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HomeMy WebLinkAbout0044 NYES NECK ROAD EAST - Health 44 NYES NECK RD., CENTERVILLE A=233-009 i Commonwealth of Massachusetts a33" d - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 7M 44 Nyes Neck Road ` `' Property Address Daniel Martinez Owner Owner's Name / Q1 information is ill enterve ✓ MA 02632 12-4-15 required for every C -� page. City/Town 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:When ng out forms A. General Information on l the computer, 3a� �` \(H OF/IyySS�,�i'i �l 1� use onlythe tab �`� •:9P'' 1. Inspector: key to move your �: JAMES • G cursor-do not m use the return James D.Sears =�: -A Mel : Name of Inspector = :co key . Capewide Enterprises, LLC *�••.�'F \�o '� Company Name Q G .``� 153 Commercial Street p��7'F 11 INS 111100�\`\` Company Address Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S 1623 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 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 I ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority az4n� X�,20-� 12-5-15 spector'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. y0a IDS t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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: The system is a 1500 Gal. Tank D Box and leach field. 13) 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 for"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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 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 a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **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 is less than 6" below invert or available volume is less than 1/day flow /,£fj(?Il vG' t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. Cityrrown 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. ❑ ® 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 to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. City/Town 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 N/A) ® ❑ 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): 3 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system is a 1500 Gal. Tank D Box and leach field. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d Well Water 9 ( Y 9 (gp ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.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: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NA 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/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): t5ins-3/13 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2003 Permit # 2003-027. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 14"feet 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.): Pipeing is 4" PVC SCH 40. Septic Tank(locate on site plan): Depth below grade: 4" 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: 1500 Gal. Precast H-10 Sludge depth: 1" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 l Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29„ Scum thickness 0" 81f Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Asbuilt-Tape Sludge Judge 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 at working level. Tank and covers at 4" below grade. In and outlet tee's. No sign of leakage or over loading. 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. CitylTown 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 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.): D Box is 12"x 12"-26" below grade. Box is clean and solid w/six lines out. No sign of over loading or solid carry over. 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.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 6-1'x20'x25' ❑ 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.): Ck D Box and camera out lines. No sign of over loading or holding water. Hole's are clear. 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 t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. Cityrrown 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 Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 124-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 1�Ecrk o 1 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form 'f Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to 9 high round water: See Aft. Sheet fe et 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: 2003 Date i ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: T.H. per plan see att. sheet. i Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 44 Nyes Neck Road Property Address Daniel Martinez Owner Owner's Name information is required for every Centerville MA 02632 12-4-15 page. City/Town 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 E lLr TESTED BY S. WILSON WITNESS: D. MORANDI PIT #1 ELEV. = 38.0' / O -2 'A' SANDY LOAM 10 YR 2/- =46.0 :;.r -611 F.G.= 44-46 °B' SANDY LOAM 10 YR 5/; 2 LEVEL , ,/j�/� . i 71 . v. -12" DI TT. �C MEDIUM SAND 10 YR 7/ A Box. . 40 p'V INV. =44.1 ENV. = 43.0 '. ::..•. EL. 42.0 BOTTOM ELEV . . ' --� -PERC TEST I I -1 25 - _I -4 .. - - 0 C2 STONEY GRAVE • J . - L 2 vi, ADJUSTED GROUND WATER ELEV. = 34.8 . __��-�_ I EL_ 34 g J Ei AS PER BOARD OF HEALTH POLICY - ------ --- 0 LE BSERV ED GROUND WATER = ELEV. 32.8 -- -62..{ ELEV. = 32.8 L -64" ELEV. ' = 32.7 r TOWN OF BARNSTABLE LOCATION try /V�Ec SEWAGE # _ .2-00 VILLAGE_ an ng,v. e ASSESSORS MAP & LOTS � — 9 INSTALLER'S NAME&PHONE NO. SEPTIC TANK (APACITY _ (,-00 i LEACHING.FACILITY:(type) (size) CXZQ X Zs' i NO. OF BEDROOMS_ . BUILDER O. WNER� / � PERMITDATE:- f—rf-o? COMPLIANCE DATE; I i 311) Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility o 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 leashing cility) �C f Feet Furnished by 11�� T�a�-� (L r 0 a44 c� RECEIVED '3AXTER, NYE & HOLMGREN, INC. MAY 14 2003 Registered Professional Engineers and Land Surveyors TOWN OF E3Ap STABLE 812 Main Street,Osterville,MA 02655 (508)428-9131 F X:(50�E&T�_ PT. May 13a', 2003 Board of Health Town Offices 200 Main Street Hyannis, Massachusetts 02601 Re: D. Martinez 44 Nyes Neck Road, Centerville Permit#2003-027 Members of the Board, This letter is to inform you that the above noted septic stem was ins ected on Y p Y :P. May 13a', 2003 and found to be in substantial compliance with the revised plan dated September 17'', 2003. If you have any questions or comments please call me. Sincerely, i" St en A. Wilson,P.E. cc: D. Martinez, Hickey Const., The House Company, Conservation Commission(SE 3-3611) #98082 MartinezBOH.doc Land Surveys • Subdivisions Septic Design Wetland Filings • Site Design 1 ! Y A��. 9S = ;. '�V � Fed No. s S� / THE C044ONWEALTH OF MASSACHU7SE Zf Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS appitratton for Mizpaal *ps�tem cow6truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. q1A W�eS Owner'stiame,Address and Tel.No. ek- Assessor's Map/Parcel "`'t�'r`� �—' Installer's Name,Address,and Tel.No. [ Designer's Name,Address and Tel.No. r t.V—. 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 gallons per day. Calculated daily flow gallons. Plan Date I -1�1 -n 1g e Number of sheets Revision Date `\,v)-o Z__ Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) DES!CL �4, "q� INSTALUUIC?J THE SYSTLE'] 1,'7.3 IN S i RIOT 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 Certifi- cate of Compliance has been issued by t ' Board of He lth. Sign Date Application Approved by Date 14 Application Disapproved for the following reas Permit No. Date Issued ''.'';,.: TH C ,M�IIIONWEALTH OF MASSACHUSETTS Entered in computer: �PUBLIC HEALTH DIVISION � TOWN OF BARNSTABLE, MASSACHUSETTS ftcation for tg ogar bpgtem Construction errnit Applic oon for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components ! Location Address or Lot No. yu W Y e S «k V-J— Owner �'�ame,Address and Tel.No. 4 Assessor's Map/Parcel Q Installer's Name,Address,and Tel.No. t Designer's Name,Address and Tel.No. ` ez., — 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 gallons per day. Calculated daily flow gallons. Plan Date O Itri�—Q Number of sheets t Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil f 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 Certifi- cate of Compliance has been issued by t 's Board of He lth. ` Sign \ /1 Date Application Approved by / 4 r Date Application Disapproved for the following reas Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS " BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( V<Upgraded-( ) Abandoned( )by (A 6, S` at wet ,,ytwt hCas�p ee Jconstructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.... —1 dated Installer c�o, -q— Designer" t o f�t t 14— `.J y _ The issuance ofthis permit shall not be construed as a guarantee that the syst will fun tion as esigned.` r Date I Inspector 1 } x- --------� ..._----- -------------- -- - N. Fee �G�-E� 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,, MASSACHUSETTS ligpogar *pgtem (Congtruction Permit � Permission is hereby granted to Construct( )Repair( ✓)Upgrade( )Abandon( ) System located at n c ,,\C- ` rt+ MKi and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construct io mu�b comp ed within three years of the date of thi Date:_ Approved by Commonwealth of Massachusetts Ian J Title 5 Official Inspection Forte IN, Subsurface Selvage Disposal System Form -Not for Voluntary Assessments 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is CENTERVILLE MA 02632 5/22/09 required for every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important:When A. General Information filling out forms an the computer, use only the tab 1. Inspector: key to move your cursor-do not JAMES D SEARS use the return key. Name of Inspector BLUEWATER rob Company Name 350 MAIN ST Company Address W. YARMOUTH MA 02673 City/Town State Zip Code 508-775-2800 S'-1626 Telephone Number License Number B. Certificatio I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site. sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 UVIR 15.000) The system. 0�°ASH OF A,jq°0ji>4 Passes ❑ Conditionally Passes ❑\;wits •.ssy�',��, ElNeeds Further Evaluation by the Local Approving Authority JAMES m" . SEARS5/26/09 Co spector'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'repoit only describes conditions at the time of inspection and under the conditions of use at that'tame. T6iis.inspection does not address how the system will perform in the future under the same or different conditions of use. 421 NYES NECK RD-CENTERVILLE.doc•03108' Title 5 Official Inspection Farm:Subsurface Sewage Disposal System•Page 1 of 15 i Commonwealth of Massachusetts Title s � tion Form Subsurface Sewage Disposal System Form - Not for Voluntary.Assessments vim }� r 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is required for every CENTERVILLE MA 02632 5/22/09 page. CityTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check. A,B,C,D or E/always complete all of Section D A) System Passes: X El 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: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y N, ND) in the❑for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank will pass inspection-if it is structurally sound,not leaking-and if a - — --- Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ . ' broken pipe(s) are replaced ❑ obstruction is removed 44 NYES NECK RD CENTERVILLE.doc 03/08 'Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 2 of 15,. Commonwealth of Massachusetts Title 5 Official Inspectilo Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments =s/f' 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is required for every CENTERVILLE MA 02632 5/22/09 page._ City/Town State Zip Code. Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system.required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: 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 CiVIR - 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within.50 feet of a surface water ❑ Cesspool or privy is within 50`feet of a bordering vegetated wetland or a salt marsh 2. System will fall 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 aseptic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 44 WE&NECK.RD:CENTERVILLEaoc 03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 15 7 i Commonwealth of Massachusetts Title 5 Official Inspection Form'' `cl j Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is CENTERVILLE MA 02632 5/22/09 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has aseptic 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 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. X Liquid depth in is less than 6" below invert or available volume is less than . ❑ '/z day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ 0 Any portion of the SAS, cesspool or privy is below high ground water elevation. 0 Any portion.of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 44 NYES NECK RO CENTERVILLE.doc 03/08'. V. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of.15: Commonwealth of Massachusetts , � J Title 5 Official InspectIon Form Subsurface Sewage Disposal System Form Not for Voluntary.Assessments . 44 NYES NECK ROAD ` Property Address DANIEL MARTINEZ Owner Owner's Name information i e required for every CENTERVILLE MA 02632 5/22/09 page. City/town State Zip Code Date of Inspection E3. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ x❑ Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® 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 collform 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. ❑ z 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 to a surface drinking water supply the 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. 44 NYES NECKRD cENTERVILLE:doc•03/08 Title 5 Official Inspection.Form:Subsurface Sewage Disposal System•Page 5 of 15 � .� Commonwealth of Massachusetts Title 5 Official Inspection Form tli Subsurface Seluvage,Disposal System Form -Not for Voluntary Assessments 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is required for every CENTERVILLE MA 02632 5/22/09 page. Cityrrown 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 x❑ ❑ 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? . ❑ 0 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 N/A) 41 ❑ Was the facility or dwelling inspected for signs of sewage back up? E ❑ Was the site inspected for signs of break out? ❑ Were all system components, including the SAS, located on site? X❑ ❑ _.Wera 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? 0 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. x❑ ❑ Existing information. For example, a plan at the Board.of.Health. x❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 44 NYES NECK RD.CENTERVILLEdoc•03108 Title 5 Official Inspection Form:'Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts / Title 5 Official Ins ect o Subsurface Seviage Disposal System Form - Not for Voluntary Assessments ti 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is required for every CENTERVILLE MA 02632 5/22109 page. CitylTown State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): NA Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 Does residence have a garbage grinder? ❑Yes x❑ No Is laundry on a separate sewage system?[if yes separate inspection required] ❑Yes Z No Laundry system inspected? ❑Yes Z No Seasonal use? ❑Yes Z No Water meter readings, if available(last 2 years usage (gpd)): Sump pump? Fx1Yes ❑ No Last date of occupancy: = PRESENT _. Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): - - Gallons per day(gpd) Basis of design flow(seats/persons/sq.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: fast date of occupancy/use: Date Other.(describe): 44 NYES NECK'RD:CENTERVILLE.doc•03/08 _."< Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts = ,J Title 5 Official Inspection Forte �N 40 I, Subsurface Sewage,Disposai System Form Not for Voluntary Assessments r , 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is required for every CENTERVILLE MA 02632 5/22/09 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑Yes ❑x No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: x❑ 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) El 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): Approximate age of all components,.date installed (if known)and source of information: 2003 PERMIT#2003-027 - Were sewage odors detected when"arriving at the site? ❑Yes x❑ No 441NYES NECK RD CENTERVILLE.doc-03108 Title 5 Official Inspection Form:.Subsurface Sewage Disposal System•Page.B of-15r Commonwealth of Massachusetts <<J ° c Ins etion Form j-, Subsurface Sewage Disposal System Fora - Not for Voluntary Assessments / 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is CENTERVILLE MA 02632 5/22/09 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cost.) Building Sewer(locate on site plan): Depth below grade: 14 feet Material of construction: ❑ cast iron x❑40 PVC ❑ other(explain): Distance from private water supply well or suction.line. feet Comments (on condition of joints, venting, evidence of leakage, etc.):. LINE CLEAN &SOLID Septic Tank(locate on site plan): 4" Depth below grade: feet Material of construction: ❑ of eth-lene ❑ other (explain)O concrete ❑ metal ❑fiberglass p y y ( p If tank is metal, list age: years -Is age confirmed by a Certificate of Compliance? ('attach a copy of certificate) ❑Yes ❑ No Dimensions: 1500 GAL PRE CAST 2" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 2811 4 Scum thickness 811 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 2411 How were`dimensions determined? TAPE & SLUDGE JUDGE 44 NYES NECK RD CENTERVILLE:doc+OW08'. Title 5 Official Inspection Form:Subsurface.Sewage Disposal System%.Page 9 of 15. Commonwealth of Massachusetts �i�P Titl . �T.II E V_{� - . i, Subsurface Sewage Disposal Systern:Forrn Not for,Voluntary Assessments 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is CENTERVILLE MA 02632 5/22/09 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (coot.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): NOTE: NEEDS TO BE PUMPED. OWNER HAS APPT TO BE PUMPED ON 5/26/09. TANK AT WORKING LEVEL. IN & OUTLET TEES HAVE NO SIGN OF OVER LOADING OR LEAKAGE. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene 0 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 M d Date of last pumping: Date 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): 44 NYES NECK RD CENTERVILLE:doc-03/08 .:. Title 5 Official Inspection Form:Subsurface.Sewage Disposal System-Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Forte ^Iit N I; Subsurface Se-,wage Disposal System Form - Not for Voluntary Assessments 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is required for every CENTERVILLE MA 02632 5/22/09 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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 Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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:): DISTRIBUTION BOX IS 12"X12" &26" BELOW GRADE. ONE.LINE IN FOUR LINES OUTTO BOX IS CLEAN &SOLID. NO SIGN OF OVERLOADING OR SOLID CARRY OVER. i Pump Chamber(locate on site plan): Pumps in .working order: ❑Yes ❑ No " Alarms in working order: ❑Yes ❑ No :44 NYES NECK RO.CENTERVILLE:doc 03108 Title 5 Official Inspection Form:.Subsurface Sewage Disposal System•Page 11 of45 F t I CommonwealthMassachusetts.: of Title 5 Official Inspection Fot << g:iiiiiiy i J�i Subsurface Sewage 6.1isposa! System Form.-Not for Voluntary Assessments 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is'required for every CENTERVILLE MA 02632 5/22/09 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorpt on System (SAS) (locate on site plan, excavation not required):X If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number:— ❑ leaching galleries number: ❑ leaching trenches number, length: - leaching fields - - number, dimensions: 6-1'X20'X25' ❑ 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.): CAMERA LINES & PROBE INFIELD. LINES CLEAN AND NO SIGN OF OVERLOADING OR SOLID CARRY OVER. LINES & HOLES ARE CLEAR.; 49 NYES:NECW RD CENTERVILLE.doc 03lOB a /;. Title 5 Official Inspection Form:Subsurface Sewage Disposal System-r Page 12 of 15 t. I Commonwealth of Massachusetts L � � Title 5 Official Inspection form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is required for every CENTERVILLE MA 02632 5/22/09 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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 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 Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 44-NYES NECK RD CENT"ERVILLEAcc 103108= Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of.15.. 1 p T 'a non r ��_ Subsrfaca Sevinga Disposal System Form Not for Voluntary Assessments 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is required for every CENTERVILLE MA 02632 5/22/09 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal:System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. , i IE=f� . o C f 1 _ r_ — :� Title V Inspection Raport.doc r,03/08.;;. Title 5 Official Inspection.Form:Subsurface Sewage Disposal System-Page 14 of-15 ` Commonwealth of Massachusetts Title 5 Official Inspection Forte . 17 Subsurface Sewage Disposal System Fora Not for Voluntary Assessments 44 NYES NECK ROAD Property Address DANIEL MARTINEZ Owner Owner's Name information is required for every CENTERVILLE MA 02632 5/22/09 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: x❑ Check Slope IN REAR . Surface water FAR LEFTS]DE 0 Check cellar YES Shallow wells NONE Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: 7 Obtained from system design plans on record If checked,date of design plan reviewed: 2003 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health explain: ❑ Checked with local excavators installers- attach documentation ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: TEST HOLE PER PLAN SEE ATTACHED AND ADJ GROUND WATER 72' -BELOW BOTTOM OF LEACHING 44 NYES'NECK RD CENTERVILLE:doc;03/08- Title.5 Official Inspection Form:Subsurface Sewage Disposal System Page 15of 15 TESTED BY S. WILSON WITNESS: D. MORANDI PIT #1 ELEV. = 38.0' / p -2" 'A' SANDY LOAM 10 YR 2/1 46.0 -6" F.G.= 44-•,46 'B'. SANDY LOAM 10 YR 5./� 2' LEVEL 'C' MEDIUM SAND 10 YR 7/ ]OAST. ScyeDvLc A BOX .: 40V V,C P/pe ENV. =44.1 —� ENV. 43:0 BOTTOM ELEV. A.Y. -�-� -PERC TEST A 2 5' - -40" C2 STONEY GRAVEL 2. �.t ADJUSTED GROUND WATER ELEV. = 34.8 _ 1 . EL. 34.5 T �---- --------- E ALE AS PER BOARD OF HEALTH POLICY J -- - OBSERVED GROUND WATER = ELEV. 32.8 ® -62" ELEV. 32.8 -- - -- -64" ELEV. = ' 32.7 • f -007 No.__—_----------- ,Fee----- --- ------ BOARD OF HEALTH TOWN OF BARNSTABLE AppficationiforlVell Con5truct ion Permit Application/Ii//s hereby made for a permit to,C nstruct (!/), Alter ( ), or Repair ( )an individua W 1 at: aLt tion — Address Assessors Map and Parcel t lie Owner Address t -1 � a � j/_ �1 _ - Installer Driller Address Type of Building nyll Dwelling �� -- — —---- �/ Other - Type of Building------------------- No. of Persons--S------------------------_--______ Type of Well -- Capacity---- -r= - ------- -- Purpose of Well-- '— �---- Agreement: ` The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The r Town of Barnstable Board of Health Private Well rotection Regulation - The undersigned further agrees not to place the well in operation until a i cate of C pliance has been issued by the Board of Health. Signe` A _-- - ------, --- - d Application Approved By date Application Disapproved for the following reaso -- -- l.� `� —_—_--- __s _Yt4�2� date Permit No. _— Issued Jdate--__— --------------- BOARD OF HEALTH TOWN OF. .BARNSTABLE C ertif icate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by--------- ---- ------ - ------- -------------------- Installer at- - — ---has been installed in accordance with the provisions of the Town of Barnstable B and of Health P 'vate Well Protection Regulation as described in the application for Well Construction Permit No.1� �-t ated-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE - - Inspector--------- -------------- No.------------------ _ Fee- - ----- ------- BOARD OF HEALTH TOWN OF BARNSTABLE Application for Veir Con.5tructionPermit Application i hereby made for a pm to C nstruct @�), Alter ( ), or Repair ( )an individua 1 at: Vocation.— Address Assessors Map and Parcel Lca�i �II�,_Mali h e Z Owner Address Installer —'Driller Address Type of Building Dwelling Other - Type of Building----___-___________ No. of Persons-- __. Type of Well — — Capacity----�-C?�--�-_------------- Purpose of Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well rotection Regulation — The undersigned further agrees not to place the well in operation until a__Cejif cate of Ck&liance has been issued by the Board of Health. i Signed 11A _ —_ d 7te Application Approved By da Application Disapproved for the following reaso date + Permit No. �000 --- Issued date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) bY—— / ------ --- Installer at—;— "' has been installed in accordance with the provisions of the Town of Barnstable Boa al ate Well ProtectionRegulation as described in the application for Well Construction Permit No �Ta ted--- _-_ - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE—-- - -- Inspector----- - - -___- --------- -----------------——-------4--------------------'' ` --.---- -- ----- BOARD OF HEALTH TOWN OF BARNSTABLE Vern 07on5truct ion Permit ��000_9 -- No. ---- - ---- V a Fee---��--- A U,� Permission is hereby granted"'' uk'""" -VoLA -_-____________ -to Const;uct Ali r �M,or R �( ) an Indivi�d 1 Wel at, / y No. / a .; (` - / -- --------------------------------- Street' as shown o the application for W�el Construction Permit No.--�47����'� �_--- Dated - ^--- - 'Boar o Health DATE— � t// v 0 TOWN OF BARNSTABLE i�C LOCATION Y4 / v ES /yreA f?d SEWAGE # 7 VILLAGE (36, ASSESSOR'S MAP & LOTZ3_? - 9 INSTALLER'S NAME&PHONE NO. t� �. Caiv S� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) %�X. �XZs NO. OF BEDROOMS BUILDER O W�NERi /�arT/» 2"L PERMITDATE: f-ff-o? 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 lea hingccility) Feet Furnished by ``�� �a're ILI at�u ,�LY7 16 �r � � 8 i _ Bk- 12934 P'G203 212S3 04--0 r—2000 tom' 02 = S4 DEED RESTRICTION Whereas, Howard F. Bjornholm of PO Box 1006, Middletown, MA, and Claire B. Martinez of 6800 Del Norte #250, Dallas ;TX(hereinafter known as Bjornholm and Martinez), are the co-owners of 44 Nyes Neck Road located at Centerville, MA(hereinafter referred to as the"lot"), also known as the northerly one half of lot number 19 shown on plan entitled"Key Plan of Property in Barnstable, Massachusetts, owned by Howard Marston, dated September 1, 1915, Vaughan D. Bacon, Surveyor, recorded with Barnstable County Registry of Deeds, Book of Plans No. 1, Plan 53"; Whereas, Bjornholm and Martinez as the owners of said lot have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a variance from the 310 CMR 15.214, State Environmental Code, Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and to obtaining a building permit for this lot; Whereas,the Town of Barnstable Board of Health, as a pre-condition to granting the variance from 310 CMR 15.214, 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 additions and alterations to the existing single family home on this lot is requiring that the agreement for the restriction on the number of bedrooms in any house constructed, added to or altered on this lot be put on record with Barnstable County Registry of Deeds by recording this document, NOW THEREFORE, Bjornholm and Martinez do hereby place the following restriction on their above referenced land in accordance with this agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 44 Nyes Neck Road, Centerville, MA may have upon the lot a house containing no more than three(3)bedrooms. Bjornholm and Martinez agree that this shall be a permanent deed restriction affecting the northerly one half of lot number 19 located on Nyes Neck Road, Centerville,Barnstable County, MA and being shown on Plan Book 1,Page 50. For title of Bjornholm and Martinez see the following deed Book 9494,Page 108. Witness my hand and seal this day of �Avec y 92000. Howard F. Bjornholm 0 Witness my hand and seal this a day of .,_ 12000 Uax� J A , Claire . Martinez BRADFORD W.BLAINE MY COMMISSION EXPIRES MARCH 4,2002 BARNSTABLE REGISTRY OF DEEDS TOWN OF BARNSTABLE cF�+e ro e�P`' •' �� OFFICE OF MET i BOARD OF HEALTH rasa o, �o sG39• �e0 367 MAIN STREET �pY HYANNIS,MASS.02601 December 1, 1999 �? Stephen A. Wilson, P.E. 1 Baxter & Nye Co. 1999 812 Main Street DEC 0 9 Osterville, MA 02655 _ Dear Mr. Wilson: You are granted variances, on behalf of your client, Claire and Daniel Martinez, to install a replacement onsite sewage disposal system at 44 Nyes Neck Road, Centerville. The variances granted are as follows: 310 CMR 15.211(1): To install a soil absorption system six (6) feet away from the property line in lieu of the minimum ten (10) feet setback required. B.O.H. Part VII SECTION 10:00: To install a soil absorption system eighty (80) feet away from a wetland in lieu of the minimum 100 feet setback required. These variances are granted with the following conditions: (1) No more than three (3) bedrooms are authorized. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (2) The applicant shall record a deed restriction at the Barnstbale County Registry of Deeds, limiting the number of bedrooms to three (3). The deed restriction shall be signed by the owner. A copy of the recorded deed restriction shall be submitted to the Board of Health prior to obtaining a disposal works construction permit. (3) A well construction permit must be obtained from the Board of Health prior to the installation of the new well. martinet ti (4) The designing engineer shall supervise the construction of the septic system and shall certify in writing to the Board of Health that the system was installed in strict accordance with the submitted plans dated October 29, 1999. These variances are granted because the existing cesspool is located in close proximity to wetlands and is, in all probability, sitting in the groundwater table. The proposed replacement system meets the maximum feasible compliance standards contained in the State Environmental Code, Title V. Therefore, it is believed that the replacement system may alleviate a source of pollution to the wetlands. Sincerely yours, Susan G. Rask, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs MMt;= 8 4 m MASTER BDRM 20-1•x 12'-S" O ?(031 OOBEDROOM BATH MASTER BAT BEDROOM11'-11"x1U'-4• FP tilLIAUNIDIRY/MUD FAMILY ROOM SHOWER DN UP PATIO N DINING KITCHEN e•-o- 0 b � CONSTRUCTION CONSULTING 16 ANCHOR DR,ORLEANS•MA 02M PORCH 5M24o-n.s FAX soe-zs&N42 SCALE�,/ FOR CLAIRE BJORNHOLM DATE ?l'IDO MARTINEZ,RN AND DANIEL M. MARTINEZ,MD SNT OF PROPOSED PLAN OF 44 NYES NECK ROAD FIRST FLOOR LIVING AREA 2163 sq ft A. �.— J FEB-16-2000 16:31 P.01 CONSTRUCTION CONSULTING 16 Anchor Drive Orleans,AAA 02653 508-240-7746 FAX 508-255-9042 via FAX 508-790-6304 February 16, 2000 Mr. Tom McKean, Health Agent Town of Barnstable Town Offices Hyannis, MA RE: 44 Nyes Neck Road, Centerville, MA Dear Mr. McKean, As representative of Claire B. Martinez, I have prepared a draft Deed Restriction to be signed by Claire B. Martinez and her brother, Howard F. Bjomholm, current owners of the above property. The recording of a Deed Restriction limiting the construction planned for the existing dwelling was a condition of the variances granted for this property by The Board of Health on December 1, 1999. Would you kindly review the language of this draft and advise if it is in keeping with your requirements? Thank you for your attention to this matter. Sincerely, Richard ColeCole fis- 2000 16:54 BARNSTABLE CTY. HEALTH 15083622603 P.02 J� CERTDFICATE j 4-u_\ i. -- Page: 4, Barnstable County Heap!- =__=_ .A r Retort Prepared For Report Dated: 09/06/2000 All Cape Well Drilling Order Number: G0007451 Shawn Harrington P O Box 126 Brewster, MA 02631 , Laboratory ID#: 0007451-01 Deaeriyuen: Water-Drinking Water Sample#: 07451 Sampling Lotatlon: #4 Nyes Ncck Rd Barnstable MA Collected: 08,2712000 ollected by: S Harrington (Consult) Received: 08/23/2000 1 Routine+Ammonia ITEM RESULT UNrrS MDL MCL Method# Tested LAB:IC Lab Ammonia <0,1 mg/L 0.1 EPA 350.1 08/28/2000 Nitrates 0.8 msll, 0.1 10 EPA 300.0 08/23/2000 L48:Metals Copper <0.1 mg/l. 0.1 1.3 SM 3111B 08/28/2000 Iron 0.2 mS/L 0.1 0.3 SM 3111B 08/28/2000 Sodium 38 mg/L 1.0 20 SM 31118 09/29/2000 LAB: Microbiology Total Coliforin Absent P/A 0 Absent P/A 08/23/2000 L-4B: Physical Chemistry Conductance 209 umohs/cm 1 EPA 120.1 08/24/2000 pg 5.9 pH-units 0 EPA 150.1 09/24/2000 EPA 524.2- Volatile Organics by GC/MS ITEM RESULT UNITS MDL MCL Method# Tested LAB: GUMS 1,1,1,2-Tetrac hloro ethane BRL uglL 0.5 EPA 524.2 09/05/2000 1,1,1-Trichlo ro ethane BRL ug/L 0.5 200 EPA 524.2 09/05/2000 1,1,2,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 09/05/2000 1,1,2-Trichlo ro ethane BRL ug/L 0.5 5-0 EPA 524.2 09/05/2000 1,1-Dichloroethane BRL Vail. 0.5 EPA 524.2 09/05/2000 1,1-Diehloroethene BRL ug/L 0.5 7.0 EPA 524.2 09/05/2000 1,1-Dichloropropene BRL ug/L 0.5 EPA 524.2 09/05/2000 1,2,3-Trichlorobenzene BRL ug/L 0.5 EPA 524.1 09/05/2000 1,2,3-Trichloropropane BRL ug/L 0.5 EPA 524.2 09/05/2000 Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 16.54 BARNSTABLE CTY. HEALTH 15083622603 P.03 �T,r rr�' Page: 2 FATE OF Al�TAI,Y'SIS Barnstable County Health Laboratory Report Dated: 09/06/2000 Report Prepared For: Ail Cape Well Drilling Order Number: G0007451 Shawn Harrington P O Box 126 Brewster, MA 026314 ' aiaid:iy'u' yea J d� - 0 0 074 5 1-0 1 Description: Water-Drinking Water Sample#: 07451 Samoling Location: +Nyes Neck Rd Barnstable MA Collected: 08122/200U ollected by: S Harrington (Consult) Received: OS/29/2000 1,2,4-Trichlorobenzene BRL ug/L 0.5 70 EPA 524.2 09/05/2000 1,2,4-Trimethylbenzene BRL ug/t. 0.5 EPA 524.2 09/05/2000 1,2-Dibromo-3-chloropropan BRL ug/L 0.5 EPA 524.2 09/05/2000 1,2-Dibromoethane(EDB) BRL ug/L U.5 EPA 524.2 09/05/2000 1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 524.2 09/05/Z000 1,2-Dichloroethane BRL ug/L 0.5 5.0 EPA 524.2 09/05/2000 1,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 09/05/2000 1,3,5-Trimethylbenzene BRL ug/L 0.5 F.PA 524.2 09/05/2000 1,3-Dichlorobenzene BRL ug/L 0.5 EPA 524.2 09/05/2000 1,3-Dichloropropane BRIT. ug/L t1.5 EPA 524.2 09/05/2000 1,4-Dichlorebenzene BRL ug/L 0-5 i.0 EPA 524.2 09/05/2000 2,2-Di chloropro pane BRL ug/L 0.5 F,PA 524.2 09/05/2000 2-Chlorotoinene BRL ug/L 0.5 EPA 524.2 09/05/2000 4-Chlorotoluene BRL ug/L 0.5 IIPA 524.2 09/05/2000 Benzene - BRL ug/L 0.5 5.0 EPA 524.2 09/05/2000 Bromobenzene BRL ug/L 0.5 EPA 524.2 09/0512000 Bromochloromethane BRL ug/L 0.5 EPA 524.2 09105/:000 Bromodichloromethane BRL us/L 0.5 CPA 524 2 09/05/2000 Bromoform BRL ug/L 0.5 EPA 524.2 09/05/2000 Bromomethane BRL ug/L 0.5 EPA 524.2 09/05/2000 Carbon tetrachloride BR1, ug/L 0.5 5.0 EPA 524.2 09105/2000 Chlorobenzene BRL ug/L 0.5 loll EPA 524.2 09/05/2000 Chloroethane BRL ug/L 0.5 EPA 524.2 09/05/2000 Chloroform 0.9 ug/L 0.5 EPA 524.2 09/05/2000 Chloromethane BRL ug/L 0.5 EPA 524.2 09/05/2000 cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 524.2 09/05/2000 cis-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 09/05/2000 Superior Court House, PO.Boa 427, Barnstable, MA 02630 Ph: 508-375-6605 e0 16:55 BARNSTABLE CTY. HEALTH 15083622603 P.04 � .W`q--, / J - y - 3 I IJL Yam./1 L L� �-v l 1114 L ILJU 1 0JL0 Report Prepared For: Report Dated: 09/06/2000 All Cape Well Drilling Order Number: G0007451 Shawn Harrington P O Box 126 Brewster, MA 02631 Laboratory ID##- 00074:5L-'Y' I Sample N_ 07457 _---===1 iz Location: 4*Nyes Neck Rd fwnswble MA Collected: 08/1-2/2000 ollected by: S HarrlAgW (Consult)n Received- 08l23R000 Dibromochloro methane BRL ug/L 0.5 EPA 524.2 09/05/2000 Dibromomethane BRL ug/L 0.5 EPA 524.2 09/05/2000 --luoromethane BRL ug/L 0.5 EPA 524.2 09/0512000 Ethylbenzene RRL ug/L 0.5 700 EPA 524.2 09/05/2000 Hexachlorobutadiene BRI. ug/L 0.5 EPA 524.2 09/05/2000 ISopropylbenzene BRL ug/L 0.5 EPA 524.2 09/05/2000 Methyl-tert-butyl ether BRL ug/L 2.0 EPA 524.2 09/05/2000 -=ethylene chloride BRL ug/L 0.5 . 5.0 EPA 524.2 09/05/2000 n-Butylbenzene BRL ug/L 015 EPA 524.2 09/05/2000 n-Propylbenzene BRL ug/L 0.5 EPA 524.2 09/05/2000 Naphthalene BRL ug/L 0.5 EPA 524.2 09/05/2000 p-Isopropyltoluene BRL ug/L 0.5 EPA 5241 09/05/2000 Butylbenzene BRL ug/L 0.5 EPA 524.2 09/05/2000 Styrene BRL ug/L 0.5 100 EPA 524.2 09/05/2000 tert-Butylbenzene BRL ug/L 0_5 EPA 5242 09/05/2000 Tetrachloroethene BRL ug/L 0.5 5.0 EPA 524.2 09/05/2000 Toluene BRL ug/L 0.5 200 EPA 524.2 09/05/2000 Total xylenes BRL ug/l. 0.5 10000 EPA 524.2 09/05/20W trans-1,2-Dichloroethene BRL ugiL 0.5 100 EPA 524.2 09/05/2000 trans-1,3-Dichloropr�_q- nnT uJL 0.5 EPA 524.2 09/05/2000 Trichloroethene BIu. ug/L 0.5 5.0 EPA 524.2 09/05/2000 rofluoromethane BRL ug/L. 0.5 EPA 524.2 09f05I2vdi0 lVinyl chloride BRL ug/L 0.5 2.0 EPA 524.2 09/05/2000 Superior Court House, P®.Box 42-' .'°.`"") 16:55 BARNSTABLE CTY. HEALTH 15083622603 w�P.05 'ate in 1 �✓�JS®�J.A'Z�,/1 1 11 V A. L l< \A.JLil i ►✓JI+J '�CHIf - Report Prepared F ::• Report Dated: 09/06/2000 All Cape Well Drilling Order Number: G0007451 Shawn Harrington P 0 Box 126 Brewster, MA 02631 j -,i u is diva v iii r�r: U-007451-01 Descrintion: Water•Drinking Water ;ample A: 07451 Sampling I.Acatlon, 44 Nya: � C ailrecrd: 08/=J:000 allectcd b • S Harrington (Consult) Y• � Received: 08123/2000 =-=• _ - =- - _`t-,h levels of sodium;persons on a low sodium diet should consult their doctor. Approved By: �,. �...._.r.. - (Lab Director) i juperiur curt iiuwc, t v.o4w�:� , s.::ble, MA 02630 Ph: 508-375-6605 TOTAL P.05 TOWN OF BARNSTABLE �FTMETO OFFICE OF BAHH9TAUX i BOARD OF HEALTH MAO& p �o 1639• 367 MAIN STREET HYANNIS, MASS.02601 December 1, 1999 Stephen A. Wilson, P.E. Baxter & Nye Co. 812 Main Street Osterville, MA 02655 Dear Mr. Wilson: You are granted variances, on behalf of your client, Claire and Daniel Martinez, to, install a replacement onsite sewage disposal system at 44 Nyes Neck Road, Centerville. The variances granted are as follows: 310 CMR 15.211(1): To install a soil absorption system six (6) feet away from the property line in lieu of the minimum ten (10) feet setback required. B.O.H. Part VII SECTION 10:00: To install a soil absorption system eighty (80) feet away from a wetland in lieu of the minimum 100 feet setback required. These variances are granted with the following conditions: (1) No more than three (3) bedrooms are authorized. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (2) The applicant shall record a deed restriction at the Barnstbale County Registry of Deeds, limiting the number of bedrooms to three (3). The deed restriction shall be signed by the owner. A copy of the recorded deed restriction shall be submitted to the Board of Health prior to obtaining a disposal works construction permit. (3) A well construction permit must be obtained from the Board of Health prior to the installation of the new well. martinez (4) The designing engineer shall supervise the construction of the septic system and shall certify in writing to the Board of Health that the system was installed in strict accordance with the submitted plans dated October 29, 1999. These variances are granted because the existing cesspool is located in close proximity to wetlands and is, in all probability, sitting in the groundwater table. The proposed replacement system meets the maximum feasible compliance standards contained in the State Environmental Code, Title V. Therefore, it is believed that the replacement system may alleviate a source of pollution to the wetlands. Sincerely yours, Susan G. Rassk, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs martinez DATE FEE: BARNSrAEM y MASS m �A 1 ; u P \. REC. BY Qwn of Barnstable SCB=- DATE: NOI IV Fp z�Board of Health � 1 1104 19 367 Main.Street,Hyannis MA 02601 " r\ oFe 99 Off 2 65 �� T, % Susan G.Rask,R.S.. FAX: 508-79"3 ` Sumner Kaufman,M.S.F.R Ralph A_Murphy,M.D." VARIANCE REQUEST FORM LOCAnON Property Address: 44 1NNgs Q!rr=k rzozd j ce.nd-teu+l l e Assessors Map and Parcel Number. 233 �c 1 �1 Size of Lot: Z 3 d b Z Wetlands Within 300 Ft. Yes ✓ Subdivision Name`. " No Business Name:. APPLICANT CONTACT PERSON Name: 17ccnicl rYl (Ylur+,Aez. Name:= rni., A lAlllsw 4?6 C3Nchare Ne;e gl2 InoA., Sh-rcL Address: (a 8(70 k Ln ZSo Address: b�� �r i U M eA 62f-SS Du IIQ-. 757-2.5 Phone: Phone: AZS-513 1 FAX: FAX: q 2-&-3 7 S O VARIANCE FROM REGULATION(u,,Reg.) REASON FOR VARIANCE(May attach if more space needed) . • 5'C_+, 1 iS &Xd e has Lxlils. lf�e me,rr rvl rc rmr✓�a J—�c,�n c' QGrrtS�'4.1oia.. •/ �,AKi ^-Y' -Cn� TIDG!" Wµ Ion f3 FC]C.r Y a5uy heM Checklist(to be completed by office staff-person receiving variance'request application) Four(4)copies of plan submitted(including septic system"plans and/or restaurant floor plans) 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 variances only) Variance request application fee collected(no fee fix lifeguard rnod;sation renewals,grass=p v ancc renewa[s[use ownerAmm onlyl,ouQide dining variance renewals[suns ow fle ee onlyZ and variance to repair failed sewage disposal systa (only if no expansion to the building prupowd)) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G. Rask,R_S.,Chairman NOT.APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ BAXTER & NYE, INc. Professional Land Surveyors and Civil Engineers 812 Main Street•Osterville, MA 02655 Tel. (508) 428-9131 Fax. (508) 428-3750 WILLIAM C. NYE, R.P.L.S., President STEPHEN A. WILSON, P.E.,Vice President- Engineering RICHARD A. BAXTER, R.P.L.S.,Vice President JOHN R. ELLIS, R.P.L.S. October 29, 1999, Board of Health Town Hall 367 Main.Street Hyannis, Ma. 02601 Re: Variance Request -Martinez 44 Nyes Neck Road Members of the Board- On clients Claire& Daniel Martinez we are requesting On behalf of our q g variances for the remodeling of an existing house. The proposed work will result in the house going from a four bedroom dwelling to a three bedroom dwelling. The variances requested will involve the construction of a new septic system and drilling of a new well. The proposed new septic system will be located 100 feet from the well on the adjacent lot and the new well on this lot. We will be filing for approval of this work with Conservation Commission also. Very truly yours, Baxter&Nye Inc. t en A. Wilson, P.E. Vice President Engineering cc: R. Gatewood w/encl. #99082 MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS ME ll foll gli, IN ON A Ill\`•��� �' {� • i iIJ? I ' . ,/�X�� I 9` �_�, �.../ �l rr�a .-.�ir�1 Gam±. I ��.�C`fi\'�,,,,•.: � I f 1 Tx.c .gyp 0 6. sm Yn- � 1 S ( .4 �tM 1 t.vAL// oalb�' jr t0 90-5 sJZ' BAXTER & NYE, _INC. 812 MAIN STREET OSTERMLLE, MASS., 02655 (508)-428-9131 Abutters List Martinez- 44 Nyes Neck Road Map Parcel Owner& Address 233 70 Commonwealth of Massachusetts Division of Fisheries & Wildlife 100 Cambridge Street Boston, Ma. 02202 233 10 C. Frederick Pyyny 25 Bartlett Street Quincy, Ma. 02169 233 7 Joseph A. Martino 5 Prentiss Place Medfield, Ma. 02052 999082 4 n - flEC�2t7pM _. If F,ELFrJOM . FV,LL � l• o 6EDst I M _ ID I � FAMILYMINIwG RJOM br LIVING.AREA- 4369 aq fi I y i I..- J. II ( CONSTRUCTION CONSULTING SCREENEDF R H $C ANCHOR DR,ORLE"S,MA 0'%3 -- 56&240-7746 FAX 606-2SSSW - !scat_=iF4-i FT FOk CLAIRE BJORNHOLM DATE�'1q-�� MARTINEZ,RN AND DANIEL M. REV MARTINEZ,MD SHY OF I EY-'ING PLAN OF 44 WES NECK ROAD Z:'5iS T7 NG /10 0,5 E' r- ;I ! i i I outdoor shower DECK TlL !i L� T-1"x 4'-10" UP' Li MASTER BATH 1 MU fAUNDRY .. I II D$, I MASTER BDRM 23'-0"x 13'.4° (ram. �) I � I U BATH m SITTING F— AREA DECK 3'8"x4'� � FAMILY �•- � - LIVING AREA ROOM j KITCHEN r 1533 s4 fL I I 8'-T _ CONSTRUCTION CONSULTING j ,b ANCHOR DR,ORLEANS•MA 02853 5W-z40-n45 FAX 5D&-2s -WQ PORCH x,ALE v4=l Foa CLAIRE BJORNHOLM z4'-o'x CATS"o'ui-1 MARTINEZ,RN AND DANIEL 'E REV MARTINEZ,MD ' ISHI OF PROPCSE.D PLAN OF 4t NYES NECK ROAD -- -- - FIRST FLOOR QRo,�os�p Rtr,'IOA�L4NG `I 1 f -- BATH STUDY AREA ( \ STAIR ' OWN` UPI. _ — RAILING AROUND FLOOR i OPENING HALL Li CHIMNEY BEDROOM I 11'-4"x 1 T.0" ,,..... ...i. 23'-5 BEDROOM 11'-8"x 19'-7" LIVING AREA 952 sq ft 24•-0- • Prrar�ostn 2"� F%t ar- CONSTRUCTION CONSULTING 16 ANCHOR DR,ORLEANS,MA 02653 508-240-7745 FAX 508-255-4042 scAL�va�=,Fr FOR CLAIRE BJORNHOLM DATE�Q- 9 MARTINEZ,RN AND DANIEL M. REV MARTI N EZ, MD PROPOSED PLAN OF 44 SHT__,Z OF 2— WES NECK ROAD -- SECOND FLOOR , 2 � - za'.a 4' : I I ADDED FOUNDATION WALL CRAWL SPACE ( I I � Ii � .. I GARAGE RECREATION , I � � II I I f I f L� BASEMENT/UTILITY Ii If L _ ADDED FOUNDATION WALL 2� zs, CRAWL SPACE BAXTER & NYE,-ivc. Professional Land Surveyors and Civil Engineers 812 Main Street•Osterville, MA 02655 Tel. (508) 428-9131 Fax. (508) 428-3750 WILLIAM C. NYE, R.P.L.S., President STEPHEN A.WILSON, P.E.,Vice President- Engineering RICHARD A. BAXTER, R.P.L.S.,Vice President JOHN R. ELLIS, R.P.L.S. Abuttor Notification for Variance Request Town of Barnstable: Board of Health Re: 44 Nyes Neck Road Centerville Assessor's Map 233 Parcel 9 As an abutter to the above noted location we are writing to inform you that on behalf of our clients, Clair B. & Daniel M. Martinez, we are requesting variances from Title 5 and local regulations with regards to the upgrading of a septic system and well. The variances being requested are: Title V Section 15.211 (1) Minimum Setback Distances • To allow a soil absorption system to be 6 from a property line in lieu of 10 . Town of Barnstable Part VIH Section 1:00 100' Regulation • To allow a septic tank to be 80' from a wetland in lieu of 100'. • To allow a septic tank to be 60' from a wetland in lieu of 100'. Part XH Section 3.0 Private Well Protection • To allow a soil absorption system to be 100' from a well in lieu of 150 feet. • There will be a public hearing by the Board of Health on November 23rd, 1999 at 7:00 P.M. in the Hearing Room at Towq Hall, 367 Main Street, Hyannis. A copy of the variance is on file with the Board of Health. #99082 MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS MARTINEZ RESIDENCE 44 NYES NECK ROAD CENTERVILLE, MA 02632 ALTERATIONS AND ADDITION THE HOUSE COMPANY P.O. BOX 1166 BARNSTABLE, MA 02630 39'-9 519' �-8'-4 5/S' 7'-4 3/4' 18'-7 1/4' 7'd' 00 p p I ab NEW ADDITION a `0 I I 13'411r I I MAY CINO.ABOVE I � I o RV28M6 SKnT.TW. I III 0 a-r r-a•-�I 3'-21rr 3'-r m 11'-9 7/8' 1 r-81/4' . BEDROOM lI'-9"x 14'-2" MASTER B 1' -2" Inc12+-1 319'��----1r-1 1/4'� K 2A'-2 9/9' J FIRST FLOOR PLAN MAR.TINEZ RESIDENCE THE HOUSE COMPANY 44 NYES NECK ROAD P. O. Box 1166 0 Al BARNSTABLE, MA CENTERVILLE, MA N 02630 r1 02632 508-771-0303 38'-8 e-r zY-a• e'-o• _y y- - IS I I I I I I NEW FOUNDATION WINDOW _�I I 8 NEW FOUNDATION MU or CONCW ON y 10"X 16"CONC.FTG. r a W/3"CONC.SLAB EXTG.CRAWL I I CUTNEWACCESS III ICI � I II ..J III II I , II III II II II s s r-s• e-o• REMOVE EXISTING 10"CONC.WALL INF TING 10"CONC. WALL w/CMU or CONC. REGRADE&INSTALL 4"CONC. SLABon COMPACTED SOIL N INFILL EXISTING 10"CONC. WALL w/CMU or CONC. •s 's REGRADE&INSTALL 4"CONC. SLABon COMPACTED SOIL �2A'�� FOUNDATION PLAN 1/811=1' MARTINEZ RESIDENCE THE HOUSE COMPANY ox 44 NYES NECK ROAD BARNOS BABLE6MA CENTERVILLE, MA 02630 02632 508-771-0303 3W-3 3Ar T-713I8' '1 — 23'-4' 8'4•� II 11 II NEW ADMON II II II b II I � II _. S _..,, - I I EMQSrNG CRAWL re EXISTING PULL BASEMENT I I I I N I II I II II II II �,o � II II I I I I I it II I S II it II P - - m a d s r-e• s 8.4. .. REMODELED SPACE10 $ r- I N I I _ _ ll l g EmDas'I'uaa I I II GARA(E '4 I I � II I I � 2V4r BASEMENT FLOOR PLAN MARTINEZ RESIDENCE THE HOUSE COMPANY A3 44 NYES NECK ROAD P. O. Box 1166 a CENTERVILLE, MA BARNSTABLE, MA N 02632 02630 0 -�P EXISTING 3/4" 2x8 RAFTERS 16"O.C. SHEATFRNG 15H M 518"CDX PLY. PAPER 20 YR.ARCH RIDGE zVENT,VENTED . H nn DRIP EDGE M. 3/4"S EMSTING 2X6��24"O.C. Q 1�ji STRUCTURAL . C � _ STRUCTURALRIDGE F� 2x4 COLLAR TIES 24"O.C. �r'� R-19 FG RVSUL.lx3 N y Mx'1 V� STRAP 16"O.C.1M GYP E7QSTING 2x6 RAFTERS 24"O.C. YYYllll-T++yrr-JJJIII R-19 F.G.INSUL.R-14.4 RIGID O1�{ (2)1 3/4"x 10" INSUL.lx3 STRAP 1M"GYP LVL BEAM 2x8 JSTS.l6"OO.C.30 FG INSUL 2x8 JSTS.16"G.C.R-30 FG INSUL lx3 STRAP 1B'O.C.1!2"GYP W.C. SIU GLEE. EX PL-13 FG O lx3 STRAP 16"O.C.1/2"GYP IINSUI It2l,GYP BHINGLES TYR R•13 FG 2x10 JSTS. 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I'II� IIIIIIIIIIIIIIIIIIIIIIIIIIIt111111111111111111111111■■������ 1 1 • 1 r LLiLJLJ SOUTH ELEVATION Fm NORTH ELEVATION ELEVATIONS 1/8"=1' MARTINEZ RESIDENCE THE HOUSE COMPANY r, 44 NYES NECK ROAD P. O. Box 1166 A6 CENTERVILLE, MA BARNSTABLE, MA N 02632 02630 0 1 r� I outdoor shower DECK �I I I i-1•X 4'-'�0" i I Up Li MASTER BATH MUD&LAUNDRY I ' MASTER BDRM e 23'-o'x 13'-4" I I _ BATH , I . : —Up— SITTING- AREA DECK - 3'-8 z 4'-4 i i LIVING AREA ROOMj KITCHEN 1533 sq I 4 — "1 CONSTRUCTION CONSULTING j 16 ANCHOR DR,ORLEANS,MA 02859 508-24D-T745 FAX W-255.0042 PORCH, _ 24%0"x 9'-5" x,Au 114 1 FT � CLAIRE BJORNHOLM 1 !0 TEio-2ty-4. MARTINEZ,RN AND DANIEL M. R.Ev MARTINEZ, ME) SNl I OF PROPOSED PLAN OF 44 WES NECK ROAD i FIRST FLOOR PRo�'osp RE mo nL i�G � . . r' .loor `L BATH 11'-8"x T-11'', STUDY"AREA STAIRS DOWNY UPI , RAILING AROUND FLOOR i OPENING HALL CHIMNEY BEDROOM I11, 4"x 17'4! n - 23 EDROO B M 1 V-8"X 15-7" LIVING AREA 952 5q ft' Prtor�psEa 2 F'wor CONSTRUCTION CONSULTING 16 ANCHOR DR,ORLEANS,MA 02653 508-240-7745 FAX 508-255-9042 SCALE ilezI Fr FOR CLAIRE BJORNHOLM - flATElO` 9 MARTINEZ,RN AND,DANIEL M. REV MARTINEZ, MD SHT OF. PROPOSED PLAN OF 44 _ NYES NECK ROAD SECOND FLOOR f t BAXTER & NYE, INC. Professional Land Surveyors and Civil Engineers 812 Main Street•Osterville, MA 02655 Tel. (508) 428-91.31 Fax. (508)428-3750 WILLIAM C. NYE, R.P.L.S., President STEPHEN A.WILSON, P.E.,Vice President- Engineering RICHARD A. BAXTER, R.P.L.S.,Vice President JOHN R. ELLIS, R.P.L.S. Abuttor Notification for Variance Request Town of Barnstable:Board of Health Re: 44 Nyes Neck Road Centerville Assessor's Map 233 Parcel 9 As an abutter to the above noted location we are writing to inform you that on behalf of our clients, Clair B. &"Daniel M. Martinez,we are requesting variances from Title 5 and local regulations with regards to the upgrading of aseptic system s and well. The variances being requested are: Title V Section 15.211 (1) Minimum Setback.Distances • To allow a soil absorption system to be 6' from a property line in lieu of 10'. Town of Barnstable Part.VHI Section 1:00 100' Regulation • To allow a septic tank to be 80' from a wetland in lieu,of 100'. • To allow a septic tank to be 60' from a wetland in lieu of 100'. Part XH Section 3.0 Private Well Protection • To allow a soil absorption system to be 100' from a well in lieu of 150 feet. There will be a public hearing by the Board of Health on November 23rd, 1999 at 7:00 P.M. in the Hearing Room at Town Hall, 367 Main Street, Hyannis. A copy of the variance is on file with the Board of Health. #99082 MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS SHOOT �T/� ASSESSORS FLYING MAP 233 PARCEL 9 HIL _-- , �IPrFiFPr�iCrS �EQ�yESTk?c� p S D. N ZONES TI-1-1 e. V G.P. - . /•y� RESIDENCE RD-1 SCG+1.,A 15, 211 (� ) ' To allow moil uysorpi4o-, sYs jrw be:. LOCUS a P��`^�J 11AC 117 11cv to WEQUAWET MINIMUMS AREA = 43,560 S.F. �rnskAblc B•0�t-1• R�U lc.`honS L14iCE POND FRONTAGE = 20' /04 Foe�� Rcw/a.frur !o a/lov a soy/ 6o be So� ry a eeJe .?Ile WIDTH 125' /n lice of /co /( /o «/!aw a .5c��Jhc 7`dir/G v b� e"0 ✓' R /�Gfldrlc� �f7 FRONT SETBACK = 30' /n beu o f /oo� _ YE'S SIDE SETBACKS = 10' GJ, /�,zo►r Set �rmn 2 • // rc'�ju %o0 4 w s /lo u o;/ ahs � h�,o � NECK REAR SETBACK = 10' �" � �/'�vufz cvc/� ih //c v 6� /✓�' O � LOCUS MAP BUILDING HEIGHT = 30' �l/D�E TheSG ( rionet0 Gre:*o}rd� LJ /fes %dH e f Qdrnsf�b/e L3oorcl� of �/e4/f!i aH SCALE. 1 25,000 A/vvember' 23, /999 /-16.9 37.1 �ND. / •37.0 N /36 N 36.7 / N©TC5 : Grx15-•hv%5 wcll (1n A be: '1,1 accor-daAce- t�S,+ 1 76um t S+-fc R,--Jvlaflv"5 W' / - / 2• rGxlsfiv.•� GtssPool ( u✓nped: 11i,Q C�tw�e(lshca0 a�dl fi 11ee! t�.fln Seu✓te� _ d / / Y / / m - 00 r-- /36.8 36.7 of ti w I Q W lm, z . r W t. ! O O * 36.8 Q k`` x36.6 t, ' ' Propo,5vc) N«a Well DATUM FOR THIS PLAN IS N.G V.D ` BVW1 BENCHMARK 34.9 TOP OF PIPE x37.0 . EL. = 36.26' e 36:3 �i BVW2 S80°52*10,E WETLAND FLAGGED BY �< 36.9 J FND �37.1 � 5.2a9e Of 227'f 210.00' M. BALL �O9ENSR we /2 / COMMONWEALTH OF MASSACHUSETTS * t/ 2 # 27 l ■� d BVW3 2 •0-381 y DIVISION OF FISHERIES & WILDLIFE - . 5.1 � 'a \ k Bvw4 34.7 ���1 Ros to w Goei-ne cl. iy `. s TesE Q1+ BVW9 06 . BVW8 5.5 , `ti LP 9538) 3 rat , BVD1`S I6 VW701 3 ri . �i Cr .8 x 4 35.6 O / ft r•4Lt3 X'`� � .;: • 3 1�� 35. \ o I 40.4 9 I�'-�►;�R Tcst Oit .�o-. a 42 39.3 �. ` �, f W37.1 we.il nd Da11v%cehm �3 B'VW10 a) !,3 4 0 0 . _ � 35.1 N tr 42.8 39 - W �` 38.3 �` O f d 4 8 ° A41. x 4 .6 o x 43.2Ln 8 ro 4 ° , . o 0F Lo"g Z 4.0 x `43.8 x 5.8 - k� 17,453 sq. , upland o W f j x 45.2 qq l_ q,609 sq.ft. w&qand BVW11 z ' x 4 .6 d we 2C deep - fi 062 sq.ft. tot 1 1 36.1 W . O F.F = 48.1 `� 53 acres 1Q �, * srw / -. ./ t 42 0 Puw. e�t (=111e� r 0'` ® 41.E P 14 f ° 46 4.t existind cess ool r BVW12 t 5 �� ' � roposc� hlcJldl • 36.6 48 8\ EXlS~ H 1 o •- .t' :z� r x OUSE N o_•� ZL9t „ � a .. 43 P 4� 1�r,poscd/ cr-&3 .Faw.&.•'+oti. O ,y � b WETLAND ASSOCIATED I b L. REDXRICK PY*NY x 41!1 �� WITH TRIBUTARY TO x4: 3 BEARSE POND ��1______ ... •••----- J % B VW13 - ! x 47.4 - i / 34A r f t 2.6 ® 40.4 BVW 3' - W 35.714 ' q x 44:6 existing essp001 ; ter \ x46.4 - i _ I ' EXISIING H x 47`3 #2/28 48.2 I 42.g �� i we� 20' deep 42.7 - piE51GN DA'rn= 3 F Qreorns ; A10 Coae-lpnga Carinc�r _/ 43.1 1Dea11� Flea : 3 lo4rins - 11 c5 9FeQ/bJrfn = 330 G p ee 5ertie TA.n6t : 330 aai v- ZOO % =OG0 Gpd • 0545' 1500 Go//on Tan/c • l.eaahu�e, Fe<e.--tt% : 330 g�,eQ � 0-7-+3F,0/51= = 446 5F .USE 'rr01x ZS' L. e.cL► Fi�tdl = SaoSt= f ALL CtP�TS LOC�ITED IN POTENTIAL !ICLE TRAFFIC AREAS OR BURIED"4 FEET ` COVERS LOCCA70 TO IMTHIN Cat' GREATER SHALL BE H-20 LOAD CAPACITY. !Iu f 1.,�_48.I W OF F.G. Iaa-44.o • F.G. � '�G.o n 1~....• 44-4-L TL 5T,. P►r -Z ATA 1500 GAL. 1 - 5 D m e 44.8 ' . � - - 44�3 � � � -a�A ' _ sr ,tAIsan t►.�1+ncss: or i T� by ' s1tc TIC 9q,s ii1/. - - E R.y.0 .0., El36.0 �ft.. r• NV -4gi1 - 10.00 if -43.o = •:,e .-14,rr' `:y"-�'''a 'r-a•' °`� '�:+ II "A* b2lAj Uaw. 10 4W- 41 tr41N. 6" CRUSHED kr ,, >k r,' 6 _ STONE BASE +�:�� E_• LS h::•a.:,.- K►s.►�. -.,� •E • Y / �8• sa.nly Loam 10 4 R 5/3 g1.4•ZeCi l2"- BOTTCU ELEY - "e," meCtiuw� Sea.•. esil 46 -we vc- e Tc'j►' ! Per � • 5 Y 2115 G,LJ f lc%3 ? 34.0 WGV.0 As per control cowHe+ R G�Z Re1� s i.01 - A Y _ - 5 i hs *F 4 29 4 9 es p plJ 5 0 a -z El B4 °� wcav-mc; utl- Lo Ch&10� PACr I.. a run�J•eaR. � YnG /Z$/ea 6a - - - - - - ICI 32.QJ -£1 32:7 NO SCALE { SEPTIC SYSTEIII UPGRADE . y•,Y„�,.� .r► -30~,� .... . , w« #A4 NYE'S. NECK ROAD 4"I�arf pvc; Sole h o (Tapp I N 2r e-,Isfens (CENTERVILLE T 19t MJ&SS B-ARNSTAB • 2�z FOR _ 20� of CLAIRE B. & DANIE R'�� SCALE: 1" = 20' DATE. Oc'1r. 29 igg9 BAXTER & NYE INC. REGISTERED LAND SURVEYORS - CIVIL ENGINEERS ❑STERVILLE, MASS. PLAN REFERENCE: BOOK 1' PAGE 50 DEED REFERENCE:., BOOK 9494 PAGE 108 __ #99082 SHOOT R�i� ASSESS❑RS FLYING MAP 233 PARCEL 9 DESIGN DATA N ZONES G.P. SINGLE FAMILY- 3 BEDROOMS NO GARBAGE GRINDER �L CUS RESIDENCE RD-1 DAILY FLOW = 110 X 3 = 330 G.P.D. BEARS WEQUAQUET MINIMUMS SEPTIC TANK = 330 X 200% =660 G.P.D. LAKE AREA = 43,560 S.F. POND USE 1500 GAL. SEPTIC TANK FRONTAGE ­ GE 125 0' ` a FRONT SETBACK = 30' g SIDE SETBACKS = 10' I;BAICI'ID�tQr FEW DESIGNS NFCK 'f ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED REAR SETBACK = 10' USE 3 - 4" DISTRIBUTION LINES IN AN LOCUS MAP BUILDING HEIGHT = 30' 20'X 25' WASHED STONE FIELD SCALE 1 1 25,000 - - - AS SHOWN 330 G.P.D./.74 = 446 S.F. of BOTTOM AREA REQUIRED USE 20'X 25'= 450 S.F. AREA PROVIDED CLASS 1 SOIL PERCOLATION RATE 1" IN 2 MIN. OR LESS VARIANCES REQUESTED N ,_ L , TITLE V ;.; SECTION 15.211 (1) — TO ALLOW A SOIL ABSORPTION SYSTEM TO BE 6 FEET FROM A PROPERTY LINE IN LIEU OF 10 FEET. BARNSTABLE R.O.H. REGULATIONS 100 FOOT REGULATION — TO ALLOW SOIL ABSORPTION TO BE 80' FROM A WETLAND IN LIEU OF 100'. TO ALLOW A SEPTIC TANK TO BE 60' FROM A WETLAND IN LIEU OF 100' ti Y WELL REGULATION, SECTION 2 — TO ALLOW SOIL ABSORPTION TO BE 100' FROM A PRIVATE WELL IN LIEU OF 150'. NOTE: THESE VARIANCES GRANTED BY THE TOWN OF BARNSTABLE BOARD II! OF HEALTH ON NOVEMBER 23, 1999 i..!H t`.J^ ,'i Tf 1`: PLAN f`.j N,(%`./.D, BVW1 PROPOSED WELL 7 BVW2 o .,. �•,,• f met/On S 5z'49'04+ El#2/27 d BVW3 zi9.si' _ 75.1 1-1 \ BVW4 LIMIT OF WORK N / \ „" �� ' EROSION CONTROL "o � 3 (TEST/ 95 38 dirt c; lye \ BVW5 BVW9 40 _ �� ♦ ,` :: DI�V_ll6 BVW8 z: /__f a BVW7 35 \\ 1.1 _. .st� BVW10 0 _ / fj�• ~J 0NI Ln kN-11 N� ' ^ 4 1.,5 1zo TO BE PUMPED U ` AND FILLED BVW11 we 20' deep 1 Nb O n - 48.13' ri notable 1 --_. 42 `1 � O � �� NG HOUSF,f/ ::. PROP. ADDIA ---. ® �1•u o __ .x 4(1.' X 8.5') pexis cesspoJ a a.r {, BVW12 vx `� x 48.3 3, 3 \ 8.0' 4• T.,.:.: �Q t 125,9 N'\ \ \ ` ONN LA o, v \ X 4! 1 o p BVW13 4. p 4,„"4 � � BVW14 ) 35 \ x ,,;• \ egsting esspool 1 \ EXISTING Hex / F--- N\ #2/28 16 � \ 42 ,. ` \ we 1 20' deep i- f / non potable ID.E. P. #SE 3m3611 (issued 2/4/00; Expires 2/4/03) TEST HOLES BAXTER & NYE INC. 9/22/99 #P-9538 TESTED BY : S. WILSON WITNESS: D. MORANDI COVERS LOCATED TO WITHIN PIT #1 ELEV. = 38.0' / 0 ELEV.=48,1 12" OF F.G. —2„ F.G.- 46.0 'A' SANDY LOAM 10 YR 2/1 i F.G. =46.0 -6 INV. =45.0 ' F•G•= 44-46 ':�` 'B' SANDY LOAM 10 YR 5/3 INV. - 1500 GAL. 4" DIAMETER 2' LEVEL •\ • , -12" �� � � 44.8 INv. = 44.5 Dlsr. sc 'C' MEDIUM SAND 10 YR 7/2 SEPTIC TANK INV. =44.3 BOX .j HfDV�E 40 P•VC P,P f A INV. =44.1 10.00' ��� 6" CRUSHED INV. = 43.0 • ;• MIN. STONE BASE BOTTOM ELEV. —PERC TEST A 25' —40" C2 STONEY GRAVEL 2.5 YR 6/2 c'J I #44 Nye's Neck Road ADJUSTED GROUND WATER ELEV. = 34.8, _ PROFILE AS PER BOARD OF HEALTH POLICY = .�_ - in Centerville OBSERVED GROUND WATER = ELEV. 32.8 —62" ELEV. = 32.8 Barnstable Massachusetts NO SCALE -- - -64" ELEV. = 32.7 PREPARED FOR Claire B. & Daniel M. Martinez TITLE Septic System Upgrade 4" PERFORATED PVC BAXTER, NYE & HOLMGREN INC. SCH. 40 (TYP) 9" MIN. - 36" MAX. COVER Registered Professional Engineers and Land Surveyors �< 812 Main Street, Osterville, Ma. 02655 7� cn cn :� • — Phone- (508) 428-9131 Fax - (508) 2 -375 3/4 1 1/2 WASHED STONE �- 2" PEASTONE 2.5' 5' I 5' I 5' 2.5' 20 0 20 40 20' ' SCALE IN FEET `V. SCALE: 1 "= 20' DATE: 10/29/99 C,� CROSS SECTION 'A— A' REV. DATE: REMARKS G)�r'n NO SCALE 1 7 7 00 Septic S stem C01 2 7 25 01 Rev. Hse Additions 3 1 7 31 01 Rev. Deck 4 19117102 Rev. Addit. & Wk. Limit DRAWING NUMBER PLAN REFERENCE: BOOK 1 PAGE 50 DEED REFERENCE: BOOK 9494 PAGE 108 HA 1999\99082\CIVIL\99082newoddition2.DWG' Job # 99082