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0060 STONEY POINT ROAD - Health
60, Stoney Point Road:--. . Plafnstablb A= 336 043 a z e� k ` II I Commonwealth of Massachusetts 33 - 03 . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,I,o 60 Stoney Point Road Property Address i1a Jeff Goldstein Owner Owner's Name Q� information is b ' required for every Cummaguid Pj N `� (,� Ma 02637 10/17/2016 = page. Citylrown State Zip Code Date of Inspection tol Inspection results must be submitted on this form. Inspection forms may not be altered In''any:. way. Please see completeness checklist at the end of the form. Important:When r;A filling out forms A. General Informationon the computer, use only the tab 1. Inspector: key to move your cursor-do not Sean M. Jones use the return Name of Inspector key. S.M.Jones Title V Septic Inspection �y Company Name 74 Beldan Ln. few Centerville _ Ma 02632 Cityrrown State Zip Code 774-248-4850 smjonestitle5@gmail.com SI4522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 16.000).The system: ® Passes ❑ Conditionally Passes ❑. Fails ❑ Needs Further Evaluation'by the Local Approving Authority ' w,>10/13/2016 Inspector's Signature " ` '.Date ', The system inspector shall submit a copy.6f this •inspection,report to the Approving Authority(Board of Health or DEP)within 30 days of completing,wthis inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,'th.e.inspector and the system owner shall submit the report to the appropriate regional office ofahe DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable;_and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 ' 001 10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments wM 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is Q required for every Cumma uid Ma 02637 10/17/2016 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: . ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The dwelling located at 60 Stoney Point Rd is served by a Title V septic system consisting of a 1000 gallon septic tank, 1000 gallon pump chamber, distribution box and a 40'xl5' leaching field. The system was found to be in proper working condition at the time of inspection. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or."not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old"or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass iinspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y .❑ N ❑ ND (Explain below): I I t5ins•3/13 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 L r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 60 Stoney Point Road Property Address _ Jeff Goldstein Owner Owner's Name information is q required for every Cumma uid Ma 02637 10/17/2016 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy its within 50 feet of a surface water ❑ Cesspool or privy its within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is required for every Cummaquid Ma 02637 10/17/2016 page. City1rown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: "*This system passes if the well water analysis, performed at a DE certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/Z day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is q required for every Cumma uid Ma 02637 10/17/2016 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No E1 ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments M 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is 4 required for every Cumma uid Ma 02637 10/17/2016 page. Citylrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(if they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with . ® information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 gpd t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts IJ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments G1M , 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is C uid Ma 02637 10/17/2016 requi ummared for every q page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 3 y Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: 15= 86,000 16=66,000 Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is q required for every Cumma uid Ma 02637 10/17/2016 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is 4 required for every Cumma uid Ma 02637 10/17/2016 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: system installed 5/31/06 per town records Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Joint were ok, no leaks, vented through the roof Septic Tank(locate on site plan): Depth below grade: 5 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallons 6" Sludge depth: t5ins•3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 5vey`ep 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is q required for every Cumma uid Ma 02637 10/17/2016 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 3" 3" Scum thickness 6" Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 10" How were dimensions determined? opened covers, tookmeasurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank was in good condition, water level was even with outlet invert. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is q required for every Cumma uid Ma 02637 10/17/2016 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete j❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is Cummaquid Ma 02637 10/17/2016 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): 0ff Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box was found to be in good condition, no rot, water Bevel was even with outlet invert. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Pump chamber was'in good condition. Pump is in working order. *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain,why: t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4 M , 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is 4 required for every Cumma uid Ma 02637 10/17/2016 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: In Quick 4 In Quick ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): s.a.s. consists of 18 Quick 4 Infiltrators in a 40'x15'field layout. Soil and stone was found dry with no signs of past saturation. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):. Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is q required for every Cumma uid Ma 02637 10/17/2016 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,e 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is required for every Cummaguid Ma 02637 10/17/2016 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 140 1 F 1. .B f t5ins-3113 Title,'Offidal lnspecior,Forc Sibxxtam Sew-age Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 5 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is 4 required for every Cumma uid Ma 02637 10/17/2016 page.e. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 5.5 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Design plan dated 4/17/2006 indicates that groundwater was observed at 67"and system is designed to have 4'seperationr between bottom of s.a.s. and adjusted high water table. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GSM 60 Stoney Point Road Property Address Jeff Goldstein Owner Owner's Name information is G required for every Cumma uid Ma 02637 10/17/2016 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed groundwater high System Information—Estimated depth to ® Y p 9 ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE OCATION (`N5� .�J ` �L 6 0,S'{a�y � SEWAGE# W^p1b`1 °PILLAGE ASSESSOR'S MAP&PARCEL /r /J h\TSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY ) 00 0 6/3 /S -t- LEACHING FACILITY:(type) 1 ibCi14rA6-(,size) `/®X NO.OF BEDROOMS 3 OWNER PERMIT DATE: 151——1/—0 6 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY l"� C 7! NC 4, �p , _ , ab � a o !r -a 6 6 /r� i No. vU1lJ.� Fee )d TIC-CQ%'MONWEALTH OF.MU.A 0SACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYicatiou. for Oigo.5al 4p!5tem Cougtructiou Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. ���e}" t`� Oct Owner's . / �N m C Address,,and Tel.No. Assessor's Map/Parcel '1 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. \Alt.k-7 &o, %N— Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) © gpd Design flow provided 370 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) to e14 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed _ Date Application Approved byDf/ V, Date Application Disapproved by: Date for-the following reasons Permit No. A V06 '7 Date Issued ,--,�A—a ` No. . —ad / . f �° . - Fee /Uy v €, fl a 1 �i0tz MONWEALTH OFM�"',"�'SACHUSETTS Entered in computer: 1{es PUBLIC'HEALTH DIVISION - TOWN OF BARUSTABLE, MASSACHUSETTS N Ii R., Roplication for bizpogal �§p!ftem Corgi.5truction Permit Application for a Permit to Construct( ) Repair,( Y Upgrade( Abandon( ❑Complete System ❑Individual Components h� .r„ t �?aYl P i r, Location Address or Lot No. ..nQ_ Owner's Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. OqAAL- Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons °.Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided F70 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) SV XI 5— g Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date4 ' Application Approved by �{N. Date IV'-G 6 Application Disapproved by: V v Date for the following reasons 2 bUr a�� Permit No. r Date Issued THE COMMONWEALTH OF MASSACHUSETTS i,. BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded Abandoned( )by A a �'c k d gTrJ c r w at has been constructed in accordance _ with the provisions of Title 5 and the for Disposal System Construction Permit No. Ut�i7 "?� dated S ^y { Installer tt�o� ` .. -� Designer t,,'fr.. Came `tea•• #bedrooms Approved design flow 3 3 v gpd The issuance of this permitshaIVno t 'e construed as a guarantee that the system will func as a'fined. Date C Inspector No. ����f �_ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS wigoal 6p,5tem Con5truction ermit Permission is hereby granted to Construct ( ) Repair pgrade ( ) Abandon ( ) System located at U Q `y and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided:]Construction must be completed within three years of the date of this-perrnit. Date x/ 5 /f f)c APP Y ]V�Jlo, 12sroved b TOWN OF BARNSTABLE . r LOCATION;�6c--); ,�� �� / r�� SEWAGE # ca 4 VILL•AGEC'��� ASSESSOR'S MAP 6i LOT,�� O INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ,.7-,' /e.eZ-J ,(size) NO. OF BEDROOMS PRIVATE WELL O)�gB�LIC WATE BUILDER OR OWNERDATE PERMIT PERMIT ISSUED: DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No /" . r �w'� .�'�s p, A � � , �3�� /V� !/ u � � '� 0 n O N` 2'2 �` y J- ,. . TOWN OF BARNSTABLE: LOCATION 7� �7`aar�/_ ,p% Z?/0 --_ SEWAGE r# 07a / `TILLAGE nf/ C t40 ASSESSOR'S MAP & LOT '0�6'643 INSTALLER'S NAME C PHONE NO..D SEPTIC TANK.CAPACITY /C00 0 LEACHING FACILITY::(type) (size) . NO. OF BEDROOMS _PRIVATE WELL O BLIC WATER .BUILDER OR OWNER ��Gd2'�4�� �" �► DATE PERMIT ISSUED: Z A�;/7 DATE COUPLIANCE ISSUED: `TARIANCE GRANT rED: Yes No . 2 � 3 �- � -i ASSESSORS MAP NO: y - No-2 2 PARCEL NO: THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH c✓%�.........OF...... .., ..Jl / r_ ........................ ApplirFation for Dispavi al Works Tomitrurtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: 11/:5....�. .L`......".... .� -"`'.X-•-•---• ? . --•---•---...-•----•-----------------�- L cation.Address or Lot No. Address 6214 Ow r N a . .• -------•-••........-•-•-••..._..•------- ---- --- .... -----::-..... �--=.._ Installer Address Type of Building Size Lot..X:..�Sq. feet �+ Dwelling—No. of Bedrooms................ T--------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures Design Flow..__.___....... ...... ....gallons per person per day. Total daily flow........... 3x 2......... W ga P P , y. i F� v � WSeptic Tank—Liquid capacity eflZ lons Length___-, ....__. Width.._ ....._. Diameter________________ Depth..5!..�_.. x Disposal Trench—No. ......y ._._.._. Width.. .-_....._.. Total Length...Z�........ Total leaching area--_-----.___•-------sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) W Percolation Test Results Performed by.......................................................................... Date....................---------•-•-•---- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-___-.-.__-__-____-__-_. Gig Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------------------------- -------------------------- -------- ----------------------------------------- •--------------- O Description of Soil........................................................................................................................................................................ W U ••••--....•-•---------------•--••---•--------•.....-----•-•----•-•-•---•••--••-•----------•-------•-••-----•-•--•--••-•--------•---•--•-••-••---••--••--•------------------................••----------. W U Nature of Repairs or Alterations—Answer when applicable..._ __�%! -j�...____l� ?_--•-r 5�-_............... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of u?. . 5 of the State Sanitqhe undersigned further agrees not to place the system in operation until a Certificate of Compliance hasy th oard of �igned. ..... . .. /.... Date Application Approved BY •.. . .•. --••- ----------1 •--•--•-•-------•----•.................................•-----•-------------..Date Application Disapproved for the following reasons:.............. •_-.•--_•____ -------------------•-----------•-•----•----•-•---------------•----------------•------------•------.........--------........---------------------•-------------------------------------------------...--- Date PermitNo....... 7---"--.&1--y.................. Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I%©L�✓N..........OF.......,d.T./Z/�.l /��cC Appliratilan for Dhip aa1 Workii Tonstrurtinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (41 an Individual Sewage Disposal System at: i 6='r' coo_ti 7- ---•---•-...----- ....................................................................... ......_......._...-------'--'--•------"----•---....-----•--------•--•-----•-----•----- �"� or Lot No.0 �"r - Address --1 a ...........................................................................................----- -----------------•---- .... _................................. Insta;ier Address / dType of Building Size Lot_/__ _ :___._Sq. feet U Dwelling—No. of Bedrooms.................-+...........................Expansion Attic ( ) Garbage Grinder ( ) p� Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures .----•--•----•--•••----••-- W Design Flow.........................................•__gallons per person`r,day. Total daily flow_......__ _ ....................gallons. 04 Septic Tank—Liquid cap Ile"---------gallons ,Length-_-t�n.._..._.. Width._.......... Diameter................ Depth 5�'._ ..._- Disposal Trench—'10. .... .............. 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------------------------------------- ...... ---------------------- h to ground water-____________-______-_-- fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-___--_____---_•._--__-. --------------------------------------------------------'....._...........................-----•-•--......................................................... 0 Description of Soil......................................................................................................................................................................... x U ............................-------•-••.....---••-•...---•--••---•----•------••....---•--......----•---•-----•••-----••----•--•------•-•-----•-••--••--•'--•-•--•-----•--••----•--•---•••......------•-- W ---•••------------------------------------------•--•--•-••-•------------•-••-•--•••--••----••--•••--•--•-•---•--•••••-•---••--•--•-•---•-•--•-------••---•--••--------•--•••-•--•••-......--------_..... ture cJ gg Alt —Answer when a airs or raons hcable.. .. %�'"9 _�_._._ Oea d U e -. — PP ti ... P� ----------------- --------------------------- ....-•-•......._.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 1 1-1 of the State Sanit ode The undersigned further agrees not to place the system in operation until a Certificate of Compliance h een issu by oard Z Signed --•-• ..........--•--•-•------------';Y----• 1, Date Application Approved BY - -----------------•----•-------- -r-�.-T Date Application Disapproved for the following reasons:-- ........ti...---•-•--------------------------------------------------- ------------•--•-----........._ ....-----'-----------------•---------••--•---•.................................................................. •----•-•---------•••---•••---'-•------------•--•------•..------------------------••••-- Date PermitNo. j�.Z.... . ---------------------.. _t.` Issued........................................................ Date ., b THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........O F..................................................................................... fit Qrrtifiratr ,af Tautpfianrr T i IS TO CERT FY, ThaL thpi Ind'7idual Sewage Disposal System constructed ( ) or Repaired S n Iler /vc7 �^J I r. at........................................................................................................ :.... -------------------------- has been installed in accordance with the provisions of T� E j of The State Sanitary Code as described in the application for Disposal Works Construction Fermit No._ ...7._-_...5.f._V..._......... dated_...__:___._-_-_____._____________.___._.____... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT (HE SYSTEM WILL FUNCTION SATISFACTORY. DATE........... .,_4 �_7.................................... Inspector................? 41.,1-----•-••--•-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1.01 r B�� .T4, s� �G _ No......................... FEE. ............ Dis gal orko Tonotr Ilan permit ��'�jj Permission is hereby gran efY�'U to Cons -) or Repair �I v_i al fie, ge Di posal,�y in at .' / Ls &L NO. Street I as shown on the application for Disposal Works Construction Permi N Dated.!- .__. . . __/._.......... -----•••-• ....... ' ------------------------------------------ Barof DATE--•---•- --a-------.... ..------------------- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS FROM :down cape engineering inc FAX NO. :15083629880 May. 31 2006 02:45PM P1 Town of Barnstable Regulatory Services Thomas F. Geiler,Director Public Health Division s674 rrd' Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 509-962-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: . Sewage Permit# Assessor's Map\Parcel Designer: Installer: ( Address: Address: On was issued a permit to install a (date) (installer) / � r septic system at ased on a design drawn by A. dated / v (designe. I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. V/I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local.Regulations. Plan revision or certified as-built by designer to follow. I WA H. # Signature) 6 o�ALA '�' CIVIL No. 30792 �o �•� Q19TE� y NAL ECG ' Signature) (Affix De0ig2TWY tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL. BOTH THIS FORM A'ND AS-BXJJLT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH D1VI. iON. THANK YOU. Q:Heahh/Septic0csigner Cenification Form 3-26-04.doe FROM :down cape engineering inc FAX NO. :15083629880 May. 31 2006 02:46PM P2 74.62• 5 I I 3 � VENT I I %:10 : f6. VER D ��• O [PFAUTILITIES B r 10 � W 20 NEW PUMP CHAMS R /• NN J XIST1 G S.T. I \ A M BENCH MARK - c CONC. BULKHEAD EXISTING DWEWNG ? J TOP OF FNDN ELEV. 20.7' �i9 )9 ARNE OJALA y �N0.26348P GRAVEL DRIVE I NQ SURV 1 19 � 004. .. �r 18 '� ' 60 $TON-E%i RD AS- 6OWr Wi SHED ' 3�•y u 4 aS cttaK C-6me 3y A - -7 10 s13� log 54._6. _ n t—f - § Gr,R;GE FAMILY N f .. BATH - EATH KITCHEN- EEOF.COP.4. -T'xe-v, m BeDR001r1 - tR 15 / r II 13rox �4" _ 12-a x15=7" , NOT TCb�nLc - - LIVING- - Y 2M" I T-O" c. f Y SYSTEM PROFILE TOP FNDN. AT EL 20.70 #=US COVER TO WITHIN 6" OF FIN. WADE (NOT TO SCA4E) ., ACCESS COVER (WATERTIGHT) TO Barnstable Harbor, WITHIN 6' OF FIN. GRADE -'"'~-� PROVIDE INSPECTION PORT TO WITHIN 6' OF FINAL GRADE 20.0' MINIMUM .75' OF COVER OVER PRECAST 2� SLOPE REQUIRED OVER SYSTEM 22.2 ELEV. 18.1' ALARM AND CONTROL PANEL. o � TO 6E INSTALLED INSIDE INV. IN ELEV. 1&37 RUN PIPE LEVEL _ +EXwSTING .,.- BUILWNG. ALARM TO 8E ON _ SEPARATE CIRCUIT FROM PUMP 1000 GAL. H-20 S PRESSURE LINE INLET TEE TOCb FOR FIRST 2 c � 700 �+ SLOpE TO DRAIN BACK TO PC BE INSTALLED 2" DOUBLE WAS PEASTONE �- �° C.AIAN SEPTIC 16.4t* ALARM ON 1" ABOVE ASSESSORS MAP 336 PARCEL 43 ` a a FLOAT SNATCH RESERVE WEEP HOLE OUTLET INVERT ' °i a TAl�IM( (H^" 1 � GAS PUMP ON. : . Cr+ ac VALVE 21.4 GROUNDWATER ADJUSTMENT INFO: e WORKING RM� MYERS SRM 4 21.34' 21.17' OBS. WELL: AIW 247, MARCH 2O06 \ 4' SUBMER961.E 4 0 HP PUMP o ' 0 3' AT SIDES ZONE: B a� PUMP OFF 8 SYSTEM (OR EQUAL). 21.09 ADJ. = 1.5' Route s,4 ,�`� 6" CRUSHED STONE OR MECHANICAL $�, 0.6T 2' AT ENDS20.42' �� DEPTH OF FLAW • 4 THE INSTALLER SHALL CONFIRM MIN. SEPTIC TANK PROVIDE \-r..-_.__COMPACTION. (15.221 [2D $$ TEE SAS i 0 INLET QEPTH _ RE-USE PLACE BOOT odrood PUMP CHAMBER � LOCUS 1C.4" "w �''ER 'ICHr 3/4" TO 1 1/2" DOUBLE WASHED STONE OUTLET DEPTH . (w TO SGN4 "QUICK 4" STANDARD INFILTRATOR C 4' 4 a FOUNDATION 15' -- SEPTIC TANK.. 3' PUMP CHAMBER 38' D' BOX 8' LEACHING SCALE 1"FACILITY 25,000' GROUND WATER ENCOUNTERED AT TH-2 EL. 14.92' ADJ. GROUND WATER = EL. 16.42' *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF `� SEPTIC SYSTEM PROVIDE VENT MATH CHARCOAL FILTER TEST HOLE LOGS AND BUGSCREEN (FINAL PLACEMENT WITH 74.62 HOMEOWNER CONSULTATION)I ENGINEER: DAVID FLAHERTY, R.S. IWITNESS. DON DESMARAIS, R.S. SYSTEM DESIGN: BUOYANCY CALCS: APRIL 3, 2006 I5' REMOVAL OF UNSUITABLE SOIL DATE: VENT REQUIRED AROUND PERIMETER OF < 15 MIN/INCH (GARBAGE DISPOSER IS NOT Al_LQWED WEIGHT OF SOIL; I PERC. RATE _ � _ LEACHING ABLE SOIL LAYER. REPLACE 0.75 X 90 LBS/CU. FT. X 6.0 X 9.0 - 3,645 LBS WITH CLEAN MEDIUM SAND. CLASS II SOILS p# 11257 DESIGN FLOW: 3 BEDROOMS (110 GPD) = 330 GPD WEIGHT OF TANK (PER SHOREY): 14,500 LBS TOTAL DOWNWARD WEIGHT = 18,145 LBS USE A 330 GPD DESIGN FLOW I r_ ELEV. ELEV. UPWARD BUOYANCY: � 4 Q 660 I" .. o� p" 20.7' p" 20.5' �. SEPTIC TANK: 330 GPD 2 I ( �...= 5.25' X 9.0' X 6.0' X 62.4 LBS/CU. FT. = 17,690 LBS USE A �.. GALLON SEPTIC TANK (RE-USE EXISTING) c, TH- ? ••:.• .... •:.:.�: A 1000 17,690 LBS < 18,145 LBS (OKAY) ` I ?2 LEACHING: -° ..••��'' .• � LS FILL J ��4• - 1 OYR 4/3 19.87' 18 5' /� �� �••• 10 24 SIDES, " OVER I HEAD UTI --- ----� TH-1 goo, B A 40 x 15 (.56) = 336� I� LI TIE$ APPROXIM� TE EXIST] i pp �' LS LS � LEACH AREA BOTTOM. , , / �Iy 13" 10YR 5 6 9.62' » 10YR 5 6 ' TOTAL: 600 S.F. GPD 336 I L--------� NW �o / 30 / 18.0 .. ' ' OF 2 ROWS OF 9 NEW PUMP CHAMBER r' USE 40 x 15 LEACH FIELD O � I 2� �A_ C 1 B XISTI G S.T. � ,.• "QUICK 4" STANDARD.INFILTRATORS EACH, WITH 3' STONE MS AT SIDES, 3' •BE7IINEEt ROWS, AND 2 AT ENDS I . � 10YR 7/4 36 17.5' I -•�_ / I PERC PERC r` f� \ 73" � 14.62' 67" 14.92' -� BENCH MARK - CORNER OF OBS. WATER 08S WATER NOTES: ��' CONC. BULKHEAD EL. = 20.4 FS MS EXISTIN(' DWELLING 2 1OYR74 APPROXIMATE NGVD 20 f O � TOP of FNDN 1. DATUM IS � � � 2.5Y 7/3 / 2. MUNICIPAL WATER IS EXISTING ELEV. 2i).T U ' 132" 9.T 126" 10.0' 79 \ WF-1?� 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. w 15 I I 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H-110_ i WF-11 0 , TOH a 10 5. PIPE JOINTS TO BE MADE WATERTIGHT. _ � O � GRAVEL J a DRIVE I / 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. � AL - ENVIRONMENTAL CODE TITLE V. ° 5 ' 19 \ 00 N WF-10 LO 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE ►� I �C 1a a 3 M USED FOR ANY OTHER PURPOSE.' O 1 TITLE 5 SITE PLAN/ » ° 25 50 75 100 OF 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. 3 ALCAPACITY - GPM 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT PUMP CURVE FOR MYERS SRM4 4/10 HP PUMP / INSPECTION BY BOARD OF HEALTH AND`PERMISSION OBTAINED QQ) WF-9 FROM BOARD OF HEALTH. c I SHED 60 STONEY POINT ROAD o � 10. CONTRACTOR 'SHALL BE RESPONSIBLE FOR CALLING DIGSAFECUMMAQUID (BARNSTABLE), MA (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & 'OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. 11. A SILT FENCE AND/OR STAKED HAYBALE WORK LIMIT LINE AS wF-$ PREPARED FOR PER PLAN SHALL BE E TA841SHED PRIOR TO ANY CONSTRUCTION. 12. PUMP AND REMOVED EXISTING LEACH AREA AND REPLACE wF-7 aL WITH CLEAN MEDIUM SAND. wF-s JEFF GOLDSTEIN 13. CONTRACTOR 'SHALL. BE RESPONSIBLE FOR DETERMINING THE ADEQUACY OF THE EXISTING ELECTRICAL SYSTEM FOR PROPOSED DATE: APRIL17, 2006 PUMP'S ELECTRICAL SYSTEM. Scale:1"= 20' 0 10 20 30 40 50 FEET I LEGEND off 508-362-4541 fox 508-362-9880 100.0 PROPOSED SPOT ELEVATION I �ZH OF Mqs 10Ox0 EXISTING SPOT ELEVATION ��o ARNE S9cyGN� � zHOFMA gown cape engineering, inc. o H. o� ARNE H. cyG 10o PROPOSED CONTOUR "O s O NIL CIVIL ENGINEERS 100 EXISTING CONTOUR L� /7 e°FES P No Qr LAND SURVEYORS R DATE ARNE H. o /o, ESN S. 939 main st. yarmouthport, ma 02675 ,l?CE #06-069 06-069 GOLDSTEIN.DWG (DDF)