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0140 CONNERS ROAD - Health
140 Conners Road Centerville F A = 251 014 a i i a' Sllll J1OcyctroCO CO, NoP212534 -153LOR ��kPoSi.GONS°`��a HASTINOS.MN I TOWN OF BARNSTABLE LQCATION ` d Cann�irS SEWAGE# �� — VILLAGE (�:Q��( /���(' ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO.` SEPTIC TANK CAPACITY 1'Sf5`O L\,cJ`-,JCk LEACHING FACILITY.(type) /� (size)* NO.OF BEDROOMS Z OWNER 'fig PERMIT DATE: Z1 to la Z4 COMPLIANCE DATE: / Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Weil 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 Co� � ���� �- r -, �.. �. � >, _ � �,. ,�.x � � . _. r _. �, .a_m . . , s,- . . �s� + r � ,i. .. �� I� e .. Y ,_ �� � � _ _ - No.L7 ��v 45 Fee THE COMMONWE5ALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS appfiration for Bisposal *pstem Construttiou Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. m tr Owner's Name,Address,and Tel.No-'To, 6►"i"..6, Assessor's Map/Parcel Installer's Na e,Address,and Tel.No. Designer's Name,Address,and Tel.No. �S�/�Je y�v, Qy.Y?Qr► 711 Type of Building: P 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 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) TJ 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 Boar �HLalt ' S' a Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. — Date Issued at� 1�_.a..,.+,,-. Mn '.�.....f 3F. �.:Wr r i..,,,+,.. -..�'".. i,.{i :t. # ,-,2 ,.ems.- ,-.r.ae• �. r- \ * lr No. �. ..— t t (} 1 Fee /� �•) V ` r�"THE COMMVW LTH OF MASSACHUSETTS Entered in computer:!:: 'i.'^,r--a Yes PUBLIC HEALTH DIVISIONL TOWN OF BARNSTABLE, MASSACHUSETTS ` .. 41 application for Nsposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ). Upgrade( ) Abandon( ) ❑Complete System �Individual Components Location Address or Lot No./y (O►in er Owner's Name,Address,and Tel.No.�Yh C,✓2-w•. Assessor's Map/Parcel C-P vl I l�a 53/ D/ I t/� eaYY /F > &A C,v (I, Installer's N e,Address,and Tel.No. Designer's Name,Address,and Tel.No. wj/jVr,&n 2 2+t4 Type of Building: Dwelling No.of Bedrooms Lot Size t �7�Jy 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 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil t Nature of Repairs or Alterations(Answer when applicable) �r�li-}Q —Q.7�rc �•(f�� / 130 "\( .4l4, S 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 4f H-�alth,4 si e / Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. --- Date Issued C2 c lJ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by 7oh,� ( .e a IV G-e.. IC V45 u 4- at � ' D 0o^n,-✓'S 2 (7,ede ru( 'l has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.,+P,Z 0,09 1ated Installer Designer S V i vc. G 1 rwarr� +ter #bedrooms Approved design flow gpd The issuance of this permit/shallll^n'of a e construed as a guarantee that the systeme,_illl ct o ao'--d'�ALt-nedD.Date / j Inspector \ , n. - - - - -- --- ----- ----. ------ --- - No. p� �>�lC� y 4_3 Fee ( J 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Nsposal 6pstem Construction Permit yr Permission is hereby granted to Construct( ) Repair( ) Upgrade( /)� Abandon( ) System located at J�D w r'S 2Lb C' P�tF ✓� t ((� 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:Constructi must be completed within three years of the date of this pe it. Date Approved by Town of Barnstable. Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. September 15, 2004 Mr. Terence Chase Steinbeck and Taylor, Inc. 844 Webster Street, Suite 3 Marshfield, MA 02050 Dear Mr. Chase, You are granted variances, on behalf of your clients, Timothy Connolly and Kathleen Connolly, to construct an onsite sewage disposal system at 140 Connors Road, Centerville. The variances granted.are as follows: 310 CMR 15.405 (a): The soil absorption system will be located five (5) feet away from the front property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.405 (b): The soil absorption system will be located 5.6 feet away from the foundation wall, in lieu of the twenty (20) feet minimum setback required. The variances are granted with the following conditions: (1) The designing engineer shall submit revised plans showing a pump � a system located after the septic tank within a properly sized chamber. ;0/,��v,� (2) No more than two (2) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (3) The septic system shall be installed in strict accordance with the revised engineered plans. Q:WP/ChaseConnolly (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans. This variance is granted because physical constraints at the site severely restrict the location of a soil absorption system due to it's proximity to the lake. The proposed new septic system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sincerely yours, -1�5) filler, M.D a�� . Chairperson Q:WP/ChaseConnolly f - • _. - r. • s-. " - ._._ ,-;JY .r-J-+Y".y""♦Nw.4� C.�..- l- ' ♦ �L M e �♦A' No. L"( J ( i r (U✓t1�J �d Tr- ' (�j vl� Fee/_vim y W_ T COMMONWEAL H OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Otppgication for Mi5po5af i§pgtem Coii.5tf'uction permit Application for a Permit to Construct( ) Repair/ Upgrade( ) Abandon( ) 2 Complete System ❑Individual Components Location Address oor /r Lot No. V C Q w4el,5 / ��t' Owner's,NNaame,Address,and Tel.No. Ass ssor'®p/Parcel C,� rvi/ly �/�L� 6mlfe4q A-; . Installer's Name, ddress,an Tel.No. Designer's Name,Address and Tel.No. 7 7/°- Type of Building: Z /, Dwelling No.of Bedrooms Lot Size �✓ �'Z sq. ft. Garbage Grinder (Aej��9 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) s ® �y gpd Design flow provided Z 7 6 gpd Plan Date l� Number of sheets l Revision Date Title d� Size of,Septic Tank �`, ® Type of S.A.S. .7— Description of Soil ✓? ® �/!� 1 Z X�`i ,,�� Nature of Repairs or Alterations(Answer when applicable) 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 th4BBoargf/Hlth, q Signed Date ` �// Application Approved by 1000, Date 0 -..(j -0& Application Disapproved by: Date for the following reasons Permit No. aGpj;- 37 Date Issued �No.�.e2-0d � / l410 . (U Rf Fee TfHE COMM NWE L'I Fi Entered in computer `l ,. � � OF MASSACHUSETTS Yes -- PUBLIC HEALTH.DIVISION - TOWWOF BARNSTABLE, MASSACHUSETTS ,,Zppgication for �Bigonl �§pgtem 6fiar-action Permit Application for ta.Permitto Construct( ) Repair(/ Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Cot NoIVo C 0 J//1'1'5 rblP Owner's Name,Address,and Tel!No. r Assessor's©ap Pa (m cel elt, /e !///1C� �/ y: Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of BedroomsLot Size sq. fr. Garbage Grinder ` Other Type of Building Ae5M0i? ce No.of Persons Showers( ) Cafeteria( ) Other Fixtures - /y Design Flow(min.required)s A,g11.) gpd Design flow provided 7 gpd Plan Date / ,©5 Number of sheets / Revision Date _,/0 Q®/� Title D l' Li 7&52 al- Zq0 60i4eel1✓5 C©4sGj� Size of.Septic Tank Type of S.A.S. 6.ryll -C_ Description of Soil 3;M /,y /Z eaZ �kz- Nature of Repairs or Alterations(Answer when applicable) Date last inspected: f ' 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. 94 Signed r� Yv-� Date 1 �r �� Application Approved by . � ldti,. Date -9 Application Disapproved by: Date for the following reasons Permit No. 2 coef-37 >' Date Issued ----------__—__ —_ ------------------------------ - --- --------------------' ------ ------ THE COMMONWEALTH OF MASSACHUSETTS--------------------------- BARNSTABLE, MASSACHUSETTS �P - --' Certificate of Compliance. - THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (!/) Upgraded ( ) Abandoned( )by 26dr 1452l'� at l q&-� COOeOt-J rd&eK 6e01-e1U111"e has been constructed in accordance r/ with the provisions of Title 5 and the for Disposal System Construction Permit No. -2ff VJ'-S 7/ dated R-0 "Ud Installer 11 I'J , 1 Designer #bedrooms A at tYN �\G[2 Approved d-sign flow a f� �j /�� gpd �!, The issuance of this permit s�ha}ll/not b/e�c/onstrue as a guarantee that the system ill functibn/is desighed. Date Inspector a N Fee ora Q 7 ------ THE COMMONWEALTH`Og ItASSA-CHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS ------- ---- --� Mi,gpanY *pgtem CCom5truction PermitPermission is hereby granted to Construct ( ) Repair ( lo )l Upgrade� ' ) Abandon ( ) System located at � and as'described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of tJais-permit Date Cl - / P Approved by '° r .t Transmittal-Letter. - To: r Board.of.Health --- 200 Main-Sfreet —Lffyannis, MA 02601 Attn:.�o�,nz.. I�Ylor�..aS1i From: Stephen A. Wilson, P.E. Subject: Pcrwt�} 4Zp0r- 371/lto w,rwes IU Date: We,are sending-you 0 Attached ❑Under Separate Cover The following documents: . ❑Prints❑ Order of Conditions❑Variance Approval❑Recording'Slip ❑ Septic System Permit ❑Notice of Intent Other DATE QUANTITY DESCRIPTION These items are transmitted as checked below: ❑ For Your Use ❑ As Requested For Your Files ❑ For Review and Comment ❑ For Recording As Required Other: Additional Distribution A I. if Co✓1Sf; a File No. 200'%-031 Baxter Nye Engineering&Surveying Phone:508-771-7502,ext.13 78 North Street,3`d Floor Fax: 508-771-7622 Hyannis,Massachusetts 02601 E-Mail:swilson@baiter-nye.com TransmittalLetter5.doc Town of Barnstable VE Regulatory Services •--- Thomas F. Geiler,Director _ N MRNSTABLE • _ . � € , MARKg Public Health Division i6;9 10. ��.► ''. _ _ _ _ _ Thomas McKean,Director _ `-)� r 200 Main Street,Hyannis,MA 02601 S v) rn p Office: 508-862-4644 Fax: 56-8'790-6104 N Installer & Designer Certification Form cn co rn Date: 9 Sewage Permit# 2=W-37/ Assessor's Map\Parcel 2S/01 y Designer: Sim kc�i A. u:tses. - t?t. Installer: Za4yla#4 Canst. Address: L_ ax4x.-Lide- Address: Ro. y3ag WY On - `t I z Og Ba r+a l o tii Ctt,4s1-, was issued.a permit to install a (date) (installer) septic system at 1140 Co•,viers ►--U, Ce&4fewvi I (c, based on a design,drawn by (address) Sfcip%%g A. W:t a w-) R E . dated (designer) X 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 Ahe distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any 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. OF (Installer's Signature) (Designer's Signature) (Affix Design_ r 9tarnp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH_ DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORW AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. I Q:Health/Septic/Desiper Certification Form 3-26-04.doc ��'2Cx��'•na I, Rk 23146 Pa3 3 -0-47367 DEED RESTRICTION WHEREAS,ALAN A. GREEN and SHERRY R. GREEN, of 4038 Old Trail Way,Naples, Florida 34103, are the owners of land and buildings thereon located at 140 Conners Road, Centerville, Barnstable County, Massachusetts, and being shown as: PARCEL A' A certain parcel of land in said Centerville comprising the upper portion of Lot No. 7 and the"10 ft. Path"lying on the Northeast side of said Lot No. 7 shown on a plan entitled"Revision of a Portion of Lots "Wequaquet Pineneedles" Centerville, Mass. Surveyed for Edith M. Connors dated December 14, 1948, drawn by Bearse & Kellogg and recorded with the Barnstable County Registry of Deeds (the"Registry")in Plan Book 89, Page 63 and bounded and described as follows: On the Southeast by a 20 foot way, one hundred and six and 71/100 (106.71) feet; On the Southwest by land now or formerly of Margaret J. Hansberry, fifty (50) feet; On the Northwest by the remaining land of Charles D. Orth, III et. ux., about one hundred and seven (107) feet; and On the Northeast by Lot No. 8, as shown on said plan,thirty-five (35) feet and containing about forty-five hundred (4,500) square feet, more or less. The above described premises are subject to all rights,rights of way, reservations, restrictions, easements and covenants of record and more particularly to those set forth in a deed from Charles D. Orth, III et. ux. to George Blaney et. ux. dated January 11, 1958 and recorded in the Registry in Book 995, Page 216. PARCEL B' A certain portion of Lot 6 and a portion of Lot 7 as shown on a plan entitled"Plan of Wequaquet Pine Needles owned by Mary A. Tobin,"dated 1927 made by Nelson Bearse, Surveyor, Centerville, Mass., recorded with the Barnstable County Registry of Deeds in Plan Book 47, Page 119 and bounded and described as follows: Beginning at a point in the Southwesterly corner of the granted premises on the road shown on said Plan, six(6)feet Easterly along the road from the Southeasterly corner of Lot 5 as shown on said plan; thence running Northwesterly by land now or formerly of Maida Libbey Backus about one hundred sixty-seven(167) feet in a straight i line to Wequaquet Lake;thence turning and running in.a general Easterly direction about one hundred(100) feet by said Lake to Lot 7 as shown on said plan; thence turning and running Southeasterly in a straight line parallel to the course first mentioned about one hundred fifty(150) feet to a point on said road six (6) feet Easterly along said road from the Southeasterly corner of Lot 6, as shown on said plan; thence turning and running Southwesterly by said road about one hundred(100) feet to the point of the beginning. WHEREAS, Alan A. Green and Sherry R. Green, as the owners of said lot have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, The Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document. NOW, THEREFORE, Alan A. Green and Sherry R. Green, do hereby place the following restriction on their 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 successors in title: 1. 140 Connors Road, Centerville, may have (No.,Street&Town) constructed upon the lot a house containing no more than two(2)bedrooms. Alan A. Green and Sherry R. Green agree that this shall be (Owner's Name) a permanent deed restriction affecting the following described property: PARCEL A' A certain parcel of land in said Centerville comprising the upper portion of Lot No. 7 and the"10 ft. Path"lying on the Northeast side of said Lot No. 7 shown on a plan entitled"Revision of a Portion of Lots "Wequaquet Pineneedles" Centerville, Mass. Surveyed for Edith M. Connors dated December 14, 1948, drawn by Bearse&Kellogg and recorded with the Barnstable County Registry of Deeds (the "Registry") in Plan Book 89, Page 63 and bounded and described as follows: On the Southeast by a 20 foot way, one hundred and six and 71/100 (106.71)feet; On the Southwest by land now or formerly of Margaret J. Hansberry, fifty (50) feet; On the Northwest by the remaining land of Charles D. Orth, III et. ux., about one hundred and seven(107) feet; and On the Northeast by Lot No. 8, as shown on said plan,thirty-five (35) feet and containing about forty-five hundred(4,500) square feet, more or less. The above described premises are subject to all rights, rights of way,reservations, restrictions, easements and covenants of record and more particularly to those set forth in a deed from Charless D. Orth, III et. ux. to George Blaney et. ux. dated January 11, 1958 and recorded in the Registry in Book 995, Page 216. PARCEL B• A certain portion of Lot 6 and a portion of Lot 7 as shown on a plan entitled"Plan of Wequaquet Pine Needles owned by Mary A. Tobin," dated 1927 made by Nelson - Bearse, Surveyor, Centerville, Mass., recorded with the Barnstable County Registry of Deeds in Plan Book 47,Page 119 and bounded and described as follows: Beginning at a point in the Southwesterly corner of the anted remises on the � g P Y �' P road shown on said Plan, six(6) feet Easterly along the road from the Southeasterly corner of Lot 5 as shown on said plan; thence running Northwesterly by land now or formerly of Maida Libbey Backus about one hundred sixty-seven(167) feet in a straight line to Wequaquet Lake; thence turning and running in a general Easterly direction about one hundred(100) feet by said Lake to Lot 7 as shown on said plan;thence turning and running Southeasterly in a straight line parallel to the course first mentioned about one hundred fifty (150)feet to a point on said road six(6) feet Easterly along said road from the Southeasterly corner of Lot 6, as shown on said plan; thence turning and running Southwesterly by said road about one hundred (100) feet to the point of the beginning. For title of Alan A. Green and Sherry R. Green, see the following deed: Book 23047, Page 326. Executed as a sealed instrument this'\b� day of September, 2008. Alan A. Green (Owner's Signature) Sherry R. n (Owner's Signature) COMMONWEALTH OF MASSACHUSETTS Barnstable, ss: q��,% On this day of September, 2008, before me, the undersigned notary public, personally appeared Alan A. Green,proved to me through satisfactory evidence of identification, ��;,� ,y �' �e,,,�A_,to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. NokPublic: Myission expires: COMMONWEALTH OF MASSACHUSETTS Barnstable, ss: On this VS day of September, 2008, before me,the undersigned notary public, personally appeared Sherr R. Green,proved to me through satisfactory evidence of � v�"s �� ,to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. Not Public:����\ -L _Q��\ova-. My co ission expires: d Doo? T6 Jl i Illl// -"-"' PROPO5E3D NEW STAIRS I- - I --� AND PLATFORMS- t DESIGNED WITHOUT --- -_5U'RVEYINFORFfATION_ ._-_ _ _.___. _._. _....__._.._. _.__.._. __......__.. ...__.- I , 74'-0" sr-0" 45'-0" ...._. ... ......._. ._ ., ry.$�,eh.... --7-- A-L �I ggi _ v 8• I j I I q � vRE. ,. Rn I v��I Ii 1 � 1 t eobe II I�,_� AI HALLti BATM I I Ij .I �o j L I I m1w6 II II II 1 ,l II L mswe 1 i t ARLA. i TOWN OF BARNSTABLE LOCATION SEWAGE#O?G�$ VILLAGE `,� ��rl��t ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. yl�l ��,�� 1 SEPTIC TANK CAPACITY 1,Q& V-40 LEACHING FACILITY:(type)j �s//,, 3.Vj �a� (size) _�c?e? NO. OF BEDROOMS �Z OWNER. r�r PERMIT DATE: �-/,,?-� 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 o within 200 feet of leaching facility) feet Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility). /QQ feet FURNISHED BY Y ��� R�y�� s,�.� - - --- __ _ ��� . � : - - `�' G(,' , iy6- 4 O O ��-� `- 6�6.. �y�. -_----- EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES ON--8%26-/2ow C. Stephen, Wilson__representing Alan Green, owner� 140.and 128), Conners Road, Centervr. il Map/Parcel 251-014 and-01`5, 0.47 acre parcel, one variance,requested'for repair as a two bedroom. Mr. Wilson presented the plan to the Board with the variance from wetlands. The house is a two-bedroom and will remain a two-bedroom. Upon a motion duly made by Dr. Canniff, seconded by Mr. Sawayanagi, the Board voted to approve the variance with the following condition: a two-bedroom Deed Restriction will be filed with the Registry of Deeds and a proper copy given to the Health Division. (Unanimously voted in favor.) D. DATE: 60 0 �vU0 .'4 FEE: a BARNMELE, MAM 1619. REC. BY Town of Barnstable G SCHED. DATE: Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 1 q0 Co.vu1 ce-s (Z,0-acP Assessor's Map and Parcel Number: t% Z y jP,_l lq i 1 S Size of Lot: 1 T,781 s. Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: _A l aK c; etm Phone Did the owner of the property authorize you to represent him or her? Yes �_ No PROPERTY OWNER'S NAME CONTACT PERSON Name: f 1t" Green Name: S�,rniu� ,�'f_ hf,l sC, �aielsr "-7G Address: P.c .t3a�c 3 Zl, Ce�.tir�it(c . 114 Address: 7& ",Hl S-im,il �NGr.Ars Phone: Phone:50P-77/- 75OZ• e.+ 13 "VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed), Leechc" s f ceW110anaKfs ' C-D t-s a n as p i c._•i . W e�'�. V1e_f li-tC+ �a W djt� bodies �iMsv.� a ���14 /M 1 1cy i0^1 q co NATURE OF WORK: House Addition El 00❑00 House Renovation ❑ Repair of Failed Septic System I Checklist (to be completed by office staff-person receiving variance request application) c ni Co :P1 Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form t Four(4)copies of engineered plan submitted(e.g.septic system plans) (� Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (forTitle V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/leasee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Paul J.Canniff,D.M.D. -2 REASON FOR DISAPPROVAL d ///��� C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK1\VARIREQ.D0C a MAIL-IN REQUESTS Please mail the completed variance application form to the address below. Also include four copies of engineering plans, house plans, authorization letter, etc (see check-list below). In addition, please include the required fee amount (see fees at bottom of this page). Make $85.00 check payable to: Town of Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Checklist Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) $85.00 variance request application fee(no fee for lifeguard modification renewals, grease trap variance renewals[same owner/leasee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, you must mail the required $85.00 fee. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. In addition, please mail four copies of engineered plans, house plans, authorization letter, etc. (see check-list below): Checklist Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) $85.00 variance request application fee(no fee for lifeguard modification renewals, grease trap variance renewals[same owner/leasee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems(only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page Transmittal Letter Ell wl� o Z4.o l Attn: From: Stephen A. Wilson, P.E. Subject: J�f,4N 2� ��_ C�,� /i�a C0nr7crz rze0 /Cc.aLrnir/� Date: 8_,3 - 2oas- We.are sending you 0 Attached ❑Under Separate Cover The following documents: ❑Prints❑Order of Conditions❑Variance Approval❑Recording Slip ❑Septic System Permit ❑Notice of Intent F Other DATE QUANTITY DESCRIPTION A-,6h G4hoa � i s c1 r Zo These items are transmitted as checked below: ❑ For Your Use ❑ As Requested For Your Files ❑ For Review and Comment ❑ For Recording ❑ As Required N . Other: t .F Z' Q0 cc F- l•,i Additional Distribution (� File No. ?GCS$—031 Baxter Nye Engineering&Surveying Phone: 508-771-7502,ext.13 78 North Street,3"d Floor Fax: 508-771-7622 Hyannis,Massachusetts 02601 E-Mail:swilson@baiter-nye.com Transn ittalLetterMoc July 31 St, 2008 Board of Health Town Offices 200 Main Street Hyannis, Massachusetts 02601 Re: 140 Conners Road, Centerville Members of the Board, This letter is to inform you that I have authorized Stephen A. Wilson, P.E. to represent me for the variance being requested at the above noted location. Sincerely, e Alan Green #2008-031 GreenBOHLettendoc ABUTTOR NOTIFICATION LETTER Date: August 111h, 2008 Re: Variance Request As an abutter please be advised that a Variance Request has been filed with the Barnstable Board of Health. Additional details are below: Applicant: Alan Green Address: P.O. Box 321 Centerville,Massachusetts 02632 Project Location: 140 Conners Road, Centerville Assessor's Map & Parcel: Map.251; Parcels 14 & 15 Project Description: Abandon existing cesspool and construct new septic system. Variances Requested: To allow a septic tank to be 77' from a bordering vegetated wetland in lieu of 100' (Town Regulation; 360-1) Applicant's Agent: Stephen A. Wilson, P.E. Baxter Nye Engineering & Surveying 78 North Street Hyannis, Massachusetts 02601 Public Hearing: Town Council Hearing Room—2nd Floor Town Hall, 367 Main Street Hyannis, Massachusetts 02601 August 26th, 2008; 3:00 pm #2008-031 Green VarianceAbuttondoc ae� ems.- q • A� ^i low • t3' YeE J c, ! � l��"+� pL _ • 0 '1 O 54-2 a�Y VA I. + F �'b OZ i,• @� r� 1,0ZAC. b♦' mac. >' J $q-1 ti � .~ ►" 1.03 Ac- -FO Am ., u Fy \o Rs se • t r IS ABUTTORS MAP BAXTER NYE ENGINEERING & SURVEYING Abuttors List Map Parcel Owner&Address 251 16 Alan Green P.O. Box 321 Centerville,MA 02632 13 Heyworth G. Backus, Trs. 130 Connors Road Centerville,MA 02632 Transmittal Letter To: Board of Health 200 Main Street j Hyannis;MA 02601 From: Stephen I son, P.E. (Sub' ct: i yo D te: y zo e are sending po— NILAUac eparate.Cover .-The following documents: ®Prints❑ Order of Conditions❑Variance Approval❑Recording Slip ❑Septic System Permit = ❑Notice of Intent❑Other DATE QUANTITY DESCRIPTION f9 ur OS ArnG rril� ��1 These items are transmitted as checked below: ❑ For Your Use ❑ As Requested ® For Your Files ❑ For Review and Comment ❑ For Recording ❑ As Required Other: �5.>bscovc..I� e �f, Qear,a/ o�, i�/ ► adrlradia4. -^ �s P/4n T oft's 06:4 Some rr UAs rr is � /fie. �r�ifGEYyaJZAr9 �Orrr�►lcjtiGYl l M9r 6t10 6A r�Ck d&A1z 7199�AI& 44414n AW-C /o-A r Lt ntt 9! /l .ne use-_ V01,C 44 Additional Distribution -1rr(l, File No. ZL?O�r'—031 Baxter Nye Engineering&Surveying Phone: 508-771-7502,ext.13 78 North Street,3rd Floor Fag: 508-771-7622 Hyannis,Massachusetts 02601 E-Mail: swilson@bagter-nye.com TransmittalLetter5.doc 'No. FEE C®NIMONW EALT14 OF iJ�� C SETTS . Board of Health, MA. APPLICATION F®I, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( Repair(-} Upgrade( Abandon( - dComplete System ❑Individual Components Location /4�j �' Owner's Map/Parcel# Z 5-1— i/ Address Lot# Telephone# Installer's Name Designer's Names` Address Address Telephone# Telephone# Type of Building �����. .�.�s � :. Lot Size sq:ft. Dwelling-No.of Bedrooms ers�i,ol Garbage grinder ( Other-,Type of Building No.of persons Showers( ),Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Calculated design flow 3sel Design flow provided gpd Plan: Date Number of sheets "I Revision Date Title PISZ-4 rr.:-s-, 5'c Description of Soils) r° --,I Soil Evaluator Form No. Name of Soil Evaluator y � g �,.k Date of Evaluation G/�/1,:e DESCRIPTION OF REPAIRS OR ALTERATIONS_;,��/� f 4�- X-geeram..e �'�s c�:•a ��-r ��% i7 �i it r &/,ri:! i LC-6 4-t_ �Gt��✓y✓'6 �c.uC-:sli'-...< L�at� .e-.1. /J�.i4';,: <- -01 . The undersigned agrees to install the above described Individual Sewage Disposal System in accordance wo isftt> 'TLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued�tle' ear�oet) r Signed Date _ Inspections fit, . 1 7 No. FEE COMMONWEALTH 'OFSSACHUSETTS Board of Health, L MA CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) WComplete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow - (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE COMMONWEALTH Of MASSACHUSETTS . Board of Health, le .�I .• A'IA DISPOSAL SYSTEM CONSTRUCTION PERMIT T � Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date.of this permit. All local conditions must be met. Form 1255•Rev.5/96 A.M.Sulkin Co.Boston,MA '' Date Board of Health >� P# -7 Town of Barnstable -- F� Department of Regulatory Services Public Health Division Date v MAM $ 200 Main Street,Hyannis MA 02601 1659. ��Awe /U ��M [` Fee Pd. Time v Date Scheduled ' Soil Suitability Assessment for Sewage Disposal Performed By: '/G �osE ��Sir. Sr' Witnessed By. LOCATION& GENERAL INFORMATION Location Address U (o A n Q I Owner'sName /In f,,M, l t 1 P� FFvvtt Address /d Cc <vr1�� p �.�, ir/odro�G AssessoesMap/Parcel: ��'/ _0i1/ Engineer's NameS�� /�T✓�{/� NEW CONSTRUCTION REPAIR Telephone#70V-,0-r si Land Use S.✓.ct� �m�L,. / �-s f Slopes(%) Surface Stones �/a Distances from: Open Water Body /Z-T% ft Possible Wet Area �ft Drinking Water Well%G6 f ft Drainage Way ft Property Line /G �� ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to,holes) — T4/ ! s j\ 4 I Parent material(geologic) Depth to Bedrock /rgf Depth to Groundwater. Standing Water in Hole: 4!i sa ezf Weeping from Pit Face ^4" Estimated Seasonal High Groundwater A/ ks G 9.Aeld DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: n/ i Depth W soil mottles: in. n. Depth Observed standing in obs.hole: ' — P _ ft Depth to weeping from side of obs.hole: in. Groundwater Adjustment Index Well# -- Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date_40z Time/ /3 Observation ��/ Time at g^ /a 3S Hole# �.�/ Tmeat6" / 3 Depth of Pere _sL�— Start Pre-soak Time© /!1/ Time(V-61 End Pre-soak la.z1' Rate MinAnch ^' Site Suitability Assessment: Site Passed X Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back ***If percolation test is to be conducted within 100' of wetland,you must first no the Barnstable Conservation Division at least one(1)week prior to beginning• Q:HEALTH/WP/PERCFORM Hole#�� DEEP OBSERVATION HOLE LOG Depth.from Soil Horizon Soil Texture Soil Color Soil Other Surtliee(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Conslstenev °la amvel) la ZL Ls......116-11- Ile J5 A. s-. ,/3 1f�✓ /'�aY.� �e- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (M.unsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consis►�nev %Gravel) DEEP'OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency %Gravel) Flood Insurance Rate Man: Above 50o year flood boundary No_ Yes k Within 500 year boundary No X Yes Within 100 year flood boundary No X Yes Depth of Naturally Occurrinl3 Pervious Material Does at least four feet ofnaturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? y s If not,what is the depth of naturally occurring pervious material? Certification I certify that on /N LZ -7-4 (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 310 CbdR 15.017. Date . Signature Q:HEALTH/W P/PERCFORM Stenbeck & Taylor, Inc. Letter of Transmittal Registered Professional Engineers&Land Surveyors 844 Webster Street Suite 3 Date: 9/23/04 Job No. 6812 S T Marshfield,Massachusetts 02050 Drawn for: Mr. Timothy Connolly Shure 1951 (781)834-8591 Fax(781)837-8238 Re: 140 Connors Rd Email: sandt@gis.net Centerville,MA To: Town of Barnstable Board of Health 200 Main St., Hyannis, MA 02601 wE ARE SENDING YOUWE ARE SEND] 2]Attached ❑Under separate cover via the following items ❑Strop Drawings ❑Prints 0 Plans ❑ Specifications ❑ Samples ❑Copy of Letter ❑Change order ❑ Copies . Date No. Description 4 6/21/04 Replacement Sewage Disposal Plan-Rev. 9/23/04 THESE ARE TRANSNUMD as checked below: ❑ For approval ❑Approved as noted ❑Resubmit Copies for approval ❑For your use []Approved as noted ❑Submit Copies for distribution Q As requested ❑ ❑For Bids Due ❑Returned prints loaned to us Remarks : The attached plans contain revisions which were requested by the Board of Health in a letter dated September 15, 2004. Specifically,the pump chamber was placed after the septic tank in keeping with Condition(1) contained in the letter. Thank you for doing business with Stenbeck&Taylor, Inc. Copy To: client, file Signed: 7erene Chase If enclosures are not as noted,kindly notify us at once I . - Stenbeck & Taylor, Inc. Letter of Transmittal Registered Professional Engineers&Land Surveyors 844 Webster Street Suite 3 Date: 9/23/04 Job No. 6812 M�*S T Marshfield, Massachusetts 02050 Drawn for: Mr. Timothy Connolly Surat 1951 L (781)834-8591 Fax(781)837-8238 Re: 140 Connors Rd Mfmrt- v Email: sandt@gis.net Centerville,MA To: Town of Barnstable Board of Health 200 Main St., Hyannis, MA 02601 WE ARE SENDING YOUWE ARE SEND] 0 Attached ❑Under separate cover via the following items ❑Shop Drawings ❑Prints 0 Plans ❑ Specifications ❑ Samples ❑Copy of Letter ❑change order ❑ Copies Date No. Description 4 6/21/04 Replacement Sewage Disposal Plan-Rev. 9/23/04 :2: . sit t r 2 m r— THESE ARE TRANSMITTED as checked below: ❑ For approval ❑Approved as noted ❑Resubmit Copies for approval ❑For your use ❑Approved as noted ❑Submit Copies for distribution As requested ❑ ❑For Bids Due ❑Returned prints loaned to us Remarks : The attached plans contain revisions which were requested by the Board of Health in a letter dated September 15, 2004. Specifically, the pump chamber was placed after the septic tank in keeping with Condition(1) contained in the letter. Thank you for doing business with Stenbeck& Taylor, Inc. Copy To: client, file Signed: Terene Chase F If enclosures are not as noted,kindly notify us at once I July 11, 2004 Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 Dear Sir: I am writing this letter to notify you that I have authorized Dr.Timothy Connolly to represent me in the matter relating to installation of a septic system at my property located at 140 Connors Road, Centerville,MA 02632. Please write if you have any questions,please contact me at my home address Ms.Helen Manning 10 Colonial Road Dover,MA 02030 (508) 785-0665 Sincerely Helen Manning �:. FAILED NSPECTI01\�T I G� COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION m w Z r m r C MAP r e mp PARCEL 0 14- 7C'O1M She v W LOT TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 140 CONNIORS WAY CENTERVILLE 02632 -,�S i— 0 0-1 Owner's Name: HELLEN MANNINGC/O KATHLEEN CONNOLLY Owner's Address: 1358 HIGH ST WESTWOOD MA.02090 Date of Inspection: 2/11/04 Name of Inspector: (please print) JOHN GRACI,INC. Company Name: SEPTIC INSPECTIONS RECEIVED Mailing Address: P.O.BOX 2119 TEATICKET,MA.02536 Telephone Number: 508-564-6813 FAX 508-564-7270 MAR 0 5 2004 CERTIFICATION STATEMENT TOWHEALTH DEPT BLE 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: _ Passes _ Conditionall sses _ Needs Furt valuation by the Local Approving Authority X Fails Inspector's Signature: Date: 2/11/04 The system inspector shall submit copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspec on. 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 approving authority. Notes and Comments SYSTEM FAILED TITLE V INSPECTION. THE SYSTEM CONSISTS OF A SINGLE CESSPOOL-SINGLE CESSPOOLS ARE NOT ACCEPTED IN THE TOWN OF BARNSTABLE. ****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. Titles 5 Incna.rtinn Fnrm h/1 5/?nnn 1 Ppge 2 of 11. OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 140 CONNORS WAY CENTERVILLE 02632 Owner: HELLEN MANNINGC/O KATHLEEN CONNOLLY Date of Inspection: 2/11/04 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: SYSTEM FAILED TITLE V INSPECTION.THE SYSTEM CONSISTS OF A SINGLE CESSPOOL-SINGLE CESSPOOLS ARE NOT ACCEPTED IN THE TOWN OF BARNSTABLE. 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. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. n/a 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 inspection 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. ND explain: n/a n/a 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 _ obstruction is removed _ distribution box is leveled or replaced ND explain: n/a n/a 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 _obstruction is removed ND explain: n/a Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 140 CONNORS WAY CENTERVILLE 02632 Owner: HELLEN MANNINGC/O KATHLEEN CONNOLLY Date of Inspection: 2/I1/04 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 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 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 n/a "This system passes if the well water analysis,performed at a DEP certified laboratory,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, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: n/a r Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 140 CONNORS WAY CENTERVILLE 02632 Owner: HELLEN MANNINGC/O KATHLEEN CONNOLLY Date of Inspection: 2/11/04 D. System Failure Criteria applicable to all systems: You must indicate"yes" or"no"to each of the following for all-inspections: Yes No X Backup of sewage into facility or system component due to 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 Yz 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 nLa. X Any portion of the SAS, cesspool or privy is below high ground water elevation. X Any portion of 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 1 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. [This system passes if the well water analysis,performed at a DEP certified laboratory,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,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] YES (Yes/No)The system fails.I 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. Large Systems: To be considered 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 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 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. d Page 5 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 140 CONNORS WAY CENTERVILLE 02632 Owner: HELLEN MANNINGC/O KATHLEEN CONNOLLY Date of Inspection: 2/11/04 Check if the following have been done. You must indicate "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 Were any of the system components pumped out in the previous two weeks? X _ Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up X _ Was the site inspected for signs of break out? X _ Were all system components,excluding the SAS, located on site? X 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 ? X _ 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 X _ Existing information. For example, a plan at the Board of Health. X _ 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(3)(b)] 5 1 i Page 6ofII OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 140 CONNORS WAY CENTERVILLE 02632 Owner: HELLEN MANNINGC/O KATHLEEN CONNOLLY Date of Inspection: 2/11/04 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 0 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Number of current residents: 0 Does residence have a garbage grinder(yes or no):NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NO G Cam_ Seasonal use: (yes or no): YES Water meter readings, if available(last 2 years usage(gpd)):- Sump pump(yes or no): NO Last date of occupancy: n/a COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow(based on 310 CMR 15.203): n/agpd Basis of design flow(seats/persons/sgft,etc.): 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/use: n/a OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: n/a Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: n/agallons--How was quantity pumped determined?n/a Reason for pumping: n/a TYPE OF SYSTEM _Septic tank, distribution box,soil absorption system __X 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) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components,date installed(if known)and source of information: 1954 PER OWNER Were sewage odors detected when arriving at the site(yes or no): NO r Page 7 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 140 CONNORS WAY CENTERVILLE 02632 Owner: HELLEN MANNINGC/O KATHLEEN CONNOLLY Date of Inspection: 2/11/04 BUILDING SEWER(locate on site plan) Depth below grade: 8" Materials of construction:_cast iron =40 PVC Xother(explain): ORANGEBURG Distance from private water supply well or suction line: n/a Comments(on condition of joints,venting, evidence of leakage, etc.): TOWN WATER-THERE IS A SECOND INLET-IT IS CLAY AT 16" SEPTIC TANK: (locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: n/a Sludge depth: n/a Distance from top of sludge to bottom of outlet tee or baffle: 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 How were dimensions determined: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): n/a 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(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): n/a 7 i P,age8of11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 140 CONNORS WAY CENTERVILLE 02632 Owner: HELLEN MANNINGC/O KATHLEEN CONNOLLY Date of Inspection: 2/I1/04 TIGHT or HOLDING TANK: (tank must be pumped 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(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a DISTRIBUTION BOX:_(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: n/a 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.): 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 R l Page 9 of I l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 140 CONNORS WAY CENTERVILLE 02632 Owner: HELLEN MANNINGC/O KATHLEEN CONNOLLY Date of Inspection: 2/11/04 SOIL ABSORPTION SYSTEM(SAS): _ (locate on site plan,excavation not required) If SAS not located explain why: n/a Type n/a leaching pits, number: n/a n/a 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: n/a n/a overflow cesspool, number: n/a n/a innovative/alternative system Type/name of technology: n/a Comments(note condition of soil, signs of hydraulic failure, level of ponding,damp soil, condition of vegetation,etc.): : n/a ) CESSPOOLS: X(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: 1 Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: 6' X 8"' Materials of construction: BLOCK Indication of groundwater inflow(yes or no): NO Comments(note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.): CESSPOOL DOES NOT MEET TOWN REQUIREMENTS. SYSTEM NEEDS TO BE UPGRADED. PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a I 4 Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOL UNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 140 CONNORS WAY CENTERVILLE 02632 Owner: HELLEN MANNINGC/O KATHLEEN CONNOLLY Date of Inspection: 2/11/04 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. VU CX4 i in f, Cage 11 of]1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 140 CONNORS WAY CENTERVILLE 02632 Owner: HELLEN MANNINGC/O KATHLEEN CONNOLLY Date of Inspection: 2/11/04 SITE EXAM _Slope _Surface water _Check cellar _Shallow wells Estimated depth to ground water 12+feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record-If checked,date of design plan reviewed: n/a YES Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators, installers-(attach documentation) YES Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: GROUNDWATER WAS DETERMINED ON SITE VISUALLY AND BY USGS MAPS AND CHARTS L i DATE: �:�iABl.E FEE: PM 3: 40 ibgq ��8 REC. BY Town of Barnstabl 1gD. HATE ]hoard oUffdfth 200 Main Street,Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S.. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: o� Assessor's Map and Parcel Number. S l-olp' Size of Lot: Wetlands Within 300 Ft. Yes _ Business Name: No Subdivision Name: ALPPLICANT'S NAME: ,rn ez 7'16 . - Phone 7fl— 712-c37 7. Did the owner of the property authorize you to represen him or her? Yes No PRQPERTYOWNER'SNAME CONTACT PERSON Name: �62is / /��c.i fro .».� Name: Address: ! ice gi /c�/. /��VL /J7,q o`o3c Address: Phone: Phone: VARIANCE FROM REGULATIOON(List Reg.) REASON FOR VARIANCE(May attach if more space needed) �$ gGS(i)40A-, 2,/N J!4&,yr F Y�/�n�sr .gig li.nr Tca, .�LL f� /rGz SyJ�zhi 4b.-li)40/lto, ate- 7b 42�Aw L✓✓r,, NATURE OF WORK: House Addition A House Renovation 13 Repair of Failed Septic System Cif (to be completed by offlce staff-person receiving variance request application) _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. C:\Documents and Settings\decollik\Local Settings\Temporary Inrernet FileS\OLKFB\VARIREEQ.DOC 1 3 Stenbeck & Taylor, Inc. � Letter o f Transmittal Registered Professional Engineers&Land Surveyors ./ 844 Webster Street Suite 3 Date: 8/11/04 1 Job No. 6812 S T Marshfield,Massachusetts 02050 Drawn for: Timothy Connolly S � .} (781)834-8591 Fax(781)837-8238 Re: 140 Connors Road,Centerville Email: sandt@gis.net To: Town of Barnstable -Board of Health WE ARE SENDING YOUWE ARE SEND Q Attached ❑under separate cover via the following items ❑Shop Drawings ❑Prints ❑Plans ❑ Specifications ❑ Samples ❑Copy of Letter ❑Change Order ❑ Copies Date No. Descri tion 4 1 of 1 Variance Request Form 4 rev 08/05/04 1 of 1 Replacement Sewage Disposal Plan 4 1 of 1 Floor Plan 1 7 f 11 Oy. Letter of Authorization 1 6/23/04 1 of 1 Application for Disposal System Construction Permit 1 6/4/04 2 of 2 Soil Suitability Assessment-Town of Barnstable 1 6/4/04 3 of 3 Comm. Of Mass. - Soil Evaluator Form-Form II Paid Previously- Resubmittal as requested-Thank you THESE ARE TRANSMITTED as checked below: ❑ For approval ❑Approved as noted ❑Resubmit Copies for approval ❑For your use ❑Approved as noted ❑Submit Copies for distribution ❑As requested ❑ ❑For Bids Due ❑Returned prints loaned to us Remarks : Mailed USPS. Thank you for doing business with Stenbeck&Taylor,Inc. Copy To: file Signed: Kg?*-/47a&.tt l If enclosures are not as noted,kindly notify us at once DATE: FEE: >AIN6MAMi. REC. BY Town of Barnstable.. DATE: ]hoard of Health 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: s Assessor's Map and Parcel Number. _Z S'�-o/� Size of Lot: �� //7 CD Wetlands Within 300 Ft. Yes r_ Business Name: IT r No Subdivision Name: CD( - C7 N APPLICANT'S NAME: Tr.-1 e,�rti y /n Phone 7`J-7l2^ 7 Did the owner of the property authorize you to represenE him or her? Yes No_ C _- PROPERTY OWNER'S NAME CONTACT PERSON Name: -1-2,g/s / ����. �i�i�a. .��.� Name: �v Address: /bg oroaa Address: i�d/.:�sn� js.•dJ� =.�. ; • ,�2 ,�` Phone: Phone: VARIANCE FROM REGULATION aist Reg.) REfASON FOR VARIANCE(May attach if more space needed)V �rr7 vg ,d' AI NATURE OF WORK: House Addition D House Renovation 17 Repair of Failed Septic System Ch (to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) _ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. C:\Documents and settings\decollik\Local Settings\Temporary Internet Files\OLKFB\VARIREQ.DOC DVS Q c`Y' i DECK PORCH LIVING ROOM BDRM BATH DINING AREA HALL KITCHEN BDRM FLOOR PLAN SCALE 1 ►►-10' July 11,2004 Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 Dear Sir: I am writing this letter to notify you that I have authorized Dr.Timothy Connolly to represent me in the matter relating to installation of a septic system at my property located at 140 Connors Road, Centerville,MA 02632. Please write if you have any questions,please contact me at my home address Ms.Helen Manning 10 Colonial Road Dover,MA 02030 (508) 785-0665 Sincerely Helen Manning " U q d . c:lsanc tjoshlsoitogs16812 ronnolly_SoiL Logs.)ds FORM II-SOIL EVALUATOR FORM Page 1 of 1 No. Date: 611104 Commonwealth of Massachusetts Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Performed By: Terence Chase PE, SIT, SE Date: 614104 Witnessed By: David Stanton-Barnstable <avo LOCATION. OWNERS NAME: Doris and Helin Manning lot# 251-014 address 10 Colonial Rd address 140 Connors Rd town Dover, MA 02030 town Centerville, M4. telephone no. New Construction Repair M Office Review Published Soil Survey Available No:0 Yes xn Barnstable County. Year Published 1993 Publication Scale 1:25,000 Soil Map Unit CdD Drainage Class excessive Soil Limitations. Severe for septic systems- Surficial Geologic Report Available:No El Yes Year Published — Publication Scale — Geological Material (map unit) -- Landform -- Flood Insurance Rate Map: 2500010005 C Above 500 year flood boundary No: Yes x❑ Within 500 year flood boundary No:E] Yes Within.100 year flood boundary No: ] Yes. Wetland Area National Wetland Inventory Map (map.unit) Wetlands_Conservancy Program Map = '(map unit) -- Current Water Resource Conditions(USGS): Month: May-04 Range: Above Normal 0 NormaxE)l Below Normal . c:lsandtyosh\soi1ogs\6812 Connoly_Soil Logs.)ds 6/16/04 Stenbeck& Taylor,ING Page 1 of 1 Engineers& Land Surveyors 844 Webster Street, Unit 3 Marshfield,AM 02050 (781) 834-8591 DEEP HOLE#: TP-1 DATE: 614104 TIME AM WEATHER: -Sunny 70's LOCATION.• 140 ConWrs Rd-Centerville,MA OWNER: -Doris&Helen Manning 0 LAND USE: Single Family Hous Cotta a SLOPE/o: 0-1/o SURFACE STONES: None ng Y ( g) (°) VEGETATION: Pine, Oak - LANDFORM DISTANCES FROM: OPEN WATER BODY.• 100+ PROPERTY LINE: 10+/ POSSIBLE WET AREA: 100+ OTHER: DRTNKING WATER WELL 100+ DRAINAGEWAY.• 100+/- DEEP OBSERVATION HOLE LOG Depth Soil Horizon Soil Texture(USDA) Soil Color(Munsell) Soil Mottling Other(Structure,Consistency, Gravel,Stones,Boulders) 0-6 A Loanry Sand I0yr312 6-22 B Loamy Sand 10yr516 22-72 C1 c-m Sand 2.5y613 20%c. Gravel&Cobbles 72-156 C2 c-m Sand 2.5yJ11 Loose, Caving PARENT MATERIAL: Sandy 77111 DEPTH TO BEDROCK: 156+ DEPTH TO GROUNDWATER: STANDING IN HOLE: None WEEPING FROM PIT FACE: None DETERMINATION FOR SEASONAL HIGH WATER TABLE' METHOD USED:SEE COMUENM SEE TEST PIT x DEPTH OBSERVED STANDING IN OBSERVATION HOLE 13+ FT. No water to 156" DEPTH WEEPING FROM SIDE OF OBSER VA TION HOLE - FT DEPTH TO SOIL MOTTLES FT ^T GROUNDWATER ADJUSTMENT FT ' INDEX WELL NUMBER READING DAT E ADJUSTMENT FACTOR PERCOLATION TEST DATE: 614104 TIME. 10.13 OBSERVA770NHOLE#: TP-1 DEPTH OF PERC: . 32-50 START PRE-SOAK: 10:13 AM END PRE-SOAK- 10.28 AM 77ME AT 12": 10:28 AM TIMEAT Y' 10.35 AM TIMEAT 6 10:43 AM TIME(9"-6"): 8 min RATE MIN./IN.: 3 mpi SITE SUITABILITYASSESSMENT.•' SITE PASSED x "SITE FAILED ADDITIONAL TESTING: PERFORMED BY.•., Terence Chase PE,SIT SE-Stenbeck and Taylor,Inc. COMMEN7N. Witnessed by David Stanton-Barnstable Board of Health c:\sandfloshlsoilogs\681LConnolly FORM II-SOIL EVALUATOR FORM Page 1 d 1 Location Address or Lot No. TP-1 140 Conners Rd-Centerville,MA Determination for Seasonal High Water Table Method Used. Groundwater table not detemined! Depth observed standing in observation hole 156"+ inches No water to 156"+ Depth weeping from side of observation hole inches Depth to soil mottles inches Ground water adjustment feet Index Well Number Reading Date Index well level Adjustment factor Adjustment ground water level Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes If not, what is the depth of naturally occurring pervious material? Certification I certify that in Fall-1995 (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 310 CMR'15.017. Signature: '"�hc,�. s Date: DEP APPROVED FORM-e12/07/95 Stenbeck & Taylor, Ins Letter o{�Transmittal Registered Professional Engineers&Land Surveyors J �-� 0 T 844 Webster Street Suite 3 Date: 07/20/04 Job No. 6812 "'ern 11larshfield Massachusetts 02050 Drawn for: Ms. Kathleen&Timothy Connoll s�1%1 (781)834-8591 Fax(781)837-8238 Re: Email: sandr@is.net 140 Conners Road To: Barnstable Board of Health Centerville, MA WE ARE SENDING YOUWE ARE SEND) [a Atu died ❑Under separate cover via the following items ❑Shop Drawings t]Prints ❑Plans ❑ Specifications ❑ Samples ❑Copy of Letter ❑Orange Order ❑ Copies Date No. Description 07/11/04 1 of 1 Letter of Authorization 4 06/21/04 1 of 1 Engineered Replacement Sewage Disposal Plan p 4 1 1 of 1 Completed Variance Request Form :F" 4 1 of 1 Dimensional Floor Plan o 1 07/16/04 1 of 1 Check for Ap hcation Variance Fee o 1.41 cn � rn i THESE ARE TRANSMITTED as checked below: Q For approval ❑Approved as noted ❑Resubmit Copies for approval ❑For your use ❑Approved as noted ❑Submit Copies for distribution ❑As requested ❑ ❑For Bids Due ❑Returned prints loaned to ru Remarks : Thank you for doing business with Stenbeck&Taylor,Inc. Copy To: file Signed: J0jh1M JM4- 1 If enclosures are not as noted,kindly notify us at once �, D 7�� Town of Barnstable r# - yvpFTME Tp�p. Department of Regulatory Services • Public Health Division Date • sntwsreet�e. MAOL e� 200 Main Street,Hyannis MA 02601 s639 Time (U Date Scheduled U Fee Pd. Soil Suitability Assessment foY✓Sewage Disposal D '"4, G �f Sir Sf Witnessed By: a,!` Performed By: LOCATION& GENERAL INFORMATION Location Address L� C Q v � Owner's Name Address /d c 1 e . ���1�, �L«� Assessor's Map/Parcel: _O Engineer's Name NEW CONSTRUCTION REPAIR •Telephone#?G,'-�39-�s-�i Land Use S.✓rG� �.�•� � �-s Slopes(%) ice> .Pc�� Surface Stones Distances from: Open Water Body /z s% It Possible Wet Area/GG ft Drinking Water Well /G e, '` ft Drainage Way /GG ft Property Line /G�"_ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands in proximity to.holes) AS 4 Ih _ fL Parent material(geologic)' Depth to Bedrock Depth to Groundwater: Standing Water in Hole: PQ/_-e Weeping from Pit Face Estimated Seasonal High Groundwater ✓" ' DETER.MINATION FOR SEASONAL HIGH WATER TABLE $.. Method Used: /✓%./^ r��s'�` in. in. Depth to soil mottles: — Depth Observed standing in obs.hole: P t Depth to weeping from side of obs.hole: — in. Groundwater Adjustment ft ' Index Well# — Reading Date: index Well level — Adj.factor _ Adj.Groundwater Level PERCOLATION TEST Date.ZZ42d�z Time/dj� Observation Time at 9" Hole# Depth of Perc Time at 6" Start Pre-soak Time Q /G'/ Time(9"-6") End Pre-soak Rate MinAnch ' ^' Site Suitability Assessment: Site Passed .l' Site Failed: Additional Testing Needed(Y/N) Original rPublic Health Division Observation Hole Data To Be Completed on Back **If percolation test is to be conducted within 100 of wetland,you must first notify the Barnstable Conservation Division at least one(1)Weelc prior to beginning- Barnstable DEEP OBSERVATION HOLE LOG Hole# r -i Depth from Soil Horizon soil Texture Soil Color. Soil - Other Surtgce(In.) (USDA) (Mpnsell) Mottling (Structure,Stones,Boulders. Con9lsten4v "1a /t'V.10s/G '7.Z / DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisteney %Gravel) DEEP OBSERVATION HOLE LOG Hole# - Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface from (USDA) (Munsell) Mottling. (Structure,Stones,Boulders. Consisteney %Gravel)' DEEP'OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil , Other. Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency %Gravel) Flood Insurance Rate Man: 0 d boun dary a No Yes .X 00 year flood ry Above 5 Y . Within 500 year boundary No x Yes Within 100 year flood boundaryy No n Yes Depth of Naturally Occurring Pervious Material Does.at least four feet of-naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? yL s If not,what is the depth of natural ly occurring pervious material? Certification ��---- I certify that on ��aGz -95" (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 310 CNM 1.5.017. � Date Si gnature ature Q:I-IEALT I/WP/PERCFORM DECK i PORCH LIVING ROOM BDRM BATH DINING AREA FALL KITCHEN BDRM .FLOOR PLAN SCALE 1 -1 or �V VY HIE " V Town of Barnstable __MAWL Board of Health P.O.Box 534,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. August 11, 2004 Mr. Terence Chase Steinbeck & Taylor, Inc. 844 Webster Street Suite 3 Marshfield, MA 02050 Dear Mr. Chase: Your application for variances to replace a failed septic system located at 140 Connors Road, Centerville was denied without prejudice by the Board of Health at its' public meeting held on August 10, 2004. As you are aware, you were not present during the meeting. You may re-apply for variances anytime in the future. Please ensure that you submit four copies of a completed variance request form, four copies of a house plan showing all doorway locations to each room clearly labeling the "use" of each room, and four copies of the proposed sewage disposal system plan. In addition, please clearly and consistently identify the type of leaching facility proposed on the plan. It is further recommended that you should obtain a determination from the G.I.S. unit of the Town of Barnstable Information Technology Department of whether or not this property falls within a nitrogen sensitive area -which is defined as a Zone II or a Groundwater Protection (GP) District. If this property lies within a nitrogen sensitive area, the number of bedrooms will be restricted in accordance with 310 CMR 15.214. Sin r ly, Wayn Miller, M.D., Chairman BOA OF HEALTH Q:WP/Chase140ConnorsRd i 35' 10' 1 2. 12. �•i > � I o T8 4 -_ ' 3'-11 1/16'�i d'-0 IS/I16NA'I In �m�g ��IIIIIIIIIII '-1�e2 266 15 • f85/8' 6-4 7/8 19-U2• g9j� F 6-4 7310 I2 7-47/8- 2668 3' - - r � 0 i 0 2668 •' d 3 / 14' c kl El < I I z - Lj— m �r I I 91 P I I I I I I I ofi I — --------� • I I I 2 8 —,- I I I II I 24 I I I I .• I I �� I � F � � I I � � I ( -8 I I I o sa ° I II I a I D I I I I I o I I I i P I I I I I z I I II I I I016C I r-I I 11 Ej I i I i 1 I I . I 1 k D N = Dcn= c/) n \ p m z PROJECT LOCATED AT: m O D \o D m m oa ECK STROM�HOMES I� m m CD m m m GREEN RESIDENCE p m m 1ae�m/.sss�enuxe,<cs.couim,.rm:m�s.mw w»w.rc..mo..owesm.. i i i E I I I II I ° I I � I °O 26' II I _---L--------------------- I I o I I I I I I I z I I I I I I I I I I I I J e3! I I I I I I I I I i I I I I I 1 I I I I I Q I I I I I I I T I I I I I I I I I I r I I I I r® I r I I I I I I I I r® I I I I I I I I I I I r I I 1 I I --------�-- 1 I L_------ m I r-------I-----J fir------ ` I I II I I r a _ w ----� ,L; ------------- 3' 4' I 1 " Z. EH]l v 1 r I t 1 I ————————————— rill I I m I I E I I � Z l I I I � I I I I I I ( I I ---------------- L -------j 19_3. 1� 3,_6. ,2.3. eS5 N n I 4 V� 1 N x o D = n 1 p m z i PROJECT LOCATED AT: N m zO D o D m ®n ECKSITROMH OMES r� m m NELL o m m m GREEN RESIDENCE on p m m 1.sm�m�-ns>�,�une«cs,wu�row�o�sw..smM w,rr,.�cRs,.owx�wE:m. I II f I F t i I --- ------ --------� I I I I I4 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I L-------� I I -- I I L_ I I I I I I I I I I I I I I I I I I I I I I I I I I I I I l I I I I I I I I I I I I Q I I I a s I I g I I o I I I I I � III I I I I Z I I I I I I I m I I I I I I I I -----— I I r------------J fir-- --� I I I I I I I 17 I MATCH FLOOR JOIST SIZE AND T E I I I I I I � I I �- ---- -- --- ------ I I fn I ,.jl I I I I C I i > I I `:`; — -- J LI ` — -- -- —— -- _ ,J om C Z Z III n I I I I J I � MATCM CEILING JOIST SQE AND i PE D N D = PROJECT LOCATED AT: m z ECKMOM HOMES W O O m m ®� DESIGN-BUILD-SELL m 1T1 o m m GREEN RESIDENCE in m rsostee�assT enuxeFccss.nwxow�ocsmxicor w».+.aurno.xaNucow I I i e x 10'(g 16'o.c.ROOF RAFTERS J I Om OVERIAY FRAME I I 1 e Wo 2'x 10'Q 10'o.c ROOF PAFTERS ———-r—————— ————————————————————— Y C ...... .. i OVERLAY FPAME T— � RI'11NG 7� SRE N I \ I I I I I I I I I .1 NG ROOF RA RS T RE IN LI I I I 12'x 1 T RI E ARC I R I ...:. .. ry I I I I I I I I I II -Till I II I I I I I I I I I I I I I ----- ---- 2'n 10'016'o.c.ROOF TV As I i. 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NEW WORK WALLS TO BE 2" x 6" @ 16" o.c. w/ R-21 INSULATION CHECKED BY:E.T.E 4" GARAGE SLAB ON GRADE DATE: ------- --------------------------------------- 2/10/20 PROPOSED CROSS SECTION SCALE: 1/2"= 1,_0„ AS NOTED 10" POURED CONCRETE FOUNDATION WALLS ----- -- 12" x 24" POURED CONCRETE FOOTING SHEET: A-4 I i 11 � 11 ri�r'.ul ►">_I_�I�I�i�111�_II�_'��1�1►"�i�l��lw'I�'!I � 011 1!1111!IIIIIi 1!I1111111 ---=�I' IIIIIIIII���1 '� � ��� ._I_I ■i■I■I■I■I■I■I■I .I. i�■I■I■I■I■I■i�11��1 Ili ��I'� 1■�i■■■■■■■■■■ _ MM IIIIIIIIII���I - - :_--�— 1 -� � I---'— _-- jc ' � ■hill lhl �� I,I �-= UNION II I...I;�ILI 1� ■.. l,l IIII II � I ! ��■■i■_r/1 I,e l l �l �� i�l� ----- -- - � - - i � I I I I I I � I I I II�1 1i II IIIIIIIIIj1j1�1�:,,, �� Ijll�lljj�l�lj�� .`'I�lil ,III I 11 11 �. L.li :.:I. (I IIII 11111 I �II. 11 IIII �Iij 11 ,. � ► �� �IIIII 1;;..I 111111111r / ' � -- • _ 11111111111"'��� � i ' IIIIIIIIIII11111111111111�'� ' \ \lil'.,j. 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(�4 _14................................... 2 OF PEA STONE f�'T� OR FILTER FABRIC �4•-i: Ian sif0"k 4' 314 TO 1 112 " �L 3� . { / ./ •. 4' 12' ( 24" DOUBLE �.•.; t� `.�` ,.. .j EFFECTIVE WASHED STONE WEQUAQUET .: , ,,.., �b LAKE ` :. Y .:;.:• :. 4 f --- 22 LOCUS 0 PLAN OF LEACH CHAMBE RS N PLASTIC LEACHING CHAMBER .DETAIL Q� NO SCALE CULTEC 330 OR EQUAL N0 SCALE 1.) TIE NTafr W 1N5 PLAN 6 ro LEMLIL PROP06ED wm AT TIMS SRE 1) LOCUS 6 CdNMSfD OF BVMSVAE ASSIESSOR'S IW 251 TMIIM 014 DEED BOOK 21058 FACE 83 NO RECORD PLAN DEEM PEINEM FM 1D AT BNNSVA E OOLMIY NEL;ISTRY OF DEEDS BIINSDLME MSESSORIS IMP 251 PAKEI. 015 OEM MW 21058 PAGE 83 PUMI BOOK 142 PAGE 105 oNIER/APPLIGYfr AIM A AND SHERRY R GREEN PA. on 321 camo YM1!'. IN Om632 PROTECT LOC TOM: 140 ! 12M OMM RMD CEN►F MI& IN Llztt3z J) DATUIL: NWD AS IESNUM AT SIZE Hr FWVIDUS LIOIMf Or NXIER NYE af611OM AND SlMrrEM PRQIECT BEkVW K AS SHOW ON PLAN 4.) 200ING MFMWM 2LNNC DISIMCI : ID-1 (RESOE1ICE DISIMCI 1) INUAI LOT AID - V.120 S.F. NIM1M LOT FROM - 20' NMMM LOT 0M - 125` W MM FRONT *5 IETBU 43W MNMW SIDE AND WIR YARD SEMW - ItY MUM OLE= MW - 30' 0VE1w OLSIIWI :`000 AND AP 5) A IME SIMM HAS NOT MDI PEJLF=0 FM THIS SITE F WEIM 0 ro BE NECESSARY A ME'SENICH SMALL K Pl7LFO O BY GPM f1.) TIE PROPERLY LNE W011160DN SI MM Is BASED ON AMMPEIfr AMIMAME REOd10 NFIMiWTION ooNSIsnNG OF PLANS NO DE D& 11E MMM FMMtES SIM NIMN IEAE 01000 FEN AN OIL 1!E MW FIELD SLOW PEIMMED BY BLM NYE ENGME1 W t SUR EYNG ON JULY 1. 2WIL. 7.) FLOOD ZONE 4 OOIMLL 0 FAR NLMLIER 2500M ON5 C a) • $a 6 NDT MW AN A.GEC. (AAFA OF CRrTIA aWIROfri IX CONL IK • SDE N Wr ORM AN AM OF MUM HIL W OF RARE NM.DLEE PER WIESP IMP OCTDIIER t. 2006 tMIED M IMS OF WK ML&W FOR USE M1H THE W MEILADS PWIEt,U ACT RESULAMIS (310 CUR 10X• • SIZE DOM NOT OONDW A CERIFiD Va1NU. POOL PER MESP WP OCIORR 1, 2WO 'CLRIFIED VOW FOOLS' • SITE APPEARS ro BE LNRBf A PIMIV WNW PER *IESP IMIP OCIOIIER 1. 2MB 'I IMIN MAMUS OF RARE SUES • FOR YEW UDER TIE IMlS'91CHUSETIS aDANGl7LED SPECIES ACT. RELRAAIM (321 L WQ) • SYIE 6 NOT LL M A SDOE APPIIO O ZONE M MUD tM= ROMM PROIiM AREA . Kam DLLmION or Lm IIICDONILA a1Y110►rE1fK 9COfI6T 0.) U en NEORIKMN 2101Ml Mt91EMt • iw OONIRACIOR SHALL OONTACT DIO sm (AT 1-swwsAM AND UIUTY cmAIES ro LOCATE ALL OM M URUIE'$ AT LEAST 72 NOIRS PRDR ro IW START OF CMISMUC110M. TIE LOO1110N OF EXbW IADi 1GR01A0 M961RUCTUIE: UILRES, j COfDLL05 AND LNES ARE SMOMN N AN APPAMME W (PLY, WY NOT B: UNIIED TO Ix 1).. 1ErraN AND w1YE Bilf ILESiiwClllD BASED ON TIE AlfllABE LIRf1Y � .� THOSE SMOMf iI00Al 3 ro E FULLY RE'SPONStME FOR ANY � _ RECORDS NOTED NDiEDM. TIE OONR11L70R AGREES _ �" �a' ----- CB/� AND ALL L'MLrICEs IRMCFL LMLMir BE oCoMEn Or TIE cafilblctoR's FAM,uRE TO Laa1E V / FND EXACTLY. F FED COIDIIIONS OFFERS FROM P1AN Q lam- SAD MFAtS7RIlCI1MIE AND ORATES it cr , . PUMP AND FILL CESSPOOL CB FND MFORW110N, 1FE OONIRY.70R SHALL NOiFY 1FE E)1GMlmt MNIIDNmx FLMr FOSSLHE �+ VA►�ZIANCE RE UE5TED . f' -46.09 NGVD Q WITH CLEW SAND G PLAN BOOK 142 PAGE 105 a.. O „ �6� , _ �� HELD , � _---- . • �- P 1 PARCEL 015 40 t>ItoFs ,Illy 'S P ...ASSESSORS MA 25 • Lxs LINE /FdIWILON PER IrIP PRONGED Br NAILONIL cRD. MOUSE /1 • • � , _ ...,� . • • , ,�` _`'-66 NLIT APPEAR ro LMIs SERMCE: w - 1--4. E 7f S.F. 0.10tAC. __ �P _ o� 4.23 ( )1= BARNSTABLE BM ofiuiH REaxAnoH sEL:noN 3L�iD-1 (SETBACK RELIUIREMENTS) of -- Al5 r. ,.a2 't ' -68 - • ELBCiRIC tME MFDRl60DN PER EllxIRIC PLAN atm Jux t. 2ootL a S TO ALI.OW A SEPTIC TANK TO BE 77 FEET FROM A WERW W LIEU OF 100 FEET. a •. - ...... • ; . • .. .AA ' / .•� PER MILE Y dFilpy. M6PECIDN � / ,3� � .. � � .. • • .SEPTIC SYS1E11 LDOI110N LS APPIIOOIINIE; , NG • i ..... N/'�- / VARNWCE APPROVED ALK;t1ST 26, 2008. LLAIED 2/tt/ds BY JOMII LM>r�e1, • .. .. i N / E72RY R.' GREEN , / � / OartfOcloR ro vaaflr N FIELD 11fE ACnw. LOCATION OF tNOat 6ROIA'D / / ALAN A AND SH QY /1 COIPON[Risv SYSIF]I lDCA1ID ON PNRCEL 014 BIRNSGIBE ASSESSORS AMP 251 TRUSTEES < ]C r ..�- �°� i O / / / r u. � IN iFE fDARSE wMl FIAYE ro !E m / / Y / / / ' / THE DOSTMJf: DRAIN PLLAM�IPr . 1� / / Z „\ ACCOMOQATE TF#S DESfGN. • / RECONFIGURED ro / -' // � /� �• EXISTING"4� _ _ s O / 10 Q Al 9 7 - /- ____-•�'� •' � / 10' . ALL SYSTE]I COAlPOfENiS SIWl � NSTIYLm N ACCORDANCE WrNr .I / . _ / r - ' / _ ' ` • 1Z3 ` ITFLE V OF TFE STATE SANITARY COl>N: DATED IIARCM 31.1995 tl COME -BLOCK r - Q1' ,.1 . t / ^STEPS,-' a/ �' ` - 1 �y.8• .. �.. _, _ �� J6FL �• � ANY LOCH. RULES APPLIG1Blb / per FND FI�� Y /' ��' ANY CHANGETO THIS PLAN ROYEO N LUST BE APPN'M�MM • / / / �. ELD � . 1 �" OSI:D- Uq/T �. .• � , �/ BY DESIGNING - ' ' �peat' D wFEa1 OONSTRUCIIOfI IS COMPLETED. PRIOR TD BCKFiL.NG, UMUTY POLE NOTFY TFE f?fOMEER J! BOARD OF HEALTH AGENT / - FOR MISPECTION. MAP 251 PARCEL 014 ,:. - ../' . ;/ 570/8 ASSSESSORS �PROPOSE6 f� WRITIaV � . +G a. g as / T!#SE EL.EMtLONs iwt>sr Nor. BE aLAwI1�D wnFlafr = f C. S AIR`NAY ;;; 1 UPLAND 11,212t S.F. (0.26 A ) ./y� T ,- L�} ,...: ti •yt�• APPirDMAL BY DaIdrM4c BMW WETLAND- .05t AC. -' - 2.332i S.F. (0 ) 0 O , ' �� ALL SANITARY DISPOSAL SYS'IE1f WING TO BE 4* PUG, SCT1 40 ti dE �d / i ( ) TOTAL = 13 544t S.F. 0.31±AC. No Ig9 / a CB/DH Q, vim' ,..------ O FND ExQANATE AND REPLACE All IMSUTAMi WIERIAL SUIROLAaDMIG .C(. AfJ PP TFE LE4 MIG FELD FOR A DISTANCE OF 5. PER 310 CMt 15255� �pw / S /' Cj . saQ�/ 1 • HEI D DEED FRONTAGE : 106.71 M .� THIS PROPERIY 6 VIM DE ZW OF ONIM1110N TO SALIMOFR ISRMRES ti - - 000 N VIRGINIA B. UPHAM AND E` J- �' 'a CKUS /' TEST PIT HEYWORTH G. BA ��� 1 'LO - TRUSTEES � / LEGEND �' PROP 9� DEG J� (PARTIALLY. SHOWN AT � ., , � g PLAN BOOK 39 PAGE 49) EXISTING � / WATER" `STEPS TO BE � '� � SERVICEEl BOUND c� �/ Plan of Land at REBUILT `Y # /� TEST PIT i' 0 Connors Road 140 u�IUTY POLE CBnt mille ` Massachusetts FND HELD / �S �( LAMP POST Ce e � / TREE PREPARED FOR • .►---•" EDGE OF CLEARING � n Alan A. & Sher R, Gee OHYM- OVEIRHEAD MARES Sherry T TELFPH ONE WIRE 1TILF 4 TREATED POSTS 4 x S Wetland Permit Plan 9 ON CENTER ALLOW 1» SPACING BETWEEN STAIR TREADS UTILITY POLE 4.0 ft RELATE SLOPE OF STAIR 4 x 4 POSTS - BAXTER NYE ENGINEERING & SURVEYING TO SLOPE OF GROUND I~ ~I RegLstened Professional 2 X 10• IXCK '� EXISTING x , GRADE ... 1 SPACING cTYP, D.E.P. File #SE 3 �755 Engineers and Land Surveyors °° » LZFv. - 36. ; c Zc�/� 78 North Street, 3rd Floor, Hyannis, MA 02601 © Tt 1d 2 x 4 HAND RAIL Expires » Order of Conditions rl's � � 2 x 4 KICK RAIL - Phone - (SOS) 771-7502 Fax - (508) 771-7622 2" x 12" TREADS OR THRUFLOW GRATING TR x 4 CLEAT _ OR DADO • CONSERMATION NOTES:✓' �N ? 2 L�ucE ELEV. 34.0 CFR 20 40 GALVANIZED NI ED BOLT 1. NO WORK IS TO BE DONE UNTIL FORMS A & B ALONG WITH REQUIRED 20 0 eOM ' CONCRETE BLOCKS PHOTOGRAPHS ARE SUBMITTED TO CONSERVATION COMMISSION.. j SCALE IN FEET 2. PROPOSED STAIRWAY TO FOLLOW EXISTING PATH. AVOID CUTTING LARGE t !3 ... EMOVABLE END SECTION (IF REQUIRED) ; : OPTIONc s BRAN TREES. ! SCALE: 1" = 20', DATE: 07-21-08 3. CUT BRUSH AND EXCESS EXCAVATED SOIL TO BE .REMOVED OFF -SITE \/\/\/\/\/\/\/\/\/\/\� 4. STAIRWAY LANDINGS AND SPACING SHALL CONFORM ,TO APPLICABLE CARRY POSTS 5 BELOW GRADE BUILDING CODES. 5. LIMIT OF WORK SHALL BE SILT FENCE ONLY (NO HAY BALES) AND ELEVATED STAIRWAY DETAIL MAINTAINED IN GOOD REPAIR UNTIL VEGETATION IS RE-ESTABLISHED. DESIGN SCHEDULE ELEVATION FINISHED FLOOR 69.0 SEWER INVERT AT FOUNDATION 63.7 SEWER INVERT INTO SEPTIC TANK 63.4 SEWER INVERT OUT OF SEPTIC TANK 63.1 SEWER INVERT INTO DISTRIBUTION BOX 62.4 SEWER INVERT OUT OF DISTRIBUTION BOX 62.2 SEWER INVERT INTO LEACHING SYSTEM 62.0 BOTTOM OF LEACHING TRENCH 60.0 WATER TABLE: ' NONE OBSERVED AT ELEV. 54.6 SOL LOCH PI-A715 DATE 6/0004 BARNSTABLE SOIL EVALUATOR: BOARD OF HEALTH AGENT: TERRANCE CHASE DAVID STANTON TEST PIT I • G.S.E. 67.6 A ; IOYR 3/2 LOAMY SAND s» B ; IOYR 5/6 ; LOAMY SAND 22" C1 ; 2.5Y 6/3 ; COARSE MEDIUM SAND 72" C2 2.5Y 5/1 ; COME MEDIUM SAND 156" NO WATER ENCOUNTERED PERC O 32" RATE= 3 MIN/IN CLASS I SOIL Leaching Area Requirements 2 BEDROOMS AT 110 GPD/BEDROOM = 220 GPD NO GARBAGE GRINDER PERC RATE = 2 /1 MIN. / Ik NCH (CLASS 1 ) LTAR = 0.74 GPD/S.F. MIN. LEACHING AREA OF SAS. 220 GPD/ 0.74 GPD/S.F. = 298 S.F. PROPOSED SYSTEM SIDEWALL (12'+22')(2')(2) = 136 S.F. BOTTOM 22' X 12 = 264 S.F. TOTAL _ 400 S.F. REV. DATE: REMARKS 1 8 26 08 WATER SERVICE 2 8 28 08 REVISION- AS PER C.C. N.T.S. SEASONAL. DOCK DETAIL. 6. ALL ROOF LEADERS SHALL DISCHARGE TO DRYWELLS OR DRIP TRENCHES. 0: 2008 2008-031 SU WRKS 2008-031 NOl.dw SCALE 1 4' 2008-031 DIRECTIONS: ZONE: From Hyannis - From Main Street to the West RD-1 End Rotary, Take second exit onto West Main Area (min.) 87,120 SF (RPOD) St. continue to Strawberry Hill Rd. turn right Frontage (min) 20' continue over Rt. 28 to Wequoquet Lane to Width (min) 125' Setbacks Phinney's Ln. and turn right and take an sdet10' immediate left onto Conners Rd #140 is on the Rear 10' left. FLOOD ZONE: Zones: X (0.2% Annual Chance) X Area of Minimal Flood Hazard Community #250001 C0Panel Na 562J July 16, 2014 LOCATION NAP: REFERENCES 1„=2, 000f , �► Deed Bk. 31581 Pg. 83 CB/DH Plan Bk. 142 Pg. 105 ASSESSORS REF,: Y� (Fnd) Plan Bk. 89 Pg. 63 Plan 8k. 47 Pg. 119 Map 251 Parcel 014 e �e°0a ' y OVERLAY DISTRICT: AP — Aquifer Protection District NIF Randal C. Green and. N 'ion Wendy L. Jookim Trs. CB/Dri m ; Edge of o Flogged Wetland o-(Fnd) k Per SE3- 4755 Flag A50' 100' Existing Pier / / 0; SEJ-4755 - ,� Proposed / ,-` / / Roof Drainage / p' ok � Existing Septic per ' raLot Area 50.1' Town As Built Card �� 17,590tSF ark / r r Existing Trees Doted 912912008 / 10.3'. to be Removed to Lake os Proposed Q ..._.. 04 TBM EI=68.84' NA VD '88 Addrti0 4 r: 10 .Min.., CB/DH Tope of C8/DH Proposed \ (Fnd) 7 Gar6g'e o Tree �, �'� ddition To Be .��� #140 110 Proposed 1500 Gallon emov Qe� Ex. 1 Sty. l , `LO Septic Tank w/f Dwelling 0 a 50' / 22.6'' Existing Septic Tank 0� to be relocated. Oeze Proposed =•�4 ��� Entrance 20.7' 3/ Proposed - °� P So Paved Drive ° - 19.2' e Buffi LEGEND: i . 100' 24 Oa 0 CDT Cedar Tree N/F HT Holly Tree , Virginia B. Upham �o<e DT Deciduous Tree (b.� m ae e CT Coniferous Tree Q_ / CB/DH Utility Pole (Fnd) Z� —E— Electric {fief Qo�et�` —G— Gas 8� } P�:- Wetland Flag 1�% e Ok Light Post E CB/DH OHW— Overhead Wires 25,-,--,-,- Elevation Contour GOO Gas Service Shutoff T1 TLE: PREPARED BY. PREPARED FOR: NOTES: Site Plat] 1) The property line information shown was PQ • Engineering lX TIt7l �C Janet GI'een obfoined from a Plan of Land at 140 Conners roposed Improvements Rd., Baxter Nye Engineering and Surveying consuitI1199140 Conners Rd. dated 712112008 which was compiled from At U Ivan Inc.Inc Centerville, MA 02632 various recorded plans and available record 140 Conners Rd deed information. (508) 428-3344 • P.O. Box 659 • 711 Main Street, Osterville, MA 02655 2) The topographic information was Obtained oft I Bamstable (Centerville)Mass. seci@sullivanengin.com • www.suilivanengin.com from an on the ground survey performed on Draft: ASL CTR Field: WHK JOD CTR 20 0 10 40 80 December 13, 2019. oft / / / 20 3) The datum used is based on Town of DATE SCALE: Review: CTR Coin CTR December 26, 2019 1 " = 20' Comp.: - Project: Green Project #: 19980101_Dacey �� Barnstable CIS Data E ` t -4r GENERAL NOTES LOCUS MAP N.T.S. 1.) 11E NiQR OF THIS PLAN IS 10 OEDIIL PHLOPOSED Now a iNIS Sw 2.) I= IS CONTM OF BUMS' M ASSESSORS IMP 251 PIA M 014 GEED BOOK 21056 PAGE 83 NO RECORD PLAN Dfi1NIMi PEI0M FOUR AT BVINSIA&E OOLW EC,TSTRY OF DEEDS Bi MSDIME ASSIESSWS IIiP 251 FARM 015 MW BOOK 21056 PN1QE 83 PLAN BOOK 142 PALE 105 OwNER/APPUGW .' ALAN A AND SiE W R GIEETI P.OL B.r 321 COMERVILLF, w 02Lp2 PRONEC.T LOCATIOUt 140 ! 128 ONS AM COMM" ILA 0:032 3.) DYiiUIk N 0 AS ESGINLJSNFD AT SBE BY PRIEWUS NOW BY BAxTER NVE ENGNI MNI6 AND SURVEW PROJECT BOraUAML* AS SiM ON PLAN 4.) ZONING N MWI N 20f/NiG 051KI' : 0-1 (FENENCE OSIMr 1) N LOT AID - 87.120 S.F. HNMAI LOr FRONDWE - XY iOrlUl LOr WIN - 125' IN MW FIWNT M kM ac 40 LNMAY SIDE AND REAR VND SEiM - 10' WOW &IDIW Few - OUIMIAY DISiWCr : RPOD AND AP 5•) A 101E SEARL7H HAS NO r BFDH PERFTIRIED FOR INNS SITE F DETEIILINED 10 BE NELIESSARY A 79LE SEARCH SIMLL BE PETifDiMO BY OINOM &) 1NE PO'ER1Y LINE NiMM MIN SIM B BASED ON CINi W W&ABLE REDalO MM071M COMM OF PLANS AND DEFAS. THE DOS W FFATLM SiDMN HEWN KIIE OBTANiD FROM AN ON I E L#IOLND FED REV PE>J LIED BY WO NYE E11B/EDWB t S16lMM ON JLLY 1. 200E 7.) nm low G OOINM6IRY FWR NMA V 250001 W05 C B.) •;SRE 6 NHT`W AN AC;E.C; OW Of CWIGIL OM11ON EN01. OONCERII7 • SIIE HS NOT WM AN AREA OF EMM WOW OF RARE NMDUFE PER M£5P IMP OCIDBER 1. 2006 'F39MMTED MOM OF RARE KDUW FOR USE UM TIE NA NETIAIOS PIONECIION ACT XW A1MNlS (310 CUR 10).' • SRE DOES NOT COMM A COMB MNA . POOL PER MOP W OCIOBER i. 2DX 'I ERIFED VOW POOLS' SiZE APFM 10 E NRHN A PHONY HNIB W PEA' NHESP IMP OCIOBEJL 1, 2006 9ANNIY HMBI XS OF RARE SP1#SFOR SPECES UNDER THE iNlS OR SETTS [lDNMERFD SPEW ACT. RENIAAiMI a (MI CIR10) • SDE 6 NOT MRM A SLUE APPROII<D ME N 0IOLND W ER NEMAW PNOTBCiION AREA . NETIAND COMM E LARI 1INCOMA DI IRON IMM SCOtIISf 9.) • THE OONVAM SHALL 0WACT W SAFE (AT 1-96-Wir-SAFE) AND URff COIPAIES TO LOCATE ALL E>o W UlUli'S, AT LEAST 72 HOURS PRO TO IW START OF CO6iRUC11at. THE LOO MN OF OEM UDEMGROUID /NFR%S7IMX7LW uINRn COMM THOSE SHO M MOM AV HAVE ON B AMUM O OWN ONLY. AW48LELE NOT BE nm � Q JAl-3 ------ �' CB NDiED iEJI K 1NE CONIINCIOR ARM 10 BE FULLY RIESPON5W FOR ANY `J ��l►1 - MO ALL Di IASM MiEN Wff E OOOISIONED BY 1FE OONIRICIORS FNUME To LOCATE (� a - �' - PUMP AND FILL CESSPOOL CB/DH FND V ERE REQUESTED: �OMTWCIDR SHALL AND UMMIES DNO FYI F FRO MOM MR F E o ', _-_ - MATH CLEAN SAND S PLAN BOOK 142 PAGE 105 EL- .09 NGw �C QUES FEDEM '� ASSESSORS MAP 251 PARCEL 015 :-' , ��5 �P� �•Hits LSE NLFOILiVM PER IMP PIIOYDED or NAtIO A CM HOUSE 1140 DOES y�P - - y-4 . •- ,�C�E 4,237t S.F. (0.10tAC.) �� "_ 8WWMBLE BOARD OF HEALTH RE MAM SEM N 3OD-1 (SETBACK REQUIREME 0) NOT APPEAR TD HMwE SAS SERMCE Al 5 ! <j , �$- • IE EC'ITNC LIE N U M1I0N PER N= ELECW PLAN 047ED JLLY 1. 200& a A MIETIAND N � ��- • � ,qa TO ALLOW A SEFnC TANK iD BE TI fEfT FTtOAI LIEU OF 100 FEET. •y� .- -- .. • J •� ' , SY5TE11 TRIE Y O/fiCML NLSI&TIOIN FDRy, .-• `�' �: MIIBE . • r N� / ,� , . SEPFIC LOOM S APPpONw1E; PER \ • � � VARW CE APPROVED AUGUST 26, 20M tMhO 2/i t/b4 BY I" act NM. Yo Al-9 --_A1JSTING- - ' _38 -� / ' CONK BLOCK 40' Pe ASSSESSORS MAP 251 ' PARCEL 014 .-'"�� --PROP UPLAND = 11,212t S.F. (0.26t AC.) �yz ' STAIRWAY,,, WETLAND = 2,332t S.F. (0.05t AC.) '1trr' TOTAL = 13,544t S.F. (0.31±AC.) 4' J Ira,/ �A VIRGINIA B. UPHAM AND HEYWORTH G. BACKUS. TRUSTEES (PARTIALLY SHOWN AT �� r PLAN BOOK 39 PAGE 49) EXISTING r �� STEPS TO BE REBUILT CB/DH FND HELD I--- 12' FINISHED GRADE 36"MAX.-9"M N.M'X \ \ \ COMPACTED FILL 4' 14' 4' 2 OF PEA STONE -_L_ ..................................... 3/4 =t.5' NLiSffD str>wIE 4' OR FILTER FABRIC 3/4" TO 1 `1/2 i r' 4 12 24" DOUBLE j+ ,, .. EFFECTIVE WASHED STONE �--- 22' PLAN OF LEACH CHAMBERS PLASTIC LEACHING CHAMBER DETAIL NO SCALE CULTEC 330 OR EQUAL NO SCALE DESIGN SCHEDULE ELEVATION FINISHED FLOOR 69.0 SEWER INVERT AT FOUNDATION 63.7 SEWER INVERT INTO SEPTIC TANK 63.4 SEWER INVERT OUT OF SEPTIC TANK 63.1 . SEWER INVERT INTO DISTRIBUTION BOX 62.4 SEWER INVERT OUT OF DISTRIBUTION BOX 62.2 SEWER INVERT INTO LEACHING SYSTEM 62.0 , BOTTOM OF LEACHING TRENCH 60.0 WATER TABLE. NONE OBSERVED AT ELEV. 54.6 1 ,1 r- :1 II-11 % II-1i=11=11=II=11- - `` °► r ► , r r , r : 1 1=11=11= s 1 r ,,. ti •- r r ,yw 1 • MM■ � � � MM■ a �_ Mt � � � I W. _� 11i PROPOSED SEASONAL DOCK (16'x4l Al-2 CUP i G 4 x 4 TREATED POSTS � �- 9' ON CEN TER 0o ALLOW 1" SPACING BETWEEN STAIR TREADS UTILITY POLE RELATE SLOPE OF STAIR TO SLOPE OF GROUND EGRADIRE? EG ••� 2" x 4" HAND RAIL 2" x 4" KICK RAIL k 2" x 12"TREADS OR THRUFLOW GRATING jJ /ij ? 2"x 4" CLEAT OR DADO ' R _GALVANIZED BOLT CONCRETE BLOCKS EMOVABLE END SECTION (IF REQUIRED) CARRY POSTS 5' BELOW GRADE ELEVATED STAIRWAY DETAIL N.T.S. 80L LOW P-A715 DAZE 6/W104 BARNSTABLE SOIL EVALUATOR: BOARD OF HEALTH AGENT: TERRANCE CHASE DAVID STANTON TEST PIT 1 " G.S.E. = 67.6 A ; 1OYR 3/2 LOAMY SAND 6" B ; 1OYR 5/6 ; LOAMY SAND 22" C1 2.5Y 6/3 ; COARSE MEDIUM SAND 72" C2 ; 2.5Y 5/1 COARSE MEDIUM SAND 156" NO WATER ENCOUNTERED PERC 0 32" RATE= 3 MIN/IN CLASS 1 SOIL Leaching Area Requirements 2 BEDROOMS AT 110 GPD/BEDROOM = 220 GPD NO GARBAGE GRINDER PERC RATE = 2 /1 MIN. / INCH (CLASS 1 LIAR 0.74 GPD/S.F. MIN. LEACHING AREA OF S.A.S. 220 GPD/ 0.74 GPD/S.F. _ 298 S.F. PROPOSED SYSTEM : SIDEWALL (12'+22')(2')(2) = 136 S.F. BOTTOM 22' X 12 = 264 S.F. TOTAL = 400 S.F. $, ALAN A. AND SHERRY R. GREEN. / OWIRAdw 10 VDIFNY N FIELD THE AMK LOOM OF LOW MOUND TRUSTEE$ �,p" E i� % ? COIPONIERM SISiEM LOCATED ON FARM 014 BIILNSVAE ASSt3SORS NAP 251 tot / _ APPKOX. L9CA1I6NOF / � � � t0.) / EXIS1jW'CESSPQDL - /� / / iFE ONUS TO MAIM N THE HORSE NLL HAVE 10 E -, -�.- / � ,-� / ,�.► RE'OONF1GURm TO ACCOMOLaATE'tFNS L1ESIGN. ALL SY5'iE]I COMPONENTS SHALL E NSMM N ACCORDANCE WON .1t - �Ej' - / ,� . • f1'1'� TIME V OF THE S XTE SVVW CODE OATED MARCH 31.1995 �i 7bH .� - �• .f�C/ � /�,•- / ,�!� k-i• ANY t:OGH. RULES MPLIriiM.E. FND HEW /plk% �� , �� BNY�TD MUST LE IIPP1HOVfD IN WOW ENGNM _ #70/EI POLE FO M & � 'HEATH M i ' I ,' ;,a' 1� • / THESE ElE MIS MUST NOT BE CWM WITHIOUT MIEN ,' APPROWL BY DESIMIM ENGINIn ♦g9 �0• - ,' / ` G ALL SANITARY DISPOSAL SVSTEN PIPING TO BE 4' PVT~. SCH 40 1A�• �,______ CB/DH p, • FNo E7ICAIMTE AND RIPIACE ALL UNSUfi1M.E NRM W. SURROLKING i P THE LEACHING FIELD FOR A DWANCE OF 5. PER 310 CMR ISM& HELD DEED FRONTAGE : 106.71' n THIS FOMW IS OM THE WE OF OONHIL�NIIDH TO SAL11111ER BRIM - rX SLIM 3OD-41 R PIT i / r1 � LEGEND -PROPWA El BOUND �G TEST PIT Plan of Land at � G `CO � 140 Connors Road -O- u nuTY POLE s v` 0 LAMP POST Centerville, Massachusetts 0 TREE PREPARED FOR EDGE OF CLEARING OH►- OVERHEAD WIRES Alan A. & Sherry R. Green T TELEPHONE MARE MU Wetland Permit Plan . 4.O ft , e x 4' PosTs -� BAXTER NYE ENGINEERING & SURVEYING 2' x 8` z x i0 DECK Registered Professional I- SPACING (TYP) D.E.P. Flee #SE 3.4755 Engineers and Land Surveyors El". - 36. Expires Street, 3rd Floor, Hyannis, MA 02601� Order of Conditions ir>es 78 North -- Phone - (508) 771-7502 Fax - (508) 771-7622 i i irkT .q` LJ►KE ELEV 34.0 CONSERVATION 1. N0 WORK IS TO BE DONE UNTiL FORMS A do B ALONG WfTH REQUIRED 20 0 20 40 PHOTOGRAPHS ARE SUBMITTED TO CONSERVATION COMMISSION. 2. PROPOSED STAIRWAY TO FOLLOW EXISTING PATH. AVOID CUTTING LARGE SCALE IN FEET `� a n B` CROSS BRACE TREES. (OPTIONAL) 3. CUT BRUSH AND EXCESS EXCAVATED SOIL TO BE REMOVED OFF -SITE. SCALE: 1= = 20' DATE: 07-21-08 \\ 1/1 \\\\\\\\\\\\\\�\\\\ �\\\\\\\\ 4. STAIRWAY LANDINGS AND SPACING SHAM CONFORM TO APPLICABLE BUILDING CODES. 5. LIMIT OF WORK SHALL BE SILT FENCE ONLY (NO HAY BALES) AND MAINTAINED IN GOOD REPAIR UNTIL VEGETATION IS RE-ESTABLISHED. REV. DATE: REMARKS 1 8 26 08 WATER SERVICE 2 8 28 08 REVISION AS PER C.C. SEASONAL DUCK VE I All, 6. ALL ROOF LEADERS SHALL DISCHARGE TO DRYWELLS OR DRIP , TRENCHES. SCALE 14' 0: 2008 2008-031 SU WRKS 2008-031 NOI.dw "= 2008-031