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HomeMy WebLinkAbout0012 MERIDETH WAY - Health 12 MERIDETH WAY CENTERVILLE A= 148 - 148 A/ SMEAD KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAINABLE FORESTRY MIN,RECYCLED INITIATIVE CONTENT 10% Certified Fiber Sourcing POST-CONSUMER www.sf[program.org 9Fl-0 M MADE IN USA GET ORGANIZED AT SMEAD.COM TOW a N OF BARNSTABLE �7 ram, LOCATION 2-MtA� n SEWAGE# 2 -3�v/ VILLAGE ✓ ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. -o a SEPTIC TANK CAPACITY 15 f7 LEACHING FACILITY-(type) W-d 5-b) (size) 13) —T�e Z. NO.OF BEDROOMS 1 n��o OWNER PERMIT DATE: .t Z-5 COMPLIANCE DATE: '1A Separation Distance Between the: ll Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 1 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 leachin facility) Q ,0, Feet FURNISHED BY r AZ- 4 . 6 OA 4, [ w � 1 O' 1 r , t I Bk 33538 Pg282 #68590 12-03-2020 @ 12 : 17p DEED RESTRICTION WHEREAS, MARIA KERAMAS of 1942 Tarragon Lane,New Port Richey, Florida, is the owner of 12 Meredith Way,located in Centerville, Massachusetts,and being shown as Lot 7 on a plan entitled"CROSS RIDGE, Subdivision Plan of Land in Barnstable—Centerville—Mass, for ALDEN HOMES INC. Scale: 1" 60',Jan. 22, 1979", which said plan is duly recorded with the Barnstable County Registry of Deeds hi Plan Book 332,Page 81. I WHEREAS, MARIA KERAMAS,as the owner of said lot has 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 15.00 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 i 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 j Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document. NOW,THEREFORE,MARIA KERAMAS does hereby place the following restriction on the above-referenced land in accordance with her 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. 12 Meredith Way, Centerville,MA may have constructed upon the lot a house containing no more than one(1)bedroom, MARIA KERAMAS agrees that this shall be a permanent deed restriction affecting the house located on 12 Meredith Way,Centerville, MA, and being shown as Lot 7 on the plan recorded in Plan Book 332,Page 81. For title of MARIA KERAMAS, see Deed recorded with the Barnstable Registry of Deeds in Book 23124, Page 107. See also deed recorded in Book 28814,Page 113 and Order recorded in Book 30785, Page 286. Property Address: 12 Meredith Way, Centerville,MA 02632 i Bk 33538 Pg283 #68590 Executed as a sealed instrument this day of V l/Nt �2020, A te— A—e, et I Maria Keramas ' I �I STATE OF FLORIDA County of Wteharsr On this 1 day of ,2020,before me,the undersigned notary public,personally appeared Maria Keramas,and proved to me through satisfactory evidence of identification, which was a Florida driver's license,to be the person whose name is signed on the preceding or attaqhod document,and acknowledglo me that she signed it vol ily for its stated purpose, • i LISA A,VENIERIS U 1 Notary Public,State of Florida I z Commission#HH 36747 Notary Public: h ;Ny romm,expires Oct:2,2024 My commission expires: Ate• ,y��M,,• I IfI I JOHN F. MEADE, REGISTER BARNSTABLE COUNTY REGISTRY OF DEEDS RECEIVED 6 RECORDED ELECTRONICALLY lip �. . No. �O�-6�� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:V PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppl Cation for Misposal 6pstrm Construction i3Prmit Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) XComplete.System ❑Individual Components Location Address or Lot N€1'Z Me4t o MW Wl14 Owner's Name,Address,and Tel.No. ems►�c�-e� Z(o Assessor's Map/Parcel ► k' 149 '.15 A tf3Z-3? Ins©talller's Name,Ad ddrr�s and Tel.No. ` v/cab��� Designer's Name,Address,and Tel.No.spS-36 Z if 57 eax i SAAeA,.1CJA M,0t ��� 9v�� _3 .►�tAtil Fir� Y�r/�o.eJh �'19 Type of Building: �� �DQ .. Dwelling No.of Bedrooms !�""J r,ZLot Size t­1r4'7`f sq.ft. Garbage Grinder Other Type of Building {J G by C.6A26M.No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) (I gpd Design flow provided 3kf 9 gpd Plan Date Number of sheets 12, Revision Date Title Size of Septic Tank I T 0 0 Type of S.A.S. :� 510 CGS A Apt y 2 r Description of Soil y2IL„Q IA►11 Nature of Repairs or Alterations(Answer when applicable) #J,Q Uu ccad`5 ✓ L-1-r 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 ealth. Sign Date l— '7—20 Z,O Application Approved by Date �. Application Disapproved by Date for the following reasons Permit No. a �-o— Date Issued 7 �� ��-------------------------------- '• r: �.., ,t .r * K�� -f h �,,.J"°'YT.^r^-. �rrrtY.r—a «.:r4'r�..� � �.,.. - W JLV No. '2 0.10 Fee �1 »x?' THE COMMONWEALTH OF MASSACHUSETTS Entered incompate V PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS • Yes s 01pplication for V' 4osal 6pstem Coustructioc permit Application for a Permit to Construct Repair Upgrade Abandon pp �( p ( ) pgr ( )'` ( ) `pPTComplete, stem ❑Individual Components ND Location Address or Lot No. mQlc a o"o 'W A4 Owner'suName;Address,'and T-el.No. s 01PIAMraiI► t Assessor's Map/Parcel 1 4Y 144 P t�"`2�1"�cat��l�1�#11 �•�6%M y3Z`3,7 2-6 Installer's�ame,MAdre1rsc,and Tel No;4��6Qivl`Q s T/j� Designer's Name,Address,anh�,T'el.No ' 2. y( V/' 6A t.1.1 'SAncl...�.c1nWc, r�l 7-f00 .� �/hAiA Rl"-7 Type of Building: ti Dwelling No.of Bedrooms Dv J Lot Size t-7e��� sq.ft. Garbage Grinder M) - Other Type of Building (�►,k) C p�a 2j , `No.of Persons Showers( )`Cafeteria( ) _Other Fixtures Design Flow(min.required) t t l"f gpd Design flow provided 214 q gpd Plan Date �- - _ „ Number of sheets 7— Revision Date d 1 Title Size of Septic Tank 1 .n Type of S.A.S. -C C(n A Description of Soil 5'eV_ A 1A/1 Nature of Repairs or Alterations(Answer when applicable) A.1.Q L4j C Dl1,-w.,r nN. � Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in, accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date i— 7 r-,-Q t o Application Approved by _ .,:�`�' .: t r- - a Date: 4"b'1 V ' Application Disapproved by Date for the following reasons, Permit No. o 4- J(� ,Date Issued y _-,--e- .- - -_- _. -- _ .-----------•-___•-------.------'--'-'--._.___•--._---`-.-- II THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by U M E P_ e,- k C A ut A 4 ® �f 11 t... }Q«r✓t aC S F,Aj has been constructed in accordance 1 - with the provisions of Title,-5 and the for Disposal System Construction Permit No. 2o;-a - dated Installer ( E(�S Designer r !gn #bedrooms .I _ ,Der d f`Q Ir, tj Approved design flow v o and The issuance of this permit shall not be construed as a guarantee that the system will function as designed. (� Date p 0 Inspectori�� ) - --------------- -- - ------------ - - - - = - - - No. o d , �' Fee 1 �' t THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal *pstem Construction jermit .." { Permission is hereby granted to Construct(X Repair( ) Upgrade( ) Abandon( ) System located at 11, M 02.4 f-{'(A I_Aj A L4 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. � t Date I.1 J-;(4/)o Approved by j w �, Town of Barnstable Inspectional Services .. Public Health Division • snntvsrnate, • MASK Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel q8 Designer: DOWf1. CQ,pQ. Fh��J, IhC• Installer: � t /r� q Address: q5`1 P-00it (PA Address: 6 .k L b 1 q,trnoUiln For; I KA dwtdA t4C4,aZc�3 On 0 �, I�� C� VA40as issued a permit to install a (date) (installer) septic system at 1A Mcri d'641 vital , � based on a design drawn by (address) �• OACL& FED K5 dated N-01- 20&0 (desig r) —' v I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. 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 cbrnpince with the to rms of the RA approval letters (if applicable) >t DANIELA �� r C'VIL ". nstaIIe-Vs Signa ure a �No.46502, (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK'YOU. WoaldeptAHEALTMSEWER connect\SEPT1C1Designer Certification Form Rev&14-13.DOC SYSTEM DESIGN: ALL SYSTEM COMPONENTS SHALL BE LEGEND SYSTEM PROFILE MARKED WITH MAGNETIC TAPE OR NOTES 99- EXISTING CONTOUR GARBAGE DISPOSER IS NOT ALLOWED PROVIDE MIN. 20" DIAM. WATERTIGHT NOT TO SCALE COMPARABLE MEANS FOR FUTURE LOCATION. ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS NAVD 88 X 99• 02" PEAS OR GEOTEX 5 EXIST. SPOT ELEv, DESIGN FLOW: 1 BEDROOMS 110 GPD _ 110 GPD \ TOP FOUND. EL. 51.0 FILTER FABRIC OVER STONENE 2. MUNICIPAL WATER IS AVAILABLE b •�d Gr -[99]-- PROPOSED CONTOUR USE A 110 GPD DESIGN FLOW MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 50.0' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 198,4 NOTE: 2" MIN. WALL PROPOSED SPOT EL. ., PRECAST H-to THICKNESS REQUIRED BLOCKS OR 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS RISERS (TYP.) MORTAR ALL PRECAST RISERS SEPTIC TANK: 110 GPD (2) = 110 TO BE AASHO H-LQ TH1 ,, •• 2'� 48.05 4"�SCH40 PVC o �} s` MIN. SUMP PIPES LEVEL 1ST 2' COMPONENTS H-10 Y TEST HOLE USE A 1500 GAL. SEPTIC TANK `' 4' 5. PIPE JOINTS TO BE MADE WATERTIGHT. Locus e e� ,� 72" MIN. INT. DIM. (TYP.) INV'S EL. 46.17 4' 47.0' \*:47.22' SIDES2� SLOPE OF GROUNDj, 10" 14" 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH LEACHING: ' tsoo CAL rl-to °°°°°°°° ®®®® O��® ®®®� _®®®® o 310 CMR 15.000 (TITLE 5.) 46.97 TEE SEPTIC TANK TEE 46.72r �07 �p o°o°o°o° o•o 0 0•0 > o 06060 ®I�®I�J�® I=1®I�® ®I�®I�I�IJ®I�®I�® o o a o 0 0 0 0 > o 0 0 o co SIDES: 2 25 + 12.83 2 74 = 112 GPD a° LIQ. LEVEL o°o°oo°°°°°° ° ° ° ° ° ° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO �o 0 UTILITY POLE ( ) (• ) WATEFTEST D'BOX o ° ° o ° ° ° ° ° 0 0 0 0 0 0, o 0 0 0 / GAS BAFFLE ; ,_o 0 0 °^°_ FOR LEVELNESS ° ®®®®®0�®®®® ®®®®®�®�®�® '°°°°°°°° BE USED FOR LOT a ACME OR EQUAL �' ;00000000 ®®®®®®®®®�® ®�®®®�®®®® ,0000000o T LINE STAKING OR ANY OTHER a BOTTOM 25 x 12.83 (.74) - 237 GPD I... ACME ° ° o ° ° ° ° ° , FIRE HYDRANT - 46.44' 46.27' ° ° ° yY° •:`.:� r ..,.. .. ...;_.,;•.• ,,•., •..:' '°°°°°°°° •'°0°0°0°% 44.17 PURPOSE. TOTAL: 472 S.F. 349 GPD o°o°o°o°o°o°o °o°o°o°o°o°o°o°o° °o° 8. PIPE FOR SEPTIC SYSTEM TO $CH. 40-4" PVC. Cal-lisle NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING °o°o°000°o°000°o°b°o°o°o°o°o°o°000°o°000°o°o? T7. 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. ^o^o_�_n_n_o. w o o 0 0 0 °.o 0 3/4"-1-1/2" DOUBLE WASHED STONE X' MIN. USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) " ALL AROUND PRECAST STRUCTURES (2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 6 CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' WITHOUT INSPECTION BY BOARD OF HEALTH AND WITH 4' STONE ALL AROUND COMPACTION. (15.221 [21) i• PERMISSION OBTAINED FROM BOARD OF HEALTH. co Route 28 v' 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCUS MAP LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES 2.5 PRIOR TO COMMENCEMENT OF WORK. ( % SLOPE) ( 2.5 9; SLOPE) 1 38.5 BOTTOM TH-1 ( % SLOPE) NO GROUNDWATER FOUND SCALE 1"=2000'± MA 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE APPROVED DATE BOARD OF HEALTH FOUNDATION- 10' SEPTIC TANK 11' ' LEACHING REMOVED BENEATH AND 5' AROUND THE PROPOSED D BOX 12 LEACHING FACILITY. ASSESSORS MAP 148 PARCEL 148 FACILITY SITE IS LOCATED WITHIN A ZONE II OWNER OF RECORD MEREDITH HOLDINGS, INC. P.O. BOX 614 WOBURN, MIA 01801 TEST HOLE LOGS REFERENCES ENGINEER: DANIEL E. GONSALVES, SE #13587 1 � v DEED BOOK 28814 .PAGE 113 PLAN BOOK' 332 PAGE 81 (LOT 7) WITNESS: DAVID STANTON, RS ° DATE: 1 1/12/19 4e PERC. RATE _ < 2 MIN/INCH ZONING SUMMARY CLASS SOILS P# 19-191 ZONING DISTRICT: RC RESIDENTIAL DISTRICT I REQUIRED: PROPOSED: MIN. LOT SIZE 43,560 S.F. 17,474±S.F. � ELEV. ELEV. ELEV. ELEV. MIN. LOT FRONTAGE 20' 101.59' MIN. LOT WIDTH 100' 100'4 , 3j 4 0,> 49.5 p„ � 49.5 opt 50.0 0„ � 50.0, �� LOT' 7 ,� h 0 A 0 A 0 A 0 A MIN. FRONT SETBACK 20' 59.2'� 00 17,474± S.F. 9 MIN. SIDE SETBACK 10' 10.9' SL SL SL SL G' �' MIN. REAR SETBACK 10' 90.2' � - 10YR 3/2 10YR 3/2 10YR 3/3 10YR 3/3 MAX. BUILDING HEIGHT 30' 10" 8" 12" 1 p" SL S•L SL SL B B B B • 10YR 5/6 46.3' 10YR 5/6 10YR 5/8 47.0' 10YR 5/8 v � �� 38 34 • 46.7 36 36 47.0 8s 0�., PERC PERC \ + 0 .�O I_ M/CS M/CS M/CS M/CS PROPOSED LIG 2.5Y 6/4 2.5Y 6/4 2.5Y 7/4 2.5Y 7/4 TDOF L5 N 0 + .0, 00 F 5° 132" 38.5' 132" 38.5'. 132" 39.0' 132" 39.0' �� 0 H3 So ,Q\l o J F NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED 09\e 0>>> h c TH40�°1��J�' / _ PAVED DRIVE TH1 TH2 \ BENCHMARK: MAG NAIL =48.7' NAVD88 49� TITLE 5 SITE PLAN \ / OF P 12' MERIDETH' WAY 48 ,��► CENTERVILLE,, MA 0 / �►` ` fir. . PREPARED FOR o�s> DANIEL o �,l °y�N r � ! A. 9°tin KEN A ro Cj,,; TOMASIAN o oJALA N cIVII__ " NV.40980 �No 46502 °"'Ess\ °IFS (",s ° `� DATE: SEPTEMBER 1 , 2020 N�AIJRVEVO ' as�q . Scale: 1"= 20 � o oFMgssc�� �go� DANIEL rod DANIEL yG o OJALA sm` �" CIVIL 0 10 20 30 40 50 FEET A. �" OJAI._A ° �No.465020 . No.40980 �o P w �'OF 0lSTE� �C� SS/ONAL 6 off 508-362-4541 k` i�oSUR\JE��� fax 508-362-9880 s I downcape.com down cape engineering, inc. ,.� civil engineers �`1 I l on d surveyors 939 Main Street ( R to 5A) DCE #20-220 DATE DANIEL A. OJAL:A, P.E., P.L.S. YARMOUTHPORT MA 02675 20-220 TOMASIAN.DWG