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0062 OLD STAGE ROAD - Health
62 OLD STAGE ROAD, CENTERVILLE A=208-039 lip �Jat(ccYCCfOco/L UPC 12534 ' No.2 1 16 pR �, `� HASTINGS. UN 7/7/2020 https://www.townforms.com/FOIADirect-BarnstableMA/Private/Internal/Application/FOIAApplication.aspx?pRequestid=50129 t � My Dashboard Communication Documents Report Manager Admin Help j S,�— r o 4 c _F i Welcome Thom s Mc can(Board o Health Department,Dep�,, o Role) l (LogoutJ My Prof e Back FOIA Request Details for 2020-0252 - In Progress Communication History for this Request Report an Issue Request Details(-) Request No.2020-0252 Request received on 07/08/2020 09:00 AM First Name Pauline ;❑Unknown Last Name Skiver House No. PO Box 338 Street 436 Main St �. City Hyannis State MA Zip 02601-_ Email liability@friedlineandcarter.com`❑Unknown Phone (508)771-3232 Request Number 2020-0252 Request to Department* Board of i lealtn Request Sent Date* 6 PM Method of Request* Email — Request Received Date 07108/2020 09:00 AM Mode of Delivery* Email �, Response Due By 07/22/2020 Organization Name Friedline and Carter Adjustment LLC Response Sent On [Not Yet Sent] Request Details* etter received: RECORD REQUEST June 29, 20 t RE: Our Ile Number: L3531 1 Your File Number 431344 `! Insured: BOYNE, John Date of Loss: 7/30/2018 a. Documents received from Requester itr Note Please only upload documents received from the Requester in this section. Please do not upload any Internal use or Response document here. There is a separate section called"Response Documents"on this screen to upload Internal use or Response documents for this request Upload Files Choose File> No file chosen Upload t Document Name Document Category Uploaded By Department Uploaded On 62 Old Stage Rd Cent•RECORDS REQ Request Document Sharon Crocker Board of Health 07/07/2020 08:11 PM View Entered.pdf Board of Health Department(-) Currently Assigned to Thomas McKean of Board of Health Department Assigned to Board of Health department on 07/07/2020 Board of Health department reviewer Thomas McKean Request Received Date 07/08/2020 09:00 AM Response Due Date 07/22/2020 uotrfy HACK TOP Response Sent On [Not Yet Sent] Request Category Others https://www.townforms.com/FOIADirect-BarnstableMA/Private/Internal/Application/FOIAApplication.aspx?pRequestid=50129 1/3 r err 7/7/2020 https://www.townforms.com/FO[ADirect-Barnstab]eMA/Private/Internal/Application/FOIAAppiication.aspx?pRequestid=50129 di ct My Dashboard Communication Documents Report Manager Admin Help Save Request Assignment Details RAO Department ' Board of Health RAO user Thomas McKean(Depart RAO Status In Progress Trart.SierA5fg>3t >y't At i3 Adiffia»at Assignment Expense Details for Board of Health department Note Estimated Effort Actual Effort Estimated Personnel Cost Estimated Printing Cost Actual Personnel Cost Actual Printing Cost Time Estimate(Hrs) 0.00 Estimate Copies(Units) =Actual Time(Hours) 0.00 Actual Copies(Units) Hourly Rate 25.00 Unit Cost 0.05 Hourly Rate 25.00' Unit Cost 0.0 ❑Override Hourly Rate ❑Override Hourly Rate Total Personnel Cost 0.00 Total Printing Cost 0.00 Total Personnel Cost 0.00 Total Printing Cost 0.0 ....._.____.__ Estimated Media Cost 0.00 Actual Media Cost 0.00 Total Estimated Cost($) 0.00 Total Actual Cost($) 0.00 No Fees Applicable ❑ Save Request Payment Details Total Estimated Cost$ 0.00 Refund Amount($) N/A Total Actual Cost$ 0.00 Payment Received On Payment Mode Select Payment Amount 52ve Work Duration .__........._..__..__..........__._. Review Start Date 07/07/2020 Review End Date Send mold to tequester Cancel Wfthdraw slave Complete€2evfew Reviewer Notes(+) 0 note(s) Response Documents(+) 0 document(s) l Res onse Response Font Name Size swcrt TOP ........... .. ............ . ....... ..... .......... ... ....................... https://www.townforms.com/FOIADirect-Barnstab[eMA/Private/Internal/Application/FOIAApplication.aspx?pRequestid=50129 2/3 j 7/7/2020 https:/iWWW.townforms.com/FOIADirect-Barnstab]eMA/Private/Internal/Application/FOIAApplication.aspx?pRequestid=50129 di Ct My Dashboard Communication Documents Report Manager Admin Help Save Note Record Access Officer(RAO)of this request needs to complete the review of this request by clicking"Complete Review"button before I response can be sent to Requester. Activities(+) Email Conversation(+) __.__...---.---..__-___- Last modified by on 07/07/202008:11 PM ©Copyright 2009-2016 Stellar I Vistiny- All Rights Reserved. O a e e�K TOP https://www.townforms.com/F0IADirect-BarnstableMA/Private/Internal/Application/FOIAApplication.aspx?pRequestid=50129 3/3 � t R A TEl 1711 STRi1;NT,l.l'C June 29, 2020 Barnstable. Board of Health Attn: Records 200 Main Street Hyannis, MA 02601 RECORDS REQUEST **PRIORITY REQUST * RE: Our File Number: L3531 Your File Number: 431344 Insured: BOYNE, John Date of Loss: 7/30/2018 Claimant: CROWLEY FAMILY Loss Location: 62 Old Stage Road, Centerville, MA Dear Sir/Madam, We represent the Massachusetts Property Insurance Underwriting Association as it pertains to the above incident. At this time, we ask that you please provide our office with copies of any and all documents filed in connection with requests for variance and installation of a new septic system at the property located at 62 Old Stage Road, Centerville, MA. Moreover, this request is intended to include a request for verification of any and all inspections, water table testing, system failures, permits, and/or denials pertaining to said property. Thanking you in advance for your anticipated cooperation in expediting this matter. Very truly yours, Pauline A. Skiver Liability Claims Manager P.O.Box 338,436 Main St.,Hyannis,MA 026011 Phone:(508)771-3232 1 Fax:(508)790-2344 1 liability@friedlineandcarter.com 62 Old Stage Road, Centerville, MA 02631-3177 23 August 2001 Mr. Thomas McKean Director of Public health Department of Health, Safety, and Environmental Services Public Health Division P.O. Box 534 , Hyannis, MA 02601 Dear Mr. McKean: I appreciate your prompt response to my letter to you of 15 August 2001 . There are several points mentioned in your letter of 15 August; 2001 that I wish to address. First, as I mentioned early in my correspondence to you, I was out of State during the construction of the septic system on the adjacent property and,therefore, had no input during the construction phase. Secondly, in my letter to you of 30 June 2000, I mentioned the grade and asked that you might enlighten me regarding this aspect. There has been no answer in this regard. For your information, I hand delivered a copy of my correspondence tU you dated 1 May 2000, to the owner of the property in question. qq'c advised me that it was not his responsibility, for the construction. Lastly, and most important. There has never been a drainage problem on Old Stage Road that has ever effected my property. Any drainage problem concerning the road was corrected several years ago. Therefore, the crux of this entire issue is that the construction of the septic system is in violation of of the COmmenwealth of Massachusetts 's Regulation Chapter,310 CMR 11.00-17 . 00 , Department of Environmental Protection,310 CMR 15.00 , The State Environmental Code Title V. I don't intend to insult your intelligence by quoting chapter and verse but 15 .2.55 'Construction in fill , (2 ) fully details the responsibilty of what': is required by the contractor. It is very, evident that this section was never adhered to but yet approved by the Town of Barnstable' s Board of Health' s representative. There_:.. is no five foot minimum2separation from my..property. If there was a variance requested or approved for this construction I was never advised. As an abutter, I believe, it is mandatory . . for all abutters to be notified when a variance is requested. Therefore, I only request that the construction at 50 Old Stage Road be corrected to adhere to the requirements of Title V, 15 .255 . Nothing more, nothing less . Sincerely, William H. Crowley ( 508 ) 775-6171 f 1 Yi 1 �IWKWE Town of Barnstable Board of Health 9B" MA3.A`Eg 200 Main Street, Hyannis MA 02601 qj 039• Office: 508-862-4644 Donald A.Guadagnoli,M.D. FAX: 508-790-6304 Tom F.P.Lee,P.E.(Alternate) December 2, 2019 Mr. Daniel Ojala, P.E., P.L.S. Down Cape Engineering 939 Main Street, Route 6A Yarmouth Port, MA 02675 RE: 62 Old Stage Road, Centerville A 208-039 Dear Mr. Ojala, You are granted conditional variances on behalf of your clients, Greg and Tina Stone (Estate of William Crowley), to construct a replacement onsite sewage disposal system at 62 Old Stage Road, Centerville. The variances granted are as follows: _ 310 CMR 15.221 M: To install the septic tank and pump chamber greater than 36" (but less than 72 inches) below the finish grade. 310 CMR 15.405 (11(il: To provide zero inches separation between the inlet and outlet tees and the maximum adjusted groundwater table elevation, in lieu of the twelve (12) inch minimum separation distance required. These variances are granted with the following conditions: (1) No more than three (3) bedrooms are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The septic system shall be installed in strict accordance with the engineered plans dated October 10, 2019. Q:\OjalaStone Estate of Crowley 62 OldStage 2019.docx (3) The designing registered sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the engineered plans dated October 10, 2019. (4) This property shall be connected to public sewer when it becomes available in the future. These variances are granted because the proposed plan appears to meet the maximum feasible design standards contained within the State Environmental Code, Title 5 and local Health Regulations. Sincerely yours, Do Gu no D. Acting C airman Q:\OjalaStone Estate of Crowley 62 OldStage 2019.docx 1 \ DATE: $95.00 FEE*: - x x ��''-^�l BARNSTABLE, * �se 9 MASS Town of Barnstable REC.BY: ' SCHED.DATE: G d ZZ 1 {; Board of Health 4 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. Junichi Sawayanagi VARIANCE REQUEST FORM LOCATION Property Address: (p �sQ LE t06 Assessor's Map and Parcel Number: Size of Lot: Wetlands Within 300 Ft. Yes usiness Name: No Subdivision Name: APPLICANT'S NAME: Phone Did the owner of the property authorize you to represent him or her? Yes ✓ No PROPERTY OWNER'S NAME , CONTACT PERSON a, N o w; ltom G10 4wr,Name: C9 *- Ti � Name: an14 Q(a.t�l. p n VI�i� Address: 62 e � 13 Address: MAC^. V�° P.r.. d✓VI fit Ik rmo cam. ', M O�li'!S Phone: '31 .5�3 2.2-91` Phone: -* V54II EMAIL.,: e.CwAf VARIANCE FROM REGULATION(Ind Reg.Code 4) REASON FOR VARIANCE(May attach separate sheet if more space needed) r a NATURE OF WORK: House Addition LJ House Renovation LJ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit first four on list as 5 collated packets. A. Five(5)copies of the completed variance request form B. Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: bealth@town.bamstable.ma.us D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. Signed letter stating that the property or business owner authorized you to represent him/her for this request i Applicant must notify abutters 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—Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted*$95.00 for the following variances: 1)New construction, 2) Septic repairs with increase in flows, and 3)New owner/new lessee applying for food, pool or body art variances. Exemptions from Variance Fee: 1) Septic repair without an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Donald A.Guadagnoli,M.D. s C:\Users\decol1ik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\QDLJENHC\VARIREQ Rev APR 4- 2018.docx r ' ,r •tip. i VARIANCES REQUESTED UNDER MAX. FEASIBLE COMPLIANCE 15.'405: 113: SEPTIC TANKS TO BE > 3' BUT < 6' BELOW GRADE H-20 PROVIDED 1J: REDUCTION OF THE. REQUIREMENT OF A 12 ' INCH SEPARATION BETWEEN THE INLET AND OUTLET TEES AND HIGH GROUNDWATER. 0" REQUESTED BOOTS PROVIDED. tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surveys Arne H.Ojala,P.E.,P.L.S. Daniel E.Gonsalves,P.E.,S.E structural design October 11, 2019 Craig J.Ferrari,E.I.T.,S.E. site planning Barnstable Board of Health 200 Main Street Hyannis, MA 02601 sewage system designs Dear Board Members: inspections Enclosed is a variance filing request for#62 Old Stage Road, Centerville. On behalf of our client,we are requesting the following variances: permits From 310 CMR 15.405 ("Maximum Feasible Compliance"): (1b) septic tank and pump chamber to be>3' but less than 6' below finish grade (H-20 components provided) (1j) reduction in requirement of 12"separation between inlet and outlet tees and high groundwater elevation (poured in place boots provided) The site consists of a 9,915 sf lot, improved with a 3 bedroom dwelling. The dwelling is served by an older Title 5 septic system, which lies to the rear of the dwelling. Due to the high groundwater encountered, a raised leaching facility is required to meet the 5' separation to adjusted groundwater. To combat buoyancy issues,the tanks will be placed within the vault which will house the SAS. The weight of the soil will mitigate for any } potential buoyancy problems. No construction work is planned. The base of the leaching facility is 5' above the adjusted water elevation. Due to site constraints,to include the positioning of the dwelling, extreme topography, presence of a catch basin in front of the house, and the presence of a waterline which would affect placement,variances are necessary in order to install the system in the only practicable area—the rear yard. We feel that by granting these setback variances the same degree of environmental protection can be attained without the need for strict adherence to the Title 5 and Town of Barnstable Regulations. Very truly yours, Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. cc: M/M Stone r t down cape engineering, inc. SIEVE SOILS ANALYSIS 62 OLD STAGE ROAD, CENTERVILLE DATE OF REPORT: 9/13119 JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 62 OLD STAGE ROAD, CENTERVILLE LOCATION: DCE TEST HOLE SIEVE ANALYSIS Weight Sample(Grams): 152.4 SIZE :WEIGHT RETAINED % RETAINED % PASSED (sum ) --------------:.....................................................:---------------------:..................................... 1" 0.0: 0.0%: 100.0% --------------i..:...................................................}---------------------�------------------- 3/4" 0.0 0.0% 100.0% --------------:......................................................:---------------------=------------------ 1/2" 0.0: 0.0%: 100.0% --------------......................................................}---------------------t------------------- 3/8" 0.0: 0.0%: 100.0% --------------:......................................................----------------------------------------- #4 0.0: 0.0%: 100.0% --------------:......................................................}---------------------,..................................... #10 23.5: 15.4%: 84.6% #20 : ........... ------------47 6% ......................52:4% #40 : 116.2: 76.2%: 23.8% #50--------- ........................................130.1 -------------85 4% .......................14.6% -------------s......................................................,---------------------..................................... #80 `........................................142.... 7 -------------93 6%`.........................6.4% vl-U6-------- 146.7: 96.3-- 3.7% #200 150.8: 99.0%: 1.0% ------------- .......................................................---------------------------------------- PAN: 152.0: 100.0%: 0.0% --------------i--------------------------+--------------------- ------------------ SAMPLE: 152.4i NOTE:TEST ON PASSING#4 ONLY, 16.0% RETAINED ON #4 <45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-1-b (GRAVEL&SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING #4) OK #5010%-100% OK #100 0%-20% OK #200 0%-5% OK SAMPLE MEETS TITLE 5 FILL SPECIFICATION >98% SAND OF RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MINJIN. MATERIAL ����jNASs9Pti` NONCOMPACTED DANIELA. �N OJALA , SOIL DESCRIPTION: MEDIUM/COARSE SAND CIVIL No.46502 ST F J i N o Domestic Mail Only Er m For delivery information,visit our website at www.usps.com". � Certified Mail Fee, , t CO $ A Services&F (check box,add fog to)O eturn Receipt(hardcopy) $ O ❑Return Receipt(electronic) $� %f P C3 Certified Mall Restricted DeiNery $_S�ISL O ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ y ru Postage 1 r q Total tal Postage and Fees E' $SenLTo L 7 rq StreetandApj.i------F 9o--Ar(—-------- --to,ZIP+4 1 ,1 A- WSW M. Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label), for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipients retail associate. signature)that Is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is not avaiable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified. ■Insurance coverage Is notavallable for purchase by name,or to the addressee's authorized agent, with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your - endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion. of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt,•attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. i Ps Form$SOO,April 2o15(Reverse)PSN 7530-02-000.9047 � iU.S. Pbsta,[Service TM RECEIPT CO •. Onlymill CO M For delivery,information�visit our website'at wwlw.usps.comO. —0 r-1 Certified Mail Fee e 01IR1 43 $ Extra Services&Fees(check box,add lee p fe) O ❑Return Receipt(hardcop» $ 0 vV O ❑Return Receipt(electronic) $ Postrn p ❑Certified Mall Restricted Delivery $ \ ./[►►.��t Here O ❑Adult Signature Required $ �•,e O ❑Adult Signature Restricted Delivery$ t. Postage ®t � � 5� y r q Total Postage and Fees 62 Er $ rq S/TTV�i' t/LQ_ �21 `Pr Sf et and t 11ro,;or U ox lNff-d--- ---------------------------------------- -------- -- lti --------------------------------- 1 � Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail R A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which n Certified Mail service is not available for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified. •Insurance coverage Is notavallable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for the following services: postmarking.it you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion. of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORIANt:Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 PostalTM CERTIFIED o . D. mestic Mail Only 43 C� m ' I rl Certified Mail Fee Extra S8NiC8S&Fees(check box,add tee�p�yn�d►�sray� _ 5�. O Watum Recelpt(hardcoP» $ Q [U]l Receipt(electronic) $ POstm C3 5joeffled Mail Restricted Delivery $ ?�/(►(�y Here -.pp ❑Adult Signature Required $ �""+�..p"; (AA []Adult Signature Restricted Delivery$ K! oPostage ra $ W I r-q Total Postage and Fees $ Er" Wiiatr O Sveet and "t.No.,or�b$ox o. �_ --- ciry,srare, lP+'d�- 1 /W oao391 s e, Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides fora specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders, Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is not available for` requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee spec-died ri Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office""for the following services: I postmarking.If you don't need a postmark on this -Return receipt service,which provides a record' Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature): of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an ' appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; 1MP09TAN11 Save this receipt for your records. PS Form 31300rf April 2015(Reverse)PSN 7530-02-000.9047 1 SENDER COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete Items 1,2,and 3. a ure ■ Print your name and address on the reverse [3 Agent so that we can return the card to you. ❑Addressee ■ Attach this card to-the back of the mail iece, R b P' ted eye C. Date.of Delivery or on the front if space permits. p /�Uri b �" 1. Article Addressed to: D. Is delivery address different from item 17 Yes R.r by f, A ht I a'd 0 � P.CLC*) 2 I If YES,enter delivery address pelow: [3 No Old S f2d . �� S I(� 1 I �� 2 3a It Irv, I�� , �t� o 'op E3. Service Type ❑Priority Mail Express® Il I ll�l�l IIII I')I II I II IIIII II I it I II Il l I'll ❑Adult Signature ❑Registered MalIT11 � ❑Adult Signature Restricted Delivery ❑Rep�tergd Mall Restricted 9590 9402 5155 9122 2846 28 ery o ewtified Martified l Restricted Delivery ❑Delfv ❑Collect on Delivery Merchandise I_2 Article Number(Transfer from service Ia F ❑Collect on Delivery Restricted Delivery ❑Signature ConfinnationTm 9 112 0 Mail 0 0 2 0 8 916 3 8 8 4 ❑lone'El d Mail Restricted Delivery ❑Restricted Delive Signature ry lion 'l PS Form 3811,July 2015 PSN 7530-02-000-9053 S ft vt.- _ Domestic Return Receipt E $' First-Class Mail Postage&Fees Paid USPS Permit.No.G-10 I 9590 9402 5155 9122 2846 28 I United States •Sender: Please print your name,address,and ZIP+4®in this box* Postal Service I Down Cape Engineering, Inc. 939 Rte 6A- Suite C Yarmouth Port MA 02675 I - I —�� •�� i,ijitlii,�iiij�,i,)i ,triJi"illfit �i,tE1'tJ1»lliJ�NII�JJfJJ COMPLETE •. aN;PLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X 17 Agent so that we can return the card to you. G2 ressee ■ Attach this card to the back of the mailpiece, B. ,ec ved ed e) C.Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery adydtess diOrent m item 1? ❑Yes KaPo�►s, m e i-,ram IIfES,ente �(lyery ac�dre�ss be w: 13; �g his, NiGV�o1a►S , . `�9� � 50 01d Sta 9� Rdl 6 ' C �It 3.MA 6V03a II I f IIII Ifll IfI I IIII II IfIII I)I II I II I I II I' Service priority l Express@ ❑ uit Signature Restricted Delivery ❑RM�Mail Restricted ❑Adult Signature ❑Registered MaJilu 9590 9402 5155 9122 2846 35 ❑Cetlfied Mall Restricted Delivery ❑RRi%Recant ra j ❑Collect on Delivery Merchandise 2. Article - — ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation'" t ❑insured Mail ❑Signature Confirmation ❑Insured Mail Restricted Delivery. Restricted Delivery (over$500 PS Fo... i811,July 2015 PSN 7530-02-000-9053 Sfjrq,�, Domestic Return Receipt 1 E Mail Fees Paid G-10 9590 94g2 `k15155 9122 2846 35 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service I Down Cape Engineering, Inc. 939.Rte 6A- Suite C Yarmouth Port MA 02675 I `'.�� =�_^ !'i'illll'1'�ItJIJij�iia#1it►iifijiitijlt�iFl.JJ�JJ7J7IIJiji(t1�f US POSTAGE ., ._. 02- 1..P $ 006.800 - 0002117110 OCT 11 2019 o t 70.19 1120 0000 8916 3907 MAILED FROM ZIP CODE 02675 co ' a 9 .� - � 1 ����.��..s� 111 1t1�1111.�e1'�ee� ._---- co ' ..0 �' A, qe eA...All l'1A1} 1 mv�zvn�_-�{�ya /)- �. S I i 1 � 11 j;1$ 1��111'1'�n - a m� a _ 40-ficra co Fu m >, j 3 �s +"' t=c. P �F f t� 7 * !S t } 7 �� F b f 1! 1"! l i l . --. d . . 11 !11 irk tlt Jr� � 11 �`: i 1 ill ti t fl M i, — 1 •. „� x.... �!T!i i i ii7T I( 1 i-`'�i`3`r l3 i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature a ❑Agent ■ Print your name and address on the reverse X I — so that we can return the card to you. ❑Addressee B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, I or on the front if space permits. I 1. Article.Addressed to: D..Is delivery address different from item 1? ❑Yes If YES,enter delivery address, ❑No . whlffW0KMj LQ o ':;-� �oI ) Ma s , �a. 7 �� i 3. Service Type El Priority Mail Express® 13• I II I IIIIII I'll III I llll II('ill II I II II ll I I II I I III Adult e MaJiTm urt tied n®Restricted Delivery ❑R�Mail Restricted I 9590 9402 51 55 9122 2846 11 o certified Mail Restricted Delivery o Return Merchandisetu Receipt for 0 Collect on Delivery Article Number ransfer from service labe�,�__ Collect on Delivery Restricted Delivery Signature Conflnnation*"+ e I (T __- ❑Signature Confirmation - O Insured Mail t I ❑Insured Mall Restricted Delivery Restricted Delivery 7 019 1120 0000 8 916 3907 (over$500) --. PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt • Al I tel. (508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surveys Arne H.Ojala,P.E.,P.L.S. Daniel E.Gonsalves,P.E.,S.E structural design October 11,2019 Craig J.Ferrari,E.I:T,S.E. site planning Dear Abutter: sewage system designs A public hearing has been scheduled for the Barnstable Board of Health to take action on a request for variances from the Town of Barnstable Regulations for the subsurface disposal of sewage for the proposed Title 5 septic system (upgrade) at 62 Old Stage Road, inspections Centerville. Variances requested under Title 5: permits See tt hed Said hearing will be held in the Town of Barnstable Hearing Room, 367 Main Street, Hyannis, October 22, 2019 at 3:00 pm. Plans and the application describing the proposed activity are on file at the Board of Health office, 200 Main Street, Hyannis. It is recommended to check with the Health Department to confirm date and time if you are interested in attending. Sincerely, Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. cc: Abutters file Barnstable Board of Health VARIANCES REQUESTED UNDER MAX. FEASIBLE COMPLIANCE 15.405: 113: SEPTIC TANKS TO BE > 3' BUT < 6' BELOW GRADE H-20 PROVIDED 1J: REDUCTION OF THE, REQUIREMENT OF A 12 ' INCH SEPARATION BETWEEN THE INLET'AND OUTLET TEES AND HIGH GROUNDWATER. 0" REQUESTED BOOTS PROVIDED. Town of Barnstable Geographic Information System October 11, 2019 2 208036 *22 2 109 #104 208051 ��. #2z #80 •� 20805� 0209037 921 #88 p� r 208 6 208158 #89 208050 209038001 #70 208049 208048 #� #310 7.2081.37 :iS: :' =• i•:• 208047 208039:.'r}i•;.'.;7:;[:' ::l•:_ri: : i.;.. 208046 208114 #62 #326 #320 #311 08044002 208045 2�• 208115 20H04D d `•'+:.: ::`'f i :i;'. #317 #50 208034 :is #55 '' •• 208044001 CND #340 208117 Ta #329 208041 - � #40 208152 208149 4352 208118 #37 208033 208042 #339 #31 #364 � 208118001 2 eft #351 208116 #323 one DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:208 Parcel:039 Adjacent(Please choose abutter list type) - boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Abutter List Type-Default buffer of parcels adjacent to the selected parcel are only graphic representations of Assessors tax parcels. They are not true property Abutters boundaries and do not represent accurate relationships to physical features on the map If ! such as building locations. Buffer ! ti i tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surveys Arne H.Ojala,P.E.,P.L.S. Daniel E.Gonsalves,P.E.,S.I structural design October 11,2019 Craig J.Ferrari,E.I.T.,S.E. site planning Dear Abutter: sewage system designs A public hearing has been scheduled for the Barnstable Board of Health to take action on a request for variances from the Town of Barnstable Regulations for the subsurface disposal of sewage for the proposed Title 5 septic system (upgrade) at 62 Old Stage Road, inspections Centerville. permits Variances requested under Title 5: See attached Said hearing will be held in the Town of Barnstable Hearing Room, 367 Main Street, Hyannis, October 22, 2019 at 3:00 pm. Plans and the application describing the proposed activity are on file at the Board of Health office, 200 Main Street, Hyannis. It is recommended to check with the Health Department to confirm date and time if you are interested in attending. t 1 Sincerely, t I Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. cc: Abutters file Barnstable Board of Health f VARIANCES REQUESTED UNDER MAX. FEASIBLE COMPLIANCE 15.405: 113: SEPTIC TANKS TO BE > 3' BUT < 6' BELOW GRADE H-20 PROVIDED 1 J: REDUCTION OF THE. REQUIREMENT OF A 12 INCH SEPARATION BETWEEN THE INLET AND OUTLET TEES AND HIGH GROUNDWATER. 0" REQUESTED BOOTS PROVIDED. F TRANS. NO.: CITY/TOWN: t'1 A-PPLICANT: ADDRESS: DESIGN FLOW: _ gpd REVIEWED BY: DATE: N/A OIL NO ��1��AtG'd1iFl`,`'�.C;,:°.u 1 � S r �r } Z�"`l � S �,� i1r�-z 1. 1 .R?.�✓.�i��g��Y�t��r�G �''$� .��{�i���}�t��i 4 t F, � . ... ,,� 'i.� .i,<r.. �.. .ar ..k-. .a xr, L a-,.,i.. .s'a.>.#.,+,.x�i a� i. 1..} l rrt, s ,�t u•, Legal'boundaries denoted [310 CMR 15.220(4)(a}] Street, Lot,tax parcel number and lot number noted on plan [310 CNM 15.220(4)(u)] - Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for components) [310 CMR 15.220(4)] "7 Easements shown [310 CNM 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] l Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] System Calculations [310 CMR 15.220(4)(f)] daily flow septic tank capacity(required and provided) - soil absorption system (required and provided) _ whether system designed for garbage grinder North arrow [310 CMR 15.220(4)(g)] Existing and proposed contours [310 CMR 15.220(4)(g)] Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and (i)] Location and date of percolation tests (performed at proper � f elevation?) [310 CMR 15.220(4)(i)] rr Percolation test results match loading rate? [310 CMR 15.242] A� „ Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] Observed and Adjusted groundwater (method for adjustment. given or indicated) [310 CMR 15�103(3) and 310 CUR 15.220(4)(n)] Address Sheet 1 of 7 f N/A ®K NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)] within 400 feet of the proposed system location ill the case of surface water supplies and gravel packed public water supply within 250 feet of the proposed system location ' the case within 150 feet of the proposed system location in the case of private water supply wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. [310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located [310 CMR 15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[11) Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(0)] Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor (required if construction ` activities within 5 ft. of lot line) [310 CMR 15.220(3)] ` Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as approved for an upgrade under LUA.at 310 CMR 15.405(1)(k)] Test hole adequate to demonstrate four feet of suitable material? 01 [310 CMR 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? , [310 CMR 15.103(3)] Benchmark within 50-75' of system [310 CMR 15.220(4)(q)] r Materials specifications noted? [various sections of 310 CNM 15.000] System components not>3 6" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b)] Sheet 2 of 7 Address. N/A OK NO R 71 r nF Q f �F t 9 C 4d 4tY SAS! e f AC:F�tiiVik �`�nitr '�.a i a ��i ,"" yF �'+" i j f— ?.fit..ft �. c( +` ,� r i'' } 'x 131�.,.t�..�- ...r,t�., :a.,T.,,d�'?:..n.s"i"?S�r�.6,._s,tir, ",� a �.} Size OK? [310 CMR 15.223(1)] � Inlet tee located ten inches below flow line [310 CMR 15.227(6)] r Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR §N,o r° 15.227(6)] ' Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] } Note regarding installation on stable compacted base [310 CMR 15.228(1)] Separation between inlet and outlet tees (no less than liquid " depth) [310 CMR 15.227(2)] h-let/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA [310 CMR 15.405(1)(k)] Minimum cover 9" (Tanks buried imore than 9" inust have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 ' CMR 15.232(3)(f)] Three access covers (inlet and outlet must be 20" or greater) - middle access at least 8" (by 7/07) [310 CMR 15.228(2)] Access to within 6 " of grade - one port for systeins<1000gpd, two fors stems>1000 d 310 CMR 15.228(2)] J Y � [ All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > 10 ft from building foundation [310 CMR 15.211(1)] , . Buoyancy calculation Required/Done [310 CMR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211] _ a� .r:;fi'7r+ '$Y..y�,,;,, ����na.•yt; �F' k�'-'s fJ,le„'i2, "iafd,.-:y:i',•.,/ 7a; 51 1"",ti r,� ram. ��1 t 'l4 ,o:. mid,`X t1(w:kr k•,� 1 r,..;/'1 b111�1(��ox13�,c`Yxtme9l��'�c`fnk5�- �C�.F ��,9��* ��T��t&� '��r� Required when other than single-family dwelling or flow>1000 gpd (310 CMR 15.223(1)(b)] First compartment 200% daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and(3)] "U" pipe through or over baffle, outlet of each compartment with gas baffle or approved filter [310 CMR 15.224(4)] 'J Address Sheet 3 of 7 N/A OK NO '`+I' 'L�l Y�.r Kr'1�11'' 4x ' tf�cl t b . _t s.,j,.�%���.�•1�,�s t7A:l V��k.� �f ^FF l # fi(p 1vI r� I A} D1 t f tS'sttd?,k ti �1e(r�` F ' S4.� :�. �4-.Sj�':.�'�+{.Y}i Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least 18" below water line(when water and sewer cross, see 310 CMR 15.21l(1)[1]) Cie anouts required/provided? [310 CMR 15.222(8)] ' Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/fi) 0.02 preferable 1310 CMM 15.222(6)] Proper pitch on all runs? (.005 within gravity-distributed trenches ' and beds) [310 CMM 15.251(9) and 310 CMR 15252(2)(c)] Siphon problem/ (leachfield below pump chamber) �►'°� Endcaps or vent manifold specified? Size and orientation of discharge holes specified? (not smallerc' than 3/8" not larger than 5/8") [310 CMM 15.251(8) and 310 `k' CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) § i Sj � h � ; t�N( :.e Stable compacted base [310 CMM 15.221(2) and 310 CMR 15.232(2)(a)] T_ Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 Ma 15.323(3)(a)] Riser if deeper than 9" [310 CMR 15.232(3)(f)] ' Inside minimum dimension 12" [310 CMR 15.232(2)(b)] Minimum sump 6" [310 CMR15.232(3)(e)] Watertight cover if<2000gpd); waterproof manliole if>2000gpd [310 CMR 15232(3)(d)] n--,:c,-.•_- '} 'E,E' l �^ �.sYl�v ��A t3�"�?� Capacity(emergency storage above working--design flow)? [310 CMR 231(2)] Proper setbacks [310 CMM 15.211 (same as septic tanks)] _ Watertight 20-111 minium access manhole at least 20" MUST BE TO GRADE [310 CMR 15.231(5)] Service components accessible (not too deep with piping, disconnects accessible) Alarm floats - alaixn on circuit separate from pumps specified? Exceeds two units inust have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and(8)] ' Stable Compacted Base [310 CMM 15.221(2)] Buoyancy calculations needed? Provided? [310 CMR 15.221(8)] Sheet 4 of 7 Address NIA OK NO ����� S:O, ��;�1 •S;Y�:7��i��".(S�s�,)�,�FS�T.�R���y:�.���.i�r��,y�:.���n�.,L����.��.3� .s'. ����ra� �¢+.,;�,>_- Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] Required separation to groundwater? [310 CMR 15.212)] Aggregate specified as double washed [310 CMR 15.247(2)] System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.241] Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier)[310 CMR 15.211(1)[41 and Guidance Document] lClicS' 1 4 E•rs �r n 'Y , � f4ti'i Chambers and Gal. in trench configuration supplied with inlet every20 ft. [310 CMR 15.253(6)] Each structure with one inspection manliole(if>2000 gpd must be to grade) [310 CMR 15.253(2)] Aggregate I' minimum-4'maximum. [310 CMR 15.253(1)(b)] 2' sidewall credit maximum [310 CMR 15.253(1)(a)] In bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)] �s1rX y x� ��1xgr�thY y�F..gy:....,o,... .?J ,y ys.T $h�y�• yy „ 3nY==�.�Yr%� CFde. 1}11'}K- ry yk 4 '5�1,�A71,•µUaJ�3�EAG� �,.��i�.;�ac. ���. �. --�—""�`�:s�. - Y� �:����-�' � ..::a-z rr�'� Y s" % v4�,.�'.�'c .:�.����� Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)] 100 feet-maximum length [310 CMR 15.251(1)(a)] Minimum separation 2x effective depth or width whichever greater (3x if reserve between trenches) [310 CMR 251(1)(d)] Situated along contours [310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] V r RE Y G '* AP, 4i NO . i ra 1. ]�JGA� (r11 iinuze�oiF,b,,edoze7d000 � ;N0: `�,9 minimum 2 distribution lines [310 CMR 15.252(2)(a)] Maximum separation between lines 6' [310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6" minimum, 12" ^ maximum. [310 CMR 15.252(2)(g)] Separation between beds 10'minimum. [310 CMR 15.252(2)(f)] � Bottom area used in calculations only [310 CMR 15.252(2)(i)] r Address Sheet 5 of 7 NIA OK NO 16 n z M Pressure Dosed Systein ? Provided pump and piping calculations as required [310 CMR 15.220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [31.0 CMR 15.254(2) and I/A Remedial Use Approvals] If used in gravelless system-make sure jet is directed as not to scour soil interface [Guidance Document] Isis ections once per year s stems<2000 d or quarterly , p P Y ( Y gP ) q Y (>2000gpd) good to not on plan [310 CMR 15.254(2)(d)] Construction in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? Impervious banter and/or retaining wall ? [Guidance Document] Impervious banner installation must be supervised by 4- designer [310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer [310 CMR 15255(2)(a)] Side slope not exceed 3:1 ? [310 CMR 15.255(2)] " Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] At least 5 ft. from impervious banner to edge of SAS (10 ft. 10 recommended 310 CN R 15.255 (2)(e)] p z .L Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge F� to scour soil interface � 8 F w rovalLe - 1te� le serpl/ r, Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? t Has applicant submitted a copy of a maintenance Ty Are the variances listed on the plan? [310 CMR 15.220 r (4)(q)] RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412(4)] New construction or increased flow proposed- [Refer to 310 j CMR 15,414] Sheet 6 of 7 Address 3 • - • N/A OK NO ,«.,K_;:T,^:�: ..�;.�.i^:�;'.',^,.it'?..,:.;t;;.'.;'.�=F r f�`�.�k'ai�`� a�,�s r�� i,�..�iq s�F.n� it sw,�,• �-r7��"�< S 3t s 7�'.,s,�:vk c u Is the system in a Designated Nitrogen Sensitive Area(Zone 11 for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] 1d�Lscellcr7to®t� �r+.�r rrky��`��<,rs��� �><3��~�-�,�3� �;��,�_ �,a��r w�rf�.;,f�:. �tr�a• nr�,'�,,,�� f f,� s,,+.t ,,,..;�,., Pumping to septic tank ? [ 310 CMR 15.229] /► Shared System[310 CMR 15.2901 1 Address Sheet 7 of 7 AbutterReport Page 1 of 1 Adjacent (Please choose abutter list type) Abutter List for Map & Parcel(s): '208039' Default buffer of parcels adjacent to the selected parcel Total Count: 4 I' '1 Close Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed CityStateZip 208038002 RIBOT,ABELARDO A& 70 OLD STAGE ROAD CENTERVILLE,MA 31631/ RACHEL 02632 106 CROWLEY,WILLIAM H %CROWLEY,ELINOR CENTERVILLE,MA 24282/ 208039 &ELINOR M TRS TRSTONE,CHRISTINA M 62 OLD"STAGE ROAD 02632 46 208040 KAPOLIS,DEMETRA I %KAPOLIS,NICHOLAS I 50 OLD STAGE ROAD CENTERVILLE,MA 30745/ 02632 100 208044002 WHITWORTH,E LEO E LEO WHITWORTH IR 29 TIFFANY DRIVE RANDOLPH,MA 30967/ IR TR TRUST AGMT OF 2017 02368 177 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 10/11/2019. http://maps.townofbamstable.us/arcims/appgeoapp/AbutterReport.aspx?type=default 10/11/2019 l O) C7i Ja W N O cD V W (T i yx�v CA 1 t ` E E I V E I AM 0 209 f Down Cape En ineeri g, Inc. i i r ao�oag Commonwealth of Massachusetts Title 5 Official Inspection Form . �= Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Old Stage Road h^ V Property Address Christina&Carolyn Crowley Owner Owners Name _k_V information is Centerville Ma 02632 5-21-19 required for every ill, 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 filling out forms A. Inspector Information on the computer, Brett Hickey use only the tab key to move your Name of Inspector cursor-do not B&B Excavation use the return key. Company Name 374 Route 130 Company Address Sandwich Ma 02563 City/Town State Zip Code / (508)477-0653 S113747 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ■❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails Brett Hickey �° � �s '-om.: 5-21-19 zme.os.zz ia.ias:aam Inspector'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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 i Commonwealth of Massachusetts �y Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r; 62 Old Stage Road Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: The system was in working order at the time of inspection. The H-10 septic tank was blocked off from vehicle traffic at time of inspection. 2) 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): l5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 l Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 62 Old Stage Road Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Old Stage Road Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. c. Other: 4) stem S Failure Criteria Applicable to All S Y PP stems:Y You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ El 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 cam, Commonwealth of Massachusetts Ip Title 5 Official Inspection Form i; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Old Stage Road V� Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.), 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ 0 Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ 0 Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow ❑ O Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ El Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ a Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ O Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ E Any portion of a cesspool or privy is within 50 feet of a private water supply well. El El 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.] ❑ 0 The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ 0 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. 5) 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 CA. 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 t5insp.doc-rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System Page 5 of 18 rr cam, Commonwealth of Massachusetts Title 5 Official Inspection Form li Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Old Stage Road u— Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no" for each of the following for all inspections: Yes No ❑ 0 Pumping information was provided by the owner, occupant, or Board of Health ❑ El Were any of the system components pumped out in the previous two weeks? El ❑ Has the system received normal flows in the previous two week period? ❑ El Have large volumes of water been introduced to the system recently or as part of this inspection? 0 ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ❑ El Was the facility or dwelling inspected for signs of sewage back up? El ❑ Was the site inspected for signs of break out? El ❑ Were all system components, excluding the SAS, located on site? 0 ❑ 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? ❑ a 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: 0 ❑ 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 nf Commonwealth of Massachusetts Title 5 Official Inspection Form I°I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments l � � 62 Old Stage Road Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: 3 3 ' Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330/GPD Description: 3 bedroom/ 330GPD per Permit dated 4-25-88 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes E] No Does residence have a water treatment unit? ❑ Yes 0 No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes 0 No information in this report.) Laundry system inspected? ❑ Yes No Seasonaluse? ❑ Yes No Water meter readings, if available(last 2 years usage (gpd)): See below Detail: 2017- 120,000gallons 2018- 110,000gallons Sump pump? ❑ Yes M No Last date of occupancy: currentDate l5insp.doc•rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Old Stage Road u Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: NA 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Owner- date of last pump is unknown ■ Was system pumped as art of the inspection? ❑ Yes ❑ No Y P p p If yes, volume pumped: gallons How was Y uantit pumped determined? 4 Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Offidal Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Old Stage Road V Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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. El Other(describe): Septic tank and SAS Approximate age of all components, date installed (if known)and source of information: 1988 per permit Were sewage odors detected when arriving at the site? ❑ Yes ❑■ No 5. Building Sewer(locate on site plan): 1r1rr Depth below grade: feet Material of construction: ❑ cast iron ❑■ 40 PVC ❑other(explain): Town water Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts r� lip Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Old Stage Road V� Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 1" Depth below grade: feet Material of construction: concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No 1 Dimensions: 000gallons 3" Sludge depth: 33If Distance from top of sludge to bottom of outlet tee or baffle On Scum thickness NS Distance from top of scum to top of outlet tee or baffle NS Distance from bottom of scum to bottom of outlet tee or baffle measured How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank was in working order at the time of inspection. The tank is not in need of pumping at this time but should be pumped every two years for maintenance. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 1. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f 62 Old Stage Road L� Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): NA 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): NA Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 c Commonwealth of Massachusetts �9 p Title 5 Official Inspection Form l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments I 62 Old Stage Road u— Property Address Christina.&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: El Yes El 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 9. Distribution Box(if present must be opened) (locate on site plan): NA 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.): t5insp:doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form f' R Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Old Stage Road Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. 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.): NA * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: (3)flow dills 30'x10' rX-1 leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Farm:Subsurface Sewage Disposal System-Page 13 of 18 c Commonwealth of Massachusetts �a p Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 62 Old Stage Road Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The SAS was in working order at the time of inspection. No evidence of hydraulic failure was observed when viewed. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): NA 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Old Stage Road Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): NA Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts �s ,1P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Old Stage Road V Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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 C A B A2.25 132-29' 81.14' Cl-X Driveway 2 i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts �m Title 5 Official Inspection Form J. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t. 62 Old Stage Road Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑■ Check Slope Surface water Check cellar Shallow wells Estimated depth to high ground water: NoGW@10'feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date El Observed site(abutting property/observation hole within 150 feet of SAS) El Checked with local Board of Health -explain: Perk log for neighboring property ❑ Checked with local excavators, installers -(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: A perk log on file at the local Board of Health for a neighboring property at the same elevation was used to determine high groundwater is greater than 10' below grade leaving >4' between ground water and bottom of SAS. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts ,ip Title 5 Official Inspection Form I? Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Old Stage Road u Property Address Christina&Carolyn Crowley Owner Owner's Name information is Centerville Ma 02632 5-21-19 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: W■ A. Inspector Information: Complete all fields in this section. 0 B. Certification: Signed & Dated and 1, 2, 3, or 4 checked 0■ C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ❑■ D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 i Excerpt from Board of Health Minutes Meeting: Oct 16, 2001 Pgs: 2 MINUTES OF MEETING October 16, 2001 The regularly scheduled meeting of the Town of Barnstable Board of Health was held Tuesday, October 16, 2001, in the Hearing Room, 367 Main Street, Hyannis. In attendance: Susan G. Rask, R.S., Chairperson, and Wayne A. Miller, M.D., Sumner Kaufman, M.S.P.H., members of the Board of Health. Also present was Thomas McKean, R.S., CHO, Director of Public Health. Susan G. Rask, R.S. called the meeting to order at 7:00 P.M. First scheduled item on the agenda, Shared and On-Site Innovative/Alternative Wastewater Disposal System Regulations. Susan Rask, Chairman, read a letter not dated from Jacques Morin, Marstons Mills, proposing package treatment centers and a letter dated October 16, 2001 from Arlene Wilson proposes a new regulation pertaining to replacement of existing systems when they are upgraded, repaired, or when property changes hands. Paul Revere is questioned the difference in gallonage between commercial and residential properties in this regulation. Mr. Kaufman would like to see a little more verification of the 1650 gallons threshold presented in the draft regulation. After some discussion, a motion was made by Mr. Kaufman, duly seconded by Dr. Miller, and the Board voted unanimously to continue this matter until the November 20th meeting. Next on the agenda, Robert Bortolotti was present for a hearing regarding an order to construct a drainage swale at 50 Old Stage Road, Centerville. The Board of Health members viewed the site. It was determined that the septic system installation area was properly sloped to divert rainwater from the front yard onto the rear yard on the same property. Therefore, there is no need to construct a swale or drainage system. After some discussion, a motion was made by Dr. Miller, duly seconded by Mr. Kaufman, and the Board voted unanimously to rescind the order letter originally sent to Mr. Bortolotti to construct a drainage system. Next on the agenda, Craig Fields, BSC Group representing Chandler Bosworth was present to request a variance for a proposed S.A.S. to be located less than 100 feet away from.bordering vegetated wetlands at 37 Broken Dike Way, Barnstable. After reviewing the submitted data, the Board requested a revised plan showing the distance from the vegetated wetlands, and to reduce the number of bedrooms to 3. A motion was made by Mr. Kaufman, duly seconded by Dr. Miller, and the Board voted unanimously to continue this matter until the November 20, 2001 Board of Health meeting. Next on the agenda, Robert Murphy was present to request a variance from a septic system repair, proposed SAS on property lines at 13-15 Fresh Holes Road, Hyannis. The Board reviewed the submitted data. After some discussion, a motion was made by Dr. Miller, duly seconded by Mr. Kaufman, and the 2 Excerpt from Board of Health Minutes Meeting: Sep 25, 2001 Pgs: 1 MINUTES OF MEETING September 25, 2001 The regularly scheduled meeting of the Town of Barnstable Board of Health was held Tuesday, September 25, 2001, in the SAB Basement, 230 South Street, Hyannis. In attendance: Susan G. Rask, R.S., Chairperson, and Wayne A. Miller, M.D., Sumner Kaufman, M.S.P.H., members of the Board of Health. Also present was Thomas McKean, R.S., CHO, Director of Public Health. Susan G. Rask, R.S. called the meeting to order at 7:05 P.M. The first scheduled item on the agenda, Robert Bortolotti was present for the hearing he requested before the Board in regard to 50 Old Stage Road., Centerville. Mr. Bortolotti received an order to construct drainage swale at 50 Old Stage Rd., Centerville. Mr. Bortolotti was present to discuss the data with the Board and distributed photos to the Board members showing how the water flows from the front yard to the back yard. Mr. McKean did not observe any water running on the property. After some discussion, a motion was made by Dr. Miller, duly seconded by Mr. Kaufman, and the Board voted unanimously to make a site visit to 50 Old Stage Road, Centerville. Next Lucien Degioanni was present to request an extension of food sanitation training and testing for his French bakery, La Petite France, Main Street, Hyannis. The Board reviewed the submitted data. After some discussion, a motion was made by Dr. Miller, duly seconded by Mr. Kaufman, and the Board r , Town of Barnstable Department of Health, Safety, and Environmental Services Ft"E, ti Public Health Division o� P.O. Box 534, Hyannis MA 02601 * 3ARNSTABM y MASS. 16 q. • Office: C Thomas A.McKean,RS,CHO FAX: 50 - 4 / Director of Public Health 7 August 15, 2001 Mr. William Crowley 62 Old Stage Road Centerville, Ma 02632 Dear Mr. Crowley: In response to your letter, I am writing to provide you an update in regards to the alleged drainage problems at your property located at 62 Old Stage Road Centerville. Please recall that after your initial complaint more than a year ago, Health Inspector Donna Miorandi ordered Bortolotti.Construction Company to stabilize the bank. The Foreman John Norman and his staff went to the site and placed hay bales on the bank temporarily in an effort to stabilize the topsoil while waiting,for the new grass to grow-in. This Division had not received any additional complaints from you until approximately one year later on May 7, 2001. Also, the property at issue (62 Old Stage Road)was sold to another owner after your complaint. Immediately after receiving your second letter on May 7, 2001, Health Inspector Glen Harrington was instructed to view the site. Mr. Harrington took photographs and suggested the construction of either a retaining wall or swale to direct run-off away from the fill area. He also indicated to me that it appeared as though the rain run-off from the adjacent road and sidewalk area may be significantly adding to the problem. Since that time, the following actions were taken: • I contacted Mr. Robert Smith, Esquire of the Town of Barnstable Legal Department to request information relative to your neighbor's responsibility in view of the fact that the property had been transferred to another.owner before the complaint was received. • On August 7, 2001, a certified order letter was mailed to Robert Bortolotti, owner of Bortolotti Construction Company,to address the drainage originating from 50 Old Stage Road within forty-five days. crowley/wp/q/ls r • On August 13, 2001, Mr. Bortolotti submitted a letter requesting a hearing before the Board of Health. A hearing will be scheduled to be held on Tuesday September 11, 2001 at 7:00 p.m.. • On August 7th and August 14"I have been in communications with Mr. Stephen Seymour, P.E., of the Town of Barnstable Engineering Division regarding the road and sidewalk drainage problem. Mr. Seymour stated he will view the site and will provide recommendations for improvements to his Supervisor. If you should have any questions, youy may telephone me at 508 862-4644. You are also welcome to attend the Board of Health hearing on September 11"'. Sincerely yours, Thomas McKean Director of Public Health crowley/wp/q/ls 62 Old Stage Rd. , 1! 'f Centerville, MA 02632-3177 ` 4 May 2001 Mr. Thomas A. McKean,RS,CHO RECEIVED Director of Public Health Town of Barnstable, MAY 7 2001 P.O. Box 534 , Hyannis , MA 02601 TOWHE� �DEPIf „��c nc»r Sir: Please refer to my last correspondence to you of 30 June 2000 , specifically paragraph five as it relate to grading. I have solicited the advice of two professional septic system installers and both have advised me that it appears that the grading that was performed at the time of the septic system installation is in violation of existing regulations . I am, therefore, initiating this action for the necessary correction to the problem. To refresh your memory. During the winter of 1999/2000 , while I was absent from the State, the property adjacent to mine, 50 Old Stage Rd. , installed a septic system in the front of that property. Prior to that there was an even grade of thirty eight feet from each structure to the property line for a total of seventy six feet of even grade. When the system was installed and then mounded the grade on that property was raised five feet above the original . The slope from the mounding terminates exactly on the property line. The water and snow runoff is directed right onto my property and consequently onto two of my Azalea trees that were brought out of China several years ago. Suffice to say there is a distinct possibility that both will suffer permanent damage. Further, both gentlemen that inspected construction stated that a9journing towns would have required a retaining wall for such an installation. It is apparent that this should be the case here. . May I have your assistance in resolving this matter at your earliest convenience . Sincerely , William H. Crowley , ( 508 ) 775-6171 c. Royden C. Richardson Town Building Inspector Town Engineer tNE l°�� The Town of Barnstable * BARNSTABLE, Office of Town Manager 9 MASS. g �pr 1639- �,e 367 Main Street, Hyannis MA 02601 FD MA't Office: 508-862-4610 John C. Klimm,Town Manager Fax: 508-790-6226 Joellen J. Daley,Assistant Town Manager MEMORANDUM TO: Tom McKea , Board of Health FR: Jo len J ey, Assistant Town Manager DT: August 1 , 2001 RE: Letter from William Crowley Attached is a copy of a letter you recently received from William Crowley. Please provide me with a copy of the response to this letter, as I am interested in knowing how you plan to address the issue. If you have any questions,please let me know. Thank you. JJD:Imb Enclosure oFtHEl�,,, Town of Barnstable O Department of Health, Safety, and Environmental Services MAS& p' Public Health Division 9Q 1639. 0 oi°rED A P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health May 22, 2000 Mr. William Crowley 62 Old Stage Road Centerville, Ma 02632 Dear Mr. Crowley: Thank you for your letters dated May 1, 2000 and May 15, 2000. On Monday April 24, 2000 immediately during your visit to the Health Division office, I telephoned Bortolotti Construction Company. I was informed by the secretary that I would receive a return call. However, I did not receive a return call from anyone at Bortolotti Construction Company. Two days later, I asked the Foreman of Bortolotti Construction Company, John Norman, what actions were taken. He replied that there isn't much to do except wait for the grass to grow to help stabilize the topsoil over the septic system. Heavy rains during the past weeks has made the task very difficult. He also stated he will send his employees over there to see what other actions could be taken to correct the situation. On May 17, 2000, Health Inspector Donna Miorandi contacted Bortolotti Construction Company again. That day, John Norman and his staff immediately responded and went to the site. Hay bails were placed down in an effort to stabilize the topsoil. If you should have any further questions, please feel free to contact us at 862-4644. Sincerely o rs as cKean Director of Public Health crowley/wp/q/Is o — — i62 01d Stage Rd. , Centerville, MA 02632-3177 lr May y_ 2000 Ms . Donna Z . Miorandi , RS \ Health Inspector Town of Barnstable WIVE0 Department of Health, Safety & L' MAY 1 Environmental Services 6 2��� 367 Main St. , �0t yULTH nrs�, � Hyannis, MA 02601 kE Dear Ms . Miorandi : Om Monday: 24 April , 2000 , I visited your. office seeking information regarding a Title V installation at 50 Old Stage Road, Centerville, property that is adjacent to my property. This work was performed in March. > In your absence I was assisted by two individuals as I explained my predicament to them. Both were extremely cooperative and understanding. As introductions were never offered I c.anr=.name either. However, the male emplyee was most helpful and contacted the contractor to request that he address the problem. At that time I was advised that you were the party with responsibility in this area. I provided my telephone number and asked that you contact me. It is now a week later and I have not heard from you nor have I seen any activity on the contractor' s part. My concerns that initiated a visit to your office follow. Prior to the installation of the system at 50 Old Stage Road both properties, the North side of 50 Old Stage Road and the South side of my property shared the same grade level . Following the installation of the system at 50 Old Stage Road this has changed drastically to the point of effecting drainage from that property on to mine. The placement of the system, and the subsequent mounding,':.has raised the level of that property in this area to a height of approximately four( 4 ) feet above what it was initially. This means that there is an abrupt slope to where it meets my property line. In fact at first observation it encroaches on my property. This has now been heightened by recent rains that have washed a significant amount of the thin top soil onto my property. It was this issue that prompted my visit to your office as 1 visu.ali.ze. a.ddition:al '.rains discharging additional soil . In addition, I see this drainage having a negative effect on my property in the future from rain as well as the melting of snow. I now doubt if this drainage was ever taken into consideration in the planning and engineering phases . I have two valuable Azalea trees that will take the brunt'!-_ of the runoff . I certainl�t-�tr.ust=•that<-,this drainage, if it is to continue, will not- result in the death of these plants. As your office has the responsibility for this installation I respectfully request that this problem be immediately addressed and corrected to my satisfactions before I will be required to take further action. '..-71 Sincerely yours C. Town Manager Ms. Colleen Cahill William H. Crowley Current Owner, 50 nqR R 62 Old Stage Rd. , Centerville, MA 02632-3177 15 May 2 0 0.0 Ms . Donna Z . Miorandi , RS � } 0 Health Inspector - fCEf�' 1 Town of .Barnstable Department of health, Safety & MAY 1 7 2000 Environmental Services 367 Main St. , TOWN OF RARNSTABLE HEALTH CEPT. Hyannis , MA 02601: �} Dear Ms . Miorandi : / It is now three weeks since my initial vist to your office to discuss my problems resulting from a Septic System installation at 50 Old Stage Rd. It is also two weeks since my letter to you of 1 May 2000 referencing the problem. As of this date there has been no action by your office or by the contractor. In the business world, and ther.:Town of Barnstable' s Govermenttis certainly a business enity, it is common business courtesy to acknowledge written communication, either in writing or by a personal visit or telephone communication. To date I have not been the recepient of one of those. I don' t intend in this letter to repeat the concern,s. ads�:r.essed in my letter to you of 1 May 2000 . It is self explanatory 'dnd certainly deserves some form of explanation. Since I wrote you I have visited with th9�new owner of the property who informed me it is not his responsibilty to correct the problem. My question to you then`who is responsible? The current rain storms of Wednesday had only compoundel the problem of run-off . May I please have your explanation of your position regarding this problem at your earliAt convenience. My patience is wearing thin and as a taxpayer in the Town I am a customer of the Town' s services and deserve a reply to my complaint. If you had a. complaint regarding poor service from one of the utilities you certainly would expect a prompt reply. Sincerely yours, .William H. . Crowley c. Peter J Ra"mdndi III, Escruire, Attorney-at-Law Barnstable . Town Manager - 62 Old Stage Rd. , Centerville, MA 02632-3177 4 May 2001 Mr. Thomas A. McKean,RS,CHO RECEIVED Director of Public Health Town of Barnstable, 7 2001 P.O. Box 534 , MAY Hyannis, MA 02601 70WH�LTH DEPTHU`c Dear Sir: Please refer to my last correspondence to you of 30 June 2000 , specifically paragraph five as it relate to grading. I have solicited the advice of two professional septic system installers and both have advised me that it appears that the grading that was performed at the time of the septic system installation is in violation of existing regulations. I am, therefore, initiating this action for the necessary correction to the problem. To refresh your memory. During the winter of 1999/2000 , ,. while I was absent from the State, the property adjacent to mine, # 50 Old Stage Rd. , installed a septic system in the front of that property—Prior to that there was an even grade of thirty eight feet from each structure to the property line for a total of seventy six feet of even grade. When the system was installed and then mounded the grade on that property was raised five feet above the original . The slope from the mounding terminates exactly on the property line. The water andl.snow runoff is directed`::. right onto my property and consequently onto two of my Azalea trees that were brought out of China several years ago. `:'Suffice to say there is a distinct possibility that both will suffer permanent damage. Further, both gentlemen that inspected construction stated that adjourning towns would have required a retaining wall for such an installation. It is apparent that this should be the case here. May I have your assistance in resolving this matter at your earliest convenience. Sincerely, William H. Crowley ( 508 ) 775-6171 c. Royden C. Richardson Town"Buildingc.,.Inspector Town Engineer 62 Old Stage Road, Centerville, MA 02632-3177 30 June 2000 Mr. Thomas A. McKean,RS,CHO Director of Public Health Department of Health, Safety, and Environmental Services Public.Aieal•th'-.D vision Town of Barnstable P.O. Box 534 , Hyannis, MA 02601' - Dear Sir: I am in receipt of yours letter( s) dated 22 May 2000 . I apologize for not acknowledging s000ner but circumstances prevented my doing so. I do want to express my thanks for the time and effort taken from your busy schedule to write me regarding the problem. At the same time I question the inability of Ms. Miorandi to extend to me the same courtesies. Responsibilities differ from person to -person. Action was taken by the Bortolttti Construction Company as you stated in your letter:. The topsoil has been stabilized and the hay bails are still in place, ad infi.nitum. The present owner of that property has never taken any effort to water the grass seedings so this now becomes my problem, not the Town' s. I have been informed that the difference in grade cannot exceed 45° , if this is correct then it will be a continuing problem area that may, or may not, involve the Town. Perhaps you might enlighten me regarding this aspect. In any event, thanks again not only for your letter but also for the cooperation you extended to me at my visit to your office. You should be commended for your dedication and interest to a Taxpayer ' s problem. Sincerely, 9/4 A, . William H. Crowley 775-6171 c. Town Manager Op THE ram, Town of Barnstable Regulatory Services + saxtvseABM ,,,A&S. Thomas F. Geiler,Director 039. �0 plEo �A Public Health Division Thomas McKean, Director 367 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 7, 2001 Mr. Robert Bortolotti Bortolotti Construction Co. P.O. Box 704 Marstons, Mills, MA 02648 ORDER TO CORRECT VIOLATION OF TITLE 5, SECTION 310 CMR 15.255 The septic system constructed by you on March 30, 2000, located at 50 Old Stage Road Centerville, was installed in violation of 310 CMR 15.255. Specifically the toe of the bank is located within five (5) feet of the adjacent property line. You are directed to construct a swale or other drainage system directing runoff away from the adjacent property within forty-five (45) days of your receipt of this order letter. You may request a hearing if written petition requesting same is received by the Board of Health within seven(7) days of receipt of this letter. PER ORDER OF THE BOARD OF HEALTH CC Colleen F.Cahill 62 Old Stage Road, Centerville, MA 02632-3177 15 August 2001 Mr. Thomas A. McKean Director of Public Health Town of Barnstable, P.O. Box 534 , Hyannis, MA 02601 Dear Sir: Would you be so kind as to advise me of the status of .,my complaint to your office as fully explained in my letter to you of 4 May 2001. It is now over three months without a reply. Sometime in May, 2001 , Mr. Glen Harrington, RS, from your office visited my premises and discussed the matter with me. He took several pictures and informed me that it appears that the final gradingg of the construction on the lot next to mine violates the existing code as it does not allow for the separation between property lines as outlined in the code. I believe that responsibility for this occurance fully lies with the Town of Barnstable as a representative from your office was responsible for signing off on the completed construction. I would certainly appreciate this matter being resolved without the necessity of legal assistance which would result in untold costs to both parties. May I have your cooperation and ass '�tance in resolving this ma tter at your earliest .convenience. . Sincerely, William H. Crowley ( 508 ) 775-6171 C. Royden C. Richarson 0 " 62 Old Stage Rd. , i ( V Centerville, _ 0 MA 02632-3177 4 May 2001 Mr. Thomas A. McKean,RS,CHO RECEIVED Director of Public Health Town of Barnstable, MAY 7 2001 P.O. Box 534 , Hyannis , MA 02601 TOWHOF L�'�DEP7. Jy` Dear Sir: Please refer to my last correspondence to you of 30 June 2000 , specifically paragraph five as it relate to grading. I have solicited the advice of two professional septic system installers and both have advised me that it appears that the grading that was performed at the time of the septic system installation is in violation of existing regulations . I am, therefore, initiating this action for the necessary correction to the problem. To refresh your memory. During the winter of 1999/2000 , while I was absent from the State, the property adjacent to mine, 50 Old Stage Rd. , installed a septic system in the front of that property. Prior to that there was an even grade of thirty eight feet from each structure to the property line for a total of seventy six feet of even grade. When the system was installed and then mounded the grade on that property was raised five feet above the original . The slope from the mounding terminates exactly on the property line. The water and snow runoff is directed right onto my property and consequently onto two of my Azalea trees that were brought out of China several years ago. Suffice to say there is a distinct possibility that both will suffer permanent damage. Further, both gentlemen that inspected construction stated that a9journing towns would have required a retaining wall for such an installation. It is apparent that this should be the case here. May I have your assistance in resolving this matter at your earliest convenience . Sincerely, William H. Crowley ( 508 ) 775-6171 c. Royden C. Richardson Town Building Inspector Town Engineer THE Tq,. The Town of Barnstable SZAB . = Office of Town Manager MAss. o 3,t A�� 367 Main Street, Hyannis MA 02601 Office: 508-862-4610 John C.Klimm,Town Manager Fax: 508-790-6226 Joellen J. Daley,Assistant Town Manager MEMORANDUM TO: Tom McKea , Board of Health FR: Jo len J ey Assistant Town Manager DT: August 1 , 2001 RE: Letter from William Crowley Attached is a copy of a letter you recently received from William Crowley. Please provide me with a copy of the response to this letter, as I am interested in knowing how you plan to address the issue. If you have any questions;please let me know. Thank you. JJD:Imb Enclosure 1 Town of Barnstable Department of Health, Safety,and Environmental Services Public Health Division P.O. Box 534, Hyannis MA 02601 * BARNSTABLE, 9 MASS. i639 01 iOtFp A Thomas A.McKean,RS,CHO F/ Director of Public Health August 15, 2001 Mr. William Crowley 62 Old Stage Road Centerville, Ma 02632 Dear Mr. Crowley: In response to your letter, I am writing to provide you an update in regards to the alleged drainage problems at your property located at 62 Old Stage Road Centerville. Please recall that after your initial complaint more than a year ago, Health Inspector Donna Miorandi ordered Bortolotti Construction Company to stabilize the bank. The Foreman John Norman and his staff went to the site and placed hay bales on the bank temporarily in an effort to stabilize the topsoil while waiting for the new grass to grow-in. This Division had not received any additional complaints from you until approximately one year later on May 7, 2001. Also, the property at issue (62 Old Stage Road) was sold to another owner after your complaint. Immediately after receiving your second letter on May 7, 2001, Health Inspector Glen Harrington was instructed to view the site. Mr. Harrington took photographs and suggested the construction of either a retaining wall or swale to direct run-off away from the fill area. He also indicated to me that it appeared as though the rain run-off from the adjacent road and sidewalk area may be significantly adding to the problem. Since that time, the following actions were taken: • I contacted Mr. Robert Smith, Esquire of the Town of Barnstable Legal Department to request information relative to your neighbor's responsibility in view of the fact that the property had been transferred to another owner before the complaint was received. • On August 7, 2001, a certified order letter was mailed to Robert Bortolotti, owner of Bortolotti Construction Company, to address the drainage originating from 50 Old Stage Road within forty-five days. crowley/wp/q/ls I • On August 13, 2001, Mr. Bortolotti submitted a letter requesting a hearing before the Board of Health. A hearing will be scheduled to be held on Tuesday September 11, 2001 at 7:00 p.m.. • On August 7th and August 14`h I have been in communications with Mr. Stephen Seymour, P.E., of the Town of Barnstable Engineering Division regarding the road and sidewalk drainage problem. Mr. Seymour stated he will view the site and will provide recommendations for improvements to his Supervisor. If you should have any questions, youy may telephone me at 508 862-4644. You are also welcome to attend the Board of Health hearing on September I I'h Sincerely yours, Thomas McKean Director of Public Health crowley/wp/q/ls FZHET�ti Town of Barnstable sexr,srns Department of Health, Safety, and Environmental Services y MA,%. $ `b 1639' Public Health Division ATfD MA'1 A 367 Main Street, Hyannis MA 02601 FAXDate: 2 z U Number of pages to follow: 3 To: From: Phone: Phone: 508-862-4644 Fax phone: . Z f-?s Fax phone: 508-790-6304 cc- REMARKS: Urgent For your review Reply ASAP Please comment oFTME Ta,, Town of Barnstable Regulatory Services snxxsTABLE. MASS. Thomas F.Geiler,Director 16;9. �0 Public Health Division Thomas McKean,Director 367 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 December 14, 2000 Mr. William H. Crowley 62 Old Stage Road Centerville, MA 02601 Dear Mr. Crowley, I am in receipt of you letter dated December 9, 2000. It is true that it is the homeowner's responsibility to contact an asbestos abatement company to remove the asbestos and to transport the asbestos. The regional office of the Massachusetts DEP will inform you of who will transport the asbestos and where to bring. You may call (508) 946-2700. I will contact Mr. Paul Dauphinee, plumber, by telephone today to advise him about the proper procedures for such work in the future. b Sincerely yours, o as McKean R.S., CHO 62 Old Stage Road, Centerville, MA 02632-3177 9 ISecember 2000 Mr. Thomas A. McKean, RS,CHO Director of Public Health Department of Health, Safety and Environmental Services Public Health Division Town of Barnstable P.O. Box 534 , Hyannis , MA 02601 Dear Sir: Contemplating converting my heating system from oil to gas I answered an advertisement mailing from the Colonial Gas Company in October of this year. Subsequently I was contacted by the Gas Company who advised me that the Plumbing and heating contractor h-.'�theyarea that was their prime contractor for this work was Allset Plumbing&heating, 80� Evans St. , Osterville, MA. I contacted a Mr. Paul Dauphinee at the telephone number provided by the Gas Company and arranged for him to visit my premises and provide with a quote for the work to be performed. Mr. Dauphinee visited my premises to inspect the old boiler and the work to be performed shortly after. Mr. Dauphinee conducted a thorough inspection of my•eexist ng boiler and on 27 October 2000 provided me with an estimate that, if accepted by me, was also- to be the contract between both parties. On 1 November 2000 I sent a personal check for $1500 to Mr. Dauphinee with a" copy of the signed, now a contract. The necessary equipment was delivered to my home -on 29 November and the -conversion -commenced. and -:was-._compl.et.ed_ 30_-November 2000 . I.,.-was:_away during this period and returned just prior to the the time the project was completed. Just prior to Mr. Dauphinee departing he mentioned that he had removed an asbestos envelo-PE that encased the boiler and .had place this material in a double trash bag. This was the first time asbestos or it ' s removal was ever-_-mentioned` to_me by Mr. Dauphinee. He also stated that he would arrange to remove the boiler for disposal once it was: in,spected. He said he would also call me that evening with thf. telephone _number:-.o.f_the: person who would remove the asbestos,-as ih,-L,,s removal was my responsibility, not his. Not hearing from Mr. Dauphinee/ as promised that evening.,the next day I called a few abatement companies off Cape who all stated that it was the responsibility of the heating contractor to arrange for the proper dispaosal of the asbestos . All warned me of the > possible contamination of my house by unlawfut. removal of the asbestos . ( 2 ) Now very concerned as a result of this information I too!-. it upon myself to remove the boiler from my basement and place it outside and also took the bag containing the asbestos outside and have placed it a covered trash barrel next to the boiler. They both sit there as of the date of this letter. Subsequent conversations and correspondence with Mr. Dauphinee has resulted in negative action on his part. He has informed me that this issue is totally my responsibility, not his , and further contact should be with his insurance company. At -the ..moment I am quite concerned that Mr. Dauphinee actions in the removal of the asbestos might be not only illegal but .. possibly caused contamination within my house. I am also concerned that similiar type work by-his Company might possibly violated current regulations concerning asbestos removal as well as endangering the occupants of those particular homes. I would appreciate any and all guidance that your office might provide that this hazardous material can be removed at the earliest opportunity. Mrs . Crowley..will be leaving Massachusetts on or around the. 5th of January 20�0`1 and that is only 3 plus weeks away. Thank you for your kind attention to this matter. Sincerely, William H. Crowley ( 508 ) 775-6171 Health Complaints 20-Dec-00 Time: 1:45:00 PM Date: 12/20/00 Complaint Number: 2644 Referred To: GLEN HARRINGTON Taken By: GLEN HARRINGTON Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Number: 62 Street: OLD STAGE RD Village: CENTERVILLE Assessors Map-Parcel: 208-039 Complaint Description: BILL CROWLEY, OWNER OF 62 OLD STAGE RD, HAD A BOILER REMOVED THAT WAS COVERED WITH ASBESTOS. MR. CROWLEY'S TEL. # IS DEP CALLED TO SEE IF THE COMPLAINT WAS ALSO PLACED HERE AND IF THERE WAS ANY OTHER INFO. Actions Taken/Results: Investigation Date: Investigation Time: 1 6/9/2020 ShowAsbuilt(1653x2338) f>r TOWN OF BARNSTABLE / �. LOCATION f:.,t�iFAY!SB WAG eI --yG PILLAGE ASSESSOR'S MAPb LOT _ INSTALLER'S NAME b PHONE NO. c SUPTIC'TANK CAPACITY LEACIINDPACILITY:(i,Pelf�'k_'i;),'Al .5'c,'S(plze(_7) )OA 1O NO.OF BEDROOMS 3 .PRIVATE WELL OR PUBLIC.WATER BUILDER OR.OWNEA u�•��N'•, C1711, DATE PERMIT ISSUED: �.., ♦ DATE COMM,"CE ISSUED;,_ 1 VARIANCE'GRANTEA Yes.. ND v 7777-7 Tlliv r https:Hitsgldb.town.barnstable.ma.us:8431/Home/S howAsbuilt?mp=208039&sq=2 1/1 6/9/2020 ✓ `"` ShowAsbuilt(1653x2338) I. ION fSSESSOPS lY NO. PF D MIT NO. V, i L i.ri ysrrx�.EY,StifF.L1?4 --49 :l i.Afr'F � C�NTF_c'Ul��c i1;Sd A IE EO'S NAME 5 ADDRESS FJ�n_�_------- ___ U/YKMuGI BUILDER OR OWNER ((if i o.n H. 'd Etir z M: CROWA E y DATE PERM-II ISSUED 4 UF'hE C.OMP11.A.RC ISSUED u�.i OAa SI'AGa�f'b V /;J https:Hitsqldb.town.barnstable.ma.us:8431/Home/ShowAsbuiIt?mp=208039&sq=3 1/1 . .............. THE COMMONWEALTH OF MASSACHUSETTS J-- BOARD OF HEALTH/ �.. �'.............OF.....L. /� .h/S_ _ � / ' Appliration for 0hipmal Works Tonstrnr#iun rami# Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: ©........_......:�....�.......... ............................... ......... ' T=-2`' ................................... Locat' Address / or Lot No. �.. - ....... ............................................ -•---••-----------------------•-------....--•---................-•--------•-------------.......... Owner / Address � o:::. - _ ; .T......................................... ....... �ke- Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — a YP g -------------•-------------- P � ) Cafeteria ( ) dOther fixtures .-------•-----•-----•-••---.....--•-•----•--------------•--••----•---------•-•--•--•--- .............................................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width........_....... Diameter................ Depth................ x Disposal Trench—No. .................... Width.............._..... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,.� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ -----------------------------------•------------.•.......----------.......-•----•-----•---------•---......................................................... 0 Description of Soil.........................................................=-•-•---•-•-------•--••----------------------•-------------•-----------------------------------•••-•-----.•---- W V ....--•-----•---------------------•-------•-----•-•-•-----------•-•-•-•••-•----•--........---••-----•--•--••------•--------•----•-•-•---•-------•-•--•---------••----•--•-•--•......--••-----•--•----_.. W UNature of Repairs or Alterations—Answer when appl'cable..Vie' ..:�g.�►C � T T/ •-:-- •----------- --- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal,System in accordance with the provisions of iITL% 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. - Signe . .... .... Date Application Approved By........... _..__. .. -... ........../--- Date Application Disapproved for the following reasons:..................--------------------•----------•-----............----•-............•----- ....._-_._.__ --.......-•------------------•-------••-----------------•------------......_..---.......--•••-----.....--I----.......__.....-------•-----•-•---•---•----------•--•-------•------•-----------•----•--_.... Date PermitNo.. ._I D -------------------- Issued....................................................... Date No.p.. . THE COMMONWEALTH OF MASSACHUSETTS �-- BOARD OF HEALTH Allp iration for Disposal Works Tonstruriion ramie Application is hereby made for a Permit to Construct ( ) or Repair �an Individual Sewage Disposal System at: ! '.:) G...................................... ------. .'�:�.::..:«'� ::......-•......•....................... _ ...... ... ........ ..... ........... Loc on-Address or Lot No. Owner Address s c Installer Address � feet Type of Building Size Lot...........................S Dwelling—No. of Bedrooms......3......•...........................Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) G4 Other fixtures ...................••--•---•--.... - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft, Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ pG ---------------------------------------------------- --•---•-•----•-----------.------------------ --••---.---------------------..._...--------- Descriptionof Soil..........................................................----------...-----------...---...---.......----------------•------------------•--.........•---•-...._.....--•• W V ....................... •••-----....•••--•-••-••--••---------•-•..._._...-•-•----•••-....••••-•................••-••••---•-...••--•------•--•••-----•-........-•••---••--•-••••..._............_......••- W UNature of Repairs or Alterations—Answer when app.icableG ! <?-�. ''�t......_T_..T!�_ �......................... ...................................................... --• ... ......--•-•---------------------------.........-----•---............................._......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I TLE 5 of the State Sanitary Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ... Date Application Approved B � .. - a,- c- - Date Application Disapproved for the following reasons:..........................................................................................................----_ ..............•-•--•----......---...----.........-------•---------............-----------....--....------.---•----------••--•-----•-------•--•-•-.....--•••••••--•-------••-•--•-•••---•----•••-•---•--•- � Date r PermitNo ........./.-�-�-- -----------•-•-•-•--•. Issued..-----•--•---•-•------•--.................--------•-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. , Tnr#if hate of TOMpliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired bY-•••-•....Z.- .% - - ................................. ...----....... ... (- ) - ...... (- - iy �- Installer _ _ ''�/� / has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..... ._ .`..�_ ... ...... dated.............................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................... .a .::. ......................... Inspector................... :.* ............................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD,OF HEALTH �/ u..�::......' /...................OF../�-v".•.'4'' •• , No.CI. .:...... Fjm.w...:................. Disposal oaks Tonu#rudiort f ami# Permission is hereby granted.. . .....:..................... ............. to Construct ( or Repair Mtn Individual S , age Disposal stem �_ at No................. ._.. .... - �. .'':. _...-- = G- r...... ...�` .........._.. .......... Street as shown on the application for Disposal Works Construction Permit N ..A:A - Dated.......................................... --•-•---•-------••-•-•• --t-•• -- -- •.....-••-.....-••-----•.............._ L. ,r — � Board of Health DATE..............1... ... 5....- ••�-••--•--•............ - FORM 1255 A. M. SULKIN, INC.. BOSTON TOWN OF BARNSTABLE e 1: CATIGN7 Q,57 gG►� SEWAGE # G —� 3 VILLAGE Cr NTF_�2 v/ /� ASSESSOR'S MAP St LOT INSTALLER'S NAME & PHONE NO.All t/f SEPTIC TANK CAPACITY /�✓G!� � LEACHING FACILITY:(type)�/4r/ (sizeC-3) 3 Ox " o NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER /G///,c BUILDER OR. OWNER DATE PERMIT.ISSUED: y s ZZ , DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t - 7NL . ASSESSORS MAP NO: �,o 9 E PE RMIT NQ. s 9 aTf'W 51_wdARCEL N�.: I H S T A l LfR'S NAME ADDRESS ----F DA T E P E R M I F ISSUED DAT E C 0 M P L I A N C E ISSUEU �� Opp STq�r /2h f 1 I pr2,,ryDann i ae i� to Ll f, �, ,AWN � crss�o®t �pP 6Ur'(fLluilm i � �r`� NOTES LEGEND SYSTEM PROFILE 1. DATUM IS NA 8 ��. equaquet ALL SYSTEM COMPONENTS SHALL BE , c Luke 99- EXISTING CONTOUR (NOT TO SCALE) MARKED WITH MAGNETIC TAPE OR 2. MUNICIPAL WATER IS EXISTING COMPARABLE MEANS FOR FUTURE LOCATION. TOP OF WALL 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Q\�e X 99•� EXIST. SPOT ELEV. PROVIDE H-20 CAST IRON COVERS TO GRADE AT EL 27.4 ` TOP FOUND. EL. 28.7' �Pa a ti 99 PROPOSED CONTOUR q 2% SLOPE 4. DESIGM LOADING FOR ALL PROPOSED PRECAST UNITS -� 26.5 26 5 FILTER FABRIC CAP STONE UNITS TO BE AASHO H-1(� c�eO o�sh J� [98.4 � - -PROPOSED SPOT EL. MINIMUM .75' OF COVER OVER PRECAST 27.6' TOP 2 6.9 3' 1/2" x 5 1/4" PRECAST H-20 ZABEL 27.7' FINISHED GRADE- 4" LOAM & SEED 5. PIPE JOINTS TO BE MADE WATERTIGHT. TH1 ' RISERS TYP. Fiberglass ( ) INSPECTION PORT Pins 2'o FILTER 4"OSCH40 PVC / \ \ Route 28 TEST HOLE 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH ,.: .„ 6" MIN. SUMP PIPES LEVEL 1ST 2' CLEAN FILL 310 CMR 15.000 (TITLE 5.) 12" MIN. INT. DIM. p d Syl io la POS ��e5 2% SLOPE OF GROUND 2Q,5'* FC: 2" SCH 40 PVC 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO Flier 10" 1500 GAL H-20 14" .y ,, R 0 19.72' TEE SEPTIC TANK TEE PROPOSED EE a' PERFORATED PVC 3.a' O.C. S=0.005-� ° BE USED FOR LOT LINE STAKING OR ANY OTHER UTILITY POLE 19.47 loon GAL. H-20 S = 0.005 SLOPE BACK ° 6"DEPTH X PURPOSE, o �9 MONOPOUR �9 46 PUMP CHAMBER TO PUMP CHAMBER °°°o°°°°°°°o WATERTEST D'BOX 3/4"-1-1/2" DOUBLE WASHED WATERPROOF/WATERTIGHT (SEE DETAIL) °°°°°°°°°°°° o MIN BELOW INV. o FIRE HYDRANT ZABEL FILER (A100) ° ° °�° FOR LEVELNESS 8" STONE LEACHING FIELD D " y� 4' LIQ. LEVEL (ACME OR EQUAL OUTLET TEE W/EXTENSION 26.83' 26.66' 26.6'I ° 26.45' 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. LEVEL BOTTOM o rn NOTE NOT ALL SYMBOLS MAY APPEAR IN DRAWING % " a to �,., ° :,..• •=` .;.�> •• .:•:• .:.:..,... .• . _� • 9-COMPONENTS NOT TO BE BACKFILLED OR CONCEALED Locus 0 °°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°` WITHOUT INSPECTION BY BOARD OF HEALTH AND 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 `�O\� °°°°°°°^°"°^°'?^°^°°°°°°° °°°° ° o 30.0' PERMISSION OBTAINED FROM BOARD OF HEALTH. ( 0 0 ° 0 0 0 0 0 0 0 0 0 0 0 0 0 ° O o,°,o°o°o°o°o°°°o°o°°°o°o°o°o°o°o°o NOTE: TWO PIPES EXIT ^ °-°�°�°^°^°^°�°�°�°�°-°-° ^' o FOUNDATION CONNECT BOTH 6" CRUSHED STONE OR MECHANICAL 25.95' 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING *THE INSTALLER SHALL VERIFY THE INTO NEW SEPTIC TANK COMPACTION. (15.221 [2]) DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATIONS OF ALL UTILITIES AND ALL 5.0' y LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES BUILDING SEWER OUTLETS AND 2 % SLOPE MIN. 1PRIOR TO COMMENCEMENT OF WORK. ( ) ( 7 SLOPE) ( 1 % SLOPE) LOCUS MAP ELEVATIONS PRIOR TO INSTALLING ANY LOW PROFILE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE PORTION OF SEPTIC SYSTEM FOUNDATION 39' SEPTIC TANK 1' PUMP CHAMBER 40' D' BOX 8' LEACHING GROUNDWATER ADJUSTED EL. 20.95' REMOVED BENEATH AND 5' AROUND THE PROPOSED SCALE 1"=2000'± 31 '� FACILITY LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND ASSESSORS MAP 208 PARCEL 39 SYSTEM DESIGN: REMOVED 13. ALL TANK BOOTS AND OR PIPE JOINTS ARE TO BE GARBAGE DISPOSER IS NOT ALLOWED SEALED 4"ATH HYDRAULIC CEMENT OR INSTALLED WITH WATERTIGHT SLEEVES. TANKS MUST BE WATERTIGHT. DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD 24"0 CAST IRON 14. ACCESS FOR ROUTINE MAINTENANCE MUST BE PROVIDED FOR ZABEL FILTER. INSTALLER MUST FOLLOW USE A 330 GPD DESIGN FLOW COVERS TO GRADE MANUFACTURER'S SPECIFICATIONS FOR PROPER FILTER ALARM AND CONTROL PANEL INSTALLATION, INSTRUCT OWNER ON MAINTENANCE. SEPTIC TANK: 330 GPD 2 660 BUOYANCY CALLS: TO BE INSTALLED INSIDE ( ) - PROVIDE QUICK DISCONNECT FOR PUMP H-20 1500 GAL. ST WEIGHS 21,230 LBS PLUS SOIL WEIGHT BUILDING. ALARM TO BE ON 15. INSTALLER TO VERIFY THE ELECTRICAL SYSTEM IS USE 1,500 ;GALLON SEPTIC TANK & 1,000 GALLON 6.0' x 11.0' x 5.53' x 110.0 = 41,147 LBS SEPARATE CIRCUIT FROM PUMP SUITABLE FOR PUMP CONNECTION PRIOR TO ORDERING PUMP CHAMBER 6.0' x 110' x 6.17' x 62.4 = 25,410 LBS UP (OK) PUMPS. ELECTRICAL PERMIT REQUIRED. LEACHING: 26.5 16. SHORING AND DEWATERING MAY BE REQUIRED FOR � PUMP IN:�TALLATION. i i H-20 1000 GAL. PC WEIGHS 14,500 LBS �PLUS SOIL WEIGHT �����;,,��,; �;�,��>;�,���;;�,;�,;�;,�� ,;��,;�� ��,;�>,��� 330 GPD / (.74) = 446 SF REQUIRED 6.0 x 9.0 x 5.79 x 110.0 = 34,392 LBS L- POINTS 15' X 30' = 450 SF INV. IN 19.46 NO LOW OK 6.0' x 9.0' x 5.25' X 62.4 = 17,690 LBS UP (OK) 1000 GAL. H-20 S 2" PRESSURE LINE POIN 450 SF X .74 = 333 GPD OK USE A 15' X 30' PIPE AND STONE LEACHING FIELD PROPOSED ADDITIONAL WEIGHT OF SOIL OVER TANKS ALARM ON 330 GAL.+ SLOPE TO DRAIN BACK TO PC SUITABLE 1-0 MEET BUOYANCY WEIGHT REQUIREMENTS FLOAT SWITCH RESERVE SETTINGS: PUMP ON 0. CHECK VALVE WEEP HOLES VARIANCES REQUESTED UNDER MAX. FEASIBLE COMPLIANCE 15.405: TEST HOLE LOGS 5" WORKING RANGE `3 MYERS SRM 4 1 B: SEPTIC TANKS TO BE > 3' BUT < 6' BELOW GRADE H-20 `3" SUBMERSIBLE 4 10 HP PUMP PROVIDED PUMP OFF 14" SYSTEM SUBMERSIBLE EQUAL) ENGINEER: DANIEL E. GONSALVES, SE #13587 MA 1J: REDUCTION OF THE REQUIREMENT OF A 12 INCH SEPARATION DAVID S (BARNSTABLE) APPROVED DATE BOARD OF HEALTH o0 00o c--0000 0 0 000o BETWEEN THE INLET AND OUTLET TEES AND HIGH GROUNDWATER. 0" WITNESS: STANTON,' PUMP I CHAMBER REQUESTED BOOTS PROVIDED. 8/27/19 DATE: (NOT TO SCALE) PERC. RATE _ < 2 MIN/INCH MONOPOUR WATERPROOF/WATERTIGHT CLASS I SOILS P# 19-122 27 ELEV. ELEV. 2� 0" 4 22.8' o, 4 22.8' - 2% MIN. SLOPE OVER SYSTEM NCHMAR ( c 4" LOAM & SEED ■ �� CO CREL. 24. ' UND \ CAP STONE UNITS 6" 6" A I/ 1/2" x 5 1/4" B B it _sl1=- /LS / /LS X COVER -III-II_ Fiberglass N� X 25 9" ==1=III-_ III=11-_ Pins 1 OYR 5/6 1 OYR 5/6 28" 20.5' 24" 20.8' AS 5'MIN. {' 1 1 GRAVEL � PEASTONE D C C _ - - _�22 DRIVE 2� COARSE SAND BACKFILL AGAINST SL SL x [22] I PROVIDE 122' OF 40 MIL LINER AT 5' WALL D G J 0 AS IN AREA SHOWN. TOP AT 40 MIL LINER FROM TOP PEASTONE/WALL A /2.5Y 5/1 2.5Y 5/1 - J ELEV 26.9', BOTTOM AT EL. 22.9't TO 12" BELOW GRADE vr''i 56" / 18.1 ' S2" 18.5' 11 [23] KEYSTONE OR EQUAL RETAINING WALL UNITS n C/O 18"X8" SET WITH 1" BATTER PER ROW �^ DEC (r( )r\ O O O O FIBERGLASS PINS REQ. a ^' C2 C2 O � ' UNSUITABLE �- O 6"X30" Crushed Rock or SIEVEZ 1-'0 -1 Unreinforced Concrete M/CS M/CS SOIL O EXISTING 6.3 J I - Leveling Pad req. w- -`� DWELLING I ; ;� w 5' RE AL OF UN U TABLE SOIL REQUI ED GROUNDWATER ADJ. DATA: / / TOF = 28.7 I �� AROUND RIMETE F LEACHING FACILI WELL: MIW 29 , 2.5Y 6 4 2.5Y 6 4 w 9_ o 1 _ _ _ , , ; , , , , DOWN TO ITABL OIL LAYER. REPLACE R E TA I N I N C� WALL C R 0 S S S E C TI O N � �g /, I I I ' 1 WITH CLEAN ED. A TO MEET ZONE: D 102" 13.8' 102" 13,8' 27 o i1_ I i SPECIFICATION 310 R 15.255(3) NOT TO SCALE ADJUSTMENT: 2.0 (AUGUST) �H GROUNDWATER ENCOUNTERED AT 57" EL. 18.05 U� ,- 29 III 1 ' 0 I ' , iv 23 -- I Ip 10.0 MAP 208 PCL 39 N� � 9,915± S.F. ' » �� ( 20 _ TITLE N86' I 252 E o � C O 1170 w 15 OPERATI G PCINT 0 r 28 ly Z 13 TDH 62 OLD STAG' 2 10 -j C E N T S rrml"'V I L L E= M A 5 PREPARED FOR r 0 25 50 75 100 GREG & TINA STOINNE N 4- CAPACITY - GPM PUMP CURVE FOR MYERS SRM4 4/10 HP PUMP DATE: OCTOBER 10, 2019 Scale: 1"= 20' 0 10 20 30 40 50 FEET J fax 508-362-9880 )AFL �,'., downcape.com CIVIL OJA[A dOW11 CdPe ell iftP.P.fh7f MC. Ioa 0F f: civil engineers P land surveyors 939 Main Street ( R to 6A) DCE #01-250 DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 01-250 CROWLEY.DWG