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Home My WebLink About0019 VINE AVENUE - Health 19 Vine Avenue 226-027 Centerville No. ` Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppliLation for Disposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System 21ndividual Components Location Address or Lot No. �� Vt d��i 0 Owner's Name,Address,and Tel.No. 'r(e Assessor's es `s'`ly t.r � Installer's Name,Address,and Tel.No. -��7 (, t i*Lpr® Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) L Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintp2 e of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 o thjalth. nvironmental de and not to place the system in operation until a Certificate of Compliance has been issued by this Boar Signe Date O f 1 lyf gel Application Approved by Date Application Disapproved by Date for the following reasons Permit No. � 305 Date Issued 5 UI A' No. { �' Fee— a 2. THE COMMONWEALTH OF MASSACHUSETTS �—Entereaincomputer: Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplicaton for Disposal bpstem (Construction Vermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System PlIndiidual Components Location Address or Lot No. �cA V 1 ne,. Owner's Name,Address,and Tel.No. k4t Asses orr'sMap/Parcel z.11, 02 ^� 3 u �b c� a4V� Installer's Name,Address,and Tel.No. �7 L;t b{ ��Q Designer's Name,Address,and Tel.No. �1 W Type of Building: i Dwelling No.of Bedrooms Lot Size sq.ft. Garbage_Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures a Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision ate Title Size of Septic Tank Type of S.A.S. Description of Soil *Y3 Nature of Repairs or Alterations(Answer when applicable) Q, I h S � r f ' a Date last inspected: Agreements The undersigned agrees to ensure the construction and maime of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 o the Environmental a and not to place the system in operation until a Certificate of Compliance has been issued by this Boar H alth. Signed . .° a' Date O r ,��1,r" Application Approved by �'$ r Date ; 4. y Application Disapproved by Date for the following reasons Permit No. Date Issued • THE COMMONWEALTH OF MASSACHUSETTS ' BARNSTABLE,MASSACHUSETTS Certificate of Cote fiance , THIS IS TO CERTIFY,that the On-site Sewage Disposal sysfem Constructed( ) Repaired( ) Upgraded(�(j Abandoned( )b at r` has been constructed in ac rdance with the provision., of and the for Disposal System Construction Permit N dated `'\Installer Designer #bedrooms Approved design—flow gpd The issuance of this rmit s all not be construed as a guarantee that the system wil ncti �designe Date Inspector --------------------------------------------------------------------------------------------------------------------------------------- No. I v� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposaf 6pstem Constrnttlon Permit Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at ) ( � /�(� , 4e*\tid44(14 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date ��/ Approved by C 0k, w .o go 4 �&ti,. , f r � NOTES ZONING SUMMARY �wf w TAA 1.VERTICAL DATUM IS HAMM (HORIZONTAL NAD83) ZONING DISTRICT: CRAIGVILLE VILLAGE NEIGHBORHOOD-CV 2 THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO REQUIRED: EXISTING: PROPOSED: NOTE LOT SIZE DOES NOT INCLUDE THE FEE OWNED IN BE USED FOR LOT LINE STAKING OR ANY OTHER UNCONSTRUCTED R.O.W. OF OCEAN AVE PURPOSE. MIN. LOT SIZE 87,120 S.F. 12,392 S.F. 12,392 S.F. OR MAP 226 PCL 32 OWNED IN COMMON WITH LOCUS l .r MIN. LOT FRONTAGE 75' 126.01' 126.01' J° 3 CONTRACTOR SHALL BE RESPONSIBLE FOR CARE MIN. FRONT SETBACK 15'(OR EXIST.) 0.8' 0.8, LOT SIZE WOULD BE 26,982 SF INCLUSIVE OF THESEDIGSAFE a �. LOCATION OF ALL UNDER}})AND OVERHG THE AREAS. LOCATION of ALL UNDERGROUND&oVTRHEAD ununEs MIN. SIDE SETBACK 10'.(OR EXIST.) 17.4' 17.4' PRIOR TO COMMENCEMENT OF WORK. MIN. REAR SETBACK 10' 34.9' 34.9' 4.EMSIING SEPTIC LOCATION PER TIE-CARD SYSTEM FILE MAX. BUILDING HEIGHT 30'(OR EXIST) 3,.5' 31.5' HARDSCAPE CALCULATIONS: WITH M. EXISTING 9 BURN 5. T5 SYSTEM WITH MAX. BUILDING COVERAGE 1,800 S.F. 2,701 S.F. 4.317 S.F.' PASSING INSPECTION 9-29-ROWS. MAX. LOT COVERAGE 3,300 S.F. 4,328 S.F. 4,317 S.F.• HARDSCAPE VATHN BANK 0-50' 50-100' ao.d: men toes 6 WETLAND DEUNEATION BY HAMLYN CONSULTING GROSS FLOOR AREA <25%INC. SP 7.715 S.F. 6,827 S.F.• g; EXISTING: 610 SF 2187 SF 1313 SF $' 6.SEE BUILDING PLANS BY NORTHSIDE DESIGN FOR SITE IS LOCATED WITHIN CRAIGVILLE VILLAGE NEIGHBORHOOD OVERLAY DISTRICT DETAILS ON HOME IMPROVEMENTS AND FLOOR AREAS, •LESS THAN 25%INCREASE IN GROSS FLOOR AREA OF STRUCTURES AND PROPOSED: 480 SF 2468 SF 1227 SF EXISTING BASEMENT AREA BELOW PORCH IS TO BE LESS THAN 10%INCREASE IN LOT COVERAGE OF HOME/SITE IN EXISTENCE AS REMOVED AND REPLACED WITH OPEN PILES AND ONLY p0 INTERIOR FOUNDATION WALL TO REMAIN.MULTI LEVEL. OF JULY i, 1989 BY SPECIAL PERMIT PER SECTION 240-131.4(D)(2)(0)(4+5) INCREASE: -130 SF 281 SF -86 SF Rm e HOME BEST DESCRIBED BY DETAILED FLOOR PLANS. OF THE ZONING BYLAW. 1,TanC�et 7.EXISTING 2DDO GAL SEPTIC TANK TO BE MOVED AND ROTATED AS SHOWN.INSTALLER TO WIN SIZE AND SUITABILITY FOR REUSE.REPLACE ARY NEW TING MAP 226 P L 0 LUDO GAL SEPTIC TANK IF NECESSARY.EXISTING SE LEACHING CATI N, BE SNORED UP PRIOR TO SEPTIC TANK RELOCATION.REBUILD LEACHING FlELD AFTER /' RIG7F 02/B L /\\ LOCUS MAP RELOCATION AS NECESSARY.MATCH ALL EXISTING p / GRADE& / 1p SCALE 1'=2000't ASSESSORS MAP 226 PARCEL 27 LOCUS IS WITHIN FEMA FLOOD ZONE AE(EL 13) &X (AREA OF MINIMAL FLOOD HAZARD) AS G� MAP 226 PCL 027 SHOWN ON COMMUNITY PANEL#25001C0564J DATED 7-16 ,29 VINE AVE -14 HOUSE IS NOT MAPPED IN A \\ BRADFORD TRULL TR. FLOOD HAZARD ZONE. HISTORICALLY \4. 29 VINE AVE MOW/ \\ 21990/8 / SLE NOTE INNER RIPARIAN�W OWNERS OF RECORD / ZONE / / 100' / ° KEVIN SHEA AND KIMBERLY BLAKE / / EXISTING HUSBAND AND WIFE AS TENANTS BY THE ENTIRETY o / ' 9 ° 166 GOOD HILL ROAD, WESTON,CT 068113 / FOUNDATION OLD BOATHOUSE 100• MAP 226 PCL 032 / \,/ q \ %::.° G0�1 OUTER RIPARIAN ,W REFERENCES - Z / /21 OCEAN AVE. ,\��1F} 'kQo / DKEVIN SHEAB 29427 PC 282 2 / / ' 4.)&h??6 ZONE to DEED BOOK 29427 PG 282 / J 4 AO EXISTING nI .�.��..� � f <4 °7A 6 STAIRS / PLAN BOOK 185 PAGE 91 sj $y�ILr 0, , / REMOVE EXISTING RETAINING oo. OR,e/ / :. .:.:::SG6` 1 .7aS�AE 0 TO BE / WALL, RSTOADE WI NATURAL R./ --a.? SLOPE, STOP MOWING AREA, � � W �/ ALLOW TO REVERT TO NATURAL - VEGETATION. / BVW3 'Obq�O /4Z WLL/SILT FENCE , / 3:. a� t1 / �,/�S EXTING DWEIS LLING k19 f SITE PLAN AOF TOMOF BALRNSI'ABLE �� - \� .. "a0 N �j '/ Q��/ �\\\OP ��tt\• 7f #19 VINE AVENUE (MARSH) CENTERVILLE, MA ATED qg 2�,/G �O/ tip PREPARED FOR FN° 5SEE"°"' •; ,�� "h! KEVIN SHEA & KIMBERLY BLAKE Jr, .Z.1T° 6 B t \1 EXISTING DATE: NOVEMBER 1,2016 AR TO ON /2 SEPNC 0 // / REVISED: 11-11-2016(ADJUST ZONING DATA TABLE) 9 SYSTEM 1 REVISED: 11-14-2016(CONSCOM NOTES WALL/LAWN) 2 55 7Oq. REMNNO }.// MAP 226 PCL 025 REVISED: 11-30-2016(UPDATED ZONING SUMMARY) FRED B&LEONORA A ,{[0, REVISED: 12-19-2018(REVSED BUILDING PLANS) A. , WILLIALIS REVISED:2-3-2017(SEPTIC TANK LOCATION) DB 15731 PG 306 `)/ �C4'/ - 26 PROSPECT AVE 11 506-362-A541 CENTERILLE,MA =20 fax.8-362-9880 / I do....P=.00m 0 225 PCL 026 / SCOle:1" 17 AVE U down cape engineeiind,i17C. NANCY RAKE EN civil engineers 16 SO EW O / 0 10 20 30 a0 50 FEET 9 KEENE N 0343 land surveyors 939 Main Street (Rte 6A) YARMOUTHPORT MA 02675 DICE #16-121 a 6-iz, N%ssage Page 1 of 1 Stanton, David From: Stanton, David Sent: Wednesday, February 08, 2017 8:45 AM To: 'dgonsalves@downcape.com' Cc: Daniel A. Ojala PE, PLS Subject: RE: 19 Vine Avenue Hi Danny, As long as you can hold the same minimum setback for the tank as granted by the Board of Health, you will not need to go back before them. The variance granted.was for a 60.5' setback to the wetland. You might have to tweak the plans you proposed slightly as it looks like the new location is a hair closer to the wetland based on the drawing showing the existing septic tank location, but appears doable. If you cannot meet the minimum 60.5' setback granted by the Board, then you would need to go back to the Board of Health to request a new variance. Thanks, Dave -----Original Message----- From: dgonsalves@downcape.com [mailto:dgonsalves@downcape.com] Sent: Monday, February 06, 2017 3:46 PM To: Stanton, David Cc: Daniel A. Ojala PE, PLS Subject: 19 Vine Avenue Dave, We are working on a project at 19 Vine Avenue in Centerville.They are proposing a porch addition.The existing septic tank will need to be rotated to facilitate the installation of a porch support. Because of its proximity to the wetland would we need a Board of Health Hearing to approve the plan?The plan has already been approved with Conservation but we will need to refile this revised plan. I have attached a copy of the plan for your reference. Please let me know if you have any questions. Thanks, Danny E. Gonsalves, EIT Engineer in Training Down Cape Engineering, Inc. Tel:508-362-4541 Fax:508-362-9880 This Electronic Message contains information from the engineering firm of down cape engineering,inc., which may be privileged. The information is intended to be for the use of the addressee only. If you are not the addressee,note that any disclosure,copy,distribution or use of the contents of this message is prohibited. 2/8/2017 Sep 29, 2015 20:52 Jim The Inspector Man 5085349919 page 19 Commonwealth of Massachusetts Alf 0&-002� Title 5 Official Inspection Form b Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ry 19 Vine Ave Property Address Mary Woodbury . Owner Owners Name information is / required for every Centerville !/ MA 02632 9-29-15 page. Citylrown State 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 formster, �2 on the computer, 7 ��.xx``��NtOFrr�rr�r��i� use only the tab key to move your 1. Inspector: "''•-.,q . cursor-do not ';James D.Sears = :� JAM ES �N use the return :M__ key, Name of Inspector o a Ca ewide Enter rises,LLC . �►•.o o : Company Name 153 Commercial Street ''��,FS•INSP� t, Company Address Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S1623 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 16.006).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority c� 9-29-16 spector'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 is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""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. !Sins•3r13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Sep 29 2015 20:52 Jim The Inspector Man 5085349919 page 20 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury Owner information is Owner's Name required for every Centerville MA 02632 9-29-15 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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: Pump chamber cover should be raised to grade. The system is a 2000 Gal. Tank, 1500 Gal. H-20 pump chamber and 35'x 40' Dosing Field 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 inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): I 15ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Sep 29, 2015 20:52 Jim The Inspector Man 5085349919 page 21 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 19 Vine Ave Property Address Mary Woodbu Owner Owner's Name information Is Centerville required for every MA 02632 9-29-15 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 (corl ❑ 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): ❑ 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 ❑ NO (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 health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 15ins-3/13 Tille 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Sep 29 2015 20:52 Jim The Inspector Man 5085349919 page 22 44 Commonwealth of Massachusetts i v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury Owner Owner's Name tion isrequired for every very Centerville MA 02632 9-29-15 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. ❑ The system has"a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 pprn, 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 vinewp ♦I is less than 6" below invert or available volume is less than %day flow ,-F,40111 IG l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disp osal posal System-Page 4 0117 Sep 29 2015 20:52 Jim The Inspector Man 5085349919 page 23 commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury Owner Owners Name information is Centerville required for every MA 02632 9-29-15 page. CitylTown 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, 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- 10,0009pd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems; To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone I I 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. isins•an a Title 5 Official tnspection Form:Subsurface Sewage Disposal System-Page 5 of 17 I Sep 29 2015 20:53 Jim The Inspector Man 5085349919 page 24 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury Owner Owners Name Information is required for every Centerville MA 02632 15 State page. Cityrrown o Zip Code Date 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: ® ❑ 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): 9 Number of bedrooms(actual): 9 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 990 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 r Sep 29, 2015 20:53 Jim The Inspector Man 5085349919 page 25 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury Owner Owner's Name information is required for every Centerville MA 02632 9-29-15 page. City/Town State Zip Code Date of Inspection D. System Information Description: The system is a 2000 Gal. Tank 1500 Gal H-20 Pump Chamber and 35'x40' Dosing Field. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ® Yes ❑ No Water meter readings, if available(last 2 years usage (gpd)): 2013-55,000Gals Detail: 2014-66,000Gal's Sump pump? ❑ Yes ® No Last date of occupancy: NA Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3(13 Title 5 Orliclal Irr-rection Form:Subsurface Sewage Disposal System-Page 7 of 17 Sep 29 2015 20:53 Jim The Inspector Man 5085349919 page 26 Commonwealth of Massachusetts U Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury Owner Owners Name information is required for every Centerville MA 02632 9-29-16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NA 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 ❑ Tight tank. Attach a copy of the DEP approval. ® Other(describe): Pump Chamber 15ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Sep 29 2015 20:53 Jim The Inspector Man 5085349919 page 27 commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury Owner Owner's Name informrequire for is every Centerville required for eve MA 02632 9-29-15 page. CityRbwn state Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2004 Permit#2004-430 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 3' feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: rest Comments (on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH 40. Septic Tank(locate on site plan): Depth below grade: 27" feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2000 Gal. Precast H-10 Sludge depth: 1" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Sep 29 2015 20:53 Jim The Inspector Man 5085349919 page 28 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury_ Owner Information is Owner s Name required for every Centerville MA 02632 9-29-15 page. Cityrrown State Zip CDde Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29 Scum thickness ill Distance from top of scum to top of outlet tee or baffle 81' Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Asbuilt-Tape-Plan Sludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank at working level, Tank at 27" below grade w/both covers at 6". In and outlet tee's. No sign of leakage or over loading. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Sep 29 2015 20:53 Jim The Inspector Man 5085349919 page 29 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury Owner Owners Name information is required for every Centerville MA 02632 9-29-15 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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: Capacity: gallons Design Flow: gallons per day 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 t5ins•3113 Title 5 Offidal Inspection Form:Sumurrece Sewage Disposal System•Page 11 or 17 Sep 29 2015 20:54 Jim The Inspector Man 5085349919 page 30 Commonwealth of Massachusetts Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury Owner Owners Name information is required for every Centerville MA 02632 9-29-15 page. Cityrrown 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 NO BOX Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber (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.): Pump chamber is a 1500 Gal. H-20 Precast tank. Chamber at 28" below grade. Pump and alarm working. Chamber clean. Note: Cover on um chamber should be raised to grade. * 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: Gns-3113 Title 5 Official Insoeot on Form:Subsurface Sewage Disposal System-Page 12 of 17 Sep 29. 2015 20:54 Jim The Inspector Man 5085349919 page 31 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t 19 Vine Ave Property Address Mary Woodbury Owner Owner's Name information is required for every Centerville MA 02632 9-29-15 page. City/Town State Zip Code Date of Inspection D. System Information (cost.) Type: ❑ leaching pits number: ® leaching chambers number: 35'x40' ❑ 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.): Leachng is a 35'x40' Dosing Field. Ran pump, probed above and beside field. No sign of over loading or holding water. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No 15ins•3113 Title 5 Official Ins�eM.on Form:Subsurface Sewage Disposal System-Page 13 of 17 Sep 29. 2015 20:54 Jim The Inspector Man 5085349919 page 32 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury Owner Owners Name information is every Centerville required for eve MA 02632 9-29-15 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 Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, 15ins•3M 3 Tithe 5 Official Inspection Form:Subsurface Sewage Disposal Syslem•Pago 14 of 17 Sep 29, 2015 20:54 Jim The Inspector Man 5085349919 page 33 Commonwealth of Massachusetts w , Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 19 Vine Ave Property Address Mary Woodbury Owner Owner's Name information is required for every Centerville MA 02632 9-29-15 page. Cityrrown 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 t5ins•W13 Title 5 Official Inspeclion Form:Subsurface Sewage Disposal Systen-Page 16 of 17 Sep 29 2015 20:54 Jim The Inspector Man 5085349919 page 34 11 TOWN OFBARNSTABLE LOCATION V l/t C, AV C, _ SEWAGE #(040,1 yid VILLAGE C ��rcr �(e . ASSESSOR'S MAP& LOT INSTALLER'S NAME,&PHONE NO.-z, hck., ' ``k6 lcj- • eta 8 SEPTIC TANK CAPACITY QA-G G E- Ce(_ f?', •• LEACMNG FACILITY: (type) (size) NO.OF BEDROOMS r BUILDER OR OWNER_ �1��eta r�I'tsbf 4�1 PERMITDA M AAJ C�,T ' O�{ COMPLIANCE DATE:_ S�e T a-p L-t Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by .. A 3-' - 3 5 - 971 C6 Sep 29 2015 20:54 Jim The Inspector Man 5085349919 page 35 Commonwealth of Massachusetts l Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 19 Vine Ave Property Address Mary Woodbury Owner Owners Name information is required for every Centerville MA 02632 9-29-15 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells ND Estimated depth to igh ground water: 12 feet 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: 12-1M3 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: You must describe how you established the high ground water elevation: T.H. on Design plan 12-18-03 no G.W. at 12'. Bottom of field T+above T H depth Before filing this Inspection Report, please see Report Completeness Checklist on next page. l5ins 3113 Title 5 Official inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Sep 29 2015 20:54 Jim The Inspector Man 5085349919 page 36 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 19 Vine Ave Property Address Mary Woodbury Owner Owners Name information is required for every Centerville MA 02632 9-29-15 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 17 of 17 I r r No, 0 Q o30 60 /l1 V , �� Fee Pp r^✓�a�l THE COMMONWEA(UTH OF MASSACHUSETTS Entered in compute, Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for �Mpoml *p5tem Cow6truction Verrait Application for a Permit to Construct( )Repair( )Upgrade(p/)Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 19 /r) e Owner's Name,Address and Tel No. ^ CA" Assessor's Map/Parcel Ce,J/ 1/1c k� V`., _a •;vt.�:i 2 /" `�7/� �� a _ Installer's Name,Address and Tel.No. Designer's Name,Address and Tel.No. Type of Building: ' Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder(A14 Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow qc1 c) gallons per day. Calculated daily flow >1990 gallons. Plan Date /tC� /Tr;2pC� Number of sheets / Revision Date Title Size of Septic Tank Aopo G m 6 Type of S.A.S. 1)( O r Q-A a ►z�� Description of Soil AS yCle-A-)a Nature of Repairs or Alterations(Answer when applicable) V 1/" Sl ov f s tIU 5-006 Ci4gmiee Dii By �3s ,f Lto d %cl}cyiScf Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss d by this Board of)HP h Signed Date "fin`- 00,41 Application Approved by Date —/ _p Application Disapproved for the following reasons Permit No. 2(1 d-U0 Date Issued �� No. .. L- — 3 V 600 � Fee loo -;' THE COMMO WE OF MASSACHUSETTS Entered in computer: 4. Yes PUBLIC HEALTHf DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS r I Application for Zigpogar *pgtern Congtruction j3ermit Application for a Permit to Construct( )Repair( )Upgrade(j/jAbandon_( ) ❑Complete System ❑Individual Components Location Address or Lot No. ! -.��°f A g Owner's Name,Address and Tel No. Assessor's Map/Parcel UnJ rC "�jU ral�C`J f�r�D/��1D�^`s .' —1 cr- Z. Stu a t�v Q /y6 ,>/ T'06 Installer's Name,Address,and Tel.No.`` Designer's Name,Address and Tel.No. f`IACe- hQ.t `�.t i, .S {i r ��. pr'i 1raCr".��Rf eC-1C. ryI?sA !• ,Type of Building: ,. f Dwelling fi No of Bedrooms . Lot Size sq.ft. Garbage Grinder(/(/'f Otlier " Ty rof$ail ing No. of Persons Showers( ) Cafeteria( ) J of therFixtures / Design Flow �q gallons per day. Calculated daily flow /19Q)O gallons. Plan Date ` t Title Number of sheets�/ Revision Date 1�$P 0y Size of Septic Tank AnooG Al. Type of S.A.S. 3,5*')e�jol leACH Ve h Description of Soil 4 c?.o Nature of Repairs or Alterations(Answer when applicable) e Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Hea h. Signed Date �3-Lm C-111-i 00,Y Application Approved by Date Application Disapproved for thV following reasons Permit No. o oq- 3o Date Issued `I f=U THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ) Repaired( )Upgraded(A,-1 Abandoned( )by 6�_,r,r c ,;, o r•a 1 at V _ e has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2 0 - lI 31 dated /7_0 L/ Installer Zt,,,)e e �n C C,, t k',=r Designer , n e r,n f Fc flag ry1 The issuance f t 's permit shall not be construed as a guarantee that the sys it nction s designed. Date 7� L Inspector 1Mr., No. l Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Oigpogaf *pgtem Congtruction permit Permission is hereby granted to Construct( )Repair( )Upgrade( k<bandon( ) System located at rc A,.A.. E0 A and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of thj i . Date:�%!��)�f Approved by vt �� r r1 TOWN OF BARNSTABLE LOCATION �'1 V1A C. rive- SEWAGE # Y:30 VILLAGE CPA ��e . ASSESSOR'S MAP& LOT 22 -(j INSTALLER'S NAME;&PHONE NO. hQ.W-�-� SEPTIC TANK CAPACITY 2,o0-o GN(_ /S1917��( [�v� C,6 LEACHING FACILrrY: (type)'DNS t (size) x ya l NO.OF BEDROOMS BUILDER OR OWNER rn l� P'eb9 q�c1 PERMrrDATE:-A;,yL'J1 - OY COMPLIANCE DATE: Sr2'7' 2-C)`t Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �a a $ 1 87 � C B E6 Cs r DEED RESTRICTION WHEREAS,United Church Board of Craigville Conference Center,Craigville,Massachusetts(is) are the owner(s)of the land together with the buildings and improvements thereon situated at 19 Vine Avenue,Craigville,and more particularly described as Lots 27&32 on Map 226 recorded with the Barnstable County Registry of Deeds in Plan Book 185 page 91(also Plan Book 89 page 61). Said lots containing 21,217 square feet+-according to said plan;and WHEREAS,I(We)as owner(s)of said Lots 27&32 have agreed with the Town of Barnstable Board of Health to a restriction on the number of bedrooms that can be included in any home now existing or hereafter constructed on said lot as a pre-condition to obtaining a Certificate of Compliance for the on-site septic system repair/replacement/installation recently completed on said lot pursuant to State Environmental Code,Title V,310 CMR 15,000 et.seq.;and. WHEREAS,the Town of Barnstable Board of Health as a pre-condition to granting the Certificate of Compliance is requiring that the agreement to restrict the number of bedrooms in any home now existing or hereafter constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document; NOW, THEREFORE, I(we)do hereby place the following restriction on the above referenced parcel in accordance with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: I 1. Any home now existing or hereafter constructed on the above-referenced Lots 27&32 shall contain no more than Nine(9)bedrooms. We agree that this shall be a permanent deed restriction affecting the above-referenced Lots 27& 32 also known as 19 Vine Avenue,Craigville,Massachusetts,as shown on said plan recorded in the Barnstable County Registry of Deeds.This restriction may be released by the Town of Barnstable's Board of Health should regulations change or sewer become available. For our title see Deed recorded in the Barnstable County Registry of Deeds Book 1252 Page 400. Executed as a sealed instrument this \S'th day of 2004 United Church Board Commonwealth of Massach t ts Barnstable, SS. te: _2004 Then personally ap ea ed the above—named and acknowledged the foregoing instrument to b fr t and deed before me. Notary Public y commission expires: NOTARY PUBLIC) My Commission upiPes March 5,2010 Printed;R06E09 200aplT13:09:32 BARNST JOKN COUNTY DE, ANISTER iSEEOS Trans#: 24009 Opor:WENDb ■uaavadnsnn�osa�ennnnu�o_.enuaa�:e Book: 18696 Pap; 252 IWO: 45636 Ctio: 1375 poc:6-09.2004 w 1:07:12p BARN 19 VINE AVENUE OOC DESCRIPTION TRANS AMT . -__ _-�I UNITED CHURCH BOARD RESTRICTION 10.00 rsc fee 10.00 Srch�gs CPA $�0.00 20,00 Ststs . ®e 40. 40.00 Surcharge Tech $5,00 5.00 total less; 75.00 • WO: 1376 Recc6-09-2004 6 1:07:12p DOC DESCRIPTION TRANS .AMT POSTAQE FED....... ------ Mail per Page fee .30 www Toul Charges: 75.aO CHECK PM 6289 75.50 8EP-03-2004 01 :29 PP1 YCENGINEERING 508 273 0367 Po02 t'Own ®t Barnstable RegulAt®ry Services 0SI Tholuas F. Deiler,Director Public Health Division Thomas McKesu,Director 2001MWA Street,Hyannis,MA 02601 Office; 506-862-4644 F4x: 508-790.6304 Inst&Uer& Desigge Cgrtiftlgon Form Date- 13 dy IDesi er:. rl kiC iic c/ P 11 cu1'1Jt S �onJi.� ---®.. Insta9lea: ._. / � ri klehnr Address: A��at'k � Address: �! S On 83-(q-OX� Bruce _A 1At r was issued a permit to install a stt (installer septic system at jl V re IQJenuP . Cedrrl;1lP IM based on a design drawn by a010't' (address) ti.e t(oi 9Z/1c dated (des }—_- X I certify that the septic system referenced above was installed substantially according to the design, r�.°hich may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. ... I certify that the septic syysstem referenced above was installed with major changes (Le. treater 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. Plari revision or cova a as-built by designer to follow,.. .. .... . Mtn ar• c ��1t✓iiG!si:.l. � (SnSt 1er's Signature) }4 Myer s Patara esi teunp� iere3 (EASE O D YST LE PUBLIC IS ION. FICA UE C MPLI l� NOT D - T 1g1� C T Q,Hes1thJ3aptia/Dazigner ConMeation Form L_ LETTER OF TRANSMITTAL JC Engineering Inc. Civil&Environmental Services 2854 Cranberry Highway e p ` Telephone: 508-273-0377 E.Wareham,MA 02538 Facsimile: 508-273-0367 TO: Town of Barnstable DATE: 9/30/04 JOB NO. 591 Board of Health RE: Proof of recording':Deed Restriction" 200 Main Street 19 Vine Avenue Barnstable,MA 02601 Craigville,MA A WE ARE SENDING YOU: X Enclosed _ Under separate cover via X the following: Report _Prints _Brochures Shop Drawings Specifications _Copy of Letter _Change Order Contract Documents Enclosed please find a copy of the Proof of Recording of the Deed Restriction for 19 Vine Avenue, Craigville,MA. The document was recorded in the Barnstable County Registry of Deeds in Book 18696,3Page 252�i; , on June 9,2004. If you have any questions,please contact our office. M C)1 _0 C� THESE ARE TRANSMITTED as checked below: Ln rn For Approval _Resubmit Copies for Approval X For Your Use _Approved as Noted Copies for Distribution As Requested _Returned Approved as Submitted Returned —For Review and Comment X For Your Information REMARKS COPY TO:_ -File/Client SIGNED: 6- Re ecca R:Figueroa Bk 18696 Ps-252 -lor-45636 06-09-2004 & O1 = 07P DEED RESTRICTION WHEREAS, United Church Board of Craigville Conference Center,Craigville,Massachusetts(is) are the owner(s)of the land together with the buildings and improvements thereon situated at 19 Vine Avenue,Craigville,and more particularly described as Lots 27&32 on Map 226 recorded with the Barnstable County Registry of Deeds in Plan Book 185 page 91 (also Plan Book 89 page 61). Said lots containing 21,217 square feet+-according to said plan;and WHEREAS,I(We)as owner(s)of said Lots 27&32 have agreed with the Town of Barnstable Board of Health to a restriction on the number of bedrooms that can be included in any home now existing or hereafter constructed on said lot as a pre-condition to obtaining a Certificate of Compliance for the on-site septic system repair/replacement/installation recently completed on said lot pursuant to State Environmental Code,Title V, 310 CMR 15,000 et.seq.;and WHEREAS, the Town of Barnstable.Board of Health as a.pre-condition to granting the Certificate of Compliance is requiring that the agreement to restrict the number of bedrooms in any home now existing or hereafter constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document; NOW, THEREFORE, I(we)do hereby place the following restriction on the above referenced parcel in accordance with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: 1. Any home now existing or hereafter constructed on the above-referenced Lots 27&32 shall contain no more than Nine(9)bedrooms. We agree that this shall be a permanent deed restriction affecting the above-referenced Lots 27&32 also known as 19 Vine Avenue,Craigville,Massachusetts,as shown on said plan recorded in the Barnstable County Registry of Deeds. This restriction may be released by the Town of Barnstable's Board of Health should regulations change or sewer become available. For our title see Deed recorded in the Barnstable County Registry of Deeds Book 1252 Page 400. Executed as a sealed instrument this \S" th day of , 2004 .. 'U-�WG�C�G7iI�y�i� `C_._/ A LLl_/4•-�-��C/LG-Jv. . United Church Board Commonwealth of Massach tts Barnstable, SS. 7e: 2004 Then personally ap ea ed the above-named and acknowledged the foregoing instrument to b fr and deed before me. OnNotary Public y commission expires: , Q .aa 9 NOTARY PUBLIC: a My Commiselon Expj'�§. March 5,2010n�'' ta 'a 4 AN a��AltPi..Crt4lrl�Ita��Y, BARNSTABLE REGISTRY OF DEEDS ...., Town of Barnstable >�xrrsraas,�, 6 9. Board of Health " A 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. April 2, 2004 Mr. John L. Churchill, Jr., P.E. JC Engineering, Inc. 2854 Cranberry Highway East Wareham, MA 02538 RE;:::';. 1911rne Avenue, Centerullle A= 226=027 Dear Mr. Churchill, You are granted conditional variances on behalf of your client, United Church Board, to construct a replacement sewage disposal system at 19 Vine Road, Centerville, Massachusetts. The variances granted are as follows: 3 PART VIII, SECTION 1.00: The soil absorption system will be located 72 feet away from a bordering vegetated wetland, in lieu of the one-hundred feet minimum separation distance required. PART VIII, SECTION 1.00: The soil absorption system will be located 72 feet away from a bordering vegetated wetland, in lieu of the one-hundred feet minimum separation distance required. PART VIII, SECTION 1.00: The septic tank will be located 60 feet away from a bordering vegetated wetland, in lieu of the one-hundred feet minimum separation distance required. �y PART VIII, SECTION 1.00: The pump chamber will be located 61 feet away from a bordering vegetated wetland, in lieu of the one-hundred feet minimum separation distance required. PART VIII, SECTION 1.00: The soil absorption system will be located 25 feet away from a coastal bank, in lieu of the one-hundred feet minimum separation distance required. ChurchillUnited PART VIII, SECTION 1.00: The septic tank will be located 11 feet away from a coastal bank, in lieu of the one-hundred feet minimum separation distance required. 5 PART VIII, SECTION 1.00: The pump chamber will be located 13 feet away from a coastal bank, in lieu of the one-hundred feet minimum separation distance required. 310 CMR 15.211: The soil absorption system will be located five feet away from the side property line, in lieu of the ten feet minimum separation distance required. 310 CMR 15.211: The soil absorption system will be located five feet away from the front property line, in lieu of the ten feet minimum separation distance required. '. 310 CMR 15.211: The soil absorption system will be located five feet away from the foundation wall, in lieu of the twenty feet minimum separation distance required. 310 CMR 15.211: The soil absorption system will be located 25 feet away from a coastal bank, in lieu of the one-hundred feet minimum separation distance required. 3 310 CMR 15.211: The septic tank will be located 11 feet away from a coastal bank, in lieu of the one-hundred feet minimum separation distance required. 310 CMR 15.211: The pump chamber will be located 13 feet away from a coastal bank, in lieu of the one-hundred feet minimum separation distance required. 310 CMR 15.221(7): The top of the soil absorption system components will be installed five feet below grade, in lieu of the 36" maximum depth allowed below finished grade These variances are granted with the following conditions: (1) No more than nine (9) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. 2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to nine (9) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. ChurchillUnited The professional 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 engineered plans dated March 1, 2004. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the small size of the lot and it's close proximity to wetlands. Since r ly yours, Wa ne iller, M.D. Charm ChurchillUnited Town of Barnstable P# O(o, 6 y 3 of one r v a` o Department of Regulatory Services BAMSPABLE. : Public Health Division Date 1 a L90 y MASS 1639. �e� 200 Main Street,Hyannis MA 02601 ATFD MAt A / Date Scheduled b Time �. ✓�'! Fee Pd. ( 00 Soil Suitability Assessment.for Sewage Disposal Performed By: ] L ( PORCHi(L J 1? I , Witnessed By: Gt�cl LOCATION & GENERAL INFORMATION / Location Address G1 n J I- Owner's Name Cer��en�IrI P Address Assessor's Map/Parcel: a E %2-7 Engineer's Name—J C rnq,fir 6 NEW CONSTRUCTION REPAIR Telephone# __'5_0 3 Z-7 3 D 3 7 Land Use ►�,)��n/7�e�L Slopes(%) Surface Stones Distances from: Open Water Body �_ft Possible Wet Area OU' ft Drinking Water Well ft Drainage Way ft Property Line /ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) V 1 rJ -S I N 1. c L I r v� Parent material(geologic) Q U7WA-94 Depth to Bedrock �`11 r! Depth to Groundwater: Standing Water in Hole: I( y Weeping from Pit Face Estimated Seasonal High Groundwater 7 y`/ , DETERMINATION FOR SEASONAL HIGH WATER TABLE y� Method Used: /D rd E A vi�g� Depth Observed standing in obs.hole: �� in. Depth to soil mottles: / in. j_LC V A Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. w 1 7Y Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ Q V OR PERCOLATION TEST Date Z I g Time I /Z iPUC� _ Observation Hole Al I Time at 9" it I Depth of Perc d g Time at 6" Start Pre-soak Time a /�. 3 Time(9"-6") End Pre-soak '�•ZQ J� r Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) r v 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 Bars#able Conservation IN at least one(1)week prior to beginning. Q;HEALTI/WNERUORM DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other ' Surface(in.) (USDA) (Mansell) Mottling (Stricture,Stones,Boulders. Consistency.%Gravel) 2 A 2ZAMY -SAP-0 I D R 3 Z I2 J-,OALy A�JO io yg516 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) I DEEP OBSERVATIO N HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervi a material exist in all areas observed throughout the area proposed for the soil absorption system? - If not,what is the depth of naturally occurring pervious material? Certification I certify that on 7 (date)I have passed the soil evaluator examination approved by the Department of Env iron nental Protection and that th above analysis was performed by me consistent with the required training, xpe ise and expe 'ence es ibed in 310 CMR 15.01J7. f l Signature Date / g Q:HEALTH/W P/PERCFORM r Of THE DATE: RUMSi'ABLE, FEE MA88. sb;q FD,`MAr� REC. BY Town of BarnstableCHED. DATE: Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Susan G.Rask,R.S. Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 19 Vine Avenue, Centerville, MA Assessor's Map and Parcel Number: 2 2 6/2 7 Size of Lot:_1 2, 4 4 7 SF + Wetlands Within 300 Ft. Yes x Business Name: No Subdivision Name: APPLICANT'S NAME: r F.ncji naari ncy Tnr- Phone ( 508) 273-0377 Did the owner of the property authorize you to represent him or her? Yes X _ No PROPERTY OWNER'S NAME CONTACT PERSON Name: United Church Board Name: Judy Perella AddressCraiclville Conference Center Address:39 Prospect Avenue Phone: _ Phone: (5 0 8 ) 7 7 5—1 6 5 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) See Attached See Attached NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System X3 Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same^ - owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman ;. L NOT APPROVED ' i Sumner Kaufman,M.S.P.HI ;-Q -, REASON FOR DISAPPROVAL Wayne A.Miller,M.D. _ t m Internet Files\OLKFB\VARIREQ.DOC C:\Documents and Settings\decollik\Local Settings\Temporary NOTICE OF INTENT ABUTTER NOTIFICATION LETTER DATE: _3 RE: Upcoming Barnstable Conservation Commission Public Hearing MP ePKN'� �OwN�P,\,l pEP To Whom It May Concern, As an abutter within 300 feet of a proposed project, please be advised that a NOTICE OF INTENT application has been filed with the Barnstable Conservation Commission. APPLICANT: l:i^ Chu cc�. lac PROJECT ADDRESS OR LOCATION: IK V i n-c Ay tm CFa�4�i v; ASSESSOR'S MAP&PARCEL: MAP 11a PARCEL PROJECT DESCRIPTION: C- APPLICANT'S AGENT: 2154 Cranberry HiSUW Olt a am.1118 92M-131U- PUBLIC HEARING: Barnstable Town Hall, 367 Main Street,Hyannis Hearing Room-2nd floor DATE: 4 / f,3 / V L4 TIME: —� : ?�(� P.M. NOTE_: Plans and application describing the proposed activityare on file with the Conservation Commission,200 Main Street,Hyannis (508-862-4093) Q:\Consmt\WPFiles\FORMS\ABUTTER3.doc rev:21 JAN 03 LETTER OF TRANSMITTAL JC Engineering Inc. �.A Civil&Environmental Services 2854 Cranberry Highway 4'0 Telephone: 508-273-0377 E.Wareham,MA 02538 Facsimile: 508-273-0367 TO: Town of Barnstable DATE: 1-Mar-04 JOB NO. 591 Public Health Dept_____ RE: Variance Package 200 Main Street 19 Vine Avenue Hyannis,MA 02601 Centerville,MA WE ARE SENDING YOU: X Enclosed Under separate cover via X the following: Report X Prints Brochures Shop Drawings Specifications X Copy of Letter Change Order Contract Documents Enclosed please find four(4)copies of the completed variance request form,four(4)copies of the Septic System Upgrade Plan for 19 Vine Ave,Centerville,MA,four(4)copies of the floor plan, an authorization letter,and check#6056 for$85. As always,thank you for your help, THESE ARE TRANSMITTED as checked below: X For Approval Resubmit Copies for Approval For Your Use Approved as Noted Copies for Distribution As Requested Returned Approved as Submitted Returned For Review and Comment For Your Information REMARKS COPY TO: File SIGNED: Jonathan Novak y i JC ENGINEERING, Inc. Civil & Environmental Engineering 2854 Cranberry Highway East Wareham, Massachusetts 02538 Ph. 508-273-0377-Fax 508-273-0367 March 11, 2004 Thomas A. McKean Barnstable Board of Health Agent 200 Main Street Hyannis, MA 02601 RE: 19 Vine Avenue, Centerville, MA Dear Mr. McKean: Please find enclosed, a sewerage disposal design drawing entitled "Proposed Septic System Upgrade prepared for United Church Board Located and 19 Vine Avenue" dated March 1, 2004, for your review and approval. This project is necessary for the upgrade of an existing failed septic system. Due to site constraints,we are requesting the following variances from the Town of Barnstable Board of Health Regulations;Part VIIl,Section 1.00: (1) A 39.5' variance (100' to 60.5') for the setback from the bordering vegetated wetland to the septic tank, (2) A 38.7' variance (100' to 61.3') for the setback from the bordering vegetated wetland to the pump chamber, (3) A 27.6' variance (100' to 72.4') for the setback from the bordering vegetated wetland to the leaching facility, (4) An 88.1' variance (100' to 11.9') for the setback from the coastal bank to septic tank, (5) An 86.9' variance (100' to 13.1') for the setback from the coastal bank to pump chamber, and (6) A 75' variance (100' to 25) for the setback from the coastal bank to leaching facility. We are also requesting the following local upgrade approvals from 310 CMR 15.211, in accordance with 310 CMR 15.401-15.404: (1) A 5.0' variance (10' to 5.0') for the setback from the side property line to the leaching facility, o JC ENGINEERING, Inc. Civil & Environmental Engineering �4 2854 Cranberry Highway East Wareham, Massachusetts 02538 Ph. 508-273-0377—Fax 508-273-0367 (2) A (perty variance (10' to 5.0' or the setback from the front pr line to the lea ing facility, (3) Avariance (20' to - .0') for the setback from the foundation wall to the leaching facility (4) A 13.1' variance (25' to 11.9') for the setback from the coastal bank to the septic tank (5) An 11.9' variance (25' to 13.1') for the setback from the coastal bank to the pump chamber. (6) A 25' variance (50' to 25') for the setback from the coastal bank to the leaching facility. (7) A 2' variance (3' to 5') for the depth of coverage from the finish grade to the top of the SAS. Under maximum feasible compliance, we believe that by not allowing this waiver, the construction costs associated with the septic system would greatly increase and would be manifest and unjust, since the same degree of environmental protection will be upheld with the proposed design. We appreciate your time and consideration on this matter. Please contact me if you have any questions or concerns. Thank you for your assistance on this project. Sincerely, John L. Churchill Jr., P.E., C.S.E. President I r MA CONE UCr_ GOe 875 64SS 0�, 11iO4 LJG-7i,24pm P. 001 MASSACHUSErrS CONFERENCE OF THE UNITED CHURCH OF CHRIST Conference Center and General Offices C508)875-5233 • fax: (508)875-5485 • email:rnacucc@rnar.ucc.org One Badger Road,Framingham, MA 01702-55.17 • Web site: www.macucc.org March .I 1; 2004 Board of Health Town of Barnstable 200 Main St. Hyannis, MA 02601 Re: Declaration of Authorization Dear Members of the. Board: Let it be known that I, Dawn Hammond, acting on behalf of the Massachusetts Conference of the United Church of Christ, do hereby authorize.1C Engineering, Inc., of .East Wareham to represent my interests regarding the upgrade of the sewage disposal system located at 19 Vine Avenue, Craigville,MA in meetings both public and private. Sincerely, Dawn Harnmond Associate Conference Minister for Policy and Finance For the Massachusetts Conference,United Church of Christ BOH ABUTTERS LIST 19 VINE AVENUE, CENTERVILLE, MA MAP# LOT # (S) OWNER'S NAME & MAILING ADDRESS Leonora A & Fred B Williams 226 24, 25 PO Box 595 Hyannisport, MA 02647 Anne C. Trull 226 28, 33 23 High Ridge Road Boxford, MA 01921 Trustees Alertina D & Mahlon D Woodring 226 26 Woodring Real Estate Trust 7 Vine Ave. Crai ville, MA 02636 Town of Barnstable 226 31 367 Main Street Hyannis, MA 02601 United Church Board 226 32 Richard H Eggers, Jr. Craigville Conference Center Craigville MA 02636 Christian Camp Meeting Assoc. 226 40 29 Summerbell Ave. Craigville, Ma 02636 IL , JC ENGINEERING, Inc. Civil & Environmental Engineering 2854 Cranberry Highway East Wareham, Massachusetts 02538 Ph. 508-273-0377—Fax 508-273-0367 MEETING NOTICE Dear Abutter: You are hereby notified that there will be a public meeting on Tuesday, March 30, 2004 at 7:00 PM in the NTH Hearing Room in the Barnstable Town Hall, which is located at 367 Main Street, Hyannis, MA 02601. This meeting is to present variance requests associated with a Septic System Upgrade at 19 Vine Avenue, Centerville, Massachusetts. This project is necessary for the upgrade of an existing failed septic system. Due to site constraints, we are requesting the following Local Upgrade Approvals pursuant to 310 CMR 15.402- 15.405: (1) A 5.0' variance (10' to 5.0')for the setback from the side property line to the leaching facility, (2) A 5.0' variance (10' to 5.0') for the setback from the front property line to the leaching facility, (3) A 9.0' variance (20' to 11.0') for the setback from the foundation wall to the leaching facility (4) A 13.1' variance (25' to 11.9') for the setback from the coastal bank to the septic tank (5) An 11.9' variance (25' to 13.1') for the setback from the coastal bank to the pump chamber. (6) A 25' variance (50' to 25') for the setback from the coastal bank to the leaching facility. (7) A 2' variance (3' to 5') for the depth of coverage from the finish grade to the top of the SAS. We are also requesting the following variances from the Town of Barnstable Board of Health Regulations; Part VIII, Section 1.00: (1) A 39.5' variance (100.0' to 605) for the setback from bordering vegetated wetland to the septic tank. (2) A 38.7' variance (100.0' to 61.3') for the setback from a bordering vegetated wetland to the pump chamber. , (3) A 27.6' variance (100.0' to 72.4') for the setback from a bordering vegetated wetland to the leaching facility. (4) An 86.9' variance (100.0' to 13.1') for the setback from the coastal bank to the pump chamber. (5) An 88.1' variance (100.0' to 11.9') for the setback from the coastal bank to the septic tank. (6) A 75.0' variance (100.0' to 25.0') for the setback from the coastal bank to the leaching facility. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. Sincerely, John L. Churchi Jr.,P.E. President JLC/jto I 10'-1" BED 145 S.F.t —13'-4" LIVING 13, ROOM UNFINISHED Y CL. BASEMENT U w '-6" 0 6'-3" DEN BATH KITCHEN 3-6 10'-11" BASEMENT Floor Plan of 19 Vine Ave, Barnstable JC Engineering, Inc. 2854 Cranberry Highway January 29, 2004 E. Wareham, MA 02538 Prepared for United Church Board (508)273-0377 25' ENCLOSED PORCH 5'-2" { 10'-2" ---10' 35' FAMILY ROOM 15'-8" I-----12 ----{ FOP FARMER'S IF-E PORCH BED U 16'-3" 135 S.F.± 10'3" U 3'-9" CL. R12'-1" BED 13-9" 228 S.F.± 4' 13'-11" 1'-3" 3'-4" f-- BATH 1'-2 18'-9" '-4" 5'-4" 5' 4" 1—/ KITCHEN BED 5'-8" 84 S.F.± FARMER'S 6 PORCH 13'-10" 13'-5" 1 ST FLOOR Floor Plan of 19 Vine Ave, Barnstable JC Engineering, Inc. January 29, 2004 2854 Cranberry Highway E. Wareham, MA 02538 Prepared for United Church Board (508)273-0377 2'-10" 3' 2'_9" 12'-11" BED a Q 225 S.F.± 7'-6" 2'-2" 17'-6" 21 -7" BED CL. 51_1 if 13'-4" 3, 280 S.F.± BED 3'-9" 225 S.F.± CL. 13'-2" �-- 25'-10" 13'-10" CL. 3'_711 BATH 3'-10" 3'-3" BED 13'-10" —9'-5" 3' 300 S.F.± 15'-7" 7'-11" BATH BATH 8'-3" _ 511 BED 5'-9" 153 S.F.± 17' 15'-7" 9'-2" CL. 2'_6" 31_911 [::7 2N D FLOOR Floor Plan of 19 Vine Ave, Barnstable JC Engineering, Inc. 2854 Cranberry Highway January 29, 2004 E. Wareham, MA 02538 Prepared for United Church Board (508)273-0377 f 44' 27-6" ATTIC 1210 S.F. ATTIC Floor Plan of 19 Vine Ave, Barnstable JC Engineering, Inc. January 29, 2004 2854 Cranberry Highway E. Wareham, MA 02538 Prepared for United Church Board (508)273-0377 IC ENGINEERING, Inc. Civil & Environmental Engineering r 2854 Cranberry Highway East Wareham, Massachusetts 02538 Ph. 508-2 73-03 77—Fax 508-273-0367 RI5TO MEETING NOTICE MA of eA D�S ue �pNlNAep-SN Dear Abutter: You are hereby notified that there will be a public meeting on Tuesday, March 30, 2004 at 7:00 PM in the NTH Hearing Room in the Barnstable Town Hall, which is located at 367 Main Street, Hyannis, MA 02601. This meeting is to present variance requests associated with a Septic System Upgrade at 19 Vine Avenue, Centerville, Massachusetts: This project is necessary for the upgrade of an existing failed septic system. Due to site constraints, we are requesting the following Local Upgrade Approvals pursuant to 310 CMR 15.402 - 15.405: (1) A 5.0' variance (10' to 5.0') for the setback from the side property line to the leaching facility, (2) A 5.0' variance (10' to 5.0') for the setback from the front property line to the leaching facility, (3) A`9:0' variance (20' to 11.0') for the setback from the foundation wall to the leaching facility A 131' variance'(25' to 11.9 ) for the setback\from'the coastal bank to the septicJank -- (5) An 11.9' variance (25' to 13.1') for the setback from the'coa'tal bank to` the pump chamber. (6) A 25' variance (50' to 25') for the setback from the coastal bank to the leaching facility. (7) A 2' variance (3' to 5') for the depth of coverage from the finish grade to the top of the SAS. We are also requesting the following variances from the Town of Barnstable Board of Health Regulations; Part VIII, Section 1.00: (1) A 39.5' variance (100.0' to 605) for the setback from bordering vegetated wetland to the septic tank. (2) A 38.7' variance (100.0' to 61.3') for the setback from a bordering vegetated wetland to the pump chamber. (3),A 27.6' variance-(100.0' to 72.4') for the setback from a bordering vegetated wetland to the:leaching facility: (4) An 86.9' variance (100.0''to 13.1') for the setbackfrom the coastal3 bank to the pump chamber. i (5) An 88.1' variance (100.0' to 11.9') for the setback from the coastal bank to the septic tank. (6) A 75.0' variance (100.0' to 25.0') for the setback from the coastal bank to the leaching facility. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. Sincerely, / 1 e' John L. Churchi Jr.,P.E. President JLC/jto I BOH ABUTTERS LIST 19 VINE AVENUE, CENTERVILLE, MA MAP# LOT # (S) OWNER'S NAME & MAILING ADDRESS Leonora A & Fred B Williams 226 24, 25 PO Box 595 Hyannisport, MA 02647 Anne C. Trull 226 28, 33 23 High Ridge Road Boxford, MA 01921 Trustees Alertina D & Mahlon D Woodring 226 26 Woodring Real Estate Trust 7 Vine Ave. Craigville, MA 02636 Town of Barnstable 226 31 367 Main Street Hyannis, MA 02601 United Church Board 226 32 Richard H Eggers, Jr. Craigville Conference Center Crai ville, MA 02636 Christian Camp Meeting Assoc. 226 40 29 Summerbell Ave. Craigville, Ma 02636 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 theeverse ❑Addressee so that we can return the card to y Y Received by(Punted Name) C.,D a of livery ■ Attach this card to the back of the mailpiece, lv or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from itemm ? Ye If YES,enter delivery address below: ❑ No United Church Board Richard H Eggers, Jr. Craigville Conference Center Craigville, MA 02636 3. service Type Certified Mail ❑ Express Mail ❑ Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7003 3110 0002 0207 5571 (rransfer from secv,�ce -, e ;i, ; iii ;i i f cl ii ti [tI 7 WU// PS Form 381.1,August 2001 Domestic Return Receipt 102595-02-M-1035 i � Y n�► f^�e s a! UNITED STATES POSTAL SERVI 0 fiMA p- e5 laid u5 II` ' Y w i -..Permi-No.t�= - • • Sender: Please print your ` name, address, and ZIP+4 in this bo x !C Engineering,Ine. 2854 Cranberry Highway East Wareham,Ma 02538-1314 1�l)IIIJI11111JILIN 1 ! 1 . �. jffi j qq ipp � IIIIIli111j, a•s" y 5�& iiililtlllll�t�i1l#l41I1 _--- SENDER: SECTION . DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signatuft item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse Alllv-1" ❑Addressee so that we can return the card to you. . Recei by Printed Name) D e of livery ■ Attach this card to the back of the mailpie,,j ved F- l `v 67 or on the front if space permits. D. Is delivery address different from item ? Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Judy Perella 39 Prospect Avenue Centerville,MA 02632 3. Service type @PCertified Mail ❑ Express Mail ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number i ; 7003 3110 0002 0207 5588 (Transfer from service label)'+. PS form 3811,August 2001 Domestic Return Receipt 102595-02-M-1035 9 UNITED STATES POSTAL SERVICE rst-Clas i�� Pos F ao -10 p, Lo 13 ma • Sender: Please print ur;jWe ddress, ar ink ' i<nrhteertng,Inc. 9354 Cranberry Highway 1�a t Wareham, Ma 82588-1fl4 9 SENDER:ri SECTIONTHIS DELIVERY ■ Compldte items 1,2,and 3.Also complete A. Si n e item,4"i Restricted Delivery is desired. c Agent ❑A ■ Print your name and address on the reverse g so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. e1V P ht Name) C. Date of Delivery or on the front if space permits. PO 1. Article Addressed to: Q elivery a dress different from Rem 1? ❑Yes S,enter delivery address below: ❑No Leonora A&Fred B WiliiaMR 13 PO Box 595 113 Hyannisport, MA 02647 6- ervice Type S ertified Mail ❑ Express Mail Regist(Ved e ❑ Return Receipt for Merchandise ❑ Insured'Mail ' ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number -- -- --- -----...__..--_ - (ransferfromservice/abet 7003 3110 0002 0207 5564 PS Form wi i'August 2001 Domestic Return Receipt I i [ 1 j i i i • 102595-02-M-1035 t i T� iili+oi9{s �it i t,� 1 t Now ;UNITED STATES POSTAL SERVE MA O� tz �BF id • Sender. Please print y6buiame, address,-and ZIP+4°in this box• g F 1C EnBineering,lac. 2854 Cranberry Highway East Wareham.Ma 02538-1314 it 1111fit11111111111111ltt1��, lli�11111i1111i11111liduf1111111 SENDER: COMPLETE THIS SEC77ON COMPLETE THIS DELIVEPY ■ Completi items 1,2,and 3.Also complete A. S ature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse., Addressee so that we can return the card_to you. , , 13 R ived by(Printed Name) C. Die of Delivery ■,Attach this card to the back of the mailpiece±- 1 or on the front if space permits. D.Is delivery address different from item 1? ❑Yes 1.,Article Addressed to: If YES,enter delivery address below: ❑No Town of Barnstable 367 Main Street Hyannis,MA 02601 3. Service Type [XCertifed Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7003 3110 2�02 0227 5533 (TranAr from servlce labs t 5�R PS{Form 3811 IAligu'st 206i j Y Domestic Return Receipt i 102695=02--M•t640 4 UNITED STATES POSTAL SERVI ?-ESS �� irst-C pM os a e ai o• - 0 • Sender: Please print u -81a e, address;ar dZrP+4 In ' x • 1C Engineering,Inc. 2854 Cranberry Highway East Wareham,Ma 02538-1314 . SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. S' n lure 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..r „` g, eived by(Panted Name) C. D to Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1 es If YES,enter delivery address below: ❑No Anne C. Trull j 23 High Ridge Road s Boxford, MA 01921 3. service Type Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number -- - ------ - -- / (Transfer from`serviic ° ?0 0 3 ;3110 0 0. 2; 0 2 0 7 5 S W0 PS Form 38+1 1•,August 2001 + s Domestic Return Receipt { t + f _;; { + +;t i p 102595-02-M 035 9 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • SULLIVAN ENGINEERING INQ, P.O. BOX 655 7 PARKER ROAD OSTERVILLE, MA 02655 4 �IIil1Il1111111ItIII.t Ulf it11l111111!!I!lIJI 111111111111111111 TOWN OF BARNSTABLEL, LOCATION tG�V-�tA C, AV e• SEWAGE #C000q-1✓30 VILLAGE C�✓t i e -ASSESSOR'S MAP & LOT a INSTALLER'S NAME&PHONE NO. ec � `� r lio8 -,a SEPTIC TANK CAPACITY o ,oo O t LEACHING FACILITY: (type)'I)C$6 VLe N (size) NO.OF BEDROOMS BUILDER OR OWNER U� �eb C-L, i—zo Arsl PERMIT DATE: A�J COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Al - oa�,� f A 97 Bq - C4 - / I� R TOP OF FOUNDATION FINISH GRADE OVER LEACHING FIELD= 16.0'-20.0' I GENERAL NOTES SLOPE @ 2% MIN. OVER SYSTEM f 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION ELEV.= 24.901 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROLL � 2"OF 1/8"TO 1/2" DOUBLE WASHED STONE HANDHOLE TO GRADE 2"CAP TO GRADE AT END METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE FINISHED GRADE OVER ALL CAPS OF ALL PIPES ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. @ FND. = VARIES .__ _PROVIDE CONCRETE COVERS TO WITHIN 6" OP OF S.A S =15.00' 12"MIN. 60" MAX. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD -, OF FINISHED GRADE FOR ALL COMPONENTS 3"MI 18" -� OF HEALTH AND THE DESIGN ENGINEER. 2"SCH.40 TO 3 2" MANIFOLD CONTINUOUS PITCH BACK _-____m _ FINISH GRADE OVER TANKS EL.= 14.00'- 15.00' TO PUMP CHAMBER BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. � 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL I 1 4. TO PREVENT BREAKOUT,THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN 2" SCH.40 FORCE MAIN �_` _ EXISTING 4" L= 19.76'-55.76' ° 1-1/4" PERFORATED LATERAL BOTTOM OF TRENCH TO BE LEVEL EL. = 14.20' 12„ ELEVATION=15.0'FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A C.I. PIPE 5 ELBOW 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF �� , SET LEVEL INV. ELEV. = 14.70 1/4" PERFORATION TO BE PLACED (MIN THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. PROPOSED 2"x 1-1/4"TEE PRESSURE DOSING IN THE END CAP VERTICALLY 5' MIN. ' 4"SCH. 2"MANIFOLD S=0.5 FT/FT NEAR THE CROWN OF THE PIPE 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. _- - 2" DROP MIN. FIELD PROFILE GROUND WATER ELEV= < 5.00' MIN.SLOPE°(�% � 3„ 3" DROP MAX. 9' 40 PVC BACK TO FORCE MAIN -- -- AT THE END OF EACH LATERAL. 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. PIPE LENGTH=20' = SLOPE @ 1%min. NOT TO SCALE _ CONCRETE THRUST BLOCK 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK � L = 18.85' FINISH GRADE OVER LEACHING FIELD= 16.0'-20.0' 14" 1/4" PERFORATION AT 5 O'CLOCK PERFORATION AT 7 o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION.SYSTEM IS 1 1 �� 4' INV. OUT= O'CLOCK(TYP.) O'CLOCK(TYP.) SLOPE @ 2/o MIN. OVER SYSTEM NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. -- LIQUID 10.75' '4 TOP OF S.A.S. =15.0' 1-1/4" PVC PERFORATED � LEVEL 10.50' 5' 10' 12 MIN.60"M PIPE 8. ELEVATIONS BASED ON ASSUMED DATUM OF 22.21'MSL OBTAINED 11.00' TANK BOT. 2' (TYP.) 3/4"TO 1-1/2"DOUBLE FROM A MAG NAIL IN ROAD AS SHOWN ON PLAN. 6.25' �^ INV. �� ,^- __li I N WASHED STONE TO INLET TEE EL.= 1A A ' -*= _ - - ��y}}(��,� P STONE 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION -"MCA-1 . -^-- .`"Y�,'^- 1 2"OF 1/8"TO 1/2" DOUBLE 1 , ;Z CROWN OF PIPE THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE 6" CRUSHED STONE 0> D - --` �✓' o WASHED STONE -: I AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY OVER MECHANICALLY 10.25 EFFECTIVE m 8 m z -------- -------- i i I i i 6" DISCREPANCIES TO THE DESIGN ENGINEER. COMPACTED BASE K o o-n -✓ ,- . I + I I + DEPTH LENGTH 12'-0" WIDTH 6'-67 DEPTH 6'-0" LENGTH 10'-6" WIDTH 5'-8„ DEPTH 5'-7" Z "' I 00 10• ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE INV. I �_ t I 7 O'CLOCK 5O CLOCK 2' 6' 6' 2' STRUCTURES SHALL BE MADE WATERTIGHT. TANKS SHALL BE INSTALLED ON A LEVEL STABLE BASE EL.-14.25' �� , ---- -- TANKS SHALL BE WATERTIGHT 1-1/4"LATERAL TYP. 5 MIN. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR 35' 40' ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN H-10 2000 GALLON SEPTIC TANK H-10 1500 GALLON PUMP CHAMBER A PLAN VIEW FIELD END VIEW A-A GROUND WATER ELEV= < 5.00' SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. NOT TO SCALE NOT TO SCALE 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS NOT TO SCALE NOT TO SCALE __-__ _ -__ - __ - __ _ _ ___ LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH TEST PIT DATA ; CASE THEY SHALL WITHSTAND H-20 LOADING. , 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT,DUST AND FINES. ... ! David W. Stanton, RS 14. WHERE REQUIRED,CONTRACTOR SHALL REMOVE ALL LOAM,SUBSOIL AND UNSUITABLE INSPECTOR: • .+ John L. Churchill Jr. P.E. MATERIAL IN AREA BENEATH AND FOR 5 FT.ON ALL SIDES OF LEACHING FACILITY. _ Q K? SOIL EVALUATOR: REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, DATE: December 18, 2003 FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). MAP 226 -A"` •• TEST PIT#: 1 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES \ �' �" . - FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. N%LOT TRULL \ "i`' ` ELEV TOP- 17.00' t i 16. PROPOSED PROJECT IS LOCATED WITHIN: s�6'° . a • ELEV WATER= > 12' BGS ASSESSORS MAP 226 LOT 27&32 p9, 100' WETLAND OFFSET • Q a �`""' PERC RATE _ <2 MIN/IN FEMA FLOOD ZONE A10&C s�� ppF • • • �� v AS SHOWN ON COMMUNITY PANEL# 250001 0008 D 50'WETLAND OFFSE � • ••. � tr • DEPTH OF PERC - 40"-58" � • • see It 1 I �� • �`• • •• !y 17. OWNER OF RECORD: UNITED CHURCH BOARD 1 f - • �.: .� : • TEXTURAL CLASS: 1 ADDRESS: CRAIGVILLE CONFERENCE CENTER MEAN HIGH WATER ` OBSERVED ELEVATION 1 �r f� {. CRAIGVILLE, MA 02636 OF 2.2' ON 2/4/2004 5\-O�G� ` ; i \ , ••s+�`,�-' ; f I) 0 17.00' 1 18. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. co 6� ` ��6'° ` *. .. A Loam Sand ' ,-ra villlt y i 19. PLAN REFERENCE: PLAN BOOK 185, PAGE 91 p � 10YR 3/2 - - PLAN BOOK 89, PAGE 61 \ 70 \ �,I� FLOOD ZONE �" 12" 16.00' DEED REFERENCE: DEED BOOK 1252, PAGE 400 03 r' HAYBALE LINE / \ 20. IN ACCORDANCE TO 310 CMR 15.401-15.404,THE FOLLOWING LOCAL UPGRADE APPROVALS CO ^ Loamy Sand o �}; � \ I I COASTAL BANK 1 -� rr O C B 10YR 5/6 ARE REQUESTED: / `� ' � - -� 7 J CB--TIPPED � _\ !� / � � ___,_� 36" 14.00' (1 ) A 5'VARIANCE THE LEACHING(FACILITI'. R THE SETBACK FROM THE SIDE AND FRONT PROPERTY LINE TO MAP 226 i i „ a �i� ° / �`b I y-, 40 13.67' (2.) A 15'VARIANCE(20'-5')FOR THE SETBACK FROM THE FOUNDATION WALL TO THE LOT 32 J i I `�O / / ' *'' I Pere. LEACHING FACILITY. 8,770 S.F.± P ♦u'- �` �.�/ � 58" 12.1T (3) AEPTIC TANK. (25'-11.9')FOR THE SETBACK FROM THE COASTAL BANK TO THE O 6 I 1 \ 4in e `�`-' S 0 / 1 \ ! 17 (4.) A 11.9'VARIANCE(25'-13.1')FOR THE SETBACK FROM THE COASTAL BANK TO THE F-M Sand PUMP CHAMBER. �}}TILLE (5.) A 25'VARIANCE(50'-25')FOR THE SETBACK FROM THE COASTAL BANK TO THE LEACHING FACILITY. ♦ J / O °g �ti \ MAP 226 (6•) A 2'VARIANCE(T-5')FOR THE DEPTH OF COVERAGE FROM THE FINISH GRADE TO THE TOP OF THE SAS. PROPOSED 2000 LOT 28 LOCUS U No Groundwater or 21. THE FOLLOWING LOCAL VARIANCES ARE REQUESTED: •,CB-DH(FND) / \ N/F TRULL SCALE. 1 = 1000 Weeping Observed (1.) A 39.5'VARIANCE(100' 60.5')FOR THE SETBACK FROM THE SEPTIC TANK TO A GALLON SEPTIC TANK i / ` / \ BORDERING VEGETATED WETLAND. d'p,ppp,, / / ��O / / I\ -EX�"` C�SSP OLS J 144" 5.00' (2.) A 38.7'VARIANCE(100'-61.3')FOR THE SETBACK FROM THE PUMP CHAMBER TO A TO BE , .JMPED FILLED ' -- -- - - BORDERING VEGETATED WETLAND. 4 ♦ �'�� „VITN CLEAN SAND{TFIL INSTALL 1-1/4" PVC TO HOUSE.JOINTS TO BE MADE (3.) A 27.6'VARIANCE(100'-72.4')FOR THE SETBACK FROM THE LEACHING FACILITY TO A Q' WATERTIGHT.WIRE PUMP AND FLOATS TO SIMPLEX BORDERING VEGETATED WETLAND. CONTROL PANEL No. 1-CC2 NEMA-1 MFG. HOOVER (4.) A 88.1'VARIANCE(100'-11.9') FOR THE SETBACK FROM THE COASTAL BANK TO THE SEPTIC PROPOSED / INSTRUMENTS. TANK I 3 O / /` I CLEANOUT S / = NEMA 4 JUNCTION BOX CORROSION RESISTANT& (5.) A 86.9'VARIANCE(100'-13.1') FOR THE SETBACK FROM THE COASTAL BANK TO THE PUMP / �S`° ' CHAMBER TO GRADE u?p,° LIQUID-TIGHT CABLE CONNECTORS SUPPORTED HOISTING CABLE 7 x 19 STAINLESS i PROPOSED 1500 GALLON �. i f / _ / �j / / O° CONNECTORS SUPPORTED BY 1-1/4"PVC CONDUIT, (6.) A 75'VARIANCE(100'-25') FOR THE SETBACK FROM THE COASTAL BANK TO THE LEACHING PUMP CHAMBER----� / � - a�� / _ ' C / EXISTING F JOINTS TO BE MADE WATERTIGHT STEEL 1/8 DIA. / 1,760 LB. STRENGTH FACILITY 9-BEDROOM 6'' 2"BALL VALVE w/UNIONS SCH. 80 PVC 2 / �� / / DWELLING p0- _ ``�/ GEORGE FISHER CO. MODEL NO. 560 -- ♦ // // TOP =24.9' _18_,� �V 18" „ 4. 2„SCH.40 / / �� ` 10" "SCH.40 TEE w/CLEAN-OUT CAP / � � ,- ,, � ..• -�� MAP 226 5'-7" � � LEGEND P 4'-1" � MP ON 1/4"WEEP HOLE IN DISCHARGE PIPE ♦ / O LOT 27 / / INLET TEE 50 - - - EXISTING CONTOUR BALL CHECK VALVE SCH. 80 PVC 100 12,447 S.F.± / o `L0' �(/� n PROPOSED CONTOUR / C k1 i Q P.S.I. FLOWMATIC MODEL No. 208S WETLANDS FLAGGED BY m / d OF / � MAP 226 - --- w EXISTING WATER LINE HORSLEY& WITTEN-12131103 ---- --- / O C'f' ♦ // / `� (2)WIDE ANGLE CONTROL FLOATS 1 1/4"WEEP HOLE IN DISCHARGE PIPE A �� 73, ♦ ,� V� LOT 40 (BARNES 073618) 2"SCH.40 PVC DISCHARGE PIPE 2"SOLID SCHEDULE 40 PVC PIPE / / 1: PUMP ON/OFF 120 ACTIVATION 50'WETLAND OFFSET / �L� p� '� INVERT /� �0`L / N/F CHRISTIAN CAMP 2: ALARM ACTIVATION / S° , ♦ 1-- ,, = 11.5'+/ MEETING ASSOC. BARNES SE1074L PUMP 1 H.P. - 1-1/4"PERFORATED SCHEDULE 40 PVC 200/240 V 2"DISCHARGE FLOOD ZONE & po b ✓ ./... � ♦ O� PASSING 1-1/2"SOLIDS 4"SOLID SCHEDULE 40 PVC PIPE COASTAL BANK // so d < _ �/ : /,_:- •07J� ,� �, TEST PIT LOCATION ,,� ,� i -�-_- ;�----_-_-_- H-10 1500 GALLON PUMP CHAMBER - /f• O QP O O O PROPOSED 1500 GALLON PUMP CHAMBER O,- oo OF NOTE: TANK SHALL BE WATERTIGHT - - ,j 9 :... 0 PROPOSED 2000 GALLON SEPTIC TANK / INSTALL A 40 BY 35 LEACHING FIELD -- DESIGN DATA ....�/ SIDEWALL CAPACITY 40 MIL GEOMEMBRANE LINER / /' .-j:-/ j MAP 226 / 9 NO SIDEWALL AREA CREDIT TAKEN PROPOSED SEPTIC SYSTEM UPGRADE REMOVE AND REPLACE UNSUITABLE / _ �. LOT 25 NUMBER OF BEDROOMS (DESIGN) MATERIAL WITH CLEAN COARSE SAND / s N/F WILLIAMS DESIGN FLOW 110 GAUDAY/BEDROOM BOTTOM CAPACITY PREPARED FOR: / �• _ --22` I TOTAL DESIGN FLOW 990 GAUDAY (LENGTH x WIDTH) (.74 GPD/S.F.) = GAUDAY UNITED CHURCH BOARD ' e DESIGN FLOW X 200 % = 1980 GAUDAY (35'x 40') (.74 GPD/S.F.) = 1036 GAUDAY LOCATED AT PROPOSED 40'X 35' / i / B.M. PRESSURE-DOSED NAIL IN Nail in Road USE PROPOSED 2000 GALLON SEPTIC TANK DISPOSAL FIELD / STONE POST Elev. =22.21' i TOTALS: 19 VINE AVENUE MAP 226 / o N.G.V.D. TOTAL LEACHING AREA 1400 SQ.FT. °�p6 TOTAL LEACHING CAPACITY 1036 GAL./DAY CENTERVILLE, MA LOT26 s DOSING & STORAGE REQUIREMENTS - N/F WOODRING 100' WETLAND OFFSET sis° RESERVED FOR BOARD OF HEALTH USE SCALE: 1 INCH = 20 FT. DATE: MARCH 1, 2004 p, DESIGN FLOW: 990 GPD �S Opy jK of 0 10 20 40 80 FEET DOSING REQUIRED: 4 CYCLE/DAY �� OHN L �y`w - - CB-DH(FND) 990 GPD/4=247.5 GAUCYCLE RC CHURCH ILL PREPARED BY: Op R. DISTANCE REQUIRED BETWEEN PUMP V CIVIL JC ENGINEERING INC. 00' ON AND PUMP OFF FLOATS: No 41807 247.5 GAUCYCLE = 375 GAUFT = .66 FT/CYCLE �} `si ./ 2854 CRANBERRY HIGHWAY - - -- - - - -- - _ - (USE .7'TO PROVIDE FOR BACKFLOW) EAST WAREHAM, MA 02538 SITE PLAN STORAGE REQUIRED ABOVE WORKING LEVEL: 990 GAL. 508.273.0377 STORAGE PROVIDED ABOVE WORKING LEVEL:1000 GAL - -------- ------- SCALE: 1"=20' Drawn By: JN Designed By: JLC Checked By:JLC JOB No.591 - i