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HomeMy WebLinkAbout0439 SOUTH MAIN STREET - Health 439 South Main Street = Centerville ' A= 207 —066 S M E A D Na 2•153LOR UPC 12ad emeadmm * Umb In U A (COS) 01mumnNrNmu " HOMMPDXOW wr�rwoaw�000 6P Commonwealth of Massachusetts Title 5 co"', Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments rT1 4411439 South Main Street ------------------------------------ Property Address Ken Care Owner Owner's Name information is required for every Centerville ✓ MA— 02636 September 13, 2017 page. City/Town Statel Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use only the tab 1 Inspector: key to move your cursor-do not Patrick T Sullivan Use the return key. Name of Inspector Ready Rooter Excavtinq Company Name PO Box 89 Company Address 3,111 Forestdale MA 02644 d7jyr—row—n----- State Zip Code 508-888-6055 Sl 112843 . Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system Passes F] Conditionally Passes ❑ Fails Needs Further Evaluation by the Local Approving Authority Septiamber�3, 2017 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ***'`This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc-rev.6116 Title 5 Official inspection Form:Subsurface sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts M- q. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 441/439 South Main Street --------------------- Property Address Ken Owner Owner's Name information is Centerville MA 02636 September 13, 2017 required for every _ _ p page. City/Town State Zip Code Date of Inspection B. Certification (cant.) 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. Check the box for"yes", "no" or"not determined�"�Y, N, ND) for the following statements. If"not determined," please explain. / The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. / * A metal septic tank will pass inspectiron if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ N'D (Explain below): i` t5ins.cloc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form 2-41- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 441/4 39 South Main Street Property Address _Ken_Care Owner Owner's Name information is Centerville MA 02636 September 13 2017 required for every � , _ page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken/settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced / ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): J ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public,tiealth, safety or the environment. i 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is/riot functioning in a manner which will protect public health, safety and the environment:r ❑ 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 t51ns.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ! - CI Subsurface Sewage Disposal System Form Not for Voluntary Assessments 441/439 South Main Street Property Address Ken Carey Owner -- --------------------- Owner's Name information is required for every Centerville p _ _MA 02636 September 13, 2017 -- -- -- -- page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. i ❑ The system has a septic tank and SAS nd the SAS is within 50 feet of a private water supply well. 7 ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent an9he presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less _ than %day flow t5ins.doc•rev.6116 Title 5 official Inspection Form:Subsurface Sewage Disposal system•Page 4 of 17 - m Comonwealth of Massachusetts --_�6 Title 5 official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 441/439 South Main Street Property Address Ken Carey ---...--- — -- -- — — --- Owner Owner's Name information is Centerville MA 02636 September 13, 2017 required for every -- —_ ---- ----- —�-- - -- page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for.fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, P 99 provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. The system fails. I have determined that one or more of the above failure El ® criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. i i Yes No i ❑ ❑ 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 P El El the system is/located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts ---- _ Tittle 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 7. 441/439 South Main Street ----------------- ------------- ------------- Property Address Ken Carey Owner Owner's Name information is required for every Centerville _ MA 02636 September 13, 2017 page. CityrFown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: 'Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with ® ❑ information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: N ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design). 6 — Number of bedrooms (actual): 6 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 710 GPD 15ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts ��--- Title 5 Official Inspection Form - ',i Subsurface Sewage Disposal System Form - Not.for Voluntary Assessments 441/439 South Main Street - ----- --- -- -------- Property Address Ken Carey ----- Owner Owner's Name information is MA 02636 September 13, 2017 required for every Centerville _- __- _�- --_--- page. CityFFown _ State Zip Code Date of Inspection D. System Information Description: 4 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No 2015= 181 GPD I 2 ears usage d - V1later meter readings, if available (last y g (gP )) 2016- 137 GPD Detail: Sump pump? ❑ Yes ® No Current --- Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: � -- Design flow (based on 310 CMR 15.203) Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? / ❑ Yes ❑ No Industrial waste holding tank fesent? El Yes ❑ No Non-sanitary waste discha rged to the Title 5 system? ❑ Yes ❑ No J Water meter readings, if available: - - - ---- -- t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � - 441/439 South Main Street Property Address Ken Carey_ Owner Owner's Name information is Centerville MA_ 02636 September 13, 2017 required for every _ _ p page. CitylTown State Zip Code Date of Inspection D. System Information (cunt.) Last date of occupancy/use: Date --- Other(describe below): General Information Pumping Records: Source of information: Ready Rooter Records: Pumped Aug 28, 2017 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons ------ How was quantity pumped determined? -- Reason for pumping: - Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Night tank. Attach a copy of the DEP approval. ® Other(describe): Pump chamber _ t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 441/439 South Main Street _ Property Address Ken Carey____ Owner Owner's Name information is Centerville MA 02636 September 13, 2017 required for every _ — --- page. City/Town State Zip Code Date of Inspection D. System information (cont.) Approximate age of all components, date installed (if known) and source of information: Stem installed September 14, 2012. Certificate of Compliance on file at Health Dept_ Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): �2) Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): — - — — Distance from private water supply well or suction line: _N/A feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): 6" Depth below grade: feet Material of construction: ® concrete /' l El metal El fiberglass ❑ polyethylene ` ❑ other(explain) l':�..a \�:?l\-�.. �J C.=J =zz If tank is metal, list age: yeas Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 127' x 6'8" x 6'8" 2500 gal 0" Sludge depth: ---- -------- t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts _ Title 5 official Inspection Form 1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 441/439_South Main Street Property Address Ken Care Owner Owner's Name information is required for every Centerville MA_ 02636 September 13, 2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 49 -- - 0" Scum thickness - — Distance from top of scum to top of outlet tee oribaffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? Dip tube and tape measure. — Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet(2) and outlet tees in place. Liquid level at outlet invert. Zabel 1801 effluent filter in place in outlet tee. Recommend cleaningfilter every year and pum ing tank ever�2 years for maintenance. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: i ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions. r' - Scum thickness Distance from top of scurrylto top of outlet tee or baffle - -- Distance from bottom of scum to bottom of outlet tee or baffle — --- Date of last pumping.' pate t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts -- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not ifor Voluntary Assessments 441/439 South Main Street Property Address Ken Care Owner Owner's Name information is Centerville MA 02636 Member 13, 2017 required for every --- — - page. CitylTown _ State Zip Code Date of Inspection — D. System Information (cunt.) Comments (on pumping recommendations, inlet,and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: — -- r Capacity: / -- - --- ---- -- - j gallons Design Flow: j gallons per day i Alarm present: ❑ Yes ❑ No Alarm level: - ---- Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ms.doc•rev.6116 Title 5 Official Inspection Form:Subsurfare Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form 1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 441/439 _South Main Street _ Property Address Ken Care Owner Owner's Name information is required for every Centerville MA:_ 02636 September 13, 2017 — page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 011 -- - - 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.): One inlet, four outlets. No solids carryover. Light root intrusion removed during inspection. Riser brings metal ring and cover 2" below stone. Pump Chamber (locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Pumps panel, alarm and all floats in working order. Ran pumps through cycle. All ok. Metal ring and cover to grade over pumps. * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts --- Title 5 Official Inspection Form _ l Subsurface Sewage Disposal System Form - Notfor Voluntary Assessments 441/439 South Main Street Property Address Ken Care_ Owner Owner's Name information is required for every Centerville MA 02636 Se tember 13—2017 _ _ _-- —�—__ ._ ___ page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Type: ❑ leaching pits number: - - ® leaching chambers number: 40 ADS HC LC ❑ 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.): SAS consists of 40 ADS ARC3616 leach chambers. 4 rows of 10 units. Damp base with no standing Iiq id jn inspection port(#8 on as-built . No sign!of past hydraulic failure. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration - - Depth -top of liquid to inlet invert i i Depth of solids layer Depth of scum layer / Dimensions of cesspool / - -- Materials of construction / — - i Indication of groundwater irpow ❑ Yes ❑ No t5ins.doc•rev.6/16 %/ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts -_ - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 441/439 South Main Street Property Address _Ken Carey Owner Owner's Name information is required for every Centerville MA; 02636 September 13, 2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions 7 Depth of solids /�_.— -- -- - — - - — —__— Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i i I. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 14 of 17 Commonwealth of Massachusetts -_ Title 5 Official Inspection Form -- Subsurface Sewage Disposal System Form-Not for Voluntary Assessments � — 441/439 South Main Street — — Property Address Ken Carey_ Owner Owner's Name information is Centerville MA 02636 — September 13, 2017 _ required for every ---- — ---- — page City/Town _ _State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately s f rl i - ! � jj ^� C Q \7 15ins.doc•rev.6116 Title 5 Official Inspection Forme Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form i = --- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 441/439 South Main Street Property Address Ken Carry --- -- - -- --- ----- Owner Owner's Name information is Centerville _MA 02636 September 13, 2017 required for every _ _ — --- -- — page. City/Town State Zip Code Date of Inspection D. System information (cont.) Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: >5feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans:on record If checked, date of design plan reviewed: 04/06/2012 _ __— Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health,- explain: ❑ Checked with local excavators, installers - (attach documentation) ® Accessed USGS database -explain: mates massgis.state.ma.us/oliver.php You must describe how you established the hi0h ground water elevation: Test hole in 2012 found no ground water at 125" (elv= 8.7). Base of SAS at elv= 13.7 per engineered _plans on file at Health Dept. Slope to marsh drops well below base of SAS._ Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 ICI Commonwealth of Massachusetts i - r Title 5 Official Inspection Form % Subsurface Sewage Disposal System Form - Not for Voluntary Assessments — % 441/439 South Main Street Property Address Ken Carey Owner Owner's Name information is required for every MA 02636 S tember 13, 2017 Centerville _ __ __ _ _e�— ----- page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 III TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out Owner �' Tenant Address l ct AddressAL e Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 3 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition / Number of Bedrooms Number of Vehicles Allowed (max) /v Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here � TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out Owner p D - ` Tenant Address 7 Ale" 0 J �' ` Address L 3 Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities -� 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents o2 G 1 Cr, 15. Garbage and Rubbish Storage and Disposal r 16. Sewage Disposal 17.Temporary Housing iq 18. Driveway Width S o {� 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed ax) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here I TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date - �'_ Time: In Out Owner 1 Tenant --� �t-- Address qot � Address t Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply err v 1 5. Hot Water Facilities ?C, ._.""" -.:::; L---. 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17.Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed(max) Number of Persons Allowed (max) _ Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE LOCATION�09—TY` S�tW� " SEWAGE# 00\0''Q VILLAGE-�z—C�s�����s ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE SEPTIC TANK CAPACITY a 5'0� e®� �` :5' Y LEACHING FACILITY:(type) (size ,—©r NO.OF BEDROOMS OWNER ��y�wc3cl�/v �►�r G a PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ho .' - Feet FURNISHED BY 002.3 c'. �'e 1^ Vag No. �® �/�� 7 'r" ~l Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS apphration for Misposai *pstem Constrnttion 30ermit Application for a Permit to Co t( ) Repair( ) Upgrade(Abandon( ) mplete System ❑Individual Components Location Address or Lot NoVL(31 ZiLl1 So�,��.rr1l�.�J.$i. Owner's Name,Address,and Tel.No.6%1-'�is-da 7Cc ��,�.`�.� ~�t sock.. tr• n:�•S. 0 ,,v;�G'�,Assessor's Map/Parcel �0 G e -G�v,�\� V C)Q 6 3Q �,& Ycs I Installer'']s Name,Address,and Tel.No.57--)T-$ -6QS Designer's Name,Address,and Tel.NoSO,?-Q gA-3PS'tZ) V Type of Building: Dwelling No.of Bedrooms 421 Lot Size ft.s� r q. Garbage g Grinder Other Type of Building R cs No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided t-(G d gpd Plan Date L( `�`� ( Number of sheets Revision Date T Title Size of Septic Tank $G �•1`—r =�a�►� Type of S.A.S. C�® -Z4 N c Description of Soil J='C_—, Nature of Repairs or Alterations(Answer when applicable) i t•4\k XSOd-!�.b Q Go�� e-1 o � �w� `'G CS E S �14?�.3��tG C c�c� �ne.�nb�s 1-S L4 l-ow S aj' Date last inspected: O 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. Si Date g Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 0 I $(O Date Issued / — 13 No. Fee j i t. THE COMMONWEALTH,.OF.,PASSACHUSETTS Entered in computer: p. 1 ` ° Yes �F PUUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS I� 2ppliratIon for Disposal *pstrm Construrtlon Permit �I Application for a Permit to Co t Re:air Upgrade Abandon om lete System Individual Components PP ( ) ` P ( ) pg ( ( ) � P Y ❑ P r Location Address or Lot No. 43� t(L)1 �So v i t`�s.J\ $'h Owner's Name,Address,and Tel.No.�i Z" 13 Assessor's Map/Parcel�o Installer's Name,Address,and Tel.No;51=� - -6Q$j Designer's Name,Address,and Tel.NoSIZ)y-Q R`k- 3,'�S'CD V Type of Building: ,. Dwelling No.of Bedrooms C Lot Size a 31 toC( sq.ft. Garbage Grinder( ) y Other Type of Building RCs No.of Persons Showers( ) Cafeteria( Other Fixtures I Design Flow(min.required) 6(�C) gpd Design flow provided �(�d gpd Plan Date �-( �a�� (a Number of sheets Revision Date Title Size of Septic Tank a SCY.b ��� �G a, �, Type of S.A.S. Z�IC]6 j:vk--kG.36 VA G i Description of Soil S�S d Nature of Repairs or Alterations(Answer when applicable) -,Z i.d <.Al f ✓ ils Date last inspected: \CD 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. Si �� Date Application Approved by Date Application Disapproved by Date i _ for the following reasons > Permit No. O , °� Date Issued 6~ /3- 12- ----=--------------- �il 11 =-------- ---------- --- _ == - = - g(I I L4 - ah' '� ' - ��5. THE ARNSTBLE,-COMMONWEALTH OF ACHUSHUSETTS BARNSTABLE,MASSACHUSETTS >� (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(✓}� Abandoned( )by � p e��t 6 ��' GEC G•+�t,-CA ti at ' 3'l- I y t & M oz�v N �` , been constructed in accordance with the provisionsof Title 5 and the for Disposal System Construction Permit No.o2G 1; -?86 dated _ !� Installer �i� a•�� � �e�-- C-k cd�c�A��.G Designer t-•�ncSZ qv��7,��$� 1=. `�,,�,G� #bedrooms Approved design fl11on 1116 gpd The issuance of tAis pe it shall not be construed as a guarantee that the system .ill fu. as desi ed. Date � E�. Inspector fY ----------------------------------------------------------------------------------------------------------------------------------------- 1 No.p� C9 I d1 Q Fee t 00 THE COMMONWEALTH OF MASSACHUSETTS E PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS -isposal Epstein Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(✓) Abandon( ) System located at '-(-11:k - 1-(L{ 1 VtiY4%u%, Sa`---Z , C3'y and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. f I Provided:Construction must be completed within three years of the date of this permit. Date ��J (�1� Approved by f Town of Barnstable Barnstable Board of Health + BA STAISM MAS g 200 Main Street, Hyannis MA 02601 �fD MP`l A 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi BOARD OF HEALTH MEETING RESULTS Tuesday, May 8, 2012 at 3:00 PM Town Hall, Hearing Room, 2ND Floor 367 Main Street, Hyannis, MA I. Hearing - Housing: Ann Peterson, owner—494 Elliott Road, Centerville, Map/Parcel 226-192 5.73 acre parcel, housing — low ceiling in basement. APPROVED. The Board voted to approve the ceiling variance in the basement with the condition that the basement is not to be used by any tenants. II. Hearing - Septic / Housing (Cont.): Linda Pinto, CNS Engineering, representing Kenneth Carey, owner—439 South Main Street, Centerville, 3 units, Map/Parcel 207-066, 0.66 acre parcel, multiple variances. The Board would like the septic tank to be monolithic if the two-compartment tanks are available as such. Otherwise, the tank will be waterproofed and that will be all right. The Board voted to approve the variances with the following conditions: 1) record a six-bedroom deed restriction at the Barnstable County Registry of Deeds, 2) provide the Health Division with a proper copy of the deed restriction, 3) a floor plan and proposal of what will be done to the third building shall be given to the Health Division to document that there are no bedrooms in it. Ill. Innovative /Alternative System: Dan Ojala, Down Cape Engineering, representing Theodore Skirvan, owner— 114 Long Pond Rd, Marstons Mills, Map/Parcel 030-123, 0.49 acre parcel, I/A system. Page 1 of 4 BOH 5/08/12 jo DEED RESTRICTION WHEREAS, Paula Nicolai Carey and Kenneth E. Carey of 499 Adams Street, Abington, MA are the owners of 441 South Main Street, Barnstable (Centerville Village) located in Barnstable Country, MA, Property of Kenneth E. Carey, et al, duly recorded in Barnstable County Registry of Deeds in Plan Book 14074, Page 047; WHEREAS, Paula Nicolai Carey and Kenneth E. Carey as the owner of said property has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which.can be included in any home (s) built on said property as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, is requiring that an agreement for the restriction on the number of bedrooms in any house constructed on the property be put on record with the Barnstable County Registry of Deeds by recording this document, NOW, THEREFORE, Paula Nicolai Carey and Kenneth E. Carey do hereby place the following restriction on his above-referenced land in >4.,.,..Y.<...,.,.... accordance with this agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 441 South Main Street, Barnstable (Centerville Village), Ma may have upon the property a house (s) containing no more than a total of Six 6 bedrooms. Paula Nicolai Carey and Kenneth E. Carey agree that this shall be permanent deed restriction affecting the deed located in the Barnstable Country Registry of Deeds, MA, and being shown on the plan Page 1 of 2 ... DEED RESTRICTION WHEREAS, Paula Nicolai Carey and Kenneth E. Carey of 499 Adams Street, Abington MA are the owners of 441 South Main Street, Barnstable (Centerville Village) located in Barnstable Country, MA, Property of Kenneth E. Carey,et al, duly recorded in Barnstable County Registry of Deeds in Plan Book 14074, Page 047; WHEREAS, Paula Nicolai-Carey and Kenneth E. Carey as the owner of said property has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which.can be included in any home (s) built on said property as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS,the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200,State Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, is requiring that an agreement for the restriction on the number of bedrooms in any house constructed on the property be put on record with the Barnstable County Registry of Deeds by recording this document, NOW,THEREFORE,Paula Nicolai Carey and Kenneth E. Carey do hereby place the following restriction on his above-referenced land in accordance with this agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: 441 South Main Street, Barnstable (Centerville Village), Ma may have upon the property a house (s)containing no more than a total of Six 6 bedrooms. Paula Nicolai Carey and Kenneth E. Carey agree that this shall be permanent deed restriction affecting the deed located in the Barnstable Country Registry of Deeds, MA, and being shown on the plan Page 1 of 2 i Bk 26669 - Pg 81 #52947 recorded in Plan Book 14074, Paged 047, providing however that if the property is eventually served by a public sewer system this restriction shall no longer be in effect. Executed as a sealed instrument J��h day of-8fpRrn r wner's s' nature O ner's signature COMMONWEALTH OF MASSACHUSETTS No r- l K SS 9t.0if M bf t 1 20 1 Then personally,appeared the above-named KCMER1 (hrPi.) $ 10o1,ala Ni oi- Carey known to me to be the person who executed the foregoing instrument and acknowledged the same to be free act and deed, before me, JP n-i�eY M Notary Public My commission expires: (date) �C�'NON•. A UT CCMMIONWEALTH OFDow MAf�IpNJl�?T6 r x�t �x%~ Ocxobar 3i ZOf1 's,610( �1.. . ti -------- --__ —- Page 2 of 2 ----._.._.-- -------- .. _--- BARNSTABLE REGISTRY OF DEEDS Town of Barnstable Regulatory Services Thomas F. Geiler,Director BARMASM i Public Health Division .`� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: Sewage Permit# _a 5o Assessor's Map/Parcel � Installer&Designer Certification Form Designer: C- k�i? ,���, Installer: R�d�-Qy��;u--s�ktsz'•►c, '� Address: po 6uC, 2.-a34- Address: C9 GX -S<1 On IT i 3 U R k=kCOv��w5 was issued a permit to install a (date) (installer) septic system at Ncbased on a design drawn by (address) dated (designer) V/' I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified'as-built by designer to follow. Stripout (if require I ected and the soils were found satisfactory. SM OFiy 0 oy LINDA J. PINTO (Installer's Signature) " vl 5 T ER�Ga�' (Designer's Signature) (Affix De si Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:\office forms\designercertification fonn.doc x s l// I DATE-: 4/ T/2, BARr ,SMKLr, r Mom' MC. BY Town of Barnstable SC=. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: SO&S62 4644 Wayne A.Miller,M.D. FAX: 509-790-6304 Junichi Sawayanagi Paul J.C.,anniff,D.M.D. VARLA NCE REQUEST FORM LOCATIONaanNwnber. Property Ad �1 Y 1G9..� ���1 �/e��tr AA Assessor's Map '10 U 6 Size of Lot: Wetlands Within 300 Ft. Yes t/ Business Name: No Subdivision Name: APPLICANT'S NAME: CS N Phone A0 Did the owner of the property authorize you to represelit him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: @ r�n t. A, rare, 4 Name: lnG b Address: � '^ i r' � �. Address: 1'O §g Phone: Phone: ISA' ?"1 1 - VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if morg ace needed) NATURE OF WORK: House Addition ❑ House Renovation ❑ RePait of Failed Septic yste m�V. , _ _.a. Cdeecklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form _ Four,(4)copies of engineered plan submitted(e.g.septic system plans) _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) _ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Cmmif&D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.outlook\BAJ9P9B7\VARIREQ.DOC VARIANCES REQUE5TED Local Upgrade Approvals: 310 CMR 15.403 310 CMR 15.21 1 : Minimum Setback Distances: 1.)Septic Tank not 10 from Cellar Wall 5'Held 5'Variance Requested 2.)Pump Chamber not 19 from Cellar Wall G.9'Held 3.1'Variance Requested 3.)Soil Absorption System not 20'from Cellar Wall 7'Held 13'Variance Requested 4.)Sod Absorption System not 10'from Property Line 2'Held &'Variance Requested 3 10 CMR 15.22 1 (7)General Construction Requirements for All System Components: 5.)Sod Absorption System > 30 Below finish Grade GG"Held 30"Variance Requested Town of Barnstable Chapter 237: Wetlands Protection (2)Jurisdiction: G.)Septic Tank not 100'from BVW 16 Held 82'Variance Requested 7.)Pump Chamber not 100 from BVW 2G'Held 74'Variance Requested I Ln o 59 CO & Postage $ $0.45Er � s� Certified Fee $2 � a� � t'��\`L o C3 �tr�f U1 0 Return Receipt Fee � 'Here rn p (Endorsement Required) $2.35 C3 Restricted Delivery Fee y 4 (Endorsement Required) $0.00 �sb3 VSQ� CO rp Total Postage&Fees $ $5.75 OW44 r—i tr Yal'�� � lr7�o�w Qo�:ulA M -- -----`------------------------- ------------------------- ---. t3 Sfreef,%1pt No.; 1� u ,, n 0 V-o` 0t or PO Box No. Ton city,------------ - - - - -^ .........__.._.._.... -... City,State,ZIP+4 No ME :R. MON Certified Mail Provides: ' a A mailing receipt ■ A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: :j I E f;.t Fib i ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail6. le Certified Mail is nit•: >uailable for ar�►yM*ass of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables;',please consider Insure -or,Registered Mail. V CS 86 ,1� a For an additional fee,a Retum Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Retum Receipt(PS Form 3811)to the articleadd add applicable postage to cover the fee.Endorse mailpiece*Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USP�postmark on your Certified Mail receipt is required. Isi For an additional 4ee, elivery'pay be restricted to the addressee or addressee's"ttiori2eaN ant.Advise.tAe clerk or mark the mailpiece with the endorsement"Restricted Delivery'. • If a postmark on the Certified Mail receipt is desired,please present the art- 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 3600,August 2006(Reverse)PSN 7530-02-000-9047 I C fU Crsu -Wo CU Postage. $ $0.45 T EAT/� O Certlf{ed Fee 42.95 2 y O Return Receipt Fee p Postmark. O (Endorsement Required) $2.35 z e d v Restricted Delivery Fee O (Endorsement Required) $0.00 s6, rO —00 Total Postage&Fees $ $5.75 Q[}/ i2 U 5 P S O ent To 17� treet t. o.; 4�L S J� h+h or PO Box No. y S�• City, tale,----- - .._^....Jr. ........................................... �lty,sire.ZtP*< o2a•3�- Certified Mail Provides: ' s A mailing receipt • A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: rf Vic(, AEI ,11A� $TI ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail® ■ Certified Mail is not available for e7y,Glass of international mail. • NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please_consider Insured or&gistered Mail. ■ For an additional fee, Return Re�c'eiptmay be requested to provide proof of delivery.To obtain Return Receipt seN!ggg,please complete and attach a Return Receipt(PS:Form 3811�to the artcle ar.1 add applicable postage to cover the fee.Endorse rriailpieee.Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSgvpos mark on your Certified Mail receipt is ir, •For an additional fee, delivery,p�ay, be restricted to the addressee or addressee's at torized a'ent.Ad pay_ clerk or mark the mailpiece with the endorsement"Restrictedtelivery" ■ 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 III receipt is not needed,detach and affix labelwith postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Fonn 3300,August 2006(Reverse)PSN 7530-02-000-9047 I •• ice' .. • I . , . Iru MIII , IIC3EU � b Postage. $ $0.45 HI r Er C3 Certified Fee $2.95 O 0 ReturnReceipt Fee w �stmark M (Endorsement Required) $2.35 a Restricted Delivery Fee A,I (Endorsement Required) $0.00 ED �� 9 I C> .0 Total Postage&Fees $5.75 04 lclll?s' Sent o 1 jj Street Apti No.; �' or PO Box No. y LA -------------- -- --- -t —•-_-::. ---.....__............................ City,State.Z115; 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: HTi ,,tc q • Certified Mail may ONLY be combined with First=Class Mai 6 or Priority Mail& ■ Certified Mail is no z iailable for any cI ss of international mail. • NO INSURANCE,COVERAGE IS PROVIDED with Certified Mail. For, valuables,please consider Insured-oroegistered Mail. ■ For an additional fee,a Return Receipt ma be requested to provide proof of delivery.To obtain Return Receipt SgrvlCe,please complete and attach a Return Receipt(PS Form 3811)to the article,arid add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for, a duplicate return receipt,a USPS6,po mark on your Certified Mail receipt is required. _ ■ For an additionp e�,,delivery r.qay,,,be restricted to the addressee or addressee's�a5tito ize'dla ent.Advisetthe 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 N • . . • . . rR m o . o- � Postage $ $0.45 EATICEr K�� Certified Fee $2 95 O Return Reoelpt Fee 0 P 6 0 p (Endorsement Required) $2.35 2 ��Q 9 ti `` to t3 Restricted Delivery Fee q C3 (Endorsement Required) $0.00 S D Total Postage&Fees $ $5.75 44/b 2010SQS senrro S e^ {1 A,4n o Sheet,Apt:N.. ........................A..,....__... --------------------..-. O .. o.:.... 1 Sw/`� 1" n . or PO Box No. City,State,ZIP+4 r Certified Mail Provides: ■ Amailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: n;A1710 AN 311 Ar T#l-41 ■ Certified Mail may ONLY be combined witfi'First-Class aii®or Priority Mail& ri Certified Mail is not available for any.class of international mail. • NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider InsuredlorrRegistered Mail. ■ For an additional fee a Return Receipt may be requested to provide proof of delivery:To obtain Return Receipt.servipe,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. 6 duped to return receipt,a USPS-poosstmark on your Certified Mail receipt is •For an additionaJ.fee,.delivery_p1% be restricted to the addressee or addressee's authofized!agent.Aditisd die 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 7630-02-000.9047 COMPLETE .N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signal item 4 if Restricted Delivery is desired. ❑Agent ia Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B._Received by(Prin ed ame) f livery ■ Attach this card to the back of the mailpiece, C eV�*o or on the front if space permits. Ij D. Is delivery address different from Rem 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: o 3. Se ice Type C"v' � -2 ' MA 10 Certified Mail ❑Express Mail � ❑Registered ❑ReturnReceipt\forerc`h!r e ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ 2. Article Number (transfer from service label)' + I 17001 9 ;%6 8 0}j p 0 0 01 9 4�8 9j 0 317 PS Form 3811,February 2004' Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE irs4=C. M0r_ 1{N6y!�JYesO'!,.'t��� •G..�a��(MpN1�� .... ,',. -�...a.�.,'t._"a .mot.:-�•.:'. -+-.:—_ ...T h,. -`'r'K.. . 61 Sender: Please print your name, address, ��p4win this'fb - ` CSN ',�,, P.O.Box 2030 ��►�� Yin I Teaticket,MA 02536 Engineering I I I �.��t�tt�-{a�r�t1ettlj�tt�Itietit���ttttt�ltlltttttlltlittrtllttl I COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signat item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B.r l ivveq by('n d Nam C. Date of Delivery ■ Attach this card to the back of the mailpiece, u � or on the front if space permits. Y'Urr D. elivery, d r�ss ii l re item 1? ❑Yes 1. Article Addressed to: If YES,erSter deliY�r��a�tidre�ss•b91ow: ❑No p. 1111C1Ne% } IcAref, 1C�11� It fttA1 Ln. ►�pY - 5 ��12 nn �7 I � o- o 3. S p�ice l r,. .11 Cert�ed Mai(,.!✓q�ftress Mail ❑Registered �❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑yet 2. Article Number z �- - (Transfer from service label) i 1 t t r t 7:0 bl i 16 8 0 i 0 0^0 9 4 8 9. 0331 t i t t I PS'Form 3811,i February 2004 i+ i Domestic Return Receipt 102595-02-M-1540 II UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS I Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box • Ci$N \_I►I� P.O.Box 2030 ��t► g n ineerin I Teaticket,MA 02536 E g [ SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signs item 4 if Restricted Delivery is desired. ❑Agent X ■ Print your name and address on the reverse ❑Addressee _ so that we can return the card to you. B. Rec • ed by( C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. f,; D. Is delivery address differentsfrom=itemri2 ©,,Yes 1. Article Addressed to: If YES,enter delivery ddr ss-b,¢low':?�0"Nb J% Dennis F K;.'we_tn S\n �c�rar 5 ( GPR 2 l 2�12 ], ! 3. Se ice Type n'V `n1� 1N1 OZ �7Certified Mail ❑Exp s m il"P ❑Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number i } i 7009 1680 0000 i 9489 =0287 (Transfer from service laben . � - - PS Fo'm'3811 i February 2n644 {1 121 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE }• n �; F.ac�lass Ma��i r ;U taw '�'8 rtll'O , s e- ` �•-c ; -+�.�F?. ..<.n �..�" :�'��'�. .:�: + .:..WA,µ .. • Sender: Please print your name, address, and Z144•+,thi's box • " .b" I C+SN ���,� P.O.Box 2030 ` J MH I Teaticket, 02536 I��► Engineerin� I � I I I I I I l SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY ■ Complete items 1,2,and 3.Also complete A. ign ture ` item 4 if Restricted Delivery is desired. X - ❑Agent ■ Print your name and address on the reverse i/ ❑Addressee" so that we can return the card to you. Re v d by(Prin a me C.,D't of.Deliv ry ■ Attach this card to the back of the mailpiece, or on the front if space permits. a�6G D. Is de ivery address different from item 1? ❑Yes 1. Arti,le Addressed to: If YES,enter delivery address below: ❑No GWAt-s -�- GLA",- Nolc. I q r blok U� ,�(,k . a��i q 3. S ice Type n ) MA 0 1S � 1 10 Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 'i=. 7 p p 9 11680 O pp 9 4 8 9;:0 3 5;5 (Transfer from service label) i i c i PS Form 381„1,.February 2004 i = Domestic Return Receipt 102595-02-M-1540 yq M2IS 1J a>•0 a UNITED STATES POSTAL SERVICE i A• F+ tt s +i> ; : 17� 0 . • Sender: Please print your name, address, and ZIP+4 in this box • I I C+SN ��� P.O.Box 2030 Engineering Teaticket,MA 02536 I i C I I I I Town of Barnstable P#_ 2 3J Departiment of Regulatory Services .&'ffrAB'LX r Public Health Division A DateMAW Y rE1.19. 200 Main Street,Hyannis MA 02601 Date Scheduled 1441 .o Tt f --.—� me Fee Pd. t� Soil Suitability Assessment for Sewa e Disposal Performed By: Witnessed By: LOCATION& GENERAL INFORMATION Location Address `/� / q3 ! 17 ( / �o✓t o ,,/J� r �- . \ Owners Name /G! L '7 x �''/ Address 7 Y� 5 , W G r,J S r_ Ce Assessor's Map/Parcel: ZO-1 I C>(0tP Engineer's Name 6,�„14L NEW CONSTRUCTION REPAIR Telephone L Z 7 — 73 q 7 Land Use:A&Stdjen 1A Slopes(%) J 60D10 Surface Stones Mo Distances from: Open Water Body 7 2-00 ft Possible Wet Area ft Drinking Water Well IIJ la ft Drainage Way N /A ft Property Line ft Other tj ft L91MTCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) w G f-,-.Y r W r- 13d r1m 1��oliac n�,cK w W C�o rn Parent material(geologic) CIaCtwt o��taws� Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face �'A Estimated Seasonal High Groundwater �L = s-a �N�+n USG 5 ► s� DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs,hole: in, Depth to soil mottles: In. Depth to weeping from side of obs.hole: In, Groundwater Adjustment Index Well# Reading Date: Index Well level :_ _ Adj,factor— Adj.Groundwater Level, PERCOLATION TEST bate,,,_,,,.,._,_, Thne____ Observation Hole# Time at 9" Depth of Pere -77 7U,N Time at 6" Start Pre-soak Time @ 0' Time(9"-G") End Pre-soak �O Rate Min./Inch `aft t^�tnGL. Site Suitability Assessment. Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTICPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistcncy.%'Gravel) 3J� ID f- 4/G C?, I�� Sail . ►o�� sew as- Ss C C3 tO `l.RA, DEEP OBSERVATION HOLE LOG Bole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsis en %Grave SI_ C, o 3 -SS Cz SL to *-,r . DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) DEEP OBSERVATION HOLE LOG Bole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Consistency, Flood Insurance Rate Map: Above 500 year flood boundary No— Yes- Within 500 year boundary No / Yes ' Within 100 year flood boundary No.7 Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all.areas observed throughout the area proposed for the soil absorption system? 1 ez If not,what is the depth of naturally occurring pervious matorial? Certification I certify that on X00,�— (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required traini g,expertise and experience described in�10 CMR 15.017. Signature tr., Date Q:\S.EPr0PERCFORM.DOC Town of Barnstable Geographic Information System April 24,2012 207011 207009 #638 207070 207137 207105 #406 #369 #357 #224 207071 207008 #1324 #418 151, 2070 001 1, a#1310 207072002 207007w' " #1314 207164 #230 U 207008 #436� t207073 .. ;. #1300 207085 ',' 207001003 ® #419 a #516 2070 15 #446 207068 M•207064 49 207003002207002 �. M #9999 ZOM �£ � 7 207074 207004 / #1292 s #472 ;07001002 : 7#512 207 003 001 1 max, #488 .207067002:�c;.''r:'.•'.¢`;'c,':`'�1..�';�•'•i;:.. ;•;.. a 206062 #498 a ' 2060 #461 206061 � #489 17 ,: k- 206061001` ' e IN #1268 206111 w .:o.,x #622 208055 #1259 !0 <d 2060% 0 #497 6 206084 #19 #1042 DISCLAIMERS:This map Is for planning purposes only. It Is not adequate for legal Map:207. Parcel:066 Board of Health boundary determination or regulatory Interpretation. Enlargements beyond a scale of Selected Parcel N 1^=100'may not meet established map accuracy standards.The parcel lines on this map Abutter List Type-Direct abutters(no set distance)and the properties located are only graphic representations of Assessor's tax parcels. They are not true property across the street. boundaries and do not represent accurate relationships to physical features on the map Abutters 1 r' such as building locations. Buffer Bard of Health Abutter List for Map & Parcel(s)e '207066' Direct abutters(no set distance)and the properties located across the street. Total Count: 6 Close Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed CityStateZip 1623 3RD AVENUE, NEW YORK,NY 207005 EFTIMIADES,MARIA APT*14F 10128 22643/179 SINGLETARY, 436 SOUTH MAIN CENTERVILLE, 207006 DENNIS P& MA 02632 C177281 KATHLEEN H ST 207007 PADULA,CHARLES 148 OLD UPTON RD GRAFTON,MA 6826/156 G&GLORIA 01519 20706S KELLEY,MICHAEL& 11 AMY LANE PLYMOUTH,MA 25751/211 KAREN 02360 207066 CAREY,KENNETH& 441 SOUTH MAIN CENTERVILLE, 14074/047 PAULA ST MA 02632 207067002 AIKEN,STEVEN L& 451 SOUTH MAIN CENTERVILLE, 2SO68/89 RACHAEL STREET MA 02632 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 4/24/2012. Y� .ti r http://66.203.95.236/arcims/a eoa /A`butterRe a .: PPg PP P �t asp pe=BOH 4/24/2012 ter i al ��, '012 Tcaw•.n of Barnstable Public Health Division i '00 \-lain Street Hvann.is \•la 02601 Attention: Thorri.as.lvlchean. Director R Septic S\stem Design. -1 439 =1.1 South M in Street. Cemervill:e E: The subject property was purchased in 1984 by Kenneth E. Carev and Paula Nico.lai-,Cared as Trustees of the Adams Stz;eet Realty Trust. -1t the.time of purchase:the property .consisted.ofthree.dw-ellinas. Tl.7e:nia.in hou.se(441 South Main Street) c:omai.ned three bedrooms. The second dw;ell.'aiR.attacl ed to the maim house .(439 South \%laid Strect).had:two bedrooms. The.third dwelling«as a onehedro.onl cottac_e located behind the main house. Based oii the h:is orica] record as well as:the ciirreil.t use:the septic design should accon m.oclate six beciroom.s. i' ��leth E`Ca`Y 499 Adams Street ANJI tort. %-t_10?_ 1 CSN � � P.O. Box 2030 Phone:(508) 299-325.0 QQ� n gineerl Tealicket, MA 02536 Fax: (508)548-5478 Certified Mail: DATE: April 24, 2012 OFFICIAL NOTIFICATION TO ABUTTERS I am writing to inform you of the Board of Health meeting for the property located at 439- 441 South Main St., Centerville, MA. Variances are requested from the State Environmental Code Titlel 5 and Local Town of Barnstable Regulations to repair the failed septic sytem_ The Board of Health meeting will be held on Tuesday, May 8th at 3:00 p.m., or as soon thereafter as practicable, within the Town Hall, second floor Hearing Room of the Town Hall,367 Main Street,Hyannis,MA. The letter is to serve as an official notification to the immediate abutte s . If you should have any questions,I can b reached at telephone number 508-299-3250. The plans for this project can be seen at the Board of Health office or by appointment by calling the above telephone'number- Sincerely yours, i Linda-J. Pinto,P.E. CSN Engineering i ®D� -CSN P.O. Box 2030 Phone: (508) 299 3250 Engineezing Teaticket, MA 02536 Fax: (508) 548-5478 QQ� April 24,2012 Tom Mckean,Director Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: Proposed Sewage Disposal System 439-441 South Main St. Centerville,MA Dear Mr. McKean, I/We give Engineering permission to represent us regarding the above-referenced property.C N a n* Signature Please feel free to call me at the above number anytime if you have any questions or comments. Thank you. Sincerely, l� (t�•4'Vs Linda J. Pinto,P.E. Civil/Environmental Engineer UP/1 Email: Linda@csn-eng.com Website: csn-eng.com r � AUG. 5.20©9 10:23AM BARNS I HI?)LL WHK) QJ HEHL I H Date To Whom It May Concern; vol'unta.Zily grant Pumissioa to the Town ( ccupants auae} of Barnstable Board of Health(Agent or Hulth Inspector) to inspect my dwelling unit located at t�ca to in accordance (House#,[ApWnit#if applicable], streu> village) with the Town of Barnatable Code(Chapters 59 and 170) and the State Sanitary Code (105 C14tR 410.000) on _ I hereby authorize and name (Date of inspoction) to be my tenant rspresentative for the (0mupant representative) purpose of this inspection. r rVli`�DU is an adult person (ow pant ropreseutative) designated and duly authorized to act on my behalf and will be accompanying the Town of Barnstable Board of Health,for the inspectioni,`wanting access:o any and all locations (including bedrooms,bathrooms;closets, oto.,)eowiug the use of photographs and answering questions. This authorization is only.valid for the inspection date specified above,and:rust be renewed for any -%cure inspection(s.) ✓ 4/ cupants ' gnattiro 1 Date Ocouparts*preaentative Si ature \ Data 0.:Unrai Ord inan dinsor,d5n nrrmiutnn].Anr. Certified Mail#7006 0810 0000 3524 5188 Town of Barnstable Regulatory Services BARNSTABLE. v�p 039. `�$ Thomas F. Geiler,Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 8, 2011 Kenneth Care t y 499 Adams Street Abington, MA 02351 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION. The property owned by you located at 441 South Main Street Apt (1) Centerville, MA was inspected on November 4, 2011 by Timothy O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.401(A)—Ceiling Height. Ceiling height at 6'2" and 6'5" in(2) two second floor bedrooms. w You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by bringing ceiling height to 7'0" as stated in 105 CMR 410.401(A) of the Mass State Sanitary Code. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Q:\Order letters\Housing violations\Rental ordinance\441 S Main st Apt 1 TOWN OF BARNS7TABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out Owner f Tenant 6LT—J,- s� a r I � Address Address "� 11 (1 Compliance Remarks or Regulation# Yes O Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities pprovedt:am _ 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use - 12. Exits 13. Installation and Maintenance of Structural co— Elements 14. Insects and Rodents C-96 15. Garbage and Rubbish Storage and Disposal I /go E 16. Sewage Disposal V ND 17. Temporary Housing 18. Driveway Width ;w P �L I/ C/ 19. Number of Tenants Observed " PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms r 4� Number of Vehicles Allowed (max) Number of Persons Allowed (max) �^ rerson(s) Interviewed Inspector Public Building such as Store or Hotel/Motel specify here Town of Barnsiable P# ' Departiment of Regulatory Services u Public Health Division Date 200 Main Street,Hyannis MA 02601 Data Scheduled_ Ian (0 i -�i Time Fee Pd. Soil Suitability ,Assessment for Sewage Disposal Performed By: Find -J. 9.nI-. j> � Witnessed By: LOCATION&GENERAL INFORMATION 1t /� Location Address Owner's Name ke nn� are 'S�►-t-F4 I SU.ri-t.N1A�n S�' i Cel1�1-111.%41 MA Address L}4 i K n 4 Assessor's Map/Parcel: 90-1/(p(o Engineer's Name L'$t4 1✓►'1�:f1t2t'��9 NEW CONSTRUCTION REPAIR �// Telephone# Land Use: �31JeA.111 Slopes(%) S—�0t) Surface Stones t5 Distances from: Open Water Body 7 2-00 ft Possible Wet Aren ° �ft Drinking Water Well u A ft Drainage Way N bot ft Property Line ft Other VIA ft SliETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands In proximity to holes) • �bv�• 1' l�;n �f, orl�n� - - - - v Parent material(geologic) GkCtrd Dt,ki je4% 7 ZO0i A( /� Depth to Bedrock to Groundwater. Standing Water in Hole:-1yt l'o Weeping from Pit Pnee Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to soil mottle!: Depth to weeping from side of obs.hole: in, Groundwater AdjuAlment t[. Index Well# Reading Date: Index Well 1eVol__:_ Adj.&Ctbr— Adj.Groundwater Leval PERCOLATION TEST bate _�_ T uta,_____ Observation Hole# Time at 9" _ _ Depth of Perc II Time at 6" Start Pre-soak Time @ 0`O0 Time(9"-6") End Pre-soak !'00 Rate Min./inch A'l/1 Site Suitability Assessment: Site Passed Slip Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back--------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. ! Barnstable Conservation Division at least one(1)week prior to beginning. Q:1S EPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, i to -y,%'Gravel) MSS ►oycc �'� -M S L (o`[Q- Sf b dr-c. Q • �S- 12� Cz C S��d �o �[ 2 �I� So°19 G��e( . DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o sis en. %Gra e C) ' `� MSS o P. 3/1 la �-3 Ct 33 -SS C2 -Wl.S'L ro �. !�I �;•=I IS C3 SO11) o Q SIB 560 n Gr,,\,ej DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. conliatrncy,%Gavel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, Consistency. y Flood Insurance Rate Man; Above 500 year flood boundary No Yes Within 500 year boundary No Yes ' Within 100 year flood boundary No-1 Yes- Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervi us material exist in all areas observed throughout the area proposed for the soil absorption system? IeS If not,what is the depth of naturally occurring pervious material? Certification T certify that on V 0 ; (date)Y have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required tra' ing,expertise and experience described in 110 CMR 15.017. Signature / 2Datb.A S ,A -- Q:1S,EPTIC\PERCP0RM,D0C IV l EXCERPT FROM BOARD OF HEALTH MEETING MINUTES ON 12/13/2011 B. Kenneth Carey, owner— 439 (a.k.a. 441) South Main Street, Centerville, 3 units, housing violations. Kenneth Carey was present and discussed the three apartments and the housing violations with the Board: Apt#1 — Ceiling Height too low— older house. Apt#2 — Protective railings must be installed for outside railing. Apt# 3 — Back Unit: Hot water is not sufficient, the front door needs repair, and the loft area does not conform to regulations: not 70 sq.ft, low ceiling height, * no second egress. Upon a motion duly made by Dr. Miller, seconded by Mr. Sawayanagi, the Board voted to: 1) Variance approved on ceiling height in both bedrooms in Apt. #1, r 2) 90 Days to fix baluster in Unit 2 from December 13, 2011, E 3) Loft in Studio does not qualify as a sleeping area by State Code, 4) Needs full inspection be for next meeting on January 10, 2012. And voted to continue to January 10, 2012 meeting. (Unanimously, voted in favor). PLC— . 0 � i o , Certified Mail#7006 0810 0000 3524 5188 Town of Barnstable f wry. f Regulatory Services * BAMSTABM f MASS. Thomas F. Geiler, Director 1639. fD" s Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 iOffice: 508-862-4644 Fax: 508-790-6304 November 8, 2011. � � �- - Kenneth Care ---w' t a" 3 499 Adams Street I l 1 Abington, MA 02351 NOTICE TO ABATE VIOLATIONS OF 105 CM 41'0.000, TATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION. The property owned by you located at 441 South Main Street Apt (2) Centerville, MA was inspected on November 4, 2011 by Timothy O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.503 - Protective Railings and Walls— Side deck missing balusters./ You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by pulling building permit and installing balusters that are no more then 4 V2" apart. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. E�OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Q:\Order letters\Housing violations\Rental ordinance\441 S Main st Apt 2 TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out Owner C. cq Tenant &82�k I c l Address y -[ I ��' Address 3 I �^'� Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities en 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use _ 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 0 17. Temporary Housing iv 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition .Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) _ Person(s) Interviewed Inspector I� If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE � BOARD OF HEALTH . , ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date �- LI — Time: In Out Owner Tenant tit Address q q Iq Address Ar ` Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 1 5. Hot Water Facilities 7 6. Heating Facilities 7. Lighting and Electrical Facilities ✓ - `' �� 8. Ventilation 9. Installation and Maintenance of Facilities I . 10. Curtailment of Service 11. Space and Use _ 12. Exits r. 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents I 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing '^, C;t f�j t- Q? N 'I -( � 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) tyF' Number of Persons Allowed (max) _. (�Person(s) Interviewed Inspector i If Public Building such as Store or Hotel/Motel specify here i kjG. 5.2009 20:23RM BHRNS T HeLL rfJHKL QJ MLHL i H IYV. I Date l // To Whom It May Concern; I, , vo-hmtarily grant ptrrrr ission to the Town (Occupants name) of Barnstable Board of Health(Agent or Health Inspector) to inspect my dwelling unii Iocated atGct.vr1/ -in accordance (House#,[Apl1 nit if appiieablei,street:village) with the Town of Bamatable Code.(Chapters 59 and 170) and the State Sanitary Code (105 CIviR 410.000)on I hereby authorize and name (Date of insprdon) to be my tenant representative for tyro (occupant mpm,9auMve) purpose of this inspection. q G'U: a is an adult person (Oncupint represen 'e) designated and duly authorized to act on my behalf and will be accompanying the Town of Barnstable Hoard of Health for the iwpection;;-`'wanting access:o any and all locations (including bedrooms,bathrooms;elosats, eto.,) allowing the use of photographs and answering questions. This authorization is only.valid for the inpection date specified above, and must be renewed for any future inspactiou(s.) 0 open S' re 1 Date Ou:upants-%presentative Si & ature Data C1iJtenrsi Or�inancclinaoc.ti�n nsrtnfu{nn�.Anr. i Certified Mail#7006 0810 0000 3524 5188 rati Town of Barnstable Regulatory Services MASS $ Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 November 8, 2011 Kenneth Carey 499 Adams Street Abington, MA 02351 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION. The property owned by you located at 441 South Main Street Apt (Back unit) Centerville, MA was inspected on November 4, 2011 by Timothy O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105CMR410.190- Hot Water: Hot water system does not provide sufficient quantity to l;- �y &7' satisfy ordinary use. �°�p. `9 105CMR 410.500—Owner's Responsibility to Maintain Structural Elements. Front ' door to dwelling unit is not secured to frame and need of repair or replacement. rp�e - 105 CMR 410.450 — Means of Egress- Loft area in unit is not to be used for sleeping. Area is less then 70 square feet; has no second means of egress and ceiling height is—60_� approximately 4.Oft Ov You are directed to correct the violati ns listed above within thirty (30) days of your receipt of this notice by correcting hot water system so that it satisfies ordinary use; fix or replace said front door; by ceasing and desisting use of loft area as sleeping quarters. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. Q:\Order letters\Housing violations\Rental ordinance\441 S Main st Apt back unit r R 'THE BOARD OF HEALTH j ?eanR.S.ICHO Thorr asA Mc Director of Public Health Town of Barnstable Q:\Order letters\Housing violations\Rental ordinance\441 S Main st Apt back unit TOWN OF BARNSTABLE BOARD OF HEALTH i ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date 1 Time: In Out VA Owner Tenant ;- �J rn Address -1 ( � `'` Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom FacilitiesLAW t 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation t0 9. Installation and Maintenance of Facilities 10. Curtailment of Service 1� 11. Space and Use _ 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal on 16. Sewage Disposal _ tjo 17. Temporary Housing 18. Driveway Width l� 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date Time: In Out ry,_ �LZ Owner �-P/V`_ Tenant Address t / ( r"` Address Compliance Remarks or Regulation # Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply L a,/ PVI 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation c0 on 9. Installation and Maintenance of Facilities 10. Curtailment of Service ✓ 11. Space and Use _ 12. Exits 13. Installation and Maintenance of Structural - Elements 14. Insects and Rodents rP 15. Garba e'and Rubbish Stora de„and*Qis osal. 16. Sewage Disposal 17. Temporary Housing -- 18. Driveway Width 19. Number of Tenants Observed �J PART II 37. Placarding of Condemned Dwelling; Removal'of Occupants; Demolition / Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector ) If Public Building such as Store or Hotel/Motel specify here ! Aj6. 5.2009 10:23AM 81IRI15I HYLL &JH11:U III `LHL 111 rYV.a1J r. .. 1 I � • A) Date To Whom It May Concern; I, f vo.'Ztarily grant pErmission to the Town (Occupants damej, of Barnstable Board of Health(Agent or Health Inspector) to inspect my dwelling unit / ' located at ,ll accordance (House>*,[ApWnit#if applicable],street village) with the Town of Barnstable Code(Chapters 59 and 170) and the State Sanitary Code (105 QvM 410.000)on I hereby authorize and name (Date of inspaetion) to be my teaant ropresontative for the (Ooaupant reprasent'ative) purpose of this inspection. 'f Cff&1'1�ul-ek is aa adult person (0 cupantrepreseutative) designated and duly authorized to act on my behalf and will be accompanying the Town of Barnstable Board of Health for the inspection,.; anting access:e any and all locations (including bedrooms,bathrooms;closets, etc.,) allowing the use of photographs and answering questions. This authorization is only-valid for the inspection date specified above, and must be renewed for any f-Ut xe inspection(&.) Occupants.Signa ro Occupants.%presentative Si a Inure 1 Data 0:&nlbl Ord inancelinsDC d5A nartnlWar 2.Anr. f February 1, 2012 I Town of Barnstable Public Health Division 200 Main Street Hyannis Ma 02601 — -- V' RE: Septic System Information,Apartment Registration 439-441 South Main Street, Centerville Enclosed please find septic system information for 439-441 South Main Street, Centerville as requested by the Board of Health. Also included are registration applications and fees. Please note that a building permit application has been submitted for the railing repair for 439 South Main Street (Apartment 2). mhs Street Abington MA 02351 Town of Barnstable Geographic Information System January 28, 2012 s .;.. . I Wr x •. ®;> r 4 f W Aj h (h .. fx its L Flkl ,P n e S� ° 5 1�e `( 1e" `. 0 34 Feed X DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:207 Parcel:066 boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:CAREY,KENNETH&PAULA Total Assessed Value:$606600 Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.66 acres Abutters R.E. boundaries and do not represent accurate relationships to physical features on the map Location:439 SOUTH MAIN STREET such as building locations. Buffer I . r L N 441 439 SOUTH MAIN STREET SOUTH MAIN STREET 13' CESSPOOL ❑. 3 WORK SHED/ 441 BUILDIN 23' REAR 18' 29' 42' 30'-6' CESSPOOL N❑.2 CESSP❑❑L N❑, 1 439-441 SOUTH MAIN STREET EXISTING SANITARY DISP❑SAL SYSTEM SH 2 OF 2 M:rhael "dyer hereby authorizes Kenneth Carey to akw the T own of Barnsiabie Health Department e;try to An,artment 3 located at 441, Siouth'v1ain Street for the purpose of inspection pursuant to the Town of Barr'Estaale`s Mental unit reguiatiens. Signet ' x � arty Chamberlain and Kevin Henry hereby authorize Kenneth Carey to allow the Town of Barnstable Health Department entry to Apartment 1 located at 441 South Main Street for the purpose of ins.pect.ion pUrsuant to the ToWn; of Barnstable`s Rental unit regulations. Signed ;gated cx�-�or Ferry and F�� rea(drte(iG"` by au"horize, Kenneth Garay to � !ow the i cwn,of Barnstable Health Departr-ne"T entry,tc Apartment 2 located at 439 South tvlain Street for the purpose of inspec'.on pursuant io the TO= of Barnstable's Rental Unit regulations Sign- Bateci—.. .. _._ TOP OF FOUNDATION 24"diameter concrete covers CENTERVILLE, �> M A EL=18.7 rased to wrthm C"of finish grade 30"dameter Cast Iron covers raised to finish grade Inwit/7 �$ 'j (or as noted) s ection Port and ca wit/7ma magnetic 4"PVC VENT 1` 0 /' f' rt g marking tape to within 3"of grade CAP BY"SWEETAIR" FORTY(40) ADS ARC3GHC (3G I GBD2) LEACH CHAMBERS IN BED CONFIGURATION WITH FOUR JMIN (4) ROWS OF TEN (10) CHAMBERS acon Ln EL=l 0.4(mo) EL=l 0,0(rmn) EL=20.2± & 9.0-20.5 CFjU 1)7 5' 5' 5' 5' 5' 5' 5' 5 5' 5' 4� Floate ehau be Installed PVC Tee turned �n eo they can be reached 9'7+ ve from manhole cor. 5/deway5 1 8u min Cover for I Vent q 9.3+ H-20 Loading Iti_ <�CUS /72± `r 7 2"Delivery one /5.Ot Cn �90 "' CF Poured 7777W; oncrete _ Wa rman Far fxi5t,n fj.JO hrust N-kin,3 - fj.25 F},/ all bende i O m 1 O 5.90 l5.73 /4.52 Zabel Filter J N 8 Gas Baff/e `r t-5,0± p� 2.7± 3.6t '� from U5G5 13.72 D-BOX C„ l500 Gallons 000 Gallons M d9L A; 75' B:7'- u Ins ection Ports(See Note#4) C:35' Longest Run FORTY(40)ADS ARC36HC(36/6BD2) 5 eo' l 2' G DB-9 LEACH CHAMBER5IN BED a l 2500 GALLON PROPOSED 1500 GALLON 40 mil. HDPE Liner(See `h(H-20 Rated) CONFIGURATION Note#22) I CV "e tervl SEPTIC TA/VK PUMP CHAML5f9 D-SOX LE I Cf l CH I MBERS fL=B•7t Bottom of Test Hole VIEW Ter Waterproofed at Factory Waterproofed at Factory (H-20 Rated) SCALE: I " = 10' FLOW PROFILE 51TE LOCUS NOT TO SCALE NOT TO SCALE 1 .) Assessor's Map 207 Parcel GG 2.) Deed Book 14074 Page 47 3.) Plan Book 9 Page 137 PUMP NOTES, * REQ U I RE M E N T5 : 4.) This property 15 not in a Zone II of a Public Water Supply 1 .) USE TWO MYERS MW50(1/2 HP) PUMPS OR EQUIVALENT, CAPABLE OF PA551NG A 5.) Flood Zone: A (EL 10), B 2"SOLID AND PUMPING 18.0 FT OF HEAD AT 70 GPM, INSTALLER TO VERIFY THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES 2.)ALARM SHALL BE A RED WARNING LIGHT WITH AUDIBLE ALARM LOCATED WITHIN THE 2t 22 CON 5 E RVATI O N NOTES : BUILDING AS SHOWN ON THE PLAN. / PRIOR TO THE START ANY EXCAVATION 3.)THE CORDS FOR,THE FLOATS SHALL BE ONE CONTINUOUS PIECE FROM THE PUMP Floats shall be installed i ACTIVITIES AND RELOCATE AS NECESSARY CHAMBER TO THE DISCONNECT PULL BOX. THE CORDS SHALL BE ENCASED IN 2-1/2"TO 3" so they can be reached (SEE NOTE #1 5) 1 .) LIMIT OF WORK SHALL BE AS SHOWN. A ROW OF DOUBLE STAKED HAYBALE5 SHALL CONDUIT. from manhole cover. o/ BE CONSTRUCTED ALONG THE LIMIT OF WORK LINE PRIOR TO THE COMMENCEMENT OF 2"Delivery Line OF ANY WORK. 4.)ALARM AND PUMP TO BE WIRED TO DIFFERENT CIRCUITS. ( 6 LEG E N D 5.) ALL PUMP, WIRING, ALARM, AND FLOAT INSTALLATIONS SHALL CONFORM TO Clean-out l i 2.)ALL DISTURBED AREAS SHALL BE LANDSCAPED. PLANTINGS SHALL INCLUDE A MIXTURE MA55ACHU5ETT5 STATE PLUMBING AND MASSACHUSETTS STATE ELECTRICAL CODES AS WELL JiL5 Disconnect 90 1 te Valve EXISTING SPOT GRADE INDIGENOUS SHRUBS AND GROUNDCOVER FROM THE APPROVED PLANT LIST. AS TO MANUFACTURER'S SPECIFICATIONS. I CF Poured `� 24x5 PROPOSED SPOT GRADE G.) PUMP CHAMBER SHALL BE EQUIPPED WITH TWO(2) PUMPS THE DISCHARGE LINES OF WHICH Concrete "Bieeder Hole Thrust Blocking QJ� 1 100'Buffer EXISTING CONTOUR SHALL BE VALVED TO ALLOW DOSING OF THE ENTIRE SOIL ABSORPTION SYSTEM BY EITHER Check Safety Volume at all bends �e ��A c� Zone 24- PROPOSED CONTOUR PUMP. 48 arm ON plum ONW WATER SERVICE LINE 7.) PUMPS SHALL OPERATE IN THE FOLLOWING SEQUENCE: Dual PumpsI'll p ump OFF aver i o OVERHEAD UTILITY LINES A.) PUMPS OFF Sump DB './ u UNDERGROUND UTILITY LINES CON 5T RU CT I O N NOTES PRIMARY(LEAD) PUMP ON C.) BACKUP(LAG) PUMP ON AND ALARM ON 'Cr I BENCHMARK GAS SERVICE LINE D.) PUMPS MUST ALTERNATE \1��`0 Top Corner Step - - TOP OF BANK 1 500 GALLON PUMP CHAMBER V v` � �j EL= 18.6. (NGVD Datum) +-e-.- LIMIT OF WORK 1 .) ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (3 10 CMR 1 5.000): Q \e) "� STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE, AND EXPANSION NOT TO5CALE t\y� GO,o �_i� EDGE OF CLEARING OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT AND DISPOSAL ZX� "-""'�- FENCE OF SEPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS. �� P /t ®� TEST HOLE LOCATION 2.) ANY 5EPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE 15 POTENTIAL FOR 61 / ._ ' - ST SEPTIC TANK VEHICLES OR HEAVY EQUIPMENT TO PA55 OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 A txistmg Cesspool to be DB DISTRIBUTION BOX LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. Qa��\� P cG� / I �_\ Abandoned(See Note,A`20) SAS 501L ABSORPTION SYSTEM 3.)TO MINIMIZE UNEVEN SETTLING, ALL SYSTEM COMPONENTS SHALL BE INSTALLED ON A STABLE SYSTEM DESIGN CALCULATIONS a ent Fiag F / / Reserve RESERVED FOR FUTURE USE MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE. o Q �j T'-11 / 12.3 -' r 50' Buffer CU.) UTILITY POLE VARIANCES REQUESTED 22 TP / Deck / i zone ® CATCH 5A51N 4.) COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK, THE DISTRIBUTION BOX, AND THE 5EWA6E DESIGN FLOW REQUIRED: 6 BEDROOM DWELLING @ / /OS �� FIRE HYDRANT SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN G"OF FINAL GRADE. LEACHING FIELDS, l lO GPD/BEDROOM= 660 GPD REQUIRED s DRINKING WATER WELL TRENCHES, AND OTHER 501L ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL HAVE AT Local Upgrade Approvals: 310 CMR 15.403 �c LEAST ONE(1) INSPECTION PORT CONSISTING OF PERFORATED 4"PVC PIPE PLACED VERTICALLY TO 5EWA6EOF516AI FLOW PROVIDED: F0RTY(40)ADS UN1TS51N BED ® CONCRETE BOUND THE BOTTOM OF THE 501L ABSORPTION SYSTEM WITH A CAP,TIED WITH MAGNETIC MARKING TAPE, CONE/GURATION IN FOUR(4)ROWS OF TEN 00)UNlr5 EACH. 3 10 CMR 1 5.2 1 1 : Minimum Setback Distances: p� / �0 96 GLEANOU7 ACCESSIBLE TO WITHIN 3"OF FINAL GRADE. ando dwat Vt =[(660/0.74)/(4.8 FT2/FT)/5.0 Lr-7 =37.2 ADS LIN/7-5 1 .)Septic Tank not I o'from Cellar Wall j e, 5.) PIPING SHALL CON515T OF 4"SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A REQUIRED(40 PROVIDED) 5' Held 5'Vanance Requested a . � ax N `0� 5• / MINIMUM CONTINUOUS GRADE OF NOT LE55 THAN FROM THE BUILDING TO THE SEPTIC TANK, AND 2.) Pump Chamber not I O'from Cellar Wall 5. w���o J�,A NOT LE55 THAN I%OTHERWISE. 7/0 GPD PROVIDED> 660 GPD R5QU/RED G.9 Held 3.I'Variance Requested ♦ �y E 3.)Sod Absorption System not 20'from Cellar Wall / 0 o � G.) DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4" DIAMETER SCHEDULE 40 5EPTIC TANK CAPACITYREQUIRED.• 7' Held 13'Variance Requested a - Patio PVC(OR EQUIVALENT) LAID AT 0.005 FT/FT. UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED AT 157'COMPARTMENT• 660 GPDX 200% _ 1320 GPD REQUIRED 4.) Sod Absorption System not 10'from Property Line / END OR AS NOTED. 2ND COMPARTMENT. 660 GPDX /00% = 660 GPD REQUIRED 2' Held 8' Variance Requested ej 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO (2) FEET BEFORE PITCHING 5EP7-IC TANK CAPACITYPROVIDED: 2500 GALLON TWO-COMPARTMENT5EPTIC TANK 3 10 CMR 1 5.22 1 (7) General Construction \ Beg n C TO THE 501L ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO ASSURE EVEN 157-COMPARTMENT.• 1500 GPD PROVIDED Requirements for All System Components: 00q w\_� _Ne, \`� BVW I BVW DISTRIBUTION. 2ND COMPARTMENT. 1000 GPD PROVIDED 5.) Sod Absorption System > 30 Below Firnsh Grade �� �\ ��� QoJ��aX q o: 6�, 8.) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES IN PUMP CHAMBER CAPACITYREQUIRED:24 HOUR 57-0RA6EA3OVEALARM= 660 GAL GG" Held 30"Variance Requested ORDER TO PROVIDE A WATERTIGHT SEAL. PUMP CHAMBER CAPACITYPROVIDED: 1500 GALLON PUMP CHAMBER WITH 21" Town of Barnstable Chapter 237: Wetlands Protection / a �� P \.� ��_ / BVW 2 9.) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE ABOVEALARM= 676 6ALLON5> 660 GALLONS (2)Jurisdiction: ° DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. / A GARBAGE 0151005AL 15 NOT PERMITTED WITH 7_H1,5 DESIGN FLOW G.)Septic Tank not 100'from BVW / �� r, / ° a o 10.) IN ACCORDANCE WITH 3 10 CMR 15.22 1, ALL SYSTEM COMPONENTS SHALL BE MARKED WITH 1 8' Held 82' Variance RequestedC/o MAGNETIC MARKING TAPE. 7.) Pump Chamber not 100'from BVW �� 2G Held 74' Variance Requested / \ BVW 3 1 1 .)THERE ARE NO KNOWN WELLS WITHIN 100 OF THE PROPOSED SOIL ABSORPTION SYSTEM. o 12.) FROM THE DATE OF THE INSTALLATION OF THE 501L ABSORPTION SYSTEM UNTIL RECEIPT OF THE - CERTIFICATE OF COMPLIANCE, THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT USE OF e j- VW 4 THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. / f 13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS TEST HOLE LOGS / Exrstmg Cesspoole to be CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE Abandoned(See Note A20) DESIGNER. Test Hole#I (EL= 19.1±) BUOYANCY: BVW G / BVW 5 14.)THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE BENCHMARK Depth Layer Soil Class Sod Color Comments 2500 GALLON SEPTIC TANK Top Corner Concrete Wall �SN OF*SS BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THAT THE SEWAGE WEIGHT OF DISPLACED WATER: (I 1 .83'x G.33'x 2.3')x G2.4 LB5./FT3. = 10,747 LBS. 4, EL= I I .I (NGVD Datum) BVW 7 � 90 DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT AND THE 0"-1 1" Alp Fine-Medium Sandy Loam I CYR 312 --- LINDA J. tiG APPROVED PLANS. 48 HOURS ADVANCE NOTICE 15 REQUESTED. WEIGHT OF SEPTIC TANK(EMPTY): 22,5GO LBS. (PER MANUFACTURER SPECS) 4, ca I I"-18" B Medium Loamy Sand I OYR 4/G 1 8"-25" C I Medium Sand I OYR 5/4 g c+* WEIGHT OF SOIL: R I 1 .83'x G.33'x 0.8') -2 Risers @ Oz x 1 2 x 0.8')] x 110 LB5./FT3. = 5,695 LB5. 4, Parcel GG o PI TO � o 15.) LOCATION OF UTILITIES 15 APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR TOTAL WEIGHT OF SEPTIC TANK AND 501L = 28,458 LB5. J� do 01 BVW 8 + I L r'Q' 25'-55 C2 Fine-Medium Sandy Loam I OYR 5/G Perc @ 74" A Area=23,G42 S.F._ DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO 55"-1 25" C3 Coarse Sand I OYR 5/G 50%Gravel �\oo��� I 5 COMMENCEMENT OF ANY WORK. THI5 INCLUDES, BUT 15 NOT LIMITED TO, REQUESTS TO DIG5AFE, 28,458 L55.4, > 10,747 LBS.T (NO BALLAST REQUIRED) P ?o A� ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. I x. GIs Test Hole #I (EL=19.1±) 1 500 GALLON PUMP CHAMBER I �SSLONAL I G.)CONTRACTOR SHALL VERIFY THAT ALL WA5TELINE5 ARE CONNECTED BY WATER TESTING WITHIN WEIGHT OF DISPLACED WATER: (10.5 x 5.G7 x 1.41 x G2.4 LB5./FT3. = 5,201 LBS. T BVW 9 OF THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. Depth Layer 5oil Class Sod Color Comments WEIGHT OF PUMP CHAMBER(EMPTY): 1 1,450 L55. (PER MANUFACTURER 5PEC5) L 1 /og WEIGHT OF SOIL: [0 0.5 x 5.G7 x 0.8') - 2 Risers @ (n x 1 .122 x 0.8')] x 110 L55./FT3. = 5,019 L55. J, 00, p�� WINS yG 17.)CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY 0"-9" Ap Fine-Medium Sandy Loam I CYR 3/2 TOTAL WEIGHT OF PUMP CHAMBER AND SOIL = 19,435 LBS. SEPTIC SYSTEM COMPONENTS. 9"-1 G" B Medium Loamy Sand I CYR 4/G F ORD 1 G"-23" C I Medium Sand I CYR 5/4 1 G,499 LB54 > 5,201 L55.T (NO BALLAST REQUIRED) a� N0.23040 ce 15.) INSTRUMENT SURVEY CONDUCTED FOR PROPOSED WORK ONLY. SITE PLAN SHALL NOT BE USED 23"-55" C2 Fine-Medium Sandy Loam I CYR 5/6 ,o FOR STAKING, OR ANY OTHER PURPOSES. 55"-1 25" C3 Coarse Sand I OYR 5/G 50%Gravel 90�ESS���P �9yp __••--++,,���' 19.)THI5 PLAN DOES NOT CERTIFY, GUARANTEE OR WARRANTY COMPLIANCE WITH ZONING BYLAWS, I BVW 10 SIJS'�Y SPECIFICALLY, BUT NOT LIMITED TO, SIDELINE SETBACKS AND BUILDING HEIGHT RESTRICTIONS. DATE TESTING: 04/OG/I 2 SITE PLAN Survey Work by.' SOIL EVV TESTING: LINDA J. PINTO, P.E., CSN ENGINEERING A & M Land Services 20.) EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY, FILLED WITH CLEAN SAND AND BOARD OF HEALTH AGENT: DON DESMARAIS, BARNSTABLE HEALTH DEPARTMENT SCALE I " = 20' 618 Route 28, Suite 3 : ABANDONED IN PLACE. AREA TO BE COMPACTED TO MINIMIZE SETTLING. PERCOLATION RATE: LE55 THAN 2 MIN/INCH IN "C3" LAYER Bar Bar. West Yarmouth, MA 02673 2 1.) INSTALL A 40 mil HDPE LINER FOR BREAKOUT FROM EL 15.0± TO EL I I.0± A5 SHOWN ON PLAN NO GROUNDWATER ENCOUNTERED Bar. Bar. #2 # Fh. (508) 737-1777 Email.• anmland®comeast.net#4 #3 (SEE PLAN VIEW). Prepared for: 22.) ANY ORANGEBURG PIPING, OR OTHER INFERIOR PIPING, SHALL BE REPLACED WITH 5CH. 40 PVC Kit Loft Bth PIPING. Studio --------- 2nd Floor Main House Kenneth Carey I CERTIFY THAT I AM CURRENTLY APPROVED BY THE Bdr. 441 South Main 5t., Centerville, MA DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO #G Gpen to Below 310 CMR 15.017 TO CONDUCT SOIL EVALUATIONS AND THAT Bth Proposed Sewage Disposal 5y5tem THE ABOVE ANALYSIS HAS BEEN PERFORMED BY ME j Living Bar. 439-44 1 South Main Street, Centerville, MA CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND 15t Floor 2nd Floor Room #5 EXPERIENCE DESCRIBED IN 31 0 CMR 1 5.01 7. 1 FURTHER Cottage Studio CERTIFY THAT THE RESULTS OF MY SOIL EVALUATION AS Prepared by: INDICATED ON THE ATTACHED SOIL EVALUATION FORM, ARE Living Dining ACCURATE AND IN ACCORDANCE WITH 310 CMR 15.100 Family Dining Kitchen THROUGH 15.107 Room CSN FLOOR PLAN 5 1 5t Floor Main House ` ����/�► • INSPECTION NOTE: w I��- Kitchen � Engineer�n NOT TO 5CALE 0 20 40 GO PRIOR TO FINAL INSPECTION BY THE ENGINEER, SYSTEM Linda J. Pinto, Certified Soil Evaluator Bth P.O.Box2030 Phone:(508)299-3250 NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. SCALE I "=20' Teaticket,MR 02536 Fax:(508)548-5478 C:\CSN\South Main\South Main-5D5 Plan.dwg Date: 04124112 Scale: A5 Shown By: LJP Check: MTA I Project No. C51NO233 CENTERVILLE, TOP OF FOUNDATION 24"d1ameter concrete covers 30"diameter Cast Iron covers �1> M A EL=18.7 raised to within 6"of finish grade raised to finish grade (or as noted) Inspection Port and cap with magnetic 4°PVC VENT FORTY(40) ADS ARC36HC (36 16BD2) LEACH S� �� markmg tape to within 3"of grade E CAP BY"5WEETAIR" C° ✓C� CHAMBERS IN BED CONFIGURATION WITH FOUR 3 °MIN (4) ROWS OF TEN (10) CHAMBERS gac°n Ln EL-/0.4(mm) f7�r EL=IO.O(mm) EL=20.2+ FL=19.0-20.5 C //�66-" 50' �� 5' 5' 5' 5' 5' 5' 5' 5' 5' 5' dL Floats shall be reached PVC Tee turned so they ca C°+n from manhole cover. 5/dewa�•J- 18" min Cover:,1o rH-20 Loadin �p LOCL15 17.2± CF Poured LCl _ Wa rman Far co Concrete _ Thrust Blockin sGig B.50 B.25 415 � atall bend' e /5.73 4.52 O 1 O 7 90 /5.90 I O- Ln 2abe/Filter, N d Gas Baffle `t EL-5.0± p� 2.7± 3.6 t - from U5G5 /3.72 500 Gallons l000 GalIOn-9 �� m xv �Q L/ A; 75' Longest Run 5.o-, ��__ ------ In5pection Ports(See Note#4) Vent FORT �c�� n�6 / �° - e.,T-� 2' 60, 12' FORTY' -------`------------------ __1 m cad �o C. 35 2500 GALLON PROP05ED 1500 GALLON (40) �� TWO-COMPARTMENT(MONO) (MONO) 7 OB-5, LEACH CHAMBERS IN BED m (H-20 Rated) CONFIGURATION 40 Note Il.#22DPE Liner(See Ce�ItBrvllle �ot? 5EPTIC TANK PUMP CIHAMBER D-BOX LEACH CHAMB2fRS EL=8.7±Bottom of Test Hole P LAN VIEW I�Iver Waterproofed at Factory Waterproofed at Factory SCALE: I " = 10' (H-20 Rated) FLOW PROFILE SITE LOCUS NOT TO SCALE NOT TO SCALE PUMP N OTE5 * REQ U I RE M E NT5 : I Assessor's Map 207 Parcel 4 66 2..) Deed Book 14074 Paa e 7 3.) Plan Book 9 Page 137 1 .) USE TWO MYERS MW50 (112 HP) PUMPS OR EQUIVALENT, CAPABLE OF PASSING A 4.) This property 15 not in a Zone II of a Public 2"SOLID AND PUMPING 15.0 FT OF HEAD AT 70 GPM. Water Supply 2.) ALARM SHALL BE A RED WARNING LIGHT WITH AUDIBLE ALARM LOCATED OUTSIDE THE 5.) Flood Zone: A (EL 10), B BUILDING AS SHOWN ON THE PLAN. INSTALLER TO VERIFY THE LOCATION OF ALL 3.)THE CORDS FOR THE FLOATS SHALL BE ONE CONTINUOUS PIECE FROM THE PUMP 2�01 UNDERGROUND AND OVERHEAD UTILITIES CHAMBER TO THE DISCONNECT PULL BOX. THE CORDS SHALL BE ENCASED IN 2-112"TO 3" ZPRIOR TO THE START OF ANY EXCAVATION CO N S E RVAT i O N NOTES-: CONDUIT. Floats shall be installed ACTIVITIES AND RELOCATE AS NECESSARY 4.)ALARM AND PUMP TO BE WIRED TO DIFFERENT CIRCUITS. so they can be reached j (SEE NOTE #1 5) 1 .) LIMIT OF WORK SHALL BE A5 SHOWN. A ROW OF DOUBLE STAKED HAYBALE5 SHALL 5.)ALL PUMP, WIRING, ALARM, AND FLOAT INSTALLATIONS SHALL CONFORM TO from manhole cover. 0 MA5SACHUSETTS STATE PLUMBING AND MA55ACHUSETTS STATE ELECTRICAL CODES AS WELL BE CONSTRUCTED ALONG THE LIMIT OF WORK LINE PRIOR TO THE COMMENCEMENT OF 2" � �F OF ANY WORK. AS TO MANUFACTURER'S SPECIFICATIONS. LEGEND. Clean-out ` 2.)ALL DISTURBED AREAS SHALL BE LANDSCAPED. PLANTINGS SHALL INCLUDE A MIXTURE G.) PUMP CHAMBER SHALL BE EQUIPPED WITH TWO (2) PUMPS THE DISCHARGE LINES OF WHICH Quick Disconnect 90°° Delivery Line i . / SHALL BE VALVED TO ALLOW DOSING OF THE ENTIRE 501L ABSORPTION SYSTEM BY EITHER ` Gate Valve EXISTING SPOT GRADE 0INDIGENOUS SHRUBS AND GROUNDCOVER FROM THE APPROVED PLANT LIST. PUMP. I CF Poured (Concrete 24x5 PROPOSED SPOT GRADE 7.) PUMPS SHALL OPERATE IN THE FOLLOWING SEQUENCE: I 3/8"Bleeder Hole Thrust Blocking _� vanle 2I"Safety Volume at all bends � ��1 °a. ��: , � aaa 100' Buffer EXISTING CONTOUR Check A.) PUMPS OFF 4a` 0 Alarm ON Zone -24- PROPOSED CONTOUR B.) PRIMARY(LEAD) PUMP ON Pump ON -J ���/ .01 �t W WATER SERVICE LINE C.) BACKUP (LAG) PUMP ON AND ALARM ON Duai Pumps �O I.10 O OVERHEAD UTILITY LINE5 D.) PUMPS MUST ALTERNATE P5um um OFF ��� n J Paved DB ' �' .- u UNDERGROUND UTILITY LINES CONSTRUCTION NOTES 8.) ELECTRICAL FEED TO PUMPS TO BE POWERED BY NEW ELECTRICAL SERVICE AND METER VIA �(,r Vent / G GAS SERVICE LINE A DUAL METER BOX AT THE"EXISTING BUILDING"AS SHOWN ON PLAN. TOP OF BANK 1500 GALLON PUMP CHAMBER 0ea, ♦--�-�- LIMIT OF WORK 1 .) ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (3 10 CMR 1 5.000): 8.) DUPLEX PUMP CONTROLLER WITH ALARM TO BE ON OUTSIDE OF MAIN BUILDING AS SHOWN l STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE, AND EXPAN51ON NOT TO SCALE a�O - �a�\xi` EDGE OF CLEARING OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT AND DISPOSAL ON PLAN, AND TO BE NEMA 4X CONSTRUCTION. �� ZX ��� -.--.-.-.- FENCE OF 5EPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS. y� �`/ TEST HOLE LOCATION 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR BENCHMARK \oAP��a ojP //�// ®� / C9 -Existing Cesspool to be ST SEPTIC TANK VEHICLES OR HEAVY EQUIPMENT TO PA55 OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 <"r / DB DISTRIBUTION BOX Top Corner Step 0 0 �i - Abandoned(see Note#20) i / � sAs SOIL ABSORPTION SYSTEM LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. EL= 18.6 (NGVD Datum) el i� i�-�(-- Reserve-- RESERVED FOR FUTURE USE 3.)TO MINIMIZE UNEVEN SETTLING, ALL SYSTEM COMPONENTS SHALL BE INSTALLED ON A STABLE SYSTEM DESIGN CALCULATIONS e �-1\ ia� / 2.3 - - _ =50' 5uff,, `tea UTILITY POLE MECHANICALLY-COMPACTED BASE ON 51X INCHES OF CRUSHED STONE. 2 VARIANCES REQUESTED 2 'P-2 i i ® CATCH BASIN 4.) COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK, THE DISTRIBUTION BOX, AND THE SEWAGE DES/GN FLOW REQU/RED: 6 BEDROOM DWELLING @ / � S New Electric FI RE HYDRANT SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN G"OF FINAL GRADE. LEACHING FIELDS, l lO GPO/BEDROOM= 660GPD REQUIRED `s Meter DRINKING WATER WELL TRENCHES, AND OTHER SOIL ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL HAVE AT Local Upgrade Approvals: 3 10 CMR 15.403 �� O ■ CONCRETE BOUND LEAST ONE(1) INSPECTION PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED VERTICALLY TO 5EWAGEDE5IGN FY)WPROVIDED. FORTY(40),40.5 UN1T5.INBEO ��+ x 0 S�� THE BOTTOM OF THE 501L ABSORPTION SYSTEM WITH A CAP, TIED WITH MAGNETIC MARKING TAPE, CONFIG✓RATION IN FOUR(4)ROWS OF TEN 00)UNIT5 EACH.+ 3 10 CMR 1 5.2 1 1 : Minimum Setback Distances: ; �``.,�p���1 Eo h96 �O CLI=ANUU I me ACCESSIBLE TO WITHIN 3"OF FINAL GRADE. �op '� p done Water Vt=[(660/0.74)/(4.6 FT2/FT)/5.0 Lf7 =37.2 AD5 UNIT5 1 .) Septic Tank not I 0 from Cellar Wall / ���\o0 5. / 5.) PIPING SHALL CONSIST OF 4"SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A REQUIRED(40 PROVIDED) 5' Held 5' Variance Requested ; o 3 /' G) haw / MINIMUM CONTINUOUS GRADE OF NOT LE55 THAp 2% FROM THE BUILDING TO THE SEPTIC TANK, AND 2.) Pump Chamber not 10 from Cellar Wall / NOT LE55 THAN I%OTHERWISE. 7/0 GPD PROVIDED> 660 GPD REQUIRED 6.9' Held 3.I'Variance Requested / 0�y okF I Pump 3.) Sod Absorption System not 20'from Cellar Wall / /\o� Patio Control Box G.) DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4" DIAMETER SCHEDULE 40 557/C TANK CAPACITYRECU/RED: 7 Held 13'Variance Requested PVC (OR EQUIVALENT) LAID AT 0.005 FT/FT. UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED AT 15T COMPARTMENT• 660 GPDX 2009or _ 1320 GPD REQUIRED 4.) Soil Absorption System not 10'from Property Line / w END OR AS NOTED. 2N0 COMPARTMENT.- 660 GPDX/00% = 660 GPD REQUIRED 2' Held 8' Variance Requested 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO(2) FEET BEFORE PITCHING 5EPT/C TANK CAPAC/TYPROVIDED: 2500 GALLON TWO-COMPARTMENT 5EPTIC TANK 3 10 CMR 15.22 1 (7) General Construction °: ' �O / \�� �\o \ x� eV�Drqn TO THE 501L ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO A55URE EVEN /5T COMPARTMENT.- 1500 GPD PROVIDED Requireri for All System Components: am BVW i n _ DISTRIBUTION. 21VD COMPARTMENT 1000 GPD PROVIDED /Q,*��wG ��aax S 5.) Sod Absorption System > 36" Below Finish Grade �^,4 •O, ,^�� �13, / 8.)GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES IN PUMP CHAMBER CAPACITYREQU/RED:24 HOUR 5TORAGEABOVEALARM= 660 GAL GO Held 30" Variance Requested f ° ORDER TO PROVIDE A WATERTIGHT SEAL. / �. �� /�r� � � � PUMP CHAMBER CAPACITYPROVIDEO: 1500 GALLON PUMP CHAMBER WITH 21" Town of Barnstable Chapter 237: Wetlands Protection / /BVW 2 9.) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE ABOVE ALARM= 676 GALLONS> 660 GALLON5 (2)Jurisdiction: ° / DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. A GARBAGE D15P05AL 15 NOT PERMITTED WITH THI5 OE5/GN FLOW G.) Septic Tank not 100'from BVW / �� x ' I -4c/o / o 10.) IN ACCORDANCE WITH 3 10 CMR 1 5.22 1, ALL SYSTEM COMPONENTS SHALL BE MARKED WITH 18' Held 82' Variance Re nested c X ° r w MAGNETIC MARKING TAPE. 7.) Pump Chamber not 100'from BVW q /'d ° \� 26' Held 74' Variance Requested BVW 3 1 1.)THERE ARE NO KNOWN WELLS WITHIN 100'OF THE PROPOSED SOIL ABSORPTION SYSTEM. / �� i / 12.) FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF THE CERTIFICATE OF COMPLIANCE, THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT USE OF >,�`17 VW 4 THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. 13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS TI=5T HOLE LOGS / Existing Cesspools to be CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE / Abandoned(5ee Note#20) DESIGNER. Test Hole#I (EL=19.1 ±) BUOYANCY: BVW 6 / BVW 5 14.)THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE BENCHMARK H�FMgS Depth Layer Sod Class Soil Color Comments 2500 GALLON SEPTIC TANK I Top Corner Concrete Wall �� Cy BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THAT THE SEWAGE 3 /BVW 7 ° LINDA J. DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT AND THE WEIGHT OF DISPLACED WATER: (I I.83'x 6.33'x 2.3')x 62.4 LBS./FT . = 10„47 LBS. T EL= I .I (NGVD Datum) GN 0"-I I" A Fine-Medium Sand Loam OYR 3/2 r+ APPROVED PLANS. 48 HOURS ADVANCE NOTICE 15 REQUESTED. p y WEIGHT OF SEPTIC TANK(EMPTY): 22,560 LBS. (PER MANUFACTURER SPECS) y / o PINTO I I 1 8 B Medium Loam Sand I OYR 4/6 c� 1 8"-25" C I Medium Sandy I OYR 5/4 WEIGHT OF SOIL: [(I 1 .83'x 6.33'x 0.8') -2 Risers @ (rc x 12 x 0.8')] x I 10 LBS./FT3. = 5,898 LBS. 4, ono✓ Parcel 15.) LOCATION OF UTILITIES 15 APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR - TOTAL WEIGHT OF SEPTIC TANK AND 501L = 25,458 LBS. ti 03) BVW 8 + o. 6 0 25"-55" C2 rme-Medium Sandy loam I OYR 5/6 Perc @ 74' oa �� Area=23,642 S.F.- � �. DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO 55" 125" C3 Coarse Sand I OYR 5/6 50%Gravel ��o�� COMMENCEMENT OF ANY WORK. THI5 INCLUDES, BUT 15 NOT LIMITED TO, REQUESTS TO DIG5AFE, 28,455 LB5.4, > 10,747 LBS.T (NO BALLAST REQUIRED) ��'O �GtSTre- ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. P I FSSLONAL ECG\ Test Hole#I (EL=19.1 ±) 1 500 GALLON PUMP CHAMBER I G.)CONTRACTOR SHALL VERIFY THAT ALL WA5TELINE5 ARE CONNECTED BY WATER TESTING WITHIN WEIGHT OF DISPLACED WATER: (10.5 x 5.67 x 1.4')x 62.4 L55./FT3. = 5,201 L55. T I BVW 9 THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. Depth Layer Soil Class Soil Color Comments WEIGHT OF PUMP CHAMBER(EMPTY): 1 1,450 L55. (PER MANUFACTURER SPECS) y /O WEIGHT OF SOIL: [(10.5 x 5.67 x 0.8') - 2 Risers @ (;r x 1.122 x 0.8')] x 110 L55./FT3• = 5,019 L55. y 4.00, 17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY 0"-9" Ap Fine-Medium Sandy Loam I OYR 3/2 TOTAL WEIGHT OF PUMP CHAMBER AND 501L = 19,435 LBS. 4, I SEPTIC SYSTEM COMPONENTS. 9"-1 6" B Medium Loamy Sand I OYR 4/G Survey Work by. 1 0-23" C I Medium Sand I OYR 5/4 1 6,499 LB5.4� > 5,201 LBS.T (NO BALLAST REQUIRED) I h 18.) INSTRUMENT SURVEY CONDUCTED FOR PROPOSED WORK ONLY. SITE PLAN SHALL NOT BE USED 23"-55" C2 Fine-Medium Sandy Loam I CYR 5/G p FOR STAKING, OR ANY OTHER PURPOSES. 55"-1 25" C3 Coarse Sand I OYR 5/G 50% Gravel A & M Land Services 19.)THI5 PLAN DOES NOT CERTIFY, GUARANTEE OR WARRANTY COMPLIANCE WITH ZONING BYLAWS, lll�32 1,3 -- 618 Route 28, Suite 3 DATE OF TESTING: 0410GI1 2 IBVW 10 SITE PLAN West Yarmouth, MA 02673 SPECIFICALLY, BUT NOT LIMITED TO, SIDELINE SETBACKS AND BUILDING HEIGHT RESTRICTIONS. SOIL EVALUATOR: LINDA J. PINTO, P.E., CSN ENGINEERING Pb.Ph (506) 737-1777 Email.- ann2land®comcast.net 20.) EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY, FILLED WITH CLEAN SAND AND BOARD OF HEALTH AGENT: DON DESMARAIS, BARNSTABLE HEALTH DEPARTMENT SCALE: 1 " = 20' ABANDONED IN PLACE. AREA TO BE COMPACTED TO MINIMIZE SETTLING. PERCOLATION RATE: LE55 THAN 2 MIN/INCH IN "C3" LAYER Bdr. Bdr. #2 #I REVISION 05/10/1 2: Relocated Vent; Added Pump Notes and Construction 21 .) INSTALL A 40 mil HDPE LINER FOR BREAKOUT FROM EL 1 5.0± TO EL I 1.0± AS SHOWN ON PLAN NO GROUNDWATER ENCOUNTERED Bdr. Bdr.#4 #3 Notes; Mono Tanks; Revised Number of Bedrooms; Workshop Floor Plans (SEE PLAN VIEW). Prepared for: 22.)WASTELINE A FROM DUPLEX TO BE REPLACED. WA5TELINE C FROM DUPLEX MAY NEED TO BE Kit Bth REPLACED. ANY ORANGEBURG OR CLAY PIPING, OR ANY OTHER INFERIOR PIPING, SHALL BE REPLACED LoftL Kenneth Carey WITH 5CH. 40 PVC PIPING. Studio --------- 2nd Floor Main House I CERTIFY THAT I AM CURRENTLY APPROVED BY THE Bdr. Unfinished 44 1 South Man 5t., Centerville, MA DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO #6 Cpen to Below Workshop 310 CMR 15.017 TO CONDUCT SOIL EVALUATIONS AND THAT Bth Proposed Sewage D15p05011 System THE ABOVE ANALYSIS HAS BEEN PERFORMED BY ME Living Bdr. 439-441 South Main Street, Centerville, MA CON515TENT WITH THE REQUIRED TRAINING, EXPERTISE, AND 15t Floor 2nd Floor Room #5 Existing Budding EXPERIENCE DESCRIBED IN 310 CMR 1 5.01 7. 1 FURTHER Cottage 5tuclo CERTIFY THAT THE RESULTS OF MY 501L EVALUATION AS Prepared by: INDICATED ON THE ATTACHED 501L EVALUATION FORM, ARE Living Dining ACCURATE AND IN ACCORDANCE WITH 310 CMR 15.100 Family Dining Kitchen h THROUGH 15.107 Room CSN F LOOK PLANS 15t Floor Main House ���� ° I����► Engineering INSPECTION NOTE: NOT TO SCALE Kitchen PRIOR TO FINAL INSPECTION BY THE ENGINEER, SYSTEM Linda J. Pinto, Certified Soil Evaluator Bth 0 20 40 60 P.O.Box cket,A 0 Phone:(508)8-547850 NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. Teaticket,M�4 02536 Fax:(508)548-5478 SCALE I"=20' C:\CSN\South Main\South Main-5D5 Plan.dwg IDate: 04124112 Scale: As Shown I By: LJP I Check: MTA I Project No. CSN0233