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0060 POINT OF PINES AVENUE - Health
r,,-60 Point Of Pines Avenue _ Centerville LA105 -- f ; Omdord, NO. 1521/3 ORA 10% \1 r Q:\SEPTIC\O&M Ltr\60-62 Point of Pines Cent Sept 2014.doc Town of Barnstable Barnstable tt� � Regulatory Services Department AwArnalaatft A ' Public Health Division I 639. 1� j; 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7014 1200 0001 0358 0178 September 9, 2014 William Gordon 60+62 Point of Pines Avenue Centerville, MA 02632 According to our records, the tight tanks owned by you located at 60 and 62 Point of Pines Avenue, Centerville, MA has not been monitored and/or pumped every three • months as required by the Massachusetts Department of Environmental Protection. Therefore, you are ordered to hire a licensed septage hauler to have the tank pumped on, or before October 30, 2014. After that date, the tanks shall be pumped once every three months while occupied. If your tank was already pumped sometime within the past three months, please submit a copy of the receipt for the pumping.. You must submit a copy of the pumping record(s) to this Office at this mailing address: attn. Karen Malkus Town of Barnstable Health Division, 200 Main Street, Hyannis, MA 02601. Failure to comply with an order of the Board of Health may result in the issuance of $100.00 (100) dollars for non-criminal ticket citations. Tickets may be issued daily until the violations are corrected. You may request a hearing before the Board of Health, if written petition requesting same is received by the Board within seven days of the date of your receipt of this letter. EPEER OF THE B ARD OF HEALTH cKean, R.S. CHO Agent of the Board of Health QASEPTIC\0&M Ltr\60-62 Point of Pines Cent Sept 2014.doc • M1 .. ra WN m OFFICIAL USE M Postage $ O Certified Fee Postmark 'a O Return Receipt Fee Here O C3 (Endorsement Required) �} Restricted Delivery Fee '9 O O (Endorsement Required) MTotal Postage&Fees $ o William Gordon 60+62 Point of Pines Avenue Centerville, MA 02632 Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority MaiIQ6 ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,plebse complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the' endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 I I SECTION:SENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY, 9 ■ Complete items 1;2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired, X ❑Agent im Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date Deli ery ■ Attach this card to the back of the mailpiece, q / or on the front if space permits. (X 1. Article Addressed to: D. Is delivery address different from item ❑Yes If YES,enter delivery address below; ❑No William Gordon 30+62 Point of Pines Avenue enterville MA 02632 3. Service Type O Certified Maid® ❑Priority Maii Express'" ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number — - --- {transfer from service rabef) 7 014 '12 0 0 :0 0 01 0 3 5 8 017 8 ^. PS Form 3811,July2013 Domestic Return Receipt UNITED STATES POSTAL SERVICE I _ First-Class Mail Postage&Fees Paid USPS I Permit No.G-10 I I • Sender: Please print your name, address, and ZIP+4®in this box• I I _ Town of Barnstable S. j Public Health Division 200 Main Street Hyannis, MA 02601 I i I I . .... . ........ . . .... ..... . ... I! I �SHE Tp Town of Barnstable Barnstaf�"le OF � Regulatory Services Department M-A"'micacity IIARNSCABLE, ZMA5S. 0 Public Health Division A?Eo rwA�' 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO William Gordon 60+62 Point of Pines Ave. Centerville; MA 02632 i According to our records, the tight tanks owned by you located at 60 and 62 Point of Pines Avenue, Centerville, MA has not been monitored and/or pumped every three. months as required by the Massachusetts Department of Environmental Protection. Therefore, you are ordered to hire a licensed septage hauler to have the tank pumped on, or beforeJ4�y 30, 2011. After that date, the tanks shall be pumped once every three months while occupied. o If your tank was already pumped sometime within the past three months, please submit a copy of the receipt for the pumping. Please submit a copy of the pumping record(s) to this Office at mailing address: attn. Karen Malkus Town of Barnstable Health Division, 200 Main Street, Hyannis, MA 02601. Failure to comply with an order of the Board of Health p Y may result in the issuance of $100.00 non-criminal ticket citations. Tickets may be issued daily until the violations are corrected. You may request a hearing before the Board of Health, if written petition requesting same is received by the Board within seven days of the date of your receipt of this letter. PER ORDER OF THE BOARD OF HEALTH QTh ean, S., Agent of the Board of Health 1 Page 1 of 1 Parvin, Lindsay From: robertpaolini67@gmail.com Sent: Tuesday, September 09, 2014 12:32 PM To: Parvin, Lindsay Subject: Point of pines rd. This letter is on the behalf of William Gordon and the properties at 60 and 62 point of pines in centerville.I Robert Paolini maintain and pump both tight tanks once to twice a year depending on how busy properties are. I'm not sure if I was only using 62 as address as I usually pump both tanks at the same time . When his alarms go off he calls me to pump them asap.If you have any questions feel free to contract me 508 380 9499 . Sincerely Robert Paolini Happy Connecting. Sent from my Sprint Phone. 9/9/2014 oFTHET Town of Barnstable Regulatory Services Barnstable II Thomas F. Geiler, Director AC>AmericaCity * BARNSTABLE� r Public Health Division 16 ATFD MA'�A Thomas McKean,Director 2007 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 18, 2011 Barnstable Deputy Sheriff's Department PO Box 729 Barnstable,MA 02630 RE: William Gordon, 60462 Point of Pines Avenue, Centerville Please hand-deliver to the last and usual known address the enclosed letter to: William Gordon 60-62 Point of Pines Avenue, Centerville, MA. The billing address for the services is: Public Health Division-S. Crocker Town of Barnstable 200 Main Street Hyannis, MA 02601 If you have any questions, please feel free to call me at 508-862-4644. Thank you for your assistance in this matter. Sendin my regards to you all, Sharon Crocker Administrative Assistant �p SHE tp� Town of Barnstable Barnstable Regulatory Services Department M-ftmica QW > BARNSTABLE, + y MASS. 0Q Public Health Division-tj 1639. �� m AlE0 MA'S a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO William Gordon 60+62 Point of Pines Ave. Centerville, MA 02632 According to our records, the tight tanks owned by you located at 60 and 62 Point of Pines Avenue, Centerville, MA has not been monitored and/or pumped every three months as required by the Massachusetts Department of Environmental Protection. Therefore, you are ordered to hire a licensed septage hauler to have the tank pumped on, or before July 30, 2011. After that date, the tanks shall be pumped once every three months while occupied. If your tank was already pumped sometime within the past three months, please submit a copy of the receipt for the pumping. The last time we have record of pumping is 11/9/09 for#60 Point of Pines and 11/30/09 for#62 Point of Pines. Please submit a copy of the pumping record(s) to this Office at mailing address: attn. Karen Malkus Town of Barnstable Health Division, 200 Main Street, Hyannis, MA 02601. Failure to comply with an order of the Board of Health may result in the issuance of $100.00 non-criminal ticket citations. Tickets may be issued daily until the violations are corrected. You may request a hearing before the Board of Health, if written petition requesting same is received by the Board within seven days of the date of your receipt of this letter. PER ORDER OF THE BOA OF HEALTH QTh ean, .S., Agent of the Board of Health Barns'iable 4-ounty Sheriffs Office Civil Process Page 1 of 1 Home Corrections Public Safety Community Relations Human Resources Media Directions The Barnstable County Sheriff's Department Civil Process Office, under Chief Deputy Bradley R. Parker, Jr., consists of eleven Deputy Sheriffs, support and clerical staff. The Division's operations, routed in ancient common law as well as controlled by Massachusetts General Laws, are specialized, but the Civil Process Deputies probably have more contact with the general public than any other branch of the Sheriff's Office. In addition, the Civil Process Division operates at no cost to the County or to the taxpayers. The services are paid by attorneys or individual plaintiffs under a statutory-fee structure. Fully computerized, the Civil Process office is located adjacent to the Barnstable County Complex at 3261 Main Street in Barnstable Village. The Deputy Sheriffs of this Office deliver legal notices and Court papers from all Massachusetts Courts, as well as from the various Courts in other states or counties. They are legally capable to serve process in all fifteen towns within the County of Barnstable. The cases vary from small claims matters to multi-million dollar real estate attachments and major Superior Court matters. This Office deals in six broad areas: . The largest volume of cases are monetary or contractual disputes, where the Deputies are charged with delivery of summons, complaint, notice of suit and successive post-judgment papers. • Delivery of Witness subpoenas and notices of deposition. . In cases of defaulted judgments, Writs of Capias warrant the Deputy to arrest and transport to any court in the Commonwealth. • Delivery of Probate Court documents concerning divorce proceedings, custody matters, disputed estates and child support cases. . Real estate attachments and levies on executions, up to and including Sheriff's sales of real property in Barnstable County. • Landlord-tenant matters where Deputies deliver notices to quit, summary process summons and complaints and ejectment executions. 5/h-41 Civil Process handled about 12,600 cases last year and offers professional, competent and courteous service to attorneys and the public in a timely manner. The Office is especially careful to maintain proper respect for the rights of all parties concerned. Whether simple small claims cases, major lawsuits, or an occasional court-ordered seizure of a boat or airplane, the Deputy Sheriffs in the Civil Process office are dedicated to ensuring proper and professional service of process. The Barnstable County Sheriff's Departmentt.Civil Process Office can be reached at 508-362-9578. [�a /7&-a C%EA7 --� �e �'s �T/7 — f�� 1 4 1 heriff James M. Cummings � .�, � �l-,_ S Barnstable County Sheriff's Office f 6000 Sheriffs Place, Bourne, MA 02532 7:� hone: 508-563-4300 1 Fax: 508-563-4574 E � g g1W e�,;3j 77 -tv Z r '7 / � http://www.bsheriff.net/civil-process.htm j l�cc ,C`tc � 4/27/201-1 Ma y. 23. 20111 C:55AM No. 1134 P. 2 • _'Castomer History Screen Thursday 10/14/2010 Customer number 2154 customer Type ❑cT ❑RM ❑GW ❑T5 ®SP ©DP Company Name First Name, Last Name William Gordon Job Address Entered by: JVG Street Address 60 Point of Pines Avenue City,state,zip Centerville MA 02632 Tel 617-584-0882 Cell Business Phone Fax e-mail Billing Address, Delete El Yes Street Address PO Box 67214 City,State,zip Chestnut Hill MA 02467 Vessel Pumped Septic Tank Gallons 2000 Auto Schedule ❑3M ❑6M ❑12M ®24M []36M Dig Safe Info Scanned asbuilt ACUVIty to Start End Comp Wp Tight Tank 10/14/10 Y `p ig ank 9 Y p Tight Tank 5/29/09 Y Pump Tight Tank _7/14/OB _ Y Notes $10.61.read.w.cfl........................................................................................................................................................ 8�17./ .: 1p_po.Ql..1Q5.DD-r_e� .91.2b/� ............................................................................. ............... ,ta�nk.�0012�.390,.QQ.............................................................._......._......... 5/29109 numn T 2000G 400.00 Special Instructions send invoice to Centerville address Last Pumped FleeSe.hay.e__RQb.ert...do..this..--.he-pis...alway..;x.. nae..1-.and-the........ 10/13/10 ocnex..a�ui.11..n�ak..be..tklere._...._._...._......._...._...._......._...- - .,. ._._._._...._...._._._._...._......._ Job Status Qo.,.anyti.mo..Wad._ar,Th.lax ........ r. t..jtas , !urnx.,Aff............................................... Records Found PC Sent 0 Yes 0 No Date Sent 1 BY STREET 08-Nov-10 Hse# Street Village Prop Owner Date Hauler Source 9 Point Of Pines Avenue c O'Toole,Ed 9/28/2006 Wind River Septic 60 Point Of Pines Avenue c Gordon 8/21/2006 Macomber Septic 0 Point Of Pines Avenue Centerville Luciani,David 1/25/2007 Bouse House Septic 9 Point of Pines Avenue Centerville O'Toole 5/22/1998 Bortolotti Septic 9 Point Of Pines Avenue Centerville O'Toole 9/5/2000 Ace Septic 9 Point Of Pines Avenue Centerville O'Toole, Edward 3/21/2002 Wind River Septic 9 Point Of Pines Avenue Centerville O'Toole,Ed 10/22/2002 Wind River Septic 9 Point Of Pines Avenue Centerville O'Toole,Edwand 5/l/2003 Wind River Septic 9 Point Of Pines Avenue Centerville O'Toole,Ed 6/25/2004 Wind River Septic 9 Point Of Pines Avenue Centerville O'Toole 4/13/2007 Wind River Septic 9 Point Of Pines Avenue Centerville Ron's Excavating 9/26/2007 TD Septic Septic 25 Point of Pines Avenue Centerville Kirsch,Margaret 8/6/1999 Ellis Septic 25 Point of Pines Avenue Centerville Kirsh,Peggy 10/6/2000 Ellis Septic 25 Point Of Pines Avenue Centerville Kirsh 10/18/2001 Ellis Septic 25 Point Of Pines Avenue Centerville Kirsch,Margaret 7/31/2003 A&B Canco unknown 25 Point Of Pines Avenue Centerville Kirsch 4/13/2007 A&B Canco 25 Point Of Pines Avenue Centerville Kirsch,Margaret 6/11/2009 Blue Water Septic 60 Point Of Pines Avenue' Centerville Treadwell i 9/22/1998 _ Ace Cesspool 60 Point of Pines Avenue Centerville Treadwell 9/15/1999 Ace Cesspool 60 Point Of Pines Avenue Centerville Treadwell 8/4/2000 Ace Cesspool 60 Point Of Pines Avenue Centerville Gordon 7/28/2005` Ace Cesspool 60 Point Of Pines Avenue Centerville Gordon,William .6/16/2006 Gibbs Cesspool 60 Point Of Pines Avenue Centerville Gordan,William 7/14/2008 Capewide Septic 1 A i COMMONWEALTH OF MASSACHUSETTS I- EXECUTIVE OFFICE OF ENERGY & ENviRoNmENT A T A F F A TRO, DEPARTMENT OF ENVIRONMENTAL PROTE P CAPE COD OFFICE 973 Iyannough Road, Route 132, Hyannis, MA 02601 Phone: 508-771-6003 FAX: 508-771-6155 DEVAL L.PATRICK IAN A.BOWLES Governor - Secretary TIMOTHY P. MURRAY Lieutenant Governor LCommiURIE BURT Commissioner March 27, 2008 Mr. David Coughanowr RE: BARNSTABLE--Subsurface Sewage Eco-Tech Environmental Disposal-Approval of Tight Tank for William 43 Triangle Circle Gordon, 62 Pomt 6f Pines, Centerville :a Sandwich,Massachusetts 02653 Transmittal No. W201959 Dear Mr. Coughanown The Southeast Regional Office (Cape Cod Office) of the Department of Environmental Protection has received and completed its review of the above referenced application for approval of a tight tank pursuant to Title 5 of the State Environmental Code, 310 CMR 15.260, to serve a seasonal residence at the above-referenced address. Accompanying the application was a plan consisting of one (1) sheet titled: "SEWAGE DISPOSAL SYSTEM PLAN TO SERVE EXISTING DWELLING WILLIAM GORDON , CLIENT - 62 POINT OF PINES AVENUE CENTERVILLE, MA PROPERTY ADDRESS ASSESSORS MAP 210 PARCEL 106 PLAN BOOK 325 PAGE 33 �( - DATE: DECEMBER 3, 2007 PAGE 1 OF 1 VERSION B ECO-TECH ENVIRONMENTAL 43 TRIANGLE CIRCLE SANDWICH MA 02563 508 364-0994" This information is available in alternate format.Call Donald Al.Gomes,ADA Coordinator at 6I7-556-1057.TDD#866-539-7622 or 6I7-574-6868. MassDEP on the World Wide Web: http://www.mass.gov/dep t�� Printuri nn Ronirlorl Donor 2 1 with a most recent revision date of January 7, 2008. Based on its review of the application and accompanying plans, the Department recognizes,that a sewer connection is not feasible and that there is no other feasible alternative for the disposal of sanitary sewage in accordance with 310 CMR 15.000. The Department finds that the application and plans are in compliance with 310 CMR 15.000, and, accordingly, hereby approves your request pursuant to 310 CMR 15.260, Tight Tanks, subject to the following provisions. Failure to comply with these provisions may result in revocation of this approval. 1. Prior to installation of the tight tank, the owner shall obtain a disposal system construction permit from the Barnstable Board of Health. 2. This approval is limited to the existing use and any change of use will require a new approval. The facility's flow to the tight tank is limited to 330 gallons per day. 3. The owner shall allow representatives of the Department and the local.Board of Health access to inspect the. facility during construction in order to assess compliance with the final plans as approved by the Department. It is the applicant's responsibility to ensure that the approved plans are available at the site during construction. 4. No tight tank shall be utilized until the owner has submitted to the Department and the Board of Health written certification by a Massachusetts Registered Professional Engineer or Registered Sanitarian that the tight tank has been constructed and installed in accordance with the approved plans and conditions of this approval. 5. The owner shall provide the Barnstable Board of Health with a copy of an executed two year service contract with a septage hauler licensed to operate in that community, which identifies the disposal location(s) of the tight tank contents. Failure of the owner to properly maintain the tight tank and keep it from overflowing shall constitute grounds for revocation of this approval. 6. Within 30 days of a sewer becoming available to the facility, the owner shall connect the facility served by the tight tank to the sewer and shall abandon the tight tank in accordance with 310 CMR 15.354. 7. Prior to installation of the tight tank, the owner shall record a copy of this approval letter in the chain of title to the property served by the tight tank and shall submit to the Department the book and page number and the date of such recording. i 8. An operation and maintenance plan, table the Barnstable Board of Health, shall be implemented which requires monitonn f the system at a minimum frequency of once every three months to ensure proper operation and maintenance. i 3 Rj y 9. All notices and information required pursuant to this approval letter shall be sent to the Department at the following address: Department of Environmental Protection 973Iyannough Road Hyannis, Massachusetts 02601 10. The owner shall submit monthly reports to the Barnstable Board of Health concerning operation and maintenance of the tank. 11. The owner shall submit to the Barnstable Board of Health copies of pumping-records within 14 days of each pumping date. Please note that the conditions, outlined above, do not supersede any conditions imposed by the Barnstable Board of Health. The above conditions supplement any other conditions imposed by the Barnstable Board of Health. Should you have any questions regarding this matter, please contact me at (508)771- 6047. Sincerely, Brian A. Dudley Bureau of Resource Protection BAD I Enclosure (2 sets of plans) j cc: Mr. Thomas McKean, Health Agent Board of Health 200 Main Street Hyannis, MA 02601 Enclosure (1 set of plans) Mr. William Gordon 62 Point of Pines Avenue Centerville, MA 02632 Message Page 1 of 1 f� i ' Crocker, Sharon CO d Subject: FW: Point of pines rd. 6),1 (31M) -----Original Message----- From: Parvin, Lindsay Sent: Tuesday, September 09, 2014 12:35 PM To: McKean, Thomas; Crocker, Sharon Subject: FW: Point of pines rd. -----Original Message----- From: robertpaolini67@gmail.com [mai Ito:robertpaolini67@gmail.com] Sent: Tuesday, September 09, 2014 12:32 PM To: Parvin, Lindsay Subject: Point of pines rd. This letter is on the behalf of William Gordon and the properties at 60 and 62 point of pines in Centerville. I Robert Paolini maintain and pump both tight tanks once to twice a year depending on how busy properties are. I'm not sure if I was only using 62 as address as I usually pump both tanks at the same time . When his alarms go off he calls me to pump them asap . If you have any questions feel free to contract me 508 380 9499 . Sincerely Robert Paolim Happy Connecting. Sent from my Sprint Phone. 9/9/2014 f ,may. 23. •IU11 , 1C:5�AM No. 1134 P. 2 .,customer history Screen Thursday 10/14/2010 Customer number 2154 Customer Type ❑CT ❑RM ❑GW ❑T5 ®SP ❑DP Company Name First Name, Last Name William Gordon Job Address Entered by: JVG Street address 60 Point of Pines Avenue city, state,zip Centerville MA 02632 Tel 617-584-0882 Cell Business Phone Fax je-mail Billing Address. Delete ❑Yes Street Address PO Box 67214 City,State,zip Chestnut Hill MA 02467 Vessel Pumped Septic Tank Gallons 2000 Auto Schedule ❑3M ❑ 6M ❑12M ®24M ❑36M Dig Safe Info Scanned asbuilt to Start End Comp X pump Tight Tank 10/14/10 Y Pump ig ank 9 Y Pump Tight Tank _5/29/09 - Y Pump Tight Tank 7/14/OB Y _ T Notes ....................................................................._...............................................................---........ .. S1.17.L .: arn{�..pool..1 .......................................................................... 612�./•.Q5-. Rrnall�Ge�sppl�l.7S.,01�.. /-Q6-- - --- ........................ 7..l.14/.Q.8.�1um��taht..k�1.k..�l���.�a..390,.QR...._.........................o....-................_.------------......_._...... 5/29109 nurnD T 20DOG 400.00 Special Instructions send invoice to Centerville address Last Pumped Pleas.e.ha.Y.P.—Rabarx...do.. 10/13/10 utraer.ar.,gill..Kok.. a..lrkleJ' ._....-.-...._.......-...._.... ....-. .-•-----------_............................ - Job status ........a.la rm.jus.n,vucnx.,Ql�f........................................... Records Found PC Sent 0 Yes ❑No Date Sent X la y. 23. 2011 1 C:55AM No, 1134 P. 3 Customer History Screen Friday 11/5/2010 Customer number 8916 Customer Type ElCT ❑RM ❑GW ❑T5 XSP ❑ DP Company Name First Name, Last Name Will Gordon Job Address Entered by: Street Address 62 Paint Of Pine Ave city, state,zip Centerville MA 02632 Tel 617-584-0882 Cell Business Phone Fax e-mail Billing Address Delete El Yes Street Address 62 Point Of Pine Ave city, state,zip Centerville MA 02632 Vessel Pumped Tight Tank Gallons 2000 Auto Schedule ❑3M ❑6M ❑ 12M ®24M ❑36M Dig Safe Info C IVI y ate Start End Comp C Pump Septic -11/5/10 - Y C Pump Sep 1c - J0.9 - _ Y C y Y Pump Septic 8/7/09 - Y C .. ;s Notes _...._-....---........--..............._............................................................................. -._.._._.....................................................................-.----..- --- 7�Z.8,11�Q...S�C..7.S..O.Q._..8�_4f ............I............................. ��.7..I0.�...�1�l�R...�,.A.QO.G-a��..�f..20.QQ�..T..ig.h�..�n.k..Z10.,.0.i�...-�-•---_..__---• Special Instructions Anytime Last Pumped .............................................................._._....--.--.--....__....................................................................._--- - ---- 11/5/10 ........................................................................................................................................................................................ Job Status .....................................................................................................,.......,,...,........................................................... Records Found PC Sent ❑Yes 0 No Date Sent 1 r .J He,. th Master Detail Page 1 of 1 Logged In.4s: TOWP-J\malkusk Health Master Detail Wednesday,October 27 2010 Application Center Parcel Lookup Selection Items Parcel Septic Pert I Well Fuel Tank Parcel: 210-106 Location: 62 POINT OF PINES AVENUE,CENTERVILLE Owner: GORDON,WILLIAM&BRUCE&ROBERT TRS Septic 1,5/15/2008 New Septic... Permit number: 2008156 Permit type: Select type Complete system: F I Issue date: 5/15/2008 Complete date I Septic tank size: 2000T Type/Size of SAS: 2000 gallon tight tank. Installer: Burke,Walter Card on file: r- I I/A service type: Select service Innovative/Alternative Technology type: ISelectlAtype Variance date: Abandon complete date:�— Abandon permit number: Repair deadline date: Repair notification date: Keyword: Comments: ***3 bedrooms deed restriction— This permit was orignally pulled by Robir Isl Delete Septic I � i New Inspection... l is I Number Date Inspector Result II I FO— Select Inspector - Select result Comments: sl i I Save Septic Changes I Return to Lookup Gordon 8/7/2009 '� Capewide ✓ Septic 62 Point Of Pines Avenue Centerville 11/30/2009 Capewide �� Septic 62 Point Of Pines Avenue Centerville Gordon \AJ : I I t G .Y• C,v r I r-r) CC) http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=210106 10/27/2010 ru 17� 777 Postage $Lr) C*i Certified Feeru O Retum Receipt Fee O (Endorsement Required)ORestricted Delivery FeeO (Endorsement Required) rU Total Postage&Fees. $ h-I cc Sent To IM 1(Q ( O fre et,Apt No.;----•••••••-------------------•-•___..._••-.••---•---..••-----•-----•-• � orP BoxNo.p,(� Ciry,State,ZIP 4 �� Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For' valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the i fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. I. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 o .. WE �B U- r q Postage $ ��s Certified Fee ba ru P stma y C3 Return Receipt Fee C3 (Endorsement Required) DEC O Restricted Delivery:Fee O (Endorsement Required) m Jn j fU Total Postage.&Fees I/gPS M - co sent rot1 '' '' O w I.1�` c�—°�-----=-saw_---5 � �O Sheet,Apt:No.; ------- tti or PO Box No. (,, Z Po n�- a F P I nes f�� ------------------------------- -------------------------- ----- ------------------ -- ! City,State,ZIP+4 b Z 6 :r. iam=_ ' Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail@ or Priority Mail@. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE.COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To`obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS@ postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". • if a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02.000-9047 I Town of Barnstable Barn Regulatory Services Department I j WWgrABM MAM Public Health Division t63p. `0� m DNS 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO William Gordon PO Box 67214 12/3/10 N , MA 02467 According to our records, the tight tanks owned by you located at 60 and 62 Point of Pines Avenue has not been monitored and/or pumped every three months as required by the Massachusetts Department of Environmental Protection. Therefore, you are ordered to hire a licensed septage hauler to have the tank pumped on, or before Dec.31, 2010. After that date, the tanks shall be pumped once every three months. If your tank was already pumped sometime within the past three months, please submit a copy of the receipt for the pumping. The last time we have record of pumping is 11/9/09 for 60 Point of Pines and 11/30/09 for#62. Please submit a copy of the pumping record(s) to this Office at mailing address: Town of Barnstable Health Division, 200 Main Street, Hyannis, MA 02601. Failure to comply with an order of the Board of Health may result in the issuance of $100.00 non-criminal ticket citations. Tickets may be issued daily until the violations are corrected. You may request a hearing before the Board of Health, if written petition requesting same is received by the Board within seven days of the date of your receipt of this letter. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health �'THE Town of Barnstable Barn Regulatory Services Department A&Am `caC j BAMSrABL& I I 03 i639. Public Health Division � m O"A0�a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO William Gordon PO Box 67214 �H68f�9 Newton, MA 02467 According to our records, the tight tanks owned by you located at 60 and 62 Point of Pines Avenue has not been monitored and/or pumped every three months as required by the Massachusetts Department of Environmental Protection. Therefore, you are ordered to hire a licensed septage hauler to have the tank pumped on, or before November 15, 2010. After that date, the tanks shall be pumped once every three months. If your tank was already pumped sometime within the past three months, please submit a copy of the receipt for the pumping. The last time we have record of pumping is 11/9/09 for 60 Point of Pines and 11/30/09 for#62. Please submit a copy of the pumping record(s) to this Office at mailing address: Town of Barnstable Health Division, 200 Main Street, Hyannis, MA 02601. Failure to comply with an order of the Board of Health may result in the issuance of $100.00 non-criminal ticket citations. Tickets may be issued daily until the violations are corrected. You may request a hearing before the Board of Health, if written petition requesting same is received by the Board within seven days of the date of your receipt of this letter. PER ORDER OF THE BOARD OF HEALTH cKean, R.S., CHO Agent of the Board of Health SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card-to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 11 ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No I Pau-)�� � ��A, 3. �S,e/r�vice Type I Ia.C;ertified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ygs 2. Article Number 7008 3230 0002 517 8 3 418 I �`�'� I (Transfer from service labeq � _ I I PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 l UNITED STATES POSTAL SERVICE First-Class Mail I Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Town of Barnstable " Health Division COP \� 200 Main Street Hyannis, MA 02601 P M U.S.POSTAGE>>PITNEY BOWES !Town of Barnstable Public Health Division ""xsr"B`E' ' 200 Main Street j ZIP 02601 $ 005�5�� m"A g I 0+>0 Hyannis,MA 02601 ' x 02 1W f 0001361475 NOV 10 2010 Zi ] 7008 3230 0002_5178 3418 _ Cle`p� � V � tTuap o caxoea 0 Not DelNeraMp As Addr@SII9>1. H1.1 � � y�y/L, $b � '�, ``�'-'�ib+eo� NObce a 2nd Notice o 0 oftwc4LcaftAft= Rum ►�-3 ate•=tea a vm t a 09atCc>s�f•go�-T k � 1 Iettt to I I i � �. • m co Postage $ \`��j MA 0Ln fl l Certified Fee O Return Receipt Fee ostm o O (Endorsement Required) P_OOYY''Rg., 0 i 0� Restricted Delivery Fee O (Endorsement Required) M USPs 11-1 Total Postage&Fees m Sent To co W i ( 1 (3 UY1 �G��✓1 0 Street,Apt.No.; or PO Box No. f,p,�jz e( It 6-4. Z( y -- -------------------------------------- 1 City,State,ZIP+4 rna- 6Zy� Certified Mail Provides: , ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. 6 Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. 2 For additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt Is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an Inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 HE Town of Barnstable Barnstable Regulatory Services Department AlAm micaCYfy + BARNSTABLE, ' 63 MASS. � Public Health Division 4'p'f°rnaY� 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO William Gordon -PO Box 67214 11/08/10 Newton, MA 02467 According to our records, the tight tanks owned by you located at 60 and 62 Point of Pines Avenue has not been monitored and/or pumped every three months as required by the Massachusetts'Department of Environmental Protection. Therefore, you are ordered to hire a licensed septage hauler to have the tank pumped on, or before November 15, 2010. After that date, the tanks shall be pumped once every three months. If your tank was already pumped sometime within the past three months, please submit a copy of the receipt for the pumping. The last time we have record of pumping is 11/9/09 for 60 Point of Pines and 11/30/09 for#62. Please submit a copy of the pumping record(s) to this Office at mailing address: Town of Barnstable Health Division, 200 Main Street, Hyannis, MA 02601. Failure to comply with an order of the Board of Health may result in the issuance of $100.00 non-criminal ticket citations. Tickets may be issued daily until the violations are corrected. You may request a hearing before the Board of Health, if written petition requesting same is received by the Board within seven days of the date of your receipt of this letter. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health oF'"E'a+ti Town of Darnstable f U.S.POSTAGE>>PITNEV BOWES Public Health Division + �Go RARMAARLE.g! 200 Main Street _ •' � _ � �o Hyannis,MA02601 I �,r} ZIP 02601 02 1 VV 005 5'T° " . 0001361475 DEC 06 2010 %4, 10 7008 323000025178 1407v,.. _� ;.► t o _ (Y-*,\A- UNABLE ,NABLL�E TO F'OR��ay1l=gRt?+�ryry �yi V.6.tL*r`Jd�i T/9��is` �•L��G'W__�.��J��-Mg'4� � tlrt '.:a`:2 a't3CJ$(C)a1C�t� ))I)l11lll'1.JI131}Il))1)} Wr ■ Complete items 1,2,and_3.Also complete A. Signature item.4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B Received by(Printed"Name) C.. Date of Delivery ■ Attach this card to the back of the mailpiece, i or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No �t wj i a Y-\ G-O�CA!/Y'\ / n � i l0 Z Pz,, n� -Le�n- O P i t�C�S /\cC.. A- C)2 3. Service Type 01Certified Mail ❑Express Mall ❑Registered ❑Return Receipt for Merchandise ` ❑Insured Mail El C.O.D. \ 4. Restricted Delivery?-(Extra Fee) ❑Yes 2. Article Numbe, ,lli i (Transfer from, i 7008 3230 x0002 5178 1407 PS Form 3811,February 2004 _ Domestic Return Receipt 102595-02-M-1540 L i AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION roc Ems! /���1�C5 SEWAGE# ' VILLAGE ASSESSOR'S MAP&PARCEL . INSTALLERS NAME&PHONE NO.L.t rc�y��Sc•-� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) .(size) NO.OF BEDROOMS f OWNER PERMIT DATE: COMPLIANCE DATE: i L Z 4 0 L, 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 =i FURNISHED BY d I 1 C' I �tJ i i http://issgl2/intranet/propdata/prebuilt.aspx?mappar=210105&seq=1 10/22/2010 7r Town of Barnstable KAM >�ARrIS'C;1 Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Sumner Kaufinan,MSPH Paul Canniff,D.M.D. July 14, 2006 Mr. Will Gordon 60 Point of Pines Ave Centerville, MA 02632 � C ,;RE ions#ruction�o�a H.oldng�?'a�, at60Pairit of'Pines "' � Dear Mr. Gordon, You are granted additional time to install a holding tank at 60 Point of Pines Road, Centerville with the following conditions: (1) The cesspools shall be pumped within ten (10) days of the date of the public meeting held. (2) After the initial pumping in compliance with condition #1 above, the cesspools shall be pumped once every thirty (30) days. (3) Construction shall be planned to begin on or before September 30, 2006. (4) You shall be present at the public meeting scheduled to be held on Tuesday October 10, 2006 at 3:00 p.m. at the Town Hall Selectmen's Conference Room. This permission is granted because you testified that you need sufficient time to thoroug , y research the process of actually installin a holding tank, including obtain' bids from reputable licensed contractors. Sin ly yours, ayn Miller, M.D. GordonPointofPinesExtenmsion2006 II t y May 24, 2006 Mr. Thomas A. McKean, Director Health Division 200 Main Street Hyannis, MA 02601 RE: 60 Point of Pines Tight Tank Install Date Dear Mr. McKean, I wanted to thank you in advance for the opportunity to request a little more time to thoroughly research the process of actually installing the tight tank. Since our approval was granted in the winter, I have not yet been able to come to the property to start the needed research. As my children will be away at camp all of July and August and only my wife and I will use the property, my plan is to interview companies and get bids during that time. I would then line up the appropriate contractor to start the job on September 30t" Please take into consideration the following: • The previous owners rented out this property and did not care about the abuse it took. We will not be renting our house out nor will it be abused. • We are very careful about what goes into the current system and use it gingerly. We conserve water and only use the outside shower. • We love our lake and are deeply concerned about the current state of the entire septic issue surrounding Wequaquet. • We want only the best for our property and the surrounding lake and will carefully select a contractor to do the job right. Thank you again for your consideration. W 1J Will Gordon P4 �0 Town of Barnstable *65 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. Mr. Christian A. Farland October 21, 2005 Dunn McKenzie, Inc. 206 Dedham Street Route 1A at Rt. 115 Norfolk, MA 02056 �R���Pernnis��r�t �ar��tr �ar���Us�'��a��lolding�Tai�l%��at�60�Po��rit`�ofPinesR� `� �y Dear Mr. Farland, You are granted a variance from 310 CMR 15.211 on behalf of your client, Will Gordon, to construct a holding tank at 60 Point of Pines Road, Centerville to be located 4.3 feet away from a property line. This variance is granted with the following conditions: (1) The applicant shall submit floor plans of the existing dwelling at this property. (2) No more than three (3) bedrooms maximum are authorized at this property. (3) The applicant shall record a properly worded deed restriction, signed by the property owner, at the Registry of Deeds restricting the number of bedrooms at this property to three, before the applicant obtains a disposal works construction permit. (4) The . applicant must request approval from the Massachusetts Department of Environmental Protection. (5) The dwelling shall be connected to public sewer when/if available in the future. FarlandGordonHoldinjank2005 1 t _y This permission is granted because the owner's representative testified that an onsite sewage disposal system cannot be designed to meet the minimum standards of the State Environmental Code, Title 5. Therefore, a holding tank appears to be the only option available for this site. Since, y yours, Wayne Piller, M.D. Chairman FarlandGordonHoldinjank2005 ' Wo oW ©r /{72QS' VI. Discussion: DISCUSSED Will Gordon of 60 Point of Pines Avenue, Centerville, requests additional time to install holding tank, until September 2006. (a) The cesspools shall be pumped within ten days, on or before June 23, 2006. (b) The cesspools shall be pumped monthly. (c)A holding tank shall be installed on or before October 10, 2006. f 'a. °F THE Tp� " Town of Barnstable MRNSCABLE, + "Ass. Board of Health ATfb MA'S A, 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. October 21, 2005 Mr. Christian A. Farland Dunn McKenzie, Inc. 206 Dedham Street Route 1 A at Rt. 115 Norfolk, MA 02056 RE: Permission to Construct and Use a Holding Tank at 60 Point of Pines Dear Mr. Farland, You are granted a variance from 310 CMR 15.211 on behalf of your client, Will Gordon, to construct a holding tank at 60 Point of Pines Road, Centerville to be located 4.3 feet away from a property line. This variance is granted with the following conditions: (1) The applicant shall submit floor plans of the existing dwelling at this property. (2) No more than three (3) bedrooms maximum are authorized at this property. (3) The applicant shall record a properly worded deed restriction, signed by the property owner, at the Registry of Deeds restricting the number of bedrooms at this property to three, before the applicant obtains a disposal works construction permit. (4) The applicant must request approval from the Massachusetts Department of Environmental Protection. (5) The dwelling shall be connected to public sewer when/if available in the future. FarlandGordon Holdi ngTank2005 f This permission is granted because the owner's representative testified that an onsite sewage disposal system cannot be designed to meet the minimum standards of the State Environmental Code, Title 5. Therefore, a holding tank appears to be the only option available for this site. Sincerely yours, Wayne Miller, M.D. Chairman Farl andGordon Ho Idin jank2005 i SHE Town of Barnstable BARNSTABLE, MASS. Q 9\039 ,�� Board of Health AlFb`MA�a, 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. October 21, 2005 Mr. Stephen Wilson Baxter, Nye, and Holmgren 812 Main Street Osterville, MA 02655 RE: Permission to Construct and Use a Holding Tank at 60 Point of Pines Dear Mr. Wilson, You are granted a variance from 310 CMR 15.211 on behalf of your client, Will Gordon, to construct a holding tank at 60 Point of Pines Road, Centerville to be located 4.3 feet away from a property line. This variance is granted with the following conditions: (1) The applicant shall submit floor plans of the existing dwelling at this property. (2) No more than three (3) bedrooms maximum are authorized at this property. (3) The applicant shall record a properly worded deed restriction, signed by the property owner, at the Registry of Deeds restricting the number of bedrooms at this property to three, before the applicant obtains a disposal works construction permit. (4) The applicant must request approval from the Massachusetts Department of Environmental Protection. (5) The dwelling shall be connected to public sewer when/if available in the future. W iIsonGordon Hold ingTank2005 This permission is granted because the owner's representative testified that an onsite sewage disposal system cannot be designed to meet the minimum standards of the State Environmental Code, Title 5. Therefore, a holding tank appears to be the only option available for this site. Sincerely yours, Wayne Miller, M.D. Chairman W i IsonGordonHoldinjank2005 a TOWN OF BARNSTABLE LOCATION e SEWAGE# VILLAGE N, ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. 1•Z SEPTIC TANK CAPACITY 7�5( -) �f Z Q LEACHING FACILITY:(type) (size) NO. OF BEDROOMS OWNER &ord o`-, PERMIT DATE: i"l'�-,V 0C, COMPLIANCE DATE: i O--7-q-l3 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 ��f��� ;� � ' , �) i �� i V � -�C� �� No. e72_(V6 ' U�C �� F THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppitr tion for �Bigo!5aY *p$tem Cow5truction Vermtt Application for a Permit to Construct( ) RepairX ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 61 7—5 8 4—0 8 8 2 60 Point of Pines, Centerville William Gordon Assessor's Map/Parcel 60 Point of Pines Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.Nos 0 8—3 8 4—39 90 Wm E Robinson Sr Septic Dunn—McKenzie Inc PO Box 1089 Centerville 206 Dedham St Norfolk Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 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 Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 tight tank with alarm to plans of Dunn-McKenzie, Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Q Signed Date Application Approved by Date 0 Application Disapproved by: Date for the following reasons Permit No. �()6 _41 33 Date Issued ` o,,,.� AL00, �{wti' No: WC�'' / T E t l Feel 0(3."00 --00010 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0[pplication for Migpo!9al �pAem Con5truction Permit f Application for a Permit to Construct( ) Repair:(L ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 61 7-5 8 4-0 8 8 2 60 Point of Pines, Centerville William Gordon Assessor'sMap/Parcel 60 Point of Pines, Centerville Installer's Name,Address,and Tel.No. 7 7 5-8 7 7 6 Designer's Name,Address and Tel.No5.0 8-3 8 4-3 9 9 0 Wm E Robinson Sr Septic Dunn—McKenzie Inc PO Box 1089, Centerville 206 Dedham St Norfolk Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) � r Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow(min.required) 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 Nature of Repairs or Alterations(Answer when applicable Install a new Title 5 tight tank with alarm to plans of Dunn- c enzie, #42UJ 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 Environmental Code and not to place the'system in operation until a Certificate of r Compliance has been issued by this Board of Health. 1 i 1 Signed Date ~' Application Approved by 11Date 0 Application Disapproved by: '-Date for the following reasons Permit No. '2t-pn6 —y 3j Date Issued / `^ =— —— ————————————————————-L ———————_— — THE COMMONWEALTH OF MASSACHUSETTS Gordon BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( X) Upgraded ( ) Abandoned( )by Wm E Robinson Sr Septic Service 60 Pointof Pines, Centerville at has been constructed in accordance \ with the provisions of Title 5 and the for Disposal System Construction Permit No. � 7�� dated S Installer a:S�Y\ Designer #bedrooms Approved design flow gpd The issuance of this permit shall noy be c nstrrued as a guarantee that the systemfwifl-fonctionsa nign Date �f�/O �/ (� Inspector ------------------------•---------------------------- No. _ 4 t�C/ _ Ad O 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Gordo PUBLIC HEALTH DIVISION -BARNSTABLE, MASSACHUSETTS Digonl 4pgtem Construction �ermit Permission is hereby granted to Construct ( ) Repair (X ) Upgrade ( ) Abandon ( ) System located at 60 Point of Pines, Centerville 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: Construction must be completed within three years of the date of this_pe it. Date ni N An by "`"""� 1 10/26/2006 16:09 15083843905 DUNN MCKENZIE PAGE 02/03 EDGE OF DEUNEATEO BY RUSSAND WALDRON LAn wEQUAQUET OF APPLIED ECOLOGICAL SCIENCES (AES) MIX Of AKE 7/2S/05 WATER ELEVATION 3&96 AES N13 AES AES N14 AES p20 ALA -"X_--- AE Nis AES JI9 L T 105 eit AREA ••�.• 1,190t S.F. AES N16__ --A J, . .. ELIZnB�9. MARA A N17 MAP 210- 1.01 164 it CAROLYN H. JOHNS �y''� DfSRIW A>AIEGaI " MAP 210 - LOT 106 TAMI AIAR"101m s 'yf.1 PATIO DIM aeop MIAII p.90 PRE CAST 1E TR1R MRC V a'TARt A'RK 2ABpl.aTl xi R-STORY TA'Cr IAIR TD MRpE eOTiOIt Ge Is DWELLING%'RSO9 CALLaa STOCKADE FENCE IAMt CAPAOII "` S'No ML1At TARII GwIN9ar ka NET lac talc i w Kal tRROJRI RIMT ALARM SEt AT 215 ALA916 SEI AT IA74 GUM I Mal 1plAw451t DIV PEA Mm tI I= i T.H. /1 u C WOW LANDSCAPE AREA ON 8. it-'•�° EXISTING GAS ►me8a elf (� 11 sI aWCE CONCRETE BOUNDI. F.LEVAIION-34,06 41 ; pSEA SHE1 L A ~� RE N0,1Up� LYN CRONES, � ORAHEL ROAD JACOUEI,YN DRONES. TRUSTEE t MAP 210 - LOT 107 APB AIL AES e3 AES/B AES#7 AEXISTING WATT Ak AIL AL SERWCE CNARLE�ES JR. dv EOGE OF WETLAND MAP 210 - LOT IOA OtUNEATED BY RUSS WALDRON OF APPLIED ECOLOGICAL SOENCES(AES) 2mGffLmzmm I Can"TNAT T►E XPIV S1SIt11 REii7tMM AWt WAS IMMALLEB SIASMIALLY AODORONG 10 w DDTKM. J"P. PARS R la1?.6 h6 NQ 71m AOIIN ARA1FJIr ,E, 1 CGM THAT IRIS SENGE PIMP W3 B601 IN$TAM =R ft TO 1E APPRM PtAK,M 111tM OF 61RN a (A BOARD OF wow REGIAA110NS,ARO 111E STATE t1NIRONMENTAL DJOE:TRIG s. AS—BUILT SITE PLAN EXISTING INVERT OF PIPE AT fOLINOATXXV 35,73 ltLbERT AT 170W TANK INLET 60 POINT OP PINES ROAD-CEMEBiTgi,E, X=Cgtl s INVERT AT T04T TANK OUTLET (FOR FUTURE USE7-34.50 JgIN P, p� CROUNO WATER EIRVATION 3J_J a° OCTOHER.ZEi, p0D"g JOB �4 FINISH ORADE ABOVE TANK J6 2 n T� l CB WA 1KE Nq GPoM ro THE A,_"T Dunn ' McKenzie III('. j LEICI"51sIEM WM TKE DES b PLAN,TREE 5 AND 11E OF II kv RLtiUMEwit LAND SURVE'MNG AND CML ENOINEERING MOTE ELEVATIONS RFFER TO Nom&GEOREtq VERNP,AL OATVK Of im. 206 DEDHAM STREET, RL1A ct RL113 JOHN P, PE. NORFOLK, MASSACHUSETTS 020so /2196/ (506)304-32"- PAX(508) 3114-3905 etOT RRm4relRetsepR r 1 Town of Barnstable Regulatory Services Thomas F. Geiler, Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 16, 2006 Mr. Christian A. Farland 206 Dedham Street Route 1 A,at Rt. 115 Norfolk, MA 02056 Dear Mr. Farland, I am writing to inquire as to the installation of the holding tank you were approved for. I am wondering if you have applied for approval from the Massachusetts DEP? We are also going to need a deed restriction before we can approve the installation permit. I would appreciate a timetable for installation because I feel that the current system is an imminent threat to Public Health and should not be used again. I can be reached at 508- 862-4740 between 8-9:30 AM and 3:30-4:30 PM. My E-Mail is donald.desmarais(cr�town.barnstable.ma.us. Sincerely, Donald Desmarais R.S. Health Inspector Town of Barnstable Q:Health/orderletters/refuse/274 South.doc 10/26/2006 16:09 15083843905 DUNK MCKENZIE PAGE 03/03 'own of Barnstable Regulatory Services aeuoe�s • Thomas F.Geiler,Director NAM Public Health Division Thomas McKean,Director 200 Main Street,BMWs,MA 02601 MCC 508-862.4644 Fax: 508-790.6304 Installer&Designer Certificatiop Form Date: A,0 Z�_'r/AM6` Sewage Fermi Assessor's MaplPareel�_�/vS' Designer: (�u h ����.��� `�-,� � Installer: Address: ZO(o ye l-,IM.sT Address: 1Ud Q.F— AAA- to 5(a On - l�ia �� / _ (fie) (installer —' as issued a permit to install a septic System at p o ' RAI (address) based on a design drawn by K of✓t -de dated ja ?Ad I certify that the septic system referendb ce above was installed substantially the designie s bstar►tially according to • �lS- B.tiGt ?CaN B� J6�n/ A17AC0W, y, I certify that the septic system referenced above was installed greater than 10' lateral relocation of the SAS or an v � major changes (i.e. Of the septic system)but in accordance with State&Local Real location of any component certified as-built by designer to follow. l . Plan revision or OF PARmm IER (Installer's Signature) o CAVIL No.279aA 9FcrST�►ti° � AD s Signature) Designer's Stamp Here) EASE `� ST D�LIC C LIANCE NO BE SS ED T SION. R IF T F ItECE BY ST $ C A B T IVIS O F B r o , Q:HOWSWk/Daisna Cenif miom Form 3.26-04.doc a -:ST— 2� 04- r COMMONWEALTH OF MASSACHUSETTS �� EXECUTIVE OFFICE OF ENVIpp ENTAL AFFAIRS DEPARTMENTOF ENVIRQNMENTAL' ECTION INSPECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 60 Point of Pines Centerville MA 02632 Owner's Name: Will Gordon 1 Owners Address: Same Date of Inspection: May 3,2005 Job#05-105 f `'' Name of Inspector: PATRICK M.O'CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. Mailing Address: 189 CAMMETT ROAD MARSTONS MILLS MA 02648 Telephone Number: 508-428-1779 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience s in proper function and maintenance of on site sewage disposal systems. I am,``fit 41# approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system`�% 0� Passes Conditionally Passes = P FBI K m Needs Further Evaluation by the Local Approving Authority1C co X Fails Inspector's Signature: ( - Date: 5/3/05 The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments: Two single cesspools within high groundwater. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 I� Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 60 Point of Pines,Centerville Owner: Will Gordon Date of Inspection: May 3,2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 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: T;t10 S rncnartinn Rnrm 4/1;/onnn 2 Page 3 of l l OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 60 Point of Pines,Centerville Owner: Will Gordon Date of Inspection: May 3,2005 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: Titles f rncnr.rtinn Rnr Aii v7nnn 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 60 Point of Pines,Centerville Owner: Will Gordon Date of Inspection: May 3,2005 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 '/z 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 I 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.] _Yes_(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 II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. Titles S Tncnartinn Fnrm((1 Vlnn n 4 Page 5 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 60 Point of Pines,Centerville Owner: Will Gordon Date of Inspection: May 3,2005 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)] TWo 9 TncnPrtinn vnrm Ali 4;/7nnn 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 60 Point of Pines,Centerville Owner: Will Gordon Date of Inspection: May 3,2005 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): unknown Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a Number of current residents:0 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): Seasonal use:(yes or no): Yes Water meter readings,if available(last 2 years usage(gpd)): Two years total: 28,000 gal.=38 gpd. Sump pump(yes or no): No Last date of occupancy: Unknown COMMERCIALANDUSTRIAL Type of establishment:yp a t. Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,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: Pumped annually Source of information: Owner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system _X_Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: 1936+/- Were sewage odors detected when arriving at the site(yes or no): No T41A Iq Tncno.+;nn vnr 4/1 siinnn 6 Page 7 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Point of Pines,Centerville Owner: Will Gordon Date of Inspection: May 3,2005 BUILDING SEWER: XX (locate on site plan) Depth below grade: 61' Materials of construction:_X_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line: - Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: No (locate on site plan) Depth below grade: - Material of construction: 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:- Sludge depth: - Distance from top of sludge to bottom of outlet tee or baffle: - 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:- How were dimensions determined: STICK WITH HINGE FLAP. Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): GREASE TRAP: No (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.): Titlo i Tnvnartinn T7nrm Arl r�iinnn 7 f Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Point of Pines,Centerville Owner: Will Gordon Date of Inspection: May 3,2005 TIGHT or HOLDING TANK: No (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: No (if present must be opened) (locate on site plan) Depth of liquid level above outlet invert: - Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: No (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.): Titla G Tnenantinn vnr Fri ciinnn 8 1 i Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FO RM PART C SYSTEM INFORMATION(continued) Property Address: 60 Point of Pines,Centerville Owner: Will Gordon Date of Inspection: May 3,2005 SOIL ABSORPTION SYSTEM(SAS): No (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: 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.): _ CESSPOOLS: XX (cesspool must be pumped as part of inspection) (locate on site plan) Number and configuration: Two singles Depth—top of liquid to inlet invert: 12" Depth of solids layer: unknown Depth of scum layer: 2" Dimensions of cesspool: 4x4+/- Materials of construction: Block Indication of groundwater inflow(yes or no): Yes Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Liquid level in cp#1 is 12" below inlet and liquid level same elevation as lake Ca#2 is under slab poured for addition. PRIVY: No (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.): Title 4/1;mnnn 9 i • Page 10 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Point of Pines,Centerville Owner: Will Gordon Date of Inspection: May 3,2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building. 14 18 Cesspool under slab, no access Crawlsoace to cover Slab Edge of Wequaquet Lake T41.G Tncna^tinn 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 60 Point of Pines,Centerville Owner: Will Gordon Date of Inspection: May 3,2005 SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None Estimated depth to ground water: 3 Feet Please indicate(check)all methods used to determine the high ground water elevation: 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: Highest point of property is three feet above lake. Titles S Tncnontinn Fnrm A/1 Q/7nnn 11 Dunn * McKenzie, Inc. Land Surveying and Civil Engineering Job#4203 August 16, 2005 Mr. Thomas A. McKean, Director Health Division 200 Main Street Hyannis, MA 02601 k RE: Map 210 Lot 105 -60 Point of Pines, Title-5 Variance for Tight Tank Installatidn 7zw - a-and Minimum Setback Distance �= : Dear Mr. McKean, The applicant William Gordon is seeking approval for two variances from the Tile-5 regulations under the provision of 310 CMR 15.211 and 15.260 for his existin 3- - bedroom dwelling located at 60 Point of Pines - Centerville, Massachusetts. The specific variances applied for is Minimum Setback Distances (310 CMR 15.211) and Tight Tanks (310 CMR 15.260). These variances will allow a 2,500 Gallon Tight Tank to be installed 4.3' at its closest to the abutting property line in replace of the existing failed system consisting of a cesspool. The proposed tight tank conforms to all of the Title-5 design criteria listed in(310 CMR 15.260). The reasoning why these variances were sought is because of the following reasons: 1. There is a possibility that there could be a town sewer system available for the subject property to connect to within the next 5-10 years. In which, if the sewer system does become available the current owner shall connect to the sewer within 30 days. 2. Due to the seasonal high groundwater table (16" below the surface) and the size and location of the lot there is no other feasible alternative to upgrade the system in accordance with 310 CMR 15.201 through 15.293. 3. Also, due to the seasonal high groundwater table, site grading and the existing piping the proposed tank location is the most suitable. The site plan and other necessary documents required for this application are attached. If you have any questions with this application, please feel free to contact us. Very truly yours, D MJKenzie, Inc. I� Chris ian A. Farland Project Engineer 206 Dedham Street- Rt. IA at Rt. 115 -Norfolk,MA 02056 508-384-3990 - FAX 508-384-3905 - staff@dunnmckenzie.com J k r d .r, vo sRE r°ls _ DATE: 8-5-2005 FEE: $85.00 BAMSTABt.E, rt MAC REC. BY Town of Barnstable SCHED. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 60 Point of Pines Centerville, MA 02632 Assessor's Map and Parcel Number: Map 210, Lot 105 Size of Lot:_ 11,190 s.f. Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'SNAME: Will Gordon Phone 617-584-0882 Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: Will Gordon Name: Christian Farland Dunn McKenzie, Inc. Address: 60 Point of Pines Address: 206 Dedham Street Centerville, MA 02632 Norfolk, MA 02056 Phone: 617-584-0882 Phone: 508-384-3990 VARIANCE FROM REGULATION(LigtReg) REASON FOR VARIANCE(May attach if more space needed) 310CMR: DEP Tight tank is necessary due to size of 5. • Tight Tanks lot and groundwater at 16" below surface. 15.211: Setback Distances NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System tit 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) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) f 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) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C i 4 Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee 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 Susan G.Rask,R.S.,Chairman MAIL-IN REQUESTS NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Please mail the completed variance application form to the address below. Also include four copies of engineering plans, house plans, authorization letter, etc (see check-list below). In addition, please include the required fee amount (see fees at bottom of.this page). Make $85.00 check payable to: Town of Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 r Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) 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) _ $85.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals [same . owner/leasee 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 FOR FAXED REQUESTS Our fax number is(608) 790-6304. Please fax a completed application form. Also, you must mail the required $85.00 fee. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. In addition, please mail four copies of engineered plans, house plans, authorization letter, etc. (see check-list below): checklist __ Four(4)copies of engineered plan submitted(e.g.septic system plans) __ 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) $85.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee 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]) f � Dunn • McKenzie, Inc. Land Surveying and Civil Engineering Job#4203 July 28, 2005 Mr. Will Gordon, Owner 60 Point of Pines Centerville, MA 02632 RE: Authorization for Representation for Variance Request of Tight Tank Dear Mr. Gordon, By signing this letter below you give Christian Farland of Dunn McKenzie, Inc. authorization to represent you for the request of a variance for a tight tank with the Town of Barnstable Board of Health. If you have any questions feel free to give us a call. Will Gor n, Owner Very Truly Yours, Dunn-McKenzie Inc. Oistian A. Farland Project Engineer 206 Dedham Street• Rt. I at Rt. 115 •Norfolk,MA 02056 508-384-3990•FAX 508-384-3905 • staff@dunnmckenzie.com Notification to Abutters In accordance with the second paragraph of Massachusetts General Laws Chapter 131 Section 30,you are hereby notified of the following. A. The name of the applicant is William Gordon. B. The address of the lot where the activity is proposed is 60 Point of Pines — Centerville, Massachusetts. The site is further references as Lot 105 on Assessor's Map 210. C. The applicant has filed an application with the Town of Barnstable Board of Health for a VARIANCE from Title 5 Regulations in accordance with provisions of 310 CMR 15.211 and 310 CMR 15.260. The variances are for reducing the property boundary setback from a septic tank and installation of a tight tank. The variance application is made together with a design application for approval for the upgrade of the existing sewage disposal system. D. Copies of the application may be examined at the Barnstable Board of Health Office between the hours of 8:30am to 4:30pm, Monday through Friday. For more information, call (508) 862-4644. E. Information regarding the date, time and place of the public hearing may be obtained at the Barnstable Board of Health, by calling (508) 862-4644. F. Further information may be obtained from Dunn McKenzie, Inc. (the applicant's representative) by calling (508) 384-3990 between the hours of 8am and 5pm, Monday through Friday. NOTE: Notice of the public hearing, including its date, time, and,place, will be posted in the Town Hall not less than forty-eight (48) hours in advance. tHE Town of Barnstable F Regulatory Services &MWSPABM Thomas F. Geiler, Director y� 11, .iOtE6 9.�01 Public Health Division Thomas McKean,Director 200 Main Street Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 April 25, 2005 Ms. Sally Treadwell PO Box 281 Jackson, NH 03846 Re: 60 Point of Pines Road - Centerville Dear Ms. Treadwell: I am in receipt of your letter dated March 21, 2005 indicating that your property was sold "as is". On or about December 17, 2004, you sold your property, located at 60 Point of Pines Road, Centerville. This office did not receive a Septic Inspection Report as required in accordance with the State Environmental Title 5 code. In any case, you are the responsible party in this regard. You are ordered to send the Health Department a completed septic system inspection report within thirty (30) days of your receipt of this letter. Failure to comply with this order will result in further action including notification to the Massachusetts Department of Environmental Protection. A. McKean, R.S., CHO Health Division Director Town of Barnstable Town of Barnstable GF tNE Tp� Regulatory Services BAMSI'ABLE, : Thomas F. Geiler,Director MASS. 6 � A,Fp �p Public Health Division Thomas McKean,Director 200 Main Street Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 1, 2005 Sally Treadwell PO Box 281 Jackson, NH 03846 Re: 60 Point of Pines Road - Centerville Dear Ms. Treadwell: On or about December 17, 2004, you sold your property, located at 60 Point of Pines Road, Centerville. This office did not receive a Septic Inspection Report as required in accordance with the State Environmental Title 5 code. Perhaps there was an inspection conducted but the report was not submitted. In any case, you are the responsible party in this regard. Please send me a copy of the inspection report within thirty (30) days of your receipt of this letter. If you should have any questions, please feel free to call me at (508) 862-4644. Sincerely, Thomas A. McKean, RS. CHO Health Division Director Town of Barnstable TMK:jsa Sally M.Treadwell P.OJac Box 28] g: 39 • - 2��5 MaR 25 A� Thomas A.McKean,RS.CHO Health Division Director Town of Barnstable 200 Main Street Hyannis,MA 02601 March 21,2005 Dear Mr. McKean, I did indeed sell my property located at 60 Point of Pines Road,Centerville on December 17,2004. The property was sold as is and the buyer agreed to take care of all environmental aspects. Sincerely, Sally.M. Treadwell . . . . . . . . . . . . . . . . . . . . ti .' .4 '%, r• .,4 .. „i.4�} °' "'YT,y ^'Y l^r 1 [^`�,�•ttry�fr�+sr fi4 � ;•r,v�.r � '�A 1 ''r S S ', � �•+ '`k °�y'k r•• <'�� � S•�` �.7 +tcy"l i,l s t .. ... motif t t A ♦' ti t i i-Z . �� S;`a •�w 1• i, z{ 3' �r d� •• ` • • ,.9 1 S' t,� t; _t '?1�+s„} ..•• ,i ,,�`-k ty r >. .+;.`Ai F. '`^•. 1. :�f..�.s. 1. '^ S sTEEL PICKET OR EDGE OF WETLAND LAKE WE. - UA UET INSPECTIONS REQUIRED OF THE DESIGN ENGINEER r f} 1` x 1" x n•' DELINEATED BY BUSS WALDRON SCHEDULE OF ELEVATIONS rr, f'l x.'1 c Y" riS h�ryewx<;Lr t�r+ .+►.i v. ,1" t .JMS y'�r.1 ti > - . }1 oAK STAKE OF APPLIED ECOLOGICAL SCIENCES AES ( ) PLEASE NOTIFY DUNN-McKENZIE, INC. (800-540-9720) •i r e.'t r,. a.tct✓'.er ,,.vlrla s, .Z 't {�` v •� R s �,* xr 1 ',< �. t K ;;�! �M ': "'"' EXISTING INVERT OF PIPE AT FOUNDATION - 35.7t • „,. a , TIGHT EDGE OF LAKE 7/25/05 INVERT AT GH TANK INLET FAST 34.50 AT T 48 HOURS IN ADVANCE • A car � :;. ''�'�,°. .s INVERT AT TIGHT TANK OUTLET FOR FUTURE USE)--- 34.25 t •�`'' ' �'` . z,• `�.a:.r?�Z.E ,.a- :n , ' �: ` •�t SITE I,{)CATIOI�T WATER ELEVATION=33.96 HAY SALE GROUND WATER ELEVATION 33.3 1. INSPECTION OF STONE AT BOTTOM OFF HOLE PRIOR TO TIGHT TANK PLACEMENT. 4s; ;: •3 ¢.` ' :r r ; ''" AT LIMIT OF WORK 1" X 1" x 3' AES #13 OAK STAKE AES 2. ALL PIPING AND TIGHT TANK ELEVATIONS PRIOR TO BACKFILL. • . fta FLOW At #14 AES #20 +� ,� k, I 3. FINAL GRADING OVER ENTIRE SYSTEM. AE #15 AES #19 L T 10 5 tr f s 'rs •a �� • a. ; y n/:. r WOVEN POLYPROPYLENE GR�Np AES 16. aN , AREA= 1 , 190± S.F. r `ttiM"yet ' #� •,. it%• '` ri} FIBER' FABRIC x { (BURY FABRIC $ ) 4., z ; :�a �{°.s�� . �� r', iV�e► ���f�, � \ AES #18 ------_35�..-~•'"� { HAY SALE CONTRACTOR TO NOTIFY DIG SAFE .. r • BURY NAY BALE 4" NOW OR FORMERLY -' EROSION CONTROL FENCE j Y_ �• A `"` %t :{ t ; ti y ��• '� f f �. CAROLYN H. JOHNS 72 HOURS PRIOR TO ANY EXCAVATION A #17 N _. TELEPHONE.NUMBER 1-888-344-7233 { ;III. ,� ,rf«•- . .. ,. ,R,,f NOW OR-FORMERLY .. MAP 210 LOT 106 ELIZABETH B. MCNAMARA DIRTBAG AREA -''-36 0_ WWW.DIGSAFE.COM r i MAP 210 LOT 164 WOVE iP►i.w. , J #, '< : _ •. ► ..: = l >s N POLYPROPYLENE FIBER FABRIC FILTER FENCE SILTATION CONTROL DEVICE DETAIL 55.4' (NOT TO SCALE) PATIO LOCUS '"' MAP SITE PLAN GRAPHIC SCALE SCALE: 1 " '- 0 00 0. .. 20 0 10 20 40 80 EXISTING CESSPOOL TO BE e'1 EXISTINGDWELLING STORY 5' STOCKADE FENCE SCALE: 1 " = 20' DISPOSED OF IN ACCORDANCE WITH , I ASSESSORS MAP 210, LOT 105 THE BARNSTABLE BOARD OF / :56 ( IN nm' HEALTH REGULATIONS 101, 1 1 INCH = 20 FEET HIGH STRENGTH DOUBLE € STITCHED "J" TYPE SEAMS s 10' DATUM NOTE HIGH STRENGTH STRAPPING o MIN. H, #1 ELEVATIONS REFER TO THE NATIONAL GEODETIC VERTICAL DATUM - 1929 j BAG PLACED ON FOR HOLDING HOSE IN PLACE 4r3' BENCHMARK NOTE: 36 G LANDSCAPE AREA AGGREGATE OR STRAW hp REFER TO 'CONCRETE BOUND ON SITE PLAN. SEWN IN SPOUT PROPOSED 2,500 GALLON TIGHT TANK WITH CONCRETE w ` COLLAR ,, 1 ExIST1Nc cAs SOIL TEST RESULTS _ SERVICE ` TEST HOLE: 1 DATE: 7/25/05 GROUND ELEV.=34.7 TEST HOLE: DATE: GROUND ELEV.= -y 63.4' 48 �-=-� ! DEPTH HORIZON SOIL TYPE SOIL COLOR ELEV. DEPTH HORIZON SOIL TYPE SOIL COLOR Et_E1!, -" 0--5' A SANDY LOAM 1OYR 3/1 34.3 WIDTH BENCHMARK. 80.00' �III�i� (VARIES) DIRTBAG CONCRETE BOUND I �3g� c _ 5-9" Bw SANDY LOAM 1OYR 5/6 34.0 I (FOUND) L NOW OR FORMERLY SEA SHELL 9-17" C1 SAND 1OYR 6/1 33.3 ELEVATION=34.06 ; !y WATER FLOW PARKIPG,;AREA GRAVEL ROAD MAP 210 -- LOTJACQUELYN CRONES, TRUSTEE 17-72" C2 SAND IOYR 2/1,, : 28.7 FROM PUMP � u: GROUNDWATER STANDING IN HOLE AT 17" 33.3 ' AES #2 I s #9 LENGTH PUMP NOW OR FORMERLY 1 EXISTING WATER HOSE ` (VARIES) , AES #3 AES6 'ES #7 SERVICE CHARLES G. CRONES JR. �ltc MAP 210 - LOT_104 s = GROUND TEST ELEV. TEST HOLE' DATE: GROUND ELEV.- HOLE'• DATE: G OUN EDGE OF YETLAND ..-_._.,. _.. _... _ .. r.. `'fly ,HORIZON _ Sfl1L IY�E._, ���.�., r�rc..�._ ;.. � CAI .-5�114 ..X'(°C St7't!C�" OPENING _ ..._._. .._.. __ DEUNEATED. .BY USS WALDRON _ EN NG ACCOMOD " .. . .._ .. ..._..__.._ 0 VIEW �F ':F,rI�L4ED Ec^4c ;,L s ,�NEs-:(aEs) ���� o.F Mass TO 4" DISCHARGE HOSE JoHN P. PARMENTIER v> ----DIRTBAG------ n civIL " !' -� N0.27984 cry 2-24 LEB RON CAT. #LA246 MANHOLE FRAME e I !- AMD COG FINISHED GRADE=36.50 >d�o��FG/S7tiR�� ` I-- II Irl 1 � FSS�oN N . IN. F.G.=36.50 ow_► '�- 7- AGGREGATE OR STRAW UNDERLAYMENT �5-- SIDE VIEW . ---- 15'-0" ELt=35.75 SOIL EVALUATOR: CHRISTIAN A. FARLAND, C.S.E. DIRTBAG DETAIL _._ *PERCOLATION TESTS *COULD NOT PERFORM DUE TO GROUNDWATER (NOSCALE 24" MANHOLES 4" SCH. 40 PVC OR 1'-4"# ALARM LEVEL TO BE SET TEST NO.: 03-1 ELEV.= TEST NO.: ELEv.- TEST NO.: ELEv.= TEST NO.: EILV.= C.I. TEE INLET I PACITY r GROUNDWATER ELEVATION=33.3 DATUM TIME INTERVAL DATUM TIME INTERVAL DATUM TIME INTERVAL DATUM TIME INTERVAL INV.=34.50 AT 3 5. TANK CA ELEV.=33r15 5'-3" SOAK SOAK SOAK SOAK 7'-0" 3.15' 12" 12" 12" 12" JUNCTION Box ,: 'x2' CONCRETE COLLAR SO TED To WALL .,, .;: :. .�; •• � 2 12" CONTRACTOR SHALL REFER TO ROTONDO " '''� ' SPECIFICATIONS FOR STEEL CONNECTIONS 10" 10" 10" 10" RESEARCH BY: JWN LEVEL CONTROL, SWITCHES t :_ .=:_ 9" g" 9" 9" SUPPORT CONNECTED TO FIELD SURVEY: KGM/CAF WALL OR TANK c©uNc EL.=29.50 3/4" INSERTS 3" WIDE x 3/4" DEEP KEYWAY 8" 8" 8" 8" COMPUTED BY: CAF 6" CRUSHED STORE NTH3/4" INSERTS 12" APART 7" 7" 7" 7" (BOTH SIDES) 6" s" 6" 6" DRAFTED BY: CAF 2,500 GAL. SfP.TIC TANK DETAIL (NO SCALE) RATE: RATE: RATE: RATE: DESIGNED' BY: CAF 1" ELECTRICAL AND PNEUMATIC TUBE CONDUIT s To CONTROL PANEL MOUNTED IN UTILITY Roots ROTONDO 6X14-25 SEPTIC .TANK H-10 DESIGN OR APPROVED EQUIVALENT DATE: DATE: DATE: DATE: I CHECKED BY: JPP �(sEAL coNDutr To PREVENT PS TRANSMISSION) PREC�ST REINFORCED CONCRETE DEPTH: DEPTH: DEPTH: DEPTH: -CAPACtT : OF TANK 2,500 GALLONS DATE REVISION I CERTIFY THAT ON AUGUST 29TH 2O03 1 HAVE PASSED THE EXAMINATION APPROVED BY THE ESTIMATED GRO'+NDWATER ELEVATION AT TANK-33.3 DEPARTMENT OF ENVIRONME PROTECTION AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED BOUYANCY FACTOR SAFETY=(WEIGHT TANK + WEIGHT OF SOIL)/WEIGHT OF WATER DISPLACED =1.64 WI TANK EMPTY AND NO CONCRETE COLLAR CONSISTENT WITH THE REQ IRE TRAININ , EXPERTISE, EXPERIENCE DESCRIBED IN 310CMR 15.018(2). =2.88 WITH TAl EMPTY AND REINFORCED CONCRETE COLLAR "TITLE 5 -- UPGRADE" CHRISTIAN A. ARLA SOIL EVALUATOR PROFILE OF SYSTEM 2-24" LEBARON CAT. #LA246 MANHOLE FRAME TITLE 5 SEWAGE DISPOSAL SYSTEM UPGRADE (NOT TO SCALE) AND COVER TO FINISHED GRADE=36.50 F•O R AN EXISTING 3 BEDROOM DWELLING cr_EANouT-\ CONTRACTOR NOTES11, LOCATION QENNERAL NOTES: 60 POINT OF PINES --.: _ 1.) CONTRACTOR TO VERIFY EXISTING SEWER PIPE ELEVATION PRIOR TO TIGHT TANK INSTALLATION. 1.) VARIANCE SOUGHT FROM THE BARNSTABLE BOARD OF HEALTH FOR MINIMUM CENTERVILLE, MA 02632 2.) CONTRACTOR SHALL USE A DIRTBAG FOR DEWATERING PROCEDURES IF NECESSARY. SETBACK DISTANCE -(CMR 15.211) AND TIGHT TANKS (CMR 15.260). APPLICANT: uIx EXISTING 3.) ALL CONSTRUCTION TO CONFORM TO THE REQUIREMENTS OF THE{MASSACHUSETTS 2.) ELEVATIONS REFER TO THE N.G.V.D. OF 1929. WILLIAM GORDON s5 BUILDING ENVIRONMENTAL CODE, TITLE FIVE, AND THE TOWN OF BARNSTABLE ,OOARD OF HEALTH 3.) DAILY SEWAGE FLOW (3 BEDROOMS AT 110 G.P.D.- 330 GALLON.) 60 POINT OF PINES REGULATIONS. 4.) WHEN A SEWER SYSTEM BECOMES AVAILABLE THE PROPERTY GONER SHALL CENTERVILLE, MA 02632 4.) THE CONTROLS SHALL BE MOUNTED ON THE TIGHT TANK IN ACCORDANCE TO THE CONNECT TO THE SEWER WITHIN 30 DAYS AND THE TIGHT TANK SYSTEM SHALL MANUFACTURER'S SPECIFICATION. ALL MOUNTINGS AND JUNCTION BOXES SHALL BE NEMA-6 OR BE ABONOONED IN ACCORDANCE WITH 310 CMR 15.354. TEL. NO. (617) 584•-0882 -� Co 10' MIN. BETTER. THE CONTROL PANEL SHALL BE MOUNTED IN THE UTILITY ROOM OR ANOTHER AREA 5.) TIGHT TANK CAPACITY � 10 APPROVED BY THE ENGINEER. THE CONTROL PANEL SHALL BE EQUIPPED WITH AN ALARM WITH AInc .BUILDING SEWER 4" " LIGHT AND AUDIBLE BELL OR BUZZER. THE AN R T REQUIRED:1,650 GALLONS (500% OF 330) Dunn McKenZ1e , (T) M 6 CRUSHED PANEL SHALL BE EQUIPPED WITH AN "ALARM TES PROVIDED:2 500 GALLONS SCH 40 PVC OR, " " " CAST IRON WITH STONE SWITCH AND A BELL OR BUZZER SILENCER SWITCH. LAND SURVEYING AND CIVIL ENGINEERING LEAD AND OAKUM JOINTS 5.) SYSTEM CAN NOT BE BACKFILLED OR CONCEALED UNTIL DESIGN FIRM AND BOARD OF HEALTH 206 DEDHAM STREET, Rt.1 A at Rt.115 N HAVE INSPECTED THE SYSTEM AND PERMISSION TO BACKFILL HAS BEEN GIVEN. r�M NORFOLK, MASSACHUSETTS 02056 2,500 GAL. TIGHT TANK DETAIL .(NO SCALE) 6.) DESIGN FIRM MUST PREPARE AND SUBMIT AS BUILT PLAN TO BOARD OF HEALTH AND DEPARTMENT NSTATE (508) 384--3990 -- FAX (508) 384--3905 ENVIRONMENTAL PROTECTION. THIS PLAN MUST CERTIFY THAT THE SYSTEM WAS Z email: staff@dunnmekenzie.com INSTALLEDN ACCORDANCE WITH STA ROTONDO 6X14-25 SEPTIC TANK H-10 DESIGN OR APPROVED EQUIVALENT TE AND LOCAL REGULATIONS AND THAT IT COMPLIES WITH v PROPOSED PLAN. THE TANK SHALL NOT BE UTILIZIED UNTIL SUCH AS BUILT IS SUBMITTED. PRECAST REINFORCED CONCRETE DATE: AUGUST 15, 2005 SHEET 1 JOB NO. 4203 CAPACITY OF TANK = 2,500 GALLONS Q e a Mayes Ft STEEL PICKET OR EDGE OF WETLAND LAKE WEQUAQUET INSPECTIONS REQUIRED OF THE DESIGN ENGINEER Litt 1" x 1" x 4' DELINEATED BY RUSS WALDRON SCHEDULE OF ELEVATIONS OAK STAKE OF APPLIED ECOLOGICAL SCIENCES (AES) • rest • • j EXISTING INVERT OF PIPE AT FOUNDATION 35.7f PLEASE NOTIFY DUNN-McKENZIE, INC. (800-540-9720) •.� pt EDGE OF LAKE 7/25/05 INVERT AT TIGHT TANK INLET 34.50 AT LEAST 48 HOURS IN ADVANCE • ,.• »•�� " SITE LOCATION WATER ELEVATION=33.96 INVERT AT TIGHT TANK OUTLET (FOR FUTURE USE) 34.25 GROUND WATER ELEVATION 33.3 1. INSPECTION OF STONE AT BOTTOM OFF HOLE PRIOR TO TIGHT TANK PLACEMENT. y , ••*„ • < • * HAY BALE AES #13 ` • AT LIMIT OF WORK 1st X 1st X 3' _ _ • •• . •� OAK STAKE AES #20 ES #21 - _34_ _ _ 2. ALL PIPING AND TIGHT TANK ELEVATIONS PRIOR TO BACKFILL. •. • . �" FLOP AES #14 •'••+ • f , `' AES #15 AES #19 LOT 105 3. FINAL GRADING OVER ENTIRE SYSTEM. • + + •. AES #16 • AREA= 11 1 J 0 ± S .F. N• �'*•• •• �• • � WOVEN POLYPROPYLENE NA�RAL GROUND \ '�� ' j • O • • •• •® FIBER FABRIC e (BURY FABRIC 6") *G3. /\//\//\ �� , \ AES #18 • ��"- • / // ////%//%//%\//%//%\/\\ euRYBALE HAY BALE 4" NOW OR FORMERLY '" CONTRACTOR TO NOTIFY DIG SAFE �. ! /\\/\\/\\\��\\,�\��\\/\\j\\y\\/\\ j\/�� EROSION CONTROL FENCE / +' " • •** \���\�/�/ ��\//\//\//\ \//\� AES 17 -P CAROLYN H. JOHNS U Q(p l 72 HOURS PRIOR TO ANY EXCAVATION •• • //\\//\\//\\ //\\; #ERLY _/_ N MAP 210 - LOT 106 TELEPHONE NUMBER 1-888-344-7233 • \\\\\\\\ \\\\ ELOIZABETHW OR OBMMCNAMARA .. ~ DIRTBAG AREA �-36- o } WWW.DIGSAFE.COM / F� • • /ice//�/i MAP 210 - LOT 164 +tip Ch �Q - ?�`r. • . ; WOVEN POLYPROPYLENE FIBER FABRIC FILTER FENCE SILTATION CONTROL DEVICE DETAIL LOCUS MAP (NOT TO SCALE) PATIO o GRAPHIC SCALE SCALE: 1 " = 1000' SITE PLAN 20 0 10 20 40 80 EXISTING 2-STORY 5 STOCKADE FENCE EXISTING CESSPOOL TO BE '��`� SCALE: 1 " = 20' DISPOSED OF IN ACCORDANCE WITH DWELLING i ASSESSORS MAP 210, LOT 105 ( IN FEET THE BARNSTABLE BOARD OF ) HEALTH REGULATIONS 10 WON , --55 1 INCH = 20 FEET HIGH STRENGTH DOUBLE STITCHED "J" TYPE SEAMS s DATUM NOTE HIGH STRENGTH STRAPPING T , #1 ELEVATIONS REFER TO THE NATIONAL GEODETIC VERTICAL DATUM - 1929 BAG PLACED ON FOR HOLDING HOSE IN PLACE 4.3' 36 GI , I. LANDSCAPE AREA /,� II--IO BENCHMARK NOTE: AGGREGATE OR STRAW SEWN IN SPOUT PROPOSED 2,500 GALLON I-I (-� REFER TO CONCRETE BOUND ON SITE PLAN. TIGHT_ COLLAR TANK WITH CONCRETE � EXISTING GAS SOIL TEST RESULTS SERVICE III-I I TEST HOLE: 1 DATE: 7/25/05 GROUND ELEV.=34.7 TEST HOLE: DATE: GROUND ELEV.= I I=) I=D ) DEPTH HORIZON SOIL TYPE SOIL COLOR ELEV. DEPTH HORIZON SOIL TYPE SOIL COLOR ELEV. 48' BENCHMARK i 1 _ 0-5" A SANDY LOAM 10YR 3/1 34.3 WIDTH CONCRETE BOUND - I �35� 0.00 III (VARIES) (FOUND) L =-1 NOW OR FORMERLY 5-9" DIRTBAG Bw SANDY LOAM 10YR 5/6 34.0 ELEVATION=34.06 SEA SHELL 9-17" Cl SAND 10YR 6/1 33.3 WATER FLOW PARKING AREA JACQUELYN CRONES, TRUSTEE FROM PUMP \ GRAVEL ROAD MAP 210 - LOT 107 17-72" C2 SAND 1OYR 2/1 28.7 ;a GROUNDWATER STANDING IN HOLE AT 17" 33.3 Q AES #2 \ j�AES #9 LENGTH I PUMP DISCHARGE NOW OR FORMERLY -AILEXISTING WATER CHARLES G. CRONES JR. (VARIES) HOSE � AES #3 AES #6 � AE #7 AIL SERVICE MAP 210 - LOT 104 � TEST HOLE: DATE: GROUND ELEV.= TEST HOLE: DATE: GROUND ELEV.= EDGE OF W'LAND DELINEATED BY RGS WALDRON \A OF Mq DEPTH HORIZON SOIL TYPE SOIL COLOR ELEV. DEPTH HORIZON SOIL TYPE SOIL COLOR ELEV. TOP VIEW OPENING ACCOMODATES UP of APPLIED ECOLOGIC/ SCIENCES (AES) v,�Y ssy S PARMENTIER m TO 4" DISCHARGE HOSE o JOHN P. yG VIL - - - - -DIRTBAG- - - - - N0..27984 � 2-24" LEBAFN CAT. #LA246 MANHOLE FRAME I AND COVER FINISHED GRADE=36.50 71J I ! I I.I = j _ MI F.G.=36.50 AGGREGATE OR STRAW UNDERLAYMENT SIDE VIEW 15'-0" EL.=35.75 SOIL EVALUATOR: CHRISTIAN A. FARLAND, C.S.E. DIRTBAG DETAIL - - - - - - - - - *PERCOLATION TESTS *COULD NOT PERFORM DUE TO GROUNDWATER ( NO SCALE ) 24" MANHOLES 4" SCH. 40 PVC OR TJ 1'-4" ALARM LEVEL TO BE SET TEST NO.: 03-1 ELEV.= TEST NO.: ELEV.= TEST NO.: ELEV.= TEST NO.: ELEV.= C.I. TEE INLET AT 3 5 TANK CAPACITY VGROUNDWATER ELEVATION=33.3 DATUM TIME JINTERVAL DATUM TIME INTERVAL DATUM TIME JINTERVAL DATUM TIME JINTERVAL INV.=34.50 ELEV.=33.15 5'-3" C 7'-0" SOAK SOAK SOAK SOAK 11 3.15' 12" 12" 1211 12" JUNCTION Box .: 2'x2' CONCRETE COLLAR 11" 11" 11" 11"BOLTED TO WALL . . • " � CONTRACTOR SHALL REFER TO ROTONDO • •• loss loss loll lost SPECIFICATIONS FOR STEEL CONNECTIONS RESEARCH BY: JWN LEVEL CONTROL SWITCHES '' 9" 9" 9" 9" SUPPORT CONNECTED TO FIELD SURVEY: KGM/CAF - WALL OR TANK CEILING immEL.=29.50 " 8" 8" 8" 8" 3/4 INSERTS 3 WIDE x 3/4 DEEP KEYWAY WITH 3/4" INSERTS 12" APART 7" 7" 7" 7" COMPUTED BY: CAF 6" CRUSHED STONE (BOTH SIDES) 6" 1 6" 6" 6" DRAFTED BY: CAF 2,500 GAL. SEPIC TANK DETAIL (NO SCALE) RATE: RATE: RATE: RATE: DESIGNED BY: CAF 1" ELECTRICAL AND PNEUMATIC TUBE CONDUIT DATE: DATE: DATE: DATE: TO CONTROL PANEL MOUNTED IN UTILITY ROOM ROTONDO 6X14-25 SEPTIC AK H-10 DESIGN OR APPROVED EQUIVALENT CHECKED BY: JPP (SEAL CONDUIT TO PREVENT GAS TRANSMISSION) PRECASREI N FORCED CONCRETE DEPTH: DEPTH: DEPTH: DEPTH: CAPACITY 1 TANK = 2,500 GALLONS DATE REVISION ESTIMATED GROUN'ATER ELEVATION AT TANK=33.3 I CERTIFY THAT ON AUGUST 29TH, 2003 1 HAVE PASSED THE EXAMINATION APPROVED BY THE BOUYANCY FACTOR SAFETY-(WEIGHT OF►NK + WEIGHT OF SOIL)/WEIGHT OF WATER DISPLACED DEPARTMENT OF ENVIRONMEN PROTECTION rDTTHAT THE ABOVE ANALYSIS HAS BEEN PERFORMED =1.64 WITH T1 EMPTY AND NO CONCRETE COLLAR �� �� CONSISTENT WITH THE REQ IRED TR NI G, EX �RISE, EXPERIENCE DESCRIBED IN 310CMR 15.018(2). =2.88 WITH TANK DTY AND REINFORCED CONCRETE COLLAR TITLE 5 - UPGRADE -- C ISTI A. FARLAND - CERj;F;EO SOIL EVALUATOR PROFILE OF SYSTEM 2-24" LEBARON CAT. #LA246 MANHOLE FRAME TITLE 5 SEWAGE DISPOSAL SYSTEM UPGRADE (NOT TO SCALE) AND COVER TO FINISHED GRADE=36.50 F O R AN EXISTING 3 BEDROOM DWELLING CLEANOUT-\ CONTRACTOR NOTES LOCATION GENERAL NOTES: 60 POINT OF PINES 1.) CONTRACTOR TO VERIFY EXISTING SEWER PIPE ELEVATION PRIOR TOGHT TANK INSTALLATION. 1.) VARIANCE SOUGHT FROM THE BARNSTABLE BOARD OF HEALTH FOR MINIMUM CENTERVILLE, MA 02632 2.) CONTRACTOR SHALL USE A DIRTBAG FOR DEWATERING PROCEDURES NECESSARY. SETBACK DISTANCE (CMR 15.211)_.-AND TIGHT TANKS (CMR 15.260). APPLICANT: 'n BUILDING / 3.) ALL CONSTRUCTION TO CONFORM TO THE REQUIREMENTS OF THE MSACHUSETTS 2.) ELEVATIONS REFER TO THE N.G .D. OF 1929. WILLIAM GORDON ENVIRONMENTAL CODE, TITLE FIVE, AND THE TOWN OF BARNSTABLE BOD OF HEALTH 3.) DAILY SEWAGE FLOW (3 BEDROOMS AT 110 G.P.D.- 330 GALLONS.) REGULATIONS. 60 POINT OF PINES tn 4.) THE CONTROLS SHALL BE MOUNTED ON THE TIGHT TANK IN ACCORNCE TO THE 4.) WHEN A SEWER SYSTEM WITHIN AVAILABLE THE PROPERTY OWNER SHALL CENTERVILLE, MA 02632 CONNECT TO THE SEWER WITHIN 0 DAYS AND THE TIGHT TANK SYSTEM SHALL MANUFACTURER'S SPECIFICATION. ALL MOUNTINGS AND JUNCTION BOXESHALL BE NEMA-6 OR BE ABONDONED IN ACCORDANCE WITH 310 CMR 15.354. TEL. N0. 617 584-0882 in BETTER. THE CONTROL PANEL SHALL BE MOUNTED IN THE UTILITY ROOIOR ANOTHER AREA 10' MIN. 5.) TIGHT TANK CAPACITY N APPROVED BY THE ENGINEER. THE CONTROL PANEL SHALL BE EQUIPPEIJVITH AN ��ALARM WITH A REQUIRED: 1,650 GALLONS (500% 0�330) Dunn " McKenzie , Inc . BUILDING SEWER 4 LIGHT AND AUDIBLE BELL OR BUZZER. THE PANEL SHALL BE EQUIPPEDITH AN ALARM TEST PROVIDED: 2 500 GALLONS SCH 40 PVC OR, 6 CRUSHED� SWITCH" AND A "BELL OR BUZZER SILENCER" SWITCH. ' CAST IRON WITH STONE LAND SURVEYING AND CIVIL ENGINEERING LEAD AND OAKUM JOINTS 5.) SYSTEM CAN NOT BE BACKFILLED OR CONCEALED UNTIL DESIGN FIRAND BOARD OF HEALTH 206 DEDHAM STREET, Rt.1A at Rt.115 M HAVE INSPECTED THE SYSTEM AND PERMISSION TO BACKFILL HAS BEENIVEN. NORFOLK MASSACHUSETTS 02056 2,500 GAL. TIGHT TANK DETAIL (NO SCALE) 6.) DESIGN FIRM MUST PREPARE AND SUBMIT "AS BUILT" PLAN TO BOD OF HEALTH AND (508) 384-3990 - FAX (508) 384-3905 3 DEPARTMENT OF ENVIRONMENTAL PROTECTION. THIS PLAN MUST CERTI THAT THE SYSTEM WAS M INSTALLED IN ACCORDANCE WITH STATE AND LOCAL REGULATIONS AND -IAT IT COMPLIES WITH email: staff@dunnmckenzie.com ROTONDO 6X14-25 SEPTIC TANK H-10 DESIGN OR APPROVED EQUIVALENT PROPOSED PLAN. THE TANK SHALL NOT BE UTILIZIED UNTIL SUCH AS JILT IS SUBMITTED. PRECAST REINFORCED CONCRETE DATE: AUGUST 15, 2005 SHEET 1 JOB NO. 4203 CAPACITY OF TANK = 2,500 GALLONS