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HomeMy WebLinkAbout0010 WAYSIDE LANE - Health 10 WAYSIDE LANE, A= 110 021 uj 4 v Town of Barnstable P 4t Department of Regulatory Services Public Health Division Date - MASS. 03 �� , ;` 200 Main Street,Hyannis MA 02601 DMId� v Date Scheduled © Time G ` Fee Pd. Soil stability Assessment for Sewage Di osal PerfoZd By: f— Witnessed By: LOCATION& GENERAL INFORMATION Location Address -' Owner's Name L(� WaySrGQe Lut tttiootcr5 �C/yYtf��y FV rex �1CaSt Cil^vi5f�cb�� Address (6[.vgY5/�P L�! Assessor's Map/Parcel: g i r 2� ` / Engineer:'s Name ��U� oV94,1yy�0-o" NEW CONSTRUCTION t REPAIR V Telephone# ��i V O `7 Land Use d t a21�¢iQ Slopes(%) ® Surface Stones 0®n Distances from: Open Water Body t lD O ft Possible Wet Area t 0 0 yft Drinking Water Well t-f70+ ft Drainage Way S o+ ft Property Line t ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) �a. ®P 2 1 P L 0 T 98 AREA - 56013 sf r� 1(K I C11-- O(!°�,4 S Depth to Bedrock en o h� Parent material(geologic) P � p Depth to Groundwater. Standing Water in Hole: 0 Weeping from Pit Face L rA t'0 M Estimated Seasonal High Groundwater - DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: W61fer Ievej i a gea,t Icy i solyCd tnret ek Depth Observed standing in obs.hole: ___ in. Depth to soil mottlas: Depth to weeping from side of obs.hole: _ in. Grnundwnier )u5ftr►ent Z i• Index Well#`014- Reading Date:311;/05 Index Well level Adl,factor l Adj.Oroutidwater Level J -Z. Z. PERCOLATION TEST Dated Thne t,LA Observation Hole# ( Time at 9" `y Depth of Perc 6 ai rl l0 `—fti to Time at 6" K 1 q N'` Start Pre-soak Time @ U' !y,` Time(9"•6") '2 End Pre-soak L 6 01 w Rate Min✓Inch 2 yh p t 2 rA p Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% ravel -�.2 rroaw�y S�►adble �2-40 Lora ► ��� f0 DEEP OBSERVATION H I LE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C nsi ency.%Gravell Locany SahA *+l6 .?owe. Fv,i ab I Cl 4-kw CZ gedlvm to YP-(l3 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con i to c G ve DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. onsi n F Flood Insurance Rate Mau: Above 500 year flood boundary No_ . Yes Within 500 year boundary No= Yes Within 100 year flood boundary No_ Yds e Depth of NaturallyoccurringPervious Mate ial Does at least four feet of naturally occurring per ious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring p rvious material? Certification I certify that on (date)I have passed the soil evaluator eitarliination approved by the Department of Environmental Protection and th�t the above analysis was performed by me consistent with the required training,expertise and experience described in 310 Cuk 15.017. Signature Date Q:\S.EPTIMERCFORM.DOC Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. Mr. David Coughanowr, R.S. August 4, 2005 43 Triangle Circle Sandwich, MA Dear Mr. Coughanowr, You are granted variances, on behalf of your clients, Thomas and Cynthia Furey, to construct a replacement onsite sewage disposal system at 10 Wayside Lane, West Barnstable. The variances granted are as follows: _Section 397-2, Town of Barnstable Code: The soil absorption system will be located 112 feet away from a neighbor's private well, in lieu of the 150 feet minimum separation distance required. Section 397-2, Town of Barnstable Code: The soil absorption system will be located 107 feet away from an onsite private well, in lieu of the 150 feet minimum separation distance required. The variances are granted with the following conditions: (1) No more than four (4) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and 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 four bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. Q:WP/CoughnowrFurey WaysideLane (3) The designing sanitarian shall submit revised plans showing the design is for an existing four bedroom dwelling. These variances are granted because physical constraints at the site severely restrict the location of a soil absorption system due to the size of the parcel and proximity to private wells. The proposed new septic system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sin r ly you , I W e ille , M.D. C airp son Q:WP/Coughnowffurey WaysideLane ` • i OFSNE Tpy. r0 N IJF BlsRNSTAB DATE:LE 2(305 APR 25 . FEE: iAMSrABLE. P1 3: S � >039.• ♦ REC. BY i639 AtEO MA't A Town of B a4le BN HED. DATE Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: to Wq y Si Dl; Lhw[-- . W EST, Rows-Fh B LE Assessor's Map and Parcel Number: i D ' 2I Size of Lot: SG D Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: APPLICANT'S NAME: NV1D 0006H1rN0wR ZS Phone '3OL?a 364- 0a4- Did the owner of the property authorize you to represent him or her? Yes _� No PROPERTY OWNER'S NAME CONTACT PERSON `� 91ty l b C©UG H A-N0 W R. Name: T kOW1 a 5 k CX w�i q �V►reY Name: f;CO-Tt'CM N VL 0 E tJ T A-L Address: w wqy5l,�I4 LH /W• &91 M St i Mk Address: , Phone: SN 3 6 Z- - 45b 3 Phone: 1�0�g � 6q ogg4 R 0ZSG? VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 150 eefi t'Drn Pt&0246 !90-5' Liwtrf" �"(e en Lot ty 2ic►T- we( . QC1f'10qDqCet v l 2 t et ,iHe Well) CiW 6 a oti-at's Well NATURE OF WORK: House Addition ❑00000 House Renovation ❑ Repair of Failed Septic System ❑ Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only], outside dining variance renewals [same o Aeasee only], and variances to repair failed sewage disposal stems [only if no expansion to the building proposed]) 8 2 _ _ Variance request submitted at least 15 days prior to ting date l� VARIANCE APPROVED ��,,r° � d 2ne A Miller,M.D.Chi ' A&NOT APPROVED „ " S ner Kaufman,M.S.P.H. of- REASON FOR DISAPPROVAL U" �'s Sus k, n Q:\HEALTH\Application Forme\VARIREQ.DOCVL �' U Town of Barnstable FtHE Tp� Board of Health zARtvsTAs[E,�= P.O.Box 534,Hyannis MA 02601 y MASS. %639. Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on �' DO , the Petitioner(s), T6111g � CYutki y �Vd�y regarding the property at to Lh the petitioner(s) and the Board of Health agree that the Board of Health has until AJy(y f S, ZeDS (insert date)to act upon the Petitioners' completed application for a variance. In executing this Agreement,the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): Board of Health: Signature:zaAl Signature: Petitioner(s)or Petitioner'sRepresentative Chairman Print: JQV! Ca 06a bD wr Print: Susan G. Rask, R.S. Date: TV e ��1 2000 Date: 2000 Address of Petitioner(s)or Petitioner's Representative r.uh Ci VC (P Town of Barnstable Board of Health �yict`�lC�, VVI _ Town Hall Public Health Division Office 367 Main Street, Hyannis, MA 02601 Phone(508)862-4644 Fax(508)790-6304 file q:extend.doc f ZNE Town of Barnstable �F TaY Board of Health MASS. ` 200 Main Street - Hyannis MA 02601 y nss. �, t63q. �0 •�rE p.�,t A Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on , the Petitioner(s), avid ©, Ceu �hOwf �S oP 1'hars CY �''`1 ��ey' regarding the property at 10 W gV S( P L 4 �)esr o t 115 Jvlb le the petitioner(s)and the Board of Health agree that the Board of Health has until (insert date)to act upon the Petitioners' completed application for a variance. In executing this Agreement, the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): ( Board of He the Signature: �7 Signature: (� Petitioner(s)or Petitioner's Representative Chairman Print: yld D , (f®UfticlKew GCS Print: Wayne Miller, M.D. Date: jd[ 12, 20d� Date: z C ---- Address of Petitioner(s)or Pet oner's Representative 4-3 'Tr I a (e f-G(P Town of Barnstable Board of Health Public Health Division ),5 200 Main Street Hyannis, MA 02601 Phone: -508 862 4644 Fax: (508) 790-6304 file q:extend.doe THE Town of Barnstable Op tp� Board of Health BARNSTABLE, P.O.Box 534,Hyannis MA 02601 y Mnss. � i639• �0 ArEp�,�p Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on the Petitioner(s), 1..11001145 CyNfkiq Fvl-*Y —Ravid 1D, Cecil oaawr R5 regarding the property at 10 W)6 ,0 (a Alt° , the petitioner(s) and the Board of Health agree that the Board of Health has until (insert date) to act upon the Petitioners'completed application for a variance. In executing this Agreement, the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): Board of Health: Signature:�CJoyrr�-�J' �'�'�'�--�' Signature: Petitioner(s)or Petitioner's R�e1presentative [ Chairman Print: DRVID VGIf4-VOWkIR) Print: Susan G. Rask, R.S. Date: N(,j (0, 2P05 2000 Date: 2000 Address of Petitioner(s)or Petitioner's Representative 4� Trigh frie Cir SgyVpyjGy Town of Barnstable Board of Health Town Hall 0� U( ( q Public Health Division Office 367 Main Street, Hyannis, MA 02601 Phone(508)862-4644 Fax(508)790-6304 I file q:extend.doc t April 25, 2005 10 Wayside Lane West Barnstable, MA '02668 Barnstable Board of Health: I hereby authorize David Coughanowr of Eco Tech Environmental to represent a variance petition for a septic system at our house at 10 Wayside Lane, West Barnstable, MA (plan ete-1931.) Cynthia A. Furey COMPLETEI • I I I ■ Complete items 1,2,and 3.Also complete A. Sig tur item 4 if Restricted Delivery is desired. X `❑Agent la Print your name and address on the reverse Addressee so that we can return the card to you. B. iv d (Prinf, Dal of elivery 41 ■ Attach this card to the back of the mailpiece, S or on the front if space permits: D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No �AV 3. SSent''�e Type r , � �� 1/ /� (n It�Certified Mail ❑Express Mail w S 4q l f �/U' ❑Registered ❑Return Receipt for Merchandise I �`/� _ ❑Insured Mail, ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number " r--r --- .�-- (rransferfromservicc �7004 2510 0005 1453 7147 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVIG �': First-Class Mail 4) j i<< Postage&.Fees Paid USPS Permit No.G-10 I M • Sender: Please print your name, address, 66T" IP+4 in thls ox C) 3 ���!!!!3i!!!�!!4!!1!!!lf1i1l1lill l��l11F13l1I3I!!I!lflll�Elf� . Sv e d 4 Ln LOORNMECI & ., , Postage $ 0.37 Ln p Certified Fee 2.30C3 r�pstmark # C3 Return Receipt Fee LI� CCt; re (Endorsement Required) 0 a-e C3 Restricted Delivery Fee err: F�* r-I (Endorsement Required) in .4`9 fL Total Postage&Fees O VVetI Sent To C) U S S rl� �0 VA Ih jS- f- Street,Apt.N------- -- o.; v or PO Box No. ©. �j� r q a' Z;P*4------------------ Certified Mail Provides:u A mailing receipt asreney)ZooZ aunp'ooBE uuoj sd o A unique identifier for your mailpiece O A record of delivery kept by the Postal Service for two yea Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail -cr.Priority Mail®. o Certified Mail is not available for any class of international ail. o NO INSURANCE COVERAGE'tIS"•'PROVIDED with Ce ified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return ,Receipt maybe requested to rovide proof of delivery.To obtain Return ReceipYservice,please complete an attach a Return•� Receipt(PS Forrn 3811)to the article and add applicable post ge to cover the fee:Endorse mailpiece,"Return Rei�'ipt Requested".To receiv a fee waiver for a duplicate.return"receipt,a USPS®postmark on your Certifie Mail receipt is regwred:'r;wctlt .:i'l�iJ o For an additional fee, delivery may be restricted to the addressee or addressee's authorized;a ent.Advise.the clerk or mark them ilpiece with the endorsement"Restric'teii�eli very. '' o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the, Certified Mail receipt is not needed,detach and affix label with postage andlmail. IMPORTANT:Save this receipt and.present it when making an inquiry. Internet access to delivery information is not available o mail addressed to APOs and FPOs. SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete 'A. ceived (P nt(�lea,�ly) of e very item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse C. Signature so that we can return the card to you. ' ❑Agent ■ Attach this card to the back of the mailpiece, /� 1 '�/ g or on the front if space permits. Xf (1Jr.G�i1{ y"``" �`v�❑Addressee D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: F If YES,enter delivery address below: ❑ No J1580h It Svs�� ino IQ cpocke,' P-A n 3. Service Type ❑Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy ---_ { — - - — 1700,4 25,10 0305;;1453 ;7;130 ; PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • If c�� TX INJ i1�}1ltl�t�tlllli��fltt'�Ilil�flll .1��111B1Ifl�BlllifBlltD�!!ft t • } m - ,. r tti m m 0 '-q Postage $ 0.37 ILn SS . Certified Fee 2.30 V - MReturn Receipt Fee Postmark (EndorsemerdRequired) i•� cL HOG p Restricted Delivery Fee FNSBK // s rl (Endorsement Required) / H ru Total Postage 8 Fees $ 4'4'' 66� p Sent To N i1pE-No.;�p or PO f _I or PO Box No. % / (� (� ------------------------------------ ------------------- �n BState,z�P«a WO 51- q pq S�b re � Certified Mail Provides: (GSJanali)aooaa r'008e-0:1Sd n A mailing receipt o A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two yeare Important Reminders. o Certified Mail may ONLY be combin?d with First-Class,Mail ' ,rPriority Mail®. o Certified Mail is not available for any class of'international m . a NO IN96FiANCE COVERAGEt15)PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt maybe requested to rovide proof of delivery.To obtain Return Receipt service,please complete an attach a Return- Receipt(PS Form 3811)to the article and add applicable post ge to cover the fee.Endorse mailpiece"Return Receipt Requested".Tc receive fee waiver for a dupplicate return receipt,a USPS®postmark on your Certifie Mail receipt is required.4,10H: :iltili a For an additional fee, delivery may be restricted to the addressee or addressee's authorized(aggant.Advise the clerk or mark the m ilpiece with the endorsement`"R&strictedDelivery":` e If a postmark on the Certified Mail receipt is desired,please resent the arti- cle at the post office for postmarking. If a postmark on th .Certified Mail receipt is not needed,detach and affix label with postage an mail. IMPORTANT:Save this receipt and present it when makin an inquiry. Internet access to delivery information is not available o mail addressed to APOs and FPOs. t COMPLETE •N COMPLETE THIS SECTIONON ■ Complete items 1,2,and 3.Also complete A. Receive 1 y(Please Print Clearly) B. Date Del' ery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. Si ■ Attach this card to the back of the mailpiece, ❑Agent or on the front if space permits. ❑Addressee 1.. Article Addressed to: Is deliv r/aress ifferent from item 1? ❑Yes If YE ,eeli ery address below: ❑ No 3. Serv' eType V v ' Certfied Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from se,---'-"-- ---� - f i,;7004; 2510 1 gP05„14;53 ,74A6 � PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 UNITED STATES POSTAL SERVO '" - --:.First-Class-MaiF•-.,..,,. Postage&..Fees,Paid LISPS i. Permit No.G-1.'0 • Sender: Please print yogq,, me, a Aress, and ZIP+4 in this box • Eck -76c 43 Tki NwL Ca�, C_� CH IM A i i o G rti Ln wEGLEN � S ' A Postage $ 0.37 .LIN 0 •�� PCertified Fee 2.30 Q O ° QRetum Receipt Fee 1.75 P�IAere (Endorsement Required) r-3 Restricted Delivery Fee erk: l8 {0 rq (Endorsement Required) J Ul rLi Total Postage � 4.42 &Fees s` � pQ SentTo3w1�� , � � Uy - --- v gyp/ (�1n- - - or- - �f Gt =} or PO Box No. � e f ab W� 02,��� Certified Mail Provides: (es�aney)ZppZeunf'OOBE-odSd o A mailing receipt o A unique identifier for your mailpiece n A record of delivery kept by the Postal Service for two year9 Important Reminders: o Certified Mail may ONLY be combined with First,Class;Mai6 ocPriority Mail®. o Certified Mail is not available fogy any class of international mail. o NO INSI`JRANCE COVERAGE,(S.�PROVIDED with Certifi d Mail. For valuables,please consider Insured or Registered Mail: o For an additional fee,a Return Receipt may be requested to pr vide proof of delivery.To obtain Return Receipt service,please complete and a ach a Returrf Receipt(PS Form 3811)to the articleand add applicable postag to cover the fee.Endorse mailpiece"Return Receipt Requested'.To receive a ee waiver for a duplicate-return recelpt;ya USPS®postmark on your Certified ail receipt is regwred'.N?uCh', : iltl. o For an additional fee, delivery may be restricted to the ddressee or addressee's authorized a ant.Adviseahe clerk or mark the mail iece with the endorsement"RestrictedTetivery'". ` o If a postmark on the Certified Mail receipt is desired,please pr sent the arti- cle at the post.office for postmarking. If a postmark on the PCertifled Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Receive b lea Print Clearly) B. Date f De'very item 4 if Restricted Delivery is desired. � & �P'2 a� ■ Print your name and address on the reverse so that we can return the card to you. C. ignature ■ Attach this card to the back of the mailpiece, X 1 .41 ❑Agent or on the front if space permits. ❑Addressee D. Is delivery address different frogf, item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Wb" Fo C---4>C 3. Service Type i([�� ✓ /AEI' ❑Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from servi�r 7004 2510 i0005 11453 7,420;; j PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 UNITED STATES POSTAL SERVt(` ' - First-Class Mail,,.- Postage&,Fees,Paid LISPS , Permit No. G-10 • Sender: Please print yowipffne, ddress, and ZIP+4 in this box • " E0 7' 3 < �jj � � i ill If!Ill fill Ill fill!!fliflfflllllfl�l{3t llf�f!!:1!!flltlflF a- 1 u lumi 9 FP"EO 4 Postage $ 0.37 LIRT IN 0601 C3Certified Fee 2.30 p2601 MO Return Receipt Fee •75 ®NF (Endorsement Required) N C Restricted Delivery Fee !n lerlcrr-I (Endorsement Required) N Total Postage&Fees $ 05 J ti o r� �J} p Sent To H---------------------�-------� � C. O�I r �----•- ------------------- tt orreer, or PO Box No.. C_ Certified Mail Provides: aooa �r te�-ea1 'ooee u,o�sd o A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with,Frsf;,Cla s Mail®or.Priority Mail®. o Certified Mail is notavailable for any class of international m H. o NO INSURANCTE e6VERAGE"16iPROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Retum Receipt may be requested to rovide proof of delivery.To obtain Return Receipt service,please complete an attach a Return Receipt(PS Form 3811)to the artible and add applicablest ge to cover the fee.Endorse mailpiece"Return Receipt Requested".To recepoive fee waiver for a duplicate;return,receipt,a USPS®postmark on your Certifie Mail receipt is reguired!'I'mcri`t io For an additional fee, delivery may be restricted to the addressee or addressee's authorized a ant.Advise the clerk or mark the m ilpiece with the endorsement"Restricts elivery". o If a postmark on the Certified Mail receipt is desired,please p esent the arti- cle at the post office for postmarking. If a postmark on th Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when makin an inquiry. Internet access to delivery information is not available o mail addressed to APOs and FPOs. e COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. R ' ed by(PI a Pnnt 1 arly) B. Date f De ivery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C.lure 0 Attach this card to the back of the mailpiece, X ❑Agent or on the front if space permits. Addressee D. I el ddress di rent om item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: lc_No GUSlophC'r �w',4f I C�xI y� Frgn�t 5 c 1roct e✓ r y 3. Se ce Type El Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 02669 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Co( (; (; j 7004'(2510j 0005114531 7'4131 1] V( PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 I r UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid I LISPS Permit No.G-10 • Sender: Please print your name, ddress, and ZIP+4 in this box • -2, TU Arld L It" C�+Z W D W t 01 , i d ZS� IiI!!iliilltiillftfftitl�Flfifill tlif.l111lil1lll fill 11fiiilll m �, �• p ,5 a lti Ln T Postage $ 0.37 D: Ob �N; Q Certified Fee 2.30 C3 Return Receipt Fee 1.7� - O "I Here�Yi/�' (Endorsement Required) O Restricted Delivery Fee FNs (Endorsement Required)Lri fU Total Postage&Fees `©v r C3 KSentoxNo,01;. ID4 Cocker ---------------------------------------------�0L--------- City,Stafe,ZIP+4 ---------------- W + Certified Mail Provides:c A mailing receipt (asi-e il)zoo? unr'ooac uuod Sd o A unique identifier for your mailpiece n A record of delivery kept by the Postal Service for two yea Important Reminders: n Certified Mail may ONLY be combined:-with First-Cla Uail or Priority Mail®. o Certified Mail is not available for any class of international II all a NO INSURANCEICOVERAGE'IS PROVIDED with Cekified Mail. 'For valuables,please consider Insured or Registered Mail. o For.an additional fee,a Retum Receipt may be requested t provide proof of delivery.To obtain Return Receipt service,please complete d attach a Return Receipt(PS Form 3811)to the article and add applicable po tage to cover the fee:Endorse mailpiece'.'Retum Receipt Requested".To reoeiv a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certifi. d Mail receipt is required: . o for an additional fee, delivery,may be restricted to th addressee or addressee's authorized.agent.Advise the clerk or mark the . ailpiece with the endorsement'°Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on t e Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when maki6g an inquiry. Internet access to delivery information is not available n mail addressed to APOs and FPOs. TOWN.OF BAR.NSTABLE LOCATION t wAy ech &. SEWAGE # C POr C001 VILLAGE' vveV �n�s "�� ASSESSOR'S MAP& LOT j/0 '9J _ INSTALLER'S NAME&PHONE NO. Win^ 2 .� x �CS�nc ScfJlct SV 73'2 ?a SEPTIC TANK CAPACITY y LEACHING FACILITY: (type) - �� s/Is (size) g3'} NO.OF BEDROOMS BUILDER OR OAR �—V c y PERMIT DATE:,, t d//.? COMPLIANCE DATE:^ �f��11 0� Sepi;ation 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 �O on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist j within 300 feet of leaching facility) y Feet Furnished by JL Eo L 1 �tNb'! �~ TOWN OF BA RNSTABLE LOCATION 10 !A/AgAtc[t Lev SEWAGE # 0 Co Or VILLAGE i ve � s bye ASSESSOR'S MAP & LOT //0 P cif INSTALLER'S NAME&PHONE N0. W m, t. aobq,,SM Scph+ cwoce SyV-)'11 lf,a�6 SEPTIC TANK CAPACITY f�© LEACHING FACILITY: (type) .3� 0f4Z1-I1s a (size) 121 X 33.5 /;) NO.OF BEDROOMS BUTLDER OR OWNER Qre v PERMIT DATE: /a/�/ s 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 107 on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands existFeet within 300 feet of leaching facility) Furnished by F�fS OeS�g�► �lk�, t 13ACX ®P ov5� dio on SAS 73 e r No. . -- C 5 ._ y 41 0 0.0 0 THE'%OMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC i­IEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS s ZippliCotion for Mi5po5a[ *pgtem Cow5trUCtiott permit Application for a Permit to Construct( ) Repair ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 3 6 2—4 5 6 3 1n Naide Ln W Barnstable Tom Furey . Assessor'slviap/Parc�l 116/21 10 Wayside Ln, W Barnstable Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 819 4 Wm E Robinson Sr Septic Eco-Tech PO Box 1089, Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder (10) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans of Eco-Tech, ETE- 3 rev 8- - 5 . Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boa He Si Zed Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. 4- O 5 — 6 05 Date Issued , . Fel 10 0.0 0 TH1Et0M1OONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC 8EALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y ZI PricatioH for �Digogor 6p5tem Col4truction Permit Application for a Permit to Construct( ) Repair K) Upgrade( )' Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 3 6 2—4 5 6 3 10 WWa side Ln W Barnstable Tom Furey . Assessor'sMap/Parcl 116/21 10 Wayside Ln, W -Barnstable Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 - , Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco-Tech PO 'Box 1089, Centerville ; 43 Triangle Cir, Sandwich Type of Building: _ Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder (10) pOther Type of Building No.of Persons Showers( ) Cafeteria(• ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title ` Size of Septic Tank Type of S.A.S. Description of Soil - -Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to plans of Eco-Tech, #ETE- rev - -0 ✓ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boavrof He Sigrijed Date ` o2 LJ r} Application Approved by I Date )AL 1 Application Disapproved by: Date for the following reasons Permit No. COG 5 — 6905 Date Issued C -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS Furey BARNSTABLE, MASSACHUSETTS (Certificate of Compliance , THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (X ) Upgraded ( ) Abandoned( )by Wm E Robinson Sr Septic at 10 Wayside Lane, W. Barnstable has been constructed in accordance ) with the provisions of Title 5 and the for Disposal System Construction Permit No. 3�00 5 6)G rj dated Installer F—® b\ +��{7� Designer C6,_)a)rrrow r— #bedrooms Approved design flow ?44 0 gpd The issuance of h permit shail not bp construed as a guara tee that the system 1 func i s d signed. Date - Inspector -------------------------------------------- No. t��s Al00.00 THE COMMONWEALTH OF MASSACHUSETTS FurPYJBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 0Iqonl 6pgtem CoHgtruction Permit Permission is hereby granted to Construct ( ) Repair ( X ) Upgrade ( ) Abandon ( ) System located at 10 Wayside Lane, W. Barnstable and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special condif .ns. Provided: Construction mustbe completed within three years of the d e of this p rmit. Date C I �' Approved Town of Barnstable .;�&T"E'O''�. Regulatory Services Thomas F. Geiler,Director + BARNkWBLE, 9 MASS. Public Health Division TEo MAC Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 " " Fax: 508-790-6304 InstallerI& D-esigkner Certification Form Date: 3 ld- b �►x Designer: Eco-Tech Installer: wm E. Rabi nsr)n Rr Septic Address: 43 Triangle Circle Address: pn Bc,x 1 nR9 Sandwich Centerville On Wm E Robinson Sr Septa issued a permit to install a (date) (installer) Service septic system at 10 Wdyside Ln, W Barnstable based on a design drawn by (address) ., Eco-Tech dated I-,,1o4-1 Q-05 (rev 8-2-05 ) (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved 'changes such as lateral relocation of the s distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any verticahrelocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. tH QF OAVO (Installers Signature) � � b P- 9�/T A R k P� (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form Bk 2k0505 Ps261 `82789 1 1-25-2005 al 08 = 37cL RESTRICTION WHEREAS, THOMAS J. FUREY and CYNTHIA A. FUREY, of 10 Wayside Lane, West Barnstable, Massachusetts 02668, applied to the Barnstable Board of Health (the "Board") for a sewage disposal system construction permit (the "permit") for a sewage disposal system (the "system") for premises at 10 Wayside Lane, West Barnstable, Massachusetts (the "premises); and WHEREAS a variance from the requirements of Title 5 of the State Environ- mental Code (310 CMR 15.000) was required for issuance of the permit; and WHEREAS the Board imposed as a condition of granting said variance for property located at 10 Wayside Lane, West Barnstable, Massachusetts that a Restriction be recorded at the Barnstable County Registry of Deeds, and WHEREAS the Board granted the permit subject to the condition that a notice of said variance and Restriction shall be recorded at the Registry of Deeds, NOW THEREFORE, We, THOMAS J. FUREY and CYNTHIA A. FUREY, hereby declare that the premises located at 10 Wayside Lane, West Barnstable, Massachusetts as described in a deed recorded in the Barnstable County Registry of Deeds in Book 9840 , Page 134 , is subject to the variance described above and to a condition of the variance that if the owners of the property located at 10 Wayside Lane, West Barnstable, Massachusetts, would like to increase the size of the septic system in excess of a four bedroom system in the future or if said owners would like to increase the bedroom capacity of the system in a manner which complies with Title V of the State Sanitary Code and the Barnstable regulations, that they will apply to the Barnstable Board of Health for said authorization. This declaration shall be binding upon the undersigned and all successor owners of the premises. Witness our hands and seals this day o //, 2005. OMA Y i HIA A.WJREY WITNESS 1 YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by.M.G.L.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, I" FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business a ificate that is required by law. Fill in please: Date: 1 b� w, APPLICANT'S NAME: _ yN 141A 711 YOUR HOME ADDRESS: —)O tiAjLk /S i h E C A-N e W BUSINESS TELEPHONE # S02 ?,6a S 6 HOME T E L E L P H 0 N E #: NAME OF CORPORATION: G•LC( e- ; N e NAME OF NEW BUSINESS TYPE OF BUSINESS �IS THIS A HOME OCCUPATION.' ✓ YES NO ADDRESS OF BUSINESS v e-- MAP/PARCEL NUMBER - 61 (Assessing) When starting a new business there are several things you must do to be in compliance with the rules and regulations of the Town of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in town. 1. BUILDING CO MISSI NER'S rFCE MUST COMPLY WITH HOME OCCUPATION This individ, al Ilas en infor o an per it requirements,that pertain to this type of busin S AND REGULATIONS. FAILURE TO _'Q� ,IE'' AY RESULT IN FINES. Aut nz Signature __. ---- -- COMMENT Ae I BOARD OF HEALTH This individual as bee formed pf th it requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been inf med of he licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: Page: 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory CKvs. Report Prepared For: Report Dated: 3/17/2004 Order Number: G0424340 Thomas Furey 10 Wayside Lane West Bamstable, MA 02668 Laboratory ID#: 0424340-01 Description: Water-Drinking Water Sample#: 2434001 Sampling Location: 10 Wayside Ln WBarnstable MA Collected 3/1/2004 Collected by: T Furey III filter Received 3/1/2004 Routine ITEM RESULT UNITS 11[)L MCL Method# Tested LAB: IC Lab Nitrates <0.1 mg/L 0.1 10 EPA 300.0 03/02/2004 LAB: Metals Copper <0,1 - mg/L 0.1 1.3 SM 3111B 03/08/2004 Iron <0,1 mg/L 0.1 0.3 SM 3111B 03/08/2004 Sodium <1 mg/L 1.0 20 SM3111B 03/08/2004 LAB: Microbiology Total Coliform Absent P/A 0 Absent 307 03/01/2004 LAB: Physical Chemistry Conductance 11 umohs/cm 1 EPA 120.1 03/01/2004 pg 5,7 pH-units 0.1 EPA 150.1 03/01/2004 Note: Water sample meets the recommended limits for drinking water of all the above tested parameters. . RECEIVED MAR 2 3 2004, , TOWN OF BARNSTABLE HEALTH DEPT. Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 r O M i Page. 2 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Prepared For: Report Dated: 3/17/2004 Order Number: G0424340 Thomas Furey 10 Wayside Lane West Barnstable, MA 02668 Laboratory ID#: 0424340-02 Descriation: Water-Drinking Water Sample#: 2434002 Sampling Location: 10 Wayside Ln W Barnstable MA Collected 3/1/2004 collected by: T Furey III nonfilter Received 3/1/2004 Routine +Aminonia Pj- 31M ITEM RESULT UNITS MD-C MCL Method# Tested LAB: IC Lab �- Ammonia <0.1 mg/L 0.1 EPA 350.1 03/03/2004 Nitrates <0.1 mg/L 0.1 10 EPA 300.0 03/02/2004 LAB: Metals Copper <0.1 mg/L 0.1 1.3 SM 3111B 03/08/2004 Iron <0.1 mg/L 0.1 0.3 SM 3111B 03/08/2004 Sodium 12 mg/L 1.0 20 SM 3111B 03/08/2004 LAB: Microbiology Total Coliform Absent . P/A 0 Absent 307 03/01/2004 LAB: Physical Chemistry Conductance 130 umohs/cm 1 EPA 120.1 03/01/2004 pH 6.1 pH-units 0.1 EPA 150.1 03/01/2004 EPA 524.2- Volatile Organics by GUMS ITEM RESULT UNITS MDf, MCL Method# Tested 7- LAB: GC/MS 1,1,1,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 03/10/2004 1,1,1-Trichloroethane BRL ug/L 0.5 200 EPA 524.2 03/10/2004 1,1,2,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 03/10/2004 1,1,2-Trichloroethane BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 1,1-Dichloroethane BRL ug/L 0.5 EPA 524.2 03/10/2004 1,1-Dichloroethene BRL ug/L 0.5 7.0 EPA 524.2 03/10/2004 1,1-Dichloropropene BRL ug/L 0.5 EPA 524.2 03/10/2004 1,2,3-Trichlorobenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 1,2,3-Trichloropropane BRL ug/L 0.5 EPA 524.2 03/10/2004 Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 I ,o CERTIFICATE OF ANALYSIS Page: 3 Barnstable County Health Laboratory .,g'SSAc�St' Report Prepared For: Report Dated: 3/17/2004 Order Number: G0424340 Thomas Furey 10 Wayside Lane West Barnstable, MA 02668 Laboratory ID#: 0424340-02 Description: Water-Drinking Water Sample#: 2434002 Sampling Location: 10 Wayside Ln W Barnstable MA Collected 3/1/2004 Collected by: T Furey III nonfilter Received 3/1/2004 1,2,4-Trichlorobenzene BRL ug/L 0.5 70 EPA 524.2 03/10/2004 1,2,4-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 1,2-Dibromo-3-chloropropa BRL ug/L 0.5 EPA 524.2 03/10/2004 1,2-Dibromoethane(EDB) BRL ug/L 0.5 EPA 524.2 03/10/2004 1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 524.2 03/10/2004 1,2-Dichloroethane BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 1,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 03/10/2004 1,3,5-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 1,3-Dichlorobenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 1,3-Dichloropropane BRL ug/L 0.5 EPA 524.2 03/10/2004 1,4-Dichlorobenzene BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 2,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 03/10/2004 2-Chlorotoluene BRL ug/L 0.5 EPA 524.2 03/10/2004 4-Chlorotoluene BRL ug/L 0.5 EPA 524.2 03/10/2004 Benzene BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 Bromobenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 Bromochloromethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Bromodichloromethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Bromoform BRL ug/L 0.5 EPA 524.2 03/10/2004 Bromomethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Carbon tetrachloride BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 Chlorobenzene BRL ug/L 0.5 100 EPA 524.2 03/10/2004 Chloroethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Chloroform 0.6 ug/L 0.5 EPA 524.2 03/10/2004 Chloromethane BRL ug/L 0.5 EPA 524.2 03/10/2004 cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 524.2 03/10/2004 cis-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 03/10/2004 Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 I r �pF 9Aj�, Page: 4 '= CERTIFICATE OF ANALYSIS M Barnstable County Health Laboratory Resort Prepared For: Report Dated: 3/17/2004 Order Number: G0424340 Thomas Furey 10 Wayside Lane West Barnstable, MA 02668 Laboratory ID#: 0424340-02 Description: Water-Drinking Water Sample#: 2434002 Sampling Location: 10 Wayside Ln W Barnstable MA Collected 3/1/2004 Collected by: T Furey III nonfilter Received 3/1/2004 Dibromochloromethane BRL ug/L, 0.5 EPA 524.2 03/10/2004 Dibromomethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Dichlorodifluoromethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Ethylbenzene BRL ug/L 0.5 700 EPA•524.2 03/10/2004 Hexachlorobutadiene BRL ug/L 0.5 EPA 524.2 03/10/2004 Isopropylbenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 Methyl-tert-butyl ether BRL ug/L 0.5 EPA 524.2 03/10/2004 Methylene chloride BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 n-Butylbenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 n-Propylbenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 Naphthalene BRL ug/L 0.5 EPA 524.2 03/10/2004 p-Isopropyltoluene BRL ug/L 0.5 EPA 524.2 03/10/2004 sec-Butylbenzene BRL ug/L, 0.5 EPA 524.2 03/10/2004 Styrene BRL ug/L 0.5 100 EPA 524.2 03/10/2004 tert-Butylbenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 Tetrachloroethene BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 Toluene BRL ug/L 0.5 1000 EPA 524.2 03/10/2004 Total xylenes BILL ug/L 0.5 10000 EPA 524.2 03/10/2004 trans-1,2-Dichloroethene BRL ug/L 0.5 100 EPA 524.2 03/10/2004 trans-l,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 03/10/2004 Trichloroethene BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 Trichlorofluoromethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Vinyl chloride BRL ug/L 0.5 2.0 EPA 524.2 03/10/2004 Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 r "p`F B.tjQ,t; /C PT............, ' CERTIFICATE OF ANALYSIS Page. 5 Barnstable County Health Laboratory Report Prepared For: Report Dated: 3/17/2004 Order Number: G0424340 Thomas Furey 10 Wayside Lane West Barnstable, MA 02668 Laboratory ID#: 0424340-02 Description: Water-Drinking Water Sample#: 2434002 Sampline Location: 10 Wayside Ln W Barnstable MA Collected 3/1/2004 Collected by: T Furey III nonfilter Received 3/1/2004 Note: Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By: Director) Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 CERTIFICATE OF ANALYSIS Page: 2 Barnstable County Health Laboratory RECEIVED (�C \� Report Dated: 03/17/2004 Report Prepared For: Order Number: 42462 2004 Thomas Furey 10 Wayside Lane TOWN OF BARNSTABLE HEALTH DEPT. West Barnstable, MA 02668 Laboratory ID#: 0424340-02 Description: Water-Drinking Water Sample#: 2434002 Sampling Location: 10 Wayside Ln W Barnstable MA Collected: 03/01/2004 Collected by: T Furey III nonfilter Received: 03/01/2004 Routine +Ammonia C4?/14 f�l ITEM RESULT UNITS N L_ MCL Method# Tested LAB: IC Lab J Ammonia <0,1 mg/L 0.1 EPA 350.1 03/03/2004 Nitrates <0.1 mg/L 0..1 10 EPA 300.0 03/02/2004 LAB:Metals Copper <p;1 mg/L 0.1 1.3 SM13111B 03/08/2004 Iron <O.jl mg/L 0.1 0.3 SM 31l iB o3i09/2004 ...��<♦ ..Year 8. vY' .� Sodium a "12 mg/L 1.0 20 SM 3111B 03/08/2004 LAB: Microbiology Total Coliform Absent P/A 0 Absent 307 03/01/2004 LAB: Physical Chemistry Conductance 130 umohs/cm 1 EPA 120.1 03/01/2004 pH 6,jJ' pH-units 0.1 `` EPA 150.1 03/01/2004 61- EPA 524.2- Volatile Organics by GUMS R,(_, 3/1$�a� ITEM RESULT UNITS M13L MCL Method# Tested LAB: GUMS 1,1,1,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 03/10/2004 1,1,1-Trichloroethane BRL ug/L 0.5 200 EPA 524.2 03/10/2004 1,1,2,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 03/10/2004 1,1,2-Trichloroethane BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 1,1-Dichloroethane BRL ug/L 0.5 EPA 524.2 03/10/2004 1,1-Dichloroethene BRL ug/L 0.5 7.0 EPA 524'2 03/10/2004 1,1-Dichloropropene BRL ug/L 0.5 EPA 524:2 03/10/2004 1,2,3-Trichlorobenzene BRL ug/L o.s EPA 524.2 03i10/2004 1,2,3-Trichloropropane BRL ug/L 0.5 EPA 524.2 03/10/2004 Superior Court House,PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 iy��OF flq�kST'` ' CERTIFICATE OF ANALYSI RECEIVE01ge: 3 Barnstable County Health Laboratory MAR 2 2 2004 Report Prepared For: Report Dated: 03/17/2004 V}( Order Numbe : TOIbVSTABLE PT. Thomas Furey 10 Wayside Lane West Barnstable, MA 02668 Laboratory ID#: 0424340-02 Description: Water-Drinking Water Sample#: 2434002 Sampling Location: 10 Wayside Ln W Barnstable MA Collected: 03/01/2004 Collected by: T Furey III nonfilter Received: 03/01/2004 1,2,4-Trichlorobenzene BRL ug/L 0.5 70 EPA 524.2 03/10/2004 1,2,4-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 1,2-Dibromo-3-chloropropan BRL ug/L 0.5 EPA 524.2 03/10/2004 1,2-Dibromoethane (EDB) BRL ug/L 0.5 EPA 524.2 03/10/2004 1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 524.2 03/10/2004 1,2-Dichloroethane BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 1,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 03/10/2004 1,3,5-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 1,3-Dichlorobenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 1,3-Dichloropropane BRL ug/L 0.5 EPA 524.2 03/10/2004 1,4-Dichlorobenzene BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 2,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 03/10/2004 2-Chlorotoluene BRL ug/L 0.5 EPA 524.2 03/10/2004 4-Chlorotoluene BRL ug/L 0.5 EPA 524.2 03/10/2004 Benzene BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 Bromobenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 Bromochloromethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Bromodichloromethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Bromoform BRL ug/L 0.5 EPA 524.2 03/10/2004 Bromomethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Carbon tetrachloride BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 Chlorobenzene BRL ug/L 0.5 100 EPA 524.2 03/10/2004 Chloroethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Chloroform 0.6 ug/L 0.5 EPA 524.2 03/10/2004 Chloromethane BRL ug/L 0.5 EPA 524.2 03/10/2004 cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 524.2 03/10/2004 cis-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 03/10/2004 Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 CERTIFICATE OF ANALYSISL�ECEIVfg D 4 J 7f; yssA�. Us�� ` Barnstable County Health Laboratory MAR 2 2 2004 Report Dated: 03/17/2004 Report Prepared For: WN OF BARNSTABLE Order Number: H DEPT. Thomas Furey 10 Wayside Lane West Barnstable, MA 02668 Laboratory ID#: 0424340-02 Description: Water-Drinking Water Sample#: 2434002 Sampling Location: 10 Wayside Ln W Barnstable MA Collected: 03/01/2004 Collected by: T Furey III nonfilter Received: 03/01/2004 Dibromochloromethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Dibromomethane BRL ug/L 0•5 EPA 524.2 03/10/2004 Dichlorodifluoromethane BRL ug/L 0.5 EPA 524.2 03n0/2004 Ethylbenzene BRL ug/L 0.5 700 EPA 524.2 03/10/2004 Hexachlorobutadiene BRL ug/L 0.5 EPA 524.2 03/10/2004 Isopropylbenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 Methyl-tert-butyl ether BRL ug/L 0.5 EPA 524.2 03/10/2004 Methylene chloride BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 n-Butylbenzene BRL ug/L 0,5 EPA 524.2 03/10/2004 n-Propylbenzene BRL ug/L 0•5 EPA 524.2 03/10/2004 Naphthalene BRL ug/L 0.5 EPA 524.2 03/10/2004 p-Isopropyltoluene BRL ug/L 0•5 EPA 524.2 03/10/2004 sec-Butylbenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 Styrene BRL ug/L 0.5 100 EPA 524.2 03/10/2004 tert-Butylbenzene BRL ug/L 0.5 EPA 524.2 03/10/2004 Tetrachloroethene BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 Toluene BRL ug/L 0.5 1000 EPA 524.2 03/10/2004 Total xylenes BRL ug/L 0.5 10000 EPA 524.2 03/10/2004 trans-1,2-Dichloroethene BRL ug/L 0.5 100 EPA 524.2 03/10/2004 trans-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 03/10/2004 Trichloroethene BRL ug/L 0.5 5.0 EPA 524.2 03/10/2004 Trichlorofluoromethane BRL ug/L 0.5 EPA 524.2 03/10/2004 Vinyl chloride BRL ug/L 0.5 2.0 EPA 524.2 03/10/2004 Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 ya�;ysr u in CERTIFICATE OF ANALYSIS RECEIVED s Barnstable County Health Laboratory 2 2 2004 Report Prepared For: Report Dated: 03/I7/2004 MAR Order Number: TARNSTABLE Thomas Furey HEALTH DEPT. 10 Wayside Lane, West Barnstable, MA 02668 Laboratory ID#: 0424340-02 Description: Water-Drinking Water Sample N: 2434002 Sampling Location: 10 Wayside Ln W Barnstable MA Collected: 03/01/2004 Collected by: T Furey III nonfilter Received: 03/01/2004 Note: Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By: 'oo7 Director) Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 FA MIL Y ROOM FOYER KITCHEN LOSE z o DINING > (o� ROOM cL BA TH J J LIVING ROOM GROUND FLOOR BEDROOM BEDROOM BEDROOM HALL BATH SECOND FLOOR EMS TING FLOOR PLAN SCALE: 1 INCH = 20 FEET o Page CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Prepared For: Report Dated: 11/21/2000 Order Number: G0008259 Thomas Furey 10.Wayside Lane West Barnstable, MA 02668 Laboratory ID#: 0008259-01 Description: Water-Drinking Water Sample#: 08259-01 Sampling Location: 10 Wayside Lane West Barnstable MA Collected: 11/01/2000 ollected by: T Furey Received: 11/02/2000 Routine+Ammonia ITEM RESULT UNITS MDL MCL Method# Tested LAB: IC Lab Ammonia <0.1 mg/L 0.1 EPA 350.1 11/03/2000 Nitrates 5.1 mg/L 0.1 10 EPA 300.0 11/02/2000 LAB: Metals Copper <0,1 mg/L 0.1 1.3 SM 3111B 11/03/2000 Iron <0.1 mg/L 0.1 0.3, SM 3111B._ 11/03/2000 Sodium _ ,...... . 14 mg/L 1.0 20 SM 3111B 11/03/2000 LAB: Microbiology Total Coliform Absent P/A 0 Absent P/A 11/02/2000 LAB: Physical Chemistry Conductance 150 umohs/cm I EPA 120.1 11/02/2000 pH 7,0 pH-units 0 EPA 150.1 11/02/2000 Note: The water sample has higher than average levels of Nitrates. Monitoring is recommended(2-3 times per year)to establish any upward trends. Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 CERTIFICATE OF ANALYSIS Page. 2 in: Barnstable County Health Laboratory Report Prepared For: Report Dated: 11/21/2000 Order Number: G0008259 Thomas Furey 10 Wayside Lane West Barnstable, MA 02668 Laboratory ID#: 0008259-02 Description: Water-Drinking Water Sample#: 10 Wayside Sampling Location: 10 Wayside Lane West Barnstable MA Collected: 11/01/2000 ollected by: T Furey Received: 11/02/2000 EPA 524.2- Volatile Organics by GUMS ITEM RESULT UNITS MDL MCL Method# Tested LAB: GC/MS 1,1,1,2-Tetrachloroethane BRI, ug/L 0.5 EPA 524.2 11/14/2000 1,1,1-Trichloro ethane BRI. ug/L 0.5 200 EPA 524.2 11/14/2000 1,1,2,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 11/14/2000 1,1,2-Trichloroethane BRL ug/L 0.5 5.0 EPA 524.2 11/14/2000 1,1-Dichloroethane BRL ug/L 0.5 EPA 524.2 11/14/2000 1,1-Dichloroethene BRL ug/L 0.5 7.0 EPA 524.2 11/14/2000 1,1-Dichloropropene BRL ug/L 0.5 EPA 524.2 11/14/2000 1,2,3-Trichlorobenzene BRL ug/L 0.5 EPA 524.2 11/14/2000 1,2,3-Trichloropropane BRL ug/L 0.5 EPA 524.2 11/14/2000 1,2,4-Trichlorobenzene BRL ug/L 0.5 70 EPA 524.2 11/14/2000 1,2,4-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 11/14/2000 1,2-Dibromo-3-chloropropan BRL ug/L 0.5 EPA 524.2 11/14/2000 1,2-Dibromoethane(EDB) BRL ug/L 0.5 EPA 524.2 11/14/2000 1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 524.2 11/14/2000 1,2-Dichloroethane BRL ug/L 0.5 5.0 EPA 524.2 11/14/2000 1,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 11/14/2000 1,3,5-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 11/14/2000 1,3-Dichlorobenzene BRL ug/L 0.5 EPA 524.2 11/14/2000 1,3-Dichloropropane BRL ug/L 0.5 EPA 524.2 11/14/2000 1,4-Dichlorobenzene BRL ug/L 0.5 5.0 EPA 524.2 11/14/2000 2,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 11/14/2000 2-Chlorotoluene BRL ug/L 0.5 EPA 524.2 11/14/2000 4-Chlorotoluene BRL ug/L 0.5 EPA 524.2 11/14/2000 Superior Court House P .Box 427 Barnstable MA 02630 Ph: 508- - p C O 375 6605 I_ f - Page. 3 CERTIFICATE OF ANALYSIS 49, Barnstable County Health Laboratory Report Prepared For: Report Dated: 11/21/2000 Order Number: G0008259 Thomas Furey 10 Wayside Lane West Bamstable, MA 02668 Laboratory ID#: 0008259-02 Description: Water-Drinking Water Sample#: A Wayside Sampling Location: 10 Wayside Lane West Barnstable MA Collected: 11/01/2000 ollected by: T Furey Received: 11/02/2000 Benzene BRL ug/L 0.5 5.0 EPA 524.2 11/14/2000 Bromobenzene BRL ug/L 0.5 EPA 524.2 11/14/2000 Bromochloro methane BRL ug/L 0.5 EPA 524.2 11/14/2000 Bromodichloromethane BRL ug/L 0.5 EPA 524.2 11/14/2000 o.s 4/ Bromoform BRL ug/L EPA 524.2 u/t 2000 Bromomethane BRL ug/L 0.5 EPA 524.2 11/14/2000 Carbon tetrachloride BRL ug/L 0.5 5.0 EPA 524.2 11/14/2000 Chlorobenzene BRL ug/L 0.5 100 EPA 524.2 11/14/2000 Chloroethane BRL ug/L 0.5 EPA 524.2 11/14/2000 Chloroform 0.7 ug/L 0.5 EPA 524.2 11/14/2000 Chloromethane BRL ug/L 0.5 EPA 524.2 11/14/2000 cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 524.2 11/14/2000 cis-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 11/14/2000 Dibromochloromethane BRL ug/L 0.5 EPA 524.2 11/14/2000 Dibromomethane BRL ug/L 0.51 EPA 524.2 11/14/2000 Dichlorodifluoromethane BRL ug/L 0.5 EPA 524.2 11/14/2000 Ethylbenzene BRL ug/L 0.5 700 EPA 524.2 11/14/2000 Hexachlorobutadiene BRL ug/L 0.5 EPA 524.2 11/14/2000 Isopropylbenzene BRL ug/L 0.5 EPA 524.2 11/14/2000 Methyl-tert-butyl ether BRL ug/L 2.0 EPA 524.2 11/14/2000 Methylene chloride BRL ug/L 0.5 5.0 EPA 524.2 11/14/2000 n-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/14/2000 n-Propylbenzene BRL ug/L 0.5 EPA 524.2 11/14/2000 Naphthalene BRL ug/L 0.5 EPA 524.2 11/14/2000 p-Isopropyltoluene BRL ug/L 0.5 EPA 524.2 11/14/2000 sec-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/14/2000 Styrene BRL ug/L 0.5 100 EPA 524.2 11/14/2000 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 I ' Page. 4 CERTIFICATE OF ANALYSIS i4: Fn ' Barnstable County Health Laboratory Report Prepared For: Report Dated: 11/21/2000 Order Number: G0008259 Thomas Furey 10 Wayside Lane West Barnstable, MA 02668 Laboratory ID#: 0008259-02 Description: Water-Drinking Water Sample#: 10 Wayside Sampling Location: 10 Wayside Lane West Barnstable MA Collected: 11/01/2000 ollected by: T Furey Received: 11/02/2000 tert-Butylbenzene BRL ug/L 0.5 EPA 524.2 11/14/2000 Tetrachloroethene BRL ug/L 0.5 5.0 EPA 524.2 11/14/2000 Toluene BRL ug/L 0.5 200 EPA 524.2 11/14/2000 Total xylenes BRL ug/L 0.5 10000 EPA 524.2 11/14/2000 trans-1,2-Dichloroethene BRL ug/L 0.5 100 EPA 524.2 11/14/2000 trans 1,3-D><chloropropene BRL ug/L 0.5 EPA 524.2 11/14/2000 Trichloroethene BRL ug/L 0.5 5.0 EPA 524.2 11/14/2000 Trichlorofluoromethane BRL ug/L 0.5 EPA 524.2 11/14/2000 Vinyl chloride BRL ug/L 0.5 2.0 EPA 524.2 11/14/2000 Note: Approved By: (Lab Director) Director) Superior Court House, PO.Box 427, Barnstable, 1VIA 02630 Ph: 508-375-6605 LO CAT IFIN SEWAGE PERMIT NO. .. . i+ VILLAGE Ao INSTA R'S NAME i ADDRE S BUILDER OR � OWNER �t DATE PERMIT ISSUED A DATE COMPLIANCE ISSUED i d 'o F�f�81r !"T No....................... Ir i Fps......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ....... 7f—.......'0'141V\......._0F......................................................................................... .. ...... Appliration for Bi-spiial Works Tomtrurtion "amit V Application is hereby made for a Permit to Construct (V/)" or Repair an Individual Sewage Disposal System at: DE Z 4 S ....I&IAYS ---------------------- ............ .......................... Location_Add or Lot No. J . ........... . ... ... Ow ex'4 Addr,4........... j..K W Wh LMg ..................................... ...1�4gR L . iS. .......................... Installer Address Type of Building.,- Size Lot_616.,®/. ...Sq. feet U Dwelling Bedrooms..........!�b.........:................Expansion Attic Garbage Grinder 1 4 yNo. of Bedr Other—Type of Building ............................ No. of persons............................ Showers Cafeteria a4Other fixtures ----------------------------------------------------------------------------------------------------------------------------------------------------- Design-Flow........ ...................gallons per person per day. Total daily flow........................ --------------------gallons. C4 ffi Septic Tank—,Liquid capacity, allons Length................ Width...................Diameter--._--__-___--_- Depth................ W4 Disposal Trench=N� o.............. t W ...... ilh.................... Total Length._.................. Total leaching area....................sq. f t. �: , Seepage Pit No....../------------- Diameter.......6........ Depth below inlet._... *........ Total leaching area;.................sq. f t. z Other Distribution box ( /) Dosing tank ( ) /f'l 7 Percolation Test Results Performed by-- ......JP14dE:S..................... Date."W N_c....792V Test Pit No. I ___minutes per inch Depth of Test Pit.---,Iol------- Depth to ground water.. ._...._.__. W 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.._..................._. P4 .......... ...... ...... ........................................................... . ....................4d­ 0 Description of Soil.....0.'1.-.2....... z".-Z.........4a!4:&#n S_ .....................�­ I .................................................... .................................................. -----­----------- ------- U Nature of Repairs or Alterations—Answer w ........ An - applicable............................................................................................... when ............................................................................................................ ................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL I'i T-2 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Si��i ged.... ',---__---*......*----------**--------------------------------------------- -------------------------------- �q_ D'I ep Application Approved By...... ... . .... ......C..V............. -Ira .. .... .V -44 ----_------------------- Date Application Disapproved for the following reasons:...............7--------------------------------------------------------------------- ............... ........................................................................................................................................................................................................ Date PermitNo......................................................... Issued....................................................... Date No? ............................. ............... THE COMMONWEALTH OF MASSACHUSETTS i -BOARD OF HEALTH ..................... ....................OF......................................................................................... Appliration for Uhqpoiial 10orb Tomuurtion ramit lApplication is hereby made for.a'Permit to Construct (/) or Repair an Individual Sewage Disposal System at: !K).............................................. Location-Address or Lot No. .......................................................................... Owner Address ................................................................................................. .................................................................................................. Installer Address 516 01q Type of'Buildi Size Lot...........p........ ...Sq. feet U --------- ................Expansion Attic Garbage Grinder ( Othler Type4V -- ........ No. of persons............................ Showers Cafeteria ( a4Other 'fixtures ........N.......11V.................................................................................................................................... le Design-.Flow__'. ' ................_..gallons per persoplera. d, Total daily flow............................................ allons. y g,Vid 40kid capacityl?#43gallon Width________________ Diameter______________. -1 04 SepticJ;jnk IS Length'. Dep Dispo _­_i7e5c*' No. ...,.............. Width..................... Tdtaih Length..1... Total leaching area....................sq. ft. W — .............. sa�l'IT Seepage Pit No......it............. Diameter?......6_0...... Depth �elow inlet_____4(P.......... Total leaching area..................sq. ft. ,, .z Other Distribution box I - \ Dosing tank Percolation7TINt Results P4ormed by.-AIAN..... ..................... Date!K.`/ ,��,-.. .................... Test Pit No. ....min�fesperinch Depth of Tes�t Pit.__-142 Depth to ground water-dev.......... Test Pit No. 2........_______minutes per inch Depth of Test Pit._._..__.._.__._____ Depth to ground water..______._..___.._.____. ................. ..............;------Z;-�;----------------------------------- 0 Description.of Soil.•... Z " —, 6 " 40a rse pc-,.m, Sd .. ...so -----------J------*-------------------------------------*--------- .......................................I ZIA sper?j..... ....... ;r....... 4. ........a--- ------------------------------------------------- ---------- A ........................... .......................................................................................... U Nature of Repairs or Alteratl"ons Answer when applicable............................................................................................... ...........................................I------------------...............................................*-----------------------------------------------------I...........j Agreement; k The tinder-signed agre'es to install the *f6redescribed.. Individual Sewage Disposal System in accordance with the provisions 6KI"ITLE 5 of the State Sanitii'y,C6de—The undersigne4 further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sie ....................................................................... .7....D.. ....... I � I ?_ AppliTtionApproved BY-------- ... ..... --- ........... ..... .............................. ........................................ Date Ag�Plicdtlion Disapproved for the following ........... .... Z.........reasons: .............................................................................. ............................................................................ .............. j z------------------------------------------------------------------- Date Permit No__________________ ............................. Issued_..._...__.._ __ Date V THE COMMONWEALTH OF MASSACHUSETTS BOAR F HE . ..........................................0 F..................................................................................... Trrfifiratr of Tom'ptiatta TIC I C That the Individual Se age Di posal System constructed or Repaired m.................... ............ by ............ ...... ........ /Fi X e e A9-__.w6YS I �fal ........... -- ---------- ............................... ........Lf..... ------Z._ ----------------------------------------------------------------------------- *---- V............ ed in accordance with the has been instill provisions of 9� -� o fie State Sanitary Ce?e-;17-&Mbed in the ,s f�IT application for Disposal Works Construction Permit Nodated_...._.__.._._..________._______._.__-__-______......................................±i, b AS'A GUARANTEE THAT THE T THE IiSUANCE OF THIS CERTIFICATE SHALL,NOT BE CONSTRUE® SYSTEM WILL FUNCTION,SATISFACTORY. DATE..--- .................................... r Inspector....P.... 0................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '4 .... . . .. ..........OF.......... . ..................fR................ .... FEE........................ ti *Q# ss ............................................................ Permi idri-ish6,eb granted.......V! , W y .............................................. I� la ucv 5�RZ� v,4 to onstF air...... ..... .... ........................ atNo._:../E. et. ............. ........................................... .......... ....................................... �,Tet as shown on the application for Disposal Works Construct16n Per it No.-.II- . ........................................ .1 1.- Qom .... . .... ............................. V---------------------------------- Board of Health DATE................................................................................ FORM 1255 HOB13S & WARREN. INC.. PUBLISHERS TOWN OF BARNSTABLE LOCATION r d LL,, SEWAGE # VILLAGE N1 111/11} . ASSESSOR'S MAP & LOT 10 4J21 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� K � 46J, &-� J Fjb, a3 0 5L \l Or ha� FEB............. ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........OF.......................................................................................... Appliration for Ropnoat i8orkii Tonotrurtion rani 4' Application is hereby made for a Permit to Construct (VI"') or Repair an Individual Sewage Disposal System atW... : WC1IAIC gt4 s r... ............................................ Location-Addres§ or Lot No. ......... ............ 0 P Addre 5'.J.........!S. .................. ...wjo.•U464e .......... . ......... ............4e. a-......................... Installer Address .5,6 Type of BuildinV Size Lot ,0 ...Sq. feet UDwelling.-No. of Bedrooms..........43.........................Expansion Attic Garbage Grinder PLI Other—Type of Building ............................ No. of persons............................ Showers Cafeteria P4Other fixtures ------------------------------------------------------------------------------------------------------------------------------------------------------ Design-Flow.........**10...................gallons per person per day. Total daily flow...._........_..................._.........gallons. 12010WA Septic Tank—Liquid'capacitylow.0.0gallons Length................ Width......:..:':.... Diameter.___............ Depth.............._. Disposal Trench No..—........../.6..Width.................... Total Length.................... Tbtalleaching area....................sq. ft. J, ...&.......... Total leaching area:.................sq. ft. > ... Seepage Pit No. .......... Diameter........&-.I...... Depth below inlet.. Z Other Distribution box Dosing tank ( ) Percolation Test Results PerformedA by.. AAN.....W...JaNians..................... Date.V.fi.N.4Z....7f'?V Test Pit No. 1>...j;Z...minutes per inch Depth of Test Pit_10......... Depth to ground waten.dn I/------------ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ..................... ...........................................I.........*.......................................................... -----------­1 0 4 . 0 .........�SAAS,01........ ..... ..0<,L J A- Description of Soil....4 ......a.......74 .1........................................ 8�t...........0..... ......*---------------------------- -----------*................... U Nature of Repairs or Alterations—Answer whJ4,applicable............................................................................................... ..................................................................................................... ................w................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITA M 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Si d ------- ----------4--------------------"------------- .... ......... e ......... --------------- Application Approved WX 4.A ... ........................... .... By.....—1,4aZ47�e ... Date .. Application Disapprovdd for the following reasons: ....... . I......................................................................... .. ................................................................................................................................................................................................... Date PermitNo......................................................... Issued.............................. ----------- Date THE COMMONWEALTH OF.MASSACHUSETTS LA BOARD,-;)OF HE .. ...... .........OF.............. (9rdifirate of (gouiptiaur' T C t the,Individual Se 'age Disposal System constructed o Repaired by.....'%VA 1.1.. V4- .. . ­."�.............. ..... ....... .. ....:.�... ler. 4 ?r....................all at...... . ...................... ... ................. .................... ..................1........................................................................ 0.*Y : St'tL has been'install ed.-i,n'accordance with ille.pg9visions-of TI The State Sanitary C670-01da?Aibed in the application for Disposal Wbrks Construction Permit No.............. ................ti dztted............... ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE dONSTRUtD AS A GUARANTEE THAT THE SYSTE.M.WILL' FUNCTION- SATISFACTORY. DATE.... .. ................ .......................................... .1 Insp6cppr.... ............... ................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH ul ......... .. ..........OF.......... . . . . . .................. ................. C FEE........................ ion "Frilit 1'errissibri Is granted ra ted ....... S%.,a.;ge�i ern'" s or, ai to b)ns r at No.... .. ..... .. -VA .... ................................................................. S as shown on the application for DisposalConstruction­ 't . .�ks P it No.. ated......................................... .......... ......... ........................ ........ .... . ............................... Board of Health V DATE............ ......................... FORM 1255 HOBBS,& WARREN, INC., PUBLISHERS f No................_.t.... - RmR.........................._. y A THE COMMONWEALTH OF MASSACHUSETTS C�MOARD OF HEALTH •ate .......OF..............:. Appliration for 0iipoottl Worka Tonotrnrtion Frrmit Opplication is hereby made for;:a'Permit to Construct ,( or Repair ( ) an Individual Sewage Disposal System at �T,6- L r 9 ......-•--- Location-Address $ ... ................ � or Lot o pay ._�5..��T ..�IP...�frr:,�_'�-•-----. !�_�,.�t_....��1--...--•---..._ ....ZP?fir---- -----•---................. ---•'r4±:. Owner W Address +:........::;c: x.................. ..... . ......-^........ ................ ..................................... 1 Installer' vi. Address Type of'Buildin Size Lot q...Sq. feet Dwelling. Ne ref-Beeasn ..........Expansion Attic ( ) Garbage Grinder ( ) No, of ar«J�th qp of g i P ( ) — Cafeteria persons Showers Otlt`er 'Fixtures .........:..."r �a•� --•••••••-•"...........` •----•-•-••••••........................•.............._.. De ign .Flow.,riGaeL_ gallons per person r day. Total daily flow.:___.__:............................... gallons. . Septib..Tgaik id capacrty��f�allons Length .�__.. Width............... Diameter................ Depti.........,..,_.. Y x ,Disposal�,Tre c i No._._:,. �.. Width Ta I1 iLength.1................. Total leaching area....................sq. ft. Seepage Pit No......./ : Diameter?..... 1...... DeptW llelow inlet.....&.......... Total leaching area..................*sq. ft. Other Distribution box ) Dosing tank t;. Percolation.' � N 197 T' t Results Pe rmed by1h1. �+l,�M;.. �C91'� ..gt. ............ Date _.. •............_ . ►•a:. ',�fitt ,. , a Test Pit into. 1,�' . _.__min tes per inch Depth of ,Test Pit..:.14 ._......_Depth to ground water., . ....__..... Test Pit' No. 2... ::_.,:.minutes per inch ..Depth:of.Test Pit....:............... Depth to ground water................-....... O Description of Soil i b 1 ! '� � 5 ...... 7 . .... ' (� ►rl ----------------•. ----; ---•----•••••------------------------ h4 a ........... .... - -- -' a __. ... ............ .... .. ..__. __.._ U Nature of Repairs or Alterations `L Answer.wh, applicable.................................................................. . Agreement A The undersigned agrees to install the cribed.. Individual Sewage Disposal Systeni in accordance with the provisions o' �'ITL�: 5 of the State Sanitai` ".k ode— The undersigned further agrees not to place the system in "4 operation until a Certificate of Compliance has been issued by the board.-of health. .. rj2 , ........................................................... 7.7..... od ..._.... Ddte a _. APPlltion Approved By.... F • -• --- Date Applica[ion Disapproved for the following reasons ............................................................................................ ...............•-•••...._. ........................... ----••... F Date ' t is Permit No.:•••••..•••-• •••---.•-. --•...... ...:.... ... . Issued-....................................................... - Date ' f THE COMMONWEALTH OF MASSACHUSETTS BOAR' F HE ...............::...:... Tertifiratr of f orap hattre I/ T G That the-Individual Se age Disposal System constructed ( o Repaired ( ) by...... .. . .... ... .........:�. X. at..... .. ........ ............. •-•-•••--•......_.. .-•-•-•..... .............. .............`. ...... a................... has been installed:in actor dance with the:prgvisioni .of TI �,�by he State Sanitary C fe-al'deTAbed in the application for Disposal Works Construction Permit No..........'__.:...__.a:.........:.... dwd................................................ THE.ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® A5 A GiJARANTEE THAT THE SYSTEM_WILL• FUNCTION, SATISFACTORY. :.... r Inspector_... ........ DATE.....,...............:.....��.................................•• .............._. THE COMMONWEALTH OF MASSACHUSETTS ' BOARD QF 'HEALTH 1 .:?.........oF.. ........ mil: ............•-.•- No.... FEE.... �.............. . '� 4 *W Permission is Y granted..... ................... .......... ,},P, , . ................ to Consts a y f. R air � ) at Nw . as shown on the application for Disposal Works Construction P it.No.__._ en ated. ._�.................................... ----•---•- -••••-••• ............................ DATE........... :................ . Board of Health FORM 1286-5 HORRS P, WARREN. INr1„ PI rRI-1cHFga 7 SUBSURFACE SEWAGE DISPOSAL SYSTEMJINSPECTION g0R Address of property /0 �i�1 �y S .� (_�i V' e. Owner's name �. 5 I Date of Inspection y L. D�I PART A CHECKLIST Check if the following have been done: Pumping information was requested of the owner, occupant,Health. P t, and Board of None of the system components have been pumped for and the system has been receiving normal flow rates aduring tthat weeks period. Large volumes of water have not been introduced into the ` / system recently or as part of this inspection. V As built plans have been obtained and examine d. Note if they are not N/A available with N/A. The facility or dwelling was inspected for signs of g sewage back-up. -),I/— The site was inspected for signs of breakout. A11 system components, excluding the SAS, have been located Gated on the -)L The septic tank manholes were uncovered, opened and h the septic tank was inspected for condition of bafflesoriteesior of material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the SAS on the site has been determine on existing information or approximated by non-intrusive meetthod$.based v The facility owner (and occupants, if different m own er) provided with information on the proper maintenanceof' SSDS,were b�� all l2 JUN 1 1995 N ' VP w r . b c SUBSURFACE SEWAGE DISPOSAL SYSTEM 'INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residential number of bedrooms number of current- residents .NO garbage grinder, yes or no Y65 laundry connected to system, yes or no seasonal use, yes or no If nonresidential, calculated flow: Water meter readings, if available: 1 1 Last date of occupancy GENERAL INFORMATION Pumping records and source of information: I� / O �✓ 1/h /J H 9 f G o yA C CAU f.� c� c�. (/ Mb_ System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: TypQi 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) * Other (explain) Approximate age of all components. Date installed, if known. Source of information: �>/G NO Sewage odors detected when arriving at the site, yes or no 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION Continued SEPTIC TANK:, (locate on site plan) I � depth below grade: material of construction: concrete metal FRP other(explain) dimensions:_ G� /� / X / /� / �SO U c, C' ii sludge depth z, " distance from top of sludge to bottom of outlet tee or baffle N-Mr scum thickness 1 - distance from top of scum to top of outlet tee or baffle y distance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, e 'dence of leakage, recommendations for repairs, etc. ) (AC- }" h J /e-G S JJ h / G b L z, 4- DISTRIBUTION BOX: (locate on .site plan) depth of liquid level above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evi nce of le,4- age into or out of box, recommendation for repairs, etc.) NO o �G ✓ .J U u 4 PUMP CHAMBER: (locate on site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs, etc. ) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) :_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: --------------- Type. leaching pits and number leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions overflow cesspool, number Comments: (note condition of soil, signs of hydraulic failure, level of ponding, coition of vegetation, recommendations for maintenance or repairs,etc. ) CESSPOOLS (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 (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) PRIVY: (locate on site plan) materials of construction dimensions depth of solids Comments : i (note condition of soil , signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) • 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE ElSPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' 0 k,-/( Fro,, 37 ' 6 46 CS DEPTH TO GROUNDWATER �v de th to p groundwater method of determination or approximation: v Cn v r ti p h �1 J � -. � J c v J l: 'SUBSURFACE SEWAGE DISPOSAL SYSTEH INSPECTION FORH PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, H, or ND) . Describe basis of determination in all instances. If "not determined", explain why not) Backup of sewage into facility? Discharge or ponding of effluent to the surface of the ground or surface waters? :.� Static liquid level in the distribution box above outlet- inver t? Liquid depth in cesspool <6" below invert or available volume'< 1/2 dad' flow? .� Required pumping 4 times or more in the last year? number of times pumped NSeptic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy: below.. the high groundwater elevation? within, 50 feet of a surface water? within 100 feet of a surface water supply or tributary to a surface water supply? within a Zone I of a public well? within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS) ? within 50 feet of a private water supply well? less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analy. . for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. _ 13 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORK PART D CERTIFICATION Name of Inspector' Company Name S/o ��J O" S Company Address �/v lj �c( 13u S S ✓e- Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and manitenance of on-site sewage disposal systems. Vone: I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15.303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. I have. determined that the system fails to protect public health and the environment as defined in 310. CMR 15.303 . . The basis for this determination is provided in the FAILURE CRITERIA section of this form. Inspector' s Signatur S Date original to system owner Copies to: T.. Buyer ( if applicable) Approving authority C�.✓vtSC� � l� — . .--I -0 "q 0 K I it'!-, !­--�- 77r�17F,771-*11v­�_ __- i A ,i�� I - X I " fit �, -I - — --7. �x _� _ " . 7 I - Z 1J_ii,'!!: W 10 6'` .��!1111`.Iir ; '��i 4 ":'�11 �,`.' 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MA LOCUS MAP ISOLATED \O 0 / CAS I \ �o� 1 WETLAND NOT TO SCALE �O GAS GATE \ O _ FX/,STUN 3� X09 4 BFpR G �GY EOM LEGEND O,� F4 �BZ7�N E=TWG / 3B A TP-2 PPE SEPT IC ATANK o 0 / ��RkSA/pp D-BOX O SAC .1gy o poc ft TEST PIT EX/STWG L 0 I EACH IT L 0 T 98 ®,P_, \ UTILITY POLE $ AREA - 56013 sf �- 72 �70 68 66 TREE N��s n,Af- r 74 N s�rrrn oEmrEs rme 5.sl f► o o c-cEo�R P-PPIE BENCH MARK 33.5 ft x 12.5 ft x 2 ft $ TOP OF FOUNDATION LEACHING GALLERY r 78 ELEVATION - 78.27 USGS DATUM ASSUMED . FLOW PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS PLAN VENT ®� PIPE TOP OF FOUNDATION RAISE COVERS TO WITHIN SCALE: I in - 30 ft EL - 78.27 +- 6 in OF FINAL GRADE NO OTHER WELLS WITHIN I5 0 ft ONE INSPECTION RISER FOR I[ LEACHING GALLERY 75.75 ,,\ ,gyp-BOX MAX 2. I/2YE STONR OF E SEWAGE DISPOSAL SYSTEM PLAN 3- DROP ,. FLOW LINE -TO SERVE EXISTING DWELLING - 14'RIO. - THOMAS & CYNTHIA FUREY 48- GASH PREG/1ST 314'-1 114' ZN OF4f 13 BAFFLE z' DRYWELL STONE BOTTOM OF ``� gsS,gc 10 WAYSIDE LANE WEST BARNSTABLE. MA 74 24+_ 6 in SOIL ABSORPTIONS DAVID yGN STONE \72.13 LEACHING ( SYSTEM o. ECO-TECH ENVIRONMENTAL EXI9TIrca EXI9TItJp BASECOUGNANOWR N Y 72.30 GALLERY : 43 TRIANGLE CIRCLE SANDWICH MA '0256 EXISTING 72.00 No, 1093 EXIVING I 5.00 it . �� 0 508 364-0894 1550 GALLON (END VIEW) _70.00 GfSTES�' I ANEXISTING SEPTIC TANK 28.6 ft c) 5 ft 12.5 ft S rp �S ETE-1931 APRIL 10. 2005 1�2 b) 14 ft In1 THIS PLAN IS TO BE. CONSIDERED A DRAFT PLAN.UNLESS IT ADJUSTED Y 51.2 (�V SPA I�� 2 2DDS BEARS THE-STAI�.AND SIGNATURE OF.TFE'DESIGN ENG D SEASONAL HIGH `6 ORIGINAL PLANS INTENDED;FOR;S.UBPUTTAL,TO,_THE'-BOARD GROUNDWATER of HEALTH WILL BE SIGNED N BLUE'AND STAhPED N RED. SOIL TEST LOG DESIGN. --CALCULATIONS TEST PIT I NO GROUNDWATER ENO LACIAL UNTEREDOUTWASH ,DESIGN FLOW, 4 BEDROOMS X 110 GPD - 440 GPD PARENT ELEVATION - 77.75 -- PERC AT 64 in : 2 MIN/INCH IN C SOILS SEPTIC TANK: 440 GPD X 2 DAYS - 880 GALLONS DATE OF TEST: MARCH 25. 2005 USE EXISTING 1500 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. SOIL EVALUATOR: DAVID D. COUGHANOWR, RS IF NOT INSTALL NEW 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) UNWITNESSED DISTRIBUTION BOX: USE 3 OUTLET D-BOX. DEPTH SOIL USDA SOL SOL COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: A 33.5 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING A b o t - (33.5 x 12.5 ) - 418.75. s f 77.75 Asdw - ( 33.5 ; 33.5 + 12.5 } 12.5 ) x 2 - 184.0 sf 0-12 A LOAMY SAND 10 YR 3/2 NONE FRIABLE A t o t - 602.75 e f 12-40 B LOAMY SAND 10 YR 5/6 NONE FRIABLE V t 0.74 x 6 0 2.7 5 - 446.03 G P D 74.42 40-148 C MEDIUM SAND 10 YR 5/4 NONE LOOSE USE A 33.5 ft x 12.5 ft x 2 ft GALLERY. V t - 446.03 GPD > 440 GPD REQUIRED 65.42 TEST PIT 2 NO GROUNDM41iATER ENCOUNTERED PARENT MATERIAL: PROGLACIAL OUTWASH LEACHING GALLERY CONSTRUCTION ELEVATION - 75.80 +- PERC AT 62 in : 2 MIN/INCH IN C SOILS DETAIL DATE OF TEST: MAY 9. 2005 GROUNDWATER ADJUSTMENT WIGGINS CONCRETE 500 SOIL EVALUATOR: DAVID D. COUGHANOWR. RS GALLON PRECAST DRYWELL WITNESSED BY DONALD DESMARAIS. BOARD OF HEALTH EXISTING GROUNDWATER LEVEL LEACHING UNIT OR BASED ON INSTRUMENT SURVEY OF EOUIVALENT STONE EDGE OF ADJACENT WETLAND 8•-5-X 4'-I0-X 2*-9- DEPTH SOIL USDA SOL SOL COLOR SOIL OTHER 2 rr EPP. DEPTH 33.5 f t (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING OBSERVED GW 50.0 75.80 INDEX WELL SDW-252 0 ZONE B M � 0-6 . A LOAMY SAND 10 YR 3/3 NONE FRIABLE READING DATE MARCH. 2005 O READING 46.7 O O O O 'O N 6-30 B LOAMY SAND 10 YR 4/6 NONE FRIABLE ADJUSTMENT l2 N N 73.30 30-48 Cl MED-CSE SAN 10 YR 6/4 NONE LOOSE ADJUSTED GW 51.2 - o 48-120 C2 MEDIUM SAND 10 YR 6/3 NONE LOOSE M 65.80 4.0 8.5' 8.5 8.5' 33.5 f t NOTES 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 500 GALLON DRYWELL 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS DIMENSIONS AND DETAIL OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4) INSTALLER -T.O-- VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES USE 14-10 UNIT INSTALL ONE INSPECTION BEFORE EXCAVATING FOR SYSTEM. RISER TO WITHIN SIX INCHES OF FINAL GRADE 5) EXISTING LEACH PIT TO BE PUMPED, COLLAPSED. AND FILLED. OR REMOVED AND INDICATE LOCATION 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND 'DUST IN PLACE ON AS-BUILT PLAN 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN SEWAGE DISPOSAL SYSTEM PLAN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE -INST.ALUATION OF LOW FLOW FIXTURES TO SERVE EXISTING DWELLING AND APPLIANCES. AND BIANNUAL PUMPING OF THE -SEP=TIC TANK Or�_ 33 9) SYSTEM IS NOT DESIGNED TO WITHSTAND r;VEHICULAR LOADING. DO NOT o00o c p 00�� In THOMAS & CYNTHIA FUREY PARK OR DRIVE VEHICLES OVER SEPTIC` SYSTEM. J- p4p �oap�pp ��00 poppppp Boa D00 10 WAYSIDE LANE WEST BARNSTABLE. MA 10) INSTALLER TO OBTAIN DISPOSAL WORK§r PERMIT' BEFORE:;STARTING WORK. 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND ':TRUE-TO GRADE ON A LEVEL 6o ECO-TECH_ ENVIRONMENTAL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH 102 in SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING 43 TRIANGLE CIRCLE "SANDWICH MA 02563 12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED L PVC OUTLET TEE FITTED WITH .GAS BAFFLE. ET.E-'1931 APRIL'.-10 2005 2/2 FOR STRUCTURAL INTEGRITY. INSTAL.:.... 1 78 PLAN REFERENCE CONTOURS LOCUS / 76 EXISTING - - - - - - - N 7� PLAN BOOK 301 PAGE 99 EXIST G 50 WELL ASSESSOR'S MAP: 110 FINAL 50 LOT: 21 72 70 LOT IS NOT IN GROUNDWATER PROTECTION ZONEl�iQ C S R WELL � STREET r r WEST BARNSTABLE. NA � LOCUS MAP ISOLATED NOT TO SCALE GAS GAS WETLAND �O r � � _J / GATE 3 I (ti �� — `3 BEAST/n'G I 109 To N M LEGEND \ _ EL ' B j�N \ EMTM VENT /500 GALLON o O 36 r, p-2APE SEPTIC TANK / �RkSHpp D-sox-Afo o sir r+ TEST PIT qcl- 00 EXISTING 0 LEACH P1T LOT 98 ac ® b, I UTILITY POLE $ _� AREA - 56013 sf +- 72 70 TREE ' -m � m� 76 74 N►ems term DROTes ivRE *-OAK C-CEDAR P-0�E BENCH MARK TOP OF FOUNDATION LEACHING GALLERY 78 ELEVATION - 78.27 USGS DATUM ASSUMED FLOW PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS VENT PLAN PIPE RAISE COVERS TO WITHIN SCALE: I in - 30 f t TOP OF FOUNDATION 6 in OF FINAL GRADE ' j EL - 78.27 +— NO OTHER WELLS WITHIN ISO f t ONE INSPECTION RISER FOR LEACHING GALLERY 75.75 /D—BOX MAX 2� �2' STONE SEWAGE DISPOSAL SYSTEM PLAN �3- DROP -TO SERVE EXISTING DWELLING rr FLOW LINE IL 10- = 14- _ THOMAS CYNTHIA FUREY 4g GASH' PRECAST ,- 3'STONE4 10 WAYSIDE LANE WEST BARNSTABLE. MA BAFFLE ORYWELL BOTTOM OF 74 24+— 6 in SOIL ABSORPTION E�8TIN0 STONE 72.I3 LEACHING SYSTEM ECO-TECH ENVIRONMENTAL WaSTINo BASE EXISTING 72'30 GALLERY 43 TRIANGLE CIRCLE SANDWICH MA 0256 72.00 5.00 r+ . 508 364-0894 EXOTNO ISOO GALLON (END VIEW) 70.O0 1/2ETE-1931 APRIL 10. 2005 F EXI8TN0 SEPTIC TANK 28.6 {� a> 5 `' Iz.s `' b 14 r+ _ THIS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS IT ADJUSTED 5I.2 BEARS THE STAMP AND SIGNATURE OF THE DESIGN ENGINEER SEASONAL HIGH "~ ORIGINAL PLANS INTENDED FOR SUBMITTAL TO THE BOARD GROUNDWATER OF HEALTH WILL BE SIGNED IN BLUE AND STAMPED IN RED. SOIL TEST LOG, DESIGN CALCULATIONS TEST PIT I NO GROUNDWATER ENCOUNTERED DESIGN FLOW: 4 BEDROOMS X 110 GPD - 440 GPD PARENT MATERIAL: PROGLACIAL OUTWASH ELEVATION - 77.75 •- PERC AT 54 in : 2 MIN/INCH IN C SOILS SEPTIC TANK: 440 GPD X 2 DAYS - 880 GALLONS DATE OF TEST: MARCH 25. 2005 USE EXISTING 1500 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. SOIL EVALUATOR: DAVID D. COUGHANOWR, RS UNWITNESSED IF NOT INSTALL NEW 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) DISTRIBUTION BOX: USE 3 OUTLET D-BOX. DEPTH SOIL USDA SOL SOL COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: A 33.5 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING Abot - (33.5 x 12.5 ) - 418.75 sf 77.75 Asdw - ( 33.5 • 33.5 + 12.5 ; 12.5 ) x 2 - 184.0 of 0-12 A LOAMY SAND 10 YR 3/2 NONE FRIABLE A t o t - 602.75 a f 12-40 B LOAMY SAND 10 YR 5/6 NONE FRIABLE V t 0.74 x 6 0 2.7 5 - 446.03 G P D 14.42 40-148 C MEDIUM SAND IO YR 5/4 NONE LOOSE USE A 33.5 ft x 12.5 ft x 2 ft GALLERY. Vt - 446.03 GPD > 440 GPD REQUIRED 65.42 TEST PIT 2 PA GROUNDWATER ENCOUNTERED LEACHING GALLERY PARENT MATERIAL: PROGLACIAL OUTWASH CONSTRUCTION ELEVATION - 75.80 +- PERC AT 52 in : 2 MIN/INCH IN C SOILS DETAIL DATE OF TEST: MAY g. 2005 GROUMWATER ADJUSTMENT WIGGINS CONCRETE 500 SOIL EVALUATOR: DAVID D. COUGHANOWR. RS GALLON PRECAST DRYWELL LEACHING UNIT OR EXISTING GROUNDWATER LEVEL WITNESSED BY DONALD DESMARAIS. BOARD OF HEALTH EQUIVALENT BASED ON INSTRUMENT SURVEY OF STONE EDGE OF ADJACENT WETLAND 8'-5-X 4'-10-X 2'-9- DEPTH SOIL USDA SOL SOL COLOR SOIL OTHER 2 ft Err-. DEPTH 33.5 ft (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING OBSERVED GW INDEX WELL SDW SDW-252 � 75.80 ZONE B 0-6 A LOAMY SAND 10 YR 3/3 NONE FRIABLE READING DATE MARCH. 2005 M READING 46.7 tn 6-30 B LOAMY SAND 10 YR 4/6 NONE FRIABLE ADJUSTMENT l2 C4 G O O O O O N 73.30 ADJUSTED GW 51.2 30-48 CI PIED-CSE SAND 10 YR 6/4 NONE LOOSE 0 48-120 C2 MEDIUM SAND 10 YR 6/3 NONE LOOSE 65.80 4.0 8.5- 8.5- 8.5' 33.5 f t NOTES 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 500 GALLON DRYWELL 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS DIMENSIONS AND DETAIL OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) USE H-10 LtMT 4) INSTALLER TO VERIFY- LOCATIONS OF ALL UNDERGROUND UTILITIES INSTALL ONE WSPECTION BEFORE EXCAVATING FOR SYSTEM. RISER TO W1THW SIX 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED. OR REMOVED ON ADE �IC�TE LOC RT10N ON AS-8(l1LT PLAN 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN SEWAGE DISPOSAL SYSTEM PLAN 8) EAND EANCESNVIRONMENTAL AND BIANNUAL PUMPING RECOMMENDS HOFI THE SEPT CNTANK OF LOW FLOW FIXTURES 0� 33 -TO SERVE EXISTING DWELLING I . ��C-3o poo in THOMAS & CYNTHIA FUREY 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT oopp o 00 �OODp PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM, o�C'oa��oao� 000 10 WAYSIDE LANE WEST BARNSTABLE. MA 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. c�pp�C--3 00 0 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL O ECO-TECH ENVIRONMENTAL . STABLE BASE THAT HAS :BEEN MECHANICALLY COMPACTED AND ON TO WHICH 102 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE. UNEVEN SETTLING 43 TRIANGLE CIRCLE SANDWICH MA 02563 12) SEPTIC TANK TO BE PUMPED 'DRY AT TIME .OF SYSTEM REPAIR AND CHECKED FOR. STRUCTURAL INTEGRITY. INSTALL: PVC OUTLET TEE .FITTED WITH. GAS BAFFLE. ETE-1931 . APRIL 10, 2005 2/2 .✓ P .` 76 PLAN REFERENCE CONTOURS LOCUS 74 'WELL PLAN BOOK 301 PAGE 99 EXISTING - - - - - - - 50 w N 4j�as r, ASSESSOR'S MAP: 110 FINAL 50 �,gA,Cs✓pF / 72 70 LOT: 21 / 68 66 LOT IS NOT IN GROUNDWATER PROTECTION ZONE 7ft ~ S �v o WELL ��„ CEDA r o .. WEST BARNSTABLE. MA ISOLATED LOCUS MAP GAS WETLAND NOT TO SCALE GAS I / GATE I FX/ST << LEGEND _ • 0 �N IL, \ EXISTING VENT \ 1500 GALLON/ l'1'CRI�SyOP r, PPE rI , SEPTIC TANK o c o I o-Box o MI y o O{ TEST Prr EYJS G LEACH EACN PIT L O T 98 UTR.ITY POLE $ A EAR 56 0l3 s f {- ` 12-P r 70 66 66 TREE > 76 74 -MOSE?e6FE_as To aure� 1 SR3.51 f, o o+ l&®g �E$TYPE BENCH MARK 41.5 ft x 13 ft x 2 ft TOP OF FOUNDATION LEACHING GA L L ER Y i 78 ELEVATION - 7827 - USGS DATUl ASSUMED - USE H-20 UNITS F L W PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS PLAN VENT TOP OF FOUNDATION RAISE COVERS TO WITHIN PIPE SCALE: 1 in - 30 ft EL - 78:27 +- 6 in OF FINAL GRADE NO OTHER WELLS WI THIN 150 ft ONE INSPECTION RISER FOR LEACHING GALLERY. ROP , LAYER10F\ / 2 12' S"ONEI/$- SEWAGE DISPOSAL SYSTEM PLAN �3_ DFLOW LINE H 2O MAX f -TO SERVE EXISTING DWELLING lo' 14_ H-20 �No THOMAS & CYNTHIA FUREY 48" GAS DRECAS 314%1114• BAFFLE " STONE 10 WAYSIDE LANE WEST BARNSTABLE. MA 74.24+- 6 in BOTTOM OF DAB STONE \72.13LEACHING {. SOIL ABSORPTION D. ECO-TECH ENVIRONMENTAL EXISTING EXI9772.30 BASE SYSTEM CC �GlUz,,3WR w" 1 l.r:3 eo EXISTING 72.00 GALLERY y 9 43 TRIANGLE CIRCLE SANDWICH MA 0256 Ext6TNo 1500 GALLON (END VIEW) 7O.0o s.00 r, • A 508 364-0894 EXI6TN0 SEPTIC TANK lz 26.6 f a> s r, 13.0 {, �e�d ETE-1931 JAPRIL 10. 2005 1 4 1 1/2 r,'I t o, 2_0C,5 THIS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS IT ADJUSTED _ 51.2 ('t- BEARS THI= STAMP AND SIGNATURE OF THE DESIGN ENGINEER SEASONAL HIGH ORIGINAL PLANS INTENDED FOR SUBMITTAL TO THE BOARD GROUNDWATER OF HEALTH WILL BE SIGNED N BLUE AND STAMPED N RED. TEST: 5. 2005 SOIL TEST LOG SOILEEOVALUATOR: DAVIDHD? C UGHANOWR. RS WITNESS REQUIREMENT WAIVED - NO VARIANCES SOUGHT DESIGN CALCULATIONS NO GROUNDWATER TEST PIT I PARENT MATERIAL: ENCOUNTERED ROGLACIALDOUTWASH ELEVATION - 77.75 .- PERC AT 54 in : 2 MIN/INCH IN C SOILS DESIGN FLOW: S BEDROOMS X I10 GPD - 550 GPD SEPTIC TANK: 550 GPD X 2 DAYS - 1100 GALLONS DEPTH SOIL USDA SOL SOL COLOR SOIL OTHER INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 77.75 DISTRIBUTION BOX: USE 3 OUTLET D-BOX. 0-12 A LOAMY SAND 10 YR 3/2 NONE FRIABLE 12-40 B LOAMY SAND 10 YR 5/6 NONE FRIABLE SOIL ABSORBTION SYSTEM: A 41.5 ft x 13 ft x 2 ft LEACHING GALLERY CAN LEACH 74.42 40-148 C MEDIUM SAND 10 YR 5/4 NONE LOOSE A 6 o t - ( 41.5 x 13 ) - 5 3 9.5 6 f Asdw - ( 41.5 ; 41.5 + 13 { 13 ) x 2 - 218 sf 65.42 Atot - 757.5 of Vt 0.74 x 757.5 - 560.55 GPD USE A 41.5 ft x 13 ft x 2 ft GALLERY. Vt - 560.55 GPD > 550 GPD REQUIRED MOLMWATER ADJUSTMENT EXISTING GROUNDWATER LEVEL LEACHING GALLERY BASED ON INSTRUMENT SURVEY OF EDGE OF`,ADJACENTWETLAND OBSERVED GW 50.0 CONSTRUCTION DETAIL INDEX WELL SDW-252 CDR YWeL s UNIT Y-9. STONE ZONE B READING DATE MARCH. 2005 2 it EFF. DEPTH READING 46.7 41.5 i t ADJUSTMENT 1.2 l ADJUSTED GW 5L2 M t r N 0 T ES 4 fr 8.5' 4 ft 8.5' 4 ft 8.5' 4 ft 41.5 ft NOT TO SCALE 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS SOO GALLON DRYWELL OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) DIMENSIONS AND DETAIL 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. USE H-20 UNIT INSTALL ONE INSPECTION IN 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED. OR REMOVED I TO w� A slx INCCHH ES OF FINNAL GRADE 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE AND INDICATE LOCATION ON AS-BUILT PLAN 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN SEWAGE DISPOSAL SYSTEM PLAN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES AND APPLIANCES. AND BIANNUAL PUMPING OF THE .SEPTIC TANK -TO SERVE EXISTING DWELLING ,� .. 34 9) SYSTEM IS NOT DESIGNED TO WITHSTAND, VEHICULAR 'LOADING. DO NOT THOMAS d� CYNTHIA FUREY PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. :r `' pp� in 0 0 ���� 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. ppppppc:jc 10 WAYSIDE LANE WEST BARNSTABLE. MA 1) SEPTIC TANKS SHALL BE INSTALLED LEVEL ANDTRUE TO GRADE ON A LEVEL pppoaaoa �O �� STABLE BASE THAT HAS BEEN MECHANICALLY ;COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE HAS BEEN PLACED �� ECO-TECH ENVIRONMENTAL TO MINIMIZE UNEVEN SETTLING 102 In 12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF-tSYSTEM REPAIR AND CHECKED 43 TRIANGLE CIRCLE SANDWICH MA 02563 FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. ETE-1931 1 APRIL 10. 2005 2/2 1 \ 78 PLAN REFERENCE CONTOURS `°"W� 76 � ~ ` 74 WELL PLAN BOOK 301 PAGE 99 EXISTING - - - - - - - 50 iN ASSESSOR'S MAP: 110 FINAL 50 LOT: 21 A ,72� 7O 68 LOT IS NOT IN GROUNDWATER PROTECTION ZONE �o 0 �ae � � o WELL O CEO,q,q ST,pfET ,`� WEST BARNSTABLE. MA o�Q \ 0 3 LOCUS MAP Q �O V� �, WETLAND NOT TO SCALE "J s GAS 9 S 1 3 BEpR�G �0 �lqi OOM LEGEND EXISTING f_ 00 G LL TP 2 VENT 6 A ON zee � lYpRkSyOP r, PPE SEPTC v-aox TANK o o CS�'U,y� ), TEST PIT "'FS O o EXiSTiNG LEACH PIT O LOT 98 6-` ® I UTLITY POLE $ AREA - 56013 s f 72 70 TREE > 76 74 ivs 'ncX41*7�TYPEA., "AK C-QOAK I-PPE � ft BENCH MARK 41.5 ft x 13 ft x 2 ft 4 -� $ TOP OF FOUNDATION LEACHING GALLERY i 78 ELEVATION - 78.27 USGS DATUM ASSUMED , FLOW PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS VENT PIPE PLAN TOP OF FOUNDATION RAISE COVERS TO WITHIN SCALE: I in 30 ft 6 in OF FINAL GRADE EL - 78.27 +- ONE INSPECTION RISER FOR NO OTHER WELLS WITHIN I50 ft LEACHING GALLERY 75.75,,\ - fD—BOX 3 it 2- LAYER OFNE I/8" 3" DROP MAx I/2" STON SEWAGE DISPOSAL SYSTEM PLAN =T= � FLOW LINE -TO SERVE EXISTING DWELLING lO-U f = 14' �. ���OF"�SS THOMAS & CYNTHIA FUREY t PRECAST 3/4'-1114' 48- BAFFLE , f DRYWELL STONE moo`' DAVID yG� 10 WAYSIDE LANE WEST BARNSTABLE. MA 6 in BOTTOM OF STONE SOIL ABSORPTION o E eTHo- 72.13 LEACHING SYSTEM COUG ANOWR N ECO-TECH ENVIRONMENTAL XIST1 B A S E E Np 72.30 { NO. 1093 43 TRIANGLE CIRCLE SANDWICH MA 0256 GALLERY o EX�7"o EXISTING 72.00 5.00 r, • /s �`` 1500 GALLON s (END VIEW) 70,00 IT �S 508 364-0894 EXI6T"o SEPTIC TANK 26.6 ft a) 5 f, 13.0 f, one 13 ZQOS ETE-1931 APRIL 10. 2005 1/2 • 114 ft (t e✓1 SP� THS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS IT ADJUSTED 51.2 BEARS THE STAMP AND SIGNATURE OF THE DESIGN.ENGINEER SEASONAL NA ORIGINAL PLANS GROUNDWATER -INTENDED FOR SUBMITTAL TO THE'BOARD .. OF HEALTH WILL BE SIGNED N'BLUE AND STAMPED 'N RED.' SOIL TEST LOG DESIGN CALCULATIONS TEST PIT I NO GROUNDWATER EN O LACIAL UNTEREDOUTWASH DESIGN FLOW: 5 BEDROOMS X 110 GPD - 550 GPD PARENT ELEVATION - 77.75 +- PERC AT 64 in : 2 MIN/INCH IN C SOILS SEPTIC TANK: 550 GPD X 2 DAYS - 1100 GALLONS DATE OF TEST: MARCH 25. 2005 USE EXISTING 1500 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. SOIL EVALUATOR: DAVID D. COUGHANOWR. IRS IF NOT INSTALL NEW 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) UNWITNESSED DISTRIBUTION BOX: USE 3 OUTLET D-BOX. DEPTH SOIL USDA SOL SOL COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: A 41.5 f t x 13 ft x 2 ft LEACHING GALLERY CAN LEACH (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 77.75 Abot - ( 41.5 x 13 ) - 539.5 sf 0-12 A LOAMY SAND 10 YR 3/2 NONE FRIABLE A a d w - ( 41.5 • 41.5 • 13 • 13 ) x 2 218 s f Atot - 757.5 sf 12-40 B LOAMY SAND 10 YR 5/6 NONE FRIABLE 7442 Vt 0.74 x 757.5 - 560.55 GPD 40-148 C MEDIUM SAND 10 YR 5/4 NONE LOOSE 65.42 USE A 41.5 ft x 13 ft x 2 ft GALLERY. Vt - 560.55 GPD > 550 GPD REQUIRED TEST PIT 2 ENCOUNTEREDNO 13ROUNDWATER PARENT MATERIAL: P OGLACIALOUTWASH ELEVATION - 75.80 +- PERC AT 62 in : 2 MIN/INCH IN C SOILS LEACHING GALLERY DATE OF TEST: MAY 9. 2005 CONSTRUCTION DETAIL SOIL EVALUATOR: DAVID D. COUGHANOWR, RS GRO MWATER ADJUSTMENT WITNESSED BY DONALD DESMARAIS. BOARD OF HEALTH DRYWELL UNIT EXISTING GROUNDWATER LEVEL e•-O'x S•-O'= 2•-9' STONE BASED ON INSTRUMENT SURVEY OF 2 ti EFF. DEPTH DEPTH SOL USDA SOL SOL COLOR SOIL OTHER EDGE OF ADJACENT WETLAND 41.5 f t (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 75.80 OBSERVED GW 50.0 0-6 A LOAMY SAND 10 YR 3/3 NONE . FRIABLE INDEX WELL SDW-252 v ZONE B 6-30 B LOAMY SAND 10 YR 4/6 NONE FRIABLE READING DATE MARCH. 2005 READING 46.7 ,n M 73.30 30-48 CI MED-CSE SA 10 YR 6/4 NONE LOOSE ADJUSTMENT . ADJUSTED GW 51 512 48-120 C2 MEDIUM SAND 10 YR 6/3 NONE LOOSE v 65.80 4 ft 8.5' 4 ft[ 8.5' 4 ft 8.5' 4 ft 41.5 f t NOT TO . NOTES SCALE 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 500 GALLON DRYWELL 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS DIMENSIONS AND DETAIL OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) USE H-IO UNIT 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES INSTALL ONE INSPECTION BEFORE EXCAVATING FOR SYSTEM. RISER TO WITHIN SIX INCAFS OF FIVAL GRADE 5) EXISTING LEACH PIT TO BE PUMPED, COLLAPSED. AND FILLED, OR REMOVED AND INDICATE LOCATION ON AS-BUILT PLAN 6) ALL STONE TO BE DOUBLE WASHED AND FREE, OF_ IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2.1 0,' BEf`ORE- PITCHING DOWN SEWAGE DISPOSAL SYSTEM PLAN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS -THE' INSTALL°ATI-ON OF LOW FLOW FIXTURES -TO SERVE EXISTING DWELLING AND APPLIANCES. AND BIANNUAL PUMPING' OF THE SEPTIC TANK Q 34 � l o, t;. O p op Q in 9) SYSTEM IS NOT DESIGNED TO WITHSTAND, VEHICULA,,R L-OAQING. DO NOT Opp p p QQ � THOMAS & CYNTHIA FUREY PARK OR DRIVE VEHICLES OVER SEPTIC -SYSTEM; pppoopp0ppp 10 WAYSIDE LANE WEST BARNSTABLE. MA 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE_,-STARTING WORK. p�pOOp�oOp OQ \n 11) SEPTIC TANKS SHALL .BE INSTALLED LEVEL-x"AND TRUEt'TO GRADE ON A LEVEL 6� ECO-TECH ENVIRONMENTAL STABLE BEEN MECHANICALLY-COMPACTED,AND ON TO WHICH 1026 X• S INCHES SOFTCRUSHED -STONE .HAS :BEEN PLACED TO MINIMIZE UNEVEN SETTLING 43 TRIANGLE CIRCLE SANDWICH MA 02563 12) SEPTIC TANK TO BE. PUMPED dRY,'AT TIME OF SYSTEM REPAIR AND CHECKED -193PL 10. 25TEGRITNSTAL( CO7LETTEFITTED WITH GAS 'BAFFLE.FOR cSRUCTURAL „IN ETE 2/2` r:.,., . . 78 PLAN REFERENCE CONTOURS LOCUS 76 PLAN BOOK 301 PAGE 99 EXISTING - - - - - - - 50 w N 7 WELL ASSESSOR'S MAP: 110 FINAL 50 4jj2s r, LOT: 21 72 7O LOT IS NOT IN GROUNDWATER PROTECTION ZONE 'V $ 68 W 66 lG? ST�NF 7 WELL srRFF WEST BARNSTABLE. MA LOCUS MAP \ I 3 ISOLATED NOT TO SCALE V � \e�'/ GA5 I.M`E %F, \ WETLAND O 9 O GAS \ GAT E E T 9 k1 13 ,ST/jVG �0 Dyei`c�R00/y / 8 opNG \ LEGEND EXISTAIG ? 7P-2 PFE 1500 GALLON o 0 ri �!'p,QkS,yOP SEPTIC TANK D-BOX G -Aoo r o a n ` TEST PITQD O \ E LE O LEACHCH PIT LOT 98 � ® be UTILITY POLE $ �f I AREA - 56013 sf TREE ' ;- 76 74 72 70 -M*SFR REFERS a s TO TYPE o-ouc c-crone � r+ BENCH MARK TOP OF FOUNDATION LEACHING rGALLERY 78 ELEVATION - 78.27 USGS DATUM ASSUMED FLOW PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS VENT PLAN TOP OF FOUNDATION RAISE COVERS TO WITHIN IPE 6 in OF FINAL GRADE SCALE: I in - 30 ft j EL ' 78.27 +- ONE INSPECTION RISER FOR NO OTHER WELLS WITHIN I5 0 f t LEACHING GALLERY 75.75 AfD-BOX MAX 2. %2YESTOOF NEI/8� SEWAGE DISPOSAL SYSTEM PLAN �s- CROP -TO SERVE EXISTING DWELLING _1L_ FLOW LINE lo_ _ 14- �NOFIl7gss9C THOMAS CYNTHIA FUREY 48" GASH PRECAST 3/4'-1114" o DAVID BAFFLE DRYWELL STONE o� D. ti 10 WAYSIDE LANE WEST BARNSTABLE. MA ID \74.24+_ ( �� BOTTOM OF - COUGHANOWIR EXf9TIN0 STONE 72.13 LEACHING ! SOIL ABSORPTION o ECO-TECH ENVIRONMENTAL ExtsTirq BASE SYSTEM No. 1093 EXISTING 72.3O GALLERY E`aISTER� 43 TRIANGLE CIRCLE SANDWICH MA 0256 EXSTNG 72•Go 5.00 r, . SgNITA YEN Q.S -508 364-0894 1500 GALLON (END VIEW) io.00 � \ EX16TN° SEPTIC TANK 26.6 ft. b� 4 rf� 13.0 r, - vi d `y ( ET PLAN IS APRIL TO BE CONSIDERED ED A I/2 7r— ADJUSTED Y 51.2 "� J BEARS THE STAMP AND SIGNARTURE OF THE DESIGT PLAN N UNLESS ER SEASONAL HIGH ORIGINAL PLANS INTENDEDDEDFOR. SUBMITTAL.TO THE BOARD GROUNDWATER OF.HEALTH WILL-BE SIGNED N BLUE AND STAWED N RED. SOIL TEST LOG DESIGN CALCULATIONS TEST PIT I NO GROUNDWATER ENO LACIAL UNTEREDOUTWASH DESIGN FLOW: 3 BEDROOMS X 110 GPD - 330 GPD PARENT ELEVATION - 77.75 +- PERC AT 64 in : 2 MIN/INCH IN C SOILS SEPTIC TANK: 330 GPD X 2 DAYS - 660 GALLONS DATE OF TEST: MARCH 25. 2005 USE EXISTING 1500 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. SOIL EVALUATOR: DAVID D. COUGHANOWR, RS IF NOT INSTALL NEW 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) UNWITNESSED DISTRIBUTION BOX: USE 3 OUTLET D-BOX. DEPTH SOIL USDA SOL SOL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELLY MOTTLING SOIL A B S O R B T I O N SYSTEM: A 41.5 ft x 13 ft x 2 ft LEACHING GALLERY CAN LEACH 77.75 Abot - ( 41.5 x 13 ) - 539.5 sf 0-12 A LOAMY SAND 10 YR 3/2 NONE FRIABLE A a d w - ( 41.5 + 41.5 + 13 + 13 ) x 2 - 218 a f Atot - 757.5 sf 12-40 B LOAMY SAND 10 YR 5/6 NONE FRIABLE 7442 Vt 0.74 x 757.5 - 560.55 GPD 65.42 40-148 C MEDIUM SAND 10 YR 5/4 NONE LOOSE USE A 41.5 ft x 13 ft x 2 ft GALLERY. Vt - 560.55 GPD > 330 GPD REQUIRED TEST PIT 2 GROUNDWATERNO ENCOUNTERED PARENT MATERIAL: P OGLACIALOUTWASH ELEVATION - 75.80 +- PERC AT 62 in : 2 MIN/INCH IN C SOILS LEACHING GALLERY DATE of TEST: MAY 9. 200s CONSTRUCTION DETAIL SOIL EVALUATOR: DAVID D. COUGHANOWR. RS GRO HATER ADJUSTMENT WITNESSED BY DONALD DESMARAIS. BOARD OF HEALTH DRYWELL UNIT EXISTING GROUNDWATER LEVEL W-o'x S"-O-x 2*-9- STONE BASED ON INSTRUMENT SURVEY OF 2 f+ EFF. DEPTH DEPTH SOIL USDA SOL SOL COLOR SOIL OTHER EDGE OF ADJACENT WETLAND 41.5 f t (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 75.80 OBSERVED GW 50.0 0-6 A LOAMY SAND 10 YR 3/3 NONE FRIABLE INDEX WELL SDW-252 ZONE B .. 6-30 B LOAMY SAND 10 YR 4/6 NONE FRIABLE READING DATE MARCH. 2005 READING 46.7 M N M 73.30 30-48 CI MED-CSE SAN 10 YR 6/4 NONE LOOSE ADJUSTMENT 1.2 w 48-120 C2 MEDIUM SAND -10 YR 6/3 NONE LOOSE ADJUSTED GW 51.2 65.80 4 ft 8.5 4 ft 8.5 4 ft 8.5' 4 ft NOTES OTES 41.5 ft NOT TO SCALE 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 500 GALLON DRYWELL 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS DIMENSIONS AND DETAIL OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES USE H-10 UNIT INSTALL ONE WSPECTION BEFORE EXCAVATING FOR SYSTEM. RISER TO W►TMN SIX INCHES OF FR►AL GRADE 5) EXISTING LEACH PIT TO BE PUMPED, COLLAPSED. AND FILLED, OR REMOVED AND BVDICATE LOCATION 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE ON AS-BUILT PLAN 7) LINES. EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN SEWAGE DISPOSAL SYSTEM PLAN $) EAND APPLIANCES ENVIRON PPL ANCSNMENTAL AND BIANNUAL PUMPING RECOMMENDS HOFINTHE SEPTIOCNTANK OF OW FLOW FIXTURES O� 34 -TO SERVE EXISTING DWELLING 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT j pOo 0 Q��� ►� THOMAS & CYNTHIA FUREY PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM, 0000aooa000 0000 10 WAYSIDE LANE WEST BARNSTABLE. MA 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. �����pp��O � \� II) SEPTIC TANKS SHALL BE INSTALLED LEVEL . AND TRUE TO GRADE ON A LEVEL 6o ECO-TECH ENVIRONMENTAL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH 102 m SIX INCHES OF CRUSHED STONE HAS -BEEN PLACED TO MINIMIZE UNEVEN SETTLING 43 TRIANGLE CIRCLE SANDWICH MA 02563 12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. ETE-1931, APRIL..10., 2005 2/2 78 PLAN REFERENCE CONTOURSLOCUS / 76 PLAN BOOK 301 PAGE 99 EXISTING - - - - - - 50 w N 7 WELL ASSESSOR'S MAP: 110 FINAL 50 �47�zs f, LOT: 21 F 72 70 se 66 LOT IS NOT IN GROUNDWATER PROTECTION ZONE 0 WELL \ ? �oAR STREE7 � WEST BARNSTABLE. HA gee R� ISOL LOCUS MAP O \ A TED NOT TO SCALE GAS Ut,E\ p� \ WETLAND �O GAS � � -J / GATE 1 \ _ 3 ST/NG log IDBED,gCC FOP E<</N M L EGEND EMTWG 1500 GALLON o O I'Y 38 r, P-2 ppE NK SEPTIC TA l. D-Box o TEST PIT EXISTING LEACH PIT L 0 T 98 ®,P_, I _\ UTILITY POLE01. $ AREA - 56013 s f *- 72 70 WR,PM RER*$TO p�� 76 74 N�s�rn�D00TES rfF- 5b 0-0AK C-CEDAR PPlE , � r} BENCH MARK TOP OF FOUNDATION LEACHING GALLERY 78 ELEVATION • 78.27 USGS DATUM ASSUMED FLOW PROFILE ALL PIPE ELEVATIONS SPECFIED ARE INVERT ELEVATIONS VENT PLAN PIPE TOP OF FOUNDATION RAISE COVERS TO WITHIN SCALE: I in - 30 f t 6 in OF FINAL GRADE NO OTHER WELLS WITHIN l5 0 f t EL 78.27 — ONE INSPECTION RISER FOR fib LEACHING GALLERY 75.75 z - X MAXZ• 12" STONE SEWAGE DISPOSAL SYSTEM PLAN �3" DROP -TO SERVE EXISTING DWELLING FLOW LINE 10 Y R, = 14- THOMAS & CYNTHIA F U E 48- GASH' PRECAST 3 STONE 10 WAYSIDE LANE WEST BARNSTABLE. MA BAFFLE �RYWELL BOTTOM OF \,74.24+— 6 inSOIL ABSORPTIONE>a STONE 72.13 LEACHING SYSTEM ECO-TECH ENVIRONMENTAL EMSTING BASE EXISTING 72'3O GALLERY 43 TRIANGLE CIRCLE SANDWICH MA 0256 72.00 5.00 N . 508 364-0894 EXt67N0 (END VIEW) moo 1560 GALLON ETE-1931 APRIL 10. 2005 1/2 EX18TNp SEPTIC TANK 28.6 �� b) 5 ft 12.5 rt Ir THS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS IT I4 f� ADJUSTED 51.2 BEARS THE STAMP AND SIGNATURE OF THE DESIGN ENGINEER SEASONAL HIGH ORIGINAL PLANS INTENDED FOR SUBMITTAL TO THE BOARD GROUNDWATER OF'HEALTH WILL BE SIGNED N BLUE AND STAMPED IN RED. SOIL TEST LOG, DESIGN CALCULATIONS TEST PIT I NO GROUNDWATER ENCOUNTERED DESIGN FLOW: 4 BEDROOMS X 110 GPD - 440 GPD PARENT MATERIAL: PROGLACIAL OUTWASH ELEVATION - 77.75 +- PERC AT 64 in : 2 MIN/INCH IN C SOILS SEPTIC TANK: 440 GPD X 2 DAYS - 880 GALLONS DATE OF TEST: MARCH 25. 2005 USE EXISTING 1500 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. SOIL EVALUATOR: DAVID D. COUGHANOWR, RS IF NOT INSTALL NEW 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) UNWITNESSED DISTRIBUTION BOX: USE 3 OUTLET D-BOX. DEPTH SOIL USDA SOL SOL COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: A 33.5 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING Abort - (33.5 x 12.5 ) - 418.75 sf 77.75 Asdw - ( 33.5 + 33.5 + 12.5 ; 12.5 ) x 2 - 184.0 sf 0-12 A LOAMY SAND 10 YR 3/2 NONE FRIABLE A t o t - 602.75 sf 12-40 B LOAMY SAND 10 YR 5/6 NONE FRIABLE V t 0.74 x 602.75 446.03 G P D 74'42 40-WB C MEDIUM SAND 10 YR 5/4 NONE LOOSE USE A 33.5 ft x 12.5 ft x 2 ft GALLERY. Vt - 446.03 GPD > 440 GPD REQUIRED 65.42 NO GROUNDWATER TEST PIT 2 PARENT MATERIAL: E ROGLACIALDOUTWASH LEACHING GALLERY CONSTRUCTION ELEVATION - 75.80 +- PERC AT 52 in : 2 MIN/INCH IN C SOILS DETAIL DATE of TEST: MAY 9. 2005 GROUNDWATER ADJUSTMENT WIGGINS CONCRETE 500 GALLON PRECAST DRYWELL SOIL EVALUATOR: DAVID D. COUGHANOWR, RS LEACHING UNIT OR WITNESSED BY DONALD DESMARAIS. BOARD OF HEALTH EXISTING GROUNDWATER LEVEL EQUIVALENT BASED ON INSTRUMENT SURVEY OF STONE EDGE OF ADJACENT WETLAND 8'-s-X 4•-10-x 2'-9- DEPTH SOIL USDA SOL SOL COLOR SOIL OTHER 0.0 2 Ft EPP, DEPTH 33.5 ft INDEX (INCHES) HORIZON TEXTURE (MUNSELLI MOTTLING OBSERVED GW SNDEX WELL SDWDW-252 � 75.80 ZONE B 0-6 A LOAMY SAND 10 YR 3/3 NONE FRIABLE READING DATE MARCH. 2005 N' 4- READING 46.7 6-30 B LOAMY SAND 10 YR 4/6 NONE FRIABLE ADJUSTMENT L2 N O O O O O O 73.30 ADJUSTED GW 51.2 30-48 CI MED-CSE SA 10 YR 6/4 NONE LOOSE 48-120 C2 MEDIUM SAND 10 YR 6/3 NONE LOOSE t') 65.80 4.Q 8.5' 8.5 8.5' 33.5 f t NOTES 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. 500 GALLON DRYWELL 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS DIMENSIONS AND DETAIL OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) (I$E H-10 CJN/T 4) INSTALLER TO VERIFY- LOCATIONS OF ALL UNDERGROUND UTILITIES BJSTALL ONE fiVSPECTION BEFORE EXCAVATING FOR SYSTEM. RISER TO WITW SIX UVCH5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED. OR REMOVED ANV F IC FINAL GRADE Alm VDICATE LOCATION ON AS-BUILT PLAN 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE 7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN SEWAGE DISPOSAL SYSTEM PLAN 8) E AND APPLENVIRONANCES. AND BIANNUAL RECOMMENDS THE INST LA TICN OF OW FLOW FIXTURES ° 33 -TO SERVE EXISTING DWELLING 00 THOMAS CYNTHIA FUREY �ppp Q°° in 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT ooppppoo ppo °000° PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. oppoopq��pm O°p 10 WAYSIDE LANE WEST BARNSTABLE. 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