HomeMy WebLinkAbout0049 HUCKINS NECK ROAD - Health 49 Huckins neck Road
Centerville
A=252 -013
5 M EAD�
Na 2-INWR
UPC 12534
smesd com • Made in USA
.w a i Y
No. �� f. k Fee Q!/�
THE COMMONWEALTH OF MASSACHUSETTS Entered in co puter:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
4phrdtion for Mispo8AY *pstrm Construction i9Ermit
Application for a Permit to Construct( ) Repair(") Upgrade( ) Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. q UGLtR5 �je(k&D Owner's Name,Address,and Tel.No. 71 �ti U�o,6 421
Assessor's Map/Parcel a5a 3 GeR� try t l�-� "�'/Vt� h n
nstaller's Name,Address,and Tel.No. 'sag°L{'j'j-�� 2 Designer's Name,Address,and Tel.No. 5a�.3�Z_Its
J duXl fin„ np r m dv�-�1
Type of Building:
Dwelling No.of Bedrooms O Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 33 0 gpd Design flow provided gpd
Plan Date ���10 Number of sheets Revision Date
Title
Size of Septic Tank 9,:s (Y) Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued byim-
DateApplication Approved by Date 3 C!
` Application Disapproved by Date
for the following reasons
Permit No. �2®(�—/ $"� Date Issued
°+.i+m,.rrwy. ,ro�....�'�'.Y^..�-4..^+r -•,i ..-- y�, ,:..�-�............ .+'F,-.r�';'�,,,vw.re-..e�,I w.+�».c,n .,,,k•st,�,,,.s.•w.;�. .. �.,.rn „ - .. +r ,.,
No. Fee
M THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
f PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftplitation for Misposal Opsttm Construction permit ,y
Application for a Permit to Construct( ) ±Repair(`Upgrade( ) Abandon( ) 'Complete System ❑Individual Components
Location Address or Lot No. y { VCk In, S /`f t?d WOwn{er,'s Name,Address,and Tel.No. 71 �,3&
Assessor'sMap/Parcel a�ja Ccn}�rVlt�T -"� '/tph6(" , 6Pn}Pr 1 i I �
c E ;♦ arc (1(
Installer's Name,Address,and Tel.No. !j O I_ � -06-53 Designer's Name,Address,and Tel.No. 3 it 2 `Ll S y l
(i I L Cr r,-C-
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 3 c) gpd Design flow provided gpd
Plan Date Uc) Number of sheets t Revision Date
Title
Size of Septic Tank ( �j(�� ' Type of S.A.S. 3 0SO
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected: ,..
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board-of Health. ! ,
red( ,( --,_ �-;t ./) ( Date
,Application Approved by - 4� IA,l � d Date 7//�
i Application Disapproved by Date
for the following reasons
Permit No. 201)CI- 29 7 Date Issued :: j U
-----------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(V f Upgraded( )
Abandoned( )by 1 Y j
at 4.1 CI u has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.21v GJ- 47dated // �✓
Installer Designer (`l(`
� - f /
#bedrooms _ I Lo O t, inG! Approved design flow gP
U i d
The issuance of this permit shall-not be construed as a guarantee that the system will :.nctio/n�,as designed.,n {
Date ']1 1 rho I Inspector �
( v
-- No. ,� lJl) "I -�U�--- . •---_ ----- -- .--- -- ---- --�--- --- - �}-- ----- Fee
THE COMMONWEALTH OF MASSACHUSETTS '
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal bpstem Construction 13ermit
Permission is hereby granted to Construct( ) Repair Up/grade( ) Abandon( )
System located at �-{G lj i ,,( I( i n C A P / � (e( a
t
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 must be completed within three years of the date of this permit! i
,� Date (�{ `� Approved by ��
i
Dom m 1 s 1 8 r S 13 a?—iD9-203]4 1:23
BARNSTABLE LAND COURT REGISTRY
/� DEED RESTRICTION
WHEREAS, /lobe-v CCc mcMa/I of
(owner's name)
MA
(address) ,
is the owner of �9 N t Gir n s @Gk /�aa _located
at C ,L (address}
e� I �—V I I(e_
MA (hereinafter referred to as
and being shown on a plan entitled "Subdivision of Land in
MA, Property of
et al,_ duly recorded in Barnstable County Registry
of
Deeds in Plan Book , Page ;
Or on Land Court Plan N tuber a C),Z3 9— C. J�iPe�
WHEREAS, �o��►-� Ca ry /�I1x&AV WX as the owner of said lot has
(oWnefs name)
agreed with the Town of Barnstable Board of Health to a restriction. as to the
number of bedrooms which can be included in any home built on said lot as a
pre-condition to obtaining a disposal works construction permit in compliance
with 310 CMR 15.000 State Environmental Code, Title V, Minimum
Requirements for the Subsurface Disposal of Sanitary Sewage;.
WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to
granting a disposal works construction'permit for a septic system in compliance
with 310 CMR 15.200, State Environmental Code, Title V, Minimum
Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing
the issuance of a building permit for the construction of a single family home on
this property, is requiring that the agreement for the restriction on the number of
bedrooms in any house constructed on the lot be put on record with the
Barnstable County Registry of Deeds by recording this document,
deedr
NOW, THEREFORE, does hereby place the
(owner's name)
following restriction on his above-referenced land in accordance with his
agreement with the Town of Barnstable Board of Health, which restriction shall
run with the land and be binding upon all successors in title:
c�
• I V-C�l ev nek may have constructed
(address)
upon the I a house containing no more than /r.J4 (Z-)bedrooms.
R�bP.✓ ea.r-o Mw-A agrees that this shall be permanent deed
(owner's narne)
restriction affecting located on MA, and
being shown on the plan reco ded in Plan BoNe�69
, Paged
Or on Land Court Pla D oZ C _
For title of see the following deed: Book Page/
Or Land Court Certificate of Title Number a ?
Executed as a sealed instrument _day ofZ)/ �o D
' C
er's signature
� v
wner`s signature
Owner's signature
COMMONWEALTH OF Mew
3
20�q
Then personally appeared the above-named tt
known to me to be the person who executed the foregoing instrument and
acknowledged
the same to be free act a d de e , before me,
Notary �a�,timu , •...
Public
My commission expires: ' E?'f ,r'•. ;,;.
cI �% , O
(date
NM
STATE of NEW YORK .
deedr pt j OR/ W K. OUNTY
BARNSTABLE REGISTRY OF DEEDS .'�"' ;APRIL29.2010
�. rvTA'aC �/r 1.L-a£I /17ifSi S
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TRANS. NO.:
A-PPLICA T :
A-DDRESS: �
DESIGN (FLOW: � '�® ,pdt
REVIEWED BY: DATE:
N/A OK NO
'1SElV7L's �fr�4l%'u'r��7�':.°:S c:A�.�•�{ yyr� n fy � 9.Ij 'r � �. #�;:`a.7r7 "�}�.,} ?r�'��,t�;'.Y�Y` 4�fJ, � `.� �?! {r.-,., ; .
Legal boundaries denoted [310 CMR 15.220(4)(a)]
Street, Lot, tax parcel number and lot number noted on plan [310
CMR 15.220(4)(u)]
Locus Provided [310 CMR 15.2204(t)]
Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for /
components) [310 CNM 15.220(4)] o/
Easements shown [310 CMR 15.220(4)(b)]
System located totally on lot served [310 CMR 15.405(1)(a) for
upgrades]- if not, a variance is required [310 CMR 15.412(4)]
Location of impervious surfaces (driveways, parking areas etc.)
[310 CMR 15.220(4)(d)]
Location all buildings existing and proposed 310 CMR
15.220(4)(c)]
Location and dimensions of system components and reserve areas. /
[310 CMR 15.220(4)(e)] ✓
System Calculations [310 CMR 15.220(4)(f)]
daily flow
septic tank capacity(required and provided)
soil absorption system (required and provided)
whether system designed for garbage grinder
North arrow [310 CMR 15.220(4)(g)]
Existing and proposed contours [310 CMR 15.220(4)(g)]
Location and log of deep observation holes (existing grade el. on
each test) [310 CMR 15.220(4)(h)]
Names of soil evaluator and BOH representative [310 CNM
15.220(4)(h) and (i)]
Location and date of percolation tests (performed at proper
elevation?) [310 CMR 15.220(4)(1)]
Percolation test results match loading rate? [310 CMR 15.242]
Certification statement by Soil Evaluator [310 CNM 15.220(4)0)]
Observed and Adjusted groundwater (method for adjustment /
given or indicated) [310 CMR 15.103(3) and 310 CMR
15.220(4)(n)]
Address y +—t e ,/✓,. P Sheet 1 of 7
N/A OIL NO
F
ation of every water supply, public and private, [310 CMR
220(4)(k)]
within 400 feet of the proposed system location in the case 1
of surface water supplies and gravel packed public water supply
within 250 feet of the proposed system location in the case
within 150 feet of the proposed system location ' the case
of private water supply wells
Location of all surface waters and wetlands located up to 100 ft. /
beyond setbacks listed in 310 CMR 15.211 and any catch basins
located within 50 ft. [310 CMR 15.220(4)(1)]
Water lines and other subsurface utilities located[310 CNM
15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[11)
profile of system showing invert elevations of all system
components and the bottom of the SAS [310 CMR15.220(4)(o)]
Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)]
Stamp of Registered Land Surveyor (required if construction
activities within 5 ft. of lot line) [310 CMR 15.220(3)]
Test Holes adequate (two in each of the primary and reserve
unless trenches as permitted in 310 CMR 15.102(2) or as
approved for an upgrade under LUA at 310 CMR 15.405(1)(k)]
Test hole adequate to demonstrate four feet of suitable material?
[310 CMR 15.103(4)]
Test Holes adequate to confirm adequate groundwater separation?
1310 Cl\,M 15.103(3)]
Benchmark within 50-75' of system [310 CMR 15.220(4)(q)]
PMaten'alsecifications noted? [various sections of 310 CMR
ponents not> 36" deep (unless Local Upgrade
provaor LUA requested) [310 CMR 15.405(1(b)]
Address Sheet 2 of 7
N/A Ox NO
S 1l�Y. A,14�.t1?Ai��it.��t�l ! r .,r .a• � ���kr� r�.,(r�S�? . fr �c ''f.
Size OK? [310 CMR 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 approved filter [310 CMR 15.227(4)]
Note regarding installation on stable compacted base [310 CMR
15.228(1)]
Separation between uzlet and outlet tees (no less than liquid
depth) [310 CMR 15.227(2)]
Inlet/Outlet elevations at least 12" above high groundwater
(except as described 310 CMR 15.227(5)) or permitted for
upgrades under LUA [310 CMR 15.405(1)(k)]
Minimum cover 9" (Tanks buried more than 9" must have risers
on all openings and on the d-box) [310 CMR 15.2228(1) and 310
CMR 15.232(3)(f)]
Three access covers (inlet and outlet must be 20" or greater) -
middle access at least 8" (by 7/07) [310 CMR 15.228(2)]
Access to within 6 " of grade - one port for systems<1000gpd,
two for systems>1000 gpd [310 CMR 15.228(2)]
All at-grade covers secured to unauthorized access? [310 CMR
15.228(2)]
> 10 ft from.building foundation [310 CMR 15.211(1)]
Buoyancy calculation Required/Done [310 CMR 15.221(8)]
H-20 Where appropriate? [310 CMR 15.226(3)]
Setbacks from resources [310 CMR 15.211]
l ulfa omp fl t ealt a�nks � �.T .L. A 1 {`l". �Wd�rt i1 E1
Required when other than single-family dwelling or flow>1000
gpd [310 CMR 15.223(1)(b)]
First compartment 200% daily flow; Second compartment 100%
daily flow [310 CMR 15.224(2) and(3)]
"U" pipe through or over baffle, outlet of each compartment with
gas baffle or approved filter [310 CMR 15.224(4)]
Address Sheet 3 of 7
N/A_ OK NO
1U� A �1fiG�SE]l�Al�lrIE
Located at least ten feet from any water line? [310 CMR
15.222(2)]
Disposal piping at least 18" below water line (when water and
sewer cross, see 310 CMR 15.211(1)[11)
Cleanouts required/provided ? [310 CMR 15.222(8)]
Thrust blocks specified in force mains? 310 CUR 15.221(6)(c)]
Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable
[310 CMR 15.222(6)]
Proper pitch on all rum? (.005 within gravity-distributed trenches
and beds) [310 CMM 15.251(9) and 310 CMR 15.252(2)(c)]
Siphon problem/ (leachfield below pump chamber)
Endcaps or vent manifold specified?
Size and orientation of discharge holes specified? (not smaller /
than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310
CMR 15.252(2)(h)]
Materials specified (310 CMR 15.251(5) specifies various pipe
types allowed)
T ON
rSt:able compacted base [310 CMR 15.221(2) and 310 CMR
32(2)(a)]plash 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" [310 CMR 15.232(3)(f]
Inside minimum dimension 12" [310 CMR 15.232(2)(b)]
r
imum sump 6" [310 CMR15.232(3)(c)]
tertight cover if<2000gpd); waterproof manhole if>2000gpd
0 CMI�15.232(3)(d)]
Capacity(emergency storage above working--design flow)? [310
CMR 231(2)]
Proper setbacks [310 CMR.15.211 (same as septic tanks)]
Watertight 20-in minium access manhole at least 20" MUST BE
TO GRADE [310 CMR 15.231(5)]
Service components accessible (not too deep with piping,
discomlects accessible)
Alarm floats - alarm on circuit separate from pumps specified?
Exceeds two units must have two pumps operating ul lead-lag
mode. [310 CMR i.5.231(6) and(e)]
Stable Compacted Base [310 CMR 15.221(2)]
Buoyancy calculations needed? Provided? [310 CMR 15.221(8)]
Address Sheet 4 of 7
i
N/A OK NO
O1�LABSO (sA
Calculations correct?
4 feet of naturally occurring material demonstrated? [310 CMR
15.240(1)]
Required separation to groundwater? [310 CMR 15.212)]
Aggregate specified as double washed [310 CMR 15.247(2)]
System Venting required/provided? (system under driveway or
>36" deep) [310 CMR 15.2411 .
Inspection ports specified and within 3"final grade? [310 CMR
15.240(13)]
Breakout requirements met? (No violation of breakout elevation
within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and
Guidance Document]
Chambers and Gal. in trench configuration supplied with inlet /
every20 ft. [310 CMR 15.253(6)] ✓
Bach structure with one inspection manhole(if>2000 gpd must
be to grade) [310 CMR 15.253(2)] ✓
Aggregate I' minimum-4'maximum. [310 CMR 15.253(1)(b)]
2' sidewall credit maximum [310 CMR 15.253(1)(a)]
In bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)]
rkw2 01„5„ 251 ..
Width 2' minimum 3'maximum [310 CMR 15.251(1)(b)]
100 feet-maximum length [310 CMR 15.251(1)(a)]
Minimum separation 2x effective depth or width whichever
greater (3x if reserve between trenches) [310 CMR 251(1)(d)]
Situated along contours [310 CMR 15.251(2)]
Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document]
(�YI'ANT, ze lie d�5,�000 g�0) 16
4
minimum 2 distribution lines [310 CMRm15.252(2)(a)]
Maximum separation between lines 6' [310 CM RI5.252(2)(d)]
Maximum separation between lines and outside of bed 4' [310
CMR 15.252(2)(e)]
Aggregate depth below discharge pipes 6" minimum, 12"
maximum. [310 CMR 15.252(2)(g)]
Separation between beds 10'minimum. [310 CMR 15.252(2)(f)]
Bottom area used in calculations only [310 CMR 15.252(2)(i)]
Address Sheet 5 of 7
N/A OK NO
YIE F�,AI�1ti II°�VOI�VE �"'; Pon
Pressure Dosed Systein ? Provided pump and piping
calculations as required [310 CMR 15220(4)(r)]
Pressure dosing required on all systems>2000gpd or alternative
systems under remedial approval [310 CMR 15.254(2) and I/A
Remedial Use Approvals]
If used in gravelless system -make sure jet is directed as not to
scour soil interface [Guidance Document]
Inspections once per year (systems<2000 gpd) or quarterly
(>2000gpd) good to note on plan [310 CMR 15.254(2)(d)]
Construction in fall -Did the plan specify that the fill shall meet /
the specification of 310 CMR 15.255(3)? ✓
Impervious barrier and/or retaining wall ? [Guidance Document]
Impervious barrier installation must be supervised by
designer [310 CMR 15.255(2)(b)]
Retaining wall must be designed by Registered Professional
Engineer [310 CMR 15.255(2)(a)]
Side slope not exceed 3:1 ? [310 CMR 15.255(2)]
Breakout requirements met? [310 CMR 15.252(2) and
Guidance Document]
At least 5 ft. from impervious barrier to edge of SAS (10 ft.
recommended) [310 CMR 15.255 (2)(e)]
�Gra. less S�y�s e.raa wl l 1417,71.1a a teas
Check DEP Approval letters for credits and design conditions
If used with pressure dosing do not allow pressure discharge
to scour soil interface
1tel�rUi�ati i S`ys;renn C PLC oval, e fe sj '
Was DEP Approval Letter provided and/or have you
reviewed the letter for conditions?
Is the technology being properly applied and does it meet all
DEP Approval Conditions?
Is there a note on the plan regarding the requirement for
perpetual maintenance agreement?
Any alarms involved on separate circuits
Did the applicant submit an operation and maintenance
manual?
Has applicant submitted a copy of a maintenance
x
� °ca'�i icaE �
Are the variances listed on the plan? [310 CMR 15.220
(4)(9)]
RLS Stamp necessary on plan if a component is within five E7
feet of property line [310 CMR 15.412(4)]
New construction or increased flow proposed- [Refer to 310
CMR 15.414]
Address Sheet 6 of 7
y s N/A OK N
Is the system in a Designated Nitrogen Sensitive Area(Zone II for
a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and
310 CMR 15.216 - also refer to Policy regarding upgrades of such
existing systems]
Is the system proposed on the same lot as served by private well ?
1310 CMR 15.214(2)]
Are the nitrogen loads proposed in compliance? [310 CNM
15.216(1)]
Pumping to septic tank ? [ 310 CNM 15.229]
Shared System [310 CNM 15.290]
Address Sheet 7 of 7
Doce1s11Hs513 07-09-2009 1e23
BARNSTABLE LAND COURT REGISTRY
�/• DEED RESTRICTION 1
C �2G✓1".� ��. - /etc:.
WHEREAS, /�ob�t�� 7`— cc'Le-ol /�-(�lt'lo�hor of
(owners name)
ec II (address) MA
is the owner of �j 1T�cil&s I)eck, located
(address)
at Ce vx �v i LCe
MA (hereinafter referred to as
and being shown on a plan entitled "Subdivision of Land in
MA, Property of
et al, duly recorded in Barnstable County Registry
of
Deeds in Plan Book , Page
Or on Land CouV,-( —nefs
mber a Z�9— c Aee-g
WHEREAS, iena,r�/ /�!��(Q�u as the owner of said lot has
name)
agreed with the Town fBarnstablen tv � a ti r
9 --� �:n o. Board .,f Health « a r..s�nc.�a�� aS�„0 t1^ie
number of bedrooms which can be included in any home built on said Io#M, a
pre-condition to obtaining a disposal works construction permit in compfance c>
with 310 CMR 15.000 State Environmental Code, Title V, Minimum10
Requirements for the Subsurface Disposal of Sanitary Sewage; .
WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to. �?
granting a disposal works construction
.permit for a septic system in compliance r--) Irn
with 310 CMR 15.200, State Environmental Code, Title V, Minimum
Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing
the issuance of a building permit for the construction of a single family home on
this property, is requiring that the agreement for the restriction on the number of
bedrooms in any house constructed on the lot be put on record with the
Barnstable County Registry of Deeds by recording this document,
deedr
NOW, THEREFORE, &00tfl H'H6t -does hereby place the
(owners name)
following restriction on his above-referenced land in accordance with his
agreement with the Town of Barnstable Board of Health, which restriction shall
run with the land and be binding upon all successors in title:
1 l q �V'C�Ie'j 0e may have constructed
(address)
upon the I a house containing no more than (2.)bedrooms.
Cai'ro r MC 40'A01 agrees that this shall be permanent deed
(owners name)
restriction affecting located on MA and
being shown on the plan ded in Plan Boob , Paged
Or on Land-Court Pialanre -0 ) -C C ee q —For title of see the following deed: Book Pa e
Or Land Court Certificate of Title Number o2 ,6
Executed as a sealed instrument _�day of zo
Owqer's signature
wner's signature
Owner's signature
COMMONWEALTH OF
209(?
Then personally appeared the above-named
known to me to be the person who executed the foregoing instrument and
acknowledged
the same to be free act a d dee , before me,
Notary-
Public
BARNSTABLE COUNTY My commission expires: , �''E '�'�s'•:'y .,.
REGISTRY OF DEEDS
ATRUE COPY,ATTEST c �4 _ I{" ••o`
�13Lr4 (date • .
p v,:
J®MN K M4! 6 R... • J nri:ofNEwYORK
dee& alAtJfl YO KIhIGS.000MY
8�73623
�'���
BARNSTABLE REGISTRY OF DEEDS 9 % �
FROM :down cape engineering inc FAX NO. :15083629880 Jul. 16 2009 02:29PM P1
Town of Barnstable
Regulatory Service,
gg Thomas F. Geiilelr,'ADorector
BAANSTABLU, 8
ffl A,t& �, Public Heallth Division
i639•
ED tAl�j Thomas 1V1(cKea>tIl, Director
MRinn Street,Hyannnis,MA (12601.
01*iee: 508-862-1644 F,3.x: 508-790-0304
Instafta- &De, er Certification Form
Date: _7//601 Sewange 1PermitH °�U��_ � Assessor's MaapT ait cel 02 t d
L�J �.
Designer: �U�..�r.. e r�•ti (roatalle.a-: A ��Vag �•
Address: `� Ct �_ v '_ Address: l P-O.-
- r
011 _ was issued,a permit to install a
(date) (.ulst<�lier)
septic system at 9 lie t�.?' ._ ' KCI` Aaj haased on a design drawn by
(aC1C1TCS5)
dated.
(des' ier)
T ceTtily that.the septic systein T�L'ereneed above was installed substantially according to
tbe design, which may i.ncl.u.de minor. approved changes such as lateral relocation of the
di9tribution box and/or septic tank.
T certify that the septic system re-fermwed above was installed with major changes (i.e.
greater than 1.0' lateral relocation of the SAS or any vertical re.locati.on of any c(ml3onent
of the septic system) but in accordance with State, & Local Regulations. Plan revision or.
certified as-built by designer to 10110W.
\\j OF 444S
DANIEL
(TTl3tal.l.Cr's Signature)
UJALA
•' CIVIL
` No.46502
(Designer's Sipmr re) (Affix Designer's Stamp here)
rLEASI_1,411i'IT(J1RN TO BARN8'.VA.i1A;', PXJBLIC HEALTH DIVISION. (:T.98'1'tll(:A't'L OF
C:tl1VII°I,)[A1�tC;I'; WILL NOT 'BE ISSZTF D UNTTT, BOTH THIS F(.)1ZM AND AS-BUI7 T CARD .ARE:
W'1':'.11?.>(yFD BY THE Bj'LRN5'TAHT F TPIJBL..IC HEALTH DIVISION. '119AAW YOU.
Q:Hmjl0i/Septic/Designer Ccr ifimtion Furth 3-26-04.doc
TOWN OF BARNSTABLE
J LOCATION 49 H uc Li ns Nc.t- Z® SEWAGE# 2 OOq-2 D7
VTLLAGECenA:e t-V I It e- ASSESSOR'S MAP&PARCEL 25;L-1 -
INSTALLERS NAME&PHONE NO. �-4 �(�6SIn{t y(1 '4-1�1-OG 5 3
SEPTIC TANK CAPACITY PS QD 6 h L
LEACHING FACILITY:(type) (4) 3060 ln:�Jft-M 4size) $X 3j Y 2.
NO. OF BEDROOMSL.
OWNER �b F�er-l- ✓ Iu Ll D n
PERMIT DATE: �]- I3 -Q q COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
FURNISHED BY
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B y _ 2,141 'Poe-r
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Town of Barnstable v tl
�TW
o� Department oCRegul'atory Services
%IURNBTAOLI? Public Health Division Date
,
200 Main Street,Hyannis MA 02601
Date Scheduled Time `� Fee Pd.
Soil Suitability Assessment for Se ale isposal
`
Performed�By:� Witnessed By: G �I✓i 1
d
LOCATION'&GENERAL INFORMATION
Location Address Owner's Name M,
Address
Assessor's Map/Parcel: o�o�/ r� Engineer's Name/ 0
NEW CONSTRUCTION REPAIR 9'elephone li
Land Use' Slopes(%) Surface Stones
Distances from: Open Water Body R Possible Wet Area It Drinking Water Well ft
Drainage Way - ft Property l,lne - ft Other JJ ft
SKETCH:(Street name,di mcnsions or lot,exact locations of test holes&pore tests,locate wetlands 1n proxi I'd ty to holes)
Parent material(geologic) Depth to Bedrock, 7
Depth to Groundwater: Standing Water in Hole: Weeping front Pit Pace tj/a
t
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
.Method Used:
Depth Observed standing in obs.hole:
Depth to weeping from side of obs.hole: ft.
Index Well 0 Reading Date: Index Well level — Anil.Factor..„-..�Adj.droundwater Level,,,,_,
PERCOLATION TES'JC unto. �'17rne Ip��•�-
Observation g
Hole H ` Time at 9" _
Depth of Pcrc y` Timp at G'
Start Pre-soak Time @ Time(9"-G') .
End Pre-soak -
tom, G �
Rate Min./Inch LZ N I.l,r�` a"
Silc Suitability Assessment: Site Passed _ Silq+Failed: Addilionnl Testing Needed(V/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 HFSt notify the.
Barnstable Conservation Division at least one(1)week prior to beginuing.
QAS EI1TI0PERCrORM.DOC
♦.
ass
DEEROBSERVATION HOLI;LOG
Depth from Soil Ilorizon Soil Texture Hole#
Surface(in.) Soil Color Soil Othcr(USDA) (Mansell
) Mottling (Structure,Stones;Boulders.
Co i le % vcl
"�2• S 4. 4
I)EEI'OBSERVATION HOLE LOG
Depth from Soil Horizon Hole#
Surface(in.) Soil Texture Soil Color
(USDA) Soil Other
(Mansell) Mottling (Structure,Stones,Boulders..
Co sistcncv %OraveB
r
----------
DE, OBSERVATION HOLI;LOG
Depth from Soil Horizon Soil Tex .Dole#
Surface(in.) hire Soil Color
Soil
(USDA) (Muoscll Other
Mottling (Structure,Stones,Boulders.
oAlec O vet
DEED OBSERVATION LOG
Depth it #
(i.. Soil Horizon
Surface(n.) Soil Texture Soil Color
Solt
(USDA) Other
(Mansell) Mottling (Structure,Stones;Boulders,
Consi ten a ell
Flood Insurance Rate Mae:
Above 500 year(food boundary No /�/
Ycs!`
Within 500 year boundary No yes,_;___
Within 100yearfloodboundary No 7 ye5_
Depth of Naturally Occuri•in Pervious Material
Does at least four feet of naturally occurring pervious matel•ial exist in all areas observed throughout the
area proposed for the soil absorption systeml
If not,wharfs the depth of naturally occurring per ions matoriall
Ccrti— fic——anon
I certify that on
Department of En "mental totection and that the above I have passed the ta,nalysvllistwas performed by Ol-examination meconsistent with
the required training,expertis a xperience described in 110 CMR 15.017.
signatur .
DatO�2Z /
Q9S.EPTIOPERCFORM.DOC ..
i
tou
Certified mail: 7006 2150 0002 1042 0958
F HET°w� Town of Barnstable
Regulatory Services
{* BARNSCABLE, ` ....
ASS. Thomas F. Geiler, Director
�p l 639
AMAA� Public Health Division _
Thomas McKean, Director .••---
200 Main Street, Hyannis, MA 02601
Toffice: 508-862-4644 Fax: 508-790-6304---
April 27, 2009
Robert P. McMahon
9213 Ridge Blvd.
Brooklyn,NY 11209
9
NOTICE OF VIOLATIONS OF 310 CMR: 15.00 THE STATE
ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE
SUBSURFACE DISPOSAL OF SANITARY SEWAGE AND TOWN OF
BARNSTABLE CODE 353-9-DISCHARGE ONTO GROUND PROHIBITED
AND 170-4- CERTIFICATE OF REGISTRATION FOR RENTAL PROPERTY.
On April 17, 2009, Health Inspector David W. Stanton, R.S. investigated a complaint
regarding sewage odors at the property owned by you located at 49 Huckins NeckRoad,
Centerville. The following violations of 310 CMR 15.00, the State Environmental
Code, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and
the Town of Barnstable Code were observed:
310 CMR 15.303(1) (a): Septic system is in hydraulic failure. Raw sewage was �-
observed on the ground over the septic system.
Town of Barnstable Code § 353-9: Discharge of sewage onto the ground.
Town of Barnstable Code § 360-20(D): System pumped more than 2 times in a ninety
day period (3/20/08, 6/10/08 and 9/5/08)
Town of Barnstable Code § 170-4: Rental Property is not registered with the Health
Division.
(1) You are directed to keep the on-site sewage disposal system pumped as many
times as necessary (daily if needed) to keep it from overflowing onto the ground.
(2) You are ordered to obtain a septic design engineer and have the failed septic
system repaired within Sixty (60) days of your recei#dab*_Wig-letter—'
(3) You are ordered to register your rental property within Ten (10) dau�s�of your
receipt of this letter. +a
Q:\Order letters\Septic\49 Huckins Neck Road.doc �—
Certified mail: 7006 2150 0002 1042 0958
Town of Barnstable
Regulatory Services
nARxsrAa�,
9 MAS& $ Thomas F. Geiler, Director
Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 f- Fax: 508-790-6304
7pp6 2.1�°
L p 4 2 p 958 April 27, 2009
Robert P. McMahon i
9213 Ridge Blvd.
Brooklyn,NY 11209
NOTICE OF VIOLATIONS OF 310 CMR: 15.00 THE STATE
ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE
SUBSURFACE DISPOSAL OF SANITARY SEWAGE AND TOWN OF
BARNSTABLE CODE § 353-9-DISCHARGE ONTO GROUND PROHIBITED
AND 170-4- CERTIFICATE OF REGISTRATION FOR RENTAL PROPERTY.
On April 17, 2009, Health Inspector David W. Stanton, R.S. investigated a complaint
regarding sewage odors at the property owned by you located at 49 Huckins Neck Road,
Centerville. The following violations of 310 CMR 15.00, the State Environmental
Code, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and
the Town of Barnstable Code were observed:
310 CMR 15.303(1) (a): Septic system is in hydraulic failure. Raw sewage was
observed on the ground over the septic system.
Town of Barnstable Code & 353-9: Discharge of sewage onto the ground.
Town of Barnstable Code & 360-20(D): System pumped more than 2 times in a ninety
day period(3/20/08, 6/10/08 and 9/5/08)
Town of Barnstable Code 170-4: Rental Property is not registered with the Health
Division.
(1) You are directed to keep the on-site sewage disposal system pumped as many
times as necessary(daily if needed) to keep it from overflowing onto the ground.
(2) You are ordered to obtain a septic design engineer and have the failed septic
system repaired within Sixty (60) days of your receipt of this letter.
(3) You are ordered to register your rental property within Ten (10) days of your
receipt of this letter.
Q:\Order letters\Septic\49 Huckins Neck Road.doc
:! 4't.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten(10) days after the date the order is served.
Non-compliance will result in the issuance of a non-criminal ticket citation of$100 for
each violation that is in Non-compliance with the orders above. Each days failure to
comply with an order shall constitute a separate violation.
PER ORDER OF THE BOARD OF HEALTH
GK� P'a
Thomas A. McKean
Director of Public Health
Q:\Order letters\Septic\49 Huckins Neck Road.doc
SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES
(NOT TO SCALE) MARKED WITH MAGNETIC TAPE OR 1. DATUM IS APPROX. NGVD (GIS.SPOT EL.)
PROVIDE MIN. 20" DIAM WATERTIGHT COMPARABLE MEANS FOR FUTURE LOCATION.
ACCESS COVERS TO WITHIN 6" OF FIN. GRADE 2. MUNICIPAL WATER IS EXISTING C
\ TOP FOUND. EL. 75.6' PROVIDE INSPECTION PORT TO WITHIN 3" OF FINAL GRADE
I I I 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
.7
75.0 MINIMUM 5' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 75.0 W W Vi
8" MIN D AM. 4. DESIGN LOADING FOR ALL PROPOSED PRECAST
UNITS TO BE AASHO H-10
4'OSCH40 PVC
,.:
PIPES LEVEL 1ST 2' 2" DOUBLE WAi HED PEASTONE 5. PIPE JOINTS TO BE MADE WATERTIGHT. c
*74.0' 10" 1500 GAL H-10 14" WITH
72 25' OR GEOTEXTI E FABRIC 72 O' 6.. CONSTRUCTION DETAILS TO BE IN ACCORDANCE \
�= 72.5' TEE SEPTIC TANK TEE
*729' �s 310 CMR 15.000 (TITLE V.)
GAS BAFFLE::: ° ° ° .00
0 ° 000 000
,40°0°0 -0? oo , o Q
0 71.5 0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND p�
4' LIQ. LEVEL (ACME OR EQUAL) 71.69' 71•52' NOT TO BE USED FOR LOT LINE STAKING OR ANY �'equaquet
6" MIN SUMP o00000 2 0 69.5' OTHER PURPOSE. Lake o
000°o0000°000000000000000°000°oa00000°000°000 12" MIN. INT. DIAM. 000 0 0000 "
0000000°0°00000000000000000000000000000000000
4, 0�0 0_0_0_0_'+_0 0 0 0 0 0 �- o H-10 3050 INFILTRATORS 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC.
DEPTH OF FLOW =
COMPACTION.. STONE TEE SIZES: 6" CRUSHED STONE OR MECHANICAL 3/4" TO 1 1/2". DOUBLE WASHED STONE 9. COMPONENTS NOT TO BE BACKFILLED OR 2)
1 [2]) CONCEALED WITHOUT INSPECTION BY BOARD OF Pw Rou{e 28
INLET DEPTH = �' HEALTH AND PERMISSION OBTAINED FROM BOARD
OUTLET DEPTH = 14" OVERALL DIMENSIONS TO OUTSIDE OF STONE: 34.4' X 8.25' OF HEALTH.
5 8' 10. CONTRACTOR SHALL BE RESPONSIBLE FOR LOCUS MAP
MIN. CALLING DIGSAFE (1-888-344-7233) AND
( 2 % SLOPE) (-1-7. SLOPE) ( 1 % SLOPE) VERIFYING THE LOCATION OF ALL UNDERGROUND & NOT TO SCALE SCALE 1"=2000'f
OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF
' LEACHING WORK.FOUNDATION 30 SEPTIC TANK 19' D' BOX 4' ASSESSORS MAP 252 PARCEL 13
FACILITY BOTTOM TH-1 & TH-2
18 NO GROUNDWATER FOUND 63.7 11. ANY UNSUITABLE MATERIAL ENCOUNTERED
SHALL BE REMOVED 5 BENEATH AND AROUND THE LOCUS IS WITHIN GP AND ESTUARINE PROTECTION
*THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL PROPOSED LEACHING FACILITY. DISTRICTS
UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS
PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM EXISTING LEACHING FACILITY SHALL BE PUMPED
AND REMOVED. NO CONSTRUCTION PROPOSED - UPGRADE ONLY
69.75
LEGEND AN
99 - EXISTING CONTOUR x 72 31 I
X 99.1 EXIST. SPOT ELEV.
99 PROPOSED CONTOUR SYSTEM DESIGN.
[98.4] PROPOSED SPOT EL /
I GARBAGE DISPOSER IS NOT ALLOWED
TH1 x 73.b
TEST HOLE ^ DESIGN FLOW: 2 BEDROOMS ® 110 GPD = 220 GPD
7 g 69.95 2> SLOPE OF GROUND USE A 220 GPD DESIGN FLOW***
a ,
Q� UTILITY POLE LOT 196 _
x 72.37 SEPTIC TANK: 220 GPD (2) = 440
� IFIRE HYDRANT 12,192t SF USE A 1500 GAL. SEPTIC TANK
NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING I x 73.84 __.!"
� -- I LEACHING: _
7 � 1. o SIDES: 2 (344 + 8.25) 2 (.74) = 126 GPD
x 4.16 I
TEST HOLE LOGS 5' REMOVAL OF UNSUITABLE SOIL REQUIRED .78 x 70.7 BOTTOM 34.4 X 8.25 (.74) = 210 GPD
AROUND PERIMETER OF LEACHING FACILITY, 7 .09 I
DOWN TO SUITABLE SOIL LAYER. REPLACE ��. 454 S.F. 336 GPD
ARNE H. OJALA PE, PLS Q TOTAL:
ENGINEER: WITH CLEAN MED. SAND, TO MEET 74.71 �, � c� DIRT
WITNESS: DAVID STANTON, IRS SPECIFICATIONS x 69.84�
SPECIFICATIONS OF 310 CMR 15.255(3) I USE (4) H-10 3050 INFILTRATORS,
MAY 22, 2009 4.88 WITH 3' STONE AT ENDS AND 2' AT SIDES
DATE: 7
1
PERC. RATE _ < 2 MIN/INCH , 69.69 ***2 BR DEED RESTRICTION REQ'D
5.20 INV. OUT EL. PAVED
CLASS I SOILS P# 12565 �� 74'0, DRIVE V
� v 39
ELEV. ELEV. oe��Pv 75.2 7 1.05 I APPROVED DATE BOARD OF HEALTH
O„ `:P 74.7' o" 74.7' J x 22 69.42
A - A 76.04 I
/SL UNSUITABLE ES 2
/L UNSUITABLE 10 m I
4" 1 OYR 4 2 4" 10YR 4 .11 EXIST. DWELL.
/ TOP FNDN. = W I
I ELEV. 75.6' 0.33
B B I I , x 73.12 x 1.18 69.59 Z TITLE 5 SITE PLAN
LS UNSUITABLE /,///LS UNSUITABLE x 5
00
I Z 69.13 OF
36" 7.5YR 5/6 71.7' 36" 7.5YR 5/6 71.7' I 8 7 .9 INV. our <
c1 c1 `n i 1 , EL. 72.9' 49 HUCKINS NECK ROAD
274.84
x 7 .35 o CENTERVILLE
00 n�s�
SL UNSUITABLE SL UNSUITABLE Ix
10l I x 7a�o `f�D
���NOEMo�''� ��cr+o�rn s , , PREPARED FOR
72" 2.5Y 6/4 ' 72" 2.5Y 6/4 - 73 S� o cD I NIEL/A yG� ' ' DANIEL �yG.e68.7 68.7 0 1 TILs. fiTH 2 JALA -+ �c A.JAh,aM/M ROBERT McMAHON
4.72tIVIL e*
X x 4.62 - x 7 .05 ,� N �,_ ,g N4,
PERC C2 C2 5 ���� ' a� MAY 22 2009
107.00' z3l "T A ' �� JUNE 29, 2009 (2 BR)
x 72.88 68.76 `Z��Z�� r ta` i' d MCS & GR. MCS & "sue
v ,.
BENCH MARK - CORNER OF 68.80 ��A�H OFtyg0'q a�tiP�A� ssq off 508-362-4541
C�' y ( fax 508-362-9880
CONC. BULKHEAD EL. = 75.1 oC' DANIEL `yam �° OANIELA.
0IALp a downcape.com
7.5YR 4/6 7.5YR 4/6 0 A.GALA ; CIVIL ROW CQ a en ineerin inc.
No.4098o No.46502 8 g�
132" 63.7' 132 63.7' �T ��°aw` civil engineers
° land surveyors
Scale: 1"= 20 suRv s _ s
NO GROUNDWATER ENCOUNTERED � _ q ° s - y
939 Main Street ( Rte 6A)
0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.C.S. YARMOUTHPORT MA 02675
09-096 09-096.DWG