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HomeMy WebLinkAbout0368 SOUTH MAIN STREET - Health LA= AO UTH MAIN STREET, CENTERV. _c�5 u�,5� a No134 .2��53LO�R HASTINGS,YN i t DEED RESTRICTION WHEREAS, 619 Main Street L.L.C., a Massachusetts Limited LiabilityCompany, is the owner of 368 South Main Street, Centerville, MA, and being shown on a plan entitled "Plan of Land in Centerville-Barnstable, Mass., belonging to Maude M. Bacon", Scale 1"=10', dated February 27, 1945, by Bearse & Kellogg, Civil Engineers, Centerville, Mass., which said plan is duly recorded in Barnstable County 14 Registry of Deeds in Plan Book 71, Page 35. a WHEREAS, 619 Main Street L.L.C., owner of said lot has agreed with the Town of Barnstable, Board of Health, to a restriction as to the allowable design sewage flow to 4Wbe permitted for any building constructed on said lot as a pre-condition of obtaining a disposal works constructioh permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage. oWHEREAS, the Town of Barnstable, Board of Health, as a pre-condition to granting a In Disposal Works Construction Permit for a septic system in compliance with 310 CMR o 15.000, State Environmental Code, Title V, Minimum Requirements for the Subsurface M I Disposal of Saritary Sewage is requiring that the agreement for the restriction on the design flow for any building constructed on said lot be put on record with the Barnstable a. County Registry of Deeds by recording this document. $4 o- 10 K NOW THEREFORE, 619 Main Street L.L.C., hereby places the following restriction on its above referenced land in accordance with its agreement with the Town of 14 Barnstable, Board of Health which restriction shall run with the land and be binding a, a upon on all o a successors in title: P a 1. 368 South Main Street, Centerville, MA may have constructed upon it a building which generates no more than 260 gallons per day of sewage as determined in the State Environmental Code, Title 5, 310 CMR 15.203-System Sewage Flow Design Criteria. 619 Main Street L.L.C. agrees that this shall be a permanent deed restriction affecting the building located at 368 South Main Street, Centerville, MA, and being shown in Plan Book 71, Page 35. For title of 619 Main Street L.L.C., see the following Deed: Book 29989, Pages 169-173. Executed as a sealed instrument this day of k��� Own si ature/s COMMONWEALTH OF MASSACHUSETTS , ss Date Aoc\ 1 2018 Then personally appeared the above named 8D) known to me to be the person/s who executed the following instrument and acknowledged the same to be their free act and deed, before me. Notary Public My commission expires: (date) C4 J..1©n"s Pusud My cons ae BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register 2 Barnstable IHE Tp� Town of Barnstable M'A`erg Board of Health11 039. �� p'Fo►��A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 Paul J.Canniff,D.M.D. Junichi Sawayanagi Donald A.Guadagnoli,M.D. June 14, 2018 Mr. Peter McEntee, P.E. Engineering Works 12 West Crossfield Road Forestdale, MA 02644 RE: 368 Main Street, Centerville A = 207-058 Dear Mr. McEntee, You are granted variances on behalf of your client, 619 Main Street L.L.C., to construct an onsite sewage disposal system at 368 Main Street, Centerville. The variances granted are as follows: 310 CMR 15.405(1): To install a septic tank two (2) feet away from the northerly side property line, in lieu of the minimum ten feet separation distance required. 310 CMR 15.405(1): To install a septic tank two (2) feet away from the westerly side property line, in lieu of the minimum ten feet separation distance required. 310 CMR 15.405(1): To construct a soil absorption system three (3) feet away from the northerly side property line, in lieu of the minimum ten feet separation distance required. 310 CMR 15.405(1): To construct a soil absorption system four (4) feet away from the easterly side property line, in lieu of the minimum ten feet separation distance required. 310 CMR 15.405(1): To install a septic tank two (2) feet away from a foundation wall, in lieu of the minimum ten feet separation distance required. 310 CMR 15.4050): To construct a soil absorption system four (4) feet away from a slab foundation wall, in lieu of the minimum ten feet separation distance required. Q:\WPFILES\McEnteeSilvia386SouthMainStreetCentervilleVariances2018.docx 310 CMR 15.405(1): To construct a soil absorption system eight (8) feet away from a slab foundation wall at #360 South main Street, in lieu of the minimum ten feet separation distance required. 310 CMR 15.405: To place more than three feet (but less than six feet) of soil cover above soil absorption system, in lieu of the maximum three feet of soil cover allowed. 310 CMR 15.255: To provide a two feet reduction to the required five feet strip-out boundary, for a three feet strip-out around the perimeter of the soil absorption system. These variances are granted with the following conditions: (1) No more than 260 gallons per day of wastewater discharge is authorized at this property. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to 260 gallons per day maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) A soil evaluation shall be conducted at the time of installation. (4) The septic system shall be installed in strict accordance with the engineered plans dated March 7, 2018. (5) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated March 7, 2018. Physical constraints at the site severely restrict the location of the septic system due to the very small size of the parcel and it's close proximity to other buildings. The proposed system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sincerely yours, Qad , ta Chairman •1 Q:\W PFILES\MCEnteeSiIvia386SouthMainStreetCenterviIIeVariances2018.docx f t / ` - f Gf IHE Tp ' DATE: � + + � FEE: BARNSrABLE, ` ,t MASS. C' /J r s639• `0�' REC.BY• ' � Town of Barnstable i-4&HED.DATE Board of Health -' 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. Alternate:Cecile Sullivan,RN,MSN VARIANCE REQUEST FORM LOCATION Property Address: 360g G"O^ KCt.4 n 5- GeUt AZry►i Assessor's Map and Parcel Number: 267.- 6-_5-0 Size of Lot: -39-7 6 k1—S 1' Wetlands Within 300 Ft. Yes Business Name: No�_ Subdivision Name: APPLICANT'S NAME: el-c r M.�- t�L Phone S d-F—47 7-5 3-13 Did the owner of the property authorize you to represent him or her? Yes --X— No PROPERTY OWNER'S NAME CONTACT PERSON Name: .GII (vlc�t n S} LI.L Name: Address: F o 0 5-,e� , e 50 Address: qV Phone: 5-0 Phone: 5-0y`g W—OI ZZ c EMAIL: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 3w Glh.(2 l5� Lo5-Cck) tt;(h7 min ccn{L ts.zsS[s� �• �� NATURE OF WORK: House Addition House Renovation Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in S separate,collated packets. - Five(5)copies of the completed variance request form - Five(5)copies of engineered plan submitted(e.g.septic system plans) - Five(5)copies of MA DEP approval letter for I/A septic systems only. Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian Signed letter stating that the property or business 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—Five(5)copies of full menu submitted(for grease trap variance requests only). $95.00 variance request application fee collected (No fee for lifeguard modification renewals , grease trap variance renewals [same owner/lessee only],outside dining variance renewals[same owner/lessee 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 Paul J.Canniff,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Donald A.Guadagnoli,M.D. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BMQD49H2\VARIREQ Rev APR2017.DOC Engineering Works, inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax (508) 477-5313 March 6, 2018 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 368 South Main Street, Centerville, MA (Assessors Map 207, Parcel 058) Upgrade of a failed soil absorption system Dear members of the Board: On behalf of my client, Mr. Ronald Silvia, the following variance requests are being made for upgrade of a soil absorption system, • 310 CMR 15.405(a)&(b)— CONTENTS OF LOCAL UPGRADE APPROVAL 1. An 8' variance, septic tank to property line (2 sides), for a 2' setback. 2. A 7' variance, S.A.S. to property line, for a 3' setback. 3. A 6' variance, S.A.S. to property line, for a 4' setback, 4. An 8' variance, septic tank to cellar wall, for a 2' setback. 5. A 6' variance, S.A.S. to slab (locus), for a 4` setback. 6. A 2' variance, S.A.S, to slab at#360, for an 8' setback. 7. A 3' variance to the 3' maximum cover requirement, for up to 6' of cover over S.A.S. S.A.S. to be H-20 and vented. • 310 CMR 15.255(5) —CONSTRUCTION IN FILL 8. Request a 2' reduction to the required 5' stripout boundary, for a 3' stripout around the perimeter of the proposed S.A.S. Variance requests are, being made due to site constraints. Sin I Peter T. McEntee P.E. � , 1 -- _� � ' (�/� C��-�, =� _, ti o- L' OST I , f� 'S5 -, Certified Mail Fee $-�J• c 4tit 0644 $ I' Extra Services&Fees(check box,add ^ate) ❑Return Receipt(harticop» $ �'='•='v - N' ❑ReturnReceipt(electronic) $ WAG `9_ O ❑Certified Mail Restricted Delivery $ $13 (t'J ,,r ere 6;� ❑Adult Signature Required $ e._ ! p ❑Adult Signature Restricted Delivery$ V V�.! J ' 0 Postage (].50 MAR-6 20i8 ` ..D Total Posy 06112018 o $ s6.7o �I 3��I�8 ry�c—c —a I Lr) Sent To 3�p g C3D aA " r9 _ Prop ID:207058 O Sheet and t� 619 MAIN STREET LLC �= City sisie PO BOX 430 OSTERVILLE,MA 02655 Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service'" -Restricted delivery service,which provides for a specified period. a1 delivery to the addressee;§pecifietl by name,or to the addressee's euthonzed agent. - Important Reminders: Adult signature service,which requires the ■You may purchase'Certified Mail service with signee to beat least'21 years of age(not First-Class Mail®,First-Class Package Service®,: available at retail). or Priority Mail®service. _ �t*Adult signature restricted delivery service,which ■Certified Mail service is not available for requires the signee to be at least 21 years of age International mail. Ir-' i and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase,'.I I t by name,or to the addressee's authorized agent with Certified Mail service.However,the purchaser .(not available at retail). of Certified Mail service does not change the" ' To ensure that your Certified Mail receipt is insurance coverage automatically Included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an addidonal'fee;and with a'proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail Item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTAtf7:Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-OOD-9047 . .. Er m Certified Mail Fee $3.45 0644 $ 10 IT' Extra Services&Fees(check box,add feeq vpryypate) _. ❑Return Receipt(hardcoPY) $ �V tt��ll�� ,•..�V:, �Qd Iti ❑Return Receipt(electronic) $ $0,00 Pdstmaik O ❑Certified Maii Restricted Delivery $ $0 ♦rift O ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ �� D p Postage $0.50 -D Total P $ U1 Sent Tt Prop ID:207070 C3 si eer R F DALY REALTY LL - -- r- C/O CRAIGVILLE BEACH INN S BOX 606 - --------- aty,sl CENTERVILLE,MA 02632 rCertified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service'" Restricted delivery serviceywhich provides for a specified period. delivery to the addressee specdied.by name,or to the addressee's authorized agent. Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®,.',t� available at retail). or Priority Mail®service. _Adult signature restricted delivery service,which ■Certified Mail service is notavailable for f,I r ..1 requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchtis' 1 t k by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase ij t (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additionapfee;and'with a'proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail Rem at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 M m `n "1151FIFTE I A L _ f Certified Mail Fee $3.¢5 $. Er Extra Services&Fees(check bogy add lee ❑Return Receipt(hardcopy) $ P- ❑Return Receipt(electronic) $ m-k-cirk ) : p1� �� O 0 ❑Certified Mall Restricted Delivery $ to.�j0 O []Adult Signature Required $ ❑Adult Signature Restricted Delivery$ LT�7v A O Postage $0.50 - --03/06/201-8. Total Po"—_.. ._ o $ $6.70 �2070tLr1 Sent To rl o si�eefs FOUR SEAS ICE CREAM LLCM` crry'sti 17 LEXINGTON DRIVE HYANNIS,MA 02601 Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic/etum receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service— Restricted delivery service,which provides for a specified period. delivery to;the addressee sp'ecifiedby'name,or to the addressee's authorized agerd. ImpertantReminders. Adult signature service,which requires the ■You may purclia"oXertified Mail service with signee to be at east'21 years of age(not First-Class Mail®,First-Class Package Service®, ?available at retail). or Priority Mail®service. 1 r`I t Adult signature restricted delivery service,which ■Certified Mail service is notavallable for requires the signee to be at least 21 years of age International mail. 611 r I and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase.'!r by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase,,i. (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark:If you would like a postmark on ■For an additional4ee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix 0 to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT Save this receipt for yroru records. Ps Forth 3800,April 2oi 5(Reverse)PSN 7530-02-000.9047 COMPLETE • COMPLETE ■ Complete items 1,2,and 3. A. S n re ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, Ej. Received bry\( 'nted N me) C. Daatte,O very or on the front if space permits. �X r i 1. Article Addressed to: D. Is delivery address different Wom item 17 ` s � ---� - - _----� �----- --- ------—\ If YES,enter delive�edd ess below: ❑ o 01 Prop ID:207070 R F DALY REALTY LLC f / ' C/O CRAIGVILLE BEACH INN BOX 606 CENTERVII LE,MA 02632 _ 3. Service Type ❑Priority Mail Expresse II I IIII'I I'll lei I III I I l�l I III I I l ll II I Il I I l l III ❑Adult Signature ❑Registered Mai ❑Adult Signature Restricted Delivery ❑Registered Maill R Restricted certified Mail® Delivery 9590 9402 3394 7227 667165 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2.-Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT" ❑.Insured Mail ❑Signature Confirmation ;7,01,5;.0 6'4 O . O Q7 9 4 6 3 5 9 4 8 �$SOMo)il Restricted Delivery Restricted Delivery 1. PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I USPS TRACKING# First-Class Mail _._.._ .... Postage&Fees Paid USPS Permit No.G-10 9590 9402 3394 `7-C27 6671 65 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service Engineering works, Inc. 12 West Crossfield Road Forestdale, MA 02644 J � ! t � !t } ili � i ,lf.11. i:, t•!s•' r I ,11t r 1f � 1� 1 .� III fill I I�„f• a 1� , „I I� 11•fr• f I C I k COMPLETE •N COMPLETE THIS SECTIONON DELIVERY 0. Complete items 1,2,and 3. A. Signatur ■ Print your name and address on the reverse X I !I,-`s/'JII ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. eceived'by(Prin d Name) C. 9 to f Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item T?j ❑*es I — - —---- - -- - If YES,enter delivery address below: ❑No I( Prop ID:207058 619 MAIN STREET LLC II PO BOX 430 OSTERVILLE,MA 02655 - -J 3. Service Type ❑Priority Mail Express(D II I IIII'I IIII I'I I III I I'I I III I I II II I I I I II I I 0 Adult�Cert fiSd Signature Restricted Delivery Delivery d Mail RestricteC 9590 9402 3394 7227 6671 41 0.Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise lahel) _ ❑_Collect on Delivery Restricted Delivery Signature ConfirmationTM 7 015 0640 0 0b 7� 94 6 3 5 9.2 4 isured Mail ❑Signature Delivery isured Mail Restricted DeliveryRestricted Delive -fiver$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt First-Class Mail ? Postage&Fees Paid USPS Permit No.G-10 Kv .- 9590 9402" 3'a94 `7227 6671 41 United States •Sender:Please print your name,address,and ZIP+4®in this box* I� Postal Service Engineering Works, Inc. I 12 West Crossfield Road I Forestdale, MA 02644 A I + I Y 1 BEDROOM APARTMENT DECK ENTRY BEDROOM 180 ±SF a m STORAGE 350 ±SF BUILDING LIV. KIT. ENTRY #619 MAIN ST. ROOM BATH a ENTRY Up ENTR d x RETAIL RETAIL 800 ±SF RETAIL RETAIL ENTRY STORE FIRST FLOOR 1 BEDROOM APARTMENT BUILDING #619 MAIN ST. Eq DN BEDROOM 160 ±SF BATH/ ENTRY LNDY. - KIT./ LIVING DINING ROOM SECOND FLOOR FLOOR PLAN BUILDING USAGE: COMBINED RESIDENTIAL & COMMERCIAL 2 BEDROOMS x 110 GPD/BEDROOM = 220 GPD RETAIL AREA: 800 SF x 50 GPD/1000 SF = 40 GPD TOTAL DESIGN FLOW = 220 GPD + 40 GPD = 260 GPD 368 SOUTH MAIN STREET, CENTERVILLE, MA Town of Barnstable Geographic Information System March 6,2018 207151 207084 207016 207054 #319 #38 #582 #585 207060 y At 214 $ 207055001C17 207015 1Q #595 207068 #594 #337 1 207059:.•.........:: .:,.......... Q 20Lf 70561 #611 eO7O69) 207082 349 #329 207012 #368 #614 2070519 ,r5 trP d 207137 J� #357 207013 y� #610 #638A #638B 207011 :�•'i 207070.•i::: #638C >• .369 #638D 20 7081 G1 #61 G r 207009 R� #40 6 0 207071 #1292 _ #1324 207064 7� 207O72001 #1311 #1310 207032002# 40 F et 207076 #40 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:207 Parcel:058 Board of Health Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Abutter List Type-Direct abutters(no set distance)and the properties located 1"=100'may not meet established map accuracy standards. The parcel lines on this map .,,;;, !E. are only graphic representations of Assessor's tax parcels. They are not true property across the street. Abutters boundaries and do not represent accurate relationships to physical features on the map f r such as building locations. Buffer {/r 3/6/2048 AbutterReport Board of Health Abutter List for Map & Parcel(s): '207058' Direct abutters (no set distance) and the properties located across the street. Total Count: 4 I Close Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed CityStateZip 207057 619 MAIN STREET PO BOX 430 OSTERVILLE, C210933 LLC MA 02655 207058 619 MAIN STREET PO BOX 430 OSTERVILLE, 29989/169 LLC MA 02655 207059 FOUR SEAS ICE 17 LEXINGTON HYANNIS, MA 24098/30 CREAM LLC DRIVE 02601 R F DALY REALTY C/O CRAIGVILLE CENTERVILLE, 207070 BOX 606 27984/243 LLC BEACH INN MA 02632 If a certified list of abutters is required,contact the Assessing This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. q g Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 3/6/2018 . �y http://maps.tovmofbarnstable.us/arcims/appgeoapp/AbutterReport.aspx?"=BOH 1/1 Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax (508)477-5313 March 6, 2018 Re: 368 South Main Street LLC, Centerville, MA (Assessors Map 207, Parcel 058) Upgrade of a failed soil absorption system Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and Local Regulations have been submitted to the Barnstable Health Department for approval. The following variances are being requested: • 310 CMR 15.405(a)&(b)— CONTENTS OF LOCAL UPGRADE APPROVAL 1. An 8' variance, septic tank to property line (2 sides), for a 2' setback. 2. A 7' variance, S.A.S. to property line, for a 3' setback. 3. A 6' variance, S.A.S. to property line, for a 4' setback. 4. An 8' variance, septic tank to cellar wall, for a 2' setback. 5. A 6' variance, S.A.S. to slab (locus), for a 4' setback. 6. A 2' variance, S.A.S. to slab at#360, for an 8' setback. 7. A 3' variance to the 3' maximum cover requirement, for up to 6' of cover over S.A.S. S.A.S. to be H-20 and vented. • 310 CMR 15.255(5)—CONSTRUCTION IN FILL 8. Request a 2' reduction to the required 5' stripout boundary, for a 3' stripout around the perimeter of the proposed S.A.S. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, March 20, 2018, at 3:00 p.m. The hearing will be held at the following location: Town Hall Hearing Room—2"d floor 367 Main Street, Hyannis, MA t erely, Peter T. McEntee P.E. 1 ` � I crr � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH W-T- O . ...................0 F... ..AR ---------------................... Apfirathin for Dhipasal Mirkli Tontitr t Prrutit Application is hereby made for a Permit to Construct or Repair ( 7an Individual Sewage Disposal System at: ............ .......... .................................................................. ........ Lolati. Address .....................or Lot No. -Ale,...................... . ......... ...................................................... Owner Address Q!Vim ...... .................................................................................................. ,Wa ............JL .......A.... Installer Address Type of Building Size Lot-----1 k31-0...Sq. feet U Dwelling—No. of Bedrooms......._...... .....Expansion Attic Garbage Grinder N.� PL4 Other—Type of Building""JIL---§7 R No. of persons........I................ Showers Cafeteria Otherfixtu es ....................................................................................................................................................... Design Flow..................... .S. _gallons per person per day. Total daily flow................Z6. _.............__gallons. ap citJ-------- 1:4 Septic Tank—Liquid c a y..C.C.O..gallons Length________________ Width__............._ Diameter......_......._. Depth.._..__..___._.. Disposal Trench—No. .................... Width................... Total Length_.___........_,..... Total leaching area....................sq. ft. Seepage Pit No.---____:-I._._____-- Diameter-___-.-1.0........ Depth below inlet........Cc........ Total leaching area..24.71......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.____.__..._........ Depth to ground water........._...._......_.. Test Pit No. 2................minutes per inch Depth of Test Pit___.._....-......_.. Depth to ground water.........__.........___. ........................................................... -------------------"'""...........**----------------------------- -------------- 0 Description of Soil........................................................................................................................................................................ x U ......................................................................................................................................................................................................... W �4 ................. --------------------------------------------------------------------- ....... -------------------------------------65"o--- -------ZIP414.46. U Nature of P 2'emoV5-----Q_&r_ Vo"_p,epairs or Alterations—Answer Answer 'hen applicable.___ AoTt*-------4.eprijae.....ruji......&WD..... --------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAIT�TLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een e y the and o health. I................... . . ... .... ..........4:� 4/tt'e,4%— ApplicationApproved By........... . ....... ... . .. ............... ..... .............. ..............!I---------------------- Date �e of Compliance has een y the........... .... ...... .. .. ............... .. Application Disapproved for the following reasons:....................................................................... ................................... ................................................. ................................................................................................... . .............................................. ~Date Permit No............ .......I.. Issued.......................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '"\•')_:�s�t rya ......................................... Trtifictttr of TI-Intpliana �' �.� `.;��•` �It'V( THIS IS TO CERTI That th Individual Sewage Disposal System constructed ( ) or r2epaired by-------------------------------------------•- .... ..._iasica ler t' a �/ ,+ has been installed in accordance with the provisions of ' IT j of The State Sanitary Code as descri d in the application for Disposal Works Construction Permit No.-9 .S__- --_A'z .... dated_-_�. ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............. ...: g5-•............................... Inspector............ ---........ ......................... ..................... THE COMMONWEALTH OF MASSACHUSETTS L �. BOARD OF HEALTH .� _ ...................OF...........1:. t�1�i f�.. ..... t�� c7 FEE.. ission to Construct ( is hereby er Repair (e11�an Individuald�A...•.. ................................................_... ------•-•--•--- t� Sewage ~Disposal System atNo. `�; �.4::,l' '" If'..!— P-Zf d.....-•-...... r ----------------•-------•----•--------------------------------------•-•-----..... Street .� i as shown on the application for Disposal Works Construction Permit No:`-_y2=�",�ated_._.___ ��.' -••--r...................... L��DATE............. - Board of Health ' D'',2 FORM 1255 HOBBS & WARREN. INC., PUBLISHERS Li G -' m - NoC' ? .: -- Fps. � THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH , w i `t r �•.' OF........e.��l�`. : .... ... Appliratiou for Bigpuiial Works Tomitrurtiou Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( Vj"an Individual Sewage Disposal System at: -� Location.-Address or Lot No. fs td t, -f .'i.� „y?:z E`t -JC..�. ....-�`..................................................................................... Ownez �l Address a ......................................... ............................................ ............................... Installer Address j, - -I Type of Building Size Lot..... �_�__t.�___`.:...Sq. feet U Dwelling—No. of Bedrooms......... ^... ..........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building s L.C.. ice No. of persons__......_�4................ Showers ( ) — Cafeteria ( ) d Other fixtu es --------------------- - - - -- - ------ -----•----•-•-------.. .- .-•---- WW Design Flow............... ' • _ --.1................gallons. ;:i_-...._ a p erson er . flow.___.__......_. ..._ 9 SepticTank—Liquid ca acity•c> 'ZI.gaIlons Length th____P_......... Width---------------- Diameter__.____------- Depth---------------- x Disposal Trench—No. .................... Width.................... Total Length..............,..... Total leaching area....................sq. ft. Seepage Pit No..........l---------- Diameter-_____ ........ Depth below inlet.......t ........ Total leaching area...._�Ca 1...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. l----------------minutes per inch Depth of Test Pit_______-_-._•._____ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ ............................................................•--••-•-----•-••-------•-----•-•--•-••--•-----•------•------------------•---•---......-•------- ---- ------ •--•..... .------------------------------------•--•- 0 Description of Soil...............................................................................................................•--------.............................................. x x --•-•------•-------------------•-••---•--•--•-•-•--•---------------•••--••••----•-----•-••••••••--•----------------------------------- . . ----------------•-•--• ------------------- U Nature of epairs or Alterat>ons—Answer when applicA e_.. '�/1�� _____G _. •fit-?-1-1JA" ---•-t-_.f'�4,.. �j�t�.----�-jam ....EAR$-=•--- I ------- - ----------------------------------- -- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iiTLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ssue y the bard of health. /� Si .reed- •� ffi 1 = `....... ....-f���f�'.. .... ^................. � �y Date Application Approved BY -=_= = ���c r` (1 .... --•� Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- •---•-•-----•---•--•..._...-----•-----•-•----•-•--••-•---•-•--•-•----•-•---•--•---•--•------•------•-------••---••-••-•-•-•••••••-•••-•-•------•-•---••-••••---•••--•-••••---••• --------•--••••....... Date Permit No...... - -� ------------------- Issued_- - Date No......................... Fics.... .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........._......... ....................O F.........................-...................................... a. Appliration for Bivpaa al Workii Tomatrurtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: Al Liori-AZiress or Lot X..... ......................... ....... ...................... •.... .... ......._...._...... ... Ow er Address ------------••. -----•-•--- -- •-•�•------------------------------------------------•-- Installer Address Type of Building Size Lot............................Sq. feet -, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons.........---.--..--......... Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------------------------•-----•••---------•----........... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.--................. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------- -----------•----•----•---•----••---•-•--••--------••----•---•---- Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.--.-----........... Depth to ground water------------------------ Test Pit No. 2................minutes per inch Depth of Test Pit-----............... Depth to ground water......---.--............ W ---------------- -----------------------------------------.........`...............................................................------------------------- 0 Description of Soil.. !/j- - -- --- - ; W VNature of Repairs or Alterations—Answer when applicable..------------- ------------------------------------------------------------------------------- _ ............-�10A-----Ci�1-I Drat-...5r�-.......��.10 � .....-----.� lV. ............................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the T provisions of ?T:. p S of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. gne Da - __ Application Approved By--•• ( .. � � .r..../ = ...... ...... / Date Application Disapproved for the following reasons-------------------------------=--------------------- ------------------------=---------------------------•-•---- ........................................................................................................................................................................... ............................ d Date PermitNo......................................................... Issued... ................................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALT ...... .........OF.......... .... :. .................. Trrtgfiratr of Tompliattre THIS I. TO CER &F�.Y, hatthe Individual Sewage Disposal System constructor Repaired .... Installer has been insta ed in accordance,,with the provisions of , j of The State Sanitary..Code as described, in, the application for Disposal Works Construction Permit N - ` -.---.---. dated__ *^ .$`"' ..... ......... THE ISSUANCE�OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE }x x.... ---- Inspector Vy - THE COMMONWEALTH OF MASSACHUSETTS } BOARD OF tjE T ........... O F . ...... ....................... 7,0 No.....................` FEE.ti(............. =; Permissionis hereb granted -1--------•----------------•----_--------------•-•--•-------------------------•--•--- to Cons�ct ( ) �� air Individu Sewage stem --•.............. ............................ .r;',. - .... reet as shown ori'the application for Disposal'VVorks Construction r it ..... ... ........ Dated.._.V..__'"� _"":_._............ f -- -- .............................. DATE....... I .................................................... FORM 1255 HOBBS &' WARREN. INC.. PUBLISHERS No........................ Fim V..................... THE COMMONWEALTHOF MASSACHUSETTS BOARD OF HEALTH .................... ....................OF............................................... Appliratiou for Bhipoiial Workfi Tontitrurtion Prrutit Application is hereby made for a Permit to Construct or Repair (, an Individual Sewage Disposal System at: .AL S_ k an ..CO Al ion7 d7,*e........ ----- or Lot No.. -------------- ........................ ............................................. ............................................... lew ell Address er Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) P4 Other—Type of Building ............................ No. of persons.....................-_.---- Showers Cafeteria ( ) P4Other fixtures ......................... .............................................. .............................................................................. W Design Flow.......................................:....gallons per person per day. Total daily flow............................................gallons. IY4 Septic Tank—Liquid capacity............gallons Length................. Width........_._..... Diameter-_-__-_.--_-_.. Depth_....._.._...... Disposal Trench—No. .................... Width....-_-............. Total Length-_-......--......... Total leaching area....................sq. f t. Seepage Pit No._-__-_--_--------- Diameter.................... Depth below inlet.....-_............. Total leaching area..................sq. ft. Other Distribution box Dosing tank Percolation Test Results Performed by.......................................................................... Date.................................. Test Pit'No. I----------------minute'sperinch Depth of Test Pit--_.--.............. Depth to ground water_.-.---.-----.-_--_----. f� Test Pit No. 2----------------minutes per inch Depth of Test Pit._.............-_... Depth to ground water.....__--.............-- .......................................................................................................................................................... J 0 Description of Soil......................................................................................... .............................................................................. i ......................................................7................................................................................................................................................. U ........................ ............................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ...........�f 0- .......0 .. D.......M051�.D...... ..o.h.0.+.4. F . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ign( ................................ ............ ....... D Application Approved B _ J"A... ^... ........... ............... Date Application Disapproved for the following reasons:............................ .............................................................................. .......................................................................................................................... ........................................................................ Date PermitNo.--- ----- .................................. ................................................. Date 1. .. f TOWN. OF BARNSTABLE OFFICE OF 2 MA aAa68.TsaLE, t BOARD OF HEALTH y MA p oo'D 1639. 0 T MAY�" 397 MAIN STREET JE HYANNIS, MASS. 02601 RETAIL FOOD ESTABLISHMENT CERTIFICATE OF REGISTRATION (must be posted in retail establishment) NAME OF FIRM CRAMILLE PACKAGE STORE LOCATION OF FIRM Street City or town Zip Code STORE ADDRESS Four corners Centerville 02632 Street City or town , Zip Code REGISTERED UNDER THE PROVISIONS OF SECTION 305A1 CHAPTER 94 OF THE GENERAL LAWS DATE OF REGISTRATION 41arCh 10, 1980- EXPIRATION DATE December 31, 1980 Registration shall not be transferred, assigned,-. 'or conveyed. No Retail Food Establishment shall process, prepare for sale, or sell, any food product unless Registered. ISSUED BY TOWN OF BAR NSTABLE CITY OR TOWN HYANNIS MASS. TITLE John M. Kelly, Dirdr6tor of Public Health Date of Inspection: Agent Date of Temporary DATE REINSTATED: REVOCATION: 3/I1/80 $/RAC I r • D Tom f 5� Z DEPARTMENT OF PUBLIC HEALTH Pp0`� R0 DIVISION OF FOOD AND =� ���N DRUGS 7 e. Of Health 527 State House P �a _ = of Barnstable Boston, Massachusetts 02133 Main Street TTS APPLICATIOfeTM H G7C5' RATION by RETAIL FOOD ESTABLISHMENT In accordance with the provisions of the Regulation promulgated under authority of Section 305-A of Chapter 94 of the General Laws of the Commonwealth of Massachusetts application for Registration is hereby made by: (Print or type). FIRM NAME OU 4 / 6 VYL. ZF e C' %e 4 FIRM ADDRESS ry yiK C 6P ffE1' S L E ref I eg (/ Street City or town zip Code STORE ADDRESS Street City or town zip Code (Each store must be registered individually.) Type of Business a (check one) CORPORATION PARTNERSHIP __ SOLE OWNER Date of Application `16 ' City or Town where filed —A YA/Y/Y/- Name of Corporate Officers: (to be signed by each) President: . 'd �'�/ram `'/9�j�C , L�ee_ LG ' Name Address Treasurer: Name Address Clerk: ���(n(/ _` ZI Name Address Name of Partners: (to be signed by each) Name Address Name Address Name of Sole Owner: (to be signed) Name Address Person Preparing Application F-Q Title S STORE SELLS: Meat Produce Dry Groceries Dairy Frozen Foods: N' 14,Cv B 7, 1C0 QD� �s (Duplicate copies of application should be filed with local Board of Health. or Health Department.) Form PH-F-70 30M-7-88-947788 r 04-e TVMM0UWra1t4 of Malwar4z nf#.q 6ti ( DEPARTMENT OF PUBLIC HEALTH 12 DIVISION OF FOOD AND DRUGS Cl `s�ON _ Q21 - _ of Health a 527 of Barnstable State House �w eel Boston, Massachusetts 02133 Main Str HYANNIS, MASSACHUSETTS 02601 APPLICATION FOR REGISTRATION by RETAIL, FOOL? ESTABLISHMENT In accordance with the provisions of the Regulation promulgated under authority of Section 305-A of Chapter 94. of the General Laws of the Commonwealth of Massachusetts application for Registration is hereby made by: (Print or type? FIRM NAME i //�- I,L/ / /. � l�A C K /� (� S 1-6 f2 FIRM ADDRESS » -o V 2 ht g /Z S F_ erg.�fL�%= e� C 3 Street City or town zip Code STORE ADDRESS 1. ` Street City or town zip Code . (Each store must be registered individually.) Type of Business (check one) . k CORPORATION PARTNERSHIP SOLE OWNER Date of Application /'0 - E C) City or Town where filed It Y14 Name of Corporate. Officers: (to be signed by each) President: R A 9 410Q R hr a 4 40 llz41 Name Address Treasurer: Name Address, Clerk: (� L�r�.l�l L / l�l J !2 _ t ; Name Address Name of Partners: (to be signed by each) Name Address Name Address --- Name of Sole Owner: (to be signed) Name Address Person Preparing Application X ZA IXle e j NO RZ-_S Title STORE SELLS: Meat Produce Dry Groceries Dairy Frozen Foods �A N +1 i3 cs f y'G /a-- (Duplicate copies of application should be filed with local Board of Health or Health Department.) Form PH-F-70 30M-7-88-947789 SEATING ANNUAL .4 SEASONAL FTMEo TOWN OF BARNSTABLE TEMPORARY OFFICE OF i BAB MAG& t, : BOARD OF HEALTH AS Y. i639'�0 00. 367 MAIN STREET MAY HYANNIS, MASS. 02601- DATE APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT FULL NAME OF APPLICANT �� is L"Ie- 0 �/fS NAME OF FOOD ESTABLISHMENT c 1 /ll �e �� 'p ADDRESS OF FOOD ESTABLISHMENT LZ 94Z_a) (°gtl//� D� �TEL. NO. TYPE OF ESTABLISHMENT: FOOD SERVICE ESTABLISHMENT: RETAIL FOOD STORE MOBILE FOOD UNIT SOLE OWNER: Yes No IF APPLICANT.IS A PARTNERSHIP, FUL NAME AND HOME ADDRESS OF ALL PARTNERS: //J� A/ mi IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME DDRESS OF: PRESIDENT N q TREASURER CLERKAf SIGNATURE OF APPLICANT HOME ADDRESS HOME TELEPHONE NO. RESTRICTIONS: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF, HEALT....... OF............ .................... Tntifiratr of Tompliattrr THIS 0 CER -Y, hat the Individual Sewage Disposal System construct 0.4-�Or Repaired by.... 4 12�1�oc I --------- ---------------- --- --- --------------- ,7i.staller &OZ/---------------------------------------------------------------------- at---T!MA . ro... ------ ------ ------ ------------------C2--------��- Aa.. ................... has been insta ed in accordance with the pisions of T 5 of The State Sanitary Code as described in the ------- ...application for Disposal Works Construction Permit NoW....;Z--%3j.......... dated-.--.\j /Z-c 91-a................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS ------------------------------------------- -------------------------- BOARD OF HEALTH NOTICE TO ABATE A NUISANCE ------------------- ------------------------------------------------------------------------------------------------------------------ owner As occupant of — — E l j'--------- C f T -------S-7,JJ� you are hereby notified to remedy the conditions named below within --------�----_days of the service of this notice, Sundays and legal holidays excepted, or to show cause why you should not be required so to do: -----•-•---...----•- ... Q.`..�..�:.�J-t_ ...... --•----..------ v �- ^- ----------------------- ---------------------------------------------------------------------------------------------------------------- -------------------------- ................................. ----------------------------------------------------- ------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------------------------------------- ------ If at the expiration of time allowed these conditions have not been remedied and no cause aforesaid be shown, such further action will be taken as the law requires. By order of the Board of Health. ...... --------------Inspector. Mail--------------------------Personal Service („f-_ ---- ------------ Any objection or inquiry in reference to this notice should be filed before the expiration of the time allowed for the abatement of the nuisance. Address all communications,"Board of Health________4- u'----------__ � - ---------- �v - -----------Mass.,, FORM 600 HOBBS & WARREN, INC. 1, LOCATION SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS UIL0EIII OR OWNER DATE PERMIT ISSUED "l DATE COMPLIANCE ISSUED --mod_ )`r \o/z. �/ f� $S `-12 3 r . �T S/r+s' LOCATION ,�r � SEWAGE PERMIT NO. VILLAGE ��-- I N S T A LLER'S NAME i ADDRESS Jo4 /-57 /gam 1.529 B U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED S_ -7- gS c y BOARD OF HEALTH - TOWN OF BARNSTABLE 4.Y 367 Main Street - Hyannis, MA. 02601 j PURPOSE Food Service Establishment RegFollow-up p.... .. Inspection Report Follow-up....... 2 Complaint....... 3 Investigation ..... 4 Based on an inspection this day,the items circled below identify the violations In operations or ties which must be corrected by Other .......... 5 the next routine inspection or such shorter period of time as may be specified in writing by regulatory authority. Failure to com- ply with any time limits for corrections specified in this notice may result in cessation o our Food Service operations. OWNER NAME E TAB LiSHMENT,y�AME ( / ,z ADDRESS ZIP CODE EST. ESTAB.NO. SANIT.CODE `#: YR. MO. DAY '`ic:TRAVEL TIME ::: INSPEC.TIME %:: STATEJCOO >:: INSP.PROCESS "`# 17-19 0-22 '%z23-24z` 5-27 v44: WT.COL. I O �j .� WT. COL. FOOD SEWAGE Source;sound condition,no spoilage 30 ;;: < Sewage and waste water disposal ?4 57 Original container;properly labeled ^_ ;' 31 PLUMBING FOOD PROTECTION ;�, ;; Installed,maintained ? 58 Potentially hazardous food meets temperature requirements ""'' Cross-connection,back siphons e,backflow P q 9 59 during storage,preparation,display,service,transportation ? 32 Facilities to maintain product temperature `` ; 33 TOILET& HANDWASHING FACILITIES Thermometers provided and conspicuous 34 ( Number,convenient,accessible,designed,installed R 60 Potentially hazardous food properly thawed f ?; 35 Toilet rooms enclosed,self-closing doors;fixtures,good .. repair,clean: hand cleanser,sanitary towels/hand-drying :,'•. 61 Unwrapped and potentially hazardous food not re-served 36 devices provided,proper waste receptacles <i Food protection during storage,preparation,display, si'< 37 service transportation38 GARBAGE & REFUSE DISPOSAL Containers or receptacles,covered: adequate number In use,food(ice)dispensing utensils properly storedr�'z <"; 62 p g ? 39 ;:. insect/rodent proof,frequency,clean PERSONNEL :;; outside storage area enclosures properly constructed, clean;controlled incineration ::;f: 63 Personnel with infections restricted 40 Hands washed and clean,good hygienic practices _? 41 INSECT, RODENT,ANIMAL CONTROL '' Clean clothes,hair restraints `' '' ' 42 "> Presence of insects/rodents—outer openings protected, ; « 9 no birds,turtles,other animals 'q 64 FOOD EQUIPMENT & UTENSILS Food(ice)contact surfaces: designed,constructed,main- "''" FLOORS,WALLS& CEILINGS 43 twined,installed,located Floors,constructed,drained,clean,good repair,covering installation,dustless cleaning methods 65- 'Non-food contact surfaces; designed,constructed,main- <'•> 9 _= 44 tained,installed,located Walls,ceiling,attached equipment: constructed,good { Dishwashing facilities: designed,constructed,maintained, ':: ? 66 "' repair,clean,surfaces,dustless cleaning methods r} < 46 installed,located,operated `= Accurate thermometers,chemical test kits provided,gauge LIGHTING cock(1/4" IPS valve) f < Pre-flushed,scraped,soaked. 47 w Lighting provided as required,fixtures shielded t Wash,rinse water:clean,proper temperature < ? 48 VENTILATION Sanitization rinse:clean,temperature,concentration,ex- .." Rooms and a ui ment—vented as required ? 11: q P q . [ ': 68 posure time;equipment,utensils sanitized '��`:? 49 sit` _ Wiping cloths: clean,use restricted X.`•`:"50- DRESSING ROOMS Food-Contact surfaces of equipment and utensils clean, '"" :. free of abrasives,detergents w_ 51 Rooms,area,lockers provided,located,used 69 Non-food contact surfaces of equipment and utensils clean .> 52 OTHER OPERATIONS Storage,handling of clean equipment/utensils >"' 53Toxic items ro erl p p y stored,labeled,used ::? 70 Single-service articles,storage,dispensing f?s: 54 Premises maintained free of litter,unnecessary articles, No re-use of single service articles 55 z: E cleaning maintenance equipment properly stored. Author.. 71 ` !ized personnel WATER ;its; Complete separation from living/sleeping quarters.Laundry. 72 Water source,safe: hot&cold under pressure " !> Clean,soiled linen properly stored tss 73 ;:` 56 Received by: name FOLLOW-UP RATING SCORE 75-77 ACTION Yes .......74-1 100 less weight of Change..... 78-C title N .......... 2 items violated—* Delete.........D — inspected by: names '*CrWcal•Items Requiring Immedlate.Attention. Remarks on back(80-1) FORM FDA 2420 (8/80) PREVIOUS EDITION MAY BE USED USE REVERSE FOR REMARKS ITEM NO. REMARKS CORRECTED BY l., vi J t VARIANCE REQUESTS 93.75 --99--EXISTING CONTOUR N -310 CMR 15.405(1)(a)&(b): lJ'��� _ x 100.98 EXISTING SPOT GRADE R°°b 1 Nay 1) An ' variance, septic tank to property line .(2 sides), for ice -.-{gam-- PROPOSED CONTOUR a 2' setback. 2 churoh . 2) A 7' variance, S.A.S. to property line for a 7' setback. 94.02 e Fe x 100.98 PROPOSED. SPOT GRADE y 3) A 6' variance, S.A.S. to property line for a 4 setback. W ^ �^ OCUS o�A p p y c`� EXISTING WATER SERVICE s°°O N 4) An, 8' variance, septic tank to cellar wall. fora 2 setback. a 3.31 + 5) A 6' variance, S.A.S. to slab. for a 4' setback. /' i Li TEST PIT ° 6) A 2' variance, S.A.S. to slab at #360. for an 8' setback. CBdh 0 BENCHMARK 7) A 3' variance to.the 3' maximum cover requirement, for 92.67 J.o 6' (max.) cover. S.A.S. shall be H-20 and vented. LEGEND 93.66 Grove/ Parking I �� -310 CMR 15.255(5): CONSTRUCTION IN FILL \ Area 91.39 8) Request a 2' reduction to the required 5' stripout boundary, \ SPIKE SET 92.69 0 for a 3' stripout around the perimeter of the SAS. \ \ PROPOSED PROPOSED S.A.S. oro SEPTIC TANK 93.5 2-500;GALLON CHAMBERS SURROUNDED WITH STONE LO a' 94.18 -- EXIS/TNG SEPTIC TANK �e5< �`'^� AND` LEACH PIT Et.=99.34 --' 9¢- 93,13 TO BE REMOVED LOCUS MAP 101.66 _T 2'_ 3 "`C' B o (SEE NOTE 11) NOT TO SCALE d 10 36' , 1�3 1 GENERAL NOTES: N 81- .10 .., 2 O O 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL Conc. ' 9 .43 BOARD OF HEALTH AND THE DESIGN ENGINEER. wall 102'7 •^_' '• :'`; --. � 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE, REQUIREMENTS 1� - EXIS17NG DECK OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE cu '� 4. TO BE REMOVED LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BY VARIANCE. a Z WALKOU 94. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR po 2' 4' CELLAR 3,54 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE ►�� N 94 2 DESIGN ENGINEER. 4 Seas Ice Cream 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING o EXISTING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 4. o (,�.360) 96.86 ENGINEER BEFORE CONSTRUCTION CONTINUES. = EXISTING /�BUlLDING X1. `ro BUILDING #368 SO. MAIN ST. �. Ai• 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. �• 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF z ,#619 MAIN ST. TQF=101.42 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. (Ao 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. trp �O\� o\ o \ 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. ° STP-2 9 g 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS p (( AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE Tp-1 CA tN 1 DIRECTED BY THE APPROVING AUTHORITIES. y, MW O 100,78 1 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY �•1 O THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 100. MAG,E8 93 T CONSTRUCTION. 16 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 7- ? I AREA y�. 9 `� I REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). C Ns 3'9M*s,f k0,0 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 5 ^' o 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 0 ,, �i \�y�Y i ��flF n��S 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC 1 O• Yi G SYSTEM COMPONENTS NOT SHOWN ON THE PLAN �•y0 II ���� cys 04, T. McENREE PARCEL ID: 207_058 CIVIL No.35109 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 0 WARNER j GiST 368 SOUTH MAIN STREET, CENTERVILLE, MA 5 g1�i� No.38721 a" -Prepared for: 619 Main Street LLC, P.O. Box 430, Osterville, MA 02655 lk. j 9', t�// Engineering by: Surveying by: SCALE DRAWN JOB. NO. OWNER OF RECORD Engineering Works,Inc. WARNER SURVEYING 1 =20 P.T.M. 110-18 �¢•00' / 619 MAIN STREET LLC 12 West Crossfieid Road 22 Long Road DAB CHECKED SHEET NO. 3 f �/ P.O. Box 430 Forestdoie, MA 02644 Harwich. MA 02645 Osterviile, MA 02655 (508) 477-5313 (508) 432-8309 3/7/18 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=92.85 SEPTIC TANK FOR A DISTANCE OF 15' FROM THE EDGE PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET INSTALL RISER & COVER PROPOSED S.A.S. i AND SET TO 6' OF FINISH GRADE.T.O.F.=101.42 SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND SET TO 3" OF F.G. TO i SERVE AS INSPECTION PORT F.G. EL.=97.5f F.G. EL.=94.0 to 97.Ot F.G. EL.=97.5(max.) F.G. EL.=97.Ot I CHARCOAL VENT ,/ / MAINTAIN 2X SLOPE. OVER S.A.S. r�gEXlS17VG j L - 3' / MW ® S=1% (MIN.) ® S=1% (MIN.) 0 S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC APPROVED FILTER FABRIC WALKOUT CELLAR 10` 14` i0" 14` INV.=93.50Q• '� -3/4° TO 1-1/2" DOUBLE PROPOSED 4' 4.8' 4' WASHED STONE cAs OAS INV.=93.17 BAFFLE n� I a' INV.=93.68 BAFFLE BA .E D-BOX EFFEcnVE WIDTH 12.8' tj a� (MIN.) INV.=93.25 . 3 OUTLETS INV.=92. 2-500 GALLON LEACHING CHAMBERS 14'::� PROPOSED 1500 GALLON -10) SEPTIC TANK 1- -20.0-� (2 COMPARTMENTS) SURROUNDED WITH STONE AS SHOWN COMPARTMENT NO. 1 - 1000 GALLON MINIMUM STORAGE H-20 RATED COMPARTMENT NO. 2 - 500 GALLON MINIMUM STORAGE APPROVED FILTER FABRIC NOTES: TOP CONC. ELEV.=93.6t BREAKOUT ELEV.=92.85 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=92.50 INVERTS, PRIOR TO INSTALLATION. eaiaaeae®®®pia SEPTIC LAYOUT 2 SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND BOTTOM ELEV.=90.50 ) 1.5' 2 x 8.5' _ '17.0' 1.5' TRUE TO GRADE ON A MECHANICALLY COMPACTED 6" 4' OF NATURALLY OCCURRING EFFECTIVE (.ENGTH;'= 20.0' CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR PERVIOUS MATERIAL 15.221(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. VERIFY SOILS TO EL.=85.0 z 3/4" TO 1-1/2" DOUBLE ®®®® 0 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE WASHED STONE i- ®®®®®®® ®®®® 37" AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. �. SEPTIC SYSTEM PROFILE N z ®®®®®®®®®® DESIGN CRITERIA SOIL EVALUATION TO BE CONDUCTED AT TIME OF J INSTALLATION DUE TO INSTALLATION INSUFFICIENT AREA TO DIG A TEST HOLE WITHOUT DAMAGE TO EXISTING SYSTEM. 102" BUILDING USAGE: COMBINED RESIDENTIAL & COMMERCIAL SOIL LOG SHOWN IS FROM TEST HOLES DOUG Ott OPPOSITE SIDE OF BUILDING. TWO 1 BEDROOM APARTMENTS + OFFICE & RETAIL 2 BEDROOMS x 110 GPD/BR = 220 GPD SOIL LOG 4 KNOCKOUT OFFICE & RETAIL APROVED FOR 40 GPD DATE: NOVEMBER 2, 2007 (REF# 11,985) 20" DIA. COVER SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: PETER McEII TEE PE CSE " KNOCKOUT / 4" KNOCKOUT 58" DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DONNA MIORANDI-HEALTH AGENT DAILY FLOW: 260 GPD (APPROVED BY PERMIT) Elev. TP- 1 Depth Elev. TP-2 Depth 0 DESIGN FLOW: 260 GPD GARBAGE GRINDER: NO 101.9 0" 102.0 i 0" 4" KNOCKOUT PROPOSED SEPTIC TANK: 1500 GALLON-2 COMPARTMENT PAVEMENT PAVEMENT COMPARTMENT NO. 1 - 1000 GALLON MIN. STORAGE 101.6 3" 101.7 ! 3" COMPARTMENT NO. 2 - 500 GALLON MIN. STORAGE B B; 50.0 GALLON CAPACITY, H-20 LOADING PROPOSED DISTRIBUTION BOX: 5 OUTLETS MINIMUM SANDY 10YR 5M SANDY LOAM CHAMBERS /45/4 C C LEACHING AREA REQUIRED: (440 GPD/SF) = 594.6 SF 98.9 36" 100.0 : .74 USE 2-500 GALLON LEACHING CHAMBERS IN SERIES EPERC PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 56" 368 SOUTH MAIN STREET, CENTERVILLE MA M-C SAND ;M-C SAND SIDEWALL AREA: 2(12.8' + 20.0') x 2 = 131.2 SF 2.5Y 6/4 2.5Y 6/4 Prepared for: 619 Main Street LLC, P.O. Box 430, Osterviile, MA 02655 BOTTOM AREA: 12.8' x 20.0' = 256.0 SF Engineering by: Surveying by: SCALE DRAWN JOB. NO. 387.2 SF 89.9 144" 90.o Engineering Works,Inc. WARNER SURVEYING N.T.S. P.T.M. 110-18 TOTAL AREA:.............................................................. 144' PERC RATE <2 MIN IN. 2 West Crosafre0 Road 22 long Rood / ("Cl("C j HORIZON) Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(387.2 SF) = 286.5 GPD NO GROUNDWATER OBSERVED (508) 477-5313 (508) 432-8309 3/7/18 P.T.M. 2 Of 2 VARIANCE REQUESTS 93.75 --99--EXISTING CONTOUR N -310 CMR 15.405(1)(o)&(b): `J\0� x 100.98 EXISTING SPOT GRADE R°°d 1) An 8' variance, septic tank to property line (2 sides), for r1e 99 PROPOSED CONTOUR Church N\\ a 2' setback. 94.02 e� z 2) A 7' variance, S.A.S. to property line for 3' setback. e x 100.98 PROPOSED SPOT GRADE (�) ti 3) A 6' variance, S.A.S. to property line for a 4' setback. �µ W EXISTING WATER SERVICE 8°cO^ L�`� LOCUS 4) An 8' variance, septic tank to cellar wall. for a 2' setback. / 0 3.31 TEST PIT t^ a� 5) A 6' variance, S.A.S. to slab (locus) for a 4' setback. / V 6) A 2' variance, S.A.S. to slab at #360. for an 8' setback. CBdh 92,67 v BENCHMARK J 7) A 3' variance to the 3' maximum cover requirement, for /9 LEGEND 6' (max.) cover. S.A.S. shall be H-20 and vented. 93.66 Grave/ Parking 91,39 -310 CMR 15.255(5): CONSTRUCTION IN FILL Area 0 8) Request a 2' reduction to the required 5' stripout boundary, SPIKE SET 92.69 PROPOSED S.A.S. for a 3' stripout around the perimeter of the SAS. \ PROPOSED SEPTIC TANK 93.5 2-500 GALLON CHAMBERS ~� SURROUNDED WITH STONE EXISTING SEPTIC TANK 94.18 93,13 AND LEACH PIT TO BE REMOVED LOCUS MAP 101.66 _2' 3 (SEE NOTE 11) NOT TO SCALE ed 10 36' 35.5 I GENERAL NOTES: 20n 'moo 2' p 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL O Q co 9 ,43 BOARD OF HEALTH AND THE DESIGN ENGINEER. 51.82 CO17C. 102,73 X " "..•.,.•. .,-" `=:;:`•' :� �� 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS Wall 0 EXISTING DECK OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE W 4� TO BE REMOVED LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BY VARIANCE. a Z WALKOU 94. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR i0 0 �2 4' CELLAR 3.54 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE o to 94 2 DESIGN ENGINEER. N r r! � •4 Seas Ice Cream 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING BENCHMARK SET o EXISTING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 2 Paint on AC Pad 4. 0 4360� 96.86 ENGINEER BEFORE CONSTRUCTION CONTINUES. EXISTING /BU%LDIIVG 3r� `ro EL.=99.34 Z / ' 0 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. BUILDING #368 SO. MAIN ST. J, �. �- \�J• 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF z #619 MAIN ST. TOF=101.42" ;a THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 'ri;•���r � HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. o 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. N c0 o of �\ 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. = 2 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS ��-2 00 \ 9 8 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 1 DIRECTED BY THE APPROVING AUTHORITIES. STP-1 v p 100,78 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ~'1 MAG,ET CONSTRUCTION. 1-„� 100, 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS !~ 2 AREA N6 e `� IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND 13,97GfS.f g1. 1'O9 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 0 3 0. h yy 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE o 5 55 ` INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. tN 0 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 1 0 0 `� Y r NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. OF dfgss 14, THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC 8 0 �. SHOWN ON THE PLAN �O. �Q, 9�y SYSTEM COMPONENTS NOT . 150 R T. s k PETE M o � ` -' S5 McENTEE PARCEL ID. 207-058 CIVIL 510y' n No. 3510� PROPOSED SEPTIC SYSTEM UPGRADE PLAN 60 s E 368 SOUTH MAIN STREET, CENTERVILLE, MA 5 Prepared for: 619 Main Street LLC, P.O. Box 430, Osterville, MA 02655 "�F 0�k Engineering by: Surveying by: SCALE DRAWN JOB. NO. OWNER OF RECORD Engineering Works,Inc. WARNER SURVEYING 1"=20' P.T.M. 110-18 Op, 619 MAIN STREET LLC 12 West Crossfield Road 22 Long Road DATE CHECKED SHEET N0. P.O. Box 430 Forestdole, MA 02644 Harwich, MA 02645 Osterville, MA 02655 (508) 477-5313 (508) 432-8309 3/7/18 P.T.M. 1 Of 2 ri C�r NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=92.85 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET INSTALL RISER & COVER PROPOSED S.A.S. AND SET TO 6' OF FINISH GRADE. SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=101.42 SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=97.5t F.G. EL.-97.5(max.) F.G. EL.=97.0t F.G. EL.=94.0 to 97.0f CHARCOAL VENT EX/STING/ MAINTAIN 2% SLOPE OVER S.A.S. L = 9, , , L = 6' L = 3 / ® S=1% (MIN.) 0 S=1% (MIN.) ® S=1% (MIN.) APPROVED FILTER FABRIC ALKOUT 4"SCH40 PVC rrje" - 4"SCH40 PVC 4"SCH40 PVC CELLAR 10"t " 10" B® $ 60 11 14" 14" 8 000 B®B B INV.=93.50 � Q• aa�aaa ---3/4- To 1-1/2" DOUBLE -� PROPOSED 4' 4.8' 4' WASHED STONE 1 to to .9, INV.=93.68 � BAFFLE INV.=93.17 D BO INV.=93.00 EFFECTIVE WIDTH = '12.8' OD (MIN.) INV'=93'25 3 OUTLETS 2�$_ ' INV.=92.1500 GALLON (H-10) SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS '—=I PRnpn�FD }----20.0 --- (2 COMPARTMENTS) SURROUNDED WITH STONE AS SHOWN COMPARTMENT NO. 1 — 1000 GALLON MINIMUM STORAGE H-20 RATED COMPARTMENT NO. 2 — 500 GALLON MINIMUM STORAGE NOTES: TOP CONC. ELEV.=93.6f APPROVED FILTER FABRIC BREAKOUT ELEV.=92.85 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=92.50 08888 ®®� M630 SEPTIC LAYOUT INVERTS, PRIOR TO INSTALLATION. aa®®1151 10a 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND BOTTOM ELEV.=90.50 1 5' 2 x 8.5' = 17.0' 1.5' TRUE TO GRADE ON A MECHANICALLY COMPACTED 6" 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 20.0' CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR PERVIOUS MATERIAL 15.221(2). 5' (MIN.) ABOVE G.W. 3) INSTALL INLET & OUTLET TEES AS REQUIRED. J ACHING SYSTEM SECTION ®®®® 0 ®®®Ea VERIFY SOILS TO EL.=85.0 r 3/4" TO 1-1/2" DOUBLE ®®®®®® ®®®® 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE WASHED STONE 1- 37" AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE c�v > ® z ® ®®® ®®®®® DESIGN CRITERIA SOIL EVALUATION TO BE CONDUCTED AT TIME OF INSTALLATION DUE TO INSUFFICIENT AREA TO DIG A TEST HOLE WITHOUT DAMAGE TO EXISTING SYSTEM. 102" SOIL LOG SHOWN IS FROM TEST HOLES ON OPPOSITE SIDE OF BUILDING. BUILDING USAGE: COMBINED RESIDENTIAL & COMMERCIAL TWO 1 BEDROOM APARTMENTS + OFFICE & RETAIL SOIL LOG 4" KNOCKOUT 2 BEDROOMS x 110 GPD/BR = 220 GPD OFFICE & RETAIL APPROVED FOR 40 GPD DATE: NOVEMBER 2, 2007 (REF# 11,985) 20" DIA. COVER SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: PETER McENTEE PE CSE 4" KNOCKOUT / 4" KNOCKOUT 58" DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DONNA MIORANDI-HEALTH AGENT DAILY FLOW: 260 GPD (APPROVED BY PERMIT) Elev. TP- 1 Depth EIeV. TP-2 Depth DESIGN FLOW: 260 GPD GARBAGE GRINDER: NO 101.9 0" 102.0 0" 4" KNOCKOUT PROPOSED SEPTIC TANK: 1500 GALLON-2 COMPARTMENT PAVEMENT PAVEMENT COMPARTMENT NO. 1 — 1000 GALLON MIN. STORAGE 101.6 3" 101.7 3" COMPARTMENT NO. 2 — 500 GALLON MIN. STORAGE B g 500 GALLON CAPACITY, H-20 LOADING PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS SANDY LOAM SANDY LOAM CHAMBERS LEACHING AREA REQUIRED: (260 GPD/SF) = 351.4 SF 98.9 C 10YR 5/4 36" 100.0 C 10YR 5/4 24" N.T.& .74 44" PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PERC SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 56" 368 SOUTH MAIN STREET, CENTERVILLE, MA M—C SAND M—C SAND P.O. Box 430, Osterville, MA 02655 SIDEWALL AREA: 2(12.8' + 20.0') x 2 = 131.2 SF 2.5Y 6/4 2.5Y 6/4 Prepared for: 619 Main Street LLC, BOTTOM AREA: 12.8' x 20.0' = 256.0 SF Engineering by: Surveying by: SCALE DRAWN JOB. NO. Engineering Works,Inc. WARNER SURVEYING N.T.S. P.T.M. 110-18 TOTAL AREA:..................I........................................... 387.2 SF 89.9 144" 90.0 144" 12 West Crossfield Road 22 Long Road it PERC RATE <2 MIN/IN. ("C" HORIZON) Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(387.2 SF) = 286.5 GPD NO GROUNDWATER OBSERVED (508) 477-5313 (508) 432-8309 3/7/18 P.T.M. 2 Of 2 r' ff VARIANCE REQUESTS 93.75 ---99---EXISTING CONTOUR N -310 CMR 15.405(1)(a)&(b): x 100.98 EXISTING SPOT GRADE N``�� 1) An 8' variance, septic tank to property line (2 sides), for Ro°d ce --99 - PROPOSED CONTOUR o 2' setback. e� a Church 2) A 7' variance, S.A.S. to property line for a 7' setback. 94.02 e F x 100.98 PROPOSED SPOT GRADE0 UPI 3) A 6' variance, S.A.S. to property line for a 4' setback. ! � EXISTING WATER SERVICE eaCO" �n OCUSo Pw 4) An 8' variance, septic tank to cellar wall. for a 2' setback. ' aG 3.31 i W �d o ; 5) A 6' variance, S.A.S. to slob. for a 4' setback. ,' i i Li TEST PIT 6) A 2' variance, S.A.S. to slab at #360. for an 8' setback. CBdh U BENCHMARK 5 7) A 3' variance to the 3' maximum cover requirement, for 92.67 6' (max.) cover. S.A.S. shall be H-20 and vented. �� 93.66 Grave/ Parking LEGEND -310 CMR 15.255(5): CONSTRUCTION IN FILL Area nt. 91.39 8) Request a 2' reduction to the required 5' stripout boundary, \ 92.69 for a 3' stripout around the perimeter of the SAS. \ PROPOSED SPIKE SET PROPOSED S.A.S. SEPTIC TANK 93.5 2-500:GALLON CHAMBERS ~o SURROUNDED WITH STONE gg< °' - EXIS1 TNG SEPTIC TANK AND. LEACH PIT, TO , BENCHMARK SET � Point on AC Pad 94,1 8 - g¢_ \ 93.13 REMOVED LOCUS MAP EL.=99.34 101.66 _ ` 2'_ 3 9 (AO (SEE NOTE 11) NOT TO SCALE T - 8• '� ed 10 '36• ' GENERAL NOTES: N 8102 2 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL �o COJ1C. 9 .43 BOARD OF HEALTH AND THE DESIGN ENGINEER. 51'82 wall 102'7 �•'' '• '" '`':'`;::;t•� 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE. REQUIREMENTS sJ t EXISITNG DECK OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE I W TO BE REA40VED LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BY VARIANCE. a 2 WALKOU 94' 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKF►LLED PRIOR 2 4 CELL�iR 3,54 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE co �N 94. 2 DESIGN ENGINEER. 1 00 /0 4 Seas Ice Cream 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING O \ FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN EXISTING a / 4. o � (#360) 96.86 ENGINEER BEFORE CONSTRUCTION CONTINUES. EXISTING ,BUILDING x•\ `ro 1 or 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. BUILDING g ,368 SO. MAIN ST. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF z #619 MAIN ST. /# / TOF=10f.42` �'` ;� sr, THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF N Oi.A ew p�\i HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. �� c� 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 'N 4: c..o o� � p 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. STP-2 Zo \ ` \ 9 8 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE v A- / DIRECTED BY THE APPROVING AUTHORITIES. TP-1 w #ti O 100.78 1 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ~~ M'AG0 E8.93 CONSTRUCTION. 100. y 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS Z AREA IN THE AREA BENEATH AND FOR 5 ON ALL SIDES OF THE S.A.S. AND 7- �,, cam I �j1' g REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). o as •0 3,970f f.s. �14 ,a 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND o vA� NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. Yy ! 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC t'Ty No.0 O V� •c kOf AIAs o SYSTEM COMPONENTS NOT SHOWN ON THE PLAN !� PETER T s s PARCEL ID: 207-058 ���F�+AS McENTEE �f`� I sq CIVIL �� y y10y �O �oTERRY ANN No.35109 PROPOSED SEPTIC SYSTEM UPGRADE PLAN ,�8'20 WARNER ,� rsz��``� � 368 SOUTH MAIN STREET, CENTERVILLE, MA g1 No.38721 LO 'A 5 ` -Prepared for: 619 Main Street LLC, P.O. Box 430, Osterville, MA 02655 ,-A �� "� I�r/9 Engineering by: Surveying by: SCALE DRAWN JOB. N0. OWNER OF RECORD Engineering Works,Inc. WARNER SURVEYING 1"=20' P.T.M. 110-18 OQ' / DATE CHECKED SHEET NO. } 619 MAIN STREET LLC 12 West Crossfieid Rood 22 Long Road P.O. Box 430 Forestdale, MA 02644 Harwich, IAA 02645 3 j Osterville, MA 02655 (508) 477-5313 (508) 432-8309 3/7/18 P.T.M. 1 of 2 rt NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=92.85 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET INSTALL RISER & COVER PROPOSED S.A.S. AND SET TO 6' OF FINISH GRADE. SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND TLG. EL. 101.42 SET TO 3" OF F.G. TO'SERVE AS INSPECTION PORT F =97.5f F.G. EL.-97.5(max.) F.G. EL.=97.0f F.G. EL.=94.0 to 97.0t CHARCOAL VENT EXIS77NGNNW / MAINTAIN 2X SLOPE, OVER S.A.S. %/Q,� G L = 9' ' L = 8' L m 3' ® S=l% (MIN.) ® S=l% (MIN.) ® S=1% (MIN.) APPROVED FILTER FABRIC WALKOUT 4'SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC j CELLAR I �o"�a• a ®o�" UO• e�l®aa�� �--3/4" TO 1-1/2" DOUBLETINV.=93.50 ED STONE LEVEL PROPOSEn 4 4.8 4 IcAGAs INV.=93.17 INV.=93.00 to INV.=93.68 BAFFLE BAFFLE D-BOX EFFECTIVE WIDTH = is.8 00 fig$ (MIN.) INV.=93.25 . 3 OUTLETS INV.=92. 9-500 GALLON_ LEACHING CHAMBERS i..--20.0'-- I PROPOSED 1500 GALLON (d-10) SEPTIC TANK SURROUNDED WITH STONE AS SHOWN (2 COMPARTMENTS) H-20 RATED COMPARTMENT NO. 1 - 1000 GALLON MINIMUM STORAGE COMPARTMENT NO. 2 - 500 GALLON MINIMUM STORAGE APPROVED FILTER FABRIC NOTES: BREAKOUT ELEVV.=92.85 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEv.=92.50 ova SEPTIC LAYOUT aaeaaaaa®®a INVERTS, PRIOR TO INSTALLATION. ®ae®a®®®®®® BOTTOM ELEV.=90.50 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND �EC 2 x 8.5' = 17.0' 1.5' TRUE TO GRADE ON A MECHANICALLY COMPACTED 6" 4' OF NATURALLY OCCURRING IVE LENGTHY= 20.0' CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR PERVIOUS MATERIAL 15 221(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEMi SECTION ®®®® 0 3) INSTALL INLET & OUTLET TEES AS REQUIRED. VERIFY SOILS TO EL.=85.0 4 3/4" TO 1-1/2" DOUBLE ®®®®®®®®®®® „ 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE WASHED STONE �- 37 AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. z ®®[3 3 E ®® SEPTIC SYSTEM PROFILE N z ®� DESIGN CRITERIA SOIL EVALUATION TO BE CONDUCTED AT TIME OF+INSTALLATION DUE TO INSTALLATION INSUFFICIENT AREA TO DIG A TEST HOLE WITHOUT DAMAGE TO EXISTING SYSTEM. 102" SOIL LOG SHOWN IS FROM TEST HOLES DOUG O1 OPPOSITE SIDE OF BUILDING. BUILDING USAGE: COMBINED RESIDENTIAL & COMMERCIAL TWO 1 BEDROOM APARTMENTS + OFFICE & RETAIL SOIL LOG 4" KNOCKOUT 2 BEDROOMS x 110 GPD/BR = 220 GPD 20" DIA. COVER OFFICE & RETAIL APROVED FOR 40 GPD DATE: NOVEMBER 2, 2007 (REF# 11,985) SOIL EVALUATOR: PETER MCENTEE PE CSE SOIL TEXTURAL CLASS: CLASS I WITNESS: DONNA MIORANDI-H�EALTH AGENT 4" KNOCKOUT / 4" KNOCKOUT 58" DESIGN PERCOLATION RATE: <2 MIN/IN I DAILY FLOW: 260 GPD (APPROVED BY PERMIT) Elev. TP- 1 Depth Elev. TP-2 Depth DESIGN FLOW: 260 GPD GARBAGE GRINDER: NO 101.9 0" 102.0 !1 0" 4" KNOCKOUT PROPOSED SEPTIC TANK: 1500 GALLON-2 COMPARTMENT PAVEMENT PAVEMENT COMPARTMENT NO. 1 - 1000 GALLON MIN. STORAGE 101.6 3" 101.7 3" 50.0 GALLON CAPACITY, H-20 LOADING COMPARTMENT NO. 2 - 500 GALLON MIN. STORAGE B BI CHAMBERS PROPOSED DISTRIBUTION BOX: 5 OUTLETS MINIMUM SANDY LOAM SANDY LOAM 10YR 5/4 110YR 5/4 LEACHING AREA REQUIRED: (440 GPD/SF) = 594.6 SF 98.9 C 36" 1-0.0 C i 24" . N.T.S. .74 44" I PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2 500 GALLON LEACHING CHAMBERS IN SERIES PERC SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 56" 368 SOUTH MAIN STREET, CENTERVILLE, MA M-C SAND IM-C SAND SIDEWALL AREA: 2(12.8' + 20.0') x 2 = 131.2 SF 2.5Y 6/4 Prepared for: 619 Main Street LLC, P.O. Box 430, Osterville, MA 02655 2.5Y 6/4 BOTTOM AREA: 12.8' x 20.0' = 256.0 SF Engineering by: Surveying by: SCALE DRAWN JOB. NO. 8s.s 144" 90.0 144" Engineering Works,Inc. WARNER SURVEYING N.T.S. P.T.M. 110-18 TOTAL AREA:."•••""""'•"" 387.2 SF 12 West Crossfield Road 22 Long Road PERC RATE <2 MIN/IN. ("Cl HORIZON) Forestdale, MA 02644 Harwich, MA 02645 DATECHECKED SHEET DESIGN FLOW PROVIDED: 0.74 GPD/SF(387.2 SF) = 286.5 GPD NO GROUNDWATER OBSERVED (508) 477-5313 (508) 432-8309 3/7/18 P.T.M. 2 Of 2 bi ! 4���4pi�T.'.t�°,....�y,,., t/.y1,��r'�+.J /-t1 'N YIIf y�L�iwv �IV 4+ Ph T � 1/ 4, �/ 1 i v, �. ���•.,..._.._ � it r�.1 G$ r' r f 1 ` E �I . r � r 49 -� Fut>, P • .f f i / 1 t +,:,��� Rom/• .4 . •�,, � , t 4