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HomeMy WebLinkAbout0033 MOCO ROAD - Health 0 33 MOCO ROAD, W. BARNSTABLE A= 215 033 o E I - Y Page: 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory y�CR_C't3l_ti'n^� Report Dated: 10/12/2005 Report Prepared For: Order No.: G0533364 Bill Ryan 3880 Falmouth Road Marstons Mills, MA 02648 Laboratory ID#: 0533364-01 Description: Water-Drinking Water Sample#: 33364 __St Wringocation 331VIoco Rd'W:Barnstable,M'A Collected: 10/11/2005 Collected by: B.Ryan ti✓ - - Received: 10/11/2005 Routine +Ammonia ITEM RESULT UNITS RL MCL Method# Analyst Tested Note LAB: IC Lab Ammonia BRL mg/L 0.10 EPA 350.3 LAP 10/12/2005 LAB: Inorganics Nitrate as Nitrogen 3.3 mg/L 0.10 to EPA300.0 LAP 10/11/2005 LAB: Metals Copper 1.1 mg/L 0.10 1.3 SM3111B LAP 10/11/2005 Iron 0.44 mg/L 0.10 0.3 SM 3111B LAP 10/11/2005 Sodium 9.3 mg/L To 20 SM 311113 LAP 10/11/2005 LAB: Microbiology Total Coliform Absent P/A 0 0 309 AF 10/11/2005 LAB: Physical Chemistry Conductance 240 umohs/cm 1.0 EPA 120.1 DCB 10/11/2005 pH 7.8 pH-units 0 EPA 150.1 DCB 10/11/2005 EPA 524.2- Volatile Organics by GCIMS ITEM RESULT UNITS RL MCL Method# Analyst Tested Note 1 x.l 'I LAB w.,-�GC111ii ' 1,1 112-Tetrach10roethane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 1,1;1=Trichloroethane BRL ug/L 0.5 200 EPA 524.2 yn 1o/u/2oos z 1,1,4,2-T07rachloroethane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 1,1,2-Tr0ffIoroethane BRL ug/L 0.5 5.0 EPA 524.2 yn 10/11/2005 1,1-1bachldroethane BRL ug/L 0.5 EPA 524.2 c"W yn 10/11/2005 1',1-Dichloroethene` BRL ug/L 0.5 7.0 EPA 524.2 yn 10/1 1/2005 :RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 i ,bit. CERTIFICATE OF ANALYSIS Page: 2 Barnstable County Health Laboratory Report Dated: 10/12/2005 Report Prepared For: Order No.: G0533364 Bill Ryan 3 880 Falmouth Road Marstons Mills, MA 02648 1,1-Dichloropropene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 1,2,3-Trichlorobenzene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 1,2,3-Trichloropropane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 1,2,4-'Trichlorobenzene BRL ug/L 0.5 70 EPA 524.2 yn 10/11/2005 1,2,4-Trimethylbenzene BRL ug/L, 0.5 EPA 524.2 yn 10/11/2005 1,2-Dibromo-3-chloropropa BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 1,2-Di'bromoethane(EDB) BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 524.2 yn 10/11/2005 1,2-Dichloroethane BRL ug/L 0.5 5.0 EPA 524.2 yn 10/11/2005 1,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 1,3,5-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 1,3-Dichlorobenzene BRL ug/L o.5 EPA 524.2 yn 10/11/2005 1,3-Dichloropropane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 1,4-Dichlorobenzene BRL ug/L 0.5 5.0 EPA 524.2 yn 10/11/2005 2,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 2-Chlorotoluene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 4-Chlorotoluene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Benzene BRL ug/L 0.5 5.0 EPA 524.2 yn 10/11/2005 Bromobenzene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Bromochloromethane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Bromodichioromethane BRL ug/L 0.5 EPA 524.2 yn i0/11/2005 Bromoform BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Bromomethane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Carbon tetrachloride BRL ug/L 0.5 5.0 EPA 524.2 yn 10/11/2005 Chlorobenzene BRL ug/L 0.5 100 EPA 524.2 yn 10/11/2005 Chloroethane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Chloroform 0.61 ug/L 0.5 EPA 524.2 yn 10/11/2005 Chloromethane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 524.2 yn 10/11/2005 RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page 3 CERTIFICATE OF ANALYSIS ti M Barnstable County Health Laboratory Report Dated: 10/12/2005 Report Prepared For: Order No.: G0533364 Bill Ryan 3880 Falmouth Road Marstons Mills, MA 02648 cis-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Dibromochloromethane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Dibromomethane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Dichlorodifluoromethane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Ethylbenzene BRL ug/L 0.5 700 EPA 524.2 yn 10/11/2005 Hexachlorobutadiene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Isopropylbenzene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Methyl-tert-butyl ether BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Methylene chloride BRL ug/L 0.5 5.0 EPA 524.2 yn 10/11/2005 n-Butylbenzene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 n-Propylbenzene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Naphthalene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 p-Isopropyltoluene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 sec-Butylbenzene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Styrene BRL ug/L 0.5 100 EPA 524.2 yn 10/11/2005 tert-Butylbenzene BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Tetrachloroethene BRL ug/L 0.5 5.0 EPA 524.2 yn 10/11/2005 Toluene BRL ug/L 0.5 1000 EPA 524.2 yn 10/11/2005 Total xylenes BRL ug/L 0.5 10000 EPA 524.2 yn 10/11/2005 trans-1,2-Dichloroethene BRL ug/L 0.5 100 EPA 524.2 yn 10/11/2005 trans-1,3-Dichlcropropene B .ILLY; ug/L 0.5 EPA 524.2 yn 10/11/2005 Trichloroethene BRL ug/L 0.5 5.0 EPA 524.2 yn 10/11/2005 Trichlorofluoromethane BRL ug/L 0.5 EPA 524.2 yn 10/11/2005 Vinyl chloride BRL ug/L 0.5 2.0 EPA 524.2 yn 10/11/2005 f'- omthe results oof tfi`e parameters tested,the water`is surfable for drinking but may present aesthetic probleins'(taste;--7 odor,staining)due to,Iron.7 - �� Approved By (Lab rector) RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 i it 33; Page: 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory Report Dated: 10/11/2005 Report Prepared For: Order No.: G0533253 Jill Antos 45 Moco Road West Barnstable, MA 02668 Laboratory ED#: 0533253-01 Description: Water-Drinking Water sample#: 33253 sampling Location: 33` Moco-Rd:-West Banmtable;lVlA" _I- Collected: 9/28/2005 Collected by: J.Antos Received: 9/28/2005 Routine ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Nitrate as Nitrogen 1.6 mg/L 0.10 10 EPA 300.0 9/28/2005 LAB. Metals Copper 1.0 mg/L 0.10 1.3 SM3111B 10/11/2005 Iron 0.20 mg/L 0.10 0.3 SM 311113 10/11/2005 Sodium 12 mg/L 1.0 20 SM 3111B 10/11/2005 LAB: Microbiology Total Coliform Absent P/A 0 0 309 9/28/2005 LAB: Physical Chemistry Conductance 100 umohs/an 1.0 EPA 120.1 9/28/2005 pH 6.1 pH-units 0 EPA 150.1 9/28/2005 rWatefsample meets.the recommended'limits for-drinking water..the above-tested pa~ r�ameters. A proved B 1 �A PI Y: � CD (Lat irector) n rrU7 t U t <- �a RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSWNTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM C y PART A CERTIFICATION . ^.y..... X^ ..p Property Address: 33 Moco Road W. Barnstable r4✓' Owner's Name: Nancy Webb Owner's Address: Date of Inspection: ,� S J 6 Sr 3 Name of Inspector:(please print) Wi 11 • am E_ • Robinson Sr. Company Name: William E. Robinson Septic Service Mailing Address: P 0 Box 1089 Centerville, MA Telephone Number:_(5081 7 7 5—877 6 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported . below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ZAP ses Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Dute: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies'sent to the buyer,if applicable,and the approxing authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 33 Moco Road W. Barnstable Owner: Nancy Webb Date of Inspection: Inspection.Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A.dSystem Passes: 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. stem Conditionally Passes: ne or more system components as described in the"Conditional Pass"section need to be replaced or repaire The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer y s,no or not determined(Y,N,ND)in the for the following statements.if"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing is replaced with a complying septic tank as approved by the Board of Health. •A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating i hat the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with approval dBoard of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND expl in: Th system required pumping more than 4 times a year due to broken or obsttwed pipe(s).The system will pass inspec ion if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 33 Moco Road W. barnstaDie Owner. Nancy Webb Date of inspection:. C. Furthcr Ev luation is Required by the Board of Health: Conditions xist which require further evaluation by the Board of Health in order to determine if the system is failing to protect ublic health,safety or the environment. 1. System will ss unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not unctioning in a manner which will protect public health,safety.and the environment: — Cesspool r privy is within 50 feet of a surface water — Cesspool r privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System wi fail unless the Board of Health(and Public Water Supplier,if any)determines that the s stem is fun ionin Y g to a manner that protects the public health,safety and environment: _ system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surfs water supply or tributary to a surface water supply. e system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ T e system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ Th system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more front a private ater supply well'• Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria d volatile organic compounds indicates that the well is free from pollution from that facility and the presen a of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure crit ria are triggered.A copy of the analysis must be attached to this form. 3. Other: Y _ 3 L Page 4 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 33 Moco Road W. Barnstable Owner: Nancy Webb , Date of Inspection: 9—. Jr—O D. System Fa re Criteria applicable to all systems: You must indicate'yes"or"no"to each of the following for all inspections: Yes No . Backup f sewage into facility or system component due to overloaded or clogged SAS or cesspool DischargA or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged�AS or cesspool Static liquid level in the distribution box above.outlet invert due to an overloaded or clogged SAS or cesspool) Liquid depth in cesspool is less than 6"below invert or available volume is less than'h day flow Required pumping more than 4 times in the last year.NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 1,00 feet of a surface water supply or tributary to a surface water su�iply. Any portion of a cesspool or privy is within a Zone 1 of a.public well. _ Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any po ion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.(This system passes if the well water analysis, perfo med at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indi well that the well is free.from pollution from that facility and the presence of ammonia nitr gen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria ar triggered.A copy of the analysis must be attached to(his form.] (Ye o)The system fails.1 have determined that one or more of.the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. L rge Systems: To be I Insidered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd- You must indicate either"yes'or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no _ _ 'te system is within 400 feet of a surface drinking water supply _ — the system is within 200 feet of a tributary to a smface drinking water supply — _ tfie syste m is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well If you have answered"yes'to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has frvkd.The avmer or operator of arry large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 ,Page 5 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 33 Moco Road W. Barnstable Owner: Nancy Webb Date of Inspection: -® Check if the following have been done.You must indicate`yes"or"no"as to each of the following• Yes N� , Pumping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in'the previous two week period? t/ Have large volumes of water been introduced to the system recently or as part of this inspection? ✓ Were as built plans of the system obtained and examined?(if they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components,excluding the SAS,located on site? _✓ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no Existing information.For example,a plan at the Board of Health. _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15302(3)(b)) 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Pro pertyAddress: 33 Moco Road W. Barnstable - Owner: Nancy Webb Date of inspection: 5• 6 5 FLOW CONDITIONS RESIDENTIAI. Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 C 15.203(for example: 110 gpd x#of bedrooms): U Number of current residents: I Does residence have a garbage grinder(yes or no):/A, d Is laundry on a separate sewage system(yes or no):&G[if yes separate inspection required] Laundry system inspected(yes or no)./I,J Seasonal use:(yes or no):,t,-U Water meter readings,if available(last 2 years usage(gpd)): N/A Sump pump(yes or no):/L�� Last date of occupancy:7^�S� COMMERCIAL/INDU RIAL Type of establishment: Design flow(based on 10 CUR 15.203): gpd Basis of design flow eats/persons/sgft,etc.): Grease trap present yes or no):_ Industrial waste Iding tank present(yes or no):_ Non-sanitary w sic discharged to the Title 5 system(yes or no):_ Water meter r adings,if available: Last date o .ccupancy/use: OTHE (describe): GENERAL INFORMATION Pumping Records Source of information: ti ,41 Was system pumped as part 6c inspection(yes or no):4-.,-e) If yes,volume pumped:_gallons•-How was quantity pumped determined? Reason for pumping: TYP F SYSTEM —Septic tank,distribution box,soil absorption system _Single cesspool Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Altcmative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) - _Tight tank '_Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if kno�yn)and source of information: Were sewage odors detected when arriving at the site(yes.or no): /,O 6 ]'age 7 of I I OFFICIAL INSPECTION FOR 1—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION F0I01 I'AltT C SYSTEM INFORMATION(continued) Properly Address: 33 Moco Road W. Barns a e Owner: Nancy Webb Date of Inspectlon: ✓h f--® � BUILDING SE1VEIt ocate on site plan) Depth below grade: Materials of const ction:_cast iron _40 PVC_other(explaut): Distance Goo)pr' ate ua(cr supply well or suction lute: Comments(on ondition of jou►ts,venting,evidence of leakage,etc.): SEPTIC TANK:_(locate on site plan) Dcpth below grade: Material of construction: . concrete metal fiberglass_polyethylene _othcr(cxplain) If tank is metal list age:_ Is age confinued-by a Ceniftcate of Compliance(yes or no): certificate) —(attach a copy of , 1 ) I Dimensions: -k 61 Sludge depth: 3 L/ ` t Distance from top of ssllud)ge to button►of outlet Ice or battle:Z ,.� Scum thickness: 'x Distance from top of sccun)to lop of outlet Ice or baffle: _ Distance Gom bottom of scum to bottom of outlet tee or battler I low wcrc dimensions determined: Comments(on pumping recommendations,inlet and outlet lee or baffle eonditicn,structurat integrity,liquid levels as related to outict invert,evidence of leakage,etc.): /Ca > jk—' CREASE TMI':_(locate on site plan) Dcpdi below grade: Material of construed it:_concrete_metal fiberglass ltol)•ethylene _other (explain): Dimensionsr(toill Scum thickn Distance Go to top of Outlet Ice or battle: Distance froscum to bottom ofoutlet Ice or baffle: Date of last Conu»cnis( cconuncndaliuns, u)Ictandoutict Ice orbafflecondition,structural integrity, liquid levels asrelatedto ,evidence of leakage,etc.)- 7 'age S of 1 I , OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFOR IATION(continued) Property Address: 33 Moco Road W. urns a e Owner: Nancy Webb Date or Inspection: TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below glade: Material of construction: concrete_metal fiberglass_polyethylene otllet(explau►): Dimensions: Capacity: allons Design Flow: gallons/day Alarmprescnt(yes o no): Alarm level:= Alarm in working order(yes or no):_ Date of last pum g: Comments(con ition of alarm and float switches,etc.): DISTIUBUTION BOX: 1/(if prescnt must be opcncd)(locate on site plan) Depth of liquid level above outlet invert: C Cotntnents(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,ctc.): v 1 PUMP CIIANIBER: (locate on site plan) Pumps in working o der(yes or no):Alarms in workin order(yes or no): _ Comments(mole ondilion of pump chamber,condition of pumps and appurtenances,ele.): Page 9ofII OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 Moco Road W. Barnstable Owner: Nancy Webb Date of Inspection:-p- =19 s—C 6 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type r leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: innovative/altemative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configur ion: Depth—top of liquid to inlet invert: Depth of solids lay Depth of scum lay�r: Dimensions of cesspool: Materials of co ltruction: Indication of oundwater inflow(yes or no): Comments( to condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: locate on site plan) Materials of on Dimension . Depth o/n1s lids:Comme (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 Page 10 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 Moco Road W. Barnstable Owner: Nancy Webb Date of Inspection: E' S —d SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. 1'R 6 •L ) 1Gq J� L! 10 Pate 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) . Property Address: 33 Moco Road W. Barnstabie Owner. NancL.WebF e Date.of Inspection: •-g f—6,� SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water -feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: 5hecked with local excavators,installers-(attach documentation) ✓Accessed USGS database-explain: You must ddeescribe how you established the high ground water elevation: 11 r t NORM Z' J U L 2 4 2000 T0WjV0FBAPNST^etc DEPr� COMMONWEALTH OF MASACHUSETTS NEAI;If EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS :DEPARTMENT OF ENVIRONMENTAL PROTECTION , I +I ONE WINTER STREET BOSTON MA 02108(617)292-3500 TRUDY COXE Secretary ARGEO PAUL CELLUCCI R;I DAVID B.STRUHS Governor Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 33 MOCO LANE WEST BARNSTABLE, MA 02668 M215 P033 L2 Name of Owner STONE Address of Owner: 33 MOCO LANE WEST BARNSTABLE,MA 02668 Date of Inspection: 7/13/00 Name of Inspector: JOHN GRACI I am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15.000) Company Name: SEPTIC INSPECTIONS Mailing Address: P.O.BOX 2119 TEATICKET,MA.02636 Telephone Number: 608-664-6813 FAX 608-664-7270 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposallsystems.The system: i E X Passes _ Conditionally Passes _ Needs Further Evalu ti By'the Local Approving Authority Fails Inspector's Signature: Date:7/14/00 The System Inspector shall su mit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the 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 "The inspection is based on criteria defined in Title V code 310 CMR 15.303.My findings are of how the system is performing at the time of inspection.My inspection does not imply any warranty or guarantee of the longevity of the septic system and any of its component's useful life." THE SYSTEM PASSES TITLE V INPECTION.RECOMMEND PUMPING THE SYSTEM NOW AND MAINTAINED EVERY ONE TO TWO YEARS.THE LEACH PIT HAD V OF LEACHING LEFT AT THE TIME OF THE INSPECTION. S, i" revised 9/2/98 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 33 MOCO LANE WEST BARNSTABLE, MA 02668 M215 P033 L2 Name of Owner STONE Date of Inspection: 7/13100 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: X 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. 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 ND).Describe basis of determination in all instances.If"not determined",explain why not. n(a 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 exriltration,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. n/a 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 Wa 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 9/2198 Page 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 33 MOCO LANE WEST BARNSTABLE, MA 02668 M215 P033 L2 Name of Owner STONE Date of Inspection: 7/13/00 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 16.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY 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 salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well, _ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,Method used to determine distance nla(approximation not valid). 3) OTHER n/a revised 9/2198 Page 3 of 11 r, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 33 MOCO LANE WEST BARNSTABLE, MA 02668 M215 P033 L2 Name of Owner STONE Date of Inspection: 7/13/00 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, _ X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped 4.. - X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. - X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. - X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, - X Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. S E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply _ X the system is located in 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 systern.shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 33 MOCO LANE WEST BARNSTABLE, MA 02668 M216 P033 L2 Name of Owner: STONE Date of Inspection: 7/13100 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health. X _ 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. X _ The facility or dwelling was inspected for signs of sewage back-up. X _ 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. X _ The septic tank manholes were p uncovered,opened,and the interior of the septic tank was ins pected spected for condition of baffles or tees,material of const ruction,dimensions depth o p f liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption System on the site has been determined based on: X - Existing information,For example,Plan at B4O,H, X _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)1 5.302(3)(b)) X _ The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal Systems. a ; revised 9/2/98 Page 5 of 11 l_ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 33 MOCO LANE WEST BARNSTABLE, MA 02668 M215 P033 L2 Name of Owner STONE Date of Inspection: 7/13/00 FLOW CONDITIONS RESIDENTIAL: Design flow: 110 g.p.d./bedroom Number of bedrooms(design): 3 Number of bedrooms(actual): Total DESIGN flow: 330 gpd Number of current residents:4 Garbage grinder(yes or no):NO Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): NO Seasonal use(yes or no): NO Water meter readings,if available(last two year's usage): n/a gpd Sump Pump(yes or no): NO Last date of occupancy: n/a COM MERCIAIJINDUSTRIAL Type of establishment: n/a Design flow: n/a gpd(Based on 15.203) Basis of design flow:n/a Grease trap present:(yes or no): NO Industrial Waste Holding Tank present:(yes or no): NO Non-sanitary waste discharged to the Title 5 system:(yes or no):NO Water meter readings.if available: n/a Last date of occupancy:n/a ._ OTHER: (Describe) n/a GENERAL INFORMATION PUMPING RECORDS and source of information: n/a System pumped as part of inspection:(yes or no):NO If yes,volume pumped n/a gallons Reason for pumping:n/a TYPE OF SYSTEM X 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) _ I/A Technology etc.Attach copy of up to date operation and maintenance contract _ Tight Tank Copy of DEP Approval Other:n/a APPROXIMATE AGE of all components,Bate installed(if known)and source of information: THE SYSTEM WAS INSTALLED IN 1994 PERMIT 93-611 Sewage odors detected when arriving at the sit@,(y@s or no) NO revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 MOCO LANE WEST BARNSTABLE, MA 02668 M215 P033 L2 Name of Owner STONE Date of Inspection: 7/13/00 BUILDING SEWER:X (Locate on site plan) Depth below grade: 18" Material of construction: _ cast iron X 40 Pvc _ other(explain) Distance from private water supply well or suction line: n/a Diameter: 4" Comments: (condition of joints,venting,evidence of leakage,etc.) THERE IS TOWN WATER SEPTIC TANK: X (locate on site plan) Depth below grade: 12" Material of construction: X concrete_ metal_ Fiberglass_ Polyethylene_ other explain: n/a If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO Age: n/a Dimensions: 1000G L 8'6"H 6'7"W 4'10 Sludge depth: 8" Distance from top of sludge to bottom of outlet tee or baffle: 26" Scum thickness: 4" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: n/a How dimensions were determined: MEASURED 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.) THE SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING NOW AND EVERY ONE TO TWO YEARS TO PROLONG THE SYSTEM'S USEFULL LIFE. GREASE TRAP: _ (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_ Fiberglass _ Polyethylene_other Explain: n/a Dimensions:n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle n/a Date of last pumping: n/a 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.) n/a r revised 9/2/98 Page 7 of 11 SUBSURFACE GE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 MOCO LANE WEST BARNSTABLE, MA 02668 M215 P033 L2 Name of Owner STONE Date of Inspection: 7/13/00 TIGHT OR HOLDING TANK: _ (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_Fiberglass _Polyethylene _other Explain: n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present: NO . Alarm level:N/A Alarm in working order:NO Date of previous pumping: n/a Comments: (condition of inlet tee,condition of alarm and float switches,etc.) n/a DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: n/a Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) n/a PUMP CHAMBER: _ (locate on site plan) Pumps in working order:(Yes or No): NO Alarms in working order(Yes or No): NO Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) n/a e; revised 9/2/98 Page 8 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 MOCO LANE WEST BARNSTABLE, MA 02668 M215 P033 L2 Name of Owner STONE Date of Inspection: 7/13/00 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n/a Type: leaching pits,number:(1)1000 GAL 6'X 6' leaching chambers,number: (n/a)n/a leaching galleries,number: (n/a)n/a leaching trenches,number,length: (n/a)n/a leaching fields,number,dimensions: (n/a)n/a overflow cesspool,number: (n/a)n/a Alternative system: nla Name of Technology: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT IS STRUCTURALLY SOUND AND APPEARS TO BE FUNCTIONING PROPERLY.THE PIT HAD 1'OF LEACHING LEFT AT THE TIME OF THE INSPECTION.RECOM MEND RAISING COVERS. CESSPOOLS: _ (locate on site plan) Number and configuration: n/a Depth-top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer. n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater: n/a inflow(cesspool must be pumped as part of inspection)NO Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions:,n/a Depth of solids: n/a 4( Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a revised 912198 Page 9 of 11 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 MOCO LANE WEST BARNSTABLE, MA 02668 M215 P033 L2 Name of Owner STONE Date of Inspection: 7/13/00 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) �a b �0 3S 6 I revised 9!2198 Page 10 of 11 ry SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 MOCO LANE WEST BARNSTABLE, MA 02668 M215 P033 L2 Name of Owner STONE Date of Inspection: 7/13/00 NRCS Report name: n/a Soil Type: n/a Typical depth to groundwater: n/a USGS Date website visited: n/a Observation Wells checked: NO Groundwater depth: Shallow_ Moderate_ Deep_ SITE EXAM _ Slope _ Surface water _ Check Cellar Shallow wells Estimated Depth to Groundwater 12 Feet+ 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.) Determined from local conditions \ Checked with local Board of health 1 _ Checked FEMA Maps Checked pumping records Checked local excavators,installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS-12+FEET ;r revised 9/2/98 Page 11 of 11 �a Commonwealth of Massachusetts Executive Office of Environmental Ai -airs Dept. of Environmental Protection One winter Street Boston Ma. 02108 .John Gi ad ' D.E.P. Title V Septic Inspector P.O. Box 2119 Teaticket, MA 02536 WILLIAM F.WELD 63 (508)56416.8.1 r108i Govemor ARGEO PAUL CELLUCCILt.Govemor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORMPART ACERTIFICATION 3 1998 vt Property Address: 33 Moco Rd.W.Barnstable Address of Owner: C ;EA�BARNSTgg Date of Inspection: 3/30198 (If different) HOfPT Aiello:385 Mass Ave.#74 Arlington 02174 a Name of Inspector: John Graci 1 9 I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) Company Name,Address and Telephone Number: �Y1 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of 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: x Passes This Inspection Is based on criteria defined In Title V Conditional#Pass6s code 310CMR16303.My findings are ofhow the system Is performing at the time of the Inspection.My Inspection does _ Needyacopy luation By the Local Approving Authority not Imply any warranty orguarentesofthe longevity ofthe Fails septic system and any of Its components useful life. Inspector's Signature: Date: 3130198 The System Inspector shall sof this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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. INSPECTION SUMMARY: Check A, B, C,or D: A] SYSTEM PASSES: x I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,passes inspection. Indicate yes,no,or not determined(Y, N, or ND). 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 Co7hpliance(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 conforming septic tank as approved by the Board of Health. (revised 04f27)97) One Winter Street • Boston,Massachusetts 02108 a FAX(617)556-1049 is Telephone(617)292-5500 f�. SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION (continued) Property Address: 33 Moco Rd.W.Barnstable Owner: Aiello:385 Mass Ave.#74 Arlington 02174 Date of Inspection:3130198 _ Sewage backup or,breakout.or hiah.static water level observed.in.the distribution box is due to a broken, or obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled 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 C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: — The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to-a surface water supply. — The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. — The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. — The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method usedto determine distance (approximation not valid) 3)Other D] SYSTEM FAILS: You must Indicate either"Yes"or"No"as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No _ — Backup of sewage in facility or system component due to an overloaded or clogged SAS or cesspool. — Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged cesspool. — SAS is in hydraulic failure. (revised 04127187) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 33 Moco Rd.w.Barnstable Owner: Aiello:385 Mass Ave.#74 Arlington 02174 Date of Inspection:3130198 D]SYSTEM FAILS(continued) Yes No Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6 below invert or available volume is less than 112 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No — _ the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area(IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revbed 04)27l97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 33 Moco Rd.W.Barnstable Owner: Aiello:385 Mass Ave.#74 Arlington 02174 Date of Inspection:3130198 Check if the following have been done:YOU must indicate either"Yes"or"No"as to each of the following: _c_ — Pumping information was requested of the owner, occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the 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. x — The facility or dwelling was inspected for signs of sewage back-up. x — 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. x 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. x — The size and location of the Soil Absorption System on the site has been determined based on The facility owner(and occupants, d different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x Existing information. Ex. Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is — — unacceptable)[15.302(3)(b)] Irsvleed 04J27J97) ` I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 33 Moco Rd.W.Barnstable Owner: Aiello:385 Mass Ave.#74 Arlington 02174 Date of Inspection:3130198 FLOW CONDITIONS RESIDENTIAL: Design flow: 3m g•p•d./bedroom for S.A.S. Number of bedrooms: 3 Number of current residents: 0 Garbage grinder(yes or no): No Laundry connected to system(yes or no): Yes Seasonal use(yes or no): Yes Water meter readings,if available:(last two(2)year usage(gpd): rda Sump Pump(yes or no): No Last date of occupancy: nla COMMERCIAL/INDUSTRIAL: Type of establishment: n1a Design flow:0 gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no)-No— Water meter readings, if available: rde Last date of occupancy: nra OTHER:(Describe) nra Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: pumped70M6 System pumped as part of inspection:(yes or no)No If yes,volume pumped:0 gallons Reason for pumping: rda TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes,attach previous inspection records, if any) I/A Technology etc.Copy of up to date contract? Other: APPROXIMATE AGE of all components, date Installed(If known)and source Information: 4 years Sewage odors detected when arriving at the site: (yes or no) No (revised 04127)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Add re s s: 33 Moco Rd.w.Barnstable Owner: Aiello:385 Mass Ave.#74 Arlington 02174 Date of Inspection:3130199 SEPTIC TANK: x (locate on site plan) Depth below grade: t' Material of construction:x concreate metal FRP Polyethylene—other(explain) If tank is metal, list age Ilia . Is age confirmed by Certificate of Compliance No (Yes/No) Dimensions: Ler,^H57^w4.10" Sludge depth:l" Distance from top of sludge to bottom of outlet tee or baffle: 2e" Scum thickness:0 Distance from top of scum to top of outlet1ee or baffle:S" Distance form bottom of scum to bottom of outlet tee or baffle:0 How dimensions were determined: measured 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.) Septic tank and ell components are structurally sound and IUnctioning properly.Recommend pumping every two years. GREASE TRAP: (locate on site plan) Depth below grade: rda Material of construction: concrete metal FRP Polyethylene_other(explain) Dimensions: nla Scum thickness:Wa Distance from top of scum to top of outlet tee or baffle:Wa Distance from bottom of scum to bottom of outlet tee or baffle: We Date of last pumpingr 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.) Wa BUILDING SEWER: (Locate on site plan) Depth below grade: iv- Material of construction:_cast iron x 40 PVC_other(explain) Distance from private water supply well or suction line?o- Diameter: 4"_ . grimments:(conditions of joints,venting,evidence of leakage, etc.) (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 Moco Rd.W.Barnstable Owner: Aiello:385 Mass Ave.#74 Arlington 02174 Date of Inspection:3/30199 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: Na Material of construction:_concrete_m eta l_FRP_Polyethylene—other(explain) Dimensions: Na Capacity: nla gallons Design flow: Na gallons/day Alarm level:_nra Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) Na ' DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: Na Comments: (note if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box etc.) Na PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)!o Alarms in working order(yes or no)_Ye: Comments: (note condition of pump chamber, condition of pumps and appurtenances,etc.) Na (reylsed 0412787) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 33 Moco Rd.W.Barnstable Owner: Aiello:385 Mass Ave.#74 Arlington 02174 Date of Inspection:3130198 SOIL ABSORPTION SYSTEM (SAS):x (locate on site plan, if possible;excavation not required, but may be approximated by non-intrusive methods) If not determined to be present,explain: nra r Type: leaching pits,number: one 1,000 gallon leach ptt leaching chambers,number:nra leaching galleries, number: nra leaching trenches, number,length: rva leaching fields, number,dimensions:nra overflow cesspool,number:nra Alternate system: nra Name of Technology:_nra Comments: (note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation, etc.) Leach ptt and all component¢are structurally sound and functioning properly.System never had more than 1'of water In It. CESSPOOLS: (locate on site plan) Number and configuration: nra Depth-top of liquid to inlet invert: nra Depth of solids layer: nra Depth of scum layer: nra' Dimensions of cesspool: nra Materials of construction: nra Indication of groundwater: nra inflow(cesspool must be pumped as part of inspection) nra Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) , Na PRIVY: (locate on site plan) Materials of construction: nra Dimensions: nra Depth of solids: nra Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) Na IreYleed OM27STI 'L SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 33 Moco Rd.W.Barnstable Aiello:385 Mass Ave.#74 Arlington 02174 3130198 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) 0 C'A 4vA 0 0 (revised0a)27197) Page ! of 10 i ` SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 33 Moco Rd.W.Barnstable Aiello:395 Mass Ave.#74 Arlington 02174 3130109 Depth of groundwater 12, Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators, installers x Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS maps and charts (revlaedOR27197) page 10 of 10 L TORT10F BARNSTABLE LOCATION J-1 2VoCU R04d SEWAGE # t, Y,ILLAGE 1A)horn sta A e- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. (0 S Liu, SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS B—&ER-GR OWNER A16-wC•/ W-e k-.L- PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furttished by Page I O of I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 33 Ncoo Road W. Barnstable Owner. Nanc Dale of: on. fInspedlon. SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.locate where public water supply enters the building. 3yA � v .7 �G IS6 �E• S r Sewer Permit No. Named roc o Location Uj- Installer's Name and Address 1A\C tc a' Y•• (bw Sq— Cb --tw(L ?)(, ~y/ Y-- 1, 600 Q t Ruilder'i Name and Address N1CKU� � 'Daie'Pcraiit lsiucd:' Date Complia= Issued: a Ll r? r a f No.. Fis......L.I .S .. APPROVED THE COMMONWEALTH OF MASSACHUSETTS Barnstable Conservation Department BOARD OF HEALTH OWN OF BARNSTABLE Signed Allp irttlffil for Dhvip !ml Works TouBtrnr#inn ramit Application is hereby made for a Permit to Cotistruct ( ) or Repair ( ) an Individual Sewage Disposal System at: .. ......1►'�o .......... ,�--------------------- Location-Address' n�,,MpA or Lot No. .....T..$SL ll.---•-•......-----.�:LN---------(---tJ tJAF_.KQ............ Owner Address ........ vosc 38 -�o..,°�e-7-- .2-�..-----._1 `� ..................................................... Installer U Type of Building Size rLot.__`....____.._..._........Sq. feet ' ►� Dwelling— No. of Bedrooms___- .................---------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria 04 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water------- ................ Li, Test Pit No. 2................minutes per inch Depth of Test Pit_---_-_-______-_. Depth to ground water........................ a •--•-•-------- ---------•---•-------••--•-••--•--•------•-•---•--••••-•-•-•-••----•-......--•-....---.......--•-•---•-•---••-•.......-•-•----......... ----. 0 Description of Soil................................................................................ -------------------------•---------------------------------------•-•----•---•---- x w U Nature of Repairs or Alterations—Answer when applicable._.\ S�`'�"-.._._. 9-L?..........-'an--'. _._........ T ` 1� ..�1 :......-•--•-•---Q----, .Tl .` .......-•-------•-•. - .....�kb00-•-=-C-.-� f? .. )\bOO.....Y\� 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 Compli nce has been issued by the board of health. nn �� Signed or,z_c ... ®.........4r-.. ®--------- - � ApplicationApproved By ........... ..... ----- ----------- -------- ..,J....... ........................................ Application Disapproved for the following reasons--------------: ................... . ....... -- --.............. . -------- Date ............... Permit No. --- ------------- Issued .......t�.¢/ ...A�.e.... .. ............. . THE COMMONWEALTH OF MASSACHUSETTS V S BOARD OF HEALTH TOWN OF BARNSTABLE Allpjirtt`011 fox i_npnitti Workii Tnnitrnrtion 1rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: -... Location-Addres or Lot No. ---..... ...+_`Qli.---•-a!=.......Q ........ _MF-.NQ............ •----•--------------•---•----..._.__..........-------•---...._---....------------.....---.......-- a . 1t� . . Owner �. � Sg':` s. Address ---•-;.- . . JS ---•--•-•-••-•-•- ------ --- ................................ � -•----•--I---•-----•-- Installer Address d Type of Building Size Lot............................Sq. feet U' Dwelling—No. of Bedrooms._._.1�-.....................__ _ _Expansion Attic ( ) Garbage Grinder ( ) ------------------------•-- No. of persons--------------------------_- Showers —p., Other—Type of Building p ( ) 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................ 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........................................ W Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..................... LZ, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ODescription of Soil................................-•••-...•-•-----•-•--•----------•--•------•--•••---•---------•-------•---------------•--• .............................................. U ---•--------------------------=.............................................. ----•----------------------------------------•---------...--------•------------•---------•-----------•----•-•----•-----••- W -----•-•--••-----------------------•-----••••------..-.....•--------------------•••••••-•-•--------•------•-...---------•---------•---------•-•-•-•-••-•••••--------••-----••----• ................ 0 "'`Nature of Repairs or Alterations—Answer when applicable.AtA�\-_`�-______- W__.._-_.__ ................. _ ..........................^ca Nst 't �t-_.._.._©`2 pti?`�.._..�..dvo c_A,L� J ._..._C ?` .:dof - \,Doc 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 Com li nce has been issued b the board of health. y p Signed P... .�.� �� ...... . .................. ..........A ` 3----- �1 Application Approved By -----,------- ---- �... ............ y. ........................................ Dare Application Disapproved for the following reasons: .......................................................................... .. .. .......................... .......... .•........... .................................... - ss ------------------------------- Dare�/J Permit No. ----------- tk' .. ...1.. Issued ....... .. ...... .......( ..-.. .................... / �D re -- ---------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�e>r#iftettte of CITompltttnre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by..........t et.`:.`-------- .� � Installer at -------�Z3. ..........\'"9.r..p....._...... .P!!��.....� .."��_,.1 - -�. �_ ._ .1-1.* . .. ...._.................... ............ ....................... ..... has been installed in accordance with the provisions of TITLE 5 f e St at lironmental Code as described in the application for Disposal Works Construction Permit No. .............. .-'°.. .F .. dated ..__..._.:-------------------------------- THE NST9 ED A A GUARANTEE THAT THE THE ISSUANCE OF THIS CERTIFICATE SHALL NOT Ca T1 S GU SYSTEM WILL FUNCTION SATISFACTORY. y /� ' i- DATE-------f ..............A.... ................................... Inspector .......W _... _................ THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF HEALTH (/ r TOWN OF BARNSTABLE06 No...._...... FEE._. �t��rn�tt1 urk� �un�trnrtuan �rrntit Permission is hereby granted------. .............. L°y .......ram....... '.............................................................. to Construct ( ) or Repair,,(-"Q ) an Individual Sewage Disposal System Street • / Q as shown on the applica 'on f 'r Disposal Works Construction P r t No ._. �19� ,at?ed_._ / ___./•��._.__. ._.. e ealth DATE.................. j ------------------------------------ FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGIST/R'AT-ICON MAP NO. ..L PARCEL No. ADDRESS OF TANK: Al, DG !> Rw' VILLAGE: Num Into r ®trmmt , MAILING ADDRESS ( IFDIFFERENT FROM ABOVE) : / "�1�-e A r o 4- L. a m r e! k e�!D PHONE: �� •� " a� � � �� OWNER NAME: ��� � n INSTALLATION DATE: IIC WBY: INSTALLER ADDRESS: CERT.NO. STANK LOCATION: a� le,'� reAt C,4rhC'l- D�' � ,� DI" /'7oafe. x (OQ.00RI0U TANK LOCATION W M RM0"KCT TO =UILDINW) CAPACITY 2 7�I T PE OF TANK AGE .S YRS. FUEL/CHEMICAL O TESTING CERTIFICATION - C ] PASS C ] FAIL DATE LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ] YES [�J NO DATE TO BE REMOVED y FIRE DEPT. PERMIT ISSUED C ] YES` C ] NO DATE CONSERVATION [ ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. C ] DATE �c7^ I _ � V r PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD �� j 6ARA6�, �ooeeIA� : : I � I , I ' I i I I 1 _ i 1 _ I I I � I I I 1 I ."... : I 1 �.Ir. j : : t i I - _ 4 1ats Tan J�As 0 u,•—- - : i I I "-I.—_'uu Q&"fA nee. • 1 I' I I I I y PepWpwr•eN wA115 ..--_-- .-_--�_ F" I I 1 : : I L I I ; 3 il'�°ca �� �)DLP ,