Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0385 ELLIOTT ROAD - Health
385 Elliott Road fi r /ll/Cn4i`.lilL/� Z UPC 12534 NO.2-1_53LOR HASTimas.,uN B_ o No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 9pplication for Misposal 6psteut Construction Permit Application for a Permit to Construct( ) Repair(Xpgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. / i U t•f R' Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 3,�7._ � Installer's Name,Address„and Tel.No. Designer's Name,Address,and Tel.No. d�c c. Type of Building: Dwelling No.of Bedrooms y Lot Size s��Cf sq.ft. Garbage Grinder( ) Other Type of Building t1 C",3,.e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided y�tQ gpd Plan Date rf)20 I)-3 Number of sheets :t Revision Date Title Size of Septic Tank )�E7 X I e) N . Type of S.A.S. 3 !;Cxi rira��t+n� Cl tc.,L by/,Sl $i a v Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1,N5�-CJJ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. igne Date Application Approved by Date GT l Application Disapproved by - Date for the following reasons Permit No. �` I Date Issued d t t a R�o &94- - - ' Fee 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF�BARNSTABLE, MASSACHUSETTS Yes Zipplitation for bispos L ?pstim Construction Permit a Application for a Permit to Construct( ) Repair(64upgrade( ) Abandon( ) ❑Complete System ❑Individual Components _ Y Location Address or Lot No.13 Owner's Name,Address,and Tel.No. Ee art 1'[ Cdrivf Gt�,n.i r Assessor's Map/Parcel ,'►,1.-7_I O j_( / Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. )4s 5-CX&—A/M--7/3-9 EivS/.vim�✓r.vs /�$ rrj$_Y77'5-3/ �.. Type of Building: Dwelling No.of Bedrooms Lot Size Sid gj(S'_ sq.ft. Garbage Grinder( ) Other Type of Building �J txVS-& No.of Persons Showers( ) Cafeteria( ) Other Fixtures • Design Flow(min.required) H ul 0 gpd ib Design flow provided gpd t. ,Plan Date Q _0))3 Number of sheets :L_ Revision Date Title II Size of Septic Tank 1�'X 15f fN\ Type of S.A.S. I SGCS rco/ ej C bets./4 n'4 5twv(f Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1 N5 ka 1 1 /JC W S, A Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. igned Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 3 Date Issued R 1 3 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS��T--O--CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by t at, A R 60•ca►rJ =/v at �jg S rlkn f -Ze) ���fr wi// has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No 36 dated Installer:D2,,,,)4 S A T^r Designer��IN t �✓�N� W k s #bedrooms Approved design flow 14 q Q gpd The issuance of this permit shall n be true as a guarantee that the system w ction as desi ne . Q Date .-_�� Inspector - p / r No. .�. Fee /00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal *pste oustruction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon System located at Q S �lI/G t �� to✓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:Construction Zmust beecompleted within three years of the date of thi pe t.Date �/ /� Approved 01/14/2014 14:53 5084775313 ENGINEERING WORKS PAGE 01 'own of Barnstable Regulatory Services Richard V. Scali, Interim Director adxr�rws�a. � Public Health Division Thomas McKenaa,Director 200 Main Street,Hyannis, HA 02601 Office: 508-862-4644 Fax: 508-740-6304 Installer & Designer Certification Form Date: l t�{ �y Sewage Permit# Assessor's MaplParcel T,Z "7J Designer; ��gg,4 --n ,Ldst (xc Installer: RA ,6rr,,Jn � C Address: t 7- W. Cnts rjQe Id f(Ct/ _ Address: 3' � lq On 9•A ,dv,% {1.,e was issued a permit to install' a da ) (installer)• - septic system at TYS f-1 l"o-& W Cw+kot�c _based on a design drawn by (address) t-ee E dated (designer) Y certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. 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. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in comph with the terms of the I1A approval letters (if applicable) p opi PETER T. >-z. — WENTEL staller's Signature) CIVIL , 351 D9 ,_(Designer's Signature) x Designer's PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTUICATE F C .MPLLANCE WILL NOT BE ISSUED UNTIL BOTH T15 FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC SAT, H DA'ISION. THANK YOIL QASeptic\Desiper Ceitf=ion Fot:m Rev 8-14-13.doe TOWN OF BARNSTABLE LOCATION 385- H 1\`:ott- V-0 SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL 2.2 7=- 01f INSTALLER'S NAME&PHONE NO. �l > A 11fcx�4 Snr SEPTIC TANK CAPACITY LEACHING FACILITY:(type) t+A0 ccygrAl ar,�Ck&b6(size) 31,S NO.OF BEDROOMS OWNER 1 Joisiln OAA&I PERMIT DATE: 2 -� - f �_ COMPLIANCE DATE: roo �cawr�erec7 Separation Distance Between the: Ne Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility C)a M Feet ` Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY& A I - 2G,7 �+ 27 � � - 31 2 � 4g,3 y C A4 E A-sf Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home I Help Parcel Viewer Custom Map Abutters Map Size . Zoom Out �In 0 a �aI r I �a !C ® (a IK JPG Map: 227 Parcel: 104 11 Property 1227093 227094002 227079nfo 11,71 p195 *' 22708111 a27 121114111 Location: 365 ELLIOTTELLI OTT ROAD 2N 351 ..a Owner: CROUTHAMEL,JOHN J&CAROL S � p351 227078 a185 t 227083 Location Information q 327 Map&Parcel 227104 Location 385 ELLIOTT ROAD ten'sve Pwq Acreage 1.42 acres 111141 9- rao� p5D 227103 2270844,& 1344 a377 2r 27085 Current Owner r a 3a5 i Mailing Address CROUTHAMEL JOHN J&CAROLS r` 385 ELLIOTT ROAD 227108 22771141 I CENTERVILLE,MA 02632 p 378 w 227187 a 423 aloe' Appraised Value(FY 2013) 22"DS 227151 ' M397 a50 Extra Features $71,100 227110�r 227 q 435 2p4157 03360 ® Out Buildings $25,500 s Land $230,000 227109 Buildings $488,400 1429 �9 227148 227150 Total Appraised $815,000 227111 i'C 4 a 8 227140 '44VO '* 207091 D05; q 439 'NA)r R Assessed Value(-Y 2013) 227112 227135' RON Extra Features $71,100 (] a 6 @et,," Fax 2 Out Buildings $25,500 s j 22704 227133 227160 �141 Land $230,000 I `as4 a21 Buildings $488,400 ., Total Assessed $815,000 Set Scale 1° = 206 ._ I Aenal Photos I MAP DISCLAIMER Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableNlA v1.2.4743[Production] 1 http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=227104 10/2/2013 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search Home Help Parcel Viewer Custom Map Abutters Map Size ■■ Zoom Out 'I I In ,F y r R Turn map layers off by K" a r r y � Q I ® _JPG selecting check booxx es below F Town Boundaries tiIL �• vlu_ t f/ vte !1/ 'Y -Y; .J4, X 25.12 Road Names , X r Voter Precincts 2T. u tOWdle Rive Y _ n 1� X 0 t 1 alr +,. � ! 1...• 1 ] 29.26 r Map&Parcel Numbers aE«: .� ., �,.. •. ` ;N Ar , F Parcels E F. FEMA Q3 Flood Zones(Current Maps) 23 ff`ti t, Not for official Flood hazard determination. X — 8} Xp I AE(100 yr flood) j{J ,�� �IRRR777 It of 1 16.N ! AO(100 yr flood) 13 VE(100 yr flood w/wave action) 13 xsoo(soo yr flood) /1 .52 c O 2.42 y ,r' ` -,: 2U f : r FEMA Preliminary May 2013 Zones(subject to change) t Expected Adoption Summer 2014 y + f + 93 13 AE-100 year flood -N-� •. i�/� i``�•. :�'% �'"` �.� d AO-100 year flood 13 VE-Velocity Zone 13 �.. 0.2%Annual Chance Flood ..... 0 Open Water Set Scale 1" = 206 I rAerial Photos I MAP DISCLAIMER Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2,4748[Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=227104 10/2/2013 Postal CERTIFIED MAILT. RECEIPT (Domestic Mail Only, f`- O For delivery information visit our website at vmw.usps.come u1 CIAL USE I c Postage $ ru Cedified Fee 0 Return Receipt Fee Llq �#Here O (Endorsement Required)ONRestricted Delivery Fee O (Endorsement Required) /Total Postage&Fees rn rU o Mr. & Mrs. John Crouthamel (� 385 Elliott Road Centerville, MA 02632 Certified Mail Provides: ■ A mailing receipt > ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile.. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT- Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 — i SENDER-.COMPLETE THIS SECTIONo 0 ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si na re item 4 if Restricted Delivery is desired. X Q Agent l ■ Print your name and address on the reverseAvlf�"'O Addressee so that we can return the card to you. p eceived y(Printed Na(In C. Date of ivery ■ Attach this card to the back of the-mail iece, -/ C or on the front if space permits. b 0 D. Is delivery ad cress different from item 1 ❑Yes 1 Article Addressed to: If YES,enter delivery address below ❑Na Al Mr. & Mrs. John Crouthamel 385 Elliott Road Centerville, MA 02632 3. Service Type ❑Certified Mail ❑Express Mail ❑ Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2.Article Number a (transfer from service label] 7 012 1010 0 0 0 0 .2 80 0 0 51. 7 9 47 9 4 �A PS Form 3811. FebruarsLmo4_ Domestic Return Receipt 102595-02-M-1540 I UNITED-STATES POSTAL,SERVICE, First-Class Mail Postage&Fees Paid USPS Permit No.G-10 Sender: Please print your name, address, and ZIP+4 in this box • --.............- � G Town of Barnstable Public Health Division 200 Main Street f Hyannis, MA 02601 C I Y Town of Barnstable Barnstable SHE Regulatory Services Department erica I . II f IARNbTABLE, ' 1619. sr Public Health Division 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 0794 October 2, 2013 Mr. & Mrs. John Crouthamel 385 Elliott Road Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 s The septic system located at 385 Elliott Road, Centerville, MA was last inspected on 4/04/2013, by Wayne Archambeault, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • System is in hydraulic failure. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH s cKean, R.S. CHO i Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval085 Elliott Rd Cent A 2013.doc EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES ON 10/8/13: I. Septic Variance (New): A. Peter McEntee, Engineering Works, representing Carol Crouthamel, owner— 385 Elliott Road, Centerville, Map/Parcel 227-104, 1.21 acre parcel, repair failed septic system, multiple variances. Peter McEntee was present and stated the house is currently a four bedroom and the submitted plans are designed for four bedrooms, as well. Mr. McKean said the staff has no objections. There was only a question on two unmarked small rooms on the plan. Mrs. Crouthamel was present and reviewed the plan. She said the doorways to the rooms were widened when they did construction to the house in 2006 making the garage into the kitchen. The stairs come up in between the larger bedroom and the two smaller bedrooms. The two unmarked rooms on the second floor were identified as a bathroom on the left and a closet on the right. There are three bedrooms upstairs and one downstairs. Upon a motion duly made by Dr. Canniff, seconded by Mr. Sawayanagi, the Board voted to grant the variances. (Unanimously, voted in favor) q Parcel Detail http://issgl2/intranet/propdata/ParcelDetaii.aspx?ID=15893 r �H b +A t��e' ni'la-Al le, Logged In As: Parcel Detail Tuesday, October Parcel Lookup Parcel Info Parcel j227-104 � ��_, __...___._ __.._ ____) Develo er[_LOTS 2,46&4C ——__ ID Lot Location[385 ELLIOTT ROAD __� Pri,30 Frontage Sec Sec Road' Frontage Fire _ Village[CENTERVILLE _ ._....� District°C O-MM Town sewer exists at this Road 10492 address No Index Asbuilt Septic Scan: Interactive 227104_1 Map _s; Owner Info _ Owner,C__ JOHN J&CAROL S� � CO_j_____�_ Owner Streetl r385 ELLIOTT ROAD Street2 F City CENTERVILLE StateFmAj Zip 102632 1 Country Land Info Acres 1.42 Use m MDL-01 Zoning[RC Nghbd 0108 Topography FCevel Road Paved Utilities JPublic Water,Gas,Septic _ Location Excel View,Rear Location Construction Info ......... ......... Building 1 of 1 YearBuilt!,198 S Roof GableJHip� � Wald Clapboard Living j4176 -D Roof Wood Shingle 1 AC Central Area Cover Type - � Style Cape Cod Int plastered Bed�4 Bedrooms ' q Ty , Wall Rooms _s > 1 . . Int-- ____ Bath Model Residential mm�f Floor Ceram Clay Til Rooms 2 Full+2H �� ►aT p A4 Heat Total ° Grade Luxury !Hot Air F9 Rooms TypeRooms g Pu� u, Stories 1 1/2 Stories~ ) Heat Oil i Found- .Poured Conc. Fuel° 1 ation Gross http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15893 10/1/2013 Barnstable Try ray Town of Barnstable f 1 BL& Board ®f Health I '. ►639- 200 Main Street, Hyannis MA 02601 2007 Office: 508-8624644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi October 11, 2013 Mr. Peter McEntee, P.E. 12 West Crossfield Road Forestdale, MA 02644 RE: 385 Elliot Road, Centerville A= 227104 Dear Mr. McEntee, You are granted variances, on behalf of your client, Carol Crouthamel, to construct an onsite sewage disposal system at 385 Elliot Road, Centerville. The variances granted are as follows: 310 CMR 15.405(b): To place up to six (6) feet of soil cover over the top of the soil absorption system, in lieu of the three feet maximum allowed. 310 CMR 15.405(b): To place a soil absorption system seventeen (17) feet away from a foundation wall, in lieu of the twenty (20) feet maximum allowed. Section 360-1, Town of Barnstable Code: To construct a soil absorption system 73 feet away from a coastal bank, in lieu of the minimum 100 feet separation distance required. The variances are granted with the following conditions: (1) No more than four bedrooms are authorized at this property. (2) The septic system shall be:installed in strict accordance with the engineered plans dated September 20, 2013. " (3) 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 submitted plans dated December 21, 2007. These variances are granted because physical constraints at the site severely restrict the location of a soil absorption system due to vegetated wetlands bordering two sides of this lot. The proposed system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sincere yours, Wayne iller, M.D. Q:\WPFILES\McEnteeCrouthamelElliot Road CEnterville2013.doc �tNE DATE: FEE snBr AM LF 9.MAs REC. BY a(:. 6MA'I�1 Town of Barnstable SCRED. DATE �J Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 ® Wayne A.Miller,M.D. FAX: 508-790-6304 III ��1 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: OCI i Ce., $-t ,e-'Az Assessor's Map and Parcel Number: 2�Z 7 - L 0 Size of Lot: 52, y q S 4/— Wetlands Within 300 Ft. Yes K Business Name: No Subdivision Name: APPLICANT'S NAME: FC-I-¢," eke e-n-V e-e ?L Phone 570 T-7 3-7- 7 E Did the owner of the property authorize you to represent him or her? Yes W— No PROPERTY OWNER'S NAME CONTACT PERSON Name: Cct--a ( C c-v.,s 4-k Name: B6.4"Vet C- Address: &F '14II :-iI'�I+' 6'Z 6'� Address: e ZA4-l4 Phone: Phone: --S-Q 1•_73 7— 4-7 (n VARLANCE�I(FRyO�M REGULATION(fist Reg.) REASON FOR VARIANCE(May attach ifmore space needed) ;..�� 0 NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed rTdc System A Checklist (to be completed by office staff-person receiving variance request application) _ Please submit copies in 4 separate completed sets. "` L Four(4)copies of the completed variance request form --- Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or re istered sanitAQ 1"! _ 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/lessee 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 Junichi Sawayanagi S REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. 1% C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC / Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 September 20, 2013 Town of Barnstable Board of Health 200 Main Street Barnstable, MA 02601 Re: 385 Elliott Road, Centerville (Parcel ID: 227-104) Dear Members of the Board, On behalf of my client, Carol Crouthamel, the following request for variances related to a septic system upgrade, is being made. The soil absorption system (SAS) is in failure and a proposed 4 bedroom SAS is shown with maximum feasible compliance. Following are the variance requests: • 310 CMR 15.405(b) —CONTENTS OF LOCAL UPGRADE APPROVAL 1. A 3' variance to the maximum cover requirement of 3', for up to 6' of cover. 2. A 3' variance, S.A.S. to cellar wall, for a 17' setback • LOCAL REGULATION, Chapter 360, Article 1 —Setback Requirements 1. A 27' variance, septic S.A.S to coastal bank, for a 73' setback. Variance requests are being made do to limited area available for S.A.S. cerely, Peter T. McEntee P.E. Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 September 20, 2013 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 385 Elliott Road, Centerville, MA, Title 5 Septic Upgrade Representation Authorization Dear Board members: I hereby authorize Peter McEntee PE to represent my interests for the subject project. Carol Crouthamel—Owner TOM �P��y�ervkes zoo Maki S Mret,ltyatiala MA QW1 �dttlod r Tlme pee Pd Ift Seal u' �As ;smenfar tS .e 9 Pat!Ihrtaed8y c h. /mac, Z'rt '� wraeoa s r LOCATM%kti . .. �3 �L'SF!1�o�7 /?,:•( re� 'C'ry.f-rhr� .�-�I .Tw k 37 Atbt eus.MaplPw.a, 2�7.7 -1 o y ~r c��+-c ✓`ice ✓� c zG � .Han��(-��`M�:.�•�1--�-,L stew. ` ucroox AWAIR x ore b w sZJ Z-7 3.�-�-(7���, �,u,,. �s,•4Lc,�,.�l slepta(�) y�� swraeesmae, eJon-� Dleunrm from: OM W&w BedY !7.,bu fl i°owible Wet Area 2 t'd a ft DMnktng WaW Wtli�_8 MthpgtW%Y 7101' fi Ptop"une Sot/—B •Other, R SMITM"(Streit flame,dimmieni Of lot,CAW hteW mi of feet IMM a peso mu,ktmita wethoft fit pigahrdty to holm) �ti h•�-lj Yf )K �J`br �r�• \\ 1 �1 �t � I great mrmmW(gaobgle]_d u�wr u� � 'upm ro ga4tmk.., ti1 C^�c c w7:L Dom to OmandwaurSMftWamninHold! Nan ... WaVIngfiomPltF'rA 96aaonal Hlgh t3ronpdaaa tr, > `Lj DETP,RMMATION FOR SFASONAL HIGE WATER TAB Mod Iliad: Aoptlt Ohataved aundbtg In obi,holm lo, 4epth to roll mMM w is Dr ptl+to aoeplag boat lids or obi.]foie: _ In, Q=dww Agltmtinplt ladaMe1 Reading Date ipdeaWdtktll_�__._� AQl• Iidj',OiaaEidtrae>tlavrl_ PERCOLATION TEST Dm Thna Waervatiaa Hek# ,� T9ate tt➢" �,�, �" Dtp+s ogre fL� U�t fti l fkeTat 6" Y° 9urt Prasak nm.0 �a Time(911.611) lied Pto-ivaft Rate Mle J SJUSaiubilityAnwroeac SI[oPaucd 1-11, _ SltefWtW: _ AddidoomlT=dmgNm9 d(YN) OligSaak Paean Hae6 Diryiett Ob vetion Hols Darn To Be Completed on Back ,- �aeee" 14 0 eel ir to be cumbw6ed witdn 100'of wedOW,you mast(fret notify the �a�MR cwmmrwum Dtwidoe Of Idgt oee(1)week prier to beghming. �c • p SollHNJrw �di1'Aea111ne solt'�elor Soil ga Qtlw g�(ia.) (USDA) (Mwuon) MoWitg{ :(gpumate;,:9loaef BoaldasR 6 "i14 5 60 yl2 z,s Y4KJ : .. • .. .. dole# .. ' "I Hotisoo Soil Texhn 8oi1 Colw soil 41ber (Wg1DA) (MMM11) Mollling ISmIch m,21aoe169d6ldat. �/3� M�c 5Gtid 4 `T 4 Hale# geptg.hes; Salt Hataoa Soil Tat" Son Cc*.. Soil (low Surhee'(io) (USDA) (Muoatelp MaWlog {8S1am ,AWIWon 191 1' wAT1ONQ MLE LOG So1Hole#_ Dw6"m So11AAMAsa1 806Ten= 8ail.Cow Hallos( (S1 Ra. '�Oaltl�a gm�loe((n) (USDA) (M�mra10 t A r°� No— Ys �t{tlp yafYyr„ndo4 No Wifta too y®r flood Wuadtry No Ya of ma occurring pervious mate W exir♦t in ap ttat abaarv+d If not, is 4fi+da#1h of nt y accusing ptrvtorsv mtppl{al?- i d 1 i i`! {dam)I have pAMW tae Jai 0M*A8 anna'1� p{ oa■rmali I"tp oa tad tw an *m=*GIs-0 Pwbmr by 20 . d1s MgWMd Irtiing.gaped w"d eltpuxmce did b�1000 LS 0i9. sip"= ND.. CITY/To": B a rns't-& A ICAM: 1), �.v� l c ADDRESS: DESIGN FLOW; gpd REVIEWED BY., �t�e r I`�G e&�-� _ DATE: w �_ { Z4 \-3 NIA OK NO !ail boundaries denoted 310 CMR 15.220 a a ✓ Street,Lot, tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] Locus Provided 310 CMR 15.220ILtj Plan proper scale? (1"=40'for plot plans, 1°=20' ar fewer fbr components) 1310 CMR 15.220(4)] Easements shown J310 CMR 15.220 4 System located totally on lot served (310 CMR 15.4050)(a) for u ades -if not, a vwlance is re fired 310 CMR 15.412 4 Location of impervious surfaces (driveways, parking areas etc.) 310 CMR 15.220 4 d Location all buildiugs existing and proposed 31-0 CMR 15,2200)(01 Location and dimensions of system components and rase vO areas. 310 CMR 15.220 .4 e System Calculations 31.0 CMR 15.22 4 daily flow septic tank ea (required and provi ed soil abso em(Leguired and 20ijod . whether.!stem.-designed for garbage&der North arrow 310 CMR 15.220 4 E ' o contours 310 CMR 15.220(41W] ✓ Location and loj of deep observation holes(existing grade el. on each test)[310 C11a 15.220 4 Names of soil evaluator and BOH representative [310 CMR 15.220(4& and i Location and dale of percolation tests(performed at proper elevation?) 310 CMR 15.220 4 i Percolation test results match to rate?P10 CMR 15,242 Certification statement b Soil Evaluator 310 CMR 15.220 4 ' Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR � G. r 15.22 4 n S1"t 1 of 9 NIA OK NO Location of every water supply, public and private, (310 CMR 15.22 4 wfthin 400 feet of the proposed system location in the case ' of surface water sWfies and gravel packed public water supply within 250 feet of the pLop2sed System location in the case within 150 feet of the proposed system location in the can of private water wells Location of all surface waters and wetlands located up to 1001 beyond setbacks listed in 310 CMR 15.211 and any catch basWs located within,50 ft. 310 CMR 15,220(4)(1)] Water lines and other subsurface utilities located [310 CMR V/ 15.220 4 m if-water line cross see 310 CMR 15.211 1 1 Profile of system showing invert elevations of all system ,�l components and to bottom of the SAS. .310 CMR1.5.22 .4 0 Stamp of de er 310 CMR 15.220 1 and 310 CMR 15.220 2 Stamp of Registered Land Surveyor(required if construction / activities within 5 R. of lot line) [310 CMR 15,220 3 1./ Vest Holes adequate(two in each of the primary and reserve unIm trenches as pemined in 310 CIv1R 15.102(2)or as approved for an upgade under LUA at 310 CMR. 15.405 1 k Test hole adequate to demonstrate four feet of suitable material? 310 CMIt l 5.103 4 Test Holes adequate to confirm adequate groundwater separation? V/ 310 CMR is.103 3 Benchmark within 50-75'of system 310 CUR 15.220 4 Materials specifications noted? [various sections of 310 CMR 15.000 System components not> 36" deep(unless.Local Upgrade 4 A roval or LUA requested) 310 CMR'15.A05 1 G Address. shut 2 or 9 N/A OK NO Size OK? 310 CUR 15.223 1 Inlet tee located ten inches below flow line 310 CMR 15,227(6)] Outlet tee 14" or 14"+ 5" per foot for increase ft depth[310 ✓, CMR 15,227(6)] Outlet tee with gas baffle or oved filter 310 CMR 15.227 4 Note regarding radon on stable compacted (310 CMR R ls.a2s 1 Separation between ROW and outlet tees(rio less than liquid depth) 310 CMR 15.227 2 Inlet/Outlet elevations at least 12" above high groundwater (except as descrioed 31fl CMR 15.227(5))or permitted for 2pjLmdes under LUA 310 CMR 15.405 1 k. Minimum cover 00.(Tanks buried.more.than 9" must.have risers on all openings and on the d-box) [310 Chit 15.2228(1) and 310 ✓ CMR 15.232 3 Three access covers(inlet and outlet must be 20" or greater) - V middle access at least 8" 7/07 310 CMR 15.22 2 Access to with•6"of grad -ore port for systems<1000gpd, . two:for stems>1000 gpd. 310 CMR 15.228(2)] All at-grade,covers secured to unauthorized access? [310 CMR 15,228(2)] > 10 ft from bwft foundation 310 CMR 15.211 1 Buo calculation R uired/Done 310 CMR 15.221 8 $-20 Where appropriate? 310 CMR 15.226 3 Setbacks from resources 310 CMR 15.211 Required when gther than single-family dwelling 4r flow>1000 gpd 310 CMR 5.223(l)(b 7 1 First comparbnent 200i/o daily flow; Second compartment 100'/6 Aj, daily flow L310 CMR 15.,22 2 and Q AI "U''pipe through or over bade, outlet of each compartment with as bare or approved filter 310 CMR 15.2 4 �ddr Suet 3 of 9 111/A OK NO Located at least ten feet from any waxen'tine? [310 CMR t/ 15.222 2 Disposal piping$t least 18" below water fine(when water and � sewer cross see 3l0 CMR l 5.211 1 1 Cleanouts required/provided ? 310 CMR 15.222 8 Thrust blocks ed in farce mains? 310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable L/ 310 CMR 15,2 6 Proper pitch on all runs? (.005 within gravity-distributed trenches and beds 310 CMR 15,251(9)and 310 CMR 15.252(2)(c)] Siphonproblem/ eacbfceld below pump chamber End caps or vent'maWfold ed? Size and orientation of diseharge holes specified?(not smaller than 3/8" not larger than 5/8") [310 C&M 15.251(8)and 310 CMR V 15.252 2 Materials specified (310 CMR 15,251(5)specifies various pipe es allowed Stable compacted base [310 CMR 15,221(2)and 310 CMR 15.232(2)(aJj Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15,323(3 a Riser if deeper than 9"1310 CMR 15.232 3 Inside minimum dimension 12" 310 CMR 15232 2 Minimum 310 CMR15,232 3 e Watertight cover if<2000gpd);waterproof manhole if>2000gpd J 310 CMR 15.232 3 d Capacity(emergency storage above working--design flow)? [310 CMR 231 2 Proper setbacks 310 CMR 15.211 same as c tanks 77 watertight 20-in minium access manhole at least 20"MUST BE TO GRADE 31.0 CMR 15.231 5 Service components accessible(not too deep with Piping, disconnects accessible Alarm floats-alarm on circuit a from u s s eeified? Exceeds two units must h vve two pumps operating in lead-lag mode. 310 CMRL 15,23 1 6 and 8 Stable Ca ed Base f310 CMR 15.221(2)] Address Sheet 4 of 9 I $ s n4ftftm 7 Provided?' 31O : 3:221 8 i ,,;:.• y . ' r SbW 5 of 9 �l idif NIA OK NO Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.24 1 Revked mnlion to oundwater? 310 CMR 15.212 A ed as double washed 310 CMR 15.247 2 System venting reqaired/prarni&-d?(system under driveway,or >36" d 310 CMR 15.241 Inspection ports apedfied and within 3"final glade? [310 CMR 15.240 13 Breakout requirements net?(No violation of breakout elevation within 15 ft of SAS unless barrier)[310 CMR 15,211(1)[4] and Guidance Document Chambers and Gal, ixn trench configuration supplied with inlet eveg 20 ft. 310 CNAt 15.251(6)] Each structure with one inspection manhole(if>2000 gpd must be ✓' tograde) 310 CMR 15.253 2 Aggregate 1'mni mum-4' mwdneum. 310 CMR 15.253 1 2' sidewall credit maxim= 310 CMR 15,253 1 a in bed configuration, inlet every 40 sq, ft. 310 CMR 15.253 6 Width 2'minimum 3'maxinmm 310 CMR 15.251 1 100 feet - mwdmum length 310 CNM 15.25)(1)(a Nlinirnum separation 2x effective depth or width whichever greater �-A 3x if reserve between trenches 310 CUR 25 i 1 d Situated along ntours 310 CMR 15,251 2 Breakout OK?010 CMR 15.211 1 4 and Guidance Document minimum 2 distribution lines 310 CMR 15.252(2)(a)] Maximum separationbetween lines 6' 310 CM R15.252 2 d Maximum separation between lines and outside of bed 4' [31077) CMR 15.252(2)(01 Aggregate depth below discharge pipes 6" n*ibnum, 12" maximum. 310 CMR l5,252 2 S station between beds 10'�i. 310 CMR 15.2 5 2 ZI Bottom area useg in calculations only 310 CMR 15252 2 i Address 5beet 6 of 9 N/A OK N, MMMI Pressure Awed S .m ? Provided pump and piping calculations as r mired MI0 CMR 15.220 4 r Pressure dosing requ� on all systems >20009pd or eve systems under remedial approval[310 CMR 15.254(2)and I/,A. Remedial Use ovals1 71 If used in graveftw system make sure jet is tki Vied as not to scour soil irate dWe Guidance Docent Inspectional once per year(system <2o00 gpd)or Quarterly 2good to note on plan 310 CMR 15,254(2)(d)] ConstntteOon in fiR -Did the plan specify that the f71 shall meet the specification of310 CMR 15,255 3 ? Imporwous bean*an&or g1oft wall? Guidance Document impwAws hanier ration must be a4wrvised by dew 310 CMR 15.255 2 Retaining wall must be designed by Registered Professional E " eer 310 QLK 15.255 2 a Side slope not exceed 3:1 ? f310 CMR 15,255 2 .8makout run is met? [310 CMX 15.252(2)and Guidance Document At least 5 ft, from impervious barrier to edge of SAS (10 ft. reconmmded) [2 10 CMR 15.255 2 e Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface Was DEPApproval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP oval Comditions? . Is there a z}ote on the plan regarding the requirement for J� eeanent? An alarm involved on Marate circuits Did the applicant submit an opeton and maintenance annual? Has ]Kant submitted a CoPJ of a nmaix�nceagreement.? Are the variances listed on the plan ? [310 CMR 15.220 4 RLS St=V,MwsswY on plan if a COMPOOM is within live feet of property Jim 1310 CMR 15.41 4 Addoss .Slat 7 of 9 New combuction or increased flow proposed-[R r to 310 CMR 15.41 Addsa Skad 8 of 9 r r IY/A 01K.. Is the system in a Designated Nitrogen Sensitive Area (Zone.0 for OL •� a public supply well)? P10 CMR 15.214, 310 CMR 15,215 and r N 310 CMR 15.210-also refer to Policy egm'dm8 uPB;'Ades of such wd!LWA BYOMI Is the Aystcm prvpased on the saute lot as saved by private well ? 310 CMR 1521,42)] Are the'dWoM.1046 proposed in compliance? [310 CMR to 'c tank? E 310 CMR 15,229 Shared S stem 1-0'CMR 15.2% b ` ,h 1 i Addw Sbw..4.vf 9 Page 1 of 2 McKean, Thomas From: McKean, Thomas Sent: Friday, September 20, 2013 8:56 AM To: 'peter.mcentee@gmail.com' Subject: Re: 385 Elliott Rd Peter, I reviewed the file this morning with David Stanton because he had some notes in the file. It is okay to maintain four bedrooms there. This 40,000 square feet parcel is located outside the GP and WP Districts and is within a Saltwater Estuary Protection Zone. A reserve would not be required for a repair. Therefore, a variance would not be required. T.McKean From: PETER MCENTEE <peter.mcentee@gmail.com> To: McKean,Thomas Sent: Thu Sep 19 20:54:10 2013 Subject: Re: 385 Elliott Rd There are 4 bedroom but the house was approved for 3. The owner would prefer 4. There is not enough room to design for 4 without a variance for the reserve area. The owner would prefer to design for what exist(4 bedrooms). Do you think that they board will allow this. I don't want to waste time if they won't .Thanks - Peter On Thu, Sep 19, 2013 at 11:13 AM, McKean, Thomas <Thomas.McKeangtown.barnstable.ma.us> wrote: If he wishes to design a three bedroom SAS, it would be allowed if physical changes are made to properly eliminate the 4th bedroom (by removing the privacy by eliminating the door and providing a four feet opening in the doorway). The other option is to change the 4th bedroom into another use (other than a room utilized for sleeping purposes) and ensure a three bedroom deed restriction is recorded for the property. Additional language can be provided in the deed restriction in regards to the ability to increase to four bedrooms in the future when/if the system is upgraded with sufficient capacity for 4 bedrooms contingent upon approval by the Board of Health in regards to any environmental variances needed. From: Miorandi, Donna To: 'PETER MCENTEE' <peter.mcentee@gmail.com> Cc: McKean, Thomas Sent: Thu Sep 19 09:28:34 2013 Subject: RE: 385 Elliott Rd Hi Peter: Sorry for the delay in getting back to you but no time to research. There are 9/20/2013 Page 2 of 2 notes in the file that it is a 3/4 bedroom with little notes from Tom McKean that it was a pre- existing ?? 4 bedroom. I would say if it is a 4 bedroom house then you have to design for 4. 1 see the inspection report says it is a 4 bedroom. My guess is that this will have to come before the board. Your pdf plans are too small for me to read. I shall forward this to Tom McKean but believe this is a Tom McKean call or the Board of Health. Oct. 8th is the next hearing. Donna -----Original Message----- From: PETER MCENTEE [mailto:peter.mcentee@gmail.com] Sent: Tuesday, September 17, 2013 3:09 PM To: Miorandi, Donna Subject: 385 Elliott Rd Donna, This house was permitted for 3 bedrooms but current owner bought it as a 4 bedroom and the assessor has it listed as 4 bedrooms. There is not enough room to satisfy setbacks to have a reserve and primary for a 4 bedroom house. I've design the SAS for 3 bedrooms. Will the Board of Health make the owner make changes to the house so that it has only 3 bedrooms? Peter Peter T. McEntee PE - Principal Engineering Works, Inc. 12 West Crossfield Road Forestdale, MA 02644 Tel/fax (508) 477-5313 Peter T. McEntee PE - Principal Engineering Works, Inc. 12 West Crossfield Road Forestdale, MA 02644 Tel/fax (508) 477-5313 I' G ik ti 9/20/2013 Town of Balrnita ps# eOWRegula, ry'Services F P»blic leafth DW s on rate Mam'Stieet Hyannis MA 02601 -MKt Date Spheddied t CS Cl t ✓' Time Fee Pd, Soil u' blity Assessment for Se f e Dius 9. Performed B O e%f./ Y Witnessed By: LOCATION&GEtERAL INFpR1�ITI01 Location Address 3 Owner's N6tne e�t'i t.r✓` t k? Address ' Assessor's Ma f' M.✓�. ..C�Z��3 piParcel: Z2 7 "1 O y Engineer's Name/� .,.. .::. Wiz. ML..��t f-t� NEW.CONST_RUCTION REPAIR X Telephone# -5OZ—7-9 —(4 4 Land.Use /�S` w`'`�`� I Slopes(9b) 49 Surface Stones 4�. Distances from: Open Water Body� /GU ft Possible Wet Area >1 d o ft :Drinking Water Well7IS� ft Drainage Way ft Property Line �ft .Other` ft SMTCH:(Street name,dimensions of lot,exact of testholes&perc tests,locate wetlands?n proximity to holes) � tea r4 _— — 0-11 w� 15' 12 Q u, -fo 1) Parent material(geologic) OLt kw� --"depth to Bedrock. Depth to Groundwater. Standing Water in Hole: Aj( -✓ A Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER FABLE Method Used:. Depth Observed standing in obs.hole: in. Depth to soilanottlest' Ins roundwa0rAdJustment ft: .Depth toWeeping from side of obs.hole: [n, G Index Well# Reading Date: Index Well levci--;,, �.,, AdJ;t>;Ctor. .v Adi:droutrd-watef lseval PERCOLATION TEST Date__�_�_. Thne..� Observation Hole# Time at 9" Depth of.Pen; Tlnwat6" .�,�,.,,,,, Start Pre-soak Time® .Z �/, Time(9"-6") End Pre-soak LU9/ v Rate MinJIncli FM Site Suitability Assessment: Site Passed. !� 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 notify the. Barnstable Conservation Division at least one (1)week prior to beginning. Q:ISEPTICIPBRCFORM.DOC :x DEEP.OBSERVATION HOLE`. OG Hole# Depthlrom Soil Horizon Soil Texture So1FColor,`: Soil Other Surface(in.) (USDA) (Munsell Mottling (Structure,Stones,Boulders: ��- Zy 7. A Y G L C L- �l .77 DEEP OBSERVATION HI:E YOG Hole# Z Depth Crom Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (:USDA) (Munsell) Mottling (Structure,Stones,Boulders. -Z ;C� _ 2_ A s� �6yy�z fv c 5A vLd z15`l� e4 • DEEP OBSERVATION HOLE`LOG Hole Deptt rfrogi SoiFHorizon SoiFTexture SoilColor` Soil Other Surfnce (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, taVe • A>v Ai �a - DEEP OBSERVATION HOLE LOG Hole# Depth.fV.ib. Soil Honzon. Soil Texture Soil.Coloc Soil Other Surface(in;) (USDA) (Munsell) Mottling (Structure.Stones',Boulders. r Flood Ipaitcance Rate`Man: Above 500 year flood'boundary No Yes - WitFub S00 year boundary. No Within 100 year flood boundary No Yes Death of I�aturallv Occurrin>r Pervious Material Does at teastafour feet of natura9ly occurrtng pervtot J atertal exist-in all areas.Observed througta_out area..proposed for the sort absorption system? .._. If.not,what is the depth;of naturaliy occurring pervious:material? Ce— ti l �)l l q � date I I certify that=on (. ) .have passed thesoil evaluator examination approved bysthe Department of Environmental Protection and that the above analysis was performed by me consi tent with" . thecequired'trainirig;expertise and.experience descntied.in10 C1VIR 1S.OI7. Signature Date i Q oE;pT1C1PBRCFORKDOC �j s r Town of Barnstable Barnstable �,� Regulatory Services Department AlAntedeaCft MASS. Public Health Division 0 9.�FG MKt a,�$ 2007 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2850 7671 April 22, 2013 I Mr. & Mrs. John Croutharnel 385 Elliott Road Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 385 Elliott Road, Centerville, MA was last inspected on 4/04/2013, by Wayne Archambeault, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • System is in hydraulic failure. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF T BOARD OF HEALTH cKean, R. Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\385 Elliott Rd Cent A 2013.doc f APPLICATION PREREQUISITE TEXT property has had 4 bedrooms since 1986 . TM okayed 4 bedrooms with a 3 bedrooms system in place. When system is replaced, a 4 bedrooms septic system is to be installed. 5 ' Cased openings are to be installed in the den and office. Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=15893 wm. -: baiA14`"T,tLiLIE. , \ j h M__..,�� r'•. _ . ; .. irj't'i',!J ✓j:1i�,F _ .. �'.�,.,.,.....4�'/Jtn?�cd1°,".�'�4�,cg+.�"�.."..:.G�'h Logged In As: Parcel Detail Thursday,April 18 2013 Parcel Lookup Parcel Info Developer Parcel ID 1227-104 pot I LOTS 2,46&4C Location F385 ELLIOTT—ROAD --I Pri Frontage 130 Sec Road Sec Frontage I Village CENTERVILLE � Fire District C-O-MM Town sewer exists at this address[No Road Index 0492 Asbuilt Septic Scan: Interactive 227104_1 Map Owner Info Owner CROUTHAMEL,JOHN J& CAROL S Co-Owner Streetl 385 ELLIOTT ROAD Street2 j City CENTERVILLE State MA zip 02632 Country Land'Info Acres 1.42 Use ISingle Fam MDL-01 - zoning FC — — - Nghbd 0108 Topography�L@Ve� � � Road Paved _.. Utilities jPublic Water,Gas,Septic Location Excel view,Rear Location Construction Info Building 1 of 1 Year Roof I"Gable/Hip Ext Clapboard Built I Struct Wall Living 4176 Roof 0 d Shln le AC(Central Area Cover. 9 I Type I Style!Cape Cod Int Plastered ( Bed 4 Bedrooms Wall Rooms i Int Bath Model!Resident Floor Ceram Clay Til Rooms 2 Full+2H y Heat Total ' ' "FN $ 0 Grade Luxury Hot Air �9 Rooms Type Rooms BAS I , Heat Found- Stories 11 1/2 Stories Fuel Oil__ ation Pour ed Conc. ,i 38 Lam Gross j8898 Area Permit History http://issgl2/intraneVpropdata/ParcelDetail.aspx?ID=15893 4/18/2013 ✓ p.1 Commonwealth of Massachusetts -- -_0-1 Title 5 Official Inspection Form G Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y� 385 Elliott Roar Property Address --- _ -- -' Carol Crouthamel _ Owner O^vner's Name - -- information,is required for Center ville MA _ 02632 4/4/2013 every page. ; 'CdyTown State Zip Code Date of inspection y/ Inspection results must be submitted on this form. Inspection fortes may not be altered in any way. Please see completeness checklist at the end of the form. Important:NJhen filling out A. General Information forms on the computer,use ;. Inspector: only he tab key to move your Warne Archambeault cursor-do not use the return Name of Inspector — --- key. ..ompany Nome PO Box 914 Company Adsress Hyannis MA _ 02601 _ -- �m City/Town State Zip Code 508-775-1362 _ _ 355 Telephone Number License Number ` B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as o='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'. Ell Passes Q Conditionally Passes ® t. ❑ Needs Further Evaluation by the Local Approving Authority w� n ector's Signature .� 414/2013 The system inspector shall submit a copy of this inspection report to the ApprLing.Authgfity{B and of Health or DEP)within 30 days of completing this inspection. If the system is a shared.,system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall sukit•lit tfe' 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. ****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. a„�•u n 0 Title 5 Ofrmai trs lecWn Form:Subadace Sewage Disposal System•Page I of i 3 I Apr 08 13 09:23p P.1 Commonwealth of Massachusetts Title 5 Official Inspection Form �= Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 385 Elliott Road Property Address Carol Crouthamel Owner Owner's Name — - - information is required for Center ville MA 02632 414/2013_ every page- Cityrrown State Zip Code Date of inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the computer,use 1• Inspector only the tab key to move your Wayne Archarnbeault _ cursor-do not use the return Name of Inspector key. Company Name PO Bo _...._ � PO Box 914 Company Address - Hyannis _ MA 02601 _ Cityrrown State Zip Code _508-775-1362 355 Telephone Number license Number B. Certification I certify that 1 have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of 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 ❑ Conditionally Passes CFails ❑ Needs Further Evaluation by the Local Appro ' g Authority 5./i. _ 4/4/2013 _ n edor's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. if the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ***"This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. �' '1 Title 5 ofFdal tnspeaion Form:SubsuRace Sewage Disposal System-Page 1 of 17 Apr 0813 09:23p p 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments - r 385 Elliott Road Property Address Carol Crouthamel Owner Owner's Name information is Center vide MA 02632 414/2013 required for -_ _ every page. Citylrown State Zip Code Date of Inspection B. Certification (cunt.) Inspection Summary: Check A,B,C,D or E I 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: S sy terr F ils.due to hydraulic over load and solids in both dbox and SAS B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box far"yes", `no"or"not determined"(Y, N, ND)for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank will pass 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. ❑ Y ❑ N ❑ ND (Explain below): t5ins•1v10 Title 5 Official Inspection Form:Subsurface Sewage Disposa!System-Page 2 of 17 Apr 08 13 09:23p p.3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 385 Elliott Road Property Address Carol Crouthamel Owner Owner's Name information is required for Center ville MA 02632_ 4/4/2013 _ every page. Cityfrown State Zip Code Date of-Inspection— B. Certification (cont.) B) System Conditionally Passes(cost.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken.pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-11110 Title 5 Official Inspection Forth:subsurface Sewage Oisposal System-Page 3 of 17 Apr 08 13 09:24p p.4 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments -- 385 Elliott Road _. Property Address Carol Crouthamel _ Owner Owners Name information is required for Center ville MA 02632 4/4/2013 —... _ — - - every page. Citylrown State Zip code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has aseptic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well": Method used to determine distance: "*This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ❑ Liquid depth in cesspool is less than 6'below invert or available volume is less than 'Vz day flow t5ins•1 V10 Trle 5 ONfcial lnspso on Fortin SutsuAace Sewage Dispaszl System.-Page 4 of 17 Apr 08 13 09:24p P.5 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 385 Elliott Road_ Property Address Carol Crouthamel _ Owner Owner's Name information is _Centerville MA_ 02632 4/412013 required for — - every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. Q ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 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. For large systems,you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary tc a surface drinking water supply ❑ El Area system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has 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. t5rt15 11110 Tale 5 Official Inspection Form:Sutsurfaos Sewage Disposa'System•Page 6 of 17 Apr 08 13 09:24p p.6 Commonwealth of Massachusetts Title 5 Official Inspection Form ` Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 385 Elliott Road Property Address Carol Crouthamel Owner Owner's Name information is required for Center ville MA 02632 4/4/2013 every page. Citylrown State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate'yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant,or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as NIA) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 4-- - --— Number of bedrooms(actual): 4— - - DESIGN flow based on 310 C M R 15.203(for example: 110 gpd x#of bedrooms): 440 t5ins-:1110 Title 5 Official inspection Pmm:Subsurface Se wage Disposal System•Page 8 of 97 i - Apr 08 13 09:25p p.7 Commonwealth of Massachusetts { Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 385 Elliott Road -" Property Address Carol Crouthamel _ Owner owner's Name information is Center ville MA 02632 414/2013 required for State Zip Code Date of Inspection every page. Cityrrown D. System Information Description_ 2 _ Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ❑ No 4/4/2013 Last date of occupancy: Date Commerclatlindustrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seatslpersonslsq.ft., etc.): - Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Title 5 Official Inspection Form:Subsurface Sewage Disposal Sysieru-Page 7 of 17 Apr 08 13 09:25p P•8 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 'p 385 Elliott Road - Property Address Carol Crouthamel — Owner owner's Name information is Center vilte _ MA 02632 _ 414/2013 required for cti City/Town State Zip Code Rate of Inspeon every page. D. System Information (cont.) Last date of occupancy/use: Date Other (describe below): General Information Pumping Records: owner Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: -' Type of System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Altemative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Title S Official I-spealon Fam:sutsuftm Sawaos Disposal System•Page 8 of 17 15irs•'1110 Apr 08 13 09:25p p.8 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 385 Elliott Road Property Address Carol Crouthamel _— Owner Owner's Name information is Center villa MA 02632 4/4/2013 required for every page. Cdyrrown Stale Zip Code Date of Inspection D. System Information (cont.) Last date of occupancyluse: Date Other(describe below): General Information Pumping Records: Source of information: owner Was system pumped as part of the inspection? ❑ Yes ® No It yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: - "^ Type of System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): tsirs• +n o Tale 5 Official I-speoGon Foam:sutsurface Sewage Disposal System•Page 8 of 17 Apr 08 13 09:25p p,g Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 385 Elliott Road Property Address Carol Crouthamel Owner Owner's Name information is Center ville MA 02632 414/2013 required for every page. City/town State tip Code Date of Inspection D. System Information (Cont.) Approximate age of all components, date installed(if known)and source of information: installed 611711985 permit#85-43 _ Were sewage odors detected when arriving at the site? ❑ Yes [R No Building Sewer(locate on site plan): Depth below grade: 3 Material of construction: ❑cast iron ®40 PVC ❑other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting,evidence of leakage, etc.): Septic Tank(locate on site plan): 31 Depth below grade: feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 8.5,4,4, 2° Sludge depth: t5ins•11110 Titre 5 0fri5al lnspeorron Form:Subsuface Sa'waga Disposal System•Page g of V IApr08 13 09:26p p.10 Commonwealth of Massachusetts a. Title 3 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments _ 385 Elliott Road Property Address Carol Crouthamel Cwner Owner's Name information is required for Center ville MA 02632 414/2013 - -- every page. CityFrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cant.) Distance from top of sludge to bottom of outlet tee or baffle 35" Scum thickness 2" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? measuring rod Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): tank appears to be stucturaly sound and shows no leakage sludge on top of tee inlet and outlet indicate signs of hydraulic failure Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑metal ❑ fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date isms-11010 Tale 5 Official Inspedoi Fcrm:SUbsur�ace Sewage Disposal System•Page 7 Dof 17 Apr 0813 09:26p p.11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 385 Elliott Road Property Address Carol Crouthamel _ Owner Owners Name information is Center ville MA 02632 414/2013 required for — every page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑concrete ❑metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: — Capacity: gallons Design Flow: gallons per day — Alarm present: ❑ Yes ❑ No Alarm level: — Alarm in working order: ❑ Yes ❑ No Date of last pumping: date Comments(condition of alarm and float switches,etc.): " Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 15ire•11l1C Tdie s orficial Inspection Form:SubsurFaoe Sewage Disposal System•Page 11 of 17 Apr 0813 09:26p p.12 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 385 Elliott Road Property Address Carol Crouthamel Owner Owner's Name _ information is Center ville MA 02632 4/412013 required for — _ every page. Cityfrown State T Zip Code Dale of Inspecction D. System Information (cont-) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 01 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.): box has solids inside and on top of pipes indicating hydrulic failure Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located,explain why: t5ins•11;10 Ttle 5 Ofridal Inspection Form:Subsurface Se+uage Disposal System•Page 12 of 17 Apr 08 13 09:27p p.13 Commonwealth of Massachusetts - Title 5 Official Inspection Form - - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 385 Elliott Road Property Address Carol Crouthamel — owner Owner's Dame information is required for Center ville MA 02632 4/4/2013 every page. City/Town Slate Zip Code Date of Inspection D. System Information (cons.) Type: ❑ leaching pits number: — ❑ leaching chambers number: — ® leaching galleries number: 3 ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): solids in SAS and above inlet pipe stainline above inlet pipe signs of hydraulic failure Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer - Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No LSins•i i116 Tide 5 Official Inspection Form:Sucsulace Sewage Disposal System•Page 13 df 17 f Apr 0813 09:27p p.14 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M - 385 Elliott Road Property Address Carol Crouthamel _ Owner Owner's Name information is required for Center ville MA 02632 414/2013 - •- every page. City(rown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: — - -- Dimensions - T Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 16M•t 111C Tille 5 Official Inspection Form:SubsurFace Sewage Disposal Systm•Page 14 0`17 a 'Apr 08 13 09:28p p.16 Assessing As—Built Cards 418!13 8:31 PM -7--r<d LOCAT ION_ �' 3�•�; SEMfAG� PER!. �t�T M0. VILLAGE. INSTA LLER'S NAME i ADDRESS allILOER Qit OWNER kDATE PERMIT ISSUED C; BATE COMPLIANCE ISSUED _6DE.__. 4�--- a� a r , r 0 s http://www.town.barnstable.ma.us/AssessingiWdisp lay.asp?mappar=227104&seq=1 Page 1 of 2 Apr 0813 09:27p p.15 Commonweaith of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 385 Elliott Road_ Property Address Carol Croutharnel Owner Owner's Name information is required for Center ville MA 02632 _44/2013 every page. CityrFown State Zip Code Date of Inspection D. System Information (cunt.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately %sins•11 O Title 5 OffidW IfapWion Form:Subsurface Sewage Dispoeal System•Pago 15 of 17 Apr 08 13 09:28p p.17 Commonwealth of Massachusetts e� Title 5 Official Inspection Form v Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 385 Elliott Road Property Address Carol Crouthamel Owner Owner's Name --- information is required for Center ville _ MA 02632 4/4/2013 every page_ Cityffown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 10, feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: pate ❑ Observed site(abutting propertylobservation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: town GIS maps ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: TOB GIS map indicates 10'10 water bottom SAS 7' seperation 3' Before filing this Inspection Report; please see Report Completeness Checklist on next page. 15ins•t 1J'IO Title g Official Inspection Form;Subsurface Sewage Dispose System•Page 16 of 17 Apr 08 13 09:28p p,18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 385 Elliott Road Property Address Carol Crouthamel Owner Owner's Name information is required for Center ville MA 02632 4/4/2013 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A; B,C, D, or E checked ® inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information —Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 15ins-11110 Tills 5 O1fi�l Inspoclion Form!Subsurface Savage D'spcsal system-Page 17 of 17 A — �7 s J lz i b` o zx, T � z I o ) . \L7-- cjT STATE :1OPERTY ADDRESS I I ZONING I DISTRICT CODE SP -DISTS.I DATE PRINTED I CLASS I PCS I NBHDEARCEL IDENTIFICATION NUMBER KEY NO. 0385 ELLIOTT . ROAD 12 RC.. 300 12CO 07109195 101"1 . 00 48� A R227 104. 138103 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT -ADJ'D. UNIT ACRES/UNITS VALUE Description C Ri3UT t-lA f E1_.� J O;�s CAROL Land By/Gate Size Dimens on LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE CD. FF-De thlAcres E #L A aN D 1 76,500 CARDS IN ACCOUNT - 15 1WATERFNT. 1 X .92 =10C104 79999._9 " 83199.99 -92 76500 # 8L"DG(S)-CARD-.1 1 373,900 01 of 01 #DL LOT 2 COST 390400 ! BATHS. 2.2 U X A= 100 186OD-Of 18670.0 U 1.00 18600 B 4?L 385 ELLIOTT RD CENT MARKET 331200 €IR.EPLA.CE U X" A= 100 4800.0 4800.O " " 1_00 4800 . 3 �R12 0492 0030 INCOME E XT . EIREPL it X '. A= 100 21CO.0 2100.0 1 -00 2.100 S USE A AIR CO ND S X A= 100 1 -5c 2..32 278.4 6500 8 APPPAISED VALUE D A 3913.400 PARCEL SUMMARY UAND 76500 S 3LDGS 313900 T )_.IMPS M rOTAL 390400 E Y CNST N DEED REFERENCE] Tye DATE Recorded 'PRIOR YEAR VALUE T Book Page Inst. MO. Yr.D Sales Price AND 76500 S 8655.1196TEI06/93 380000 3LDGS 3139D0 76671240: Ib9l41 A . 100 rOTAL 3904DO 4948/319: Ib3I86 A 1 . t t BUILDING PERMIT' Number Date Type Amount LAND LAND-ADJ INC D E . SE SP-OLDS FEATURES OLD-ADDS UNITS 76500 32000 B27522 " VIM 7"� ND Const. Total e r B ilt Norm. Obsv. Class Units Units Base Rate Adj.Rate A Age orm Cond. CND Loc Wo R G. Repl Cost New Adl Rep] Value Stories Height Roo ed Rms Baths fix. Partywetl Fac. 01A 000 115 115 84-55 97-23 $5 85 9 92 100 92 .341249 ' 3139€70 1 e� 2.2 11 _0 "�. Description Rate Square Feet Repl.Cost MKT. INDEX: 1.00 IM BYIDA E'Yg � �1�$� SCALE: ELEMENTS CODE STRUCTION DETAIL HAS 100 . 97IM23 1555 151193 S AREA 41OZ SINGLE FAMILY , DWELLING . c N S` Gf-- 815 42 40.84 _ 1555 63506STYLE 04 ,APE COD 0.0 t FOP 3.5 34_03 50 . 1702 5 E;.fG N A:-Cj AT 03 1S.I R! A61U�_T __ 7�_1'3 1S0 100 97,23 45-2 43948 XT����A��� 1-2 I: 15.8byf � 0-0 " FWD 85 8-50 811 6894 THIS HOUSE CONTAINS ANGLES OTHER THAN RIGHT : -EA-' 1AC TYPE TZ rC. ARf� A 9----_�.0 ' a15 - 72 70-01 600 42006 ANGLES AND CANNOT BE VECTORED HY :THE' CL MPUT.ERINtT R 1�=1� PLEASE ASK : FOR THE SKETCH CARD IF YOU W1SH -T.#7I NT-ER;LAY(Y9T- -'Tz It y'YtT_7N-URRA----��0 SEE BUILDING . DIA6RAM -3-r1 13CT 7i2 T3 J0.1- .T7atwx --- � Q �±p77 _ 'L_0O079T"C_0-VER-- -1-3g -A_9PE+-T_79_-ti1U5_--_U_1� IF D Total Areas' Aux 86 :Base =. �O Y SEE ABOVE v 11 1 ' ---- -llTTG cL..- E BUILDING DIMENSIONS NOTE! � ; � � ��� TR $.A-L --- zip - �3OVE A1�ERAGE T # " ��7L3�T9ATIT#-1�I--- -J1 OUR ED_CO C-----9�,9 A ! -------------- --- ---------------------- IEZ OR 313 ► WA_rFNTE_ffV1EL_E L LAND TOTAL. MARKET . 1ARCEL 76500 340400. .: A"REA 106400 VAgT3 MCF #f) +267 31 7t, ` AA ��� ✓� �r� ',r 4. l i PArcel Detail Page 1 of 2 i -}.,t Logged In As: Parcel Detail Tuesday, Novemb. Parcel Lookup Parcellnfo Parcel ID 227-104 I Developer LOTS 2, 4B &4C Lo Location 1385 ELLIOTT ROAD Pri Frontage 30 Sec Road _ - Sec ` Frontage Village ICENTERVILLE I Fire District[C-O-MM Sewer Acct; I Road Index�0492 Interactive �,-�' Map (�� I 5 ' Owner Info Land Info Acres, 1.42 Use jSingle Fam MDL-01 ) zoning RC Nghbd [WF01 _ Topography -Level Road Paved Utilities Public Water,Gas,Septic I Location jExcel View,Rear Location Construction Info Building 1 of 1 Year- Roo - 1985 I f r Gable/Hip 1 Wall Ext Clapboard Built -- Struct ---- - -- ---- Effect' Roof' — - - AC 4411 I Wood Shingle I (Central I 3 Area Cover __-___ Type WDK' i Int _ _— Bed - - --- 20 16 29 7 style Cape Cod ( (Plastered I 4 Bedrooms I 4r: Wall _ Rooms BAS` !-- -- - - I ----" - --I MT{ Int Bath Til oorCera Rooms Full + 2HModel !Residential ASsFl m BBT�w 19A sSh - - - --- Heat' -- -- Total '----- . Grade(Luxury I Type Not Air I Rooms i9 Rooms I �e -- - --_ _ ----_ .ono stories;1 1/2 Stories I Fuel Heat roil I ation Found-rPoured Conc.=I http://issql/intranet/propdata/ParcelDetail.aspx?ID=15893 11/21/2006 ff'cel Detail Page 2 of 2 ,4I - Permit History Issue Date Purpose Permit# Amount Insp Date Comrr 2/1/1985 B27522 $0 r"9/15/1986 12 000:00 AM CE 1.E Visit History Date Who Purpose 10/19/2001 12:00:00 AM Paul Talbot Meas/Listed 9/15/ 98612:00:00-AM) HM - Sales History Line Sale Date Owner Book/Page Sale P 1 5/4/2000 CROUTHAMEL, CAROL 12989/227 2 6/15/1993 CROUTHAMEL, JOHN J & CAROL 8655/196 3 9/15/1991 MORRISEY, LOUISE M 7667/240 4 3/15/1986 MORRISEY,ALLEN W& LOUISE 4948/319 5 9/15/1984 MORRISEY, ALLEN W 4252/246 6 1 HOSTETTER, DANIEL ETAL 2290/142 - Assessment History Save # Year Building Value XF Value OB Value Land Value Total Parc( 1 2006 $588,000 $3,600 $0 $298,100 2 2005 $516,200 $3,500 $0 $298,100 3 2004 $396,100 $3,500 $0 $298,100 4 2003 $414,100 $3,500 $0 $148,400 5 2002 $414,100 $3,400 $0 $148,400 6 2001 $414,100 $3,600 $0 $148,400 7 2000 $325,000 $3,500 $0 $143,500 8 1999 $325,000 $3,500 $0 $143,500 9 1998 $325,000 $3,500 $0 $143,500 10 1997 $313,900 $0 $0 $76,500 11 1996 $313,900 $0 $0 $76,500 12 1995 $313,900 $0 $0 $76,500 13 1994 $275,500 $0 $0 $86,100 14 1993 $275,500 $0 $0 $86,100 15 1992 $313,100 $0 $0 $95,700 16 1991 $310,100 $0 $0 $124,400 17 1990 $310,100 $0 $0 $124,400 18 1989 $310,100 $0 $0 $124,400 19 1988 $235,000 $0 $0 $96,200 20 1987 $235,000 $0 $0 $96,200 21 1986 $0 $0 $0 $96,200 Photos http://issql/intranet/Propdata/ParcelDetail.aspx?ID=15893 11/21/2006 Postal CERTIFIED A r` (Domestic For information t our website at I ` S F,- p Ln sCO Postage nj / �J %) Certified Fee / Y p ii C-A Postm� C3 Return Receipt Fe __e p (Endorsement Required /'f; p Restricted Delivery Fee p (Endorsement Required) r-R p Total Postage&Fees f �n ru rl a Mr. & Mrs. John Crouthamel 385 Elliott Road Centerville, MA 02632 Certified Mail Provides: It ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. ' PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 I UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Town of Barnstable i i- Public Health Division i 200 Main Street L Hyannis, MA 02601 l } i}i111j) ++1;;PfJ-PJJi Jim; -'1111,1.}iiljiilii iif}'j':iid�ir COMPLETE • ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. /�',_ ❑A9e ■ Print your name and address on the reverse X'-�VF v ❑Addressee so that we can return the card to you. B. Received by(PrinW Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, CG or on the front if space permits. tf`D S• 6f'2J kj�Gi y` `2 �1,� D. Is delivery address different from Item 1? ❑Yes I 1. Article Addressed to: If YES,enter delivery address below: ❑No, l 'J Mr. & Mrs. John Crouthamel 385 Elliott Road 3. Service Type Centerville, MA 02632 I ❑certified Mail ❑Uptess Mail i ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number I 7 012 � 010 0000 2850 7671 (transfer from service/a Ps Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540; o llll ��� Centerville River ASSESSORS REF.: \ Mop 227, Porcel 104 L \ 1 ` MbOVERLAY DISTRICT: AP — Aquifer Protection District o w \\ ZONE: '•�, 2 h I,Ii \ aIL ,L, — RC Area (min.) 87,120 SF (RPOD) N Frontage (min) 20' �= N Width (min) 100' �- Setbacks: Front 20' \ J m Side 10' a \ ,I• �'' Rear 10' ,dI //New Foundation ' I 3 33.09' 5 29'2 03 CB/DH I III Fnd I \ \ � L \ 34.1" O���yss 1 certify that the foundations shown hereon conform to the `O� \ FB/OH \ setback requirements of the 15' _ Zoning Bylaws of the town 15.7' of Barnstable. \ New Foundation y6�\ �4 RICHARD R. P v I.HEUREUit p� #34312��•� � �S j'BIDH ���9 q ,✓ CD a� NOTES: 0 1.) The new foundations shown were located on .the ground by conventional survey methods on 091JAN107. 2.) The property information shown hereon was \ compiled from available record information. \ \ 3.) This plan is not for recording and is not to be used for construction layout or deed \ \ description purposes. z o � N \ PLOT PLAN AT 385 Elliot Road BARNSTABLE (Centerville) r L=53.01� oN MASS. R-jB°00 Road DATE: 091JAN107 SCALE: 1"-50' $9$" o 000 0 25 50 75 100 FEET Ch O ®k PREPARED FOR:,6 ' John J. & Carol Crouthamel 385 Elliot Road Centerville MA 02632 PREPARED BY: CapeSury 7PPorker Rood Ostervilie MA 02655 DWG #: C474gl FIELD BY: RRL/WHK (508) 420-3994 / 4-20-3995fox I P 0`TN E T DEQE File No. SE 3-1222 (To be provided by DEQE) Commonwealth of Massachusetts »STD : City/Town:Barnstable s rnra 6; �z639.�\� Applicant Dr. Allen Morrisey V.ups Order of Conditions MASSACHUSETTS WETLANDS PROTECTION ACT G.L. c. 131,:§40 TOWN OF BARNSTABLE WETLANDS PROTECTION BY-LAW, Ch. 3, Article XXVII FROM: BARNSTABLE CONSERVATION.COMMISSION To Dr. Allen W. Morrisey Same (Name of Applicant) (Name of property owner) 327 Elliott Rd.. Address Centerville, MA 02632 Address This Order is issued and delivered as follows: ❑ by hand delivery to applicant or representative on (date) KI by certified mail,,return receipt requested on December 18., 1984 (date) This project is located at Lot #2, 385 Elliott Rd. , Centerville Barnstable Assessor's Map # Lot The property is recorded at the Registry of Deeds in Barnstable Book 4252 Page 246 Certificate (if registered) Notice of Intent dated Nov. 20, 1984 Date of Hearing 'Nov 27, 1C)84 This Order is issued on December 18, 1984 Findings The Barnstable Conservation Commission has reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project. Based on the information available to the Barnstable Conservation Com- mission at this time,the Barnstable Conservation Commission has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act (check as appropriate): ARTICLE 27 ONLY ❑ Public water supply ❑ Storm damage prevention 18( Erosion Control ❑ Private water supply * .Prevention of pollution ❑ Wildlife >I Ground water supply ❑ Land containing shellfish ❑ Recreational. X Flood control 0 Fisheries 0 Aesthetic Y r.r. _ t • / Therefore, the Barnstable Conservation Committee hereby finds that the following conditions are necessary, in accordance with the Performance Standards set forth in the regulations,to protect those interests checked above. The Barnstable Conservation Committee orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced above.To the extent that the following conditions modify or differ from the plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall control. GENERAL CONDITIONS 1. Failure to comply with all conditions stated herein,and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. This Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. ; 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state or local statutes, ordinances, by-laws or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: (a) the work is a maintenance dredging project as provided for in the Act; or (b) the time for completion has been extended to a specified date more than three years, but less than five years,from the date of issuance and both that date and the special circumstances warranting the extended time period are set forth in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill,containing no trash, refuse,rubbish or debris, including but not limited to lumber,bricks,plaster,wire,lath,paper,cardboard,pipe,tires,ashes,refrigerators, motor vehicles or parts of any of the foregoing. 7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if such an appeal has been filed, until all proceedings before the Department have been completed. 1 8. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the-Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is to be done. The recording information shall be submitted to the Barnstable Conservation Commission on the form at the end"of this Order prior to commencement of the work. 9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bear- ing the words, "Massachusetts Department of Environmental Quality Engineering. File Number SE 3-1222 10. Where the Department of Environmental Quality Engineering is requested to make a determination and to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hear- ings before the Department. 11. Immediately following completion,.the project shall be certified to be as per these conditions and plans, in writing, to the Barnstable Conservation Commission by the project engineer who shall be registered in the state of Mass. 12. Unpo certification by the project engineer , the applicant shall forthwith request, in writing, that a Certificate of Compliance be issued stating that the work has been satisfactorily completed. 13. Prior to any work being done at the site, all legal advertising bills incurred by the petitioner in relation to the Wetlands Hearing held on this project shall be paid. 14. This Order is issued under Article XXVII of the Town of Barnstable By-Laws as well as under Mass. G.L. Ch. 131, sec. 40.The Barnstable Conservation Commission or Conservation Officer shall be notified no more than two weeks nor less than two days prior to the commencement of work, and have the authority to issue an Enforcement Order if the terms or intent of this Order are not complied with. 15. It is the applicant's responsibility to provide all contractors with a copy of this Order and to ensure that all i workers are informed of the conditions of this Order before they begin work at the site. i _ � I Y . 16. The work shall conform to the following plans and special conditions: PLANS: Title Dated Signed and Stamp4by: On File with: Site Plan of Lot #2 Peter Sullivan, P.E. 'Barnstable Conservation Comm. 385 Elliott Rd. , Richard Baxter, R.L.S. Centerville Nov. 8, 1984 Locus Map Special Conditions (Use additional paper if necessary) i. .1. There shall be maintained a 20 foot undisturbed buffer of natural:vegetation within_20 feet of the edge of the marsh, as shown on the abovd-referenced plan: The vegetation which has been cut within the 20-foot buffer zone shall be allowed to grow back. 2. There shall be no disturbance of the site to the south of the existing paved. road. 3. Dry wells shall be installed to handle roof runoff. 4. The driveway shall be constructed of gravel or other pervious ,material. 5. All areas disturbed during construction shall be revegetated immediately following the completion of work at the site. No area shall be left.unvege- tated or unmulched for more than 60 days. 6. This approval is contingent upon Board of Health approval of the proposed septic system. i r - 1 I I i ......................................................................................................... ......................................................................... ! (Leave Space Blank) i r• I�To _..� 3 Fss.....`5..........x. .. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................OF....... 1y►�a!'�C"7'. L J ash'/�y Applira#iou for Bispn,ial Works Tonstraartinn runfit Application is hereby made for a Permit to Construct ( �r Repair ( ) an Individual Sewage Disposal System at: • ..... __ .............�1,�.I®`C'�--._._...._� _----- -------------- -LOT......*2.................... Lo a ion-A r ss or I No. . -... Q Cal ......... ....355..--- 1.`......- K.�---...----•------------------•-----.....--- Owner Address a P�.14 ti;,D �--l� -------------------------•------------•••-------•-_-__-_-----•-•-----•-•--------- _ --- S Installer Address U Type of Building Size Lot__404-0 -1_._Sq. feet Dwelling—No. of Bedrooms_________________________________________---Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ Design Flow...............S_5._____. ._.:______gallons per person per day. Total daily flow________-_____________ '_______gallons. W - WSeptic Tank—Liquid capacity gallons Length________________ Width_______-________ Diameter__--_-_________ De th................ 1 x Disposal Trench—No. .......f............ Width.......&_........ Total Length....... Total leaching area___f e.....sq. ft. Y_ ! Seepage Pit No--------------------- ameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing-tank tank ( ) ~" Percolation Test Results Performed by���f ...�fd,_Aw________________`-________________ Date.... _ ____ -------- T est _ Test Pit No. 1___.` _..minutes per inch Depth of Test Pit____________ ____ Depth to ground water.--------- _9_______.. LZ, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ ' s ' O ..................................................`------------_-_-_--------•---•--•--------------------------•-••-•........ --•---------------- -----....._. � E Description of Soil........... df ----------------------•------------------- ....................... � - - - - --..--- �` -- -•------------- •------------.....---...---------....- W UNature of Repairs or Alterations—Answer when applicable.______________________________________________________________________________________________ -•••---•------•••-•••••••••---••--••-•-••---•-•--•••--••••••••••-••---------------•••--•-••-••••--•---••--•----•-----------------•----•--••••••••-----•-------•-•-•-----•--•---••-•----••-•-•...----•-. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation it a Certificate of Compliance has been i ued by the board of health. igned..�...1----- ----- --- �- -------- ....................... --- - . v Apphcati n Ap ode BY /L •G� - �w /-/y�e ./ t ._.. 7 - ter' (,.c . Date Application Disapproved for the following reasons:.. / —r....--------- ` Permit No.----�-�•-•--•-•3-•---•---•- Issued...... Date ��..�•� r B No.. Fxs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................oF...... 11(�-----�-� ........... ApplirFatian for Bi-qVn,aaal ,arks C�omitratrtiun randt ¢ -1 Application is hereby made for a Permit to Construct ( _�/or Repair ( ) an Individual Sewage Disposal System at: 7r >C T S �-- - �t :t l V� T ................__......-----•--••----•-------•------•-- ---------_.. •--.....----••---•-- Location-Addr ss _ or Lot No. ''2 L r_C�� 717{z. � ......................................mac. t r_ r��............................................ _ � Owner D�A T ��W� � Address (� l% ti Installer Address QType of Building Size Lot__ Q41_1__._Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria P4 Other fixtuges ..-•-•••--•••••--•------•------• . W Design Flow..............._S-�__�_._._._.:______._....gallons per person per day. Total daily flow__._.____._.__._______ .......gallons. WSeptic Tank—Liquid capacity._� _gallons Lpngth________________ Width_._._....._.__._Diameter.-.-_-__________ Depth................ x Disposal Trench—No........I... Width_______ _________ Total Length._._________.__ Total leaching area.... ----sq. ft. Seepage Pit No----------_-------- iameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( t/ Dosing tank ( ) 1 � Percolation Test Results Performed by�._� __!�_'.._.__._ .�____________ ___ _________________ Date... ---------- ,a Test Pit No. I.... ____minutes per inch Depth of Test Pit______________(_____ Depth to ground water.___.._...I_________--. Test Pit No. 2................minutes per inch Depth of Test Pit____________________ Depth to ground water........................ '••-•••-• ----•- --------••-•---•--•------•--------------•----...__...---_-_._-----.--... ....... ---.---------- ------------------------------------------------ DDescription of Soil...........--=•-••--- ._... --------•� ---- -------•---..--•-•------............................................. cx� -------'----�A ----------�-E 1 V ----------�-`�'� ----- ----------------------•-------------------------.-_-_----------------- W ••-••--•---•----------------=--•--..----•-------•-•-•-------....---••---•-------------•-•••••-•--------•------•----------....------------------=-------•••-••-••------•--•----••--•-••••--•-•----•-••-- VNature of Repairs or Alterations—Answer when applicable............................................................................................... -----------------------------------------------•-------------------------------------------------------•••••--•-....•----•-----•-----------------------------•-----•--••----••--•------•••-•-•-......_.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operatio til a Certificate of Compliance has en •ssued by the board .of health. t, ✓y,- ,7 t h rce..e,c= APPlicahonApproved By......{/-------------------------lXp---...................... ..........------------ 7 ---- ------------------------------------•--- la..• �S Date Application Disapproved for the following reasons:---- = �z r....-:....--t ,�:-= -------------------------------------------------------- --------------------------•-------•----------._.....---•---...----------•.._..---•--.._..--•---------------•-------••-••-•-•----------------------------------------------------------------••-----••-- s• - 1 /G•/• i` Date 73 I?ermit.No. ._......-•- -------------------------•--- Issued ................................... Date ":: r,, TAE C0 MONWEALTt OF MASSACHUSETTS BOARD ' OF ;HEALTH .OW! ?...........OF.........!:. .. .�2. ��1 R:: a :..................... Trtifiratr of Tantlift aurr THIS IS TO CERTIFY, That theIndivi 14 ewae Disposal S stem constructed ( /) or Repaired ( ) ��t �7 W , Ins fa er at. has beer. installed in accordance with the provisions of mT M'` the State Sanitary ode as d c •bed in the application for Disposai Works Construction Permit No----------_---------------............. dated_--.._"..-._-_-_- .--__-_ -----•------------- THE-ISSU N E OF THIS CERTIFICATE SHALE. NOT BE CIPNSTRUED AS A GUARANTEE THAT THE SYSTEM W1 If '!MN ATISFACT RY. � � l DATE ::.. ............ 2.........gs... Inspector •------------------ THE COMMONWEALTH OF MASSACHUSETTS �tfsa.fhwr" _ BOARD OF-,HEALTH �..,.,,-•a ,, rCcr�,=;� . 6• � yy)� 4 T r o W F� oF....t'X`J_l. I' f . ................ No....................:... FEE................._...... �. 'WhipmFal 10orkiii Tnn� wn rrntiiw ` Permission is ereby granted _-------------------.----- ----�----••••--:-•• ---------....;:_.._._........_.... to Construct or Repair ( ) an Individual Sewage Disposal System '•at No.. "''•' -•--•• -:.................••••••-•--••••--•-•-•--•------ -••••-----------------,�-:--rp -------•- Street as shown on the application for Disposal Works Construction Permit No________ _________• Dated.......................................... oard Health DATE----.`......---.. of FORM 1255 HOBBS & WARREN, INC., PUBLISHERS :e LOCATION � �� SEWAG� PERMIT 110. VILI, AGE INSTA LLER'S NAME i ADDRESS. U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED -____6 i b�.___2szB.sZ.:_- -------------� ' r O Lit � ' V 0 W � �: r .� r a ;a: `�,.y • ., r,�` !. a_ ` , a '� '� 'n ,,Ki: rr, -,e. i. a r �Lti a 4'r' r t. �. r _' .t � � 1•r S t }. r"'.,}• • 9 �r, f ,�# t" {�S' �.. r s_• r f •r`_d' a`s . 4- t -}• ••t a t k,r ,<rot' ":,t .� ,^ ',-e, Ar 'U ! $`c r +.;' 4 r w �w` t e ] d a ♦ _i 4,b r+' a ,.«,L t I k r,y+ w r v ' w r •„ r`'+ IN; kt 4 ._ r ,�t •,�; t s i ®_ w r t f is:A 4.. r r't ,r.•+ j r { ,� „ y f. 'f "J J, f+-i, i ,� { it ?r sut "^� �4 �a , �*:x t` �,.✓ r � .,4s�sr' "�'" i +��a,'rii w -d' ° .,i� ✓ t;��. s jM. ri+. £' .r". .:,. �� "�. ix��.�. ' R�,a • ,�d } ;• t r y y` r,`� dtst4ta ��: x . ���i r rCi - t .�"�� � `�N s ,' �• ,. F; + s,. Aft• �. • � i w. A'� rAt ., C: •: ,d ✓ , �ti , y •r Kr - �: rC+ t r 'Ct - ? a '4 � r• a ti i �a4r"3 < „x. ra - a',$ :.• y1 yn'r' L A,h y £.• s .k. { .,L; r�' �<P,r. 1a••4a�� .��y��# }q ♦ � rA � �"' As v r�', r �. d} Li ye xt4 `� r• � Lsg• � t_ ry e y�". ;ti u.i r� � y},w, ; 4, � .f January f .Y: ++"• e" + f o s 9 �t a r`4 j S� tij M - e!� !• a ��.'Y+`r w r 7 - j tr J's'' . - e {Sr •: ti.' tr t t t. ;' 6 ••s •.� �'i � 4 �+ ;'Fwrk.+ s- � '� !4.k+:A•i ' Yi �y t N,- '. :t"� � ° �•r«.�'�' 0...r J; �. -�� C -+. - t x -y t ^�' d r r y. ,�4.'Y,; .. t.-�' * 'k r r. , ;y :. �•X S r` Dr 4 1en 'Morriss�7 , }� tom. t ark?t t •�• Y {„r ; J / rJ:+l' 1Ott Road '� R lt'.-Ge Y ..ram t : rd + `_'k +" "✓J'4 :.�4_ i *i,r. tk.` ' r 't i ' 1 a • q L r�.e�r v ^1 s. �• +� f'4tVM.. ' } } , R 1 �« �a. Con terville, Z28• �G{R36,` J L ♦ ♦ .. `K[t- = $ ) •• r,r .- `r re.,1 rt.! sy � y •� #° .b ��<M y.�jv f ♦ - rr. } '' � s.. al,� � t4 t t op% Re t`�:Y.ot 2r,; El iQtt�Rbad, Oyster' Bay, �• ri.- �4e, r+• ;.R r{t x . f r¢ �' .!" rs.� e.r s 4 � A � s � ro'- y � t- y r. "s "" qi.".:. ♦. ,.: �/ r, � a.v�s<` ,..!:},� _ 'J y� ,. r � " e •�r'.Ai 'rr k �s a'��(t * � �`� rf S tC .•DeBrDx,• Z$ w# Qky v r r. r r ♦( ,+ UFI r• .r L }... Y a, i. 2 „ .. x. .. 4 8e. ! ly, .# e:> ?s _ �, .4 .,r'' y d l.,e,� 3a`;,,' +h r ,r .F 3 :r',` t 'i' t rS e. 43 t r '` r vyi-.�,«,'•' 1 4 X 't n..� tjF'. ~ J-t. �• a ^' Vt y3. J - t_� �r J d 'y r7i = ri ti?!;•S -`�,- r •,r ^"rt:,f i.t i ay • ' , s - < s i a S, > w; 4 w r w s.r r <i• •} '.y i o YtU are agr$te afivriance to inst$I1' 8e y fs . xom .4,y•R x� -an, sl�andoned;'cri'berr �`b fa ba w ; B12 V� Rs d, Ceti rile, ,in lieu of*. ,• �,� #� t the re -uia�e�i•�ldl ;Feet, swish the.faollowf*ng y.cored tiO4-0 i"4z ;t?` `T �' ro "C •' ,� ;r` 4 g� `0 4t i '>�r� +K. '� Y a tiC+.� u� ti�� i � '^ +�a o . • •mi18t f3i1b + y f :.:` ou iui-t' revi$edV� Tans from your' des, engfiieer',pzi'or .ta+r '�' t ext f88u$nce .0 SE bulIdizig permit:` q r� �� , � x" '� � � :t' ' . , Ji,k+k _� 3�5 ' ,d '"y.• �..,^s y YJ �... - }jr 1 a; 'y� +.,. ., <,ff � ^+"! i� x .tf r v > ' w e a. .t•, .:ta,, i! xj .4 + F. ,'F t. t,�i C •.Y '"i 3 t 4 le0ighing engfneer must be'bn iite and. du ervide constxuction+�'of r ` ::;4?r ►d� f K: t ° t�e'e epti c `system wend er�: y f `ii ,�vr tln;�,that,'ehis d66l,gn*'has.bee 'Ggm lied ,, �_ i ,. TMP i �. W�th:.1r "or.tt`d the 1'$$13$t1CI1 wQf �<`(!i@ttific to "O� �"©A1Pli�Tlc@ Occupancyp P :. f 3• iebamit'• kS' {,r ?, A, .�l .,,. �th u i`'': '�w. �! ♦ t ^• "^Cu S. a 3,� tt ?. t}'K d .�, r'r r �,, e:.. m aqi� ' •he' •`+'''y s.•'�y7rt ,.% $ i �- `', '!.tt ,� yti. fit; a,. . -�1°.)• � r• x heyCyonsexy at;tOn rCammfjaa on$ ors�er'.o€gconditWhi lflUBt *! � ✓.r,,r 4.ilc +•h;e re c7 t a i •.#.''''" k`•'� i 't ,c, �.+.rs ,.i..J } �w« ,,, _, G ' K't t..C ?./f,;zr s tC= °a' '"'tri s a ]",r'a '•` t \ '' # .r .,. y "� ,•G+' µ i .3 t 45 4,} f, -i}�i µ. / s•, 1 I re lr. a ' •; F +r r +. i r{ti �6„'s R s'� t t! wt-.. Jr qn, exa-enp oftlfr , of• gas the.State Rn�iionmental Code, at�d� r 1Tpwn flf Bagnstable t r J. J 't lth Y^Reg j4 . .4 1 MMK gie'�gulatione mus lre ticomP'1'fe�i w3 th i .ti f S w3S v Iry r t Y A l'A. .J i• )• l j 4A , } . �+,*� r � G I '+s r"si "• G ., r r. s -..' '•�.2 r���«rt : , - s� C:'•• t e� - k •. . .� � '- t r �S trit Thi€' varihnce,expire�.,',F bru$xy ;l, 1986. . . • t t" 4 ` t y ✓ s ti tir.�`"t i•1 a ' i. :,;�a,�'tis34� , ,. !.. l i�`+Y �., •` ; Svkriance wad•°greeted after.°an' n-sits tis. ection..b�ir'd ,of Health:: . ! F t Th'4 BOSr(� l!! On" rt�� } x 4 r x J s R A r ,,eW$ e:: di Os8�.,. a `•nOt contribuCe r �a $, �P system would �. to caatamination`of the Centery.11le'River o.r the ab8nda ed cran�i`err. , o if all,Board of Health 8ti .tGdns vat a n' t ;all' � f C mq st cod i�ions a p .obs@rued r t a'� ^�l,,-j•. r.*r• Qn 6. i8y row f$3} h dx i t 't•` f ✓ w .' Y x j 4 i .. ,�- Verq J��trUlst„ QU:rB,z+,ti �+.J "n=.e fin,, '� • .._.i '� 4 !. ,; r+" '+.#�' r +lit f¢Y'i'! ' ' +rf • » AI k 'f: a r t.JE w � ;, , + .� 4`' `r 4*�,•♦ i � s,,:�,; r : if a ,,,f F �: s a �� a� � No erts. s.4'� ... S b"-sff a +a.^. 't' h�. x+' s y" ..,' • x �^ L.:,.s e ., ti J • d'art �a .t Sh. �t a i*. �,.... r a,CHAIRMAN, y ., y�,'ii r 4' y 'e.set �': � ! ., d 'f!. 1 eE r -'+' y �'� ,� w,c' r�x•ii` v"e }- s+ } ♦ e CHA ' F •,. $•F' "YS {` r :f :"? " ,1`.+"t '.b A'� '1 K �r �•#�ts��yY4sf� ZRMAN 1t ar i:BbARDxUF. HEAlJ7'H i ",t^,J4�'��! 4X.y;,,a'{` .':;,�y , •r t c•st < •" ,. ,.�:,s dt � t"Y - w+;Sc 4 '+ :. t�A s `dziti S'k 4 r � s*.� r '" r•�,`r � �< p s•< ••` �` s�� i' ,r rP ' /'6 c �s tt, ps ,,c CQn ervatfon.'comm isa con + •��' + +s € $. y:•., 4e a '+,. C;§i 4 t e t a. a'.k Ss fe '� �g.a•. .; ..F 'P � � kd+ L,-. � r� f�� i•eF^,t J � ^Z. •,1i{ i tda tq k�,j « r a i �,r••. t�tr ('.{t R''r,�; rgr�r rjt r ; z... y S+ ;tra C •, " ft� +s c t . ° s rt k:,:s .P3 �; 3�iS f. a•� *, s` ,, �i y t' 7't fif tt � < t F ..l � b,w a yv ist F�v �,y�.ttk� � ��y .�i t i �M •. lis7`7-^ t"�°s'�� �� FY�•t"" .iY�� u.:�.y M1 ya s..i s ,si44+•r T .< Aj.. .4't'Cti .s�s �•f s .! rs'_ v ?. .►_:. h� C�lr 'i `4'. a: .•(j t u A ,r+. d �. zC - � t f. a i i � J �;.� ;4 y•.- M�r�,.- •+} ^�'S 4b ' 7�iCr d a a .�'t,K d -, .e;. ` .kr S d ✓ r 4 1 as"-'Z' f'j y�'�'�i ✓ ;.r'' 'dn 1' ` I fr+}{ } 'S" �,.,x •~yy Yw! r y r 'y ' •r_a .�,. 5 '' "r , s i i i v - }t e n LL y. \ `hx - `,fit •�Z rn`"' -t t si t •' w r s 1 OFFiCE OF .J�1' 114 BOARD OF HEALTH' 367 MAIN STREET • d HYANNIS, MASS. 02601 V4 VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. , NAT1E OF APPLICANT � Y "__[f/I G'l'1 TELEPHONE NO. ADDRESS OF APPLICANT 32.1 rAl.L'lo-rr TZv. CEN'� IL-4,8 JVA.- e NA-ME OF 01%TNER OF PROP h PROPERTY � wAd LOCATION OF REQUEST LoT Z �:LWoTT 7-x>• O%ISTEZ `r ;"SA VARIANCE FROM REGULATION (List regulation) OF gekd i'N tu-bUe.+yl'sowl • M'FCMV& S14/13j� VARIANCE REQUESTED (Specific request) J( kRtAQC4 fl4Qgi.gtt�O�¢ FIST � TO WTI-A�J+� i A wt> oc.a — . REASON FOR VARIANCE (May attach letter if more space needed) AjwpWc.ANT MI;M T141f 99J . OF Ins y &T GNI�1oT MEt.T t�l�IoO9;-Q.,OF -Bprc kTA%6 .�Lff'A E_ IS Tip aBAWwAXjD CRA#JFda a-/ w4tew IS ISOLATED - (zoxA AQ�j 5ya.r-Ace Luvrez SOPPL-1 , 1IMCs nb MAIM-W. lS 1351 PLANS - Two copies of plan must be submitted clearly outlining variance requested.---- ._ VARIANCE APPROVED _ -- ---.-NOT APPROVED —..---- - I REASON FOR DISAPPROVAL Robert L. Childs, Chai,rmab Ann -Jane Eshbaugh H. F. Inge, ^M.-D. BOARD OF HEALTH T01.'N OF BARNSTABLE f !. rj— -—.r ._ —..— e E OF I BOARD OF HEALTH 367 MAIN STREET HYANNIS. MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAsJE OF APPLI CAIrT� aX— Y�__14 II t iq__ — - - ___ _ _TELEPHONE N0. ADDRESS OF APPLICANT_32.1 91-0o-rr _ 7-P. —_ C�►�'Tt�-vl� ��L' 1� mE OF OlsTNER OF PROPERTY - - �A•w'd_ --- _- -—-------_-_-.- - - _-- LOCATION OF REQUEST— LoT Z G1-LtoTT 7-1-1____Q_y5TEQ- 73A`f VARIANCE FROM REGULATION (List regulation) of 9eAI.L;TN Ic�sbt�e.M'io#J EYF• �1'�Va Sr4[73j _-_- ------- A '1 VARIANCE REQUESTED (Specific request) V( 'QIAIJGb Ll$gU+ a� Foa DISTe•►i� TO Wt�nsw5 -- - ;. i REASON" FOR VARIANCE (May attach letter if more space needed) At'p1.Ic.4WT ME-e% T1 a 4M. OF F 3p� zA _DSrAege e IS Te, fBtANowLgf CRAIJ 16_ffa %y _ w►}fcy ISoI.ATEA F:RoAA AW' j 502.rAc6 Wl)71M So..PL11 '0jV C.& lb MAVW lS l35 b PLANS - Two copies of plan must be submitted clearly outlining variance requested. VARIANCE APPROVED NOT k_PPROVED—_ REASON FOR DISAPPROVAL{ I Robert L. Childs, Chai-rmab Ann Jane Eshbaugh H. F. ]nge , M. D. BOARD OF HEALTH TOWN OF BARNSTABLE f C� 0/ KY PAUL T: ANDERSON J Regional Environmental Engineer aZ�l1/GE2�GGG� a a�� d�'a e2v�e, ,2�irQaace� eCtd 02.346 947--1,2.34 ext 680-684 November 29, 1984 This Department is in receipt of the following application filed in accordance with the. Wetlands Protection Act, General Laws, Chapter 131, Section 40 ("the Act") : Nary Dr. Allen W: Morrisey 327 Elliott Road, Centerville, Massachusetts 02632 Owner of Land Same City/'Tool Barnstable Ipca 4385 Elliott Road This project has been given the following Wetlands file number in accordance with the Act SE 3-1222 The following information is missing and must be forwarded to this office for a complete filing in accordance with the Act: ( ) Locus Map ( ) '` Notice of Intent ( ) Plans ( ) Wetlands Regulation should be reviewed prior .to hearing { ) The plans for the sewage disposal system appear not to meet the requirements of Title 5 of The State Environmental Code. Review with the Board of. Health. (x) . A Chapter 91 License or Permit is not required by the Licensing andfPennits Section. ( ) Application has been forwarded to the Licensing. and Permits Section to determine if a Chapter 91 License or Permit is required. A decision regarding Chapter 91 jurisdiction will be issued by the Licensing and Permits Section. ( ) Detailed Notice of Intent Form 3 must be submitted. Issuance of a file number indicates only completeness of the file and not .approval of the application. cc: Conservation Cornmission (x) Board of Health - Zbwn Variance required ( ) Coastal Zone Management ( ) Water Pollution Control y FTHE tO� TOWN OF BARNSTABLE OFFICE OF BAH39TABL BOARD OF HEALTH o� 0 mix_ �e� 367 MAIN STREET HYANNIS, MASS. 02601 December 6, 1984 Dr. Allen W. Morrisey 327 Elliott Road Centerville, Ma. Dear Dr. Morrisey: We reviewed your request for a varience to install septic leaching galleys 75 feet from a wetlands, with the reserve area 60 feet at Lot 2 Elliott Road, Centerville. Your plan was carefully reviewed, and it would appear that if the size of the house was reduced you probably could meet the required 100 foot distance from wetlands. We are very concerned with contamination of the Centerville River. Coliform counts exceeding the standards for the taking of shellfish have been recorded since the summer months. We are also concerned with the effects drainage from the lot will have on wetlands. We understand that you have spoken with John Kelly, our Agent, and will be present at our next Board of Health meeting at 4:30 P.M. , Tuesday, Dec. 100 1984, to discuss the environmental impact of your proposal. V y ruly yours, obert ' .0 ilds, ChaTFukn Ann Jane Eshbaugh Grover.Farrish, M.D. BOARD OF HEALTH - TOWN OF BARNSTABLE JMK/jo . cc Conservation Nr ¢ v \ �\� \\ \` \ � G� �� - .. / ';•{ESN ?' 'e, \ \x7 �_, � ��/ j titi•`�i s � ,rr+ � �. . �Tgl�~r� � ICI. � 1 x�a TPA1 Ll i g\q t o Z0 o S Et,ze 1 c TAT GD 1.3 �. BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/0sterville,Massachusetts 02655/Tel. (617)428-9131 VnLLLkM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineoring June_20, 1985 Dr, Allen Morrisey 327 Elliott Road __. . . ....... Centerville, MA 02632 RE: Lot 2 .. Eliott Road Dear Dr. Morrisey: At your request on Wednesday June 19, 1985 we inspected the septic system on the subject lot. The leaching galleys were found to be 17' from the foundation. The septic plan location was 10 feet, The situation was corrected on Thursday June 20 and the septic locations are in the ground now in accordance with plans on file with the Board of Health, a Should you have any questions concerning this matter feel free to contact our office, - Very truly yours, Richard A. Baxter, R.L.S. RAB/fmj enc cc: Board of Health MEMBERS OF CAPE COD SOCIETY OFPROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OFLAND SURVEYORSAND CIVILENGBVEERS t , 0 LEGEND , / Locus , -- 18 -- EXISTING CONTOUR / ( E"Ott Rd j 20 PROPOSED CONTOUR Q\� x 16.82 EXISTING SPOT GRADE �/�J JV EXISTING WATER SERVICE N' EXISTING GAS SERVICE J� -U OVERHEAD WIRES TEST .PIT BENCHMARKQj F>: O • � � oti`�a o 0 4 0 yv LOCUS MAP NOT TO SCALE S 8 t3.90 ?24?� _ THERE ARE NO COASTAL BANKS IDENTIFED 00 AS DEFINED BY BARNSTABLE CONSERVATION COMMISSION DEFINITION / }}2.46 / •,••• +4.30 1.20 SAL T MARSH .11I►s. Sp, I V-206 IL O p- /`S 1 ads 5.25 V-204 EDGE + 1 + �E OF / 4.01 +5.67 . 5.99 V-2005c 9 �•` \\ 5,9�!✓j• 203 ',O Q�bS ---��-1 .3 - B-CXs,.� •�• \\\ +-7.18 �AAO�p , MBL 227-104���_� x 7.22 �. . v-201 y_---•----� 92\By�., �5 --4-0--- &: �'•y V-207 .33 +10.72 �� x 8.44\+ x 7.07 10.15 �� x 7.31 / i At A ZONE•' 6 (os,1�+.• \ , Y Xs 7.72 BENCHMARK N0.1ppA Z , 12.19 Outside Cor.lBuikh ead ��� �.�;'^ +1a1 . 14.s1 �1 8 EL.=16.61 (NGVD) N Z 6 61 DECK - 6) 14.39 15.85 x 15.19 1X77 1 t,: •/O ; O "� �.�Zll, .,-' 1437 12.30 } TO'O c,B.,;F,p 6,1 = iEsMA7pN 16: ��%/�/G o9s�o �" lBi-F� czONE- 1665 HOUSE(#385 GARAGE I OF=17.55f• I z 24.44 BL)FFER 08 0� x 16.6100 _�/ ♦I "G \�� 6.31 TD COASTAL sr z `• ::. 12.. WETLAND c' \20 VENT \ 1 _ =_ O!Z� 15.40 11.7 \\tn. m BENCHMARK N0.2 z °°� 'm�D x -� Top of Concrete Bound fd "� '•0 5 S?\ �l `� . •11 L TONE;: EL.=19.80 (NGVD) �� 22.03 E �ryp i• `�23 '`'. s 4 �.-v / P -' DRI VEWA Y�- F O /19.96 i 23.10 /15.12 O / // ///13.2oEDG . G 09. 9.31 N 63. /� O /'A CEMENT 9.62 ' �: 8b6 `S PK SET 83 15 R.0. W. /O S'irp, p Q EXISTING S.A. �2'8 � ELLIOTT ROAD-►` ��••� S \ TO BE PUMPED, FILLED WITH SAND AND ABANDONED V-10 V-105 � EXIS77NG SEPTIC TANK -103 V-10 AL v-106 o PETER T. TOP OF TANK, EL.=15.29 v-1o3 , o M CIVIL E "' INV-(OUT)=13.96.t V ii1 AL -S* 630�98• No. 35109 323• OVERGROWN REG/SZER CRANDERRY DOG OWNER OF RECORD PROPOSED SEPTIC SYSTEM UPGRADE PLAN CROUTHAMEL, .JOHN J & CAROL S 385 ELLIOTT ROAD, CENTERVILLE, MA 385 ELLIOT ROAD CENTERVILLE, MA 02632 WETLAND DELINEATION Prepared for: D.A. Brown,,-Inc., P.O. Box 125, Centerville, MA 02632 VACCARO Environmental Engineering by: SCALE DRAWN JOB- N0. s FLOOD PLAIN DESIGNATION FIRM COMMUNITY PANEL NO. 250001 0008 D C P.O. Box 955 onsulting Engineering WOYk4, Inc. 1"=30' P.T.M. 180-13 MAP REVISED: JULY 2, 1992 Sandwich, MA 02563 12 West Crossfield Road, Forestdale, MA 02644 DATE - CHECKED SHEET NO. ZONEC A10 (EL 11), B, C (508) 888-5855 (508) 477-5313 9/20/13 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT-THE PROPOSED FINISH GRADE SHALL NOT BE < EL:13.65 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL RISER & COVER OVER EACH CHAMBER AND T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE SET TO 3' OF F.G. TO SERVE AS INSPECTION PORTS EXISTING //-- F.G. EL.=16.5f //-- F.G. EL.=18.0t F.G. EL.=20.3(max.) , VENT � . . / . . v Y' � /N'N•7iYAl / Pi A A a L = 41' L = 23" ^ @ SE1% (MIN.) ® S=1% (MIN_) 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" 6"j DOUBLE WASHED STONE r0"I " g BaaSaaa (OR APPROVED FILTER FABRIC) t EXISTING 48" UQUID 14" MB9mmmm / " maaaaaa -3/4- TO 1-1 2 DOUBLE )' LEVEL WASHED STONE GAS BAFFLE INV.=13.55 PROPOSED 4' 5.2' 4' D-BOX INV.=13.38 INV.=13.96t EFFECTIVE WIDTH = 13.2' EXISTING 3 OUTLETS (MIN.) INV.=13.15 FLt EXISTING SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 RATED TOP CONC. ELEV.=14.3 Al NOTES: BREAKOUT ELEV.=13.65 INV. ELEV.=13.15 mama 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE mmmaa mamma INVERTS, PRIOR TO INSTALLATION. mmmm mamma BOTTOM ELEV.=11.15 2) D-BOX SHALL BE SET LEVEL AND TRUE TO 1 3' 1 3 X 8.5'=25.5' 3' GRADE ON A MECHANICALLY COMPACTED SIX 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 31.5' INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO G.W., EL.=6.5(TP-2) 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE EST. HIGH G.W. EL. = 2.7 (MHW) AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL SEPTIC SYSTEM PROFILE GENERAL NOTES: - 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL ®®®® 0 BOARD OF HEALTH AND THE DESIGN ENGINEER. ®®®®®®®®®®® 37" 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS w ® OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE N z ®� LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: - -310 CMR 15.405(1)(b): - 1) A 3' variance to the maximum cover requirement of 3', for a maximum cover of 6'. 102" 2) A 3' variance, S.A.S. to cellar wall, for a 17' setback. -LOCAL REGULATION. Chapter 360._Article_1 - Setback Requirements- 3) A 27' variance, S.A.S. to coastal bank, for a 73' setback. 4' KNOCKOUT 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 20 DIA COVER TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 4" KNOCKOUT / 4" KNOCKOUT 62" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON NGVD.. 4 KNOCKOUT 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 500 GALLON CAPACITY, H-20 LOADING 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. CHAMBERS , 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS MS. AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES.10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY SOIL LOG THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 0 DATE: JULY 29, 2013 (REF#14,082) 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SOIL EVALUATOR: PETER McENTEE PE(SE#1542) IN THE AREA BENEATH AND FOR .5' ON ALL SIDES OF THE S.A.S. AND WITNESS: DONNA MIORANDI R.S.HEALTH AGENT REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). ELEV. TP- DEPTH ELEV. TP-2 DEPTH , . 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 19.0 18.0 0 :f 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND FILL FILL IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 17.5 A 18" 17.0 A 12" SANDY LOAM SANDY LOAM 10YR 4/2 10YR-4/2 DESIGN CRITERIA 17.0 B 24" 16.5 B 18" SILT LOAM SILT LOAM NUMBER OF BEDROOMS: 4 BEDROOMS 14.7 C 10YR 5/3 52" 14.5 C10YR 5/3 42' SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN M-C SAND M-C SAND DAILY FLOW: 440 GPD 2.5Y 6/4 2.5Y 6/4 ' DESIGN FLOW: 440 GPD GARBAGE GRINDER: NO 7.0 144" 6.5 138" LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF NO GROUNDWATER ENCOUNTERED .74 GPD/SF PERC RATE <2 MIN/IN. ("C" HORIZON) - ON FILE DATED 9/28/84, P-3596 EXISTING SEPTIC TANK: 1000 GALLON CAPACITY "C" HORIZON SOILS ARE CONSISTENT WITH PERC RATE OF RECORD PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN . 0 USE 3-500 GALLON LEACHING CHAMBERS IN SERIES SURROUNDED BY DOUBLE WASHED STONE-ALL SIDES 385 ELLIOTT ROAD, CENTERVILLE, MA SIDEWALL AREA: 2(13.2' + 31.5) X 2 = 178.8 S.F. Prepared for: D.A. Brown, Inc., P.O. Box 125, Centerville, MA 02632 BOTTOM AREA: 13.2' x 31.5' = 415.8 S.F. Engineering by: 7 SCALE DRAWN doh. NO. TOTAL AREA:..............................................................594.6 S.F. Engineering Works, Inc. N.T.S. P.T.M. 180-13 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(594.6 SF) = 440.0 GPD (508) 477-5313 9/20/13 P.T.M. 2 Of 2 LEGEND , / LOCUS -- 18 -- EXISTING CONTOUR J E"'Ott Rd r 20 PROPOSED CONTOUR n `\ x 16.82 EXISTING SPOT GRADE J1(� -W EXISTING WATER SERVICE N --G EXISTING GAS SERVICE • -U OVERHEAD WIRES t9 TEST PIT. /\� BENCHMARK �i Q eo o Qr� LOCUS MAP / NOT TO SCALE S 8-j-2g4 V •. / ' 2 -- THERE ARE NO COASTAL BANKS IDENTIFED 0.00, AS DEFINED BY BARNSTABLE CONSERVATION COMMISSION DEFINITION } / +4.30 / ❑ 2.46 / / .•E W •1 , C '.z° 1 f SAL T MARSH DSO,s� AL V-206 1L �S`S jl ik V-204 5.2s+ GE ED BJ�/•�` ice'/�\o ,OOOAc', iy -�.. G OF .000 --6 yy /----Er--"®*, ----- 5.67 5.99 V-2054.01 •�• `\ V-Zo3 of o� -L.OTS-Q--&C 2 �•�•�\ r V-202 +'7..19 '°o; :,,MBL 227-104-8--,,,X 6-a,3 2 ` V-201 gam_-- ---� 9?\�yti�♦ �5�,$9� 5 \&\\ \ v\ •y 33207 s.4 J x a j/ co i ��.♦ ..+10.72�'��\ �� x 7.07 / o„:. 10.15 731 _ � r-10�02 I o ♦♦♦ �\\ / �9 --- Al �R1oPP 's;.f. \ ♦ x 10 9\,\ \ F ZON ONE 8 (� 1�+ \\ ` . Xs7.7z MA BENCHMARK NO. 1 %:--. MA a 12.19 ., Outside Cor./Bulkhead J ���- +14.a 14.81 �1 8 EL.=16.61 (NGVD) - 16.�1 DECK 14.39 \ - 15.85 �+ . x 15.19 1 77 �O S �'10 14;37 12.30 °o,`♦e� --i� M---.� 16.46 r( EXISTING ; y ♦ �'1 GARAGE - - -l8- 144!BONE-G\+'1 16.6= HOUSE(#385 \ OF=17.55f' � Z OF is .88 \� O x 16.6 x COPS r.* -n �`• _ 12 _ VENT \ _� ,� IN N, --+ O� 6 ' ��� OIQ x15.40 � -:.�.?3z`•�.. 11.7 T\� BENCHMARK N0.2tlo� Top of Concrete Bound c�' s\/ aol� `♦ l o l•/ �• `• ! �.'V .11 L P ':'::STONE.: c�\�Z EL.=19.80 (NGVD) ��v�/0 22.o3j E d, P 2Ss y 4' , DRI VEWA Y' 0 �'P 5 I \ 3 '��O• 23.10 1 A 0 /15.12 Oy� 5(�2Oo p / % �,/13.20ED / 9. 9.31 GGSO N s�?vr' ' PK S 12.83 0 PAl/EME/VT 9615 ..R.O. w TO 8.66 Sj .0 i EXISTING S.A.S. 8s3,� ELLIOTT ROA 0��•• TO BE PUMPED, FILLED WITH �� OF SAND AND ABANDONED V-10 V-105 EXIS77NG SEPTIC TANK ---- o PETER T. . V-103 V-10 ILV-lob MCENTEE TOP OF TANK, EL.=15.29 r CIVIL INV.(OUT)=13.96f V ro1 6 9 , No. 51109 C OVERGROWN °F s N 0`��` CRANBERRY BOO F OWNER of RECORD PROPOSED SEPTIC SYSTEM UPGRADE PLAN CROUTHAMEL, JOHN J & CAROL S 385 ELL107 ROAD CENTERVILLE, MA 385 ELLIOT ROAD CENTERVILLE, MA 02632 WETLAND DELINEATION Prepared for: D.A. Brown, Inc., P.O. Box 125, Centerville, MA 02632 • FLOOD PLAIN DESIGNATION VACCARO Environmental Engineering by: SCALE DRAWN JOB. NO. FIRM COMMUNITY PANEL N0. 250001 0008 D Consulting 1"=30' P.T.M. 180-13 REVISED: DULY 2, 1992 P.O. Box 955 Engineering Works, Inc. MAP REV ZONEC ISE (EL 11), B, C Sandwich, MA 02563 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 888-5855 (508) 477-5313 9/20/13 P.T.M. 1 Of 2 rr NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:13.65 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND OUTLET AND SET TO 6" OF FINISH GRADE T.O.F. SET TO 3' OF F.G. TO SERVE- AS INSPECTION PORTS EXISTING F.G. EL.=16.5f F.G. EL=18.0t F.G. EL.=20.3(max.) VENT L = 41' ® S=1% (MIN.) L = 23' 4"SCH40 PVC @ S=1 / /% (MIN.) 2" LAYER OF 1 8" TO 1 2" 6. 4"SCH40 PVC " DOUBLE WASHED STONE i0"I B aaa�aaa (OR APPROVED FILTER FABRIC) 4" aaaaaaa EXISTING 48" LIQUID aaaaaaa -3/4" TO 1-1/2" DOUBLE LEVEL WASHED STONE ADD INV.=13.55 PROPOSED 4' 5.2' 4' GAS BAFFLE D BOX INV.=13.38 INV.=13.96t EFFECTIVE WIDTH = 13.2' EXISTING 3 OUTLETS (MIN.) INV.=13.15 EXISTING SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 RATED TOP CONC. ELEV.=14.3 NOTES: BREAKOUT ELEV.=13.65 INV. ELEV.=13.15 aaaB 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE eases eases INVERTS, PRIOR TO INSTALLATION. ease eases BOTTOM ELEV.=11.15 2) D-BOX SHALL BE SET LEVEL AND TRUE TO 3' 3 X 8.5'=25.5' 3' GRADE ON A MECHANICALLY COMPACTED SIX 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 31.5' INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. 3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE NO G.W., EL.=6.5(TP-2) - AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. EST. HIGH G.W. EL. = 2.7 (MHW) SEPTIC SYSTEM PROFILE GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL FE3E3 ® 0 ®®E3BOARD OF HEALTH AND THE DESIGN ENGINEER. ®®®®®®®® 37" 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS t wOF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE N Z ®®®®®® a Ea LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: Ea 310 CMR 15.405(1)(b): _ C,1) A 3' variance to the maximum cover requirement of 3', for a maximum cover of 6'. 102" (�2) A 3' variance, S.A.S. to cellar wall, for a 17' setback. -LOCAL REGULATION Chap 360. Article 1 -. Setback Requirements _ 3) A 27' vorionce, S.A.S. to coastal bank, for a 73' setback. 1 4" KNOCKOUT 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 20" DIA. COVER DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 4" KNOCKOUT / 4" KNOCKOUT 62" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON NGVD.. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 4' KNOCKOUT THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 500 GALLON CAPACITY, H-20 LOADING 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. CHAMBERS 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS N.rs AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. SOIL LOG 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. DATE: JULY 29, 2013 (REF#14,082) 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SOIL EVALUATOR: PETER McENTEE PE(SE#1542) IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND WITNESS: DONNA MIORANDI R.S.HEALTH AGENT REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). ELEV. TP-1 DEPTH ELEv. TP-2 DEPTH 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 19.0 0" 18.0 0" 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND FILL FILL IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 17.5 A 18" 17.0 A 12" SANDY LOAM SANDY LOAM lOYR 4/2 lOYR 4/2 18" 17.0 B 24" 16.5 B DESIGN CRITERIA . SILT LOAM SILT LOAM NUMBER OF BEDROOMS: 4 BEDROOMS 14.7 C 10YR 5/3 52" 14.5 C10YR 5/3 42 SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN DAILY FLOW: 440 GPD M-C SAND M-C SAND DESIGN FLOW: 440 GPD 2.5Y 6/4 2.5Y 6/4 GARBAGE GRINDER: NO 7.0 144" 6.5 138" LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF NO GROUNDWATER ENCOUNTERED .74 GPD/SF PERC RATE <2 MIN/IN. ("C" HORIZON) - ON FILE DATED 9/28/84, P-3596 EXISTING SEPTIC TANK: 1000 GALLON CAPACITY "C" HORIZON SOILS ARE CONSISTENT WITH PERC RATE OF RECORD PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED USE 3-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE-ALL SIDES 385 ELLIOTT ROAD, CENTERVILLE, MA SIDEWALL AREA: 2(13.2' + 31.5) X 2 = 178.8 S.F. Prepared for: D.A. Brown, Inc., P.O. Box 125, Centerville, MA 02632 BOTTOM AREA: 13.2' x 31.5' = 415.8 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:..............................................................594.6 S.F. Engineering Works, Inc. N.T.S. P.T.M. 180-13 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(594.6 SF) = 440.0 GPD (508) 477-5313 9/20/13 P.T.M. 2 Of 2 i I kqsm 2�oeos °y0 � 3 y F I I 1� I——I I L=ll1 ��" �riiY G 0 o I�Illll --1� 1I r / - z ��d- , . III-11---1E 0 o I=I I I> I I-- F I 1J_I—�11 — o UMT RU r --IIIIII ::•r.i- ':' m x \ F 11y—III=II—,°:::•:•,:,•. .•..,� � p ��:, �,�a p9 \ .��• , I—'III— �• •� ..�_. � $ � ti � $�� 3� � n.z —III—III—II'•;:`•:�•�.'<` P2 Ii z u m � ® o D Y � g 01 Ajo IS B lilt 1 (� C �� zggy5�ya _ y 1 1 � • \> Ali ; gg $ 19.is,G.C. J O as Y N p M I I ' ' �1,,>�1• ,' '" •,7. + m e , iIF, IS IS If low At: f 5c M m a _ °w a f. n� SCALE: 14.41'-0• OY 2 vABr THIS PLAN INVALID uNUEss aunt Aaross nc oaanre. a¢m DATE REVISIONS FOUNDATION PLAN 110BAIOYNYonB2vA"ABABaJa COPYRIGHT ACCOMPANIED OF C BY A IS „� r - NORTHSIDE Y 0 I 2 4 8 COMPLETE SET OF CONSTRUCTION pFyX unpom w at mxsmMnax RESERVES HEREBY MOO LA DOCUMENTS. ASAOE2"ISM AEO'O9'ONIB�1l1i'T u°�au,r DESIGN LIGHT THEs°�"�ARE 14/BO/00 PIa�OcM]INT°ro°RASIITZ�N NUMBER OF BRAWNGS IN SET: S ADDIRDN PREPARED NN ABr:Bsae a s NawBB ASSOCIATES NOT TO BE REPRODUCED SHEET N0. DATE CAROL CROUTNAMEL `wB OPT '° " p1ANGED OR COPIED IN ANY nre omal.NOBiN90E oeBa ABx� FORM OR MANNER VMATSOEVER MAr BGG@ cpaILNBN2 mia7nucnon, Y11HOUT FIRST OBTAINING THE K A.0 o7/Is/os 09 EN ELLIarERVILI ROAD p� ,®, OIS11NC11VE RESIDENTIAL O COMMERCIAL M DESIGN paR T yAU�PERMISSION GENTERVILLE MA. Ik1E0 Aim NwBBYA�B2ao�norlB µT 14'"""sn1EET'ruaoumpoBr•MA Bsa�B AND CONSENT OF NORTHSIDE PoS9a£asaEroiaeB N al0VO11Y/L EBoe)702-2110 (DOB)i02-9002 DESIGN. t - , ? 2466 b. ro� :, seQg P ---------------- .+ • I \ 1------------ / I IF I I II 7 u � ----- a rn I ----- � 0 1 t o qgy all i I — Ila � I I I I I I ----- ----- I --- To' -------� C --_-----r- u � lit C Via. / !ro• .I �� � ----?-fie - `.♦ �G, ' SS U / 848 / \ 6 TZ•S� a eo g32 leg ; lit 1 S.- ail Im 1 1 1 o zr °" ro U AIE AND CODES nmr SCALE 1 4'm1'-0' OREAILY N INOMM THE"I My.. 0 6 TO FIRST FLOOR PLAN TOO µD""NY°"""Y"°"°"am COPYRIGHT DATE REVISIONS �^��° °� NORTHSIDE ONo T�Amaus.A Wn a RESERVES EE HEREBY F:ON LA Y 0 1 2 4 8 GIVEERVU1 N i�� DESM RESERVES I74 COMMON LAW ROYOItKING GARAG! DESIGN STOP ADDITION P �Wk „AM1 DESIGN COPYRIGHT.HAYPLANS ARE PLACA ICNTT TO OrM PLAN SHEET N0. ME 7°"°RS Ip Ommsm N D IN O ASSOCIATES CHANGED OR c«�m IN ANY DATE' CAROL CROUTHAMEL N DEMON ADWSES FEfB1 OR MANNER wNATsoEtER DRAWN A•1 07 18 OB rya was ea nuvx m win DISRNCX RESIDENI(AL 4 COMMERCIAL DESIGN EVRESWITHOU FIRST OBTAINING THE 888 ELLIOT ROAD EDMOND oLaumm r Nm�p HsccLa ��+�Tm+PERMISSION Fa N,,EM,um ArsRTrvAt Rrnnlmuro 1{I YNN STREET•YARYOUn04W•YA 026Y6 AND CONSENT OF NERTHSIDE CHECKED CENTERVILLE, MA. TasaaE NsrnLml®N sIR cnnu (508)3e2-22I0 (50)36+-MM oma, IIIIIIIIIIIIIIIIII .I II ;,�. IIIIIIIIIIIIIIIIII IIIIII(111111 luilnuuuuunnuuulll�,��, I I,I I �1 U►, \III OD Ilp , I III, I I I III \ I / .�aIIIIIIIIII) I h IIIIIIIIIIIIIIIIIIIIIIIIIIIII �����I I \ ►,% I� I hill\ V i� I�'I�J I I� Iilj I IIIIIIIIIIII �1��` I I�j�---,llhlll I�\� I 1 �\illllllllllll ` I \. 1! oil call \��� I I'IIo �, j�1��lj'L11i1\11,� `�1� I I �_�1�� rI�I� 11�1i1��1��;�II�\I;II;II ���� � I �� •���� IIIIIIIII I L�= ===,IIIj� �i.►\\II \ I�`\\\�1\IIII I owo ll` ��II 111I1i�1,�_— \�11�11 I,` �1\IIII ►�`,�I I 1111111�-----,Ill ihI��� 1�1►�I,�1�! \III II I�►\\\\\\\. \III I 1i111Li►-I IL`J \\�III\I .�;.I► \\ ��:I Iruuuwuunnur• ARM, i,;l alll�lllllllllllllll ON MA,1:1 11 I I► \I "� I �IIIIIIIIIIIIIIIIII� i IM ELEVATIONS p!IIIIIIIIIIIIIIIIIIII� _ IIIIIIIIIIIIII I�I�_.... �I III / �uuuuunn IIIIIIIIIIIIII � � ' CAROLI THA, , - • a� 1 ��= a Ell g€ i i i i , ®®® lie0 0 Q� r- i LJ 1�1 N O z SCALE: 1 4'=1'-0' WAIL AM=me C"IRT.. ME TO ELEVATIONS n"me m amm vm" mm COPYRIGHT DATE REVISIONS �'� "N0 901° IT NORTHSIDE NOR,NSiDE HEREBY EXPRESLY AS 1U1%t m6INPOSUV1 ff 0 1 2 4 8 ���ct°ceN n�mmsne RESERVES ITS COMMON LAW ROVORNIN4 yg m DESIGN n0 �W eA UAW DESIGN COPYfOOHT.TNESES PLANS ARE 1?°0'� PIACOYEN'T TO SITE M.AN CUSTOMADDITIONPR OR: 1m NAY lassca a oranm swmm NOT RI BE REPRODUCED SHEET N0. DATE- a ASSOCIATES CHANCED OR COPIED IN ANY DRAWN CAROL CROUTHAMEL me emm NoNOmoe omm mwm FORM OR MANNER WHATSOEVER mATN7VKOa�oNO �. NTHWT FIRST OBTAINING THE A,3 07 18 OB TIM Kms W MEN 10,ouN ixnL DIsnNCTIVE RESIDENRAL+t COMMERCIAL DESIGN EXPRESS WRITTEN PERMISSION 3BB ELLIOT ROAD eu.0.o 00 rnnrrr No wsrCe m t41 MAN smEEr,YARLIOumPa1T,MA CMY5 CHECKED GEN7ERVILLEI MA. Pf°"osse"coca r CO0ST w (�)362-2210 ism)Sea-mm DESIGN. sE„T aF NDRT„sIDE I I•g I I I I I II I Gil I I I I ui01im I I I I s• �^7 _ tln N D I \ aim 'a to N \\ a� ZA It r- 0 -,I 3 C II n D �� n • 3 i N — r a r r ��_-_g r 7C � r ------------ j NL'I I da I m m Z l I i I liu� I I I I I II I I I II I I I II a3 to uuii I I I I 0 W I _ \� i r A r § r N I• I I I r-0• -�i —_i I _ • ' Oz — 3: ' c A I , rn iumuH o I I I I �A • Gil I I I s € R9 I I €R I I g 3 g$ �3 y N I 44 V an I m =) I N + o I D Z r A It j I I D � 3 � 'y��� • i i i m 3> bra rSTATE AND WAt— VARY R SCALE 1 4'�1'-0' •WAIL narou mE c"mr. out to SECTIONS ASR.EMANY R M° �r"�A °' NORTHSIDE COPYRIGHT DATE REVISIONS As runRR Ax°a<CCNaM14 aor DIED xAmaw,°AS a' NDR FIVES HEREBY MOON LA 0 1 2 4 8 , "°A Mnm°"'ircrtam�itITS n+E�Gw��ws �aieoroe 4�E� DESIGN CUSTOM ADDITION PREPARED ANY�oa°ARAaq aaewm DESIGN NOT M BE REPROOUCm SHEET NO. DATE: Me TO omuo mwoiaaEsraaASSOCIATES CHANOm OR emm iN ANY DRAW CAROL CROUTWAMEL ra a m NORTIME oEvm FORM aR NANNER"HATSTSR A• ma evva oa,mw o aoRs�emN VATHOUT RMT OBTMND THE 07/18/OB 38B ELLIOT ROAD ,�;,� � , DISIINCIIYE RESmENML k COMtADTCUL DESIGN ESPRESS WRTTEN pEtBR°SIan GENTERVILLEA MA. a OaoYa •"AX1 '(30)NOUN°1-�1�•nvwoun��w3 002 AND caNSENi OF NORn+sroE CHECKED DESIGN. 4 If ry -,mi , �r • n r ♦ 0 � g nni � • q 4 � a t �` •s• 4 .0• ` rC 6 ' • 5 O ' .0 m B l � o r It 4if If I / C ;; if ' 2r if 4$ •• C. If If 111 U 11 11 II ; N II \ Ill 11 oG 11 If llg ;la-moo;; \ (1 m V I I I I � 1 I I 1 1 S I 1 ----- - _____ __T___r_ `S p 1 B I 1 J" ; I I I I I I of ! I I I I r ! I 1 1 1 -------------� L--=-- - - _ ___ _____� _ _____=_ Y !± - u 1 1 +' S fzc 9 , a !! 1 • 9 0 N. 10 Z•• _ I �o SCALE: 1 4'm1'-0' °amE.Anr Rams+m mwror. ae m mO Mm MMrc o m!VmAmm s ml COPYRIGHT DATE REVISIONS ROOF FRAMING PLAN ��;A,�„� me- NORTHSIDE N.HEREBY E%PRESLY 0 1 2 4 8 B^ NVEM a(�pqe mmall RESERVES IS COMMON T LAW REfVOR)ONG GARAGS DESIGN AM 11E9 II1TM OffiR AAWJft DESIGN ASSOCIATES T.THESES PLANS AN "A90'0° PLACEMENT To SITE PLAN CUSTOM DI PREP FOR: ERR AAY m95Fa a uMuas aaman NOT TO BE REPROOUCEB SHEET N0. DATE w° Bvmo,�a CHANGED OR COPIED IN ANY DRAWN CAROL CROUTHAMEL TAE°®OL r Wn=a9a ADVW FORM OR MANNER WHATSOEVER S.1 07 16 OB BIAT BMLIE OBMM0m OBN9111U k" WITHOUT FIRST OBTAINING THE n Eg aAAs eE rAvw ro tiow Lax OIS11N(71VE RESIDENTIAL&CONMEiNAAI DESIGN EMESS WRITTEN PERMISSION 388 ELLI01 ROAD R%" OPAo'MAp Alm asrEcnrl 141 UK STREET•VARMOUINPDW•NIA 02675 CHECKED CENTERVILLE, MA. aµsdmv, tme!wn (�)ana-Sam (me)ae:-oem o CONSENT of NORnisDE �m x m 8 0 0 In C M m o ul mX ZIn F = - - - - - - - - - - cim DE O m m I — — — — — — — — — — — o L< I E I r I om zX xm K m I -IN o x -� o z- o 0 L — — rn x In I/ 0 D _ 0 m (n z r O O r z SCALE: 1 4'm1'-0• EXISTING aN AILY Mm mE o mr. art m COPYRIGHT fDATE REVISIONS '�"°a M101 V" � NORTHSIDE As aunm rim m caancas quo- o t 2 4 e FIRST FLOOR PLAN 0°'a"UM E O RESERVES ITS CO MON80P L LY Om DESIGN RESERVES ITS COMMON S AREACEMENTT CARArg SITE A�anion u°WeuO1rc carYPoGNr.THESES rows ARE PI.IiGe1ENT Yo arcE row CUS RFP : FOR Nrc u N QW=lllE NOT TO BE REPRODUCED SHEET NO. DATE: �OR�npK��N ASSOCIATES FOµ�D OR�m IN MY A DRAWN CAROL CROUTHAMEL Vm Ksm 111mc m1m fDRN OR MANNER TRIATSOEVEA mAT BUMM WUNatdo m1alnUCnaN. VaTHOUT EIRSr OBTAINING THE E.1 07/18/OB 9ES8 ELLIOT ROAD Me i�T'; DISIINCK RESIDWR @ COMMERCIAL DESIGN E)�RESS WRITDN PERAlIS510N CHUM CENTERVILLE, MA. O E9 N g° i�Y ion)3N SIREET YARUOufHPORI•NA O2eT! �GN CONSENT OF NOR1H90E (on)aaz-uw (aoe)aes-aeon r� � ;�_ ��'�� �1� "i T C)-i _ �D m7rI tn OX U1 n1 Zy \ Inm m O \ O Z \ SCALE: 1 4"m1'—O" °OWn�I Locm m mmmr.m ifto m EXISTING M9 Mo M�H.01X°�YN°"m� COPYRIGHT DATE REVISIONS 0��^��°° °�- NORTHSIDE 0 1 2 4 s SECOND FLOOR PLAN °NERSMr q RESERVEETS LAW ° °^ + DESIGN RESERVES ITS THESES PCOMMON S A ,, PLACB IN6 O�PRESLY DESIGN A�t1W La nE M DAM n a°uAa1n NOPITDItlIT.THESES PLANS ARE PLAC0IETIT TO n1T8 PLAN CUSTOM ADDITION PREPARED FOR: DUE TO MM R ussm m um NOT GE BE REPRODUCED SIIEET No. DUE TO °°°cu m°� ASSOCIATES FORM MA A ANY DAIS: aAss OR snal°nnn oa+oulcts m DRAWN CAROL CROUTHAMEL nE0mft"MU EOEM im �""°"M"""�R�""' E.2 07 8 OB m"T°B°'��'"EN°p�N4°DC WTHOUT FIRST OBTAINING THE r / 333 ELLIOT ROAD mn°�wm�ota w Tmi i 7 ff' DISTINCTIVE RESIDENTIAL&COMMERCIAL DESIGN EXPRESS NTOTIEN PERMISSION 7°R RW uD MPAo IMMZacmo�. 141 MAIN STREE7•YNMOURffOM•MA 02876 AND CONSENT aF NORTHSIDE CHECKED C:ENTERVILLE+ MA. roasea nsss+vmn n M memm� (oos)am-z2+o Eeo°T oe:-oeo: DESIGN. =a r t sc— \ , `� ..fir, � _ �•+� � � � ' `�.1 ITER SULLIVAN 1 �' FNCHAf�t/ �B� � � �` �'� � �.` •� � .,� � � .��";�` 1, a� 9�^ �p ;� � �� Attic r'C+4t+ ,. \ � �1:.`✓ ° x •, .�/1j� -��'�". 1 f-- �1" .��„r" r5 f£� yt.�' ,`+��i t fr -95 -` ,l, A ✓ Lo"grow ,r � , .z � �, CIA W�=� -•� �� � /l�7-, s 6,L-eV � J _ 3= 7 �° ' srt ,f _ _ f} `TD VTAT WB'!'�-,e+►11� �r G r� ' i ` aI` '.YL- '''¢ 1' �' _ �.) 4�\ s MtAjVre "r�.j V i.�`► r ',�„Y/�* 'c.��J� i ,. 0 Q ` + Q` M tv A 11 i2E3 4w r Q• t . 2Es �fr . � v -r$k A-' T t4 AAL4 `T e + k`;g&4,1 s4 �f_} L-f--&A 9Y",TlF-JA L; `� '` \ ,.C:�Gs�"t 11.' W!'r-64!N TV1 "tr p p b '� ►!�..1 Q- tNt Z y Ir {lei); 14.0 y� �� I �;,: ..;� �,r=-;'.'_"" 'uJ 48cx. 13•� 13•�� S�Ffi-►�„ � �I 4 o P' I fl T N - �;,i +�-iy...� F �Lw =� �►;�,�.5 • ��_ �2 nc .sir'/ + Nry 7,A 5PO-,:, DAMP `.�'"�"��. t A�•.1 tic,..,; �,,t% � k�.� � d Q � � ' I I-ql( I.e 4A S' k;� AA,if ot I or- Kj f + tN o • .x , LLE 3. y— A i 3.7 ! Q- AP r" . ZQ3cco \ _ AK \ U` (t'ASULLrVANallo. 29733 EN _ CA v , 7 --�" f T '� Y/�.fZa�.1}C-� �'¢QU i P.�� �� �S'f�►rJGg �7 AA ArZSH sr \ d D \ ?Lk►J 2- F P[ -1�� -�� �� f�Y: �.,� � t , � G E�.r! '-� `Tt-1 A•r- t�j B �c.�P osa� �v r�z.<.�v c,. �,T /: a \ �� S �` , ����"5 't�b S rve Lr UCH � 5�3-��� I��,r,•,�Q��4c��� OF C11: I S M r / DA �J I jwv ,a c d- luck;;, v A 14 Z a Sane 12a - i4 'N 1 S&on L- 5T A S1 rJll..� F p M l L.y 3 $E�r2aa�,t,5 9 .-�- �L= S.2 nC SG4Ic h1D T715 s�` L TnAAAP i SA �. r✓vA,i.c... f4&A C4+W4 +e; + ' &.3)= 132- 5•F r. -% I d i t 32 2, t '153 o "ID saf- :. ear- / P��-Goy a-t`►on.. ", �.Po`h oswa /c �► �"� ! ;. � we►+.: cr¢ . B(7�, � ! 1 i I I J ITr-- E " � N � zA- bi N. �� 3.� .. �. PETER ` t � SULLIVAN R!l HAr'i) No. Q1d1A f Fi an triAeo STANJs-U p � . � ` .�,_`` i /� 9 1 � ,�.7 � �A ygp -� 1 l� U _ '�,.,�+./Il'i",��;�s [X,A�i�r� Or,.. 1 kJ Cam•\/ G, � ! i46 7 s� AAF77 Q. M Fs J�St1 P..h3`=+ �C3 GL 041 to 1-1,615S sF e Qn� Gfc , - 121,o(�c.�l2t�Mc r � �'ti;z. `.� .� \ ;_,c::�,a-rara �,u,�a 1� �-tia 8 I��-•o v� y�.l�� �..t• ► IA► ► �, \ _ _ — ' ✓ � 14.z Gw�[ucs �" - S`sesc''�. ---- "'��Bal I3•� 13.8 S�Pr>L a 4 U ►W 13 d Tlx N„ t - ti - N ! I A-•r- �, � T�•'+r�t..o(�;� R�vF1 t.� �lc..C� �Pam,. SL I•'f"I� s`�r��rt. I I fJl.' F M L 3 $�5 Q-4v Atis q S � f ao UI 510s A DAMP f L t 7.o 3'SO G-f' sANa S*P.TliG to►•3 L, S:�Po < ✓54 I:aJO 6A c,... •� d, �d -� ..I�veet' I LeX4(,•t SYSTEM =d'�C4' lnc ,_rr 15 �1'STbN� "- Ih: l rz eA _ , fa'+l4.' 6 3 3 = 132 '5F 132 2,s '1>3 0 &O'D Ply r4 -- 0. x I o T2 t A , a+fa !L�y Rok.; R 3w, eLPr> :. &>X— � 1xJ MM3 4R '...dy�sS .._. _..__. ___. _ . ._ no SC /e_