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0207 COACHMAN LANE - Health
207 Coachman Lane Marstons Mills -- - - - A-151-035 I it = CERTIFICATE OF ANALYSIS Page: 1 u M Barnstable County Health Laboratory Report Prepared For: Report Dated: 12/17/2003 Order Number: G0323653 David R.Holt 207 Coachman Lane West Barnstable, MA 02668 Laboratory ID#: 0323653-01 Description: Water-Drinking Water Sample#: 23653-01 Sampline Location: 207 Coachman Lane,West Barnstable Collected: 12/1/2003 Collected by: D.Holt �•N0 Filter Received: 12/1/2003 Test Parameters ITEM RESULT UNITS MCL Method# Tested LAB: Metals Manganese 0.52 mg/L SM 3111B 12/16/2003 Routine " ITEM RESULT UNITS MCL Method# Tested LAB: IC Lab Nitrates <0.1 mg/L 10 SM 4500 12/2/2003 LAB:_.Metals.... Copper 0.1 mg/L 1.3 SM 3111B 12/16/2003 Iron <0.1 mg/L 0.3 SM 3111B 12/16/2003 Sodium 10 mg/L 20 SM 3111B 12/16/2003 LAB: Microbiology Total Coliform Absent P/A Absent P/A 12/1/2003 LAB: Physical Chemistry Conductance 96 umohs/cm EPA 120.1 12/1/2003 pH 6.0 pH-units EPA 150.1 12/1/2003 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 f y� 4 OF B � Vow s , CERTIFICATE OF ANALYSIS Page. 2 Barnstable County Health Laboratory Report Prepared For: Report Dated: 12/17/2003 Order Number: G0323653 David R.Holt 207 Coachman Lane West Barnstable, MA 02668 Laboratory ID#: 0323653-02 Description: Water-Drinking Water Sample#: 23653-02 Samolins Location: 207 Coachman Lane,West Barnstable Collected: 12/1/2003 Collected by: D.Holt ' Filter Received: 12/1/2003 Test Parameters ITEM RESULT UNITS MCL Method# Tested LAB:Metals Manganese 0.07 mg/L SM 311113 12/16/2003 Routine ITEM RESULT UNITS MCL Method# Tested LAB: IC Lab Nitrates <0.1 mg/L 10 SM 4500 12/2/2003 LAB: Metals Copper 0.2 mg/L 1.3 SM 3111B 12/16/2003 Iron 0.4 mg/L 0.3 SM 3111B 12/16/2003 Sodium 13 mg/L 20 SM 3111B 12/16/2003 LAB: Microbiology Total Coliform Absent P/A Absent P/A 12/1/2003 LAB: Physical Chemistry Conductance 77 umohs/cm EPA 120.1 12/1/2003 pH 5,8 pH-units EPA 150.1 12/1/2003 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. Approved By: E n (Lab Director) Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 TOWN OF BARNSTABLE L,J`;ATIO as CA Ph4,"SCR. _SEWAGE # 0.3,. VILLAGE'W ' ASSESSOR'S MAP & LOT �o / INSTALLER'S NAME & PHONE NO.`.•T SEPTIC TANK CAPACITY f C, O (5;h . LEACHING FACILITY:(type) - �c-4,�x _�� (size) (o NO. OF BEDROOMS _3 .-PRIVATE WELL OR PUBLIC WATER ,rte!a BUILDER OR OWNER .` DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No L/ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH l® -.......OF......... � ... c Allp ira#ion for llhipas al Works TumArnrtiun Prrmit Application is hereby made for a Permit to Construct (y,) or Repair ( } an Individual Sewage Disposal System at: Locat n- ddress or Lo No. Owner Address W Installer Address UType of Building Size Lot--- .....Sq. feet Dwelling—No. of Bedrooms............. ................•---__---_Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building a YP g --------------------------•- No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ----------------------•------------------------•-------••••••••-•--•----••••••-•••••••--••-•-••............••-••---•••••••••- W Design Flow............................................gallons per person per day. Total daily flow____--__:---.----. 4 ............gallons. WSeptic Tank—Liquid capacityl. ..gallons Length----LQ...... Width._...( t2...... Diameter...._._...... Depth_..' 5-•----- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------- ----------- Diameter.__........... Depth below inlet..... .......... Total leaching area....5,�'..(Z.sq. ft. Z Other Distribution box ( Dosing tank Percolation Test Results Performed b ._...J .. �__..... ._ .................. Date_.. a Y • ---- -,•-� i }� 116 �- --------- Test Pit No. 1-__-_-.........minutes per inch Depth of Test Pit...M............ Depth to ground water....... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----- ---- ............... • • ......• ••••-••••••••••••-......'-••••--•-••-••-•••..-•-•-•-••.........••••••.....-•••-•••••--•••••••-•-•-•-•••'-----••...... �fV4FJta IE��iYhlliEirlrr:iviir A _.yam RVI Description of Soil.................... 1 "5' LZ........•------��'•------------------ W -- - _ "tF�4Tit. tl�TQELATION �►NY3 �i�rt s e� x --------------•----- •---------••----------.......-•------••------ - -- -4ti• �Y�tl ttlifi i�iPF►S-t'tv^.��•�'?:.���-�,,-Aft_v!Fig U Nature of Repairs or Alterations—Answer when applicable-----------rl_-tA_A___-•_..,.:,� N�� �.__i ,_P m,;...................... -------------------------------------------'---------------------------------------.....----------------...------------------•----------------------------------------------------------...----••-•-•••• Agreement: The undersigned agrees to install the aforedescribed Individual,Sewage Disposal System in accordance with the provisions of TITS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issu by the board ni health. 04 Si ng ed �t�. --.--- Application Approved BY--..... -.------------ ---------------------- ll -7 Date Application Disapproved for the following reasons-............................................................... .............................................. --------------------•.......-••••-........••-••••••...•-•••-•••----••-•-•....--••--•.....--•••.•---Ji•-•-------------.....------------------........--------------------------------------------•----- Date Permit No..........._< � --•--••-------•------------------- Issued....................................................... Date FEg -�.................... THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ..---- .`- .....OF......... _ ; Applira#ion for Uiiposal Vork.5 Tomtrnrtion Pumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...... - ..... Locat' n-f�ddress or Lot No. � a ........---- �x_ ... � ................. .. .....r _ta Owner Address W Installer Address d Type of Building Size Lot...?J., .....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow................._.+4.P...........gallons. Wy Septic Tank=Liquid capacity150.--_gallons Length--_-UQ...... Width-__-�---:... Diameter____-""------- Depth.... --•---- Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area_--_-___-..-_-------sq. ft. Seepage Pit No.......Z----------- Diameter...... -------- Depth below inlet.....4'�.3......... Total leaching area...�.02.:sq. ft. Z Other Distribution box (Vj Dosing tank Percolation Test Results Performdr inch Die a� Date...: � Test Pit No. 1.....Z-....._ pe p of Test! Pit.... ............ Depth to ground water------- WZ, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ....... r-- - � r-- --.-----•----1 --------------------------------------------------------------------------------- ODescription of Soil ^----•--Lrt' ! =� -----•-------------------•-----•-----•-----------•••••......-----•..----- x , W U Nature of Repairs or Alterations—Answer when applicable------------ n........_..__......................................................... -•----•--•---•--........-•---•....................•---••----------------------------------•...=-•------------•-----•-----•--•---•----............---- Agreement: t The,undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT IE the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n issu,0 by the board o health. ........................ Application Approved By--.•------------- ��'.... �c �-^------_.... --------•- -I( _7 Date Application Disapproved for the following reasons:-----•-•--•.................•--•----•------------------•------------------------•-----•-•---•---•--•---•-.••--•- -----------------------------•-----........-•--•-----•••-----.•-••--•-••-•------.......--••••••-----••••-•----••----•--•---••-------•---•---••--•------------•----•-••-•----•--------------•-----•---••- tw"G a�S[c{ Date PermitNo........................................................ Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �................0F........ ............................................... Trdifiratr of Tompliatta THIS IS TO CER FY hat the In vidual Ywage Dispo S m-constructed ( ) or Repaired ( ) by--------------------•------ .. = ' ........................................................... ' Install C at. �- ........ -- -------------------------------•---•-------•--- has been installed in accordance with the provisions of TITIE j of The State Sanitary Coca Fscribed in the application for Disposal Works Construction Permit �'o.__._`� __-_. ?. da.ted-...---_--j_.-.-� ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................W�.�.a 1. .. .................................... Inspector..... �-r-� -•---•--•---•--------.--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........4).k&!.�........OF..............................:...... ...................................... �dJ No......................... FEE._...................... Dispinid Work Tong rudion runfit Permission is hereby granted........_ 0�7`i._. ._._x....__.___._.. ? � to Construct ( � r Repair ( an Individual Sewage Disposal Sy tem a at No............. 1 �, : c (�, I S? i' j' �'!r __ Street as shown on the application for Disposal Works Construction P rmit Nos. G.._ �Dated.__.._ �. ------------ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS ` - a East Cape Engineering #44 Route 28 P.O. Box 1525 Orleans, Mass. 02653 CIVIL ENGINEERING WATER RESOURCES SANITARY STRUCTURAL WATERFRONT a . March 30 , 1988 LAND SURVEYING LAND COURT SITE PLANNING CERTIFIED PLANS Board of Health Town of Barnstable 397 Main Street Hyannis , MA 02601 Through: John Swardstrom Members of the Board: The sewage system at Lot 14, Coachman Lane , West Barnstable, MA described on the attached Certificate .of Compliance has been located and constructed in accordance with 2 . 8 of the Board of Health regulations for a single family, 3 bedroom, 2 min. /in. design. , Sincerely, �ycv►0LF Is 0 H. // JAMES yG�� (J . MAN N James H. Bowman, P �(ST6� JHB:dss NAL�w ' | THE COMMONWEALTH ormxssAoHussrrs ������& �� ����^"° ^ PL_._,0F HEALTH �����---'x�F-.f=���`��°~����f����&��_"--- u� ---'-- ��� � �����«�m� �����^� u����� ���������iou Prrutit � Application is hereby made for u Permit to Construct (4 or Repair ( ) an Individual Sewage Disposal S}stemomt' ------'----------------'.......'-'---......................... .............----- .......--' .......................................................... 02 S101 Owner Address - Installer Addre Type of Building Size Ls`ot.(V.(.j_P0.....Sq. feet Dwelling—NopoRedrooms................... ....... ...........Expansion Attic Garbage Grinder I let -~ ~-n.g- - - No - -- Diameter ' Dept-''-- Z Other Distribution box ()u Dosing tank '- ' ^^~^ ^^^ No. ~ minutes per^ ^~^^ Dept Test 0 Description of Soil. ` ............................. .................�'~�_~~~---^~-�~-...........~~'~....~~-_ .-------_-.----------------_- � .----_-------'---'_--................................................. --'.-----_-----.----'_--- � U Nature of Repairs or Alterations--Answer when uoolicube-------------------- ---_-'.-----_--_-_----_- -------------''---''----------'--'--------------------------------... ..-'---'''-'''----------------- | | Agreement: The undersigned agrees to install the a oredescribed Individual Sewage Disposal System in accordance with operation until a Certificate of Compliance has n is e by t oa d of healtiv. DalDa the provisions of TIT= 5 of the State Sl-ni he undersigned further agrees not to place the system in Date Date THE COMM NWEALTH OF SSACHUSETTS THIS IS TO CERTIFY, That the Individual ewage Disposal System constructed or Repaired has been installed in accordance with the provisions oi 5 of The State.Sanitary Code as dpscribed in the THE ISSUANCE OF THIS CERTIFICATE SHALL OT BE CONSTRUED AS A GUA ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DESIGNING ENG_INEER MUST _SL`ERVISE OARD OF HE LTH THE SYSTEM WAS INSTALLED IN STRICT ACCORDANCE TO PLAN. Disposal Works on ion frrufit to Construct (<-) or Re r an Individual Sewage Disposal System Street as shown on the application for Disposal Works Construction Permit N5§..--1.P3D p Health B Pro FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS � \ ` No....� ...��.fl Z, • . Fins..........................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..`.U.CS ..................OF............:.... - -. Appliratiou for Eliupuual Works Tonstrurtiou Frrmit Application is hereby made for a Permit to Construct V.-I or Repair ( ) an Individual Sewage Disposal System at• f �-4.�PG .i YYi;P N ••- °---•--....-•-------------- ..... _. .... -`--......��.•-- --••------•••------------•--•----......-- - ------------- Location-Address or Lot No. ----------------- ..... Owner r.... W Address - j ........ � ; Installer Address of Building U TypeDwelling—No o Bedf oms G�........ �:��__.__.Expansion Attic ( ) Size Lot Gaage�rb��Grinderq feet aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures . ------•-----•------------- WDesign Flow................75.._.`t..................gallons per person.per day. Total daily flow._._.........�. ................gallons. ,ZS 1 . " W Septic Tank—Liquid capaclty�.Y,X7gallons Length...._...._-..._ Width .....-___. Diameter................ Depth-_--.----- x Disposal Trench—No..................... Width..................... Total Length.................... Total leaching area_____..----___------sq. ft. Seepage Pit No......... ... Diameter..._g_�.............. Depth below inlet....- �......... Total leaching area.Z:!;..........sq. ft. z Other Distribution box (�/,) Dosing tank ( ) _ '-' Percolation Test Results 2 Performed by.�.:T1;:;I.. ..FLU(�•_._.. t2•• I ,-1 ------- Date 8 Test Pit No. I................minutes per inch Depth of Test Pit.....�.3_�._..__. Depth to ground water--_._._._______------__- LL� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a _ ---------------- -------------•------------- ---------......... - •--..._.......•- _ _ O Description of Soil........©?• u ' ���t--•--�tit�") ------.-C�-----k-1 tJl... 1 U ...... ------•---------------•-----•---------------•--------•----••......---••••••. W UNature of Repairs or Alterations—Answer when applicable............................................................................................... ----------•-....-•----•-••-•-•-----•------••------------------------------------------------------------------------------•-••-••-•-••---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has lae n is ed by the boa d of health. / Signed `�j ....�- ---------------- l ----------- Application Approved By............................... j ..............................................-f&�� to o lrpa.l------•-•• i -------------D----Date ------------ Applieation Disapproved for the following iea{Eons:. -------•-••----•-----------•--------------•--•-----------•--......----••--•-----•-----.......------•----•--•-•-•••--••••-•-•--•--•-•-•-•---••-•....••--•-••----•---•••-•----------•-----•••••••...••-•-- Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............................I..........OF (9rrtifiratr of TompliFaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( '�Cor Repaired ( ) by--••-••--•-••••••-•--•-•----••...........-•-........•----.....-•--------••••--•{•---••-••-----••••-•--••••---••-•-•-•-••-•-••-•-••--•-•••----•--•-••-••••-•...•-•--.......---•--•-•-•............. at ..•-••Z•0--------------- ---•----------------- ---••--------- ----*-- --------------•---•---•---------••------------ -1-•---�------------- ------ I c.�A(PI �` - SU & N. has been installed in accordance with the provisions of TIIZ 5 of The State Sanitary Code s de�c 'be in the application for Disposal Works Construction Permit No.__ __ . ............ da.ted_....___�{_ ............ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................•------•-•--......--------•-••-•---•-••••---------•--•-•••--.._ Inspector.................................................................................... A — I t — o a 5 THE COMMONWEALTH OF MASSACHUSET SIGNING ENua 1�E1a �'�`! 'T SUPERVISE ----- INSTALLATION AND CERT '"Y IN WRITING BOARD OF HEALTH THE SYSTEM WAS INSTALLED IN STRICT ACCORDANCE TO PLAy�K c? .... FEE........................ Disposal Workii Twouotrurtiou rrutit Permissionis hereby granted.............................................................................................................................................. to Construct ( '�or Repair ( ) an Individual Sewage Disposal System � at No.•---•-•-•••••-•••••....••••-•-•-•.L.Q.-_(.............•-t... `_�_ A C-�I v�A fj L /'V , . ..................................... ..•--•-•-I---.-• --•............... as shown on the application for Disposal Works Construction Permit Street F.. ........_mat --____ f 1 // ............................•--•-•... ... .....1�- . ••• :.. V_�.._..... DATE................................................................................ oard of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS TOWN OF BARNSTABLE LOCATION _63 l,,�Qct c M t-iN LTV SEWAGE # VILLAGE 1 9!CT— Df�RNS� _ASSESSOR'S MAP & LOT 1S INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY IS(3 5 eT LEACHING FACILITY: (type) a (size) (a NO.OF BEDROOMS S oo BUILDER OR OWNER �t�9cr�91y1��/11?►�'1 PERMITDATE: AUA 5 i COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the �� I Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) ��� Feet Edge of Wedand and Leaching Facility(If any wetlands exist within 300,feet of leaching facility) Feet Furnished by DzLAL2 �Zo�1 0 3 4 n 1 L AS- k\L\ I \'` ' CO\I�10\\\E.�,1TH OF NL�SS.-._'HL-SETTS E}:ECL'TI\E OFFICE OF E\t:R0NMENT.kL AFF.-Uf .; .==�^ DEPARTMENT OF EIr'VIRONN[ENTAL PROTECTION ONE X INTER STREET. BOSTON \ '210c (61,j 292_).-_M i TRUDY CORE Secretary ` ARGEO PALL CELLGCCI DAVID B. STRUHS Governor CommissionerSUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM t-A(p,�— 0;k PART A 1.UT- 035 CERTIFICATION Property Address: �' ^l Ut--s Name of Owner 1c:IJ\yJ C--:7 cl� SVMr__N 6hqo,4 S{zx��'e—Address of Owner: _ Date of Inspection: 3\7,o k 5s� Name of Inspector:(Please Print)� / C-4 Q, >%t J E _ G U 1 am a DEP a�pproved system inspector pursuant to Section 15.`340 of Tile 5(310 CMR 15.000) Company Name: 1g C,/ r'c /�_k ram,'Jne a e ha "+CA F - Maiiiiing Address:-?a &..,a Z 3 gij_. NHS N(�L�t- J-1 oZ�4 Telephone Number: / Sow) CERTIFICATION STATEMENT 1 certify that 1 have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails inspector's Signature: Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty 130)days of completing this inspection. If the system is a shared system or has a design flow of 10.000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable, and the approving authority. NOTES AND COMMENTS A A 8 jy99 � �. 41 , revised 9/2/98 r4ge I of it �`Annred on RecWW hper f S � S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ^^AA CERTIFICATION (continued) 'roperty Address: 0%-7 Jwner: 5v,.�c,4-aa,4Cr^ Date of Inspection: �,,�1�C INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: A— I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined(Y. N, or NO). Describe basis of determination in all instances. If "not determined", explain why not. _ The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20) years prior to the date of the inspection; or the septic tank, whether or not metal,is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced _ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed revised 9/2/98 page.2orii SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Own er: Date of Inspection: C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if th system is failing to protect the public health. safety and the environment. 1 I SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 3 CMR 15.303(1)1b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND FIFTY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a s t marsh_ 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUB C WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC H LTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption s tem(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorptio system and the SAS is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorpti system and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorp on system and the SAS is less than 100 feet but 50 feet or more from a private water supply well. unless a well wa r analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facilit and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine istance (approximation not valid). 31 OTHER revised /2/98 Page 3ofIt SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continue-di property Address: Owner: Date of Irispection: D. SYSTEM FAILS: You must indicate either "Yes" or "No- to each of the following: 1 have determined that one or more of the following failure conditions exist as described in 310 MR 15.303. The basis for this determination is identified below- The Board of Health should be contacted to determine wha will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clo ged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface water due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an ove oaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volum is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to cl ged or obstructed pipe(s). Number of times pumped_. _ Any portion of the Soil Absorption System, cesspool or privy i below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a s rface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of public well. Any portion of a cesspool or privy is within 50 feet a private water supply well. Any portion of a cesspool or privy is less-than 10 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well In been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds mmonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: Ybu must indicate either "Yes" or "No- to each of the foil ing: The following criteria apply to large systems in dition to the criteria above: The system serves a facility with a design 0 of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment bec se one or more of the following conditions exist: Yes No -the system is within 400 fe of a surface drinking water.supply the system is within 200 eet of a tributary to a surface drinking water supply the system is located a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone 11 of a public water supply well) The owner or operator of any such s tern shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further nformation. revised 9/ /98 Page 4erlr SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: D,� Date of Inspection:., Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yf�s No X _ Pumping information was provided by the owner, occupant, or Board of Health. �xC _ None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. X _ As built plans have been obtained and examined. Note if they are not available with N;A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non sanitary or industrial waste flow. X The site was inspected for signs of breakout. X _ All system components,excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction,dimensions,depth of liquid, depth of sludge,depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: Existing information. For example, Plan at B.O.H. Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable) 115.302(3)(b)) The facility owner(and occupants,if different from owner)were provided with information on the proper maintananca of SubSurface Disposal Systems. revised 9/2</98 Page SofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C SYSTEM INFORMATION 'roperty Address: Owner:Qv�►�'11C'�t1Qw. Date of Inspection: J \ FLOW CONDITIONS RESIDENTIAL: Design flow: g.p.d.lbedroom. Number of bedrooms(design): Number of bedrooms (actual): Total DESIGN flow-5 Number of current residents: Garbage grinder(yes or no):—t4 Laundry(separate system) es oroa:�; If yes, separate inspection required Laundry system inspected a or no) Seasonal use (yes or no):NN Water meter readings, if available (last two year's usage(gpd): Sump Pump (yes or no): � Last date of occupancy: V COMMERCIALIINDUSTRIAL: Type of establishment: Design flow: gpd ( Based on 15.203) Basis of design flow Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source pf' formation: I U :kC% 3 �t� O System pumped as part`o�nspection:(yes r no) tJ6 If yes, volume pumped: gallons Reason for pumping: TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes, attach previous inspection records,if any) IIA Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed(if known)and source of information: 12_1A, Sewage odors detected when arriving at the site: (yes or no) CLA)Qk revised 9/2/98 Page 6of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C -7 SYSTEM INFORMATION (continued) +roperty{Address: ov Z Owner: � 5 ( Date of Inspection: W BUILDING SEWER: 6 (Locate on site plan) Depth below grade:_ Material of construction:_cast iron40 PVC_ other (explain) Distance frorm private water supply well or suction line tcxa� \6G1 Diameter T Co ments: (condition joints, venting, evidence of leakage, etc.) N SEPTIC TANK:t4, C> (locate on site plan) �t Depth below grade: l2 Material of construction: concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,�list age_ Is age confirmed by Certificate of Compliance_(Yes/No) Dimensions:T�f� Sludge depth: N_ Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: t 11 y9 Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: ( 3 Now dimensions were determined: y 1 :omments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level iq relation to outlet invert, strut rel integrity avid nce of a,?V,etc.) GREASE TRAP-;, (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_Fiberglass _Polyethylene_other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (recommendation for pumping,condition of Inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 'roperty Address:: Owner: Ll"1f Date of Inspection: TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) (locate on site plan) Depth below grade:_ Material of construction: _concrete_metal_Fiberglass_Polyethylene other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm present Alarm level: Alarm in working order: Yes _ No_ Date of previous pumping: Comments: ' (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: (locate on site plan) Q y Depth of liquid level above outlet invert: ^`'j 1 0 X-L.T— e-1 � �N Comments: note if level aed distribution i equ I, evidence of solids carryover, evidence of I akage into or out of box, etc.) w � 6 C _ PUMP CHAMBER: (locate on site plan) pumps in working order:(Yes or No) Alarms in working.order(Yes or Na) Comments: (note condition of pump chamber..condition of pumps and appurtenances,etc.) revised 9/2/98 Pag`aoftt r , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) -roperty Addresss:�, Owner: ui��q, fa��^'` Date of Inspection: ��� SOIL ABSORPTION SYSTEM(SAS):_41,S (locate on site plan, if possible; excavation not required,location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits. number:_a�pk 5 leaching chambers, number:_ leaching galleries, number:_ leaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number:_ Alternative system: Name of Technology: Comments: (note conditio of soil, signs of hydraulic failure, level of ponding, damp soil, condition o vegetatio etc 51 ( J 40 a- CESSPOOLS: �w (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: 9epth of solids layer: )epth 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, etc.) r PRIVY:(Lo (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation, etc.) revised 9/2/9,8 Page 9of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 'roperty Address: eZ67 It�GC�A�Cti�, )wner: 9j1CkE,0STU, ,-% Date of Irtspection: .;, SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) s O 3 ��J O L � 1 Gsy�6 revised 9/2/98 PY��tooru= SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continuedl .operty Address: Owner: 5 ='co L W-\ Date of Inspection: : VVLO ` NRCS Report name --- Soil Type_ — — ------ - --- Typical depth to groundwater_______________ USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells 1 Estimated Depth to Groundwater `�FFeeet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property, observation hole, basement sump etc.l Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators. installers Used USGS Data Describe how you established the High Groundwater Elevation (Must be completed) t tvl,� S �O U C. revised 9/2/98 Page 11of11 TOWN OF BARNSTABLE 4P 1.6CATION 6� SEWAGE # S Y�u pi S VILLAGE i ASSESSOR'S MAP & LOT,t5r,I"`fJ35j INSTALLER'S NAME & PHONE NO. ,�j �(,��� SEPTIC TANK PACITY 11 a}° 1 _ LEACHING FACILI Atype (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ^ ng_ 1 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r x so - .. o �� Oki v No.1 ."� ¢ F�s.............. ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -03 TOWN OF BARNSTABLE Applirttttun for Diti-Vuutti lVarku TouBtrnrttun Prrmit Application is hereby made for a Permit to Coristruct ( ) or Repair (Y,<an Individual Sewage Disposal System at: ..-•. .7..�Cz�G Mc. ....C. !VAR C'`-Ja---------------------•----------------....--- --•-------•---------•-----................. .• atiot -Address or Lot No. N.... ............................... caner Address R a Sco M �r� --------------------------- ��L� 'l_� .._ � �.r-.�fi Installer Address UType of Building Size Lot............................Sq. feet ., Dwelling— No. of Bedrooms------_--^..................................Expansion Attic ( ) Garbage Grinder ( // aOther—Type of Building ............................ No. of persons------------------------- Showers ( ) — Cafeteria ( ) d Other fixtures ------------------------- ---------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity/, _gallons Length---------------- Width---------------- Diameter................ Depth-__-________---- x Disposal Trench— No. .................... Width.................... Total Length-------------------- Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter____.___-_-_---.-_- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date............. -------------------- ..►.� Test Pit No. L...............minutes per inch Depth of Test Pit---------------------Depth to ground water-..-_._.__.__-_.______-- 4, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ IY4 --•-----•--•-•..........••---•-•-••.._..--••-----•••-•••••-••----•-•••......-•-•-•...............•••......................................................... 0 Description of Soil........................................................................................................................................................................ �4 U .....--•----•-------------•••--•••-•••-•-•-••----•---•-••••--------••---•--•••-••••••----••---•--••--••-•-----------••••--••------••--------•-•-••---...------••--••••••••--•-•-----...._............•••. W -••-••••••-•---.............................................................................. _.... f -f V Na re of Repairs or Alterations—Answer when applicable.. �J. -......_ _ a1_____________ d5....._ ..3•.►'� .._GIzC� ��Ci5f4y b-Cz .y`G------ C. ........................................................�tb Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System .in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia e has been i e oard of health. Signed --- ---. .. ................._... - ... --------------------------------- ........................... — I Da Application.Approved By ..,C� r 2//G 9S.. . ... .. ........_ ... ..... ........_.................................... .. e Application Disapproved for the following rearonr- -------------------------------------------------------- -............--------------------------------------------------- ............................................................................. . .... ................ ... ... _ Date PermitNo. ----------------------------------- Issued ------------------------.........------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Biupuuttl Work.6 Tomitrnr#iun Vatnit Application is hereby made for a Permit to Construct ( ) or Repair ( L-<'an Individual Sewage Disposal System at: Lo at,oi Address or Lot No. Owner A M -rv...� ddress�-I• �P�c�,. 2 .unu t-�----- Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms-----___-'---------------------------------Expansion Attic ( ) Garbage Grinder ( � `L4 Other—Type T e of Building No. of ersons_------------------------- Showers 0.1 ,. YP g ---------------•--------•-•• P ( ) — Cafeteria ( ) 04 Other fixtures -----------------•----•-----•-------------.-----•-------------------------------------- -- <11 W Design Flow............................................gallons per person per day. Total daily flow-...........................................gallons. WSeptic Tank—Liquid capacity .gallons Length---------------- Width---------------- Diameter_._..-._.--_.-- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter-__-....._---------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by--------- -•-----------'•--•'-----•-----•---•--'-'------••---••-•-•----_.. Date.....--'-------------------------------. Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water-.------_----__--__-_--. 9 --------------------------------'-----'----'•-'-'----------'----•----•--•'--••-•---•-----.....--•--•-•--------•-------....--•'•••-------.......---....------ 0 Description of Soil.......................................--...--------...-•-------------------------------------------'------'-'---'--------------------------•--'-'-'------------------ W U ----------------•-------•-•-'---'-------------------•---'-----------------------'-•------------------------------------------------•----•----...----.....----------------------------••-••----••------•- W ............................................................. ............................................. 1" .... Z. Nature of Repairs or Alterations—Answer when applicable._ 1_�J. ..._._._� ___�L-n_._ �_ r��.__._._ ..-7 e Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issezl ehe Guard of health. V G t" Signed . �.-C . ..........- ------------------------------- l/ (---( ,--------- Dv re PP PP y --- - ------?t. ---5------- Application,Approved B .�, r�_h-+.a�.�i..... ... � ............ Da1 Application Disapproved for the following reasons- -------------------- -------------------------------------------------------------------------------------------------------------- if.i ---- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------- ........................................ Date Permit No. ..... -.. a..%.. - ...... Issued Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ger#ifi ak of Cnumyliartre TIIIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (L�) by .......=-`ro---#----- -----------------_------------- .. --------------------- _..... .......... ......................... ...... - . - ... _.. - - .... _... Insndler at ---- G�- GIG �` M-�+� �� !^'` ----------- -...--------_---------------------------------------------------------------------_----------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ------9.S"�-a dated ...-'-&G/.t5.... .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.— ............................ - _'' L DATE....` ''`. �r �-�✓----------------- ------- Inspect ram- ------------�. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.... ._ FEE---30, :............ �iu��au�1 Turku ��anu�ritrtimrn �.erntif Permission is hereby granted------ .-----'-----'--.....--•-----•-------•'----•••-'----------------------•--•-----•................. to Construct ( ) or Repair ( 1,an Individual Sewage Dispos System Street as shown on the application for Disposal Works Construction Permit No.9 Dated__ ^�/�6�i�..------ / / I_... Board of Health DATE....9�./�, �� FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS SECTION - SEWAGE . TOP OF FDN NOUS E(MSL)a LO I - SEPTIC TANK - - ""D"" BOX - - LEACH PIT l04 �•-- VACANT �lob �i08 C � - i / 116 120 "2"OF /8T0 /z" IL WASHED STONE -OUT- 1.0' MINIMUM COVER �oA�0- � CO i IN- OUT• IN- OUT ACHMA'N I I 1p O W IN —i I NE I a fX Oa2 lo1.s ELEV. ELEV. ELEV. O O \ _ 1 \ I \ LL' 01�Q� ELEV. 100-- -I_ ` L= 319�oo N - 99.83 99.66 0\ a ELEV. ELEV. o TEST HOLE �— l3.M. = TEST HOLE ELEV.=100 1 \\\ Ln \�\� (<`.\� L O T 14 \ \ \\ \ \I O LEACH \� i \ \ SEE NOTE -S PITS D' BOX' i 1 '�o. \ :� roI1OCo9 S.F. \ \ \ a H 120 /1 \ \ O J Z "Q OF 3/4"-11/z" WASHEDSTONE 1-- CO (� , �R 266 \\�\ \ I N Q TEST HOLE LOG O ? �1 �. Fo To SEC<\\ v _ I)z o Q m ,,i, . TEST BY UPPER CAPE ENG_ R.A.G. BARNSTABLE B.O.H. 190 \�\ \ \ Q J > J WITNESS BEDROOM HOUSE SEPTIC so '� TEST DATE 12/ I >3/s4 DESIGN \ \ \ '`'/ T.H. # 1 T.H. # 2 TANK PROP. 10 0 �� O ELEV. ELEV, llrJOC7 GAL) _ \\ PRoPoSED �;Qogo \ I i��\ WELL OP UBSOIL PERC RATE Z MIN/IN_ 220' TO � ' \ � \ +, BEDROOM T5 � ^ \ I FLOW RATE "t"'tO (GAL./DAY ) 4.40 HouSE I - 3 97 SEPTIC TANK 44a (1.5)= too PROP. WELL REQ'D SEPTIC TANK SIZE LZ�iO I /�-�� \ \ I\ MED- SAND L1Sc IT=jGY� CnaLc.c�►J ��J� 1 i \_ \\ ,20.00, \\ WITH STONES LEACH FACILITY TJ _ , \ ' ,:.o. SIDE WALL �X��8= 701 (z. = 50-t G/D• \ PROPOSED - 8 92 BOTTOM aIZ�y= ( IUD ) = - SZ G/D. � \ > �\ MED. SAND TOTAL •Zc11 = 557- 61D \ �� WELL — 1 O go loo r. FINE SAND USE: TWd tv, 8; !LEACHING 'PIT5 13 87 TOWN OF — NO WATER ENCOUNTERED WITH 1' O" ol= WASHED STONE BARNSTABLE TOWN OF BARNETABLE MINIMUMREQUIREMENT REQUIREMEN CVACANTj NOTES: (UNLESS OTHERWISE NOTED) ' 1. DATUM (MSL) + TAKEN FROM --___i5AUD__W_J_r_-LL_---_-_--QUADRANGLE MAP i ALL ADJACENT LOTS ARE VACANT. 2.MUNICIPAL WATER---------L& hlQ_T__------- --------AVAILABLE 3. PIPE PITCH: 1/4"PER FOOT j`st , ^•. — _r I PPOPOSED WELLS SHOWN ARE TAKEN ,•: ' `��` FROM THE MASTER PLAN AT THE 4. DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO-H-10-44, �i�` 4l,_, .' �YC � � H-20-44 WHERE VEHICLE LOADS ARE ANTICIPATED. O Jl�a?�S \ s= BARNSTABLE BOARD OF HEALTH, 5 �/Jn� 5. MIN. GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. 6 ..:. 6. PIPE JOINTS SHALL BE MADE WATER TIGHT DOW, " i'c _1 `' '';' " NOTE: THIS SITE PLAN WAS NOT PREPARED FROM AN SITE PLAN 7.THIS DESIGN DOES NOT PROVIDE FOR THE INSTALLATION OF1• . ., r-� O �Qy INSTRUMENT SURVEY. UNDER NO CIRCUMSTANCES LOT 14 COACH MAtJ LANE GARBAGE GRINDERS �v i > ARE DISTANCES,BEARINGS,OR FEATURES SHOWN LOCUS: r" 9 �;;, i J . 8. ALL UNSUITABLE MATERIAL WITHIN 10 FEET IN ALL DIRECTIONS FROM `J� FGtS. V� ! TO BE USED TO ESTABLISH PROPERTY LINES. THE LEACHING FACILITY SHALL BE REMOVED AND REPLACED WITH �D �G �_--- ` ' _. _ WEST .43ARNSTABLE, N1Ass• CLEAN MEDIUM SAND. Off" REG.PROFE ENGINEER—� `ems - SSfONAL 9.CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH COMM.OF MASS. " • STATE ENVIRONMENTAL CODE TITLE 5 AND TOWN OF BARNSTABLE. ',` REF: MASTER PLAN - BARNSTABLE B.O.M. Sa✓/t�e 0 s1�067 PREPARED FOR: B•1' "F�+� J. SWARDSTROM James H. Bowman P.E. CIVIL ENGINEER E. ORLEANS , MASS. BOARD OF HEALTH LAND SURVEYOR SCALE 111 = Jc 01 6 6 /86 CONTOURS (EXISTING) ------------ (PROPOSED)--O-0—O—U— APPROVED DATE MA ,( Box 1525,Orleans,Mass. DATE 86 - 093 I ,