Loading...
HomeMy WebLinkAbout0015 PINEY POINT DRIVE - Health 15 Piney Point Drive Centerville A = 228 155 o. 4210 113 ORA I n col if 0 m NEW=" 10% TOWN OF BARNSTABLE / LOCATION n t brEWAGE# o� (p.v l� VILLAG ASSESSOR'S MAP&PARCEL INSTALLER'S NAY PHONE NO.R' U� SE ©�TU, APAC Y LEACHING FACILITY:(typeip) s " size) NO.OF BEDROOMS per As rVI F-car per i 02 2 ?. OWNE -F PERMIT DATE: q - I� 1 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Note. I)r&/, and C►�at,n{�ry )ocq#iov) p�eaye, r-k(- 4-o Pew r n't oz-ZS 7 Fro► r as feu i I+-cord 41 AI -- ►3' o'' TOWN OF BARNSTABL.E LOCATION /� el/ !i 1/ 6 '` d SEWAGE # VILLAGE G N%/ / ASSESSOR'S MAP & LOT c�o INSTALLER'S NAME&PHONE NO. IeO / 4- 50 7������ SEPTIC TANK CAPACITY a LEACHING FACILITY: (type)aZ L- 6— (size) C d' NO. OF BEDROOMS 3 BUILDER OR OWNER OtPl PERMIT DATE: 7"�?—6 a'L COMPLIANCE DATE:,0�1�-O Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist ` within 300 feet of leaching facility) `�6�-�° ve b Feet Furnished by ®Gy f � � � �� s� �� a �i �/ ' 7� ��/ No. f M Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF_BARNSTABLE, MASSACHUSETTS Yes appliLation for Disposal 6pstem ColiBtCUttion permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. I( �sI'1ocwTJ��IYF CG-'x�LR �n"�n�S 5 O�essor s ap arcel g— S� In 11 r'sName,Address, d Tel.No. Designer's Name,Addres ,and Tel.No. Type of Building: A / Dwelling No.of Bedrooms /v Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Ali gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil X Nature of Repairs or Alterations(Answer when applicable) G O✓G W&O GaJL S ZP 17/1 XuK F01Z Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envir pmental Code an fiot to place the system in operation until a Certificate of Compliance has been issued by this Board of e Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ® � '" Date Issued i+ i Fee 1 lV �. No. I iYes THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ,ja application for M, ispl sal 6pstetn Construction 30erinit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ,56 Itystallerame ddress, d Tel.No. Designer's Name,Address,and Tel.No. Type of Building: /^ Dwelling No.of Bedrooms /v r ' Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 4 '. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpdr?i Design flow provided A- gpd Plan Date Number of s eets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) CAL IT C I j,1 K F6 Iz 4 oo r/v�L Q `� V Date last inspected: { Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envi ental Code and-not to place the system in operation until a Certificate of Compliance has been issued by this Board of Signed Date Application Approved by .r'" f4ua Date /7 v Application Disap o Ved by Date X- for the following reasons Permit No. go � � �� � Date Issued THE COMMONWEALTH OF MASSACHUSETTS 1 BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )bya1- ' at l �` P/risks Po t A r a4e � C.C9''r 1//'� has been constructed in accordance with the provisions of At and the for Disposal System Construction Permit No;G/7 + dated Installer Designer rryy #bedrooms Approved design flow- AJ gpd The issuance of this permit sha 1 n by/onstrued as a guarantee that the system will fund on as designed. Date 1 / �� / Inspector ----------------------------i--------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstern Construction Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at / S 1� ( 1-'U1 Pr )/�/Y[ CC X/VAY141," and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:9ppstrutcttioon must be completed within three years of the date of this permit.✓ f2 ` Date f t b Approved by I Town of Barnstable Regulatory Services Richard V. Scali,Interim Director BAMSTAELL MASS. Public Health Division �'�enr•�� Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: .50.8-790-6304 Installer & Designer Certification Form / Date: i 1`2 2-13 Sewage Permit# zVI� _Assessor's Map\Parcel 2� I I - Designer: SC Er-),9ine-rind -_-roc. Installer:R l 1 rayuU 10n Address: 2SSLi Gren\oefry. ili�iinu r Address: 1 ,Q" Ro LasF u�are.1tTu��n i N,� 6253 rtaa aHAAW4W On _ -1 was issued a permit to install a (date) (�(111stall�r) septic system at based on a design drawn by (address) -SC C=o fir}ee.f L*o Ivic dated 26t 1� Q<J:3 - (designer) w1 certify that the septic k referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was 'inspected and the soils were found satisfactory. I certify that the septic system referenced above. was installed with major changes (i.e.. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed ii iance with the terms of the approval letters(if applicable) \jx OF kas Ac�,a`cP. SgeyG JOHN L CHURCHILL JR (Inst er's, i nat CIVIL 41 (Designer's Sign, re) (Affix De i p Here) P EASE RETUR T TO BARNSTABLE PUBLIC HEALTH D SION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION:. THANK YOU. QASeptic\Designer Certification Form Rev 8-14-13.doc t F r Town of Barnstable Barnstable IKE o �. Board of Health jedcaCfty anruvsraBLE. f 9 M039. ASSo MAt 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508 790 6304 Paul Ca nniff D.M.D. Junichi Sawayanagi February 22, 2016 Mr. Michael Pimentel JC Engineering, Inc. 2854 Cranberry Highway East Wareham, MA 02538 RE: 15 Piney Point Drive, Centerville A = 193-047 Dear Mr. Pimentel, You are granted variances on behalf of your clients, James C. and Kathleen C. Henry, to install a replacement.septic tank at 15 Piney Point Drive, Centerville. The variances granted are as follows: 310 CMR 15. 405: To install the septic tank 6.6 feet away from the existing foundation, in lieu of the minimum ten feet separation distance required. 310 CMR 15.405: To install the septic tank 7.9 feet away from the proposed foundation, in lieu of the minimum ten feet separation distance required. 310 CMR 15. 405: To install the septic tank 5.9 feet away from the property line, in lieu of the minimum ten feet separation distance required. 310 CMR 15. 405: To install the septic tank 6.5 feet away from the water service line, in lieu of the minimum ten feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install a septic tank 75 feet away from a wetland, in lieu of the 100 feet separation distance required. These variances are granted with the following conditions: Q:\WPFILES\PimentelHenry 15PineyPointDrCent Feb20l6.docx t t (1) The engineering plan shall be revised, eliminating the proposed future reserve area which is only approximately 50 feet away from the wetlands. (2) 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. (3) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (4) There shall be no habitable rooms constructed or maintained within the garage building. (5) The septic system shall be installed in strict accordance with the revised engineered plans. (6) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial,compliance with the revised engineered plans. This proposal involves the replacement of the septic tank. The septic tank will need to be replaced in order to allow for the construction of an addition, joining two habitable buildings on this lot. These variances are granted because the engineer designed the new septic tank installation location in the only area available to maximize the separation. distance to the wetlands, within the boundaries of this lot. Sincerely your , Wayne ill , M.D. Chairman QAWPFILESTimentelHenry 15PineyPointDrCent Feb20l6.docx i ���• Y -s.. , ' .mil. c� tME tq ( � DATE: �4 YV\ ji FEE: J MAse. s639. /�I(A,1f)� s REC. BY i -fLlJ4r�'tip �0� cCJlr`' Town of Barnstable SCHED. DATE: .2 IW Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 JunichiSawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 15 Piney Point Drive, Centerville, MA Assessor's Map and Parcel Number: Map 228,Parcel 155 Size of Lot:11.060+/-S.F. Wetlands Within 300 Ft. Yes x Business Name: No Subdivision Name: APPLICANT'S NAME: James C.&Kathleen C.Henry Phone Did the owner of the property authorize you to represent him or her? Yes x No F i PROPERTY OWNER'S NAME CONTACT PERSON Name: James C.&Kathleen C.Henry Name: Michael Pimentel,EIT,CSE Address: 115 Piney Point Drive,Centerville,MA Address: 2854 Cranberry Highway,East Wareham,MA 02538 Phone: Phone: 508-273-0377;Email: mpimentel@jcengineeringinc.com l VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) i See attached Appendix A See attached Appendix A NATURE OF WORK: House Addition House Renovation Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title. V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman F. NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC BATH CL. BEDROOM LIVING ROOM BEDROOM KITCHEN/ DINING ROOM BEDROOM BATH PINEY POINT DRIVE EXISTING FLOOR PLAN PREPARED BY: 15 PINEY POINT DRIVE JC ENGINEERING, INC. CENTERVILLE, MA 02632 2854 CRANBERRY HIGHWAY NOT TO SCALE EAST WAREHAM, MA 02538 (508)273-0377 pep JC ENGINEERING, Inc. Civil & Environmental Engineering ( A' 2854 Cranberry Highway East Wareham, Massachusetts 02538 Ph. 508-273-0377—Fax 508-273-0367 APPENDIX A Due to the physical constraints of the property,the following local upgrade approvals and local variances are requested. Local Upgrade Approval Request (new 1,500 gallon septic tank): In accordance with 310 CMR 15.401 - 15.405,the followinglocal ocal Lip grade gpprovals are requested from 310 CMR 15.211(1): (1.) A 3.4'waiver(10.0' - 6.6') for the setback from the new septic tank to the existing house foundation. (2.) A 2.P waiver(10.0'—7.9') for the setback from the new septic tank to the proposed house foundation. (3.) A 3.P waiver(10.0'—5.9') for the setback from the new septic tank to the front property line. (4.) A 3.5'waiver(10.0'—6.5') for the setback from the new septic tank to the existing water line. Local Variance Request (new 1,500 gallon septic tank): The following local variance is requested from Article 1, Section 360-1: (1.) A 25.0'variance (100.0'—75.0') for the setback from the new septic tank to the pond. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. 1 JC ENGINEERING, Inc. Civil & Environmental Engineering �np 2854 Cranberry Highway. ® East Wareham, Massachusetts 02538 Ph. 508-273-0377—Fax 508-273-0367 January 14, 2016 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 RE: Variance Request 15 Piney Point Road, Centerville, MA 02655 Dear Sirs and Madams: Please find enclosed a Site Plan located at 15 Piney Point Road, Centerville, MA, dated December 29, 2015 for your review and consideration for local upgrade approvals and a local variance request approval. This project involves the construction of a Family Room addition attached to two (2) existing residential dwellings (total of 3 bedrooms) located on an 11,060 square foot lot on Long Pond. It also involves the tear down and rebuild of an existing garage located on the premises. The existing septic system servicing the existing dwellings comprises a 1,500 gallon septic tank, a distribution box and two (2) 500 gallon leaching chambers located in the front of the property. This system was installed in 2002 based on the septic as-built card on file with the local Board of Health under permit#02-287. The Family Room addition is proposed to be located partially over the existing tank. Therefore, we are proposing to relocate the tank and move it away from the addition. However, due to extremely tight site constraints, we would be requesting the following Local Upgrade Approvals and Local Variances to allow for the installation of the new 1,500 gallon septic tank: Local Upgrade Approval Request(new 1,500 gallon septic tank): In accordance with 310 CMR 15.401 - 15.405, the followinglocal ocal upgrade approvals are requested from 310 CMR 15.211(1): (1.) A 3.4' waiver(10.0' - 6.6') for the setback from the new septic tank to the existing house foundation. (2.) A 2.F waiver(10.0'—7.9') for the setback from the new septic tank to the proposed house foundation. (3.) A 3.F waiver(1Off—5.9') for the setback from the new septic tank to the front property line. (4.) A 3.5' waiver (10.0'—6.51) for the setback from the new septic tank to the existing water line. I— r 15 Piney Point January 14, 2016 Page 2 Local Variance Request (new 1,500 gallon septic tank): The following local variance is requested from Article 1, Section 360-1: (1.) A 25.0' variance (100.0'—75.0') for the setback from the new septic tank to the pond. The Family Room will be used to provide additional habitable space as well as provide an easier passageway,between dwellings. No additional bedrooms are proposed under this project. The number of existing bedrooms (i.e. three) will remain the same. Based on our email correspondences with Tom McKean, we situated a reserve area on the property between the existing garage and the front property line as shown on the attached Site Plan. This is due to the various constraints on the property and its close proximity to Long Pond. We respectfully request approval for these Local Upgrade Approvals and Local Variances from the Board. We thank you in advance for your assistance and consideration on this matter. Sincerely, Michael Pimentel, EIT, CSE Enclosure BEDROOM CL. BATH EXISTING 3' DOOR OPENING LIVING ROOM BEDROOM EXISTING 3' DOOR OPENING KITCHEN/ DINING ROOM BEDROOM BATH PINEY POINT DRIVE EXISTING FLOOR PLAN PREPARED BY: 15PINEY POINT DRIVE JC ENGINEERING, INC. CENTERVILLE, MA 02632 2854 CRANBERRY HIGHWAY NOT TO SCALE EAST WAREHAM, MA 02538 (508)273-0377 BEDROOM CL. BATH EXISTING 3' DOOR OPENING PROPOSED FAMILY ROOM ADDITION LIVING ROOM BEDROOM PROPOSED 5' CASED OPENING KITCHEN/ DINING ROOM BEDROOM BATH , I PINEY POINT DRIVE PROPOSED FLOOR PREPARED BY: PLAN JC ENGINEERING, INC. 15 PINEY POINT DRIVE 2854 CRANBERRY HIGHWAY CENTERVILLE, MA 02632 EAST WAREHAM, MA 02538 NOT TO SCALE (508) 273-0377 JC ENGINEERING, Inc. Civil & Environmental Engineering / 2854 Cranberry Highway. 1 Z/cl w East Wareham, Massachusetts 02538 Ph. 508-273-0377—Fax 508-273-0367 � ter, A"j November 16, 2015 Town of Barnstable A,—lS ��Ct Board of Health 200 Main Street CPSNJ Hyannis, MA 02601 20i6 RE: Informal Discussion for a Variance Request 15 Piney Point Road, Centerville,MA 02655 Dear Sirs and Madams: Please find enclosed a Concept Plan located at 15 Piney Point Road, Centerville,MA, dated November 16, 2015 for your preliminary review and consideration under an informal discussion. This project involves the construction of a Family Room addition attached to two (2) existing residential dwellings(total of 3 bedrooms) located on an 11,060 square foot lot on Long Pond. It also involves the tear down and rebuild of an existing garage located on the premises. The . existing septic system servicing the existing-dwellings comprises a 1,500 gallon septic tank, a distribution box and two (2) 500 gallon leaching chambers located in the front of the property. This system was installed in 2002 based on the septic as-built card on file with-the local Board of Health under permit#02-287. The Family Room addition is proposed to be located partially over the existing tank. Therefore, we are proposing to relocate the tank and move it away from the addition. However, due to extremely tight site constraints, we would be requesting the following Local Upgrade Approvals and Local Variances to allow for the installation of the new 1,500 gallon septic tank: Local Upgrade Approval Request(new 1,500 gallon septic tank): In accordance with 310 CMR 15.401 - 15.405,the following local upgrade approvals are requested from 310 CMR 15.211(1): (L) A 3.4' waiver(10.0'- 6.6')for the setback from the new septic tank to the existing house foundation. (2.) A 3.4'waiver(10.0' - 6.6')for the setback from the new septic tank to the proposed house foundation. (3.) A 3.5'waiver(10.0' - 6..5') for the setback from the new septic tank to the front property line. Local Variance Request(new 1,500 gallon septic tank): The following local variance is requested from Article 1, Section 360-1: (L) A 26.3' variance(100.0' 73,T)for the setback from the new septic tank to the pond. zs NOTES: r ✓1.)PROPERTY IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT AND THE ESTUARINE •(. B WATERSHEDS. 2.)A PORTION OF THE EXISTING SEPTIC SYSTEM COMPONENTS SHOWN ON THIS PLAN ARE CONSIDERED gt ••i APPROXIMATE AND WERE BASED ON SEPTIC AS-BUILT CARD LOCUS _ ON FILE WITH THE TOWN OF BARNSTABLE BOARD OF HEALTH. SEE SEWAGE PERMIT M2.287 ON FILE. 4 ' • U.S.G.S.LOCUS MAP SCALE:11— NHESP �y MAP 228 EXISTINGDOCN / ��4P �. r/ !EJOETJLOT tea UP. 1 LONG POND s.Ri/� �l \ ` aQ- '/, P OWNER OF RECORD: EL=27Oi 28' _ JAMES C.&KATHLEEN C.HENRY (A GREAT POND) m� BT1Ne e<' S 15 PINEY POINT DRIVE 4R4 '. o / ,'.9EDRp.TM Q�Al CENTERVILLE,MA 02832 EILGARAGETOBERAZED p/ AyMhY 0 DWT:LLING J 0 / ' y5 - 3 REBUILT IN PLACE 4f 0 10 / ' TOF= b APPROXIMATE FLOOD ZONE LINE PER FEMA MAP BE R M e.u_J�@� c }�,�� <(/L' FEMA FLOOD ZONE: ( ) �� °��)� �4}"� x(K500):x(>500) PANEL 9250D1CDSSIJ DATED T-1614 / p!u •�A� $'' \ AS SHOWN ON COMMUNITY PANEL: p25001C0564J / y EXISTING—GAL. ASSESSOR'S MAP B LOT: �qy o l/ F ITS (TO REMAIN) LEACHING CHAMBERS PER .. 0�16. >} �y r.. sB'- p P S(TO REMAIN) MAP 228,LOT 155 li l 9�h AS-BUIL]'CARp(tl02.28]I odD / // (TO REMAIN) DEED REFERENCE: N10.43'40•E / MAP 228 7"' ry ,trn Y / ss3.1T+o'� ; / LOT 155 1 R1' O) �� a" PROPOSED 1,s00 DEED BOOK 22306,PAGE 86 e `C � / GAL.SEPTIC TANK 11,06Or IS 0 NHESP2E PRIORITY HABITATS OF 801g/ ' �nOP/: A o UGHi Q —EXISTING 1,50o PLAN REFERENCES: RARE SPECIES(APPRO%.LINE) .� N)S>22,2pw g o POST(T'3P•)8 GAL.SEPTIC TANK PLAN BOOK 114,PAGE 37 (/ (TO BE RELOCATED AS SHO`AN) IR MAP 228 a�SERV�AREA Q�UP. - CONCEPT PLAN LOT o01 p/oNO I J r� /' AT / '81 �W ePama 15 PINEY POINT DRIVE 3.5 U Pole lev.=A3so CENTERVILLE,MA 02655 ` .......... .. APP.,M.S.L. ` PREPARED FOR: JAMES C.&KATHLEEN C.HENRY 15 PINEY POINT DRIVE • CENTERVILLE,MA 02632 LOCAL UPGRADE APPROVAL REQUEST(SEPTIC TANK):' PREPARED BY: - IN ACCORDANCE WITH 310 CDR t5A01-t5A0.5,THE FOLLOWING LOCAL UPGRADE '(IL)A-WAIVALS ER(IREO TEDFROR 310 SETB 21 FROM JC ENGINEERING,INC. TNEIEXIS LNG HOUSE FOUNDATIONp THE SETBACK FROM THE NEW SEPTIC TANK TO 2854 CRANBERRY HIGHWAY 12.)A1A WAIVER I11a-BB)FORTHE6ETBACI(FROMTHENEWSEPTICTANKTO THE PROPOSED HOUSE FOUNDATION. EAST WAREHAM,MA 02538 (3.)A IS WAVER(10.V-8S)FOR THE SETBACK FROM THE NEW SEPTIC TANK TO THEFRONTPROPERIYLINE. LOCAL VARIANCE REQUEST(SEPTIC TANK): SCALE:V=20' DATE: NOVEMBER 16,2015 10 U 10 10 40 Bo THE FOLLWI ONG LOCAL VARIANCE IS REOUESTED FROM LE ARTIC t,SECTION3861:(1 J A 26.T VARIANCE(10o.0'-73.TI FOR THE SETBAfX FROM THE NEW SEPTC TANK TO THE POND. (IN FEET) JOBU231 i. 12/30/2015 AbutterReport Board of Health Abutter List for Map & Parcel(s): '228155' Direct abutters (no set distance) and the properties located across the street. Total Count: 5 -9 Close Map&Parcel 4wnerl Owner2 Ada Mailingressi Address 2 Country Deed C ityStateZip 228001 BROWN,ROBERT E TR STILLA HAMN TRUST 236 DALE ST WALTHAM,MA 15401/262 02451 228009 EBERLE,H BLAIR %HELLYER,TRAVIS& 170 CARL STREET SAN FRANCISCO, 26557/324 DOUGLAS,MEGHAN CA 94117 228010 GRIFFIN,KEVIN J& 49 HIGHLAND RD MERRIMAC,MA 22235/206 KYLE C 01860 228154 MOOS,RICHARD A& 23 PINEY POINT DR CENTERVILLE,MA 15326/23 SHAWNA L 02632 228155 HENRY,JAMES C& 58 M ONTCLAI RAVE — — ROSLINDALE,MA 22306/86 KATHLEEN C 02131 �J 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 12/30/2015. http://maps.townofbarnstable.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 1/1 JC ENGINEERING, Inc. Civil & Environmental Engineering �o0a {1 2854 Cranberry Highway East Wareham, Massachusetts 02538 Ph. 508-273-0377—Fax 508=273-0367 MEETING NOTICE Dear Abutter: You are hereby notified that there will be a public meeting on Tuesday, February 9, 2016 at 3:00 PM in the Hearing Room in the Barnstable Town Hall, which is located at 367 Main Street, Hyannis, MA 02601. This meeting is to present waiver and variance requests associated with a septic system tank relocation located at 15 Piney Point Drive, Centerville, MA, Massachusetts. Due to the physical constraints of the property, the following local upgrade approvals and variances are requested. Local Upgrade Approval Request (new 1,500 gallon septic tank): In accordance with 310 CMR 15.401 - 15.405 the following local upgrade approvals are requested from 310 CMR 15.211(1): (1.) A 3.4' waiver(10.0' - 6.6') for the setback from the new septic tank to the existing house foundation. (2.) A 2.l' waiver(10.0'—7.9') for the setback from the new septic tank to the proposed house foundation. (3.) A 3.F waiver(10.0'— 5.9') for the setback from the new septic tank to the front property line. (4.) A 3.5' waiver(10.0'— 6.5') for the setback from the new septic tank to the existing water line. Local Variance Request (new 1,500 gallon septic tank): The following local variance is requested from Article 1 Section 360-1 (l.) A 25.0' variance (100.0'—75.0') for the setback from the new septic tank to the pond. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. LETTER OF TRANSMITTAL JC Engineering Inc. Civil&Environmental Services 2854 Cranberry Highway ��4 ,p� Telephone: 508-273-0377 E.Wareham,MA 02538 e a Facsimile: 508-273-0367 TO: Town of Barnstable _ DATE: 01/12/16 JOB NO. 3231 Board of Health RE: BOH Variance Package 200 Main Street 15 Piney Point Drive Hyannis;MA 02601 _ _^ Centerville,MA 02632 WE ARE SENDING YOU: X Enclosed _ Under separate cover via X the following: Report Prints Brochures Shop Drawings Specifications Copy of Letter Change Order Forms Please find enclosed the following for your review and approval: 1.) four copies of an executed variance request form, 2.)four copies of a site plan dated January 12,2016, 3. a signed representation authorization letter, 4.) four labeled existing house floor plans, 5.)an executed 7-page check list, 6.)a check for$95 (variance request fee). THESE ARE TRANSMITTED as checked below: X For Approval —Resubmit Copies for Approval For Your Use _Approved as Noted Copies for Distribution As Requested Returned Approved as Submitted Returned For Review and Comment For Your Information REMARKS Should you have any questions,please feel free to contact our office. COPY TO: File, Silvia&Silvia SIGNED: Michael Pimentil, EIT, CSE James C. &Kathleen C. Henry 15 Piney Point Drive Centerville, MA 02632 December 28, 2015 Board of Health Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: Declaration of Authorization 15 Piney Point Drive, Centerville, MA 02632 Dear Members of the Board: Let it be known that we, James C. &Kathleen C. Henry(owners of 15 Piney Point Drive, Centerville, Massachusetts), do hereby authorize JC Engineering, Inc. of East Wareham, MA 02538 to represent our interests regarding the upgrade of the sewage disposal system located at 15 Piney Point Drive, Centerville, Massachusetts in meetings both.public and private. Sincerely, James C. Henry Kathleen C. Henry kk t %j Q COMMONWEALTH OF MASSACHUSETTS 'ro�h eek.; n EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS vJ DEPARTMENT OF ENVIRONMENTAL PROTECTION s R n a. TITLE 5 <; OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM ` PART A CERTIFICATION Property Address. '15 Piney Point . Centerville,MA.02632 Owner's Name: Gillespie,' Owner's Address: -Same Date of Inspection: 10/13/2006 i 1'-3 -o G cy, Name of Inspector: (please print).Brad J White Company Name:Windriver-Enviromental Mailing Address: 107 N.Main Street `. Carver,MA 02330 c r1 ;taw Telephone Number:.(508)-866-2576 —0 CERTIFICATION STATEMENT 1 a I certifythat I have personally ins ected the sews a dis osal.s stem at this address and that the inf rmation, P Y i P g P Y orteda' below is true,accurate and coin lete as of the time of the inspection.The inspection was performed ased on m P. P P P Y training and experience in the proper'function and maintenance of on site sewage disposal systems:.. am a DEP ' approved system inspector pursuant to Section 15.346 of Title 5(310 CMR 15.000). The system: �. X . Passes fiTa Conditionally Passes' Needs Further Evaluation by the Local Approving Authority y K; Fails: 'w Inspector's Signature: , ' Date: 10/13/20061 air D f x The system inspector shall submit'a co y f this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of,10,000,..;. d or eater,,the inspector and the.system stem owner shall submit there report to the a ro riate.re ional office.of the gP P Y. P. PP. P, g DEP..The original should be sent to the system owner and copies.sent to the buyer,if applicable,and the approving ^I; s authority. « " Notes and Comments * 3' System Passes. Recommend annual pumping Y ****This report,only describes conditions at the time of inspection.and under the conditions of,use at that . -fY time.This inspection does not address how the system will perform m the future under,the same or different conditions of use: 4 ' , Title 5 Inspection Form 6/15/2000 page 1 Page 2 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 15 Piney Point Centerville,MA. 02632 Owner: Gillespie Date of Inspection: 10/13/2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X 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: System passes. Recommend regular service. B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 15 Piney Point Centerville, MA. 02632 Owner: Gillespie Date of Inspection: 10/13/2006 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well".Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: Till. G Tna .m-;— 97—4/1 S/Innn 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 15 Piney Point Centerville,MA. 02632 Owner: Gillespie Date of Inspection: 10/13/2006 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool —X— Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than 'h day flow _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped —X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _X_ Any portion of a cesspool or privy is within a Zone 1 of a public well. _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X_ 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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.] _NO_(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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 Il of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 'r;*iP 1; I„o,.art;nn 17-All 4 Page 5 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 15 Piney Point Centerville,MA. 02632 Owner: Gillespie Date of Inspection: 10/13/2006 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No _X_ _ Pumping information was provided by the owner,occupant,or Board of Health _X_ Were any of the system components pumped out in the previous two weeks? _X_ _ Has the system received normal flows in the previous two week period? _X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) _X_ _ Was the facility or dwelling inspected for signs of sewage back up? _X Was the site inspected for signs of break out? _X_ _ Were all system components,excluding the SAS,located on site? _X 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? _X _ 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: Yes no _X_ _ Existing information. For example,a plan at the Board of Health. _X_ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] Titles S T--f;—17— All cnnnn 5 Page 6 of 1 l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART C SYSTEM INFORMATION Property Address: 15 Piney Point Centerville,MA.02632 Owner: Gillespie Date of Inspection: 10/13/2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual):3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x 9 of bedrooms):330gpd Number of current residents: 2 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no):No [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): NO Water meter readings, if available(last 2 years usage(gpd)): N/A Sump pump(yes or no): NO Last date of occupancy: Current COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Pumped after inspection Was system pumped as part of the inspection(yes or no):Yes If yes,volume pumped: 1,500_gallons--How was quantity pumped determined?Sight tube on truck Reason for pumping: check tanks structural integrity. TYPE OF SYSTEM _X_Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy No 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) _Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: System was installed in approx 1999per as built plan of septic system. Were sewage odors detected when arriving at the site(yes or no): NO Page 7 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 Piney Point Centerville,MA. 02632 Owner: Gillespie Date of Inspection: 10/13/2006 BUILDING SEWER(locate on site plan) Depth below grade: 37" Materials of construction:_cast iron X 40 PVC_other(explain): Distance from private water supply well or suction line: N/A Comments(on condition of joints, venting,evidence of leakage,etc.): Building sewer is in good condition. SEPTIC TANK: X (locate on site plan)outlet has riser 12"below grade Depth below grade:20" Material of construction: X concrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: 10'-6" x 5'-8" x 5'-8" Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle:31" Scum thickness:2" Distance from top of scum to top of outlet tee or baffle: 10" Distance from bottom of scum to bottom of outlet tee or baffle: 17" How were dimensions determined: Measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Inlet and Outlet tees are in good condition. Liquid level is normal.No evidence of leakage in or out. GREASE TRAP:_(locate on site plan) Depth below grade: 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: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): T41. G inc­+;4 17-An s0000 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 Piney Point Centerville,MA. 02632 Owner: Gillespie Date of Inspection: 10/13/2006 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX:X (if present must be opened)(locate on site plan)(d-box is 34"below grade) Depth of liquid level above outlet invert: 0 Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): Distribution box is level with no evidence of solids carryover.No evidence of leakage in or out of the d-box. PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Titles G T--t;n 17- All 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 Piney Point Centerville,MA. 02632 Owner: Gillespie Date of Inspection: 10/13/2006 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: Type _ leaching pits,number: _X_leaching chambers,number:_2_ leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): Soil is dry.No evidence of hydraulic failure.Vegetation is normal.No ponding on the surface. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Titles G lncnantinn 17- Oil ci'nnn 9 �. . �. l" r .� �,`;S i F` a _ k r rn�� ,1'C1.rr a T f ,, t,, e t, t 5 4�=�4aa�, k�. : t :s ' i., i 4tl, , ,tea;' Page.10 of 11 �, _, ` q t r r �� ',„q'a a t s; t ,p r. d V t r, t c s t i 1 7,1 - ,4 �`��r`,r •r r , ,may e a ry t,' t - _ 9 C r t, . qm fI b1'xr�Kr t t I ,� "rd r ' , e� ii 2ff,�ki�' i H�� r ' t f N � I. „�d 1' Yl j r .l • Y f' _jL il I JJJ `,��; OFFICIAL INSPECTION'FORM-NOT FOR'VOLUNTARY ASSESSMENTS 1 ' i�%��'1 � `'- � xSUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' !- ,raj"^ }' i :`t 7' d. +i - v, i r t f 7.,t y J t, +rT y: ;r p r i•,' F'' PART;Cr w �� xt SYSTEM INFORMATION,(contu►ued) wt Y t r�"}y�W'" by,;} rtR"-: ,���. F " tf.. "} ! �a ari4z cy,.: t t r' +. ,r r j1p i a �s t. it`^ '1 i x. �'4 h s ' a � .,u , "'F1 tt�•tri!.t�p,l4 5.` +t, 'r;ti,�. .t e -ra t. i ', y <y tx t tb{4 � $ }. Y+Y`4k a%'�, t.hr;;T *� " ' i Yat, t 's�+ y a -#xntt' 6's .s x ._4 : #, •4.�, y 4Property Address '15 Pmey Pomt "�y " „gyp 7y,t 4h}� i f, ,.+t } 4 �a q + r�r ,• 4 Centerville,MA.02632 ,VL' '.' Owner ?Gillespie g ,< , }f ,° ) {', nN,aaz ✓`t Date'of Inspection 10/13/200.6 Y ,4 + t r yA I ak vl�Yq h'�y,-_• t , 4 - w, t i sy `rlt # -A. d�9 S d e c IYio- / tl: °_ w s x r _ n Jyzv 3 ' SrP''''r t. 4! L' ¢ '',d ti k „a 'h, , s a• r txP 'qt q,. y i � '� K' SKETCH OF,SEWAGE'DISPOSAL'SYSTEM' t A Fr fi�?7 t r i.;' } tt 1 tx m a rr"q,j,-;%a '`,f Providi.a sketch:of.the sewage,disposal system'includmg ties at least two permanent reference landmarks or } 4., . ' gpLg ;�t ; benchmarks Locate all wells within 1.00 feet.Locate where ublic water.su 1 -enters the buildin "'.,i'°tp s y } P p Y g , qtr t;�t,- T wry a ,,. .. o. ! 4 ;;q #{¢(rss')#. Nt /.�h €', f r x t ;:. 2 3tQ�OO{.'h� .�r o f ;,` Fc4'^ ;Yy{�"� , t } ow _. p.: {r• "'i , i r +,Kp#taw' i- . R r k ,,, k i,4 , ,..t S 1 r i � }n jY2Yi GT/ h 4 i _ " 7,yS", 4 Y g %,. 4 h A i,,/ t M Yt r i? 4y '7r }( Li'ttLr't,.. r!: p V !) ��� t d c @ - :R4 iS` et`" YI w.or t a. +,.,f *,tr f ,. N rya FP.,r"'t > a4d ^Y{y`';, " ' •t tF I eO Nt r kt p ya Y y! 4 t 3 t r.f e l agi'.4f My,hey J'+a I t+ .• `N 's Y.�<. 'r - , MW yta, F.. ,k tr o' 3 VL c s ,(t,.e 4. {5v �i >l','? W x? " r aF t:} y a ,} , t �, ➢. } ?ai?tix�, p Y�IM � ' tr:,^s, ! P' 'nM c.tad Sa ' �'``leix' k >j"rn':1 x - . S v. 'ir ,r y';:' 7 v .' :r '^ �,r t.'-: rt q'vr a' S t "i. .t�.ry�:tr-r "i `>F ,r w w} ,- 4 §:..r'� � fr ." M tz F' rf£Y' iz '.S h F i , F x^. d�r iq ; fw.�1P t- n,t L n-„', y +sn+ ,x. i i tr ri. f x, .r t y Syr/, y C r r e + i 3 'r , � e. Y ., } l ', ., 7 p� 'i a '1!' }i G x, t , ,�atfi iy,..t t�,fY sr r x Y�.Y" °e �9 .. t< 4 pi .�r! L ': L 1 J " 3 S.. v ^'° r ,,> t k ), Y -( ,?^t 1t:,' y. .t q 1.•'. r d 4� .r, D Fan Yzq.'t t.t. r<c t� 6 yk y :N - fit` ) - -t t J Y/ S. t 5j" f ] 1 .4 A } T' f t j tr. i i,. , p h { X _ J (� ':.y rtY i ,yy�,,i%#' k' 7 yfy .r 7 i . . e e ) Y >4, r r 9 i.f y ti r r a,a:. S q fj��"" r+ i 't ,tom r. k u' tv' t 9 r x T,t, .i r ; '4£ ti°F ,f.`..'.k- r7 A'#1C s11 ,iJl '' tt�,* µ pj�' c ! ; *rr L "r"� tri, r '�.' x v<.�r� SA�`. r* *1.r,st t'a �',.a,t t l rFr d 4 rt ,,r f ,.; .. „• A V " ' ."�t�1 Y�x v: , It + tJ y., F t - a ,*w M e �, 9 ni} a r A l e+» t t'+ ?'' r, > rC,, x' t ,^ ° `ai °# t .n t' < F r ! ,`fit rtyrttt r p ,,y t 4: x j; r a e r t{P r r 3N «`J q TLDIO , ' " y f, ;-F 1t , ,,p"', •F4 [r X��}y 'd X. w {.,r�4R:�i'�1 r.__t� w' D lra4�..-, q i 3 t� _ _, " 3 s )'n, j:6t, , L q } � �a - t ,iti x .r r iy > :N t ` y t n. r+tx'q ta',c : r rh w P F 4 .7: ' `'v 4 e I �y'p+ �Y ,' P r} ` ' t " K 4 '4 ;r a e, r " ,) ptv. 5 i.'!` �`, q y$ d a qt ,p. > '� 'ti, q 'r rF a Y ,_ !"C}. ;, Tk � ',,, - 4 .,v a yyam,y �c { r. f ' i ! i:., T n k i' 4hh T't ^y5. .: < t y �,', t. t t Y 1 _s't x,t`+ t %� r> �•;i ;, 'INw' rtAw'w t ? .r .. e ,,,3 1 + .` - ' .a r�'m t,✓ q - itf'xf: i jar i s] ° .'" r v- �y,,, a - 4 L �iw ,F�' f i;o t e v ` .- ^'. +,. ,.}t r 'd1. r L f l Wr C tr ,jf r *. x 4, C' ! 1 N Mi 4 1.j yq IIVV��� t`", �3 _: �i{ ,y ti. 4 i "SAX-,' 1- % « } ,' w\ �";o' ,.° net. t - ! - 2" - c ,.,t H , Z°'p9 �Y}' tt ', yt n k, r�i v F r x.ry rt q r d f ✓ # ?' , " r r t i 4 'r'. ,Jj ' p i a a,, a ", y o ��;t'a rt n, ° t { I w f t. At'th+t n fi i .a= c frr i °i '�_' vi r 'F,9. 7. !#' 'c , fir- ' ;6 Jl;I !: '+ ., a ,dSi '#,.tc,i ip�,Sa�Y t9 +,e t> " x a t a r r- ri elrt y ip,u x� t.:, e'' t; -'^a k u C p ° "� '� ..,,,�' ' ? a a eras,3` µ'; , yet i, +Yt� I J.v�t i 's } a Y n at 3 y t< �s 4 y Mat ' . r r'"i .�" .. Z S y / ti C ! v" f v.,° . ), , }t. G t 4 c. i #':.t' .. ,„pit hWP,9 u,Y 1 T t 'i'�`!Y r l3� k` w'�¢� � ,J s w r a a f t x w.r a r rti t t r .�, # ^. x t ea „^,,' r at-t ' p.}���q Jyr{', r x t ' ..�1 # -.1 a t. a ,tag,+V A .5t. i,1 r`t Ipy(��€€ff^^,�tii Y(( c FF . ) 4, A t ri J i ;3 ',` ^% t Y i' Y,�t{f:jy 'ft r, , J r / ,,:J t :k i .t5 y f 5p 4 4 i47 4 dito- i­~ " 'F'Ir'>LY f- Li K ! 7' 1 e t �' 't 93 �,t ur, ,4, x .t r' .� r yy i _ axt :v pr1 k r. i t " '"': e " } t,4{,F�i{5PyLj�]N ({ 4 ; .x r N ix f .4 � i'r < - " -•t'' 'W!a jm.A '..'NY�i t.HlI > 1 < �.i y, r i .. x , .mot :r . . ", I- Rtn.�hf+h.A �Cy f t"­ i Y ,C?t Y T s} t i 1 p ,4 t L:'V' q i !' .a,, c ,jr.-!4v' c�X^, S 9 t !1� w.t1 ` f, - tc �° uk 1 ,1 i tr ,^ y r .. 2 ; t - nfp „,�j, "/'�€t -Y r R J .Sri a As, ',{ i. " �' z ..� y r y r r Wir'"^J' xat t r + P t t � r ilar 1 x t e S �C :5➢, �, A a~ 7 f Li ut' , r '7a,✓ .4 e4.t ".«-a it r 3 , a f S xy s y( �w xd ' r S i � 1 i p X 7 t t , .3 -! , t `fit 7'd E A e r ''^ ♦a"a y t.,+ ,� v T' t ^F , +i.t it rJY r ti M ° " ''r"'+ b '77'ef~ < F. '�( v,7a •s r A) i § 2 '. > ):f4 a, ;+ f. r -t Av . ! vI.' t ;S '"5'w a rfi a't4 ,✓I£r,3j'Faavktk i..Ftav` �,ytt } fr'ti4°' ✓ r F�=rh s,.t v "J 3,. -e i x 's-+ .,y 4y. ;i ' .(:7^;, 'Y -i"l f k{'"r,;ri., r1,9',+`. :.$ kMI: y tr. �:.;'Y'�c .',,rn\. ry l�1{ h,y ,p.,',t,` �+�,,�i�' 1.+*` "+'sA xj,:',.f s^r.. r p�" r G ly T,tln f Tnenonttnn Farm S�lnnnly rs\ 9T°" ( � ' vre� ,tr ? R � t+. �. , - , aa_aE.n t k .w.k 4 x m� _.a ?E? , r t:. 14 l t dt i 4 t .. ila�1 aU,yt 3,::j".u. Page 1 l of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 Piney Point Centerville,MA.02632 Owner: Gillespie Date of Inspection: 10/13/2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 9'+ feet Please indicate(check)all methods used to determine the high ground water elevation: X Obtained from system design plans on record-If checked,date of design plan reviewed: _X_Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Taken from as built plan. No indication of groundwater at 9' plus per local slope off there is a huge drop off in area with groundwater visible at approx I I' per slope off. I ��� IGr Na l V — -7 V Fee r� THE COMMONWEALTH OF MASSACHUSETTS�/ /&2fEntered m computer: l Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zippfication for �Bie;pooal 6potem Construction Permit Application for a Permit to Construct( . )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 15 Piney Point D r. D�ner siNagteiAadm sa1T�lNo. s p i e Assessor's Map/Parcel Centerville w 11 l;l lnstaller'same,Addreyss,,and Tel.No. Designer's Name,Address and Tel.No. A1. 0 lnson Sr. Septic Service Daniel Johnson P.O. Box 1089 804 Main St. Type of Building: Dwelling No.of Bedrooms -p Lot Size sq.ft. Garbage Grinder Other Type of Building t617 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S Description of Soil; Nature of Repairs or Alterations(Answer when applicable) N ew T i t l e-5 s e p t i c s y G t em t h e plans of Daniel Johnson Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by d of filth. Signed ,/-`- Date Z I Application Approved by Date der Application Disapproved for a of owing reasons Permit No. � Date Issued 2-W2 -..'7n E ti 'V �� Fee , THE COMMONWEALTH.OF MASSACHUSETTS/ r DZEntered in computer: _ Yes Z PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(pptication for ;Digpoga[ 6peum Con!5truction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. 15 Piney Point Dr. OwnerWsiDiVdm%pd,Tgle3pie Assessor's Map/Paz Centerville, cel ,-, / .-- _ /S� Installer's ame,Addre s„and Tel.No. Designer's Name,Address and Tel.No. ow. Ito iason Sr. Septic Service Daniel Johnson P.O. Box 1089 804 Main St. ' Centerville, .; A 92655 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder - Other TI pe of Building 2 S No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil ` w applicable) New Ti le-5 septiE s store to the Nature�f Repairs�r Alterations(Answer when a)?)? cay e) plans of Daniel Johnson Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system i n in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by thh']Yerd of Health. .� Signed Date Application Approved by DateJ� Application Disapproved for t e fol owing reasons v Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS Gillespie BARNSTABLE, MASSACHUSETTS Certificate of Compliance � �^ THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (X )Upgraded( ) Abandoned( )by William Robinson Sr Sep_ tic Service at 15 Piney Point Rd. Centerville has been constructed// in (accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ODZ'_a1dated 7 Installer William Robinson Sr. Designer Daniel Johnson The issuance of this permits all not be construed as a guarantee that the syste 11 func ion as d rysi ned/.� Date Inspector 1�:�{ �� �lC `��( a ,ti_ 2 f No. T Fee/ O Gillespie THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS �Die;poal)*potem Conztruction Permit Permission is hereby granted to Construct( 11 )Repair( X)Upgrade( )Abandon( ) System located at 15 Piney Point Dr. , Centerville i < and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Cons do ust be completed within three years of the date of this permit. Date: �/v 2-- Approved b TOWN OF BARNSTABLE LOCATION /Nv ►+- SEWAGE # VILLAGE ✓ ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type)2-` L 6 (size) NO. OF BEDROOMS BUILDER OR OWNER COMPLIANCE DATE: PERMITDATE: Z �7✓�'�-�� Separation Distance Between the: o the Bottom of Leaching Facility Feet Maximum Adjusted groundwater Table t Private Water Supply Well and Leaching Facility (If any wells exist Feet on.site-or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any wetlands exist Feet within 300 feet of leaching facility) �••� ® y,, � Furnished by i i Town of Barnstable P# /�2 `/ Department of Regulatory Services OF fHE 7� Public Health Division Date p� 200 Main Street,Hyannis MA 02601 BABNBfABrl. � MAB& 1 �U '�°r��•� Date Scheduled � D � Time r(Jo Fee Pd. Soil Suitability Assessment for Sewage Disposal / L �Jot-F.nrl�- Witnessed By: Performed By: '�� _!. - rl!�cJ`i�!li6 . ......._ ::._:.:: .. :.:�:.... ..�......r._�...:::�:.... ..,.,.. li_cr„�:=1'-!.,..,!.. . ... :. :.:..:�,..n.r,. 1..n. a:...n.,.nn.q,r. m�.::rr,trsr,:a::d::rsm:.:r....m:.a„n,{.uu.!.r!;..,. :, ..:�:��I 5!!L. r:v, .. .. ::��„�:.:., :::::..�:-r....r. !,....f..r.q,..Il.,.,al.n.,5r...ll..._,..r.._r..t:.:.,.n.n;�_:.... .m. .�_..: .. .::. Fr� Ir n r.l,..r.,r:.,.1u:51.!.!!:..:...r..:I.t.r !:r,hr L...,;. �!,";r 1 �•. I :.r !I.' 1Q h,1 !r I,.,..,n,.y�11 !.I �d l'u 1, .I. l .r: n.. "iv: ''I J..:.. �: ::!, !!:;!!;'!I ..i!! ;I„.`•: :.a.n,6:i!!.r. .l. ir:'mS_,a II,1';L,1(;:,r,:'Inrr 1..,r...!'1�I�.I.,�.,I,,1,',[ !!: I' "tl. In.:rs.!..... !( ,l.:,:.:j t... ,?,;�^ti !:!,,,II.! !,isn.;hr.LkL=-r.'rEl!In:rlil.,4r:-ri+q!III:'.,.JrY,I.!:: N !r:�. !. ::: .! !;. •� L :.::;r 'r.':.:I!i.!�"L`:!!�r'!u�-.�,��� u� I�;r,r.G:l...! 41;;lv.r;.+[irh,'�,a.I IWr7ki[!�h.rl,rh!!.I �u8f:`gll:ul. Location Address Owner's Name �s �^may ���"� Address _ j�„ J u Assessor's Map/Parcel: a �� � �S Engineer's Name� NEW CONSTRUCTION REPAIR Telephone# / /Le//J��i/f}C r f S'0 /o Surface Stones Land Use Slopes(/o) Distances from: Open Water Body 6 0 ft Possible Wet Area 4 ft Drinking Water Well ft Drainage Way ft Property Line ftOther ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) 7*�C - $G' 14 P CY V/L(VLS Parent material(geologic) QvTw�Fs f) / Depth to Bedrock N 1,4 / - -Depth to Groundwater: Standing Water in Hole: 1 Weeping from Pit Face Estimated Seasonal High Groundwater ' .r,:,.,n,•nr. ,h r� L Y q 01, p!„,.!'i n t.�1n!Y1:'Jr lc v :5,`21 T� .. c^ !;I—!g.1n'�L;�lL2!I.!d,Po,InE�•',.'t`llt!.L:I:r�!l.T!.kr Ls:I�!!;:',CI:��iir,�:rnH'kS,'�yriL.6,!-.'',r IG;jMIr:,I!•1!rr;'1.r�,I 1i!r:i:.1,I�i rC. l ' Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in p. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor. Adj.Groundwater Level_ yu^ .. .. .......+ r..:c_..n......r..............:.rn Mir ..r.....F....r.lr .:!....dl� 'X..':I ::Ilfi�`.i3'i!:vri'!'Ii:Ii'!!"I'fq'�=1•P:_irN 1:21 r . .. I.n;•r..-, , ..:.v:c.:x:tgn:rggm,r...nm_.+.rrr!,.,}clrl :fru,^:'!.,.,:.1.C.q....iMT "MR _... n. 1:nr. :.,,..r..... n..r:.rsr:al..,...,i..•am:d. n=u,.:,!7::...�r...,iF..r,.,,u r y...:. u..G!..,.. .!t!,.r !4. !, r,a. !.::I,.!!.•1,.r.4 r! ,1„ r.,:rl:!.n .aP;!,�rn.. .IIr.,14.,p.!.: ,I, ILn..r ......7...,.!4. =.'nd _. .... _..r.1._: 1..:idt::. 1:Y::!.I°:_.J::.:!. ;I!I F'a!,i!' ,��!ri ilr_'� � '?�-�.- �;,� n ^. " Observation 7P_I Time at 9" Hole# Depth of Pere 3Z, J-4 N Time at 6" Start Pre-soak Time @ Time(9"-6') End Pre-soak a g t Cno�+ o,, e so-+d) Rate Min./Inch L e-c-Pir. Site Suitability Assessment: Site Passed `/ Site Failed: Additional Testing Needed(Y/1) Original: Public Health Division Observation Hole Data To Be Completed on Back--------- :»;:<:::>::>>:::::>:::;•::>::;;s::.;:•;::::::;:;:;•;;:.::>:::.:.:..:::.:::::::::...:..................................... Soil Other Depth from Soil Horizon Soil Texture Soil Color Mottling (Structure,Stones,Boulderes. Surface(in.) (USDA) (Munsell) °. r444816 o -n 14 P * Jam' Lt G �z4-�o�fe rY J.ar� t% :>..........::::::::: <:>:::_....:..........<::::::<.::;:><..>;:::.;:;.:::::::::.:::.;:::::::::::...::::................::...:...:...: soil other ..............: Depth from Soil Horizon Soil Texture. Soil Color Moulin Structure Stones,Boulderes. Surface(in.) (USDA). (Munsell) g e other Soil Depth from Soil Horizon Soil Texl'ure Soil Color Moulin Structure Stones,Boulderes. Cynsistengy.9A Gravel) Surface(in.) (USDA) (Munsell) g R ATDON ....,......::.::...:..:....... . >:•;::;;•:;:�>;:•:::::;:�:�::•:;;:•>;;;:•::;:::;::::;:;>::;•::::•.:::.:::::..:.:;•::.:.,.::.::::::.:•::.:..::••::•:::::• ... Soil � � Other Depth from Soil Horizon Soil Texture Soil Color Moulin (Structure,Stones,Boulderes. Surface(in.) (USDA) (Munsell) g ° e Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 5oo year boundary No_ Yes Within Ioo year flood boundary No X Yes gepth of Nat rt rally Occurring Pervious Material Does at least four feet of naturally occurring pervious aterial exist in all areas observed throughout the area proposed for the soil absorption system? �� If not,what is the depth of naturally occurring pervious material? Certification I certify that on !! �Jr _( ate)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with .r.e ro i;rorl trnininw,exnerise and experience described in 310 CMR 15.017. B 15352 R9308 JL60164 3 07-11 .2002 a"1 .1.1 :21tx SAMPLE Applicant may decide to seek. legal advice to prepare a properly worded deed restriction. DEED RESTRICTION • I aGlm /4, f ll 0 beer 4 ,.,, A�/ Pogd 1NI'IEREAS,Che��� q. GG11e5n�of. Gy2St �arns�k)I-P MA (oyyner name) Naddress)is the owner of/S �`/ 81� coca ed"atatoV (address) MA (hereinafter referred to as, ) arld.being shown on a plan entitled "Subdivision of Land ineenfe A, Property of. et al,. dtily recorded in Barnstable County Registry of Deeds in Plan Boole ; Page rm_ � f Che r Yt / . WHEREAS, (9 `1 � i� as the"owner of said lot figs agreed with the Town"of (owne s:name) Barnstable.Board of Health to a restriction as to the number of bedroomswhich can be included in any home built on said lot as:.a pre-condition to obtaining.a variance from the 310 CMR 15.214 State Environmental Code, Title V; Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and to. obtaining a build.in.g.permit for this lot; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting the variance from 310 CMR 15.214, State Environmental Code, Title V; MinSmum Requirements for the Subsurface Disposal of Sanitary Sewage, and authoriizing the issuance of a building permit for the construction of a single family home on"this lot is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the Lot be put on record with the Barnstable CounV Registry of Deeds by recording"this document, NOW, THEREFOREO ' e 'C does hereby place the following restriction on (owne s name) „ hisfatagve referenced Land in.accordance with his agreement with the Town of Barr%` ble oared of Health, which restriction shall run with the land and be. ng,upon atl successors in title: PTE V. Po t rl'v� Cenle ✓dl/ may y have constructed upon the lot a house containing no' .r (address) more than. 2 e (,�) bedrooms. _ - �> agrees that this shall be per (owners name) manent deed restriction + affecting Ve- 5e���cCad on Ce / nf2rV/ (� on the plan recorded.in Plan Book �� MA, and being shown Paged G�i'lI.am k t Ch r yL A = — . For title of {. 2S see the following deed: ,Book (owners name) -�= _ ,'Page c� Executed as a.sealed instrument this — — _le Ken fl%� day of. Ong . (hate) ov : CD. 44 ' deedr Town of Barnstable * IIARNt17'ABLE, + Ar�s jhk Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. June 24, 2002 Mr. Daniel Johnson, R.S. 804 Main Street, Suite B Osterville, MA RE. 15 Piney Point Drive, Centerville,:. A 228 155 Dear Mr. Johnson, You are granted conditional variances on behalf of your client, William Gillespie, to construct an onsite sewage disposal system at 15 Piney Point Drive, Centerville. The variances granted are as follows: PART Vill: The soil absorption system will be located only eighty-six (86) feet away from wetlands, in lieu of the one-hundred (100) feet minimum separation distance required. 310 CMR 15.405 (1)(a): The leaching facility will be three (3) feet away from the property line, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.405 (1)(a): The septic tank will be six (6) feet away from the property line, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.405 (10) (b): The leaching facility will be only three (3) feet away from the crawl space of the dwelling, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.405 (1)(b): The septic tank will be nine (9) feet away from the house (crawl space), in lieu of the ten (10) feet minimum separation distance required. Johnson4 310 CMR 15.405 (1)(b): The leaching facility will be located eight (8) feet away from the water line, in lieu of the ten (10) feet minimum separation distance required. These variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum 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 applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) Before installation, the registered sanitarian shall install stakes at the corners of the proposed leaching facility location in strict accordance with the submitted plans dated revised June 7, 2002. (4) The septic system shall be installed in strict accordance with the engineered plans dated revised June 7, 2002. j These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the close proximity of Long Pond which adjoins the rear side of the property. It is the opinion of this Board that the proposed new soil absorption system is designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sinc ly your , Wqjyne . Mi ler, M.D. Chair n Johnson4 Massachusetts Department of Environmental Protection BWSC-103 Bureau of Waste Site Cleanup Release Tracking Number RELEASE NOTIFICATION & NOTIFICATION RETRACTION - 17060 FORM Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371 (Subpart C) If assigned by DEP A. RELEASE OR THREAT OF RELEASE LOCATION: Street: Corner of Barnstable Road and North Street Location Aid: CityfTown: Hyannis ZIP Code: 02601 B. THIS FORM IS BEING USED TO: (check one) ✓❑ Submit a Release Notification(complete all sections of this form). ❑ Submit a Retraction of a Previously Reported Notification of a Release or Threat of Release(complete Sections A,B,E,F and G of this foam). You MUST attach the supporting documentation required by 310 CMR 40.0335. C. INFORMATION DESCRIBING THE RELEASE OR THREAT OF RELEASE(TOR): Date and time you obtained knowledge of the Release or TOR. Data. 5-17-02 Time: Approx. 9:0 0 Specify. ❑✓ AM ❑ PM The date you obtained knowledge is always required. The time you obtained knowledge is not required if reporting only 120 Day Conditions. IF KNOWN,record date and time release or TOR occurred. Date: 5-17-0 2 Time: Appox. 9:00 Specify. ❑✓ AM ❑ PM ❑✓ Check here if you previously provided an Oral Notification to DEP(2 Hour and 72 Hour Reporting Conditions only). Provide date and time of Oral Notification. Date: 5-17-0 2 Time: 10.45 Specify: ✓❑ AM ❑ PM Check all Notfication Thresholds that apply to the Release or Threat of Release: (for more information see 310 CMR 40.0310-40.0315) 2 HOUR REPORTING CONDITIONS 72 HOUR REPORTING CONDITIONS 120 DAY REPORTING CONDITIONS ❑✓ Sudden Release ❑ Subsurface Non-Aqueous Phase Liquid ❑ Release of Hazardous Material(s)to Sod or (NAPL)Equal to or Greater than 1/2 Groundwater Exceeding Reportable ❑ Threat of Sudden Release Inch Concentration(s) ❑ Oil Sheen on Surface Water ❑ Underground Storage Tank(UST) ❑ Release of OR to Sod Exceeding Reportable Release Concentration(s)and Affecting More than 2 Cubic ❑ Poses Imminent Hazard Yards ❑ Threat of UST Release ❑ Could Pose Imminent Hazard ❑ Release of Oil to Groundwater Exceeding Reportable Release to Groundwater near Concentration(s) ❑ Release Detected to Private Well ❑ Water SuPP1Y ❑ Subsurface Non-Aqueous Phase Liquid(NAPL) ❑ Release to Stone Drain ❑ Release to Groundwater near Equal to or Greater than 1/8 Inch and Less than 112 ❑ Sanitary Sewer Release School or Residence Inch (Imminent Hazard Only) List below the Oils or Hazardous Materials that exceed their Reportable Concentration or Reportable Quantity by the greatest amount. If necessary,attach a fist of additionai Od and Hazardous Material substances subject to reporting. Name and Quantities of Oils(0)and Hazardous Materials(HM)Released: Reportable Concentrations O or HM Released O HM CAS# Amount or Units Exceeded,if Applicable (check one) (IF known) Concentration (RCS-1,RCS 2,RCGW-1,RCGW-2) Gasoline impacted Water 9 ❑ 70 ppm/v ❑ ❑ D. ADDITIONAL INVOLVED PARTIES: ❑ Check here Q attaching names and addresses of owners of properties affected by the Release or Threat of Release,other than an owner who is submitting this Release Notification(required). ❑ Check here if attaching Licensed Site Professional(LSP)name and address(optional). You may write in names and addresses on the bottom of the second page of this form. Revised 3/1/95 Supersedes Form BWSC-003 Page 1 of Do Not Alter This Form Massachusetts Department of Environmental Protection BWSC-103 Bureau of Waste Site Cleanup Release Tracking Number RELEASE NOTIFICATION & NOTIFICATION RETRACTION 0- FORM Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371 (Subpart C) If assigned by DEP E. PERSON REQUIRED TO NOTIFY: Name of Organization: Town Of Hyannis Name of Contact: Thomas McKean Title: Environmental Officer Street: 200 Main Street City/Town: Hyannis MA State: ZIP Code: Telephone: 5 0 8-8 6 2-4 74 0 Ext.: FAX:(optiona) F. RELATIONSHIP OF PERSON REQUIRED TO NOTIFY TO RELEASE OR THREAT OF RELEASE: (check one) &rRP or PRP Specify. C) Owner 0 Operator 0 Generator 0 Transporter Pother RP or PRP: �f Fiduciary,Secured Lender or Municipality with Exempt Status(as defined by M.G.L.c.21E,s.2) Agency or Public Utility on a Right of Way(as defined by M.G.L.c.21 E,s.50)) Any Person Otherwise Required to Notify Specify Relationship: G. CERTIFICATION OF PERSON REQUIRED TO NOTIFY: Thomas McKean I, isee=Mege____. attest under the pains and penalties of perjury(i)that I have personally examined and am familiar with the information contained in this submittal,including any and all documents accompanying this transmittal form,(i)that,based on my inquiry of those individuals immediately responsible for obtaining the information,the material information contained in this submittal is,to the best of my knowledge and belief,true,accurate and complete,and(ii)that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal. Uthe person or en. on whose behalf this submittal is made am/is aware that there are significant penalties,including,but not limited to, possible fines or imprisonment,f willfully submitting false,inaccurate,or incomplete information. B Tide: Environmental Officer (signature) For: Town of Hyannis Date: (print name of person or entity recorded in Section E) Enter address of the person providing certification,If different from address recorded in Section E: Street: City/Town: State: ZIP Code: Telephone: Ext.: FAX:(optional) YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM,YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE. Revised 3/1/95 Supercedes Form BWSC-003 Page 2 of 2 Do Not Alter This Form i DATE: FEE: i NAB. r sb Town . BY P To n of Barnstable SCUD. DATE. Board of Health 200 Main Street,Hyannis MA 02601 Office: 308.862.4644 Susan 0.Rank,R.S. FAX 508-T90-6304 Sumner Kaufman,M.S3.H. Wayne A.Miller.M.D. VARUNCE REQUEST FORM LOCATION l Property Address: /S P//V e✓ /0/M7 D/t'y ei Assessor's Map and Parcel Number. ? $ /SS Size of Lot: p�S'4 0 t i Wetlands Within 300 Ft. Yes 7L Business Name: No Subdivision Name. APPLICANT'S NAME: bf,4114- J 0 N"''l "y Phone sod) 44,- -!9 o Q Did the owner of the property authorize you to represent him or her? Yes A _ No PROPERTY OWNER'S NAME CONTACT PERSON Name: G.J11,L.t,+,-,I Gr 1 LLCSP l es Name: 04Ajl Lam- -jo All'a.t Address: g �77 P ��, }.e^'1 T�'3 L� Address: $09 MA-t'' 17 f t r'iG B Off; a.t t L Phone: (Sam?-- 3 b Phone:��9� �� _ oo wl VARUNCE FROM REGULATION(ust Reg) REASON FOR VARIANCE(May attach if tote space needed 1.13 S.r-J --�?-��� �o�r'r or Purim - i-�l✓Fr-lLi�}-Y oPL~� SQ.4c� n.- �.��e-tr/ TO f r"To+-r f+ t a u reel r 4� e r '" S E5C 4- NATURE OF WORK: House Addition ❑CCCC House Renovation ❑ Repair of Failed Septic System he (to be compleud by ofte staff-person receiving variance request application) _ Four(4)copies of the completed variance request forth Four(4)copies of engineered plan submitted(e.&septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or Tee aurant kitchen plans) _ Signed letter stating that the property owner suthotized you to represent htrowr for this request _ Applicant understands that the abutters must be notified by certified trail at least ten days prior to meeting late at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap vatianee requests only) t _ Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals (same awner/leasee only],outside dining variance renewals(same owne::lleasee only],and variances to repair fhilad sewage disposal systems (only if no expansion to the building propondl) _ Variance request submitted at least 15 days prior to meeting data VARIANCE APPROVED Susan G.Risk.RS.,Chairman NOT APPROVED Sumner Kaufman,MS.P.IL REASON FOR DISAPPROVAL Wayne A.Miller.M.D. Q:\XEAL'TH\WFF ILES\VARIREQ-DOC D*2� proTow ROFa^ P VARIANCE: VIA LOCAL UPGRADE APPROVAL '1 . Request variance to reduce the offset of the Proposed leaching area to the property line from 10 feet to 1 foot (closest point) , 310 CMR 15. 405 (1) (a) . 2. Request variance to reduce the offset of the Proposed leaching area to the garage (slab) and house (crawl space) from 10 feet to 1 foot and 5 feet, respectively, .310 CMR 15 . 405 (10 (b) . 3. Request variance to reduce the offset of the proposed septic tank to the house (crawl space) from 10 -feet to 4 feet, 310 CMR 15 . 405 (1) (b) . 4 . Request variance to reduce the offset of the proposed septic tank to the property line from 10 feet to 4 feet, 310 CMR 15 . 405 (1) (b) . Pp/ra T 911 V1,= CL DZ(o 2_- f3ED i2do�-1 W I 13,0 Z coof N O I N I t0 m I o to d 0 A rG a � v N O .r L Il T 210z F F,�,, '� y?o- 9'.?l i Lcfr 4�w IN • %J!P `1 • .moo ,u. � � moo/ VJILUW ti ' G KI Y E H p No. 19334 O '' �F g suall T74A TW.=- ED- /ST clvv 7WE'. A$ 5w6wx) G4T/cYl/ : �� 472-= Z-07 / Af-fL/ccwj-- /-Z-,L a.4WT�,e /L/YE /NG "sTE,E�//G1� MA5- , ��.�. .... O s, ... 07/24/2002 15:39 508-790-1694 ROBINSON SEPTIC SERV PAGE 03 /5 r`r�� pot n t-Drt ve een�eevuj. -. �• may have constructer! upon the lot a ho (add►CS3) use containing no more than a (3) bedrooms. Y��' -_-... � agrees that this shalt be permanent deed restriction (vw►ur s n ► affecting ��r�t��a�• (.en�el�Vr�1��, Ma, and b i .• on th@ 018n re r e n shown P co ded in pl 9 Book . Paged 01i`arn A. Che�yL for titl@ of ► see the following deed; Book J a (myrree, ow) Page Executed as a sealed instrument this fat 1 day of. 0700ca . �• nt0d:07-11-E I j1 1 eAl�ls�Ae� c�lvrsl�r � • JDIIY F. MEADE, REGISTER r&M0: 178198 OW-.UYA asrYs�saaara=asa=aiozs�:m���is:olarr t1 '.198 7• AW 15 PINR PO, NT ORPE 11:21: s DESCRIpTIGN TRANS ANT 1 GIU VIE. C1{E a q '••••_-- NCO! .w . . l. Ov too rt?WW CPA $W.00 Total feast 30.00 3; 599 P=!7-11-2DW v 11:21:2% OESCi1IPTI0N TRANS AW . ........... MOE FEE • -•----- tom• pop too 50 Total OW996, 30.30 • - : .... TVAl;NU i' P ILBRC) - MECHANIC No 30690 WN r' 4 # i s _ •i' X. �r��„��n �5'' r c v+a1 5T"j d � � ��7 �riy: � P��%�.,�-x"� r sE"",�' �� x.�`d��a . - .. -sue. `1. b � � 49 t � F�. 3 SS f e' .tad rt h ` �.a ;- � � # �• �a'�''�, `rfi F7i vv Ty`D6- S s Ail 1111�0v^1 ,4 �ZH v1 Eagss T VARNUM G� �l PHILBROOK ( MECHANICAL I No, 300n � L 0 Sl � 4i r DIA RISERS jam(. f 7+'�P / /C --�'�S7 M •'+r• t COVERS OVER INLET 1500 GALLON SEPTA TA NW . r jC AL I ' =10 AND OUTLET MODEL TK 15001SHEACJNCRETE' iC3R TEST PIT DATA MANHOLES SHALL BE FINISHEL GRADE t CONSTRUCIED'w1THiN 6"OF FINISHED GRADE _ -�c4 � _, 1 Performed By: Daniel B. Johnson (TO BE SEALED c4"DIA "DIA 9"(MIN) 24"DIA - WATERTIGHT) _ H 20 Date :t.-e . iAAFP-CN �of 2 C 0 2 �17 t TP-1 (EL. = 99 . 7) 4"SCH 40 4 -f_H 4n 10, FLOW LINE 14" ZABEL FILTER A-100 ISEPT 0 _ i 7�� Ap, 1 CYR4/3 Loamy sand 4TANK TO"SCH 40 TEE 4.Bw, 5R5/8 Loamy sang LIQUID REQUI REMENTSS OF ET 17 38 DLEVEt aAS BAF;LE 310 CMR 15 226 FOR 38" -132" Cl , 2 . 5Y8/3 Med. -coarse sand 4' S;Hto W 'ER TIGHTNESS. No Observed ESHWT ; 'EE I REF EDS5W.31 No Observed Groundwater ES , ---_ ____.-.--___ ___ _--------_-____ _._..-•------..__...._____.. __.___ ALL L CAST ES/PLACE FGF `-' S" [MIN j S`0 P SHALL a ?I~rall'r �TGEP PERCOLATION TEST DATA INSERTED AT FACTORY o C4M"�'i-TEL� •�"' STABLE LEVEL BASE CRUSF+EL <=3/4"DIA r� STEEI? `�t.or'�S"' - Date : inA,eciq do, 2002 j SEPTIC TANK.DIMENSIONS. 10' 6"L X 5' B"W X 5'10"H i Soil Class : Class I (0. 74 G/SF) Perc Rate: < 2 MPI (TP-1 ) DISTRIBUTION BOX / H 20 a • _+1 Depth of Perc '"est : 38" - SF," REMOVABLE COVER 4"SCH 400UTLET LATERALS 96 ' SCHEDULE OF ELEVATIONS DISTRIBUTION BOX TO MEFT ---- -� -- - - SHALL BE SET LEVEL FOR A MINIMUM OF THE FIRST TWO REQUIREMENTS OF 310 CMR �- 15 232(WATERTIGHTNESS FEET AND CONNECTED TO o� s1a,.00 , Inv. Out Fo�sri: ct;._ �n (existing; unknown (1) CONSTRUCTION ETCI ___ t� WITH EACH DISTRISOLID BUTICH ON LINE � C PIPE QtE IN.u. Out Foundation (existing) Unknown (2) 4 ,rHao/ t +IS S El!< •� O , i OF OUTLET; Z vJ C 1 - p o of c `JP �gpI,ES ` A-rE Inv. In Septic T2nk 96. a5 `fSSP �,e K 5fO t Iyti� r..YirA Inv. Out Septic Tank 96 . p0 0 MECHANICALLY CRUSHED I � � ` tu+R�t�Ci� , Inv. In Distribution Box 95. 755"(MINI`_c °° 4 STONE 1'- 3 DIA I ,,L!' ,�c Inv. Out Distribution Box 95 .6-6 STABLE LEVEL BASE � Inv. in Dry Wells 95 .35 E�1 J ; Bottom of Dry Wells 93 .35 ! LEACHING DRY WELLS 500GALLONS Bottom(TP-1 ) No Obs . GW/ESHWT 88 . $ r --------- _ 'END 'CROS' S E..L ))) ; C1 I O N 1;FE PO, Lr a ` LEGEND MODEL SHUREYPRECAST CONCRETE 97 944 `0� S . L 1 FINAL GRADE TO BE STABILISE' , LLI�A ��•- 5�*1 3 \ ���A l - - RNI' H E D GRADE(SLOPE - 021 o s#A� , 7 Existing Contour - 98 .,•--'''t e�sGr14,,01 19a r9 +�S l„+E I� iJpIlI ._ 12"IMINj V4 hc� lot �eaL ` �� S �� `f Proposed Contour 98 \ d. Ito - y�/ �} '04• A' pg P �s. / --•-'H •20 .� _ rs 9 ) t=r� ` kl,� t40 IA .2 . �,� t o - -o- - t/4" 1/'DOUBLE 9� �►��'` 0�'1 £� Test Pit o ``wAw M`�.Te 6>�� W ��. s LEACHING DRY WELLS [� o c� c� '` H'6"LX4'1(7'WX�1"H � WAjHPEASTONE Finished Floor Elevation FFE 4' � � �� � f 4• TA,J� T ING 0 OVERALL LEACHING AREA 1-- Q � 2,1„ c� r= 3!4"•1 1/2"DOUBLE t,E? 10 \ �t5 f•u I I 25' .ti 1_'W X 2'H b�ASHED STONE T �``.�1 � Ip Basement Floor Elevation BFE Water Line W LEACHING DRY WELLS T- F--•.-- t1 6 -� REQUIREMENTS OF o � Ar ��+,N � Gas Line '--""" G �• ttOCMRPIS SLTH THE to y �w E `� icoxS mom s~ s q.s(,rt CALCULATIONS /�� �' r� ?" �� /VE / .A 1 . All construction methods shall conform to the Title V ( 310 ,Y9TC•� �/1�r�E •, � 5:,01��" i' fZEI'Dc,4re I q� So' * CA9LE 3 Bedrooms (Existing) CMR 15) and the Barnstable Board of Health Regulations . t' I „v ` �• 1 hfT"�'�'' 110 GPD/Bedroom X 3 Bedrooms 330 GPD a I ' DA-)i ANC r�•+rNE�� ` d -- ♦ G \, tS `o�, r��'4TIaN Percolation Rate - < 2 MFI (TP-1) r2r _ _. _ no known private cr pu,01A - �A r rf�` , ipil- + P'- Soil Class : Class I (0 .74 G/SF) feet/400 feet, respectively, from the proposed leaching s/'Of 4NLll ?0/J,E ro rn�J\ \ Jil�b' y I .K�.•���+EN�.�r/Q� t 0 area. The edge of Long Pond is 55 feet to the proposed E-4 lS r//v 6 D� S D ' �"` � � PROPOSED LEACHING AREA: leaching area. //wr dEt^I n/ t. rl,,,[y Po,AI r v�.,vr Ago Leaching Area : 2 ar. 251L x l2' W x 2' H 3 . Existing cesspools to be pumped and removed prior to Side Area: 140 SF X 0. 74 G/SF = 109. 5 GPD installing the new septic tank. - Bottom Area: 300 SF X 0.74 G/SF = 222.0 GPD ------ - v,41i4n►LE ; LoLAL V0043 /4P7/Laugc ca'r, Total Leaching Capacity: 331 . 5 GPD 4 . No changes are to be made in the field without the approval AfQ�ST v�C (�Frvt� T° fL£w��f TWE dGtSET 0 ' 7'YC of the Board of Health and the design engineer. e*1J7-/n/6. ��/1Tt1u.1nlE fro-e'1 ta" $ re-T 3/0 ( , 5 . Proposed leaching area is not designed for use wit, garbage disposal . p� CENTE RV ILLE �'�' FILE �F SE1'TI C SYSTEM' q'�cKti� - - �EKr o , 6 . Contractor to notify Dig Safe 72 hours prior to ScALE Ru'�� construction. (800) 344-7233. t 11tO P� LON� LITTLE PO/'VT Poi NT k� 9 ��PPo , �' 7 . Property line information taken from Certified Plot Plan, I O,"1 RID GREAT prepared by William Nye, RLS, dated 11/21/86. Reference JR� vo/vr I z Plan Book 114, Page 37 . Septic Plan not to be used as a ` I JONwNy 1k I . z- property line survey. �FG i IOO.bt w c'4KE RD S r ' E E1<IS7-/, 6, (raAOE H^ JryE �.f, ,? ao <�Kf pR o . Remove existing cesspool and any leachate impaced soil below Too Ro 0 o"`f the SAS within the driveway, and replace with Title V fill 99f9 M "JH a iv "AN <o I: i a4 ; (Reference 310 CMR 15.255 for specifications of fill _i--- - , L�RAwC�+ , IW ^z o (sand) ) . The total amount of fill required is approximately �E S To .I n�RA ,• , e`fCNEk ^ rJ o� ^p_ 5 cubic yards. ejj Co�ElZ �o c •� r w ir(+rnl 6° arT RUc 'Nf v^{ 28 t VARIANCE : VIA LOCAL UPGRADE APPROVAL \ r Polr �, (iN.I p F �O`7 vp{1,Yt. - , O F o c r V I r *' f9q/SLN I}DALE l=J Request variant.Ee L.j L:uduce the offset Of the Proposed RO leaching area to the property line from 10 feet t , 3 f«f LZI ti O _._ .tS�_ T !,oc�> LOrvr, Po/vo ? (closest point) , 310 CMR 15. 405 (1 ) ia) . PEAL A -E °�D ,6W Fo 9 Request variance to reduce the offset of the Proposed J y6.Do d c a , I ,c S.S6 ,p5,3S 11`' h\ P m leachingarea to the and house (' Jf M(?•.��,l.4NQ' .LT �L,t 96.ot , St d 6r 2 ' ?f 2 .� Q V p 2 (crawl space) z.` from IO feet to 3 feet, 310 CMR Aio rC: 70 o` o-� o f ,h C^^a t,t a.v C k r * I i s 1 ton R o t 1 5 . 4 0 5 ( 1 0 (b) (tL. 9�,v u i�P \ 'o'� o t P,rvE A a 4 I SfE tL 47v d,E �. N'L toc.►rta-j P D9T ep� IA ( 1 3 . Request variance to reduce the offset of the proposed septic 9 op .KrMa1k4NE I p9 -� 5 - �� V0 tank to the house (crawl space) from 10 feet to 5 feet, 310 -�- qAP 47'�¢} '� t � DIST'R18�TIonl 93,35 A ^ W J, o° CMR 15 . 405 ( 1 ) (b) . L � pAv votcL_ s �- 4 . Request variance to reduce the offset of the na a ?" Kq..•,, .. q proposed septic � /Soo GgLr.oN ';L„5''4'*/ivv x:� �' n ' tank to the property line from 10 feet to 6 feet, 310 CMR 4 ( ) (b) C !I 1 �[i1QE eL4TlON TeSi (f s �J a,�r� ,,I�n j •fir � o �. fJ� VARIANCE : VIA BARNSTABLE B.O.H. REGS . a 90 So(c C tku Cc �► rs L I ( � . Request variance tc reduce the offset of the proposed i per& � R *T'f : G Z r�Pt (-F-, leaching area to the edge of Long Pond from 100 feet to 86 l 13 8. �' � „ feet, B.O. H. Regs. 1 . 13. - o a 3 S. �vJ v G�T� O r P E�c T'f"� r . � S „5 �� NO OgS• �Sf}vaT * wou�b eJ*r" pO*L v .24 �jrlLla•./ ,ysovE AX ,t taJ�t S) i SUBSURFACE SEWAGE DISPOSAL SYSTEM (s£C � 15 Piney Point Drive, Centerville DAt>8EL _.__-- _ _�---__-.-.-.- . _�_. E_.NJAMiN EIL� - i! �` SCALE: u Shown APPR V D BY DRAWN BY a V IZC� s'/i�/0� /�op4o /''�tiC 7�'Sr /LtsJ�LTf e,� ,5����,j J`\ Ga `� SQ Oo� 4/5/02 Denial s Johnson D.B. Johnson V /'•, (V(J.1077 r DATE: w J Prepared William Gillespie (508) 362 - 9026 _ �[/ b�)�a� kEtOr :�0 SCPrtG S Y S;✓'" ro�� �.<�. N % F},�Y o ror: P.O. Bo:IIe, W. Barnstable, WA Z p+oo �,+Io Ur�o 0+3o p+qo ot.fo r7o or8o 0+90 /too /t/o N c , raper DRAWING NUMBER too#I-o. Soo ' / By: 804 Main Street, Suite B, Osterville, M71 02655 J-765 TOP OF FOUNDATION = 41 .6't FINISH GRADE OVER D-BOX= 41 .6t • ' 'b • .''!Q'D• , "' • ""• ,• �.•' • ' ll •U° PROVIDE EXTENSION RISER • • • • •• • WITH COVER OVER INLET& REMOVABLE WATER-TIGHT COVER OVER • - I ��� •. •• •,•.• • , " FINISH GRADE OVER TANK EL.- RISER TO WITHIN 6 OF FINISHED GRADE . • • • • `� - FINISHED GRADE OUTLET TO WITHIN 6"OF F.G. 41 .7,E „ , �• ¢• ' o :• •' •D ��` f` @ FOUNDATION = 40.5 f 5 DIA. OUTLETS) 50 20"MIN.ACCESS \ Q. "' `a `D• • 1)` # 15 9' MIN. COVER(3 TYP.) ,� _ t � • •. : • ..� „�•• r ll � � til.� • t• PROP. SCH. 40MIN. 36 MAX. 9�; :X I I _ .. o. ,. PROP. SCH. 40 36 MAX. B M 6n `i _ ' PVC SEWER PVC SEWER ' "� l •�\ t� • • • 26 „ 2" DROP MIN. \' I • j tt �O L=19 t PROVIDE WATERTIGHT \ f "" . ' .# --_ .- MIN.SLOPE Q 1% 3" DROP MAX. MIN.SLOPE 1% r Beec h wood T1]3" 4" PVC IN FROM JOINTS (TYP.) ,. Q • A = 38.9 t 14 38.00' SEPTIC TANK 4" PVC, OUT TO LEACHING !(_ )..�' * x ,. FACILITY (SEE PLAN)- r ; ,• , !f • • �! :: It . • ✓ F"f . \1 .: • • B 39.� { 38.25 ,* ,. \1 i .E. 17 h \ �� •� OUTLET TEE 37.80 MIN. \\\\\\\ O �� '�_�_ '.-� 'a , II,. � , •• • t' �• �` 48" _ 6" CRUSHED STONE \� \ • s GAS BAFFLE _�°�,, /` O y • • • LOCUS -- I . •' ` r �� QarJ OVER MECHANICALLY ( \ " • 6.6' OFFSET TO FND COMPACTED BASE ` \ - A • .`• f 5 OUTLET DISTRIBUTION BOX \ CO t� 1� •Ve "'�� 0 5`•��� • .. +• , 6" CRUSHED STONE ,�.� to \• F- v r r .' �+' TO BE INSTALLED ON A LEVEL STABLE °•�.,� 7 \� y.• , .� ;• '`'�, --.,, ,�,�� ,L. , II ii , .► OVER MECHANICALLY \ (O � COMPACTED BASE C BASE. FIRST TWO FEET OF OUTLET 3` \� .s!` ) PIPES TO BE LAID LEVEL. \ f „ • •.• ♦ C? ♦ ' s' �' , f PROPOSED 1 ,500 GALLON H-10 CONCRETE SEPTIC TANK n n ,� (Dimensions per Wiggin Cam•. \ - \_ i ,-. • •• . `k;�'L :t • • ,i LENGTH 10'-6' WIDTH 5 -8 DEPTH 5 -8 CROSS SECTION VIEW "SURVEYED INFIELD CONTRAC 1 iir _ Precast Corp., Pocasset,MA) 44, ! `- Q t �` . . __ ,._ • , •.. li l ,4_ r F . aJN BOX DETAIL - o o /. ; ,z \ TO VERIFY EXISTING ELEVATION �1 gyp'" �„ �NK P(". I� t.�:_ XISTINGti n PRIOR TO ANY WORK & NOTIFY NOT TO SCALE NOT TO SCALE '9 �.\ � a . • , �P t • „ ENGINMER IF nIcr-ERENT 41 It ♦ a .-- � • �� ♦ ! . '' _ f U '+✓ ✓',,. ram.` al HARDSCAPE CALCULATIONS PROPOSED WITHIN 50 BUFFER ZONE HARDSCAPE � � I t ad = 8 S.F. EXISTING HARDSCAPE TO BE REMOVED (i.e. concrete pad) t`�, • , PROPOSED HARDSCAPE (i.e. deck expansion) = 76 S.F. PROPOSED NET HARDSCAPE = 76 S.F. - 8 S.F. = 6$ S.F. AREA#1: PROP. MITIGATION PLANTINGS ** (AREA=269 s>7 SEE BARTLETT NARRATIVE LOCUS PLAN- HARDSCAPEMITIGATION REQ D = 68 S.F. x 4 = 272 S.F. DATED 3-13-17 AND PLANTING PLAN SEPTIC TANK LOCATION PLAN PROPOSED BETWEEN 50' TO 100' BUFFER ZONE LONG POND , DATED 3-13-17 (LAST REVISED 5-18-17), EXISTING HARDSCAPE TO BE REMOVED EL.-27.0't PREPARED BY JC ENGINEERING. / SCALE: 1" = 10' SCALE: 1" = 1000' A GREAT POND) (i.e. concrete pad at garage; and slate walkway = 83 S.F. ( PROPOSED HARDSCAPE (i.e. deck expansion & addition) = 306 S.F. N PROPOSED NET HARDSCAPE = 306 S.F. - 83 S.F. = 223 S.F. Irn CV � J MITIGATION REQ'D = 223 S.F. x 3 = 669 S.F. +o ti, NHESP 2008 LINE _ _ , PROPOSED HAYBALE LINE S �' s so 10, MAP 228 OWNER OF RECORD: TOTAL MITIGATION REQ'D = 941 S.F. EXISTING DOCK 4'� �; LOT 154 JAMES C. & KATHLEEN C. HENRY -N OF HASH MITIGATION PROV'D = 952 S.F. 12'WIDE POND ACCESS /,,'` � , 58 MONTCLAIR AVENUE :�� J L Ilk- TOTAL �`��, ZONING DISTRICT: RD-1 WEST ROXBURY, MA 02132 q CHU ILL JR. P EX. DECK TO BE RElvivvtu a r�Ei Lr1t.tL cx / / / / _� RESOURCE PROTECTION OVERLAY DISTRICT U *Hardsca a calulations are based on the town of Barnstable Conservation Commission /' 38 40- `'- ' 1 L H EXTENDED TO EX. 1-BEDROOM DWELLING & / ,�. �� ��` N 0 Chapter 704- Regulation Governing Activity in the 100 ft. Buffer Zone Under Notice of , Q PROP. ADDITION AS SHOWN IN HATCH LOT AREA= 11,060t S.F. FEMA FLOOD ZONE (PROPERTY): Intent Applications. OJ X <500 ; X >500 FAMILY ROOM ADDITION . -'- M REQUIRED EX. CONDS. PR. CONDS. ( ) ( ) ! **A waiver from Section 704-3 is requested for this project. Mitigation for hardscape 1 �� S FRONT SETBACK = 30' MIN. 10.4' 7.2' �//f1/7 proposed within the 50' Buffer Zone is proposed per Section 704-4(B)as shown in the s �\�� #15 '� Q O� SIDE SETBACK = 10' MIN. 2.4' S.5' AS SHOWN ON COMMUNITY PANEL_: above calculations. PROP. ROW OF HYDRANGEAS BEHIND EX. & PR. DECKS �' S \ \`\�� EXISTING11 \� �" o '' -� REAR SETBACK = 10' MIN. 29.6' 29.6' #25001C0564J \` 2-BEDROOM o°j _ EXISTING CONCRETE PAD TO BE REMOVED - ,c��y, s�\\\\ D �o BUILDING HEIGHT - 30' MAX." < 30' < 30' ASSESSOR'S MAP & LOT: & REPLACED WITH GRASS (8 st) - �u; ��\ WELLING C� \�`TOF=41.6't *Or 2 1/2 stories, whichever is lesser. (NAp 2 OF M �•; \ f 28, LOT 155 �+� As t.X. laHKtll�L I V E5� 1'{HL.t1J <Sd t<t�t3UiL �.•• •b' �� � P�. SAC PLANTING MITIGATION NOTES: AS SHOWN IN HATCH (312 sf) f \�� �-EXK�:�Iti� 2 -500 GAL. LEACHING o 1.) ALL PLANTING MITIGATION SHALL COMPLY WITH THE CAPE COD APPROXIMATE FLOOD ZONE LiNk `�/ %� i\\\�\\\\� �� \ \ �\ \ 1 CHAMBERS PER AS-BUILT CARD DEED REFERENCE: a CHUR�'' JR, �� 1 COOPERATIVE EXTENSION PLANTING LIST ADOPTED FOR USE BY THE (PERMIT#02-287)(TO REMAIN) PER FEMA MAP PANEL#25001C0564J ,� ,� �`' � o`� � `p2 � DEED BOOK 22306, PAGE 86 TOWN OF BARNSTABLE CONSERVATION COMMISSION ON JULY 18, 2006. (DATED 7 �6_lrtj_, - ''gs' ' ,: BEXISTING EDROOM \\\ \ 1ilrS(ek ' �-EXIST. "D-BOX" /r I ` 2.) SEE PLANTING MITIGATION NARRATIVE, DATED MARCH 13, 2017, ,�} �/ % ,o, ��, DWELLING \� (TO REMAIN) PLAN REFERENCE. / _ f {y PREPARED BY BARTLETT TREE EXPERTS. ` `' �j �� `\ �� O j ' �--EX. 12" HIGH TIMBER PLAN BOOK 114, PAGE 37 7 2 : � Q�► 11 ,. ��JY KING WALL 3.) SEE PLANTING PLAN, DATED MARCH 13, 2017 (LAST REVISED 5-18-17), ��C?0 D00 �� '`' �'t��., '� L=19.68 PREPARED BY JC ENGINEERING. / t�0i fig- -• / ��'' lisr i\ 1 R=18.15 N100 43'40"E 'tip sZ, ��G1,V, \`' 6°� -' i PROPUSEG14" SCH. 40 EXISTING DECK ; MAP 228 ✓ �` F PVC PIPE TO BE SLEEVED � -PROPOSED DECK 8 t �1`b LOT 155 ��� sri ���._ ��O 1 PROPOSED 1,500 247 Sf W� stairs) 11,060t S F. ,;���� � �- o 372 sf (W! stairs) ( sta s) r, 80 19 1 1 / 4, v \ GAL. SEPTIC TANK l AREA#2: PROP. MITIGATION �N79o�2 /� �L CO,�� `-PROPOSED IMPERVIOUS PLANTLOCAL UPGRADE APPROVAL REQUEST (SEPTIC TANK): BARTLINGS ETT NARRAT6VE DATED �� 0 20 W 1 To 13E 40 MIL. GEOMEMBRANE LINER w? "Asfl r `-EXISTING 1,500 GAL. SEPTIC �• �� �•D' SITE PLAN 3-13-17 AND PLANTING PLAN DATED i i• x CL,1 •8- \ IN ACCORDANCE WITH 310 CMR 15.401 - 15,405 THE FOLLOWING LOCAL UPGRADE I �,� , (co+ / TANK TO BE REMOVED APPROVALS ARE REQUESTED FROM 310 CMR 15.211(1): 3-13-17 (LAST REVISED 5-18-17), I PREPARED BY JC ENGINEERING. ` i I c�i / �'o�J ,�4�� S83° 17' 10"W AT i (1.) A 3.4 WAIVER (10.0' -6.6') FOR THE SETBACK FROM THE NEW SEPTIC TANK TO MAP 228 ,/o�� f ,',a~ �p 23.75 j� \\\\ , 15 PINEY POINT DRIVE THE EXISTING HOUSE FOUNDATION. (2.) A 2.1'WAIVER (10.0' - 7.9') FOR THE SETBACK FROM THE NEW SEPTIC TANK TO LOT 001 QQO� ' CID �� \ �• \\� '�° THE PROPOSED HOUSE FOUNDATION. /�' `� / AnRI Benchmark �/ \\�• EXISTING, CENTERVI LLE, MA 02655 (3.) A 3.1' WAIVER (10.0 -5.9) FOR THE SETBACK FROM THE NEW SEPTIC TANK TO NHESP 2008 va Nail in Utility Pole THE FRONT PROPERTY LINE. PRIORITY HABITATS (4.) A 3.5'WAIVER (10.0'-6.5') FOR THE SETBACK FROM THE NEW SEPTIC TANK TO .. OF RARE SPECIES 22. ct� , Elev. =43.50 �\ \ 2-BEDROOM THE EXISTING WATER LINE. / Approx. M.S.L. D \�\\\ PREPARED FOR: .•, . _ (APPROX. LINE) -•,•; � / V r \\• ����� I # � LOCAL VARIANCE REQUEST (SEPTIC TANK): --. /4 EXISTING CONCRETE PAD TO \\ JAMES C. & KATHLEEN C. HENRY / / \\ \ 15 PINEY POINT DRIVE THE FOLLOWING LOCAL VARIANCE IS REQUESTED FROM ARTICLE 1, SECTION 360-1: -.,,, � �. BE REMOVED & REPLACED ��/ \ (1.) A 25.0'VARIANCE (100.0'-75.0') FOR THE SETBACK FROM THE NEW SEPTIC -�/ '/ WITH CRUSHED STONE (29 sl] � \\\\ TANK TO THE POND. 2� (0 �\\ \\ CENTERVILLE, MA 02632 NOTES: _ (U C. {� * , 9' \ \ PREPARED BY: 1.) PROPERTY IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY JC ENGINEERING, INC. - =� .�i 2854 CRANBERRY HIGHWAY DISTRICT AND THE ESTUARINE WATERSHEDS. � / 76 ��„ � y � � \\ � - '��` i �4/ \ ^ EAST WAREHAM, MA 02538 2.) A PORTION OF THE EXISTING SEPTIC SYSTEM COMPONENTS SHOWN ON THIS LEGEND \\ �V PLAN ARE CONSIDERED APPROXIMATE AND WERE BASED ON SEPTIC AS-BUILT '�"�-;= ► , CARD ON FILE WITH THE TOWN OF BARNSTABLE BOARD OF HEALTH. SEE SEWAGE PERMIT#02-287 ON FILE. x1.0 EXISTING SPOT GRADE S Jsr- SCALE: 1" = 20' DATE: JANUARY 12, 2016 i 3.) A THREE (3) BEDROOM DEED RESTRICTION TO BE FILED PER CONDITION OF -�- __100 --- - - EXISTING CONTOUR '4 REV.1: $-23-16 (ZBA Submittal) BOARD OF HEALTH APPROVAL ON 2-9-16. CJ1N/V EXISTING OVERHEAD UTILITIES � � �-�� �Q' REV.2: 3-13-17 (CC Submittal) 4.) EXISTING CONCRETE PAD LOCATED AT THE SOUTHWEST CORNER OF THE E/T/C EXISTING UNDERGROUND UTILITIES ?. 2 PROPOSED FAMILY REV.3: 5-18-17 (CC Comments) EXISTING 1-BEDROOM DWELLING SHALL BE REMOVED AND REPLACED WITH LOAM ^ �� AND SEED. w W EXISTING WATER LINE �c' i ROOM ADDITION (257 st 5.) EXISTING SLATE WALKWAY LOCATED BETWEEN THE EXISTING 2-BEDROOM (IA:� EXISTING GAS LINE (NO BEDROOMS) GRAPHIC SCALE NFW GARAGE f312 sf1 DWELLING AND EXISTING STONE DRIVEWAY SHALL BE REMOVED AND REPLACED 20 0 10 20 40 80 WITH LOAM AND SEED, WHERE NECESSARY. {� p p EXISTING 1,500 GALLON SEPTIC TANK - 6.) EXISTING CONCRETE PAD IN FRONT OF THE EXISTING GARAGE SHALL BE EE3 PROPOSED 1,500 GALLON SEPTIC TANK NEW GARAGE DIMENSIONS PLAN ADDITION DIMENSIONS PLAN ( IN FEET) REMOVED AND REPLACED WITH CRUSHED STONE. SCALE: 1" = 10' SCALE: 1" = 10' JCE#3231 TOP OF FOUNDATION = 41 .6't FINISH GRADE OVER D-BOX = 41 .6't PROVIDE EXTENSION RISER WITH COVER OVER INLET& REMOVABLE WATER-TIGHT COVER OVER � ■,� ■ �� �' FINISH GRADE OVER TANK EL.= ,, RISER TO WITHIN 6' OF FINISHED GRADE ••�. --`� + ' ,, _ • �� FINISHED GRADE OUTLET TO WITHIN 6"OF F.G. 41 .7't a f @ FOUNDATION = 40.5 f r5' DIA. OUTLET(S) #1 rJ 20"MIN.ACCESS - - g" MIN. ` f EXISTING E�LhWt�4d ` t �'+ V �" 00 v, COVER (3 TYP.) 1 2-BEDROOM :� r [� 36 MAX. \`' ; DWELLING \ �F. _ � i : .. : tip PROP. SCH. 40 9" MIN. PVC SEWER PROP. SCH. 40 36" MAX. a OF=41.6+ t1. ti • . . {� PVC SEWER f •t . ' ..., �., MIN. 6 3„ 2" DROP MIN. I _ , 1 �^ �� ' �+ r, + r �I •ft• ll SLOPE @ 7% 3" 9' L 19± �, ' ' . �'►•' .�.,. . .. .. h, 3' DROP MAX. 9' e, ,, ,ti MIN.SLOPE @ 1% PROVIDE WATERTIGHT - = O C9 - ; ■''',`�."`' v°, i "" t.•. • ,..�` icy, JOINTS TYP. O 2 `�+ !' + ( .R s • r ■ 13' 4" PVC IN FROM ( ) cv =' . • _ ' LOCUS 38.00' SEPTIC TANK0 4 i-v,. i,1U 1 i t� LE:Mk- iNkiv �4 „r ry' ACILITY (SEE. PLAN) t m [v f it a _. - r 38.25 4 48" OUTLET TEE MIN. i �-37 68 PROPOSED FAMIL' ,. �`" , 6" CRUSHED STONE ROOM ADDITION r ' ` -t=,. 1 4 GAS BAFFLE '�'°°�� �►_ 4 1 OVER MECHANICALLY (NO BEDROOMS) pal 6.6' OFFSET TO FND COMPACTED BASE `+�`�r �`- ' `, * .■f '`' s" CRUSHED STONE OUTLET DISTRIBUTION BOX ADDITION DIMENSIONS PLAN U.S.G.S. LOCUS MAP OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE COMPACTED BASE C C BASE. FIRST TWO FEET OF OUTLET SCALE: 1"=20' SCALE: 1"=1000' PROPOSED 1 ,500 GALLON H-10 CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. (Dimensions per Wiggin SURVEYED IN FIELD, CONTRACTOR LENGTH 10'-6" WIDTH 5'-8" DEPTH 5'-8" Precast Corp., Pocasset,MA) CROSS SECTION VIEW 0 VERIFY EXISTING ELEVATION PROPOSED gPPTIt'`�° TANIK PROFILE EXISTING DISTPIPI I'rI N BOX DETAIL RIOR TO ANY WORK& NOTIFY NOT TO SCALE NOT TO SCALE NGINEER IF DIFFERENT LEGEND #15 EXISTING X1.0 EXISTING SPOT GRADE 2-BEDROOM ' OWNER OF RECORD' ' DWELLING JAMES C. & KATHLEEN C. HENRY TOF = 41.6 I 1 100 - EXISTING CONTOUR 15 PINEY POINT DRIVE 1 ' EXISTING OVERHEAD UTILITIES CENTERVILLE, MA 02632 �� `V C, I -� O O r �� Jill `''` '� ro ; N_HES_P 2008 LINE _ ,. .J FEMA FLOOD ZONE (PROPERTY): ©0� S68°SO, `� -' EXISTING WATER LINE 4- sue. 94 F MAP 228 EXISTING GAS LINE 44 \ O O / f % "� AS SHOWN ON COMMUNITY PANEL.- 7.9• �Ss EXISTING DOCK LOT 154 (.0 CID EXISTING 1,500 GALLON SEPTIC TANK #25001C0564J W LONG POND "", 1 w ASSESSOR'S MAP & LOT: z s EL.=27.0'± % I ( / ♦ ey ao M P7 �. O O O PROPOSED 1,500 GALLON SEPTIC TANK A GREAT POND) r MAP 228, LOT 155 ( ,' �y J / Cy _ Q j SEPTIC TANK LOCATION PLAN ��-� / / #15 29' i ,� �, �O DEED REFERENCE. SCALE.- 1"=20' 9 / // �.,� 64' ,' p / EXISTING O DEED BOOK 22306, PAGE 86 / 1 2-BEDROOM �� Q 0 O)Y FAMILY ROOM , �. DWELLING © ^ i� EX. GARAGE TO BE RAZED � ADDITION ' - PLAN REFERENCES: ��;♦ / TOF =41.6'± �� & REBUILT !N PLACE !�, (NO BEDROOMS)1 - o PLAN BOOK 114, PAGE 37 / / /'/ w4G 2 - 500 GAL. LEACHING �ry r CHAMBERS PER AS-BUILT CARD ti i /G EXISTING/ DPI . (PERMIT#02-287)(TO REMAIN) tL7 ,1-BEDROOM C:ONC ,41 DWELLING \\ �._ EXIST. "D-BOX' NOTES: / ^t-!�- �,� \FFE=42.2'\ O 7 (TO REMAIN). -EX 12" HIGH TIMBER ,.� AINING WALL SITE PLAN 1.) PROPERTY IS LOCATED WITHIN THE RESOURCE / 8 R=1 .6 AT PROTECTION OVERLAY DISTRICT AND THE ESTUARINE MAP 228 WATERSHEDS. N10°43'40"Ei_ LOT 155 a,,4 s�c �1` /♦ PROPOSED 4" SCH. 40 8+ 11,060±S.F. ,r �0,\ �g �' PVC PIPE TO BE SLEEVED 15 PINEY POINT DRIVE 2.) A PORTION OF THE EXISTING SEPTIC SYSTEM A, OO ` / PROPOSED 1,500 COMPONENTS SHOWN ON THIS PLAN ARE CONSIDERED 80 1g, `�,�° GAL. SEPTIC TANK CENTERVILLE, MA 02655 APPROXIMATE AND WERE BASED ON SEPTIC AS-BUILT CARD ,bv N790 22.20, PROPOSED IMPERVIOUS ON FILE WITH THE TOWN OF BARNSTABLE BOARD OF HEALTH. i` o / /♦ , 40 MIL. GEOMEMBRANE LINER SEE SEWAGE PERMIT#02-287 ON FILE I \--EXISTING 1,500 GAt_. SEPTIC PROPOSED %/ 'rA"- T• rr 7MOVED PREPARED FOR: LOCAL UPGRADE APPROVAL REQUEST SEPTIC TANK): RESERVE AREA ' ,��`� 23.7 ' 1o"w JAMES C. & KATHLEEN C. HENRY ( ) 10.0 FFS I 2�� ' '� io O� 23.75' Co IN ACCORDANCE WITH 310 CMR 15A01 - 15.405, THE FOLLOWING LOCAL UPGRADE MAP o2028 ,/�O / 15 PINEY POINT DRIVE APPROVALS ARE REQUESTED FROM 310 CMR 15,211(1): OQ o �' Q (1.) A 3.4'WAIVER (10.0- -6.6') FOR THE SETBACK FROM THE NEW SEPTIC TANK TO N l to �00 Benchmark `,,+OF�7HS CENTERVILLE, MA 02632 NHESP 2008 / :�� ' w THE EXISTING HOUSE FOUNDATION. c Nail in Utility Pole (2.) A 2.1'WAIVER (10.0 -7.9') FOR THE SETBACK FROM THE NEW SEPTIC TANK TO PRIORITY HABITATS JOHN L THE PROPOSED HOUSE FOUNDATION. OF RARE SPECIES s CHURGHILL JR. ;;'! / ! Approx. M.S.L. (3.) A 3.1'WAIVER (10.0'- 5.9') FOR THE SETBACK FROM THE NEW SEPTIC TANK TO (APPROX. LINE) ,0 ��, N0.CIVIL ; PREPARED BY: THE FRONT PROPERTY LINE. ''� �� ' JC ENGINEERING INC. (4 ) A 3.5'WAIVER (10.0'-6.5') FOR THE SETBACK FROM THE NEW SEPTIC TANK TO / ♦♦�0�. � 'ST ' THE 1-XISTING WATER LINE. / 2854 CRANBERRY HIGHWAY LOCAL VARIANCE REQUEST (SEPTIC TANK): f;G' EAST WAREHAM, MA 02538 20 0 10 20 40 80 l THE I OLLOWING LOCAL VARIANCE IS REQUESTED FROM ARTICLE 1 SECTION 360-1: 0 ) A 25.0'VARIANCE (100.0' -75.0') FOR THE SETBACK FROM THE NEW SEPTIC TANK TO THE POND. ( IN FEET ) SCALE: 1" = 20' DATE: JANUARY 12, 2016 JOB#3231