HomeMy WebLinkAbout0486 SOUTH MAIN STREET - Health 486 SOUTH MAIN ST
Centerville (File#2)
A = 206 — 063
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WHEREAS, BAYRIDGE REALTY LLC, a Massachusetts Limited Liability
Company, is the owner of 489 South Main Street, Centerville, Massachusetts CA
02632 w
(hereinafter referred to as Lot 1, #489 South Main Street, Barnstable, Centerville,
Barnstable County, Massachusetts 02632 and being shown on a plan entitled
"Plan of Land in Centerville, surveyed for Alice H. Rand, Scale 50 feet to an inch
June 1922, Frederick O. Smith, C.E.", which said plan is duly recorded with the
Barnstable County Registry of Deeds in Plan Book 10, Page 79.
WHEREAS, Bayridge Realty LLC, as the owner(s) of said lot has agreed with the Town
of Barnstable Board of Health to a restriction as to the number of bedrooms which
can be included in the present home built on said lot 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, and authorizing the issuance of a permit for the
installation of a new Title V septic system on the property, is requiring that the
agreement for the restriction on the number of bedrooms in any house constructed on
the lot be put on record with the Barnstable County Registry of Deeds by recording this
instrument.
HOWEVER, if the premises are ever connected to a town sewer system, this restriction
will become null and void.
NOW,THEREFORE, BAYRIDGE REALTY LLC does hereby place the following
restriction on their above-referenced land in accordance with their agreement with the
Town of Barnstable Board of Health, which restriction shall run with the land and be
binding upon all successors in title:
1. 489 South Main Street, Centerville, Massachusetts 02632 may have constructed
upon the lot a house containing no more than FOUR (4) bedrooms.
Bayridge Realty LLC agrees that this shall be a permanent deed restriction
affecting the house located on 489 South Main Street, Centerville, Massachusetts
and being shown on the plan recorded with said Deeds in Book 10, Page 79.
For title, see Deed recorded with the Barnstable County Registry of Deeds in Book 29864,
Page 217.
Executed as a sealed instrument this day of October, 2016.
Bayridge Realty LLC
er uthorized Signatory
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss: October, 2016
Then personally appeared the above-named Dennis Kerkado, who proved to me
through satisfactory evidence of identification, which was as Massachusetts Driver's License,
to be the persons whose name is signed on the preceding or attached document, and swore
or affirmed to me that the contents of the document are truthful and accurate to the best of his
knowledge and belief and acknowledged to me that he signed it voluntarily for its stated
purpose and as the free act and deed of the LLC.
(seal)
lic: Stanley P. Nowak
My C651thission expires: June 20, 2019
STANLEY P. NOWAK
NOtarY Public
Commonwealth of Massachusetts
y My Commission Expires
June 20,2019
BARNSTABLE REGISTRY OF DEEDS
John F, Meade, Register
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Massachusetts Department of E ntal Protection
G Bureau of Resource Protection - Wetlan:ds
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protectioii Act M.G.L. c. 131, §40
and § 237-1 to § 237-14 Town of B rnstable Code DA- 15010
A. General Information
Important:
When filling,Out. From:
forms on the Barnstable
computer, use
only the tabs Conservation Commission
key to move To: Applicant
Property Owner(if different from
your cursor;
do not use the. Charles Richardson
return key. Name Name
33 Linwood St.
Ll� J Mailing Address Mailing Address
Andover MA 01810 _
City/Town State Zip Code City/Town State
rarcz
i 1. Title and Date (or Revised Date if applii,cat_ile)of Final Plans and Other Documents:
!€{ Title Proposcd Se tic Syste.Y m Upgrade Plan(stamped) b Peter McEntee, PE 1/17/2
D z I te
Title,
Dato'
Title Date
2. Date Request Filed:
January 23, 2015
4
i
' B. Determination
Pursuant to the authority of M.G.L. c. 1 1 40 and 237-1 to 237-14 i , § § § Town of Barns
the Conservation Commission considered your Request for Determination of Applicabili
supporting documentation, and made the following Determination.
Project Description (if applicable):
Title-5 septic uagrade
e i —
_ 1
Project Location:
489 South Main St. Centerville
Street Address Village
206 063
Assessors Map Number Assessors Parcel Number
wpaform2.00c•Ret ues l for Deparlmenlal Action Fee Transmittal Form-rev.1016/04
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
i WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protectioi Act M.G.L. c. 131, §40
and § 237-1 to § 237-14 Town of Brrstable Code DA- 15010
B. Determination (cost.) 1
The following Determination(s)is/are applicable,to the proposed site and/or project relative
Protection Act and regulations:
Positive Determination
Note: No work within the jurisdiction of 0 e Wetlands Protection Act may proceed until a fin
Conditions (issued following submittal of a,Notice of Intent or Abbreviated Notice of Intent)
Resource Area Delineation (issued folio Ang submittal of Simplified Review ANRAD) has b
from the issuing authority(i.e., Conservation Commission or the Department of Environme
❑ 1. The area described on the.referej iced"plan(s)is an area subject to protection under t
Removing,filling,dredging, or altering of'I ie area requires the filing of a Notice of Intent.
❑ 2a. The boundary delineations of t11 following resource areas described on the referen
confirmed as accurate. Therefore,the re•ource area boundaries confirmed in this Determin
binding as to all decisions.rendered purs tart to the Wetlands Protection Act and its regulati
such boundaries for as long as this,Detentnination is valid.
❑ 2b. The boundaries of resource areas listed below are not confirmed by this Deter �
regardless of whether such boundaries are contained on the plans attached to this Det
to the Request for Determination.
❑ 3. The work described'on referenced plan(s) and document(s) is within an area subj
protection under the Act and will remove, fill, dredge, or alter that area. Therefore; s
requires the filing of a Notice of Intuit.
❑ 4. The work described on referenced plan(s) and document(s) is within the Buffer Z
alter an Area subject to protection u"ider the Act. Therefore, said work requires the f
Notice of Intent or ANRAD Simp,lifie Review(if work is limited to the Buffer Zone).
❑ 5. The area and/or work described,a n referenced plan(s)and document(s) is subjec
and approval by:
Barnstable
Name of Municipality
Pursuant to the following municipal wetland ordinance or bylaw:
_§ 237-1 to §, 237-14 Town of Bar-nstzale Code- Chapter 237 _
Name Ordinance or Byla
wpaform2.doc•Retli es"for Departmental Action Fee Transmittal Form•rev.10/6/04
Massachusetts Department of Environmental Protection
is Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
and 237-1 to 237-14 Town of Barnstable Code DA- 15010
B. Determination (cont.) -
❑ 6. The following area and/or work,iir any, is subject to a municipal ordinance or by]
subject to the Massachusetts Wetlands Protection Act:
❑ 7. If a Notice of Intent is filed for th work in the Riverfront Area described on refer
and document(s), which includes 511 or part of the work described in the Request, t
must consider the following alternatives. ('Refer to the wetland regulations at 10.58
information about the scope of alto-natives requirements):
❑ Alternatives limited to the lot oii which the project is located.
El Alternatives limited to the lot oij which the project is located, the subdivided lot
adjacent lots formerly or prese tly owned by the same owner.
❑ Alternatives limited to the original parcel on which the project is located the
p 1 su
parcels, any adjacent parcels,: nd any other land which can reasonably be obt
the municipality.
❑ Alternatives extend to any sites which can reasonably be obtained within the a
region of the state.
Negative Determination
Note: No further action under the We'tl4ids Protection Act is required by the applicant.
Department is requested to issue a Sraoerseding Determination of Applicability, work m
on this project unless the Department fc ils to act on such request within 35 days of the
request is post-marked for certified mail'or hand delivered to the Department. Work ma
at the owner's risk only upon notice to Ae Department and to the Conservation Commi
Requirements for requests for SupersEsing Determinations are listed at the end of this
❑ 1. The area described in the Re u q ,esi is not an area subject to protection under the
Buffer Zone.
❑ 2. The work described in the Request is within an area subject to protection under t
not remove, fill, dredge, or alter that area. Therefore, said work does not require the
Notice of Intent.
® 3. The work described in the Request is within the Buffer Zone, as defined in the re
will not alter an Area subject to pro:tIction under the Act. Therefore, said work does
the filing of a Notice of Intent, sub' t
e d to the following conditions (if any).
a) Sediment controls shall be at the work limits;
b)_ Prompt-loarnin , seedin of di turhed area to follow.
❑ 4. The work described in the R'eyuesf is not within an Area subject to protection and
(including the Buffer Zone).Tholrefo e, said work does not require the filing of a Noti
unless and until said work alters an Vep,subject to protection under the Act.
wpaform2.doc•req,esl for Departmental Action Fee Transmittal Form•rev.10/6104
NAP—
Massachusetts Department of Ei�vironmental Protection
' Bureau of Resource Protection -Wetlands
WPA Form 2 — DeterZa.tion of Applicability
I� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
and § 237-1 to § 237-14 Town of Barnstable Code DA- 15010
B. Determination (cont.)
❑ 5. The area described in the Request is subject to protection under the Act. Since
described therein meets the iequlrjements for the following exemption, as specifie
the regulations, no Notice of Intent is required:
1 _
Exempt Activity(site applicable staklato y/recgui tory provisions)
❑ 6. The area and/or work describec in the Request is not subject to review and app
_Barnstable
Name of Municipality
Pursuant to a municipal wetlands ordnance or bylaw.
237-1 to §237-14 Town of Barnstable Code Chapter 237
Name Ordinance or By
C. Authorization
This Determination is issued to the applical`t and delivered as follows:
❑ by hand delivery on ® by certified mail, return recei
MAR - 9 2015
Date Date
This --Determination Is valid for three years the date of issuance (except Determinatio
Vegetation Management Plans which are valid for the duration of the Plan). This Deterrnin
relieve the applicant from complying with all other applicable federal, state, or local statutes
bylaws, or regulations.
This Determination must be signed by a m i'jor ty of the Barnstable Conservation Commissi
must be sent to the appropriate DEP Regiolial Office (see
htt1i;l/tnww.tiiaSs-.cLv!dp� bout/re ion.findl�r.htrn)and the property owner(if different fro
applicant).
t sic
gnaturs fi
Q,1 f
--6V— -
Date
wpaform2.doc-Ret ILiest ror Departmental Action Fee Transmittal Form•rev,10/6/04
i
I
Massachusetts Department of Environmental Protection
-- Bureau of Resource Protection - Wetlands
{` WPA Form 2 — Determina,flon of Applicability
. Massachusetts Wetlands Proteetioi� Act M.G.L. c. 131, §40
and 237-1 to 237-14 Town of B rnstable Code DA- 15010
D. Appeals
The applicant, owner, any person agc;.i;eved by this Determination, any owner of land abut
upon which the proposed work is to be.done, or any ten residents of the city or town in whi
located, are hereby notified of their right to request the appropriate Department of Environ
Protection Regional Office (see htt //ww i-na5s.gov/d'bp/about/r6,qion.find. our.li m)to iss
Superseding Determination of Applicability. The request must be made by certified mail or
to the Department, with the appropriate filiiltg fee and Fee Transmittal Form (see Request f
Departmental Action Fee Transmittal Form) as provided.in 310 CMR 10.03(7)within ten b
from the date of issuance of this Determine tion. A copy of the request shall at the same ti
certified mail or hand delivery to the Conse.rv<ation Commission and to the applicant if he/s
appellant. The request shall state clearly a 7:d concisely the objections to the Determination
appealed. To the extent that the Determination is based on a municipal ordinance or bylaw
Massachusetts Wetlands Protection Actor regulations, the Department of Environmental
no appellate jurisdiction.
wpaform2.doc•Reo�est for Departmental Action Fee Transmittal Form•rev.1016/04 S
� a
Barnstable
Town of Barnstable
B"MAs� Board of Health
rfn�u►tA 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
March 5, 2015
Mr. Peter McEntee, P.E.
12 West Crossfield Road
Forestdale, MA 02644
RE: 489 South Main Street, Centerville A = 206-063,
Dear Mr. McEntee,
You are granted variances, on behalf of your client, Margaret Richardson, to construct an
onsite sewage disposal system at 489 South Main Street, Centerville. The variances granted
are as follows:
310 CMR 15. 405: To install the soil absorption system beneath six feet of soil
cover, in lieu of the three feet maximum soil cover allowed.
310 CMR 15. 405: To install the soil absorption system five feet away from the
front property line, in lieu of the minimum ten feet separation
distance required.
Section 360-1 of the Town of Barnstable Code: To construct a soil absorption system
twenty-seven (27) feet away from a coastal bank, in lieu of the minimum
100 feet separation distance required.
Section 360-1 of the Town of Barnstable Code: To construct a soil absorption system
sixty-four (64) feet away from a vegetated wetland, in lieu of the minimum
100 feet separation distance required
Section 360-1 of the Town of Barnstable Code: To install a septic tank thirty six (36)
feet away from a coastal bank, in lieu of the minimum 100 feet separation
distance required.
Section 360-1 of the Town of Barnstable Code: To construct a septic tank seventy-
three (73) feet away from a vegetated wetland, in lieu of the minimum 100
feet separation distance required.
Q:\WPFILES\489SouthMainSepticVarMcEntee-RichardsonFeb2Ol5.doc
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The variances are granted with the following conditions:
(1) No more than four (4) bedrooms are authorized at this property. Dens,
study rooms, offices, finished attics, sleeping lofts, and similar-type rooms
are considered "bedrooms" according to the MA Department of
Environmental Protection.
(2) The applicant shall record a properly worded deed restriction, signed by
the owner of the property, at the Barnstable County Registry of Deeds
restricting the property to four bedrooms maximum. A copy of the
recorded deed restriction shall be submitted to the Health Agent prior to
obtaining a disposal works construction permit.
(3) The septic system shall be instaPed in strict accordance with the revised
engineered plans dated January 17, 2015.
(4) The designing engineer shall supervise the construction of the onsite sewage
disposal system and shall certify in writing to the Board of Health that the system
was installed in substantial compliance with the submitted plans dated January
17, 2015.
These variances are granted because physical constraints at the site severely restrict the
location of a soil absorption system due to vegetated wetlands bordering three sides of this lot.
The proposed system appears to be designed to meet the maximum feasible compliance
standards contained within the State Environmental Code, Title V.
Sincerely yours,
Wayne Miller, M.D.
Chairman
Q:\WPFI LES\489SouthMainSepticVarMcEntee-RichardsonFeb2015.doe
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nntMA4Si;>e, Board Of Health
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9�0 o Ma�a��� 200 Maid 8tr�et,'Hyyannis MA.02601
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Office: 508-862-4644 Wayne Mi
FAX: 5 0'8-790-6304 Paul Cann
.luniehi Sa
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March 5, 2015.
Mr. P ter McEntee, P.E.
12 West Crossfield Road
Forest dale, MA 02644
1
RE: 489 South Main Street, Centerville A =
Dear Mr. McEntee,
You fire granted variances, on behalf of your client, Margaret Richardson, to con
onsit 6 sewage disposal system at 489 South Main Street, Centerville. The variance
are al follows:
310 CMR 15. 405- To install the soil a ,sorption system beneath six feet of soil
cover, in lieu of the three feet maximum soil cover allowed.
310 CMR 15. 405: To install the soil a sorption system five feet away from the
front property line, in lieu f the minimum ten feet separation
distance required.
Section 360-1 of the Town of Barnstable Code: To construct a soil absorpti
I twenty-seven (27) feet away from a coastal bank, in lieu of the
:
100 feet separation distance required.
E
€ Section 360-1 of the Town of Barnstable Code: To construct a soil absorpti
sixty-four (64) feet away from a vegetated wetland, in lieu of the
100 feet separation distance required
Section 360-1 of the Town of Barnsti,able Code: To install a septic tank thirt
feet away from a coastal bank, in lieu of the minimum 100 feet s
distance required.
I
Section 360-1 of the. Town of Barnstable Code: To construct a septic tank
three (73) feet away from a vegetated wetland, in lieu of the mini
feet separation distance required.
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The variances are granted with the following conditions:
{ (1) No more than four (4) bedrooms are authorized at this property. De
study rooms, offices, finished attics, sleeping lofts, and similar-type roo
I are considered "bedrooms" according to the MA Department
I Environmental Protection.
i (2) The applicant shall record a properly worded deed restriction, signed
the owner of the property, at the Barnstable County Registry of Dee
restricting the property to four bedrooms maximum. A copy of t
recorded deed restriction shall be submitted to the Health Agent prior
obtaining a disposal works constjruction permit.
3 The septic system shall be i nstalled in strict accordance with th
I engineered plans dated January 17, 2015.
(4) The designing engineer shall s ipervise the construction of the onsit
Idisposal system and shall certify in writing to the Board of Health that th
was installed in substantial compliance with the submitted plans date
17, 2015.
These variances are granted because physical constraints at the site severely re
locati.nn of a soil absorption system due to vegetated wetlands bordering three sides
The roposed system appears to be designed to meet the maximum feasible c
standards contained within the State Environmental.Code, Title V.
i
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Sincerely yours
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Wayne MI,filler, M.D.
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I QAWPFILEM4MouthMainSepticVarMcEn tee-Richardsm&620 5Aoc
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LEGEND
-- N
20---- EXISTING CONTOUR
X - Raad
20.12 EXISTING SPOT GRADE tial
l5 PROPOSED CONTOUR cn�rcn
`n s
—W— EXISTING WATER SERVICE awe eo�o e
OVERHEAD WIRES
r 0 8.ta WETLAND FLAG �Ar a
V 206
WETLAND SYMBOL w �
TEST PIT
BENCHMARK
�e5
LOCUS
�66
s 62 9600 2,of 1s.P. LOCUS MAP
NOT TO SCALE
MBLU 206-063
Salt marsh
V-107
4.42 — -1
4.78 V-105
5.71
1
7.01
4.50 V-102
ef.. Y{et/onds m 4.71
4,40 4.62
:40
c. 1 COA77AL-5MIK
4.66
V-103
£XISTING SEPTIC TANK
RIM, EL-7'5.83
to / 000,ANiVUAC \ INV.(OUT)=11.48f
' V-109 \o
Deck o A
y; w 5 40 .q \ 8.75 s,
EXISTING
x 15. �-
HOUSE (J/489) EXISTING TRENCH
e 'n (SEE NO TE�7—SHEET 2)
rr\ 11 �{ I 27 1 I j (OF=17 24 I °e ./�a� \ TO BE REMOVED
(NAVD88)iw
/y MADEP POLICY 92-1
Figure 3
4.16 /o`-o .76 a 3 FLAG P k 9.56
MADEP POLICY 92-1
Figure 2 DrIve \\�\T 1014 X
1/ �1499 15803 14 _.. ' -BAR
BENCHMARK / \ 15.7 3 Q Q ?. 10.2
OUTSIDE CDR./STOOP paved) ^� O �p�y ti 1018
EL.=13.31 (NAVD88) 1 I N :73 /�699 8;.''� / e'"ren
1 36'. i y 1147_ p�
1517 1T 5A6' ;! �1
6 '
5.47
V-111 CULVERT TyC1P '
3 14.7 x Q. kd e 12.9
5.27 14 4�I �" � �
V-112 CULVERT / tr UP of 3'
_s) 13 4 p1._6 0
� 62� 'A
MADEP POLICY 92-1
Figure 2
F NC PAST
�16.3P
a 7
13.78 O�
UP
1375
WETLAND DELINEATION PROPOSED SEPTIC SYSTEM UPGRADE PLAN
VACCARO Envlronmentcl Consulting
Sand 489 SOUTH MAIN STREET, CENTERVILLE, MA
Sanwicish, M MA 02563 A
(508) 888-5855 Prepared for: Charles Richardson, 33 Linwood St., Andover, MA 01810
FLOOD PLAIN DATADATA OWNER OF RECORD Engineers: surveyors; SCALE DRAWN JOB.NO.
MAP NO. 25001CO563J RICHARDSON, MARGARET M Engineering Works,Inc. WARNER SURVEYING 1"=20' P.T.M. 260-14
EFFECTIVE DATE: JULY 16, 2014 770-342 SALISBURY ST 12 West Crossfield Road 22 Long Rood DATE CHECKED SHEET N0.
ZONE AE (EL12) NAVD88 DATUM WORCESTER, MA 01609 Forestdole,MA 02644 Harwich,MA 02645
(508)477-5313 (508)432-8309 1/17/15 P.T.M. 1 Of 2
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL:11.00
FOR A DISTANCE OF 15' AROUND THE
SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S.
INSTALL h-20 RISERS, FRAMES & COVERS OVER INSTALL RISER & COVER PROPOSED S.A.S.
INLET & OUTLET, SET TO 6" OF FINISH GRADE
SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND
T.O.F.=17.2t SET TO 3' OF F.G. TO SERVE AS INSPECTION PORT
F.G. EL.=16.1t F.G. EL.=15.8t - F.G. EL.=15.5t F.G. EL.=15.Ot
CHARCOAL VENT
3'(mox.)
L = 25' L = 8' L=23'
0 S=1%(MIN.) 0 S=1%(MIN.)
4"SCH40 PVC - 4"SCH40 PVC 4"SCH40 PVC /2-LAYER OF 1 8"TO 1/2-
-T
DOUBLE WASHED STONE
to'I 1 6 aa (OR APPROVED FI,.TER FABRIC)
eases
INV.=11.50 48"DQUID
14a aaa f -3/4'TO 1-1/2"DOUBLE
LEVEL /
AD° J ' INV.=10.97 PROPOSED a' 4.8' a' WASHED STONE
-
aA5 BAFFLE D BOX INV.=10.80 EFFECTIVE WIDTH = 12.8'
INV.=11.25 3 OUTLETS
H-20 INV.=10.50
PROPOSED SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS
H-20 SURROUNDED WITH STONE AS SHOWN
CONNECT TO EXISTING SEWER H-20 RATED
AT, OR ABOVE, INV.=11.75 TOP CONIC. ELEV,=11.6t
BREAKOUT ELEV.=11.00
NOTES: INV. ELEV.=10.50 ease
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE aaaaaa eases
INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=8.50
2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' 3 X 8.5=25.5 4'
TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH
SIX INCH CRUSHED STONE BASE. AS SPECIFIED PERVIOUS MATERIAL
IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION
3) INSTALL INLET & OUTLET TEES AS REQUIRED. EST. HIGH G.W., EL.=2.94 -
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE T
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL.
SEPTIC SYSTEM PROFILE
GENERAL NOTES: SOIL LOG
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL DATE: DECEMBER 16, 2014 (REF#14,592)
BOARD OF HEALTH AND THE DESIGN ENGINEER. SOIL EVALUATOR: PETER McENTEE PE(SE#1542)
2.ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS WITNESS: DONNA MIORANDI R.S. HEALTH AGENT
OF LOCAL THE STATE
ENVIRONMENTAL CODE, L V.
AND REGULATIONS, EXCEPT REQUESTED BELOW:BLE
RULES ELEV. TP-1 DEPTH ELEy. TP-2 DEPTH
-310 CMR 15.405(1)(a)&(b): la 1 0" 140 0"
1) A 5' variance, S.A.S. to property line (front), for o 5' setback. FILL FILL
2) A 3' variance to the maximum cover requirement of 3', for 12.3 22•• 12.3 20"
o maximum cover of 6'. A A
-LOCAL REGULATION Chapterg 360. Article 1 - Setback Requirements SANDY LOAM SANDY LOAM
3) A 73• variance, S.A.S. to coastal bank, for o 27' setback. 11.8 B 10YR 4/2 28" 11.8 B 10YR 4/2 26"
4) A 36' variance, S.A.S. to vegetated wetland, for a 64' setback. SANDY LOAM SANDY LOAM
5) A 64' variance, septic tank to coastal bank, for a 36' setback. 10YR 5/8 C 10YR 5/8
6) A 27' variance, septic tank to vegetated wetland, for a 73' sett,ck. 10.7 C 42 10.7 40
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR MED. SAND MED. SAND
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 2.5Y 6/6 2.5Y 6/6
DESIGN ENGINEER.
2,94 LUNAR HIGH 2,gq LUNAR HIGH
T ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING G.W. G.W.
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 1.7 OBS. G.w. 149" 1.7 CBS. G.W. 148"
ENGINEER BEFORE CONSTRUCTION CONTINUES. 0.1 168" 0.0 168"
5. ALL ELEVATIONS BASED ON NAVD88. PERC RATE <2 MIN/IN. (ON FILE P-11,568, 12/4/06)
6, THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF "C" HORIZON SAND IS CONSISTENT WITH PERC
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. GROUNDWATER MONITORING WELL INSTALLED
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. OBSERVED HIGH G.W. OVER LUNAR TIDAL CYCLE, EL=2.94
8, THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. i
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS %/EXISTING/;/'
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE �'FI�USE
DIRECTED BY THE APPROVING AUTHORITIES. '
10, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION.
11, WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
IN THE AREA BENEATH AND FOR 5. ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL.
13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND M 1
IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. •
N �-
1n N
DESIGN CRITERIA
NUMBER OF BEDROOMS: 4 BEDROOMS
SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF)
DESIGN PERCOLATION RATE: <2 MIN/IN
DAILY FLOW: 440 GPD Poi S A
DESIGN FLOW: 440 GPD - 'N
GARBAGE GRINDER: NO-not allowed with design
LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF
.74 GPD/SF S.A.S. LAYOUT
PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY (H-20)
PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-20 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE GALLON LEACHING CHAMBERS IN SERIES 489 SOUTH MAIN STREET, CENTERVILLE, MA
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES
SIDEWALL AREA: 2(12.8' + 33.5') X 2 = 185.2 S.F. Prepared for: Charles Richardson, 33 Linwood St., Andover, MA 01810
BOTTOM AREA: 12.8' x 33.5' = 428.8 S.F. Engineers: Surveyors: SCALE DRAWN JOB.NO.
TOTAL AREA:.............................................................614.0 S.F. Engineering Works,Inc. WARNER SURVEYING N.T.S. P.T.M. 260-14
12 West Crossfield Road 22 Long Road DATE CHECKED SHEET NO.
DESIGN FLOW PROVIDED:0.74 GPD SF 614.0 SF = 454.4 GPD Forestdole,MA 02644 Harwich,MA 02645
/ ( ) (508) 477-5313 (508)432-8309 1/17/15 P.T.M. 2 of 2
THI Town of Barnstable P#__ �.._
Department of Regulatory Services
F Public Division_ Health Division Date I y 14
�4 abJQ 200 Main Street, yanais MA 02601
rFo
Date Scheduled
Time Fee Pd. _
Soil Suitability Assessment for Se e D, 's
M y r
erforfned-By: �Lf'2✓ 0 "t. �C�`�•�� ���'J.S'L1 - (✓i �,
Witnessed By; I,�
LOCATION & G1+�NERAL INFORMATION F`' >
align Address �O
1 O �vv� I t * Ol i✓I S i'-_ . Owner's Name ( .1 J L��C ►1 '�5 Q.�
CC,"7_kk -A Address 77Q " Y Z L-7(01
ssessor's Map/Parcel; � �p—Q Engineer's Name
iaj e-EW CsONSTRUCTION REPACK Telephone# SC-7Cs -7 -7-
Land Use E-!2;�1�t a
Slopes(9'0) Surface Stones_ ��A--
D stances from; Open Water Body L&3 ft possible Wet Area � 70 ft Drinking Water Well 21y y ft
Drainage Way_ (20/ 1�0 ft Property Line - 1 0 ft Other ft
S TCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes)
i
I r
Paren material(geologic) 4�
6,)��� Depth to Bedrock.
Depth to Groundwater, Standing Water in Hole;, I) d l Weeping from Pit Roe,
13stimi led Seasonal High Groundwater l o�t0 — ^�Jyy/\ LpGG>=(LS Q Vr=6L L-1jN A rZ_ Cy LLC
DETERNIINATION FOR SEASONAL HIGH 'WATER TABLE
Meth used;
Depth Observed standing in obs, hole; In, Depth to soil motti4st l
Depth to weeping from side of obs,hole; n'
(index ell# p g °�-�--�I" Groundwater .Adjustment „�� ft,
Reading Date; Index Well leb.ol Adel,Aotor- Adj.Oroundwater l.ovel o
IObsery tion PERCOLATION TEST Data a_
ole# F, Timoat4"
epth f Perc
Time at 6" ,_,
tart Pr -soak Time p Zflj 1�4 Tlma(9"�6")
!nd Pre soakateMi ,/Inch.ite Sul ability Assessment; Site Passed a.
Site Falled; Additional Testing Needed(Y/N)_
riginal Public Health Division Observation Hole Data To Be Completed on Back----•------
-*If ercolation test is to be conducted within 100' of wetland, you must first notify the.
am table Conservation Division at least one (1) week prior to beginning.
;SSE ICV'ERCFORM,DOC AO
DEEP.OBSERVATION HOLE LOG Hole#
Boll Color Soil Other
F_?.
h from Boll Horizon Soil Texture Mottling '(Structure,Stones;Bou der%
ce.(in.) (USDA) (Munsell)
i st tc
2�I �
51
--� . Hole# �
DEEP OBSERVATION HOLE.LOG
Soil Other
Depth from Soil Horizon Soil Texture Soil Color Mottling Structure,Stones,Bo Ideas,
Surface(in.) (USDA) (Munsell) g
s sto ra
t"Ir
DEEP OBSERVATION HOLE LOG Hole#
Soil Other
Depth from Soil Horizon Soil Texture Soil nsell) Motding (Structure,Stones,Boulders,
Surface(in.) (USDA) (Munsell) Consistency, c Gray 1)
TION HOLE LOG _.
DEEP' OBSERVATION Hole #
zon Soil Texture Soil Color Soil Other
Depth frorn Soil Hon (USDA) (Munsell) Mottling (Structure,Stones,Bo Iders,
Surface(in.) s' en
a
Flood Insurance Rate-Ma :
Above 500 year flood boundary No-- Yes ..
Within 500 year boundary No r Yes x_;,-
Within 100 year flood boundary No Yes
Depth 0f Naturally OrcurrinQ JPervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughou the
are
a S proposed for the soil absorption system?
P
If not, what is the depth of naturally occurring perviou s material?
Certification
I certify that on i 1`tn S (date) I have passed the soil evaluator examination approved by t e
Department of Environmental Protection and that the: above analysis was performed by me consiste t wit
the required training, expertise and experience descried in 10 CNM 15,017,
� �i✓� L Date t Z �16
i
Signature
Q;�SBpTjC�p9RCFORM.DOC