,, ,�- I .1 I �. I . I 1 . "', � I � -1 , I I � � I � �9 S I ' I", � . " I . ' ' ..� .1 , I :, � , 1. I � I � I ev . I . I . .. . I I . .; ; I z " .- � � I - � - ) �t I I . � . , ,� , � - - - I � � I 1 6'- 24" 39.00 1 . � � I . Not to Scale I .. . E9 , I " I � ... 4-01"i""'' , '. I � : - � 4_7his tyjteMjsLLwbj6ct Ao i6spection 'cluiing 1ristallotion , 11 ; 11. :. I .� I I i il I-1,�, I I : I . I '' I . I I 1. . . � I .. I I r I I � IL I I ; I , . .1.I -1 I I � I I I . I . � . . ..1 Gel � , . Liquid depth , -� by 4 Cormen E.,Shby - Environmental,�Services, -Inc.:- 1,:� , - � ,� I I :r � I 11 I sit I . I � I I . . I 11 ?11111 I I i I , . I + I I I . I � ,�2� �_ , � ,�� . . I I I ,I I . � I , � � I I i � I. I 0 1 I i� I- .� � . L , "I 11� I I �, I � I � I I � I , �_L � 1, I k, I . I - I . I I I I .- I 1, I I �,I � I i � � , � I . . I � . '71. I� . I I I I I I , , I .... .I , . r . �. �:., I , , ; _ 1 t' 1. . I I-1. I . I . 11 � I Loom r � I I tt I 11. 11 V - . I I , �, :r, � :I . �, --s all ,insto -in ,accordance .,. . � . � � 11, .,� I� . . I � � ; . � � � . I I 1: 7 I, I . M. , I , 5",The contraki6i'" h ill 4hii system , I 1 I 1, , , . I.. .. - I I . . I �. � . I � 11 I I . . %1� I . . I I 'I � . : � I , - . I I �, I 11 . I 15 Y 8/4 . - I . I I I . I I I � I . I . . I I t, , , � I . I I � I - t,! I I . . -- 11 I I � I -of-the Massachusetts state ,code, the approved plan . �� , . � I . _ .- , . 1. . I I � . �. - f ;A - ... , i - , � - I I :With Title V ' . .. . � 1.11, I r - -1 , I I . C, � � . . � I ; � . I I .., I � " ��, I . ," I 1. I I I -�*�;-'.. -,-,_.�-,- . - I . -1 ' - I .1, . I I., . �.' 24'- 90 33-50 1 1 i I .71r7,,,.-..,,.,I',-�"zm*,___:i-'1. 1��'_-I,r, .-,.*,;t . I � I � � I I . I I . .. - , � .-1 I -,Re lotion - "' "' - - ' ,_ . �.''. . . r I �. . � � . - . I � I I . � . I � � 1 . L, �. and Local gu S_ 11 -, -��-, ,:� . . , I . 11 ,� � � I.- - I - 11 :, I I . I I . , __--- __- - a.-O. I I . . 4* -to- � I I �, 4 � i 11 ' . I � I I -11 .1 i �t,I I I I . Med-Finte � I �� I z . I - I I I I I 1, I ' ' - ' - . I I I I , . I � � I I I I � - ; 4 1� , . I � � 6 any -' I I 11 I 1 . � I I . . I I . � . I � I " - . I I �� . 11 ., I I I n octor.encounters I I I . I .1 , I I Sand I I - i I I � I I � 6. If. diurih 'irlstollaiioh7lhe;�`Co tr' 11 - , ,� � I I., I�,- , , � � I I r i I I I : I I I ' �,,� ; I � t' I ,,' 4 1 Soi - '.` I I I i,! � . I�.! ''�I ._ - , 11 . . i I .� CROSS SECTIO - I END-SECTION � �� . t I I riditions' 9r,site-',conditions that are-different ,� I 1� �', . � - . I � "� 1.I� , I " I I 1 2-5 Y 7/4 1 � I I I I I . , I :, I I I I co I I _ I -� I I � , � I I I - , � . . �. I t . I I L . 1 90*- 192 . C, 25-00 1 � ! I � I �. �, . . � . 11 � 11 . I I 1 -1. 11 I ; I�,, I I r_ If rorri-those ,sho*n'-on"the.'io;l 169.or ,in:our design . - 11 11 r�, I I I, ,I I I '1� . �� . I I � �.�._ I � 11 , . I I : I i . � � . . I I - I . - , I � I 1. I . 1, I . - I I I I , I I � I I I �':�1, 11. I . � . I I . I I � I , � . I I I � I I . I , , ' . I � . I �� I I F - I . . I I . I : � . ," I I I. � I I I I 1. I .. I I . � . . I . . installation rniUst halt .& immediate notification be I I � -1 I � I . � '-, . � .I . I ,�, I . I I . . 1: , ,_ . ,. I I . .. . . I I '. . I� . I I I 1 4 . � I - � I - 1. � _ � I ..- - 1, . ,;.. �, I I I I I I. I I . i� I . I I ., mode to Cormen. E..Sh`oy.. tEnvironmental :Services Inc. , I � . ;� I ,_ �I : I �.t,�i I I -, I I I I I I I I � USE EXISTING 1000 GALLON H-.1 0 SEPTIC - TANK � ,, 1 t-4 L- �: � . I . - r. � I . .,� ,� I �, . I-, I , : .1 _ I � : ' ' .1 �1 : I I r,,' � 11 I � � I I .1, � 11 11 11 1 , I 1. . . . � I I I � . ,� . . , . .. . I I I . I � . 1 7. No �' ' I � ' "' h' � hall dr'ive'over the "I ," ,. . I i L, I � I � � I . I . � � I !� - I. I - . I t I . I 1, I 11 I � 11 -1 � � I . -, I , .1 , vehic e�or heavy moc inery,,s , . - � ,� '�F, , � I, . . � I I 01 -SEPTIC TANK �20' . D-SOX -a lits, - LEACHING FACILITY � I I t I . I I ,L I . I ol� , ,i I�IL I I I . I I I I ' * ' ' , , I L I . . FOUNDATION If I I NOT TO SCALE I -1. I I ,. I I � "1" , , .I I ,septic'.Systern. unless noted:as,11�20 Septic c mponents� ' . I .I I t, . , I I � . I � I I I , I ,1. I , � I I � . . � I I . � . I � I� �, , I - r I I 11 � I . - I � �� , _%, ,� . .,, . � I . I I I 1. � I I . I I . I . I I r I I , , I . ! I I I . - I " I ., � I . I . I I - . i I . ,� I � . � I . I �I I I ; I I� I - . . 11 S..'Install T(if-Tite'gos,baffles `Cir� equals on all,outlet tee .ends. � I I .1 . 11 1. - - ,_,_It� z�". I � I � � j . I I . � . I I � I .I ,� I 1. I . .1 ', _. � - � " I- � I 1. I � � .I I . � I I . t ..- I 1� I . � _� 11 � I 1, � . � I I I I : I 11�� FI I , . - I I� 1: -1__� , I � . I I I � . - � -Distr 7.,'4iornet6r Sch. 40 NSF PVC i I .�Ii�_ 11 1!t. I I I I . I � I � . , . . 9. 'All jbiul:i6in,Lines.,jh6lF,be ,4 1 1 pipes. tF , - I .It, ,��. ,t, I I . i� � ". , : �F ," � " _ , . . " " I I . " rt I . I I . I I I � � I I I � I I I . I I I 11, . ,- " ,�,� - ", �" .,i,�I I . . . I e I I- :, �� r.4 1 1 1 1 1 1 1 1 � I . ; - I � ,_.'� � �z 11 � � r - I � �. I I� � I I I j " . � . 40 Mil � . I I - P. � , :10., All ,solid'piping, tees,.-& -fittings�$hall be�4', diameter I � ,�� I 'L . I, , i .1,, I I I I L � Pere #1 . . I Rubber Liner I . I I I I ! 7 � 1 I . I - . I", I,� - � I I I I . .1 - 1 I ,,,, I . . � � . � LOT #2 - UNDEVELOPED LAND , I 1 11 I . � I 1 . � I i, 1. 1. � ` I - . .: 1. � � � . e � t,t, � I . � - I Depth to Perc: 90" to 108t" . . Wrapped Around Garage I . � I 11 I -tight 'oints. � I - I I 1 . _. � : � I - : I � S w i , , � it." .t ..- - . � � I � - I � ,. - I I I I I . I . �, Schedule' 40 :NSF�,�PV&i pipe'' ,'with I, Oiter. I I �. I I � t, � � t, . . 1--r. I . .1 - I � � I ,� . . - � I I , I . .1 . . � � � �- , % .11 1 , � ____ IV 62cl 5 I' 50" E I I 1 . � I � Footing*Until 1 0 Feet From SAS. I I I �� I i_;I" I,�_ . I . I . I ,_ . . , �� .; -� el . Perc Rate=<2 min./inch 0 90" , I � . I I . . I � � . . � ; I . ., I I � 11 .1 . I , - , . I .1 I � � . - I . I I . . I . I . . I . I I . I � . � . . I . . . ,li - 1.�I " I � . . I t I,11� I � ,__, . I . - . - - ., .. I . � � I . . I I I � .1 I L� r I 1. .1i .1 1 -SITE and ,Surrounding Propet ie' s ore ' ' _- . - . . 1� � � . I , " -� ;,� . . I . I I Groundwoter Not Observed I C I I I � � I I I I � I I' I - "I 2 - "�, ! - I/ P E I I -, I L I � I --*I- . 274.781 1 i A� �ailed f ''I'll',", 111''.. . I I ED . . I .11 I I '. � I I � I ;I ., .- I t � 'Ij ALL CONNECTED to iPRIVATEWELtS AS:SHOWN. . ,� I 1 . I . 11 � I I A �� , � , - . - � Ij �� . - I I I . I -� �_ , I I '. I � 1: �. ''I I No Observed ESHWT , - . , . I I . I I .1 . i I . � I � � � . I I I� I I , :� ", , - I I I . I I I I Leach Pit , I � � I � . I I I .1 It -1- . � 1 . . .1 I . 'i � 1, I ,�;� I 11 � I I ; . -_ I / I - ''I ��, I . . L I � ; "�-,'.i,',, �, t � :1 1. � 1. ,� I :, �,, I I � f '. ,- - ,V" "I v, �,, 11 .1 � � ADJUSTED H20 Elev. = None . I .1 t I TEST HOLE j1'/TH3 :, � �, t;. , , I I I T I I � " - ��_ � ` ' ' 't' -1 I I I .I . I I� ", 1,", I :, . � � � -1 I / . � I I I I I . . I � 71 11 :. I . : � : � �r,,,1�1 .11 ".1 :, , - - I . 1-1 . I � �."" �;t, . . I I � I I I (Approx.) I i�I I I . � I I I � 1. � , , , '1 �,1,I"� "' .� :L I � ` _ � - 11 . . , � .,7�i I . . I I -I- : i 11 . / ELEV.= 41.001 - � � �, . I � I � � I I. � � I , - �� . " , ", � - . I � � I I I .1 � L � I I T � . ��. -11, . 11 . ,. ,� . . - .. ,1 1. � ,, . I . i � �� . ,� ,,, ". ,.. I I I . I (P i , / I � � I I � LOT, I I .11 I � I �m I . I I L- I ,� � �11 I � I I I , ! I 1. . . I - - I- .- - - - - - - - . i'' . I 1 ,#9 � I ! . - - . . . I � :.,:� � . I _/ - ......., '', I I . I . I I I . . I � I 1. � I ,�, ,_ � I . I � ,� -': �, I ;:�'. L � . ; _P_ I I 11 . i I EXIST- 1 I I I I I - I 11 ,. I I , , . . ,r �::: ]''. -� � � , , . � � - .. . . X_ ! ---::� - __� , , - - - " --/- --r - - - c4s:r- . I � I . ., lt!" : ,: � � .11 - � � . a) . -,. I .= �_ - I 000 ;1ol :Imu DRI VC VA,y I � . . . I r I I I , I I I.: � , - _ � . . � �-__, , I- �' , ,": I'-I I . ,. � I 1 . . 'L . �. : - I I 1 !!7 .,� I � � � - ��; : ,-,' - e 1, I I I I I r 1. I I ..A- -.,.z ................ I I L.I I I . � I I � I � , � - , . " , :, .-, , , - �, I . . I �7 ��,I ,;. I.." -, . I . . . 30. I�, / 11 I . - 4 . Septic Tank - . . j - I .. � : i, _� - NOM : �_:�I�i"�: �.z �7 '.,r� ".'i ., .- ,_ - � I I 1. . .1 .1 1. . .., - I:,'' � � I I. 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I I I , I I . I , __ . . . - . .- . - ' ' I . � ,� . 1-1 1. I I . :�� I 1.I. - "I I ,,I I I�. _� I, - : sat - � I Loom I I . I 11 I I � . I I I 1. I � . . I I . - I I I � .1 � . ,It I I I 1. . .I , I . I � 11 I I', .- i , , '.. . , I. I I " I ' ' ._' ' . . �_. ,�,� � t, I 61; , , � � . tl .-Loorni -1 � I . ,Loom . I I 7 . . I � . I . , I 1.� - �� , , � -� � .,��I- .- I :. . ;�.� �� t", .. 11 � - '' ,C. . -1 11 i I : �, : .1 I � I , " , .I I I q . I . I � I � � � t . . . - � I I . . Design Calculation .. � ,,, .1 I 1: I ,, � . �� 74- I !, �-- � ,PERCOLATION ',TEST �LOCATION � -1- . . I T _':" j I, � . I 1 I I I . I . . I ''I I . 11 I I � I ��, � . r � .!% ; - I I . . � , " d I � � , I .1 � I : -I - � I � I . 1 - .. .. ' ' , I I . I I I I . I ; - I . I � I I I I .1 - . � . . . - I I - � I �, "I. I - � I I ''.. ;, � : I - �11� I �, , 1. I I . 11 :, .- I I . � � . I I I . 1 I I . I . - fo I . L � I 11 I I I I 1, . ;�, I F � I� I . 1, . - - I � . , - I I I- . �. 11, � .. 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Zi. 55 . � I I I I Leaching Capacity Proposed: 330,.Gol./Do Minim m (Min. Per,Title V) I 1, � � . . r 11 I . 4 . � . , �I.. I I .� 1, I I . . I � 1 . I � . ,,4 , I � Sand I Sand . . � I I . I I. y u 1. I .1 1. I - " I � I - I - , I � " . I ZF:� . - 1 I,��- I . I I . .: ,� I I . � I I I 11 . . I . 1. I . ��. I - "' I I . _ I I . - � I , I I � I � . :_ -660 USE 11,5010 GAL. .Septic ,Tank' . I . I � . I � - .. � - � � �, q I- , - I .. I . � I - � - -i '� � . I C � I ;I ? . : , �!'_ �. b % I � � , -, "' I I I I I I . Septic Tank ,2 x,330 Gal./Day = . L . . I *� ,. 1 , ,,� I , 1' I I 1 I I I V, j I I � I - _'. � 1. I I .. I , , � . I , I .1� I I I I � � I -1 11 ,r I I � .1 I .1. 11, . - 29-50 . � I ,� ,,,,, ,, I, I � I � �I, �I I L:I -..I�. I I .�, . . � . " I 11 I I. 7 % , I I �: I -t � " : - I I I I C, I. . I � I I I I . . I I � I I I .. I i LL I� I - I I .1 . _: :,�",11 � . I � I I I � I I . . I . . . I . 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I � I I �:til I I I �11 I 1, t, r _ "", t � I . . I :t " � 1. I I � ,�L I �. � � I - I I I , � � I .. � , I . I I ' I ,1� " ,� I I I I . r , " � ' ' ' % -11 I,i I . . I �, I I � I I I . - . t" I . ,� I I . . I . � I . I . I � I . I" I � - 1� ". I � . 1. I I I .1�1��'. . I � , ,� � . I 1. � . I - S I . L�___. I,I . 1 41 �� - . . . . ., . PREPARED F0 R . I � ' SUBS I CE,� SEW r�E - D �,tv .� I I I . . ,- . I I . 1_ � ,� I- �I-I .. � . I . �. VARIANCES - REQUESTED: 1 I . . . . I . � � I I I 1 . I I I I - . URFA A I POSAL : SYSTEM ` la� 1 . - 11 ,�._� �, I I � I I . I � . I I � . I . . . . I . . I ,. I I. . . .1 I.. I . . I I . L I 1, - . . . I 11 . 1 11 . - _ _. , � I I � - � . I F I . � I I I . - ., 11 . , �, 1: 1 � . � , I 1 . . I . I � � " . . ,. I I I I I . I � I - . I � . � . . I 1 . 1z'' � � r I � ",'' . I 1. -," - 11 . 111 , 41-� _4�, � .�,� I . ,_�, I . . ii I _.1. i . I I 1 ; 1 1 1�1 % , 1� I -� . � - I . I t I I L I I I � . I I � , I I . ' '.. 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"': t�_�;;,'. I �. I � . . I I I I I I I 1,,, ' ' � - I � - :,� . d - . . I � , �� _ � -, ,,,- . � . I I I I I I . I I . I I I I I I . - I I . I �. . ,� I I I - I I � � , ,, : t. .� .. �_ '. I . 1 . � . . I I- t:�. �,,, � � . 1 � . I I 11 � I I I . I I � . .1. ' � �4-, I ., � � , t I � ! . I ,, , � I I � . I. I � � � - ,� , .1 I I I I 1 ; ..., .. 1. �� ,1 el :� ,.. .. � ,, I - . . I I . I � I . - . . I 1. � - 1, � , �! . I- - � t� .., , ., �. . . � , I . . . , . � . I I I I � - 1 . ,. I 1- � �.. . . I I � - I I I I 1 .. . 1 � � �- � � I 1. - � - L, :' POAD : 1. I � I � : � .� . . � . I I . . I I I .1-1 - - .1 � I . 11 . . � I� � . . I. , . � _,��' I " !i��, t `. I . I I I I .. . I I I . . . . I . . ..: -,�,, . .1 . , , ..:, 1, I , #43 -:POINT', AL . A :, � , �, , ': :'� �, �"-_,� -, ; � , � .. � I SAS to a Garage . � � I . . I � � I I� - -, .,� � . � . � .1 : �, � .`�* w - I :, I ,- 1_0 . . . � I 11 � . 1. Request a reduction. from the setbock from on . I . I . . I � I ; . : � 11 I , �', � �:,�,� - .I 11 I ��,_. I . I I � I 1. � ... � � I I .I - . I I + - I - . . � I I I �'. . I - � 11 ,� ,� ' ", �� , , , '. I . � , . I I ' . I . I I . . ,� I I I . I�, � '� �' �- . . 1. ,� ,7 _� I ,% I - tl .t. I �, I I . I I I � I � . I ��-��, i: � ,; 1. ,� - , w .1 � I I 11 : :t. 1 . . �I �, ' ' ' '' ' ' I I�. "" � 1� . ".'..:, I ., !��,:, I I I . I I I I: from 10' to 2iV.(WITH A RUBBER LINER). � . � . I � I . I - ' � ' : 'F - �: � � -,�11 I, -11 I � . . I � : I I . � � �I I I, I . 1 , "I '1� � I I . � � , � - ., . t. , I I I , . ,. ,�', , , � , I I 11 . Slob to be reduced � . I 11 � I I � I I � � r . MR. 'JOHN.- , GABELLINI , .. � , . I � . ' ' ' LMEST � BARNSTA �:MA ..-"t '. :r, 11, I I % L 1 . I ., � t�,'i ' '.� .11, 1 �1 lu� " ' '. k, I 11 1. I I . 1, � , . 4, I . I I � ; I " r , v� ''I . � � I , I L . � � I 1 . ''+ I I 'll I . I ,, I I . I . I "I. I I � 11 I I I I t, 1 ! I - 1111;�:�:� , I I" !. "� :,� �� - I, BLE� ,., ,. 11 .i I � 1,� I ""I, .:1 I .- I I r c I . . : . 1, ��" I � � I . , I I 11, . I I � I I I pl I � � 1, - . � . _ I . . I � . � I '' I I I 1 1 '' . , , � . I I I I . I . � I . � I I I I�' L -, "`,' �, ' '7 1 1 1 . I I . I . ��! � , ��,. ' '. I I � t- � � , I I . -1., i � :.. t'L:l t", . I I .� ' ' I 11 - .I I 1. � I ' ', I I � I � - _ ,� � :,� , , , ,_ I �.� -�; . I ..�: " � ' , � ,� �F� _-, I I L. I .11, 1. + I �. I _ _ � " .it , .. I I . ' - " ': - � � I I � ., � :1. I , , � I , � I I , I , , I 1. � - 1, I � WHI TE I - I I . . .1 I.,� . . - , � , I � , 11 I I , i. , 'IF � I -k from on SAS to a HOUSE.. i I PA UL M. � , I 4, I.: 4�'� � �: , I - i � � - . I - ,� � 11 11 �., I 1� I ,. 'Request a reduction from the setboc I + . NIF I 11 . . , �- I t : 4.�, I � I I I I - I ,� I �. I - �- . - � I., - 7 _ �,�, - '' . � � . I � I I . �'.I . . � , _' - d:: 1, . '''-��: I tL � " I ,- - ,r ', � � I I t I � 11 I I I . : � - j rz_ t I . .1 1 2. 1 1 . " . . I I - - - : , � -� � " � . � . , �� _ � �,.� . I .1, � . � . I - . 1 'A 1 . 1:�' ; 1. �� 11 , .' , , I ". , - I - :. ", � . I I . - � . I I I , I - I _ I I . I ,�, ..�-� " ,� +,�11 ,. , , : �i . I I .1 - I � .1 il: ��._:., I I - : I . I 1 from 20o to 18',. (NTH A RUBBER. LINER). I I I . . � � I I �� 43 POINT H1LL`,!,'.ROAD ' ,.� . . - �. _ %.,L 1. 11 - _ � 1. 11 1 . ..: 1� I I., . . I ., i ,:,� I I - I I � I I . I I FOUNDATION to be reduced I - . I - I I . I I I I � I � I . � � � . . . . " �_� r I , I I I � -- . -,, . %. - I , . J `L I I- I . 11 , . I - L . � � I I 1 . . I I . . I .I I I . I . I I I . . � I . I . I . I ,I ... " ., I I --- I --- .---- - � I .- � , , .,I . , 11 1. � , I - 1.� � I � ' I _ � . ,, I Z - I I I � . , .- , . litlt -, : �'_ , I , . ,� � �, . � _ " I I I I I I - . . ", I I I � � I � - ,; "I 1, 1.�. . . .L " I '. I I I 11 . -- I I ,�l �, , . � i - _: il . . � , �I . Z'� : t',:, ;t., �, � . , I " I i .. . I * . � r' . 1 I I - . I � t �, . 1.11 -I' ___,� ,�:. ' �.�,�� :_. " ', I -� , �_ I 1.I 1 I� nsite Private Well � I � I . . � I I I I I I I I � I , I �I , .�, 1, I .I , ; I . � ." I I ,... I � L I ; : ,By- Z-'r . I . I - I , �. I I 1� - I - � � I I I . ,. � '.. 1,-, I I I I , . z 41 1, I . ..,L� - _ . � ' � . I 3, Liction rom the setback from on SAS to the� 0 . I I � I � - I MA�: I I.1� ,I� : ": � I� PREPARED, , ," "I,�I I, . , . I-% + I 1 7 t .1. , ,,.; ,r ,, ,.1� - � . . ;- ", . 1. I 11 I 1,t '. , I 11 I� I : �,_�� 1, -. ., � -, , �ilt" _ I, I" , , �-,1'. I .1 I . I . I : ,, ;t, �, ,.",�� , ,� ,,�- i-_ .. 1. -!,,1 I- 1, I I� ,r,. rt,.,�.t, I I. ,,L , � . I, " � I.;" - - I � I � I � . . : EXISTING ' 1�t & A 11 I � . �., * .r,�', 1,.1, k P+ �j " , I , '': , ; '1111i I . �,Request o'red . � . r I . I . I . I r . I I I I � + '." '- tr� ' I 11" e ,:: , � , I 1 %,�'. , I p:'- �. ; I 11 � I r I I L � I . I . I I� . . I I 1. I � 10%�,,� I . 11 1 I . �. , ,- , �� '. I . I � I I � I I I I I I I , WELL ' � I I I � I : _ � . . , I I I .. I ", "I" " 1,I - � 4 � . � ,. I.. . ,� � I r , . , I I I , � I , 1, to be reduced from 150' to 137'. , � � I I I � I . , ' . .. I . . 11 I . I I I I . I I I , . I , ; _,- � 1.11 � "I V1 '�.:�'� , I �, til 1-i, � ,,.L �ir-y 7-. ' - , .-I, I , I - :. ,., ., : - I- � I I � I � . . I I I I I . I . I- - . L I . . . 1-1 I . I . . � , ".. I I .,.+I t,� � � I � I , . ,� .1. ,1 17 "+ 1, I � �. 1. Z;- �, ". "- � -� I I ; �q _. -_ ; � - . - I . I . � I- . I j I . ,; .. - . . � I I . `!, I .� I� ��;,-- . � , i � , - , !� ��!�,_.' , � ��;-,'..�I:- . . 1 . , % . I � �, � . . - . . . � . � . I I I , 1. - , 1. �., , � - ,�Ii. � 11, I , :tr� . I I � V ,� . I , .. I , +� I . . I � I . I I . I � I I 11 I I I I . I : I � � . . � I. 1. 1. �r -t, ,:._ _ . - 1; �� " � -. I P.I : , �,!A I �. -� -I - , - .- � ' .' �r�l�,�_,-11�� 1 I � I I � . . � . I . , : ,�11 - . E 4:3H, All ,; I-.I �, 1, ,. , . 1 . 1 �: t I I I ''I 11 - I . 1. - I . I I - I I I I I , W.� BARNSTABLE' , -026681,1 . , 1: �. 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I .,� - I , I . .1 I � �' , I , : -.�-S ' 'I -,',:�, , ,:1 � lli, ,I I �:,, , , '�v :' ,, � ��;r�L '-- " _ , h � I - I I I I - I I I I . 1. I . - I I �11 , ,1 , ,!. 1" I I - I I � 11 . �,,'� i � , , I I I " ON - VARIA I .- I . � I I I I I I . I I I I I I I � - � , . , � , � � I 11 "t , I ; ,F�,.�'', r �,+I'', L�' . �" 1 � - I . I I I "I �I � t:" � � ,�,� "'1� I I j I � � � I I . I � - . I . � . . . . . � 11 I I .'' : , I , 'r, � It, , �, ENVIRONNENTAL , , ERVICES�' NC-� I , I � ,r I- ,A ,,�, � ' ' I I , � 1, �1, , , , F , '�' , I I , ,::�:"�,��,:tt." _ .� 1 _1 ,_�v 1 , - . I , I CONSERVATI I NCES: I I I I . . I I . I It I I I � I �' I , . . , . I , , � 1�,`��'__- . _,"i, ,4 - _ 'r,"" ,.�� 't I � �"I ,1�,:, t��_; :;,,._,i,�-_' . - I I I I .., I I � I I '�t,�,� ' �- �, �� _," I ' - .� � t� .� 1� 1, _ �� 111�� I., �-, . ._I I � I I , . a I I I I I . I I I . .1 - � .1 � � ; . I I .1.11 , I . � . I . ;1 � �: , I , . . _.- � _� �� i , , - � �-,".�.' ' � ,�' I I - �, , _1 � . . 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