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HomeMy WebLinkAbout0444 BAY LANE - Health PF 444 Bay Lane �i A = 186 — 084 . Centerville i i' S M E A D No.H163OR UPC 10259 smead.com • Made In USA INt No. � Fee ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes. 01ppliLatlon for Disposal 6pstem ConstCUttIon pQrmit Application for a Permit to Construct( ) Repair (V Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 7 y �J �-�C l'1�. Owner's Name,&ddress,and Tel.No. _2D 1—�3 12 9$ ii r�ai"cz. �-�r�o tc�v ¢ Assessor's Map/Parcel ® �® g �� 4 Installer's Name,Address,and T I.No. (G-p$-171) Dles igner's ame,A dress,and Tel.No. J5vr'ao1 ti',S{' %Unm;161 AAA- �3'nC_ tlt`•v•✓1G3C°`Y ,DCx�M Cc�Ae lh,®�'i�� pw?S Type of Building: Dwelling No.of Bedrooms Lot Size 03, 445 f sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min. "required) 3�jC7 gpd Design flow provided V 5 gpd Plan Date'Ad" 290 go/(a Number of sheets f Revision Date Title Jl' y la t?_ Cli IC-- Size of Septic Tank �Xl��t�i vie %aL2� /3� Type of S.A.S. P,eld 3 - JZ' ,2¢ Description of Soil -22 t AA, IG 4J Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction an tenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro ntal de and not to place the system in operation until a Certificate of Compliance has been issued by-this Board of Hea ign 4.4r s-� Q Date Application Approved by / Date Application Disapproved by ZY Date for the following reasons Permit No. Date Issued No. ? � Fee } THE COMMONWEALTH,OF MASSACHUSETTS Entered in computer: Lr; PUBLIC HEALTH DIVISION '-.TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Disposal 6pstent,Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 7 76 <' l�./1Q.. Owner's is Name,�/ �dress,and Tel.No. /o l-" �,j? P0,� p �'' 1 l>f"•' !?t"`'r r. F-•fC,r-x.O�iLjb5,/& Y� of / 1 Assessor's Nlap/Parcel 1 A 4m,111t, T. E ®370 Installer's Name,Address,and Tg1.No. r A' g (�$, �Jrj e'signer's Name,Address,and Tel.No. QVr �o �bt 4+r�z 1c ?'rC v•&x ('�c inee/ii� ¢ �la,r Fbrx vu, . „vt v"`a�. C7S Type of Building: a Dwelling No.of Bedrooms 3 Lot Size 73, 665- �^' sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( •,)`Cafeteria( ) Other Fixtures Design Flow(min.required) 3317 gpd Design flow provided y Jry gpd Plan Datewl/VAA aq, Number of sheets ,l Revision Date Title'�� 5 e Ic- �" yy A t/L,ifl e C���h'✓U���� Size of Septic Tank C1,il4i z Type of S.A.S. t-;eJe'ak ,3 - .S',"Ize 1",L 0�r � ) Description of Soil ��.t Nature of Repairs or Alterations(Answer when applicable) Date last inspected:... Agreement:, The undersigned agrees to ensure the constructionnaan�,a/intenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Glide and not to place the system in operation until a Certificate of Compliance has been issued by this'Board oYHeah. �f x� e .•./ _Date _ /sL Application Approved by ty �! tfX. eP�,< > Date3� l� Application Disapproved by Alf -- Date ' r for the following reasons- `` r 4!_ »a ,mac c ^� T r r'�.► t C.ti •l� Permit No. Date Issued = ry xr� ----------------------------- Y THE COMMONWEALTHOF MASSACHUSETTS , f , BARNSTABLE,MASSACHUSETTS ' Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Rep�edj(' - Upgraded( ) Abandoned rr 1( )by 6� 0rjc,)6&A� (C_)ra at y4` �d -4 �" X2ej'rui(),C- t has been construe in accocdarflce -� ._. �� - with the provisions//of��Title 5 and the for Disposal System construction Permit No. ated 1 '� Installer 7S i�l�l✓t.� C�w7St-YtJ�I`i�n-► -L Yet Designer ,j v rll 9y1hA C #bedrooms~ Approved design flow 33 0 i r Q d _ � - gpd The issuance of this pe it shall not be construed as a guarantee that the system will cti n j designeA/ � w- Date -. l / �4 Inspector �_�% t. }` l 1 � v v t� T"� •- -----No. %�-" "'"--------�-- -------------------------------------------------------------=-----------=Fee-----1/����rT .. .._ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal bpstem Construction Vermitk Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System locateat y , L0_n 1�e_ ItuI le— ` and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. t Provided:Co�o ction must be pc pleted within three years of the date of this permit. "a G Date�_,���� Approved by '`r b r `--•�� APR-07-2016 00:22 From: To:150e79063O4 Pa9e:1,'1 -'a i o -Barafftable Tbomm F.Geibr,Dlrel�-tor 'Thums,Melfcm,l&eet" ?w 508-790-6304 ofac* 509-962-4644 IYes lex' B➢eais�n �e tia�nn Arm ; sewage rend* Designiex: n �s(aIlle�. e; Addrema: L_, OIL. eras i=cdapettaitta install a eee Ui`1?2D& 6 , based on a design d�aavnby 11 I es ) � dated. � L •' • s refesenaed above�7as �bsts tially according to cezti that tbb septic ystem tl design,wbic]l my uaciude mmn�rn apporo�ed c�angas such as leferal xelacatioxw of t� disWbttaa box nndlcx septic tank. X ca*that the Sc* systm xefumced above was installed with xoajor CbIa 902 (LD- uefx than 10, ldtczal ielgcatioa of thr SAS m anY vaxecal xelocatian.cf OuT comp°nex t crftbe septic system)burro accord€t=with.$,h to&Local RogdadDna. Flan 105101a ai CL'Yb 1PG�a.4,b� 17 er to follow. 1�(�b• °fi �o�:s�: �q�w� ( ) • (ges;;gner's Signatuze) l , . TO E l7BI lD.L '14�N. CE8 C OF R'L�1� BOTIR T FD A& C op �PdCE i, NOT R'� �yi;�}5�BX. $A$>}T�A�I,E�CIIBLIfi•T�AY,TH D �O '. T �� No. . of Y� f/QZ6 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered m comp ter: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitatiotj for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair Wf Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 51W,8,( kn, Owner's Name,Address,and Tel.No. Assessor's Map/Parcel $ o _ _ Installer's Name,Address,and Tel.No. 6 5�.3$" Designer's.Name,Address,and Te �`l.No. 0Fl 3lc3 C� 64k Cc r s¢•�)�• I/3' vsfy Al e Type of Building: Dwelling No.of Bedrooms Lot Size �7364k5_ sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date f' Number of sheets Revision Date Title yy� &�Wljr& Size of Septic Tank & Type of S.A.S. ' e o Description of Soil ICY Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction an nance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro ntal C e and not to place the system in operation until a Certificate of Compliance has been issuen/ign Board of He . _ e Date d f l Application Approved by Date V1 _ W_17�0 ly Application Disapproved b7-- Date for the following reasons A Permit No. Date Issued ro � � 0 10. r /)0// dry_r. �/� clf7�00f6 Fee 'THE COMMONWEALTH OF MASSACHUSETTS L �/Z-6 Entered in comp ter: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS g Yitation—for-Ais osat 6 stem Construttiowt,- t-rtuit Application for a Permit to Construct( ) Re air Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. TT;, -� erg car Terzt> bU-S e-/o 16Iv' i�/off Assessor's Map/Parcel /$(r � ,� �:,f,��€taa�Cn3.� Installer's Name,Address,and Tel.No. G 5'V05' � Designer's Name,Address,and Tel.No. 3bsr 3�3 ysY/ C!60ST Type of Building: Dwelling No.of Bedrooms Lot Size '25Ge' � sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow(m=1 . 00 d) gpd Design flow provided ,,3 gp d - Plan Date Number of sheets � / Revision Date Title �_ ,n l'/� ,4aAk— {; Size of Septic Tank E Type of S.A.S. A, e k(Lo- L"s �X(1,3 ( , r* Description of Soil s 7ia� Nature of Repairs or Alterations(Answer when applicable) t Date last inspected: Agreement: r' _ The undersigned agrees to ensure the construction and.ma'n�tenance of the afore described on-sit posal.system in accordance with the provisions of Title 5 of the Environmental C e and not to place thesy stem in operation until a Certificate of Compliance has been issued yheBoardof H lth d i Date l Application Approved by ! Date �. . 1 Application Disapproved b ,r e Date for the following reasons ` V ...� / Permit No. Date Issued / -------------------------------------------- -. ---------------- ------- ---------------------------------------- ------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance A THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired W� Upgraded( ) Abandoned( ))by f�'ir-k)4 r - �� at VV9 �� � 1&1)e /i�� has been conF'�etein ac ance with the provisiolfs of Title 5 and the for Disposal System Construction Permit No � dated Installer .;F4I � x •�iQ��tr,� Designer 0.1i,�v byy,1,14tor _J�hC #bedrooms Approved design flow � and The issuance of this permit shall not be construed as a guarantee that the sys wil as esi ned. Date 5 �p / I Inspec -- - - - - - ------ - ------ - Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal .pstem onstruction 3perntit Permission is hereby granted to Construct( ) Repair( Upgrade( ). Abandon( ) System located at �y� J f�� ��>�erv� ��� F .••- and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction u be c ete within three years of the date of this permit. Date Approved by , MAY-12-2011 13:39 From:BORTOLOTTI CONST 5084289399 To: 5087906304 P.2/2 FRAM :clown cape engineering ino FAX NO, :15083629BRO May. 12 2011 02.35PIl P2 /lV og 2 I Y tFkiUIg7Y.41dt, �J � �� ,� ;pru�s�li� 1-1 a°a�Idia aDnzri3i�a�ti ��,w�6�u+s�lJr S«4�1�1�1 l�il►�JLR��iT9�j��p'dbl`�'fhM Office: 50462 460 1'na4' ,n8 7 bJD4 I nmOillrr Ths eke,•, r 'Cs 6U19rtuOra Date: •� r� �� Skwignu lk'a s-►tnlif� r�C� � lfI�� ��yr��nr'y 1�i11,a�11Pw1r4�+1 ��� ° to � Gl aCh� 1.�c:9A�a�cr: �i, t7�V1 � J/LEL•�tr� TmaiallCTo �iCBd10'Cbiy: �!.!•-( .L,`~L Addi'tw / ' p L W.1"q i.sure!a i)uT.alit in in.tull a 9e11iC symcm 9t kap_� ha,.,cd una dAsip OraWil 17.Y �81 (I mr. I r ,• 1 rftl'y tb.�t tha Ecptic �j5''%Wui mfe-,.r mad abovo was 1TI!JPOIc.i -MbStrtatx�,f ly uuuLxr�lblil to �: dui Ka, wkvb u0v ut;ludt~-T4uor aq�trnvea ciar*fre� 4 ah m4 ;aural M(rcxdurt of the distrib-atimi I:ux.f�odloT s,-Vi.r.U n k_ [ c<<,Yti1y thm the Aelrlii; uYst+�rm refut.mut-d rihnve wt,e utnt�lled wit.b r 4jur obAaQas (z.ft- '�' Kwitt-,than,J' lntaTO rohiflati nil of dhv SAS �.r an,� v�.rtical Te'loomio.a.of Mly carx►pot c:.nt ILI of tha .;otir sy'W-La) 'hr:t in ar:t•�oxdAme mdl State rl`1.I�eai ltr. I:cli4ais, k'lrt� re,,rsrn?, ar r:r.PCi!"iel t+� iltby ncr tt!&Altar. ;r a (Itic.^i�::z'� i�rui[xtie) � �A�l:►x Crc.3t;�nr';I 4CA�}�`tT�rM� r,L_i�'c BA ED �aca•a;tr, � �r�a.. , A;;- r CAP4—tT4B > ��'f'�,��� r:r.r•,�cr��a:�u,�►r:'r'r�viy °.�.�rr�. �.e_�-c��, C�_i'I'nwlhl�eptJcJi,}�ri�n��C_'rr'{ftiutimll+Crnt 1.26.tr4.dor el Zor olo Town of Barnstable P# I3�33 �iKE re ]Depae'tanent of Regulatory Services Public Health Division Date �. + ItARNnTAHIA e200 Main Street,Hyanuis MA 02601 9 • �ApfU PAA'1� Date Scheduled_ �D Time Fee Pd. Soil Suitability Assessnient f°®rr Semage Disp sal Perfonned By:_ Witnessed By: EOCATIOiel & GENERAJL INFORIVIATION Location Address f 7/ /� a Owner's Name %er Of Q/a Vj IAddress � Assessor's Map/ParccI; p/Q` Engiueer's Namc r' ^ `-O, NEW CONSTRUCTION REPAIR Telephone It �O 3 6 a Land Use 1 Slopes(%) SurCace Stones Distances from: Open Water Body ft Possible Wel.Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft F SKETCHL (Street name,dimensions of lot,exact locations of lest holes Sr.pert tests,locate wellands'in prmtintily to boles) i L L,o T 1 p 7 . 6(, r Parent material(geologic)_ Depth tt)Red'oek �GrU ' �r Depth to Groundwater: Standing Water in Flole; I/1 U Weepiltg I'1'on)Pit ROB Estimated Seasonal High Groundwater D]C7fERIMIo ATION FOR S14CASO A L HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In, Depth to s411 altJItICS; In, Depth to weeping from side of obs.hole: Ill. GrouudwuteY Adf uslnlent„e. I'L Index Well M Reading Date: Index Well leYni _ - AdI•ftletov Atlj,011 Lllldwatef UVt:l m Observation Hole tt Time at 9" Depth of Pcrc / \ Time at 6" Start Pre-soak Time @ Time(9' 6'7 End Pre-soak p Rate Min./Incli Site Suitability Assessment: Site Passed_N" Sitg.Failed: Additional Testing Needed(YIN) . Original: Public Health Division Observation Hole Data To Be Cotnpteted on Back- ------ ***If percolation test is to be conducted vvitliill 100' of wetland, you midst Hirst uaotify We. Barnstable Conservlltion I)ivision at least one (1) week prior to begianaing. Q:\S BPTIC\PEIZC FORM.DOC DIE,RP.®BSU]fZV��'I®N HOLE LOG ------ Depth from Soil Horizon ��®le# Surface(in.) Soil Text Sdil Color Soil• •, Other I- (Mansell) Mottling (Structure,Stones;Boulders, f �L L Co istrncy. %' ravel 4o — � L,s • a,//LSD , DEEP OBEF'RVATIONITOLE LOG Depth from Soil horizon 110.1e # Surface(in.) Soil Texture Soil Color (USDA) S01t Other (Mansell) Mottling (Structure,Stones, Boulders. Consi enc %Cravel ------------- G0—6 z ,4 fq DE IEP OBSERVATIONI-T®I,E Depth from Soil Porizon 5iirface(in.� Soil Texture Soil --�_ il Color. # Soil (USDA) (Mansell) Mottlln Other • g (.structure,Stones,Boulders. Consistency %t]nvell ------------ ------------- ........... — —_ DEEP OBSERVATION HOLE LOG Depth fi•om Soil Horizon HO➢e# Surface(in.) Soil Texture Soil Color (USDA) •• (Munsell Other Mottling (Structure,Stones;Boulders, Consbtencv %Orayell Flood rnsut•ance Rate Mflpn Above 500 year.flood boundary No_ Yes }( within 500 year boundary No_ yes ' Within 100year flood boundary No yes Depth oQ'P+TrDtr V211.00CU Ang l�eir�ious Material Does at least four feet of naturally occurring pervious materlal exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of haturally occurring l;ervlo�T— us materlal`r' C'e>cti$aca$ian I certify that on 'e (date)I have passed the soil evaluator examination approved by the Department of Environmental.Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in CIO CMR 15.017. Signature �• ���� Date Q:\SL1.PTlaPRRCr0RM.D0C THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Application is hereby made for a Permit to Construct ( 01"or Repair an Individual Sewage Disposal ..�4..... a.............M---------M.................j(�r......C1........................... w Address ................................m..............Atilrb-------------------M-M-------- ----------------------------------........M...................................................... Installer Address ' Type of Building Size Lot..7:3,,lo. ....Sq. feet Disposal Trench—No Width ....... Total Length i... T9tal leaching area ft. Z Other Distribution'box (-e Dosing-tank Test Pit No. 1.....7Zrt__minutes per inch Depth of Test Pit..... .. Depth to ground water. ......................................................................................................................--------------`-`----'-`---------- ' g -_-__. The undersigned ugrcco to install the aforcdescrBbed Individual Sewage Disposal System in accordance with the provisions of TiZTL LE 5of the State Sanitary Co e—The undersigned further agrees not to place the system in Date Date Date Date --' - -- --- --- - ---- ''' '- allo..-----••-•............. Fmc..........................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH tj .............................................. Alipliration for Dwpos al Workii Tonstrnrtinn thrmit Application is hereby made for a Permit to Construct (4") or Repair ( ) an Individual Sewage Disposal System at N----.. .� \_.......... l ....... _ ......-•----•• ----.. -- L cat' n-Addr s's o No. .._.....--•--•-•---•--- w f Li/�l.l�_+ . 01 .lZ1 •----•..........-• •................•-•••-•--. -! .... -----J3"�L1I/�-- w ` w er Address .............................•-•--•---••---.. _ T"v----------------.......-------- ......=-----...................................................................................... Installer Address U Type of Building / YP g � Size Lot___:�j_4`"?��_____Sq. feet I—� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ,• ........... ,----------------------------- w Design Flow........................ 5.__....___..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 _ ? ... g P --- •---- ------ g Total leaching area___. _----------- Seepage Pit No___________ ___ Diameter *_.._. Depth below inlet___._ _%'. Total leaching area_ Z Other Distribution box ( ) Dosinga tank �n �� Percolation Test Results Performed by_ _ f ___ .��{��...................... - •--f� ��- �- ,-7 Date 1 Test Pit No. I................minutes per inch Depth of Test Pit-_--__-_ -_.._ r.. p p Depth to ground water_._._ ___-__-- 44 Test Pit No.-2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ------------------------------------.................................................................................................... D Description of Soil--- I............... r..; = .1 - • -------------------------- w.. -•--•-----------------••••--••••----�' --�� LOIN=�) 5 t - " -iJ �' �`�b -u/r -. -rJ?...•......------•----•------------ w - - x -•-••- V Nature of Repairs or Alterations—Answer when applicable............................................................................................... --------------------------------•--------------------------•------------•-------------------....--------------------------------------------•----------•---------------------------...•-----•...._..-•-• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITILj 5 of the State Sam y C e- The under ' ned further agr es not to place the system in operation until a Certificate of Compliance ha b en sued b t e bo r of h h. 00. Signed. •. � A lication Approved B '..____. e PP PP Y--••--•--•----•-••......-- -• •.•-•-•-•----••-•-•--•...............•-.....--•-•--• ........................................ Date ....._..__� Application Disapproved for the following reasons__________________ ---•------••--•-----------•-••-•------•--•--•---------------•----•----••----------------------•-----••----•••••••••----•-•--•---•••----•---••---•-•---------•--•---•••--------•-----••••----••---------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... .. t l.`.��..............0F......!.,,�.G rrs.......... Trrtifiratr of Tantplianrr �✓ THIS IS TO CERTIFY, That Individual Sewage Disposal System constructed �or Repaired ( ) _......by .s' -(' ........... •-•---------•---•...............................•-•---------....._._......-- Installer has been installed in accordance with the provisions of TIYIt ,,f +The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEDAS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.... ..'...- 8`1 Inspector........ ----------------------------------------------•••---••--------••...... THE COMMONWEALTH OF.MASSACHUSETTS -- BOARR OF HEALTH .............................................. OF.. f.....:� i�rA:.—�... FEE........................ Billpasatl Iry nng#rndi.att r tt Permission is ereby granted....... � .__.._°.. ........... to Construct pr Re stem Repair an Individual Sewage Disposal S ( l.-�s--P- ( ) g P Y at No...............•--•..--.- •••'-----64--••••R-A_i 1 Street as shown on the application for Disposal Works Construction Permit Nit------ .___. t d.......................................... Boa d of Health - DATE.................. ------•---..._.__._ . -ORM 1255 A. M. SULKIN, INC., BOSTON { , SLED = I s i 60A ' f i 1 1 pp: 1 R Pry!^f i f 1 t 1 { • I I i I C I ( F � � ; � I I ( I I I f I I I I � I , I � • � i f i I I f re F�k oss 1 � I � � ( I 1 � I ' F I ' •1 4 - I r 1 Y a 3 1 i f i t i i t MAY.25.2007 1:24PN , ATTY JEFF JOHNSON — - NO.480-- P.2 - ---.- �` 05-25--2007 Y 2=07 SARNSTABLE LAND COURT REGI$TRY � D�1�ST�tTCT,tON ' Property: 444 Bay Lane,,CentgVille,MA WI ER AS, Barbara Stouesifer Terzopoulos, with a ma's address of 18 'High Rook Road, . York,h E 03909, is the owner of 444 Bay Lane,Centerville,MA.. l M-MR EAS,Barbm Stonesifer Terzopoulos,as the owner of said lot has agreed with the Town of Barnstable-Roard-of H1tjta a-re;striC on-as to the r=ber of bedrooms which can be, included iri the homy built on said lot as a pre-condition to obtaining a variance from the 31 U CMR 15,214 State-Environmental Code, Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WI-RR2AS,the Town,OfBarnstable Board of Health,as a pre�conditioato granting t1le variance from 310 CMR 15.214, State Environmental Code, Title V,Knimum Requirements for the Subsurface Disposal of Sanitary S41 ewage,is requiring that the agreement f9r the restriction on the number of bedrooms in the house 00mtrueted on the lot be put on record with the Barnstable County Registry of Deeds by recording this docum=t, I NOW, TBEREFURE,Barbara SatoueWhr Terzopoulos,does hereby place the following restrictiM on the above referenced land in accordance with their agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: 444 Bay sane, Centerville,MA,the jaouse constructed upon the lot may contain no more than three(3 )bedrooms, Barbara Stonesifer T=opoulos, hereby agrees that this shall be a permanent deed restriction affecting 444 Bay Lane, Centerville,MA, and being shown as Lot 9 on Barnstable County Registry of Deeds Land Court plan 41594-A(Sheet 2) For title raference see the deed recorded with the Barnstable County Registry of Deeds Land Court Cel;ti.ficate of Title No, 167282 MAY.25.2007 1:24PM ATTY JEFF JOHNSON - N0.480 Executed as a sealed instrument usA day of 2007 BARi3AR A S.TERZOPO STA.TE.OF i counter pf May�, 2007 Thou ta-ppeared before me, the undersigned notary public, the above.named BARBARA STONESIFF1t'rE ZQpOULOS who proved to me through iCientific ion, which•Were evidence of to who is-lmown by.=,and acl�o me known to i�the person whale name is signed on,the preceding or attached document', and, �vl� ged to me that he/s! /xt signed it valuntarilY for its stated purpose, r J Notary Public MY commission expires; (SEAL) SHARD vROD!$EVV$jq Nobry.Py44 joh@ Ally Ca mglsi P EVkel gprn 12,2R9 4 9Ve=P0u7.os,deed restrietdoe i i NOTES oUfe 28 SYSTEM STEM DESIGN: SYSTEM PROFILE , MARKED WITHCMAGNETIC TTAPE AOR BE 'VO��J Fr=-L E G E N D COMPARABLE MEANS FOR FUTURE LOCATION. PROVIDE MIN. 20" DIAM WATERTIGHT (NOT TO SCALE) 1. DATUM IS APPROX. NGVD - 99- EXISTING CONTOUR GARBAGE DISPOSER IS NOT ALLOWED ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 2. MUNICIPAL WATER IS EXISTING s od Ro X 99.1 EXIST, SPOT ELEV. DESIGN FLOW: 3 BEDROOMS © 110 GPD = 330 GPD \ TOP FOUND. EL. 16.6' FILTER FABRIC OVER STONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. R\Jec cr,Xx�i o 99 PROPOSED CONTOUR USE A 330 GPD DESIGN FLOW MINIMUM .75' OF COVER OVER PRECAST 2� SLOPE REQUIRED OVER SYSTEM 14.5' - 15.0' 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS PRECAST H-10 MIN. 2" WALL THICKNESS BLOCKS OR Locus PRECAST RISERS TO BE AASHO H-]�( 198.4] PROPOSED SPOT EL. SEPTIC TANK: 330 GPD (2) = 660 RISERS (TYP.> 2'� 4" SCH40 PVC MORTAR ALL INVERT IN 12.54' 5. PIPE JOINTS TO BE MADE WATERTIGHT. TH1 USE EXISTING SEPTIC TANK** ._ PIPES LEVEL 1ST 2' 4• COMPONENTS 4, .... ,.. :.� •�"' ' ° r ENDS S DES NCE WITH TEST HOLE (TYP.) I 13.37' `•� o�o�o�o� 00000000° 10 1 00 (TITLE ) 0 BE IN ACCORDANCE 6 CONSTRUCTION DETAILS T RDA 1O" 14" - ° ° ° ° ®0®O ME= ®®m®- A ®mm ;og000gog 3 CMR 5 0 T 5. _ 2% SLOPE OF GROUND LEACHING: EXISTING TEE 1 00000°oo . ®®®®�®®0®�® ��®�®®®®�®® ;o°o °g° ° TEE ,SEPTIC TANK** 13.Dt* o 0 0 0 •O °o° >°o°000°o o ,000000 o 0 0 0 0 0 0 o c a ,°°°°°°°° ®®��0®®�� � �� �®®®���� ° ° ° ° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO ��1 a SIDES: 2 (33.5 + 12.8) 2 (.74) = 137 GPD ° ° ° °° ��ODO��O� ® �D DDDO�O� °g""' �' goad GAS BAFFLE 0 000000000000 00 ;°o°g°°°° ° 10.54 BE USED FOR LOT LINE STAKING OR ANY OTHER UTILITY POLE o 0 0 0 0 0 0„ °°° °°°° ° - 3.5 x 12.8 .74 = 317 GPD 12.79' 12162' � ° ° PURPOSE: ��a�L �y�Q� FIRE HYDRANT BOTTOM 3 ( ) `� e ti o3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. H-10 500 GAL. LEACHING CHAMBERS BY ACME PRECAST OR EQUAL. Y •'::...•.;.._••: ,:•;... :. , " UNITS REQUIRED 5 ' on9 6" MIN SUMP 3 U I Q 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. � t�°�t geoch Rood NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING TOTAL: 614 S.F. 454 GPD 12 MIN. INT. DIM. ALL AROUND PRECAST STRUCTURES OVERALL DIMENSIONS TO OUTSIDE OF STONE: 33.5' X 12.83' 9. COMPONENTS NOT TO BE FI OR CONCEALED USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) 6" CRUSHED STONE OR MECHANICAL WITHOUT INSPECTION BY BOARRDD O OF HEALTH HEALTH AND 5. WITH 4' STONE ALL AROUND COMPACTION. (15.221 [21) 14' PERMISSION OBTAINED FROM BOARD OF HEALTH. 10, CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCUS MAP DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES NOT TO SCALE " PRIOR TO COMMENCEMENT OF WORK. USE ADJUSTED G-W ( 1+% SLOPE) ( 1 % SLOPE) ELEVATION 5.4' 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE ASSESSORS MAP 186 PARCEL 84 LEACHING REMOVED LEACHING ' BENEATH AND AROUND THE PROPOSED ' *THE INSTALLER SHALL VERIFY THE FOUNDATION- EXIST. SEPTIC TANK 21' D BOX 10' FACILITY LOCATIONS OF ALL UTILITIES AND ALL 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND BUILDING SEWEROUTLETS AND - - - REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. ELEVATIONS PRIOR TO INSTALLING ANY MA PORTION of SEPTIC SYSTEM APPROVED DATE BOARD OF: HEALTH **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE TD TEST HOLE LOGS CONDITIONS IF NOT SUITABLE J- 9,yF , ARNE H. OJALA PE, SE ENGINEER: > WITNESS: DAVID W. STANTON, RS DATE: APRIL 6, 2011 00 PERC. RATE _ < 2 MIN/INCH 14:1 16 '�1N EASEMENT 5' REMOVAL OF UNSUITABLE SOIL REQUIRED GROUNDWATER ADJUSTMENT CALCS: CLASS I SOILS P#13233 AROUND PERIMETER OF LEACHING FACILITY, WELL: MIW 29 (� �-` \ 13 9 DOWN TO SUITABLE SOIL LAYER. REPLACE ZONE: B ELEV. ELEV. ( (y) 41.�' WITH CLEAN MED. SAND, TO MEET ADJUSTMENT: 2.1' 1 2 SPECIFICATIONS OF 310 CMR 15.255(3) � 13.3' 0$1 13.3' 18 ��� 57" FILL UNSUIT. 60„ FILL UNSUIT. •. i (�� �� 14.00 14. 9 i 13. 8 A/B A/B (r ..��` .. 1 j 14 6 /LS UNSUIT. /�LS UNSUIT. ( ( �_` a 10YR 2/1 10YR 2/1 BENCHMARK x 1 . (� )3.fig I I j PAVED \ ^ 59" 62" COR TOP BR.�STEP / \ I J ' \ DRIVE ELEV. = 17.2 2 -I II 1 �f 14.56 /' �14 7 O E E /TH 2 1✓ TH 1 / I li \ \ /MS UNSUIT. /MS UNSUIT. X 1.80 / -1 fi I \ 10 x 9.49 x 2.8(Y13.77 15.13 \ �/ - 60" 64" .40 1�.29 \ x 15.2 x /3.11 xIS . I x 1I4. No 1 � 7 � B B 1 1113 .50 S NK1 x11�R\ �P5,52 5. 5.72 1 /Ls / UNSUIT. �LS / UNSUIT. P N 1 3 14.05 00, �/ 10YR 5/6 ' 10YR 5/6/ ' /10 A 5.33 5.62 6.5 15.j 16.21 G 84" 6.3 84,, 6.3 // lag\ /9 9. .07 2 17.17 \9 ELEC. x 7.70 h SIEVE C C METER / #11 MS MS 4.16 x�5. 3 x 2. 2 k �3.08 �� 3.3' x 8.68 5 x .67 ®9.31 \ 14. 5.42 \ EXISTING 1 OBS WATER y \ EXISTING GARAGE 3 / � 5-/ �77 DWELLING 1 " OBS WATER x 7.48 1 9.5 TOP FNDN. = EL. 16.6' 13.12 1 .17 x 7. v 132"1 10YR 4/6 2.3' 134" 1 OYR 4/6 2.1 ' x 6.89 9.�§7 5.9 .39 .88 3.35 NO GROUNDWATER ENCOUNTERED j6 x .85 x 9.67 �� 12. #10 8.8 �F#9 5 4.8 G� / x1268 w� x 8.4 9.10 DEG / 1< % X 63 / 0 .91 #i SHED 05 / � #8 / O\ 8 X .66 6. .95 / �.73 k 3. 8 _, LOT 9 3 x 8.52 i # i :• TITLE PLAN 73,665 SFt 7 I ' /37 6 #4 �3. 4 � � OF #5 2.91 444 BAY LANEULN'FERVILLE PREPARED FOR 3.59 v-\N MASS# �<<p' gCyG �jN OF MASS'�C' -A BORm1mOLOTT1 CONSTRUCTION/ � �o� DANIEL A. °� DANIELA. tiGN.. 0 OJFaLA " o OJALA No.40980 v T E R 0 P 0 U L 0 S CIVIL P No.46502 °FESS�°�o� S7 G/, MARCH 29, 2016 n q�0 vEl ,c E� �� S R, . y5 NA Scale:EN Scale: 1"= 20' rn 0 10 20 30 40 50 FEET CD I q / W 6? t OFF AS s� AA �H aFMassyC off 508-362-4541 /c C�P.rdlEl L y A 3, so DANIELA. fax 508-362-9880 I^,,i r(o (�JALA I downcope.com CIVIL down cope engineering, inc. � ro ivo =I U�i,�� No, 4650?_ ,z , A civil engineers ° -_ land surveyors 939 Main Street ( Rte 6A) DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 >-064 LEGEND SYSTEM DESIGN. ALL SYSTEM COMPONENTS SHALL BE oU{e 28 SYSTEM PROFILE ILE MARKED WITH MAGNETIC TAPE OR NOTES COMPARABLE MEANS FOR FUTURE LOCATION. PROVIDE MIN. 20" DIAIM WATERTIGHT (NOT TO SCALE) 1. DATUM IS APPROX. NGVD 99 - EXISTING CONTOUR GARBAGE DISPOSER IS NOT ALLOWED ACCESS COVERS TO WITHIN 6" OF FIN. GRADE PROVIDE INSPECTION PORTS TO X 99 7 EXIST. SPOT ELEV. DESIGN FLOW: 3 BEDROOMS © 110 GPD = 330 GPD TOP FOUND. EL. 16.6' WITHIN 3" OF FINISH GRADE 2. MUNICIPAL WATER IS EXISTING s Rood \ 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Rivet 99 PROPOSED CONTOUR USE A 330 GPD DESIGN FLOW MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 14.5' - 15.0' 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS [98.41 PROPOSED SPOT EL. PRECAST H-10 TO BE AASHO H-]Q Locus TH 1 2'0 SEPTIC TANK: 330 GPD (2) = 660 RISERS (TYP.) 4"0SCH40 PVC r USE EXISTING SEPTIC TANK** PIPES LEVEL 1ST 2' S`. PIPE JOINTS TO BE MADE WATERTIGHT. TEST HOLE 12.64' 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH o 0 2� SLOPE OF GROUND LEACHING: 10" EXISTING TEE , 310 CMR- 15.000 (TITLE 5.) 4.72 SF LF x 6.25' LENGTH = 29.5 SF PER HIGH TEE SEPTIC TANK** 13.Ot* '. �� / °o�o�o�°o�o�o o° 12.23 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO �Q, urluTY POLE CAPACITY INFILTRATOR UNIT GAS BAFFLE :: 0 92 PURPOSE. ����P• goy` 0 000000000,00 ,^ BE USED FOR LOT LINE STAKING OR ANY OTHER FIRE HYDRANT 330 GPD/0.74 GPD/SF = 445.9 SF LEACHING 12.50' 12.33' 11.31 NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING REVID 6" MIN. SUMP o� ain Road " 16 H-20 HI-CAP INFILTRATORS 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. f� t Beach 12 MIN. INT. DIM. O 5 on NO N PROPOSED)STO E CONCEALED 9 COMPONENTS NOT TO BE BACKFILLED OR CO CE LED 445.9 SF/29.5 SF/UNIT _ 15.1 UNITS 6" CRUSHED STONE OR MECHANICAL DIMENSIONS: 25' X 11.3' WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. USE GRAVELLESS SYSTEM OF (16) COMPACTION. (15.221 [2]) 5.91' 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCUS MAP THEREFORE, DIGSAFE (1-888-344-7233) AND VERIFYING THE H-20 HIGH CAPACITY UNITS IN FIELD F" CONFIGURATION OF 4 ROWS OF 4 UNITS LOCATION of ALL UNDERGROUND & OVERHEAD UTILITIES NOT TO SCALE PRIOR TO COMMENCEMENT OF WORK. 16 UNITS x 29.5 SF = 472 SF > 445.9 SF (OK) ( 1�% SLOPE) ( 1 % SLOPE) 349 GPD OK a USE ADJUSTED G-W ® 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE ASSESSORS MAP 186 PARCEL 84 472 (0.74) ( ) 4 REMOVED 5 BENEATH AND AROUND THE PROPOSED LEACHING *THE INSTALLER SHALL VERIFY THE FOUNDATION EXIST. SEPTIC TANK 13' D' BOX 12' ELEVATION LEACHING FACILITY. LOCATIONS OF ALL UTILITIES AND ALL FACILITY BUILDING SEWER OUTLETS AND 5 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND ELEVATIONS PRIOR TO INSTALLING ANY MA - REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. PORTION of SEPTIC SYSTEM APPROVED DATE BOARD OF HEALTH i **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE 10 CONDITIONS IF NOT SUITABLE TEST HOLE ` LOGS ENGINEER: ARNE H. OJALA, PE, SE WITNESS: DAVID W. STANTON, RS DATE: APRIL 6, 2011 .00 PERC. RATE _ < 2 MIN/INCH 14.17 16 �1 82 EASEMENT / 5' REMOVAL OF UNSUITABLE SOIL REQUIRED CLASS I SOILS P#13233 AROUND PERIMETER OF LEACHING FACILITY, GROUNDWATER ADJUSTMENT CALCS. ((� \ 13. 9 DOWN TO SUITABLE SOIL LAYER. REPLACE WELL: MIW 29 ( ( w� 41. WITH CLEAN MED. SAND, TO MEET ZONE: 'B ELEV. ELEV. <� 'J \ \ SPECIFICATIONS OF 310 CMR 15.255(3) ADJUSTMENT: 2.1 1 2 , off r.)4�8 % \14. FILL UNSUIT. FILL ��r . _J)) \ \ �ry/' UNSUIT. 14. 9 1 14.0 579960 � � T/LS UNSUIT. TLS UNSUIT. 3.BENCHMARK gyp, x 1 J)) 1 I ��11 \ DRIVE `� " ,P 10YR 2/1 10YR 2/1 COR TOP BR. STEP L � � � » 59 62„ / . ELEV. = 17.2' � � - 14.56 TH 21 / 14 7 o E E iTHz . 1 1 \ \ X 1.80 i x 9.49 . MS UNSUIT. MS _ 1 - ,_ ___ _. -, .mow. = __�_s d-. 3.77 1• i s.�3 � 1 UYF2 7 1 10Yf� � � / .40 1a 9 _ x 15.2 60 64 \ 1 .77 lb X11 T. I x11 ��N B B 1113 .50 ANKH x 1 \ \9 5.52 �5 'S.72\ � / UNSUIT. / 3 1 /LS /LS UNSUIT. 1 15. 3 14.05 �10 5.33 5.62 6.5 1 eRo�16.21 N PP j 84" 1 OYR 5/6 6.3' 84" 10YR 5/6 6.3' 14.07 2. 17.17 p\� ELEC. x 7`70' G) C C X 67 14.16 x/5. ' METER #11 SIEVE C MS x 8.68 S ®9.31 \ EXISTING x 2. 2 14. 5:42 EXISTING' \ GARAGE q 3.08 9.57 1 �77 DWELLING t 1 OBS WATER 3' 1 OBS WATER 3.3' x 7.48 TOP FNDN. = EL. 16.6' 13.12 xT �. �7 1 .17 x 7. 132" 1 OYR 4/6 2.3' 134" 1 OYR 4/6 2.1 ' 5 /6 x .85 x 9.67 .39 88 2. ..�'�3.35 �. #10 NO GROUNDWATER ENCOUNTERED 8.8 A #9 T x 4.8 � O x8.4 9.10 OECD ' x1268 X .63 SHED o5 .91 � 66 g, 8.95 0. •� a\ x �3.73• /• #1 �\ ( / #3 k 3. 8 x 8.52 LOT g / 73,665 SFf �3.36 #4 3. 4 TITLE 5 SITE PLAN OF #5 2.91 444 BAY !LANE CENTERVILLE ••� PREPARED FOR ••�3.59 BORTOLOTTI CONSTRUCTION/ 0) TERZOPOULOS APRIL 7, 2011 Scale: 1"= 20' rn t c3� 0 10 20 30 40 50 FEET o� \1 OF off 508-362-4541 OFI `� qss DANI[aLA GN' DANIEL 9p�N fax 508-362-9880 downcope.com Noas oz OJ L� down cope engineering MC. `j °� FOIST °two :: � S ,� ' civil engineers C �%©n,A `' �-- land surveyors ` 939 Main Street ( R to 6A) DATE DANIEL A. _OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 >-064 /* A C� ONO vl�V "Co o Ir PA Werra., 1;0 SF Akl 1-7 LAO V 4;.A LpA AA I Nv, TA N k— 4-v 1 r�1 .J' dV M Insw 1c; f 26 7: IS- 4, TA Ae. "WHIARD A ►- PIT NO 29976 40�,- NAI, t tap ?, 34=) 4 *�, A It.1 i,-Xj rZATr, :, PLA (a .200