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Home My WebLink About0498 MAIN STREET (CENT.) - Health 498 Main Street(Cent.) Centerville CP A = 207 045001 _ ea4REvCtOc"„' llll UPC 12534 N0. 215��R a"OST.CONS�� NASTINGS, MN I 4 TOWN OF BARNSTABLE tt(� .LOCATION 4 q%, M-1►-n SQ - SEWAGE# VILLAGE C-Q h+,Pr V�)}-p ASSESSOR'S MAP&PARCEL 207-0 YS--O�f INSTALLER'S NAME&PHONE NO. r 15 G60T' kqfS Cc4a- SO-$ WA SEPTIC TANK CAPACITY i LEACHING FACILITY.(type),�H-)�u So 0 (size) /3 X 33 X a ,-ri8 4 NO.OF BEDROOMS S 7 c xj&3--w6v,J OWNER Vii PERMIT DATE: -S/30 i COMPLIANCE DATE: 20 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility)• Feet Edge of Wetland and Leaching Facility Of any wetlar ds.exist within 300 feet of leaching facility) Feet FURNISHED BY 4 �CN`r 3 � � i No. 0 Nn Fee. f THE COMMONWEALTH OF SSACHUSETTS Edtered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes aiptitation for Mispo pstem Construttion i3ermit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. Lt y�- M q l"h t Owner'si�e Address Map/Parcel C n 1N,e�v' ✓ , 1.No. sos0C-enk�ll� M � S PY "71/�7 5V Assessor's l Installer's Name,Address,and Tel.No. SGi- 3 wog wd 3� Designer's Name,Address,and Tel.No. S© 1 z I I �� r� �'nh, �- if 5',j- ✓1"1 S/� c5'� S1 0�� C . ae /1 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. 3 - SOO Description of Soil S Soee 1 IJ ( oc Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal syysste ir accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. eY Signed Date Application Approved by LIS Date Application Disapproved by Date for the following reasons Permit No. 01 — Date Issued x No. �(( _ � �Y�^. .. "' 't -"Fee r< ' THE COMMONWEALTH'OF MASSACHUSETTS Entered in corn uteri. _ _mot PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Byes _ application for bisposat-6pstrin Construction Permit } Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) El Complete System ndividual Components .,, Location Address or Lot No. Lf 5J" e Owner's N e Address and ..el.No. - - ao7 '-fS C(n�rvi�� ,� ia�{nn r '� . ��, i 1i 4j Assessor's Map/Parcel ✓ �.yi r r/,., t/A/""7 t� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ar©�'""' ��• �•J . 1 ,-/11,1 Sr i� erlp Lf sv' C h Type of BuildingLX Dwelling No.of Bedrooms Lot Size ,sq.ft.Garbage Grinder( ) Other Type of Building No.of Persons °`' Showers( ) Cafeteria( ) ...Other Fixtures T �D,esign Flow(min.required) L� gpd Design flow provided L4 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 3 O 0 �' 11 C-j � Description of Soil S`10 p .sO j/ Nature of Repairs or Alterations(Answer when applicable) T--I Ur*^U Date last inspected: Agreement:'" The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal stem in f accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. f / Signed Date (• 11 d q �� Application Approved by i,,•. Cf�. -� Date Application Disapproved by ( Date . for the following reasons Permit No. V of i P191 Date Issuedr � � r --- --- - - ------------- - - -- ---------------------- THE7. COMMONWEALTH OF MASSACHUSETTS x BARNSTABLE,MASSACHUSETTS Certificate of CompHan>ce THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by r 11►Sn 0jCa rA4/`.S at 4 t,l r i,n 5'J/ c+-t��' c,P+j)441-Vs f j, 4*has been constructed in accordance : 'with the provisions of Title 5 and the for Disposal System 'onstruction Permit No. a 0'r"11 dated 3� 4 j ,- Installer (' t z{C JZCa''1:-frS CC'n Designer f Uh,*1k/h #bedrooms b L4 Approved design flow gpd The issuance of this ermit f shall not be construed as a guarantee that the system will f nctioq/as designed. .' O c Date / ) 11 Inspector ------ --- -- = - - ------ _- -^ - ------------------------------------------- No. 'D� I L - Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal bpstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at �? mqj/1 y-t r p/" and as described'-m th'e 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 complete ifhin three years of the date of this permie Date e PP Y6 r ! Approved Y Town of Barnstable Inspectional Services Public Health Division BAersr EIM M & Thomas McKean,Director 039. ti crr ° 200 Main Street,Hyannis,MA 02601 , ;a Office: 508-862-4644 Fax: 508-790-6304 Pw� Installer& Designer Certification Form Date: DAD 0108 Sewage Permit# I9 Assessor's Map\Parcel Designer: u /( W t/KFS Installer: 6z c c s 05,ze5b Address: ►.D. 0k T 0 Address: On G o�4 p�pl9 i -is�RD��E,�S was issued a permit to install a (date) (installer) septic system at' 0114W STiQ�Ez7 CWtFEVIJ Lc based on a design drawn by pp (address) wuNK toe2 i VFRoICES dated A,Ertt (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in co 1a a with the to rms of the IAA approval letters(if applicable) � �H OF Mg1919.0 .° TERENCE ti- o M. HAYES nstaller' Sig re) No. 979 LEr�X//� Sq�17AR�PN (Designer's Signature) (Affix Designer's Stamp Here) t PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. WoMdeptAHEALTMEWER connect\SEPTIMesigner Certification Form Rev 8.14-13.DOC TOWN OF BARNSTABLE LOCATION l ' h ,q.e� S�� , SEWAGE# VILLAGE (' �}�P�`t�,`'1� ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. i SEPTIC TANK CAPACITY (`!S U�7ni`/ CGi 3✓ LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: / COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY u pp dr Nb✓ N �P � 3 9 10 10 Tide 5 ffimedion Form 6/152000 _ ... 4 °FY Town of Barnstable Board of Health = HARMWABLE, y MASS. g 200 Main Street,Hyannis MA 02601 i439• �0 AIED iµAy a Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 John T.Norman Donald A.Guadagnoli,M.D. March 28, 2011, Mr. Terence M. Hayes, R.S. Punkhorn Services P.O. Box 438 South Dennis, MA 02660 RE ;498 Main Street, Centerville, MA. °...,.gig, r r A 207 045001 : Dear Mr. Hayes, You are granted variances on behalf of your client, Kenneth Mills, in construct a replacement septic system at 498 Main Street, Centerville, Massachusetts. The existing system had failed. The variances granted are as follows: 310 CMR 15.405: To construct a soil absorption system 4.4 feet away from a slab foundation, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.405: To construct a soil absorption system 4.8 feet away from a catch basin, in lieu of the twenty-five (25) feet minimum setback required. These variances are granted with the following conditions: 1) A 40 mil liliter'impervious liner shall be installed between the foundation wall and the new soil absorption system. 2) The septic tank shall be rotated to eliminate ninety (90) degree angles in the sewer line. 3) The applicant shall submitted written confirmation from the Building Commissioner that the two lots on this property have merged as a result of use. These variances are granted because the physical constraints at the site severely restrict the location of the septic system due to the small size of the lot. Sincerely yours, '-- Pa4 aNhW D.Mb:, Chairman q:\AddressesoftenUl oHLetters\HayesMillis498MainStreetCentervilleVariances.docx Stanton, David From: Florence, Brian Sent: Wednesday, March 27, 2019 11:49 AM To: McKean, Thomas; Stanton, David Subject: RE: 498 Main Street, Centerville as shown on plan dated February 5, 2019 This is what happens when regulatory staff are put in a position of having to do the job of lawyers. For the purposes of this discussion DEP, Board of Health and HD staff have to look at this situation through the lens of health regs. (Title 5). In this instance though there are mitigating circumstances beyond your regulatory authority that you would not necessarily be aware of unless you ask. Fortunately those circumstances addresses the DEP and BOH's concerns. As I understand it the Board of Health correctly asked a very important question about the status of the lot for reasons other than Health regulations. Specifically,they asked whether or not the property is two individual lots or one. Their question as he presented it is the reasoning for my email response to Mr. Hayes. As you know... but for Full disclosure: I worked with.Mr. Hayes in Dennis. It appears that the chief concern of the BOH and DEP is whether or not the property can be subdivided and conveyed, the fact of the matter is that it cannot for zoning reasons. The property was given what is known as an Approval Not Required (ANR) plan from the Planning Board. The ANR allowed for the creation of lot lines... however the granting of an ANR does not grant rights to the property owner to violate zoning ordinances or by-laws. There are several conditions on the site which prohibits the lots from actually being subdivided and conveyed: 1. Despite the ANR plan the property is still required to comply with the dimensional requirements of zoning...The front lot does not have a minimum 5000 sq. ft. or the required 50' of frontage as required by M.G.L. c.40A... separating the lots would create lot area violations by creating a lot that is nonconforming with law...not just our ordinance. 2. If the lots were separated it would create a condition where the structures were too close to lot lines...thus creating several setback violations. 3.There is a single-family dwelling straddling the property lines...this creates a use merger of the two lots under zoning. The ANR is recorded at the registry of deeds which is all that we need to enforce against a subdivision and/or conveyance. Easements are not necessary nor would they help... whether or not you can grant an easement to yourself is a matter of law and not something we should or need to consider. Finally,the owners received bad advice when they obtained an ANR...they would have been better served to create a condominium with exclusive use areas which is in effect that they did. Please feel free to touch base with me if you have any further questions. -Brian -----Original Message----- From: McKean, Thomas Sent: Wednesday, March 27, 2019 9:29 AM To: Florence, Brian Subject: FW:498 Main Street, Centerville as shown on plan dated February 5, 2019 Good Morning Brian FYI - Brian Dudley of DEP emailed David Stanton back on 2/23/086 regarding this question . It was emailed to me again this morning, as you can see below. 1 1 -----Original Message----- From: Stanton, David Sent: Wednesday, March 27, 2019 9:18 AM To: McKean,:Thomas; Desmarais, Donald; Lavelle,Timothy; Malkus, Karen; McKenzie, Marybeth; Miorandi, Donna; O'Connell,Timothy; Parziale,Jim Subject: RE: 498 Main Street, Centerville as shown on plan dated February 5, 2019 Tom, Below is the e-mail from Brian Dudley on 2/23/2006 From one of the several cases we have had like this over the years. There was another one with Brian Grady as the applicant (I believe it was Roberta Goughs old house.) Hi David, You are correct that all the legal boundaries need to be shown. If the lots are owned by the same person, he may not be able to grant an easement to himself, but he should have proper documentation prepared to execute the appropriate easements if the property changes hands. At the very least,there should be a notice recorded with the registry to run with the property indicating that an easement will be required if the properties are owned by two separate entities. If you have any more questions, let me know. Thanks, Brian From: Stanton, David [mailto:David.Stanton@town.barnstable.ma.us] Sent:Thursday, February 23, 2006 12:06 PM To: Dudley, Brian (DEP) Subject: 310 CMR 15.220 (4)(a), legal boundaries Good afternoon Brian, I am having an issue with a land surveyor\RS that has submitted plans for a septic system. The issue I have, is he has not shown all of the legal property lines on the plan. He has removed one of the property lines from his plans. He kept saying he wanted to go to the Town assessors and just have them combine the lots for taxes so it looks good with the Town records. I told him I thought that would not work, and that it must be done legally at the Registry of Deeds. He claims that because it is the same owner of two abutting lots,we can assume they are the same lot. When I see "legal boundaries" in the State code, I assume that is from the registry of deeds and\or land court. Am I correct in telling him they must be combined through the registry of deeds,and not just the Town Assessor? He is looking at putting part of the septic system from the house onto the other lot. I also told him he may be able to file an easement with the registry of deeds. Thanks, David W. Stanton, IRS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 Direct phone: (508) 862-4647 Health Dept.: phone: (508)862-4644 Health Dept:fax(508) 790-6304 2 -----Original Message---- From: McKean,Thomas Sent: Wednesday, March 27, 2019 8:35 AM To: Desmarais, Donald; Lavelle, Timothy; Malkus, Karen; McKenzie, Marybeth; Miorandi, Donna; O'Connell,Timothy; Parziale,Jim; Stanton, David Subject:498:Main Street, Centerville as shown on plan dated February 5, 2019 The Board granted the variances for the above-referenced property. Also, the two lots are merged per Brian Florence (e-mail below). -----Original Message----- From: Florence, Brian Sent: Tuesday, March 26, 2019 4:27 PM To:Terence Hayes Cc: McKean, Thomas Subject: RE: Zoning determination for 498 Main Street, Centerville as shown on plan dated February 5, 2019 Mr. Hayes, After a careful review of the site plan dated 2/5/19 1 have determined that the two lots shown on the plan have merged as a result of use. If you have any questions please feel free to contact me. Regards, Brian Florence, Building Commissioner Building Department I Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4038 Brian.florence@town.barnstable.ma.us -----Original Message----- From:Terence Hayes [mailto:angus02631@icloud.com] Sent:Tuesday, March 26, 2019 4:15 PM To: Florence; Brian Subject: Zoning determination for 498 Main Street, Centerville as shown on plan dated February 5, 2019 Dear Mr. Florence, At the Barnstable BOH Meeting this afternoon,the board questioned whether the property shown is two individual lots or one. Has these two lots been merged for zoning purposes? Thank you for your consideration. Respectfully; Terence M Hayes Sent from my iPhone CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! 3 Date: March 12, 2019 Kenneth E. Mills P.O. Box 2086/498 Main Street Centerville, MA 02632 Tel: 508-498-0475 Barnstable Health Department 200 Main Street Hyannis, MA 02601 Tel: (508) 862-4644 To Whom it may Concern: I authorize Mr. Terry Hayes to represent me before the Barnstable Health Department. Thank you, t DATE: ptrIm $95.00 FEE*: ,��✓ RE C.BY: • 1d►RN3fABIE, MAS& �,�� Town of Barnstable SCHED.DATE: 3 Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Fax: 508-790-6304 Paul J.Canniff,D.M.D. Donald A.Guadagnoli,M.D. John T.Norman VARIANCE REQUEST FORM LOCATION Property Address: 498 Main Street Centerville Assessor's Map and Parcel Number: 3 7 i26'7-D 45-D0 1 Size of Lot: 9,443.2 S.F_(Lots 1&2 Wetlands Within 300 Ft. Yes Business Name: No X Subdivision Name: APPLICANT'S NAME: Terence M.Haves,R.S. Phone 508-564-8379 Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Kenneth Mills Name: Terrence M.Haves,R.S./Punkhorn Services Address: 498 Main Street,Centerville,MA 02632 Address: P.O.Box 483,South Dennis,MA 02660 Phone: 508498-0475 Phone: 508-564-8379 EMAIL: anpus02631@aol.com VARIANCE FROM REGULATION(Incl.Reg.Code#) REASON FOR VARIANCE(May attach separate she if more space needed) 15.211 5.6'variance requested for the soil absorption system to be less than required 10' from a slab 15.211 15.2'variance requested for the soil absorption system to be less than required 20' from cellar NATURE OF WORK: House Addition House Renovation LJ Repair of Failed Septic System X Checklist to be completed by office staff-person receiving variance request application) Please submit first four on list as S collated packets. A. Five(5)copies of the completed variance request form B. Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: health@town.bamstable.ma.us D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant must notify abutters by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only). Full menu—Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted*$95.00 for the following variances: 1) New construction, 2) Septic repairs with increase in flows, and 3) New owner/new lessee applying for food,pool or body art variances. Exemptions from Variance Fee: 1)Septic repair without an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Donald A.Guadagnoli,M.D. REASON FOR DISAPPROVAL John T.Norman C:\_MY-DOCUMENTS\A DEB's - My Documents\a Client Projects\8100 Jobs\8123 - Punkhorn-Mills\8123 - Mills Variance App.docx re-evi c�,&M. }f aye&, WOW R e�v�te�eaL S a.►�itcwi avv ?Utftorn Services P.O. Box 483 South Dennis, MA 02660 Septic System Designs Phone: 508-564-8379 Soil Evaluations E-mail: angus02631@aol.com Sanitary Code Housing Inspections BOARD OF HEALTH PUBLIC HEARING NOTICE March 8,2019 NOTIFICATION TO ABUTTERS OF: Kenneth Mills Certified Mail Return 498 Main Street Receipt Requested Centerville,MA 02632 Re: Septic System at: 498 Main Street,Centerville Dear Abutter You have been identified as an abutter to the above referenced property. Please be advised that an application for variances from the Regulations of the Massachusetts Department of Environmental Protection, Title 5 Regulations for Subsurface Disposal of Sewage has been submitted to the Barnstable Board of Health. A public hearing has been scheduled to take action on the application. The following variances are requested: Title 5 Regulation Description of Variance 15.211 5.6 variance requested for the soil absorption system to be less that required 10' from a slab 15.211 15.2'variance requested for the soil absorption system to be less than required 20' from cellar Said hearing will be held in the Town Hall Hearing Room of the Barnstable Town Offices, 365 Main Street, Hyannis, MA, on March 26, 2019 beginning at 3:00-6:00 P.M. The application and plans are available for review at the Barnstable Health Department, Barnstable Town Annex, 200 Main Street, Hyannis,.MA, Monday through .Friday (excluding holidays) from 8:30 AM to 4:30 PM. The Barnstable Health Departifi-e-ht Phone Number is: 508-862-4644 Sincerely, Terence M.Hayes,R.S. CC: File Barnstable Health Department DATE: 3-:11 )q �1we $95.00 FEE*: - 3S' * I REC.BY: _ '"RS. Town of Barnstable t639. SCHED.DATE: �o <a Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Paul J.Canniff,D.M.D. Donald A.Guadagnoli,M.D. John T.Norman VARIANCE REQUEST FORM LOCATION Property Address: 498 Main Street Centerville Assessor's Map and Parcel Number: 3-� Size of Lot: 9,443.2 S.F.(Lots 1&2) Wetlands Within 300 Ft. Yes Business Name: No X Subdivision Name: APPLICANT'S NAME: Terence M.Haves,R.S. Phone 508-564-8379 Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Kenneth Mills Name: Terrence M.Hayes,R.S./Punkhorn Services Address: 498 Main Street,Centerville,MA 02632 Address: P.O.Box 483,South Dennis,MA 02660 Phone: 508-498-0475 Phone: 508-564-8379 EMAIL: angus02631@aol.com VARIANCE FROM REGULATION(Incl.Reg.Code#) REASON FOR VARIANCE(May attach separate sheet if more space needed) 15.211 5.6'variance requested for the soil absorption system to be less than required 10' from a slab 15.211 15.2' variance requested for the soil absorption system to be less than required 20' from cellar NATURE OF WORK: House Addition House Renovation LJ Repair of Failed Septic System X Checklist to be completed by office staff-person receiving variance request application) lease submit first four on list as S collated packets. A. Five(5)copies of the completed variance request form B. Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). XC. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: health@town.bamstable.ma.us D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant must notify abutters by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only). Full menu-Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted*$95.00 for the following variances: 1) New construction, 2) Septic repairs with increase in flows, and 3) New owner/new lessee applying for food,pool or body art variances. Exemptions from Variance Fee: 1)Septic repair without an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Donald A.Guadagnoli,M.D. REASON FOR DISAPPROVAL John T.Norman C:\-MY-DOCUMENTS\A DEB's - My Documents\a Client Projects\8100 Jobs\8123 - Punkhorn-Mills\8123 - Mills Variance App.docx °frti Town of Barnstable • BARNSr"LZ. Assessing Division r059.,�`� 367 Main Street,Hyannis MA 02601 FO MP'� www.townofbarnstable.ns Office: 508-862-4022 _ _ Edward F O'Neil,MAA FAX: 508-862-4722 Y — Director of Assessing ABUTTERS LIST CERTIFICATION DATE: March 6, 2019 RE: Abutters List - -For Parcel(s) : 207-045-001- - _- — -- -- As requested, I hereby certify the names and addresses as submitted on the attached sheet(s) as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcels as they appear on the most recent tax list with mailing addresses supplied. Board of Assessors Town of Barnstable 3/6/2019 AbutterReport 136ard of Health Abutter List for Map & Parcel(s): '207045001' Direct abutters (no set distance) and the properties located across the street. Total Count: 5 Close Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed CityState2ip 207045001 MILLS,KENNETH E 498 MAIN ST CENTERVILLE,MA 21257/10 02632 207045002 MILLS, KENNETH E 498 MAIN ST CENTERVILLE,MA 21257/10 02632 207046 KERNS,JOHN]IV& 490 MAIN STREET CENTERVILLE,MA 30194/24 NADINE 02632 CORRIDAN,STEPHEN 338 KING CHARLES PORTSMOUTH RI 208085007 G&ANN C ROAD 02871 C196359 DIEHL,CLARK E CENTERVILLE,MA 208127 &DELUCA,E&DIEHL, C/O BRYAN S DIEHL 497 MAIN STREET 02632 30258/217 B TRS This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified:The owner and address-data-on-this list is-from the Town of Barnstable Assessors database as of -- 3/6/2019. http://maps.townofbarnstable.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 1/1 i Town of Barnstable Geographic Information System + March 6,2019 208085017 208 #69 #6 6 208085003 208017 208089003 208126 #473 Py� #445 #463 20#46902 1208085018 #6T 208132 �y 1 #454 208085004 A #481 I 208085005 #489 :#49513_ 208131 ® ® #470 i �I 20815 3 #3 208085001 #170 208130 #d95A':':•: 480 ::i.208127:':':•::':::: i i'208085007 # 207045001 #498 207035 .;:..;. .::::::i ............ - #490- 500 :20704 2 #507 208084 #23 0 207108 207048 I 207036 #508 #b 13 0 #42 20"7 #510 s � I 207109 207037 207049 #272 #524 #24 43 #523 # i 0 51 Feet I DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:207 Parcel:045001 Board of Health boundary determination or regulatory Interpretation. Enlargements beyond a scale of Selected Parcel 1°=100'may not meet established map accuracy standards. The parcel lines on this map Abutter List Type-Direct abutters(no set distance)and the properties located are only graphic representations of Assessor's tax parcels. They are not true property across the street. ` Abutters boundaries and do not represent accurate relationships to physical features on the map l such as building locations. Buffer i BENCHMARK ��FAoI CELLAR �� SOIL TEST P#15868 TIP OF FOUNOATW SPAM - DATE OF SOL TEST ElEV._ f00.00 10 FT.MINIM 10 FT.MINIM FROM SLAB CLLAN SA10 SOL TEST DONE B�� (ASSJIW.D) CONCEIT INSPECTION PORT ■TNESSED BY CCOOV�EERR C ypMXAE 40 PVC PIPE L�AM SEED OBSERVATION HOLE 1 B".- 1060 IdL PIIGI 1/B•PER FT. YER OF 1/B•7O 1/2• PERCOLATION RATE 3 2_MOLA CH AT 54' _NOES WASHED TFLTEA DEPTH HptlZ TEXTURE MO7T. OTHER OW LftCAST ROR PIPE f0a0 MAX 97.75 YN. T� o-17 aTY No VSANDHR11/4,PEA ICY 7EE I2-25• B 2AY7/8 75-1]B• C MMU YE]IIUY SNiD unj FLOW tNE b NO WATER DI XMn RED AT 13W ELEV.- BB.50 _ 97at - �M 0 0000000000 0C3C3C3 o00o OBSERVATION HOLE 2 Emy.- 7060 . ELEV.- 07.11 g aE`/•- M.ew 5• •- sa.e7 0017000OO OO C3 .Y. DEPTH INXOZ 7EXRXE Yon OTHER DISTRIBUTION E,y_ 00000000000 THAN I I o-12^ xn No BOX �_ . - sa •Ea". ITS-1 ri I12-2s• Ia ILOAMr sAeRD I1mtt//e I I I (TO BE PLACED ON FIRM BASE) TO BE WATER TESTED 3 500 GALLON GALLEYS MIN 1500 GALLON F MO 24•C IYEauM SAND 125Y7%4 I I 7 2q4 IryNp�Eg RE ONE OUTLET STOE IN • 8 34 INtl16 TO PLACED W FIIM BASE) • 1Y%a•%Y TRENCH FORMATION a 75 aLE N/A SEPTIC TANK ( NO WATER DMrnLXHTDHED AT 124- EIEv. 89.67 - 3le TD 1 T%Z'CLEAN SOIL ABSORPTION z RAM DESIGN CALCULATIONS 4 FDOUBLE 1F FlIES R� SYSTEM SAS AMST— NUMBER OF BEDROOMS GARBAGE DEPOSAL UNIT TOTAL ESTIMATED FLOW USiS PROBABLE WATER TABLE ELEV.-_ ((110 OAL�p,/DAY X_4 BR.) _da GAL./DAY SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE( / / ))�V•-— REdUIiED gPAC rAgc cwAOn _M CAL. NOT To SCALE BOTTOM OF TEST HJ SUN.-, ACTUAL S2E W SEPTIC TANN (E..) 10M_CAL SOIL CJSSFICATIN DESIGN PEROMA71ON RATE EFFLUENT LOADING RATE 0AL.IDAY/SF. LEACHING AREA Sa FTT lFA(IO10 (AOIY AREA x RATE) 48IN GAL/DAY RESERVEVE LEE X a74 AC1I10 G1PAOlY HOME ML/bAY NOTES: 1.ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.FP. TITLE 5 AND THE TOWS RULES AND REOLRAIRM FOR TIE SUSSXEACE DEPOSAL O•SEWAOE 2.ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO FOISTED WADE S ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF VATHSTANDNG H-20 LOAONa �.ANY MASWARY LMTS USED M BRING G COVERS r0 A SELL BE MORTARED N PLACE 5,NO OETER INAZ HAS BEEN MADE AS 10 COMPLIANCE WITH DEED ORZO LNG REGLILADO OTWFR/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. &UTILITIES SHOM ARE APPROXIMATE ONLY.EXCAVATION CONTRACTOR 19 TO CALL•010-SAFE•AT a I-BB341-723.T AT LEAST 72 HOURS PRIOR TO COYMENCNC WORK ON STE (� 7.CONTRACTOR IS 70 VEINY WADES AND ELEVATIONS AS WELL AS SITE CONDITIONS PRIOR 70 COMMENCING WORK ON STE ANY VAIIATW • IS TO BE BROUWr TO THE ATFETRIIW OF THE DESIGN 040MM IMMFOATELY. z 13p,85• 5.LOTIsH N FLOW ZONE 4}.01 k 02 LOT 1+2 '{ 9.L VAT PARCEL 9101R1 LO AS�OlIS��AS PARCELS 9,4412 i*SF 1a EXTERN°SPPOC TANK,0.BG%AIO PVT ARE lO BE PUMPED AIO BELOVED ALONG RTH ANY PCUL117ED SOLE ENCONiFAED. X, G68 11.(T E NSTALLER�ISy r0 GIVE THE ENfYFflt A YNIY OF 48 HOURS Il/9 , L/l 12.VAMANCE90 TDOA 7111E a ATO B/UIHSf 9.E HINd�AAT�OH5:0AREli BElDR7• /,mL6 OVI� g 1 y _ A SOL ABSORPIM SYSTEM LESS THAN 1C FROM SLAB(VAR O.5.111 -k OP,R S VRw L SOL ABSORPTION SYSTEM LESS THAN 20•FROM LY•,LL'LLAR(NAIL O'1 Y} S a NO RESERVE AREA 100.7 •1 SEP71D TANK g P?± o 99.2 G2.2 98.9 APPROVED: BOARD OF HEALTH 0 IL 100.5 �1 DATE AGENT OL ?A W ,EST 280 PROPOSED SEPTIC DESIGN CENTERVILLE, MASS. FOR 1�TANK dr`= KENNETH MILLS 18 498 MAIN STREET, LOTS 1&2 9�1, Lac CENTERVILLE, MASS. PUNKPH�ORN SERVICES 508- SOUTH GUEMNIS MASS. LEGEND: _ _ 1564-8379 02660 EIISWG SPOT ELEVATION W.0 G CONTOUR OLCUS =a DATEFEB. 5, 2019 SCALE1" = 20' FKAL SOLimF�POLE�TONo— Tic 1°B Na 8123-00 TOWN WATER—W CATCTOWN BASH ■ GA O LOCATION MAP R� SHEET 1 OF 1 CESSPOOLL-S9 B1PJ-a7 872!-MV..DW 0 2018 r.Y.HA AS Town of Barnstable P# Department of Regulatory Services w,A Public Health Division Date > „. a». 200 Main Street,Hyannis MA 02601 4� Date Scheduled Time__Le� Fee Pd. 100.00 Soil Suitability Assessment for S e Disposal Performed B uA6ejW 1QA d 5 Witnessed B : Y Y r -.- � i{S� +�}�} � s, hex,.m�,- Rtr s It r' y-xz.,y •,-ck � ,.� ufi.^r-.'�,k,,yxt n.�z �i Y,;y, y,rk ra;q-_ � x. s w dal fz1•��. ,�nYl, OLay',� �GvQf sx �, 1 + rs'r.. tau.4.a Location Address .498 Main Street Owner's Name Mainet.I MIIIS -Cent' r` dill 498 Main St. r "' " Address Centerville, MA 02632 Assessor's Map/Parcel:207 1 Engineer's Name Punkhorn Services Terence M. Hayes NEW CONSTRUCTION REPAIR X` Telephone# 508-246-1942 Land Use Slopes(%) Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) i Parent material(geologic) Depth to Bedrock /'� ----., Depth to Groundwater: Standing Water in Hole: >u Weeping from Pit Face-_ /� t Estimated Seasonal High Groundwater Dt!rT °' ATT®NFOR SEASONiI,HIGH�WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. GroundwaterAdjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level wry `d. � � ti' r zia 1F4�' _ PER:CQU. TIn T�TEST rate M 4�Time. Observation '{�/ -^\ Hole# Time at 9' u , I Depth of Pere S"7u Time at 6" �t2 G3 r Start Pre-soak Time Q d o Time(9"-6") I-o End Pre-soak �J��0® Rate Min/Inch. s Site Suitability Assessment: Site Passed V Site Failed: i Additional Testing-Needed.(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolatiba.itest.is.-to-,.--be.conducted withinl.100I of wetland,you must first notify the Barnstable-Conservatiou`Drv>Ision at`leasf one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC d _DEEF'OBSERVATION„HOLE:LOG` Hole#, rr Depth from Soil Horizon Soil Texture Soil Color Soil Other- Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. Consistency.%Gravel) d as- i96 AmqwS asy 7 f Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) �DEEPe:OB�ERVA'�ION'':HOLEL,OG : Hole;# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) I3EP OBS' t ar,TNH®LSIR $�ole� r Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) x ! _ 2 1. i 5 3 3 i ve �, f .�arY3t � Ir.r 6 11 s l 8 �+ ' i'�y tub $$ t" ,e- in ti,lA�r'�� .bc � 'f� Y 'vu.i*# a3f.3 } <. a Flood In Rate 1Man Y n �d ,.. t s 4 *) Trd � � �t 1z efx, ri ! a- r ! d r Above 0,C,yearP,P,, oundary Withm 5001,yearrfboundar} IN Yesr Within 100-year-flood-156irridary No_ Yes ?? + Deuth:of Naturally OccurnnffwPemouswatenal 11 Does at least four feet of naturally occumng pervt us tnatenal:exist.in all areas observed throughout the, ; d area proposed for the soil absorption systemsS } G If not,whatsis the&e h.`of naturally oceumngpervious4�aterial t 11,1 f _ i Mate) the exaucerto mattonk#pvthey !, } bepar�dr nt o�fEn ens § o i r d thatthe above anfialysls was,perfortned by`me consistent wr im i �the.re'qutred traifimg;�expe a and t ce�i'escitlied'1��310�CMR 1`�5 OI7^i ;'`� "�"� r tS gnature � Date Air lt f1 F is P gg d \Shp, C\PERCFjOy�RM DOGS e�A 1;��))��,�4(Faii 11"A8k3 Town of Barnstable FINE lgy�o Public Health Division Thomas McKean, Director BARNSTABLE, ' 200 Main Street • e►`�� Hyannis, MA 02601 Fp Mpl Fax: 508-790-6304 November 18, 2014 Kenneth Mills 498 Main Street Centerville, MA 02632 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. Once registered all rental properties will receive a yearly inspection to insure no Massachusetts State Sanitary Code or Town of Barnstable Ordinance violations exist. According to our records, you own the rental property at 500 Main Street (cottage) Centerville, MA. Enclosed is an application. If dwelling is occupied, you must provide occupants name(s). Also provide the occupant's contact phone number for inspection scheduling purposes. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at www.town.barnstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2010 fees included. This must be completed within (14) fourteen days of your receipt of this letter. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4644. Thank you in advance for your cooperation. 3. 6'L. I's Timothy . O'Connell, R.S. Health Inspector Health Division Direct#508-862-4646 r�1 ' V \ COMMONWEALTH OF MASSACHUSETTS 1- \�\ MILM EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS a d DEPARTMENT OF ENVIRONMENTAL PROTECTION x TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION i 3 f'•J Property Address: 4"Main Street, Centerville,MA : Owner's Name:Kenneth E.Mills Owner's Address: P.O.Box t103,Centerville,MA w 7 I Date of Inspection: 04/14/2008 , -_ Name of Inspector:Reid C.Ellis , , Company Name:Ellis Brothers Const.Co. Mailing Address:23 Enterprise Road C� rM Yarmouth Port,MA 02675 Telephone Number:508-362-6237 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to tion 15340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority ails a Inspector's Signature: AA�,, 7 Date: C. The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of coq►pleting this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****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. 1 Title 5 Inspection Form 6/15/2000 page 1 + i Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 498 Main Street,Centerville,MA Owner: Kenneth E.Mills Date of Inspection:04/14/2008 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: /�41 I have not four any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B.,� /System Conditionally Passes: �" o�y 2 One or more system components as described ft the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacem nt or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The septic tank is metal and over 20 years old* r the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration r tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank approved by the Board of Health. *A metal septic tank will pass inspection if it is structw ally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is avail ble. ND explain: Observation of sewage backup or break out or gh static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven listribution box.System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is rem ved distribution box is eveled or replaced- ND explain: The system required pumping more than 4 time 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 r placed obstruction is remo ed ND explain: 2 T41a S fncnertion Fnrm 6/15/2000 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 498 Main Street, Centerville,MA Owner: Kenneth E.Mills Date of Inspection:04/14/2008 ,J//t! C. Further Evaluation is Required by the Board of Hea L v Conditions exist which require further evaluation by he 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 determin in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will rotect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface ater _ Cesspool or privy is within 50 feet of a borderin vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and P iblic Water Supplier,if any)determines that the system is functioning in a manner that protects the pu lie 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 st pply. The system has a septic tank and SAS and the SJ LS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the S1 LS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the S S is less than 100 feet but 50 feet or more from a private water supply well"*.Method used to deterni a distance "This system passes if the well water analysis,perfo ed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates the the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogel is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis in ist be attached to this form. 3. Other: 3 •r;t1P S TmnPction Form 6/15/2000 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 498 Main Street,Centerville,MA Owner: Kenneth E.Mills Date of Inspection: 04/14/2008 D. System Failure Criteria applicable to all systems: You must' dicate"yes"or"no"to each of the following for all inspections: Yes N Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ischarge 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 nc sspool �Rflired d depth in cesspool is less than 6"below invert or available volume is less than''/z day flow pumping more than 4 tunes in the last year NOT due to clogged or obstructed pipe(s).Number mes pumped prtiof the SAS,cesspool or privy is below high ground water elevation. portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface Ater supply. y 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must wrve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of th following: (The following criteria apply to large systems in ad('tion to the criteria above) yes no the system is within 400 feet of a surface g water supply — the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitiv area(Interim Wellhead Protection Area—IWPA)or a mapped Zone I1 of a public water supply well If you have answered"yes"to any question in Secri 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. 4 Title,5 Insnection Form 6/15/2000 4 i Page 5 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 498 Main Street,Centerville,MA Owner: Kenneth E.Mills Date of Inspection:04/14/2008 Check'f the following have been done.You must indicate"yes"or"no"as to each of the following: Ye 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? 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,�enluding the SAS, located on site? _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of th affles 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: Ye n Existing information.For example,a plan at the Board of Health. _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] 5 Title 5 inspection Form 6/15/2000 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 498 Main Street,Centerville,MA Owner: Kenneth E.Mills Date of Inspection: 04/14/2008 FLOW CONDITIONS RESIDENTIAL ' Number of bedrooms(design): 17 Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no): w Is laundry on a separate sewage system(yes�or no • if yes separate inspection required] Laundry system inspected(yeses no): C� Seasonal use:(yes or no):—t:� �� Water meter readings,if avai le(last 2 years usage(gpd)): A Sump pump(yes or no)- Last date of occupancy: Aa COMMERCIAL/INDUSTRIAL �� Type of establishment: Design flow(based on 310 CMR 15.203): _ _gpd Basis of design flow(seats/pensons/s4%etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the(Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records ` D L✓N y�✓ �� Source of information: � 'c% � Was system pumped as part of the inspec on(yes r no}: 7a i If yes,volume pumped;/,--21��lallons,--How was quant* �pum,�determined? G Reas4tank, r pumping: SYSTEM Septic 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) Tight tank _Attach a copy of the DEP approval Other(describe): Approxi ate age of ai�oponents,d installed(i known)and so e of information ,7 1It 6VI C �-� ��*"p . 5- 3,77 �� Were sewage odors detecte hen arnvmg at the site(yes or no): 6 Title 5 Insnection Form 6/15/2000 6 Page 7 of 11 L OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 498 Main Street,Centerville,MA Owner: Kenneth E.Mills Date of Inspection: 04/14/2008 BUILDING SEWER(locate on site plan) Depth below grade: /2 1 / Materials of construction: ✓cast iron V 40 PVC_other(explain): Distance from private water supply well or suction line: 52 5 h Comments(on condition of joints,venting,evidence of leakage,etc.): IZ 5 ,0 644.. ��°'� Ci'a-mo d vat SEPTIC TANK- locate on site plan) 6 Depth below grade: Material of construction: ' concrete metal_fiberglass_polyethylene _other(explain) l�If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of certificate) ?? j , Dimensions: !/ � , 4 6 - e Sludge depth: "' Distance from top sludge to bottom of outlet tee or battle: 3 Scum thickness: Distance from top of scum to top of outlet tee or baffle: o Distance from bottom of scum to bottom of outlet tee or baffle: t-> How were dimensions determined: ..� �r Comments(on pumping recommends ons,inle and oulifft tee&baffle condition,structural integrity,liquid levels . as re ated to outlet invert,evidence of lea ,etc.): , GREASE TRAP: (locate on site plan) " Depth below grade:— Material of construction:_concrete_metal fi erglass_polyethylene__other (explain): Dimensions: _ Scum thickness: Distance from top of scum to top of outlet tee or b Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and utlet tee or baffle condition,structure 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 498 Main Street,Centerville,MA Owner: Kenneth E.Mills Date of Inspection: 04/14/2008 TIGHT or HOLDING TANKj!!!�(tank must be podatime of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fi erglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow:gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX:PA if present must be opened)(locate on site plan) �� WjA/ Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out oS box,etc.): e/ ' PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,conditio. of pumps and appurtenances,etc.): 8 8 r;H.;inenartinn Form 6/15/2000 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 498 Main Street,Centerville,MA Owner: Kenneth E.Mills Date of Inspection:04/14/2008 SOIL ABSORPTION SYSTEM(SAS) locate on site plan,excavation not required) If SAS not located explain why: Ty leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, r etc.): �^ - # V P me CESSPOOLS: (cesspool must be pumped asp of ms ction)(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 or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY:/19(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic ilure,level of ponding,condition of vegetation,etc.): 9 Title S inmection Form 6/15/2000 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 498 Main Street,Centerville,MA Owner: Kenneth E.Mills Date of Inspection:04/14/2008 SKETCH OF SEWAGE DISPOSAL SYSTEM 1170 Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. if V i Vi - ► 10 i - aaa�" t �dV_ c9. - ---- - 10 Tale 5lnsnection Form 6/15/2000 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 498 Main Street,Centerville,MA Owner: Kenneth E.Mills Date of Inspection: 04/14/2008 SITE EXAM Slope Surface water Check cellar Shallow wells // - ,,d B Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ecked with local Board of Health-explain: Checked with local excavators,installers-(aqpch documentation) v�, Accessed USGS database-explain: 61d�' ✓/�� 6`O You must describe how you established the high ground water elevation: V �-� ��/ti✓Q,�;v�6J II 11 11 T41P.5 lnsnection Form 6/15/2000 Town of Barnstable �p THE Tp� Regulatory Services MUMSTA13M ; Thomas F. Geiler,Director Public Health Division rFD fylp'i A Thomas Mclean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition,by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the"Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. COMMONWEALTH OF MASSACHUSETTS P) EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS w DEPARTMENT OF ENVIRONMENTAL PROTECTION MAP- 9"'�1M 5�,�°� PARCEL, ®� LOT TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION 1 Property Address: 498 MAIN STREET CENTERVILLE,MA 02632 v S \ Owner's Name: LISA MILLS Owner's Address: PO BOX 2086 CENTERVILLE,MA 02634 Date of Inspection: 4/20/04 RECEIVED Name of Inspector: (please print) JOHN GRACI,INC. JUN 0 12004 Company Name: SEPTIC INSPECTIONS Mailing Address: P.O.BOX 2119 TEATICKET,MA.02536 TOWN OF BARNSTABLE HEALTH DEPT. Telephone Number: 508-564-6813 FAX 508-564-7270 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: _ Passes X Conditionally ses _ Needs Furthe aluation by the Local Approving Authority _ Fails Inspector's Signature: Date: 4/20/04 The system inspector shall submit a opy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspecti . If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner sha I submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments SYSTEM CONDITIONALLY PASSED INSPECTION. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. THE INLET TEE IS UNDER WATER DUE TO LINE FROM HOUSE TO TANK HAVING A BELLY IN IT. TANK NEEDS OUTLET TEE-COVER TO D-BOX UNDER ASPHAULT ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 TncnP.rtinn Fnrm h/15/7(1(1(1 1 Page 2 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 498 MAIN STREET CENTERVILLE,MA 02632 Owner: LISA MILLS Date of Inspection: 4/20/04 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: SYSTEM CONDITIONALLY PASSED INSPECTION.RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. THE INLET TEE IS UNDER WATER DUE TO LINE FROM HOUSE TO TANK HAVING A BELLY IN IT.TANK NEEDS OUTLET TEE-COVER TO D-BOX UNDER ASPHAULT B. System Conditionally Passes: X One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. n/a The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: n/a n/a Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): _ broken pipe(s)are replaced _ obstruction is removed _ distribution box is leveled or replaced ND explain: n/a n/a The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): _broken pipe(s)are replaced _obstruction is removed ND explain: n/a Page 3 of l 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 498 MAIN STREET CENTERVILLE, MA 02632 Owner: LISA MILLS Date of Inspection: 4/20/04 C. Further Evaluation is Required by the Board of Health: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance n/a "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: n/a Z Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 498 MAIN STREET CENTERVILLE,MA 02632 Owner: LISA MILLS Date of Inspection: 4/20/04 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all-inspections: Yes No _ X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than''/z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply _ X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. d Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 498 MAIN STREET CENTERVILLE,MA 02632 Owner: LISA MILLS Date of Inspection: 4/20/04 Check if the following have been done. You must indicate "yes"or"no"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks X _ Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up? X _ Was the site inspected for signs of break out'? X _ Were all system components,excluding the SAS, located on site? X _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no X _ Existing information. For example,a plan at the Board of Health. X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 498 MAIN STREET CENTERVILLE,MA 02632 Owner: LISA MILLS Date of Inspection: 4/20/04 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 4 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): NO Water meter readings, if available(last 2 years usage(gpd)):tea. oto Z]v Sump pump(yes or no): NO t� (] '�ll Last date of occupancy: n/a 0 Z ' I Z"l c 0 W COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow(based on 310 CMR 15.203): n/agpd Basis of design flow(seats/persons/sgft,etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: n/a Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: n/agallons--How was quantity pumped determined? n/a Reason for pumping: n/a TYPE OF SYSTEM X 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) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components,date installed(if known)and source of information: 175 YEARS,SYSTEM 20 YEARS PER OWNER Were sewage odors detected when arriving at the site(yes or no):NO F Page 7 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 498 MAIN STREET CENTERVILLE,MA 02632 Owner: LISA MILLS Date of Inspection: 4/20/04 BUILDING SEWER(locate on site plan) Depth below grade: 7" Materials of construction:_cast iron X40 PVC_other(explain): n/a Distance from private water supply well or suction line: n/a Comments(on condition of joints,venting,evidence of leakage,etc.): TOWN WATER SEPTIC TANK: X(locate on site plan) Depth below grade: 1" Material of construction: Xconcrete_metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions:H 10' 6" H 5' 7" W 5' 8" H20" Sludge depth: I" Distance from top of sludge to bottom of outlet tee or baffle:33" Scum thickness: I" Distance from top of scum to top of outlet tee or baffle: 0" Distance from bottom of scum to bottom of outlet tee or baffle: 0" How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): SEPTIC TANK NEEDS A NEW OUTLET TEE-PIPE FROM HOUSE TO TANK HAS A BELLY IN IT-INLET TEE IS UNDER WATER AND NEEDS TO BE REPLACED.DETERMINED BY VIDEO RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. GREASE TRAP:_(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): n/a 7 Page 8 of I 1 w OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 498 MAIN STREET CENTERVILLE,MA 02632 Owner: LISA MILLS Date of Inspection: 4/20/04 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a DISTRIBUTION BOX:X(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE 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.): D-BOX WAS VIDEO INSPECTED DUE TO BEING UNDER ASPHALT.D-BOX APPEARS TO BE STRUCTURALLY SOUND.RECOMMEND RAISING COVER. PUMP CHAMBER:_(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n/a R Page 9 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 498 MAIN STREET CENTERVILLE,MA 02632 Owner: LISA MILLS Date of Inspection: 4/20/04 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type 1000 GAL 6' X 6' H2O leaching pits, number: 1 n/a leaching chambers, number: n/a n/a leaching galleries, number: n/a 0 leaching trenches, number, length: n/a n/a leaching fields, number: n/a n/a overflow cesspool, number: n/a n/a innovative/alternative system Type/name of technology: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): LEACH PIT IS STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. SYSTEM SHOWS NO SIGNS OF FAILURE.PIT WAS HALF FULL AT TIME OF INSPECTION.STAIN LINES INDICATE THE LEACH PIT HAS BEEN T TO PIPE AT ONE TIME. BOTTOM IS AT 716". CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: n/a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a 4 Page 10 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 498 MAIN STREET CENTERVILLE,MA 02632 Owner: LISA MILLS Date of Inspection: 4/20/04 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.Locate where public water supply enters the building. G � 6 A AA I �L 45 b1 M �5� in Page 11 of 11 M 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 498 MAIN STREET CENTERVILLE,MA 02632 Owner: LISA MILLS Date of Inspection: 4/20/04 SITE EXAM _Slope _Surface water _Check cellar Shallow wells Estimated depth to ground water 12+feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record-If checked,date of design plan reviewed: n/a YES Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators, installers-(attach documentation) NO Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: HAND AUGER- 12+FT. 11 ' rr TOWN DOFF B-ARNM BLE :�tXATi ''T ON , � t Y-. ty !� 71, SEWAGE # ,COT- -9 7'` VYLLAGE C'9-JL'TCZ- -i GLX--19 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. c-�-Lf l3f�S ' G�NSI SB�—��oo2— so SEPTIC TANK CAPACITY LEACHING FACIL=' : (type) /r (size) Z6 ® O NO.OF BEDROOMS ' BUILDER OR OWNER l-CV dy/6 C-L S PERMTTDATE: - _ ® 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 � cEvanc� 97 -z=1.6 S �3✓0;� bptI/C .� No. O 5"3 _ sl S� ,( ,/ D r " / Fee ( vo � �vv� Cl1„ �12�tr l C ��C-cV�/ory THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for 33i!5pozat *pgtem Cow5tructiou Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Add Na me,ame,Address and Tel.No. f --0 q , 44Q 8� mot" SZ-'• 0 7 of Assessor's Map/Parcel � /112G�2r✓I-C.C_C ACC o j N vto 4 �—� S L�—S 00 Installer's Name,Address,and Tel.No. So 2—36;-- 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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 Soy Type of S.A.S. Description of Soil; Nature of Repairs or Alterations(Answer when applicable) Ize-0«-Ce S c Nei b- Ra A 8 - 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 his Board of He Signed � Date `0 S Application Approved by Date 3-0� Application Disapproved for the following reasons Permit No. 21/oS— / 7 Date Issued 9"�3 -o S" No. OU / n �rs C CPd 1Ci� /!G��(n/Gr C/! Fee THE COMMONWEALTH OF MASSACHUSETTS,. Entered in computer: tZ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE. ,,,� MASSACHUSETTS Yes ZIppItration for Mi!6poga[ *p5tem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. L4 Q g M 6k I — Owner's Name,Address and Tel.No. `7 7 f Assessor's Map/Pazce - l E ��CU Il/LC_E pcc N N c*(l S L 5 LC— S r 20-7 —b - Oo f Installer's Name,Address,and Tel.No. c�o _ 36 2,_6;L3? Designer's Name,Address and Tel.No. COA15?- a,�j 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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank ! Sov Type of S�:A6:S. ` Description of Soil Nature of Repairs or Alterations(Answer when applicable) 'S F P-r/C T 4/Uotl_' /5 u k � r 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 Health. Signed Date 136,__. 3- o S Application Approved by Date 3 Application Disapproved for the following reasons Permit No. 2 GOS-- 3 7 7 Date Issued �O --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CE�R-TIFY, th t the On-site Sewage Disposal System Constructed( )Repaired )Upgraded ( ) Abandoned )by at �� S'�t!- 0,AV, p has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. coo-37 7 dated 3 Installer e—)) Designer The issuance of this permit hall not be construed as a guarantee that thelvste 1 funct,ion as designed Date 1 Inspector No. 1 / / Fee dO— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,, MASSACHUSETTS 11i5po5al *p.5tem Construction Permit Permission is hereby ranted to Construct( )Repair( )Upgrade( )Abandon( ) System located at9fl�ain _��✓? P./y.'/�0. 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 t is ermi. 3 Date:_.. $� 'dS Approved by �� .n. . 3/18/2019 AsBuilt TOWN OF BARNSTABLE LOCATION M41A Sd, , SEWAGE#! VILLAGE ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY �— l<lS Cu y LEACHING FACILITY:(type) (size) NO.OF BEDROOMS i OWNER i PERMIT DATE: �!� COMPLIANCE DATE: I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY v ►_ r �"t 9F ` � 3 to i S' �,g• Val• 1b. .3. 2+ ; A to http://issgl2/intranet/propdata/prebuilt.aspx?mappar=207045001&seq=1 1/2 3/18/2019 AsBuilt r http://issgl2/intranet/propdata/prebuilt.aspx?mappar=207045001&seq=1 2/2 3/18/2019 AsBuilt TOWN OF BARNSTABLE LOCATION Hr,ihSJ,- SEWAGE# VILLAGE Cne nd-0 ry�"1 ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO.- SEPTIC TANK CAPACITY _ I7/I 1 S �'ty J3 ors'CSI LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER T n n,P PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted.Groundwater Table to the Bottom of Leaching Facility _ Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY out I i i 1 N to 1 y. 3% http://issgl2/intranet/propdata/prebuilt.aspx?mappar=207045002&seq=1 1/2 3/18/2019 AsBuilt r http://issg12/intranet/propdata/prebuiIt.aspx?mappar=207045002&seq=1 2/2 AssessoPs map and lot number ...... . THE Sewage Permit number ..... ........................ 33ARNSTIBLE, House number MU& 1639- 0 YAY a' TOWN OF BARNSTABLE BUILDING INSPECTOR p APPLICATION FOR PERMIT TO ......... ...... TYPE OF CONSTRUCTION ............... ......F0C..am..(,-"-; .........tvu ............19JU TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to'the following information: !qq k A-, ...S.- ............F Location ....... ...............M......... .... .. F ProposedUse ....... .................................................................................. ......................... Zoning District .......... ..................................................Fire District C— e) .............................................................................. Name of Owner ......C'.I i./+:: -r,j...............Address .....q.9.k...84.J4.....;$T.�...... ......... It Name of Builder A;P 0.,..Address ......ei�.q.....A.I......... ................................. Name of Architect ....6.RONA...t.1JAi,.b,4L)j.S ...........Address .........YA.-PM.6.VTR P0 R-7.................................. Number of Rooms .........I.......................................................Foundation ... ...WAAL................. Exterior .......... ..............................................Roofing ........g��. ..... &6L....................................... Floors ....g"g�Nrj...wap-t?......................................Interior ......51fe.-� . <,X..r Heating .....Glis..... R ........................................Plumbing ..... 0 Fireplace ....... ..............................................................Approximate Cost .... .................................... Definitive Plan Approved by Planning Board ---------------—--—-----------19------—- Area Diagram of Lot and Building with Dimensions Fee ......L/.............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH k4D- I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . �%4..... `/ �� ............. P L`L - 05 348 �ptME Tp�� US Postal Service Receipt for Certified Mail The Town of Barnst' � No Insurance Coverage Provided. 1ARNSrABLF. +' Do not use for International Mail See reverse 9� , ,0�' Department of Health Safety and Environr Sent to l 'OtEp��tp Building Division AA street&Number 367 Main Street,Hyannis MA 02601 Post Office,State,&ZIP Code Office: 508-790-6227 Postage $ Fax: 508-790-6230 Certified Fee Special Delivery Fee Restricted Delivery Fee uO October 29, 1996 m Return Receipt Showing to Whom&Date Delivered o Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees Clarence H.Mills $. Postmark or Date 498 Main Street E Centerville,MA 02632 U rn a ' a Re: 498 Main Street Map/parcel 207/045/001 Dear Property Owner: A review of our records,including the permitting history of 498 Main Street,as well as the Zoning Board of Appeals records indicates that the use of that address as anything other than a single family home is illegal. You are hereby ordered to discontinue the use of the above referenced property as it is now being used and restore it to a single family home. You are to accomplish this work and notify this office to inspect within 14 days of your receipt of this letter. A building permit must be applied for to redesign the layout to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this decision. If you so choose,we will be more than happy to help you. If we do not hear from you within the 14 days,we will be forced to seek criminal action against you. Very truly yours, Gloria M.Urenas Zoning Enforcement Officer ri 's GMU/km CERTIFIED MAIL P 229 805 348 R.R.R. nC3'- a 0 Q960712s n a 3/18/2019 Health Master Detail tw -- Health Master Logged In As: TOWN\MIORANDD Health Master Detail Monday, March 18 2019 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 207-045-001 Location: 498 MAIN STREET (CENT.),Centerville Owner: MILLS, KENNETH E .-.. . ........... Business name: Business phone .... Rental property: ❑ Deed restricted: ❑ Number of bedrooms : 0 � l Contaminant released: ❑ Fuel storage tank permit: ❑ Save Parcel Changes J FAeturn to Lookup Parcel Info Parcel ID: 207-045-001 Developer lot: LOT 1 Location:498 MAIN STREET (CENT.) Primary frontage:47 Secondary road: Secondary frontage: village:Centerville Fire district:C-O-MM Town sewer exists at this address: No Road index:0950 Asbuilt Septic Scan: 207045001_1 Interactive map Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT Owner Info owner: MILLS, KENNETH E Co-owner: Street1:498 MAIN ST Street2: city:CENTERVILLE state:MA zip: 02632 country: Deed date:8/9/2006 Deed reference:21257/10 Land Info Acres: 0.10 use: Single Fam MDL-01 zoning:RD-1 Neighborhood: 0109 Topography:Level Road:Paved utilities:Public Water,Gas,Septic Location: Construction Info lBuilding No ear Buil Gross Area Living Area Bedrooms lBathrooms 1 11845 13004 11829 Bedrooms3 Full-0 Half Buildings value:$154,600.00 Extra features: $19,000.00 Land value: $209,800.00 http://issq l2/intranet/health Master/HealthMasterDetail.aspx?I D=207045001 1/1 3/18/2015 Property Print Print this page Owner Information Map/Block/Lot: 207 /045/001 Property Address 498 MAIN STREET (CENT.) Village: Centerville Town Sewer At Address: No GIS Zoning Value: RD-1 Owner Name as of 1/1/18: MILLS, KENNETH E 498 MAIN ST CENTERVILLE, MA. 02632 Co-Owner Name Assessed Values Appraised Value Assessed Value Building Value $ 154,600 $ 154,600 Extra Features $ 19,000 $ 19,000 Outbuildings $ 1,600 $ 1,600 Land Value $ 209,800 $ 209,800 Totals $ 385,000 $385,000 Past Comparisons 2018 - $ 360,800 2017 - $ 352,000 2016 - $ 376,200 2015 - $ 383,500 2014 - $ 351,300 2013 - $ 351,400 2012 - $ 352,700 2011 - $ 367,500 2010 - $ 371,700 2009 - $ 496,600 Tax Information C.O.M.M. FD Tax (Commercial) $ 0 C.O.M.M. FD Tax (Residential) $ 685.30 https://townofbarnstable.us/Departments/Assessing/Property_Values/print_19.asp?ap=0&searchparcel=207045001&print=true 1/3 3/18/2019 Property Print Community Preservation Act Tax $ 81.72 Town Tax (Commercial) $ 0 Town Tax (Residential) $ 2,723.94 $ 3,490.96 Residential Exemption Received= $98,270 Sales History_ Owner: Sale Date Book/Page: Sale Price: MILLS, KENNETH E 2006-08-09 21257/ 10 $1 MILLS, KENNETH E&ASQUINO, LISA A 2005-05-06 19801/ 187 $1 MILLS, KENNETH E 2002-02-15 14827/ 181 $0 MILLS, CLARENCE H & ETHEL L 1985-03-15 4441/264 $150000 CHASEN, VICTORIA I 1982-06-15 3491/ 146 $0 Photos a4 Sketches Card #1 https://townofbarnstable.us/Departments/Assessing/Property_Values/print_19.asp?ap=0&searchparcel=207045001&print=true 213 3/18/2019 ; Property Print As Built Cards:Click card#to view: B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area (Unfinished) FUS Second Story Living Area(Finished) SPE Pool Enclosure BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area (Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story(Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio Construction Details Building Details Land Building value $ 154,600 Bedrooms 4 Bedrooms USE CODE 1010 Replacement Cost $257,724 Bathrooms 3 Full-0 Half Lot Size(Acres) 0.1 Model Residential Total Rooms 7 Rooms Appraised Value $209,800 Style Cape Cod Heat Fuel Gas Assessed Value $209,800 Grade Average Plus Heat Type Hot Air Year Built 1845 AC Type None Effective depreciation 40 Interior Floors Wide Pine Stories 1 1/2 Stories Interior Walls Plastered Living Area sq/ft 1,829 Exterior Walls Wood Shingle Gross Area sq/ft 3,004 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Outbuildings and Extra Features Code Description Units/SQ ft Appraised Value Assessed Value PATI Patio-Average 408 $ 1,600 $ 1,600 FOP Open Porch-roof-ceiling 18 $ 1,000 $ 1,000 GAR Attached Garage 572 $ 11,200 $ 11,200 FPL2 Fireplace 1.5 stories 2 $6,800 $6,800 https://townofbarnstable.us/Departments/Assessing/Property_Values/print_1 g.asp?ap=0&searchparcel=207045001&print=true 3/3 3/18/2019 Health Master Detail . QTI Health Master Logged In As: TOWN\MIORANDD Health Master Detail Monday, March 18 2019 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 207-045-002 Location: 500 MAIN STREET (CENT.), Centerville Owner: MILLS, KENNETH E Business name: l Business phone _.... Rental property: D Deed restricted: Number of bedrooms :` 31i .........._...................................... Contaminant released: O Fuel storage tank permit: 0 Save Parcel Changes FReturn to Lookup Parcel Info Parcel ID: 207-045-002 Developer lot: LOT 2 Location:500 MAIN STREET (CENT.) Primary frontage:20 Secondary road: Secondary frontage: village:Centerville Fire district:C-O-MM Town sewer exists at this address: No Road index:0950 Asbuilt Septic Scan: 207045002_1 Interactive map " i�`u •�T Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:OUT Owner Info owner: MILLS, KENNETH E Co-owner: Streeti:498 MAIN ST Street2: City:CENTERVILLE state:MA zip: 02632 Country: Deed date:8/9/2006 Deed reference:21257/10 Land Info Acres: 0.12 use: Single Fam MDL-01 zoning:RD-1 Neighborhood: 0109 Topography: Level Road:Paved Utilities:public Water,Gas,Septic Location:Rear Location Construction Info lBuilding No ear Buil Gross Area Living Area Bedrooms lBathrooms 1 11845 952 1952 13 Bedrooms 1 Full-0 Half Buildings value:$71,100.00 Extra features: $0.00' Land value: $214,500.00 http://issq l2/intranet/healthMaster/HealthMasterDetail.aspx?I D=207045002 1/1 3/18/2019 Property Print Print this page Owner Information Map/Block/Lot: 207 /045/002 Property Address 500 MAIN STREET (CENT.) Village: Centerville Town Sewer At Address: No GIS Zoning Value: RD-1 Owner Name as of 1/1/18: MILLS, KENNETH E 498 MAIN ST CENTERVILLE, MA. 02632 Co-Owner Name Assessed Values Appraised Value Assessed Value Building Value $ 71,100 $ 71,100 Extra Features $ 0 $ 0 Outbuildings $ 0 $ 0 Land Value $ 214,500 $ 214,500 Totals $ 285,600 $ 285,600 Past Comparisons 2018 - $ 275,600 2017 - $ 273,300 2016 - $ 293,800 2015 - $ 300,000 2014 - $ 300,000 2013 - $ 300,000 2012 - $ 294,000 2011 - $ 295,100 2010 - $ 303,200 2009 - $ 419,300 Tax Information C.O.M.M. FD Tax (Commercial) $ 0 C.O.M.M. FD Tax (Residential) $ 508.37 https://townofbarnstable.us/Departments/Assessing/Property_Values/print_19.asp?ap=0&searchparcel=207045002&print=true 1/3 3/18/2019 Property Print Community Preservation Act Tax $ 81.40 Town Tax (Commercial) $ 0 Town Tax (Residential) $ 2,713.20 $ 3,302.97 Sales History_ Owner: Sale Date Book/Page: Sale Price: MILLS, KENNETH E 2006-08-09 21257/ 10 $1 MILLS, KENNETH E &ASQUINO, LISA A 2005-05-06 19801/ 187 $1 MILLS, KENNETH E 2002-02-15 14827/ 181 $0 MILLS, CLARENCE H & ETHEL L 1985-03-15 4441/264 $150000 CHASEN, VICTORIA I 1982-06-15 3491/ 146 $0 Photos 1 t S - Sketches _ FUS S. OAS ,2 �frr As Built Cards:Click card#to view: Card #1 https://townofbarnstable.us/Departments/Assessing/Property_Values/print_19.asp?ap=0&searchparcel=207045002&print=true 2/3 3/1$/2019 Property Print 1132N Barn-any grid story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished) FUS Second Story Living Area (Finished) SPE Pool Enclosure BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area (Finished) GXT Garage Extension Front UST Utility Area (Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story(Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio Construction Details Building Details Land Building value $ 71,100 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $118,475 Bathrooms 1 Full-0 Half Lot Size(Acres) 0.12 Model Residential Total Rooms 5 Rooms Appraised Value $214;500 Style Colonial Heat Fuel Gas Assessed Value $214,500 Grade Below Average Heat Type Hot Air Year Built 1845 AC Type None Effective depreciation 40 Interior Floors Pine/Soft Wood Stories 2 Stories Interior Walls Cust Wd Panel Living Area sq/ft 952 Exterior Walls Wood Shingle Gross Area sq/ft 952 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Outbuildings and Extra Features There are not any extra building features on record at this time. https://townofbarnstable.us/Departments/Assessing/ProperLy_Values/print_19.asp?ap=0&searchparcel=207045002&print=true 3/3 Legend .. _ C Parcels Town Boundary ✓ -, / 8085005 �� Railroad Tracks 2056$540 Buildings 0 Approx.Building PaBuildings Painted Lines Parking Lots #4$t ` x � tl Paved Unpaved Driveways 167 ah Unpaved #497 + . . ....,v:'. d T ✓ n n7n46 Roads 450 13 Paved Road Unpaved Road 207045001el Bridge X 13 Paved Median #4g$ f " f Streams Marsh v Water Bodies .`�� e � . u 2a704$' 20714$ #508 7 yg �E y. 207044 a i ,.. 2070 :! 41 . • � '�n.° #+• - _ _yam � I 'efP Map printed On: 3/18/2019 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA o26oi O 42 83 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain' such as building locations. Approx.Scale: 1 inch= 42 feet cartographic errors or omissions. gislptown.barnStable-ma.us TOWN OF BARNSTABLE �F TN E TOy, OFFICE OF 31ASa9TeBL i BOARD OF HEALTH MMd p� 1639•D MAY 367 MAIN STREET QE k' HYANNIS, MASS.02601 January 29, 1999 Ken Mills P. O. Box 2086 Centerville, MA 02632 RE: 498 Main Street, Centerville Dear Mr. Mills: You are granted an extension of time, on behalf of your parents, Mr. and Mrs. C.H. Mills, until July 30, 1999 to remove the underground fuel storage tank at 498 Main Street, Centerville, Massachusetts. The extension is granted because you testified that the owner's income is limited to the fixed amount received from social security. A substantial portion of the savings was recently used to re-shingle part of their roof. The owners only had enough money to re- shingle one-half of the roof. Additional time is needed to give the owner's son, the only member of the extended household earning an income, and his wife, some time to obtain the funds needed to remove the tank. n erely yours, A. y Actin Chairman Bo of Health Town of Barnstable RAM/bcs I Mills c� 5 ,aai Ken Mills P.O. Box 2086 Centerville, MA 02632 December 14, 1998 Town of Barnstable Health Department c/o Ms. Susan Rask P.O. Box 534 Hyannis, MA 02601 Re: Notice to Mr, and Mrs. C.H. Mills to Replace the Existing Underground Oil Tank at 498 Main St., Centerville, MA Dear Ms. Rask; On behalf of my elderly parents, Mr. and Mrs. C.H. Mills, I am requesting an extension of time in which to comply with your order to replace the existing underground oil tank at 498 Main Street, Centerville, MA. My parents income is limited to the fixed amount they receive from social security, and they have only minimal savings. A substantial portion of their savings was recently used to re-shingle part of their roof. Because the roof was so deteriorated, the interior of the house was becoming water damaged. However,they only had enough money to re-shingle that half of the roof causing the major damage,and had planned to finish the work in increments as funds'became available.At this time they are not only without the financial resources to complete the work on the roof, but also unable to undertake the replacement of the existing tank. Also, my parents are unable to borrow the money based on their age and credit status. After receiving notice of the Department's order they made some initial inquiries into the cost of having the tank replaced, and were given a minimum estimate of$2,000.00. This estimate was based on a conversion to an above ground tank which further complicates the problem. Since the house is in a historic district, an above ground tank may conflict with existing codes. As an alternative, my parents are now looking into the possibility of converting to gas heat, but again,the expense is considerable. Because of these factors,they would appreciate an extension oftime until late spring or early summer. At that time it is hoped that my wife and I could help share the cost. Since we have an eight month old son and a two year old daughter,I am the only member of our extended household earning an income. My wife, however, is planning on returning to work as a waitress next summer after our son reaches the age of one, and her child care responsibilities are somewhat diminished. We fully intend to comply with the Town's order, but would appreciate your forbearance in this matter for another six months. Please let us know if there is any further information that you require in order to make your decision. Respectfully, . Ken Mills TANKS] 91 FUEL STORAGE TANK RECORDS ] HELP [ ] , FOR PARCEL NBR: 2071 0451 0011 ] MAIN ACTION C] Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [�*] [ 11 [ 2451 [0101681 [B ] Test ] Rem 1123981 ---- Test --- --Abandoned-- -- Removed -- -- Variance - [2J [0423911 [ l [ l [ l [ J [ l [ l Fuel Reason Capacity Constr Status Leak-Det Cath-Det [FO] [H ] [ 2751 IS ] [ ] [N] [N] Additional Details [TEST 1-042589 . ] -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ ] [ ] [ ] [ ] Test ] Rem ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - Fuel Reason Capacity Constr Status Leak-Det Cath-Det [ ] [ ] [ ] [ ] [ l [ ] [ ] Additional Details [ ] -------------------------------------------------------------------------------- Cancel [ ] END OF DATA NEXT SCREEN [HMENU] ACTION [ ] PARCEL NBR [ ] [ ] [ ] ] TANK NBR [ ] [ l yVjg Al Nco.. .1 - Fiz$....3..i�............. THE COMMONWEALTH OF MASS,CHUSETTS m� -----r---� — ---- BOAR® OF HEALTHOil 7 �a�h s�o ��• _ � -Ga Z p iration for flispusal Morks Tuustrurtiun fami cation is hereby made for a Permit to Construct ( ) or air ('� an Individual Sewage Disposal System . �l at• L. a `i9e NAK1ry 51� ................_-- - .......... ... -� .._..._....... ... - .................................................................. -- -Location-Address m -or Lo No .-_ ........moo N/��.JQ.. ..�__� (�: L,.N....... - A k Ill 5 1 a Owner Address f ••••••••••••....: ................•• ....... ........ lv`I E_(�..u_.!1.L1MMIS ...... Installer Address Type of Building Size Lot-_a444-......._..Sq. feet V Dwelling—No. of Bedrooms-__--•-.••�----•-•-.-•••-•-.---.--__Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building _______________ No. of ersons___._..__-_________._--.---_ Showers p., yp g ------------- p ( ) — Cafeteria ( ) Q' Other fixtures ------------•••-•------•-------- - W Design Flow______` .....5-15. ......gallons per person per day. Total daily flow............... 0.............gallons. WSeptic Tank—Liquid*capacity. ®-gallons Length...... ....... Width.....-,�_.__._ Diameter................ Depth._.._.__... x Disposal Trench—No_____________________ Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No.........l........... Diameter.....%!-,�'`�__.._ Depth below inlet---!-_o...... Total leaching areaar7'©......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by------------------------••---...._•-------------------- ------------------- Date........................................ 04 Test Pit No. 1................minutes per inch- Depth of Test Pit_..__._____-._______ Depth to ground water......................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P ..........-•------------------------------------------------•--•----._........_..--------•--....._................._._.......----..........._.......--__•••-- 0 Description of Soil_..----cA_�.L1.�42......�.4..1( ---------------------------•------------------._...--- x ----- x •- - V ter►-sue---- U Nature of Repairs or Alterations—Answer when applica l ------------ ...... C&_ �__.......................... !(d.S1M...... _X.�S [.► l S.fs .. .. _......., _.....-- ��L..__M� .l ��'r 1 --------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TLITHE 5 of the State Sanitary Code— The undersigned further agree not to place the system in opera ion until a Cer • of Compliance has been issued b th�boar f health- . Signed......1�� --��_� ,,ems Da e ica.tion Approved Y--• � 4{-••-f -- -•- ...................................... ................ Date Application Disapproved for the following reasons:.............................................................=................................................. ---•------•---•-•----••---•------------•-----•-••----•••---------------•-••••-•--------.....-•_-----••-•-•••----------•-----•--•-••••--••---•----------••------••-•-----------•-••---------------•_-••-- Date PermitNo......................................................... Issued........................................................ Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA Fxs..�..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --•................................... .O F............ ApplirFa#ion for Dispas al Vorkg Tonitrurtion rrnti# Application is hereby made for a Permit to Construct (�() or Repair ( an Individual Sewage Disposal System at: Locationl-Addresss`. /� t r� lY (\� Lot No.,J; h L C 1 1 4t Ow Address n a sy� """-----• ••••---•---...---•--.....• .....-- -- ••--••-•-•••.. ............................ •sj ..........-....................................................... Installer Address d Type of Dwe11in1dingNo. of Bedrooms.____`t Size Lot___�t44..._._____Sq. feet �. g— t_.............................Expansion Attic ( ) Garbage Grinder ( ) xz. a Other—Type of Building ............................ No. of persons----._______._-_-___--__-___ Showers ( ) — Cafeteria ( ) a Other fixtures ----- •------------------- •. . W Design Flow...... ...._...."_`?_._......gallons per person per day. Total daily flow.._.....•_-_._.."...©.............gallons. WSeplic.Tank—Liquid'capacity.a5b_gallons Length........1....... Width..... '"'_..... Diameter................ Depth...A=........ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.........A.......... Diameter.._... ..... Depth below inlet__.'Z ®..._.. Total leaching area:`a 70._....sq. ft. Z Other,Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1.................minutes per inch Depth �f Test Pit.................... Depth to ground water........................ Gr, Test Pit No. 2................minutes peQnch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil......_C A_Fe.u-, Q, r G A fc,�t�- S A Nj N� ......... --•----------------------------------------------------------•-------•••--••---•••••-•--...---•--............................. x ---------- -.a• W .......... -----------------------------------------------------------------------------------------------------------------------------.................................................. U Nature of Repairs or Alterations—Answer when applicable..........1-11_` �_'`S.�` .C-I........ c,(_� �:------------------ ---------- f C17CI� i k 1 ' 7fA1(_I t,�rr ( �1� \ ;' � f11 ---•---•------------•-••--------.-•-•-------•----------•......--•.............. Agreement: ...••--------•-------•-••............................................ ............................. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operati until a Cert� e f Compliance has been,iltsued y the�oar rp health. ti 4 L�/ Ue Signed.......... ..... ....... Ap 1 cation Approved By..................................... -•------------•-------------•-------•--- Date 4. Application Disapproved for the following reasons:................................................................................................................ � •------------------------•-----------------•---------------•-•--••--------•-----•-----------------------'•-------•-----•---------------•-------•----------------------------••-•----Date-•--------•--- PermitNo......................................................... Issued-------•---•----•-• ` Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O�HEALT ............�C91!!i^w.........:OF........ ...................................... wrdifirFa#r of Tontpliam TH S TO CEOIF , That the Individual Sewage Disposal System constructed ( 1�or Repaired ( ) by.. . ... ..... ----•- --------------------------- --- --------••--•--••---•------------------------------------------------------------- at..................._1.9.& �-....- '.'_.. I�ta1 has been installed in accordance with the provisions of TIW h•t//The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......................................... da.ted__..-----.----_--_-__-__________--_•_---------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THA SYSTEM WILL FUNCTION SATISFACTORY. k a DATE..................................................... &......... Inspector..------ rlJ --•-•------------------------------...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH j ..........................................OF..-.................................................................................. No....... �...��/ FEE........................ io rooaa:!� irk$ � udiion anti# Permission is h�by granted --•••---••--............................................................. ' to Construct � epait Ind Sem )ZOR ystem at No _ �o �� Street as shown on the application for Disposal Works Construction Rermib No D .. - ---•--•..................------------------------- -___. ----.-----_....._._____.`A_______...__.._....:'.. Board of Health DATE....................8/0 - ............................- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS t k 1.i0 CAT ION SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS 8U1,L0EIII OR OWNER �\ DATE PERMIT ISSUED DA'T E COMPLIANCE ISSUED o _ _ l.________, _�_ _ .___.� � . . � �. . G SECTION - SEWAGE -SEPTIC TANK - - "D"BOX - - LEACH TOP OF 1ST. F-%_poP_ t �' ''JL1. C'?(MSL) F t l "2"OF-IATO ah., WASHED STONE Cj*f / z Y�. -,�r W►�TGr{ Mc7 e►-1t�.i.rGrtx o� Cs��.ca> \S PrdL •-------� 'Irl? / Fib I�T t�C;r / �✓ - 1 'T IN' ouT- Zri't IN• OUT- 2= IN V'735 l � + ` /.�IS 49.`�"T TANIK _.ELEV. ELEV. EL . ELEV. *� `9` �' C \, .ELEV. ELEV. , OFSh"-1�r:" \ � • WASHED STONE � �•D ��• � ,•` r � ,�,� TEST HOLE LOG TC>T 1._ TEST BY WITNESS �' C� TEST DATE __--.-- DESIGN BEDROOM HOUSE T.H. 1 T.H. 2 �c� -��k r.l7 `Y,v )+ \ �' ELEV. LIA V, ,C - CA 'S1Jtl.i� NQ ( 'C MIN/IN. , DISPOSER DISPOSER ? 3 Y PERC RATE } ' t. G G } FLOW RATE !t L1 Ca(GA-/DAY) 44c? 1 G- t SEPTIC TANK 44c� x (0-_)= I VC�dC'? - - - I • � ,vE REO'D SEPTIC TANK SIZE I LEACH FACILITY _ �, SIDE WALL 0MGo 5 — (Z;' ) _ 53__�Y�t. 1 _ G/D. } BOTTOM _ 5&1 5 f (t.ca ) = Sfo.'7 GID. roo/ -� z o.SS.f g 59o,f Tat s . r t.,•. C.0 N r7►-1"t t�ti�' �. TOTAL, `I -------- ° �. ,+�` �/ 2t Gt> 1 1 ld1 t�.>�S f to► iS"i'ti�t aG� h 1 ': �D C�,"r E C K:I':aT'C tl G .e.. �. t.l \ fib '< / q Tc� C5C.t5Ttt�4�• t3t�t1 'C)tt�]C�`� ` _ � "..� V USE: L .L� —LEACHING Slt.l f3C t i2 C.C�►...... 4191,Is WATER ENCOUNTICED �+ NOTES: (UNLESS OTHERWISE NOTED) H''\)'JI'-!I 1. DATUM (MSL)+TAKEN FQM M ._____. _ ._----•------•--•-_---QUADRANGLE MAP 2. MUNICIPAL WATER, w...............•--------------AVAILABLE t 3.PIPE PITCH: m'•PER FOOT 6.DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO- 44 4-1! jQf r� �' --Q- DISTANCE AS CERTIFFED 5;MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. i l+ , I 6. PIPE JOINTS SHALL BE MADE WATER TIGHT ..'t � ': I HE CERTIFY THAT THE BUILDING - SITE PLAN 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. J i SHOWN ON THIS PLAN IS LOCATED ON THE q (`S STATE ENVIRONMENTAL Ca DE TITLE 5 F LOCUS: t��^' �� • GROUND AS SHOWN HEREON &THAT IT—_ `+ h, CONFORM TO THE ZONING BY LAWS OF THE CEkl T TOWN OF REG. PR ENGINE R WHEN CONSTRUCTED. DATE __ t REF: as� down Cape engineering PREPARED FOR: - --- — ' F CIVIL. ENGINEERS _� - LAND SURVEYORS -REG.LAND SURVEYOR SCALE Iu i�� Ja j :.y a i? BOARD OF HEALTH ti \-Q' L. (EXISTING) vs4et,,►S-N\tsL.� i MA Yarmouth&Orleans,MA DATE CONTOURS APPROVED . DATE F (PROPOSED)--O--O"O-O- I f 9� �µ O� L-2aV N1-27h OS p a/ o OoEtb'I b ESSi's X3N1WM o r /3NlIHM ' N Nnsor 3 i Nil sr�dW.S/KNb�Cf"]� y 9 SG61 ' so��Q pro �L y �.(r.7JIVOC7. ��C�Q� � �� d� saals/�� YH-L S/vo%cd7n�a� 47N6'S-27PY-2H1 H1/M SGVa'0=1/YOO �sd�l��st�,csNa►a�•�77�/ip7U/r��-G.(/lld7�® Nd7� Nd7� S/H1 1dH1 y Dad/nB�2f 10/-,/ Mbd7 Sfi 107 z Ivo/S/�/asns��H1 a��oN/j 7b'/tod'dad� LOZ oN db'/N sa�ossass/y' W 1 y Z�9ZO 'SSbW `-�77/ii21'�1N�/VC7�Noo �Cdb/N ' 1S N/d/rV 08S NHOr 0��_ 8Ze9L5 .FO OS/• 0SZ6 962 w n T� �N . °w y a '1 �A /96 OS/ -9 D ;6 ;2 y 9�i56/'d�ov.�nrcn�.79/d 1d/yscdiHa�/7no.� 10/77J AWV--7/NL/D-j 77a9dWd,, f111�a'O7 C air 77 aSdWd' �/ �oa�oa� I iva-I& SA567 r f( !A f noN�Y � a 8z / atno& I': SECTION - SEWAGE -SEPTIC TANK - „D,,.BOX - - LEACH- TOP OF 1ST. j=c.paQ,. /`� CjrA `7G10(MSL) r ..2..OF'�HTO ;JZ,. - 1�tNG C �/E-sS TJ 1/\l1TF^4I� I.C] WASHED STONE . St. v rkt5r ti!G _ '']� SI,z t�tl�'e _ 7 ' IN '' OUT '# t��i ! �F 21. IN X. �F�.trp+ SEPTIC �y ' \ -� .,/ ��'f$ulGE. \C q:`�� TANK 1 _�•�9 �t�e�`�t ..x C�< \ ( ~�ye>. 1� ELEV. ELEV. ELEV. ELEV. ` s Fi a 1 4440 ELEV. ELEV 17 qq S _ WASHED STONE . . . •�--.,..,gig �,Q .� 'lJ . TEST HOLE LOG t�4C�ty T `•E`��a — (�y�l. L.,,; ,r:r i d. t a= „' �, �v� TES f L''r' �SG1�,T1�<- S��!� T n'f T6 S t. WITNESS_ .? �.�� SC DESIGN ---.--.-..BEDROOM HOUSEI U �? C4: c, T.H. # 1 T.H. 2 s (•:�.� SF T�k - fYa /S� `�� >�� `, \ ELEV. _ _.,-.c-,�.....,-✓ -__ ELL V. �fc<. i�-„�•-; - ;, i' _ f, - -C N DISPOSER T"-.- PERC RATE '� MIN/IN. --.-._ FLOW RATE l-t4C.,:,iGAL./DAY) _._.. -�G4C� 1 � i�» +it `s`==• i.+ i SEPTIC TANK 44r> �c REQ'D SEPTICTANK SIZE I LEACH FACILITY r. SIDE WALL F3.tc 5. >G `-12,5 j _ 534. l ?� BOTTOM _ - a '— t t;G? ). __ ----- G. D, CCU: ?`�aa•�� ?�C TOTAL 2�< S•-F. : ..59o,8c�a�/d, (�;c�-rC. : / �f / 0 1 viac t G� 1:;,-ui u jt t Gi a^_�f4�TtZ. >G.'^Ft�tia ! L c r e G3 IwQ-rit-uC-e Gr� .- �`� �• t � q � ,. "C";� .'�56.t 5Tt)�4 C;. ��jt'l t t.:�+t t•.I C"�r� �' $� � V LJUSE: --=- 1 __— ' :.:.LEACHING __ 13.y - , F3.Ircat a..IS`rt2t "i"lc>t•:S 7 ts.5� WATER ENCOUNT � 49,E R r NOTES: (UNLESS OTHERWISE NOTED) �� ,l G•t ,C � �; 1- DATUM (MSL)''_TAKEN FP OM t✓i�---- t _QUADRANGLE MAP - - 2.MUNICIPAL WATER ------ -•----------•AVAILABLE 3. PIPE PITCH: ri4'•PER FOOT - - - - - - 4. DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO- r 5: MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. i� ,.V'. Q — `DISTANCE AS CERTIFIED 6. PIPE JOINTS SHALL BE MADE WATER TIGHT 4f(' 7. CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. 1 HEREBY CERTLFY THAT THE BUILDING SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 i SHOWN ON THIS PLAN IS LOCATED ON THE 1 �„ LLOCUS: LC7't'S . Z N1At�t�. Si V��•T . AROUND AS SHOWN HEREON& THAT_ IT._.-_. r i CONFORM TO THE ZONING BY LAWS OF THE i _ t..}. TOWN OF JVI CL FP\/1`L ^f ;CNSTc�t3t.E , h/th�S ,.. REG.PRO 'L ENC INEE p fWHEN CONSTRUCTED. DATE h N REF; - hook 3 4 ��Ct c(e. ��•_ dOW# CdPe engineering PREPARED FOR: ©o:.►a,�-ti Gt-IZ'\SEQ� CIVIL ENGINEERS QVk L C<=�tZP. LAND SURVEYORS ------ - -- -- BOARD OF HEALTH Ii REG. LAND SURVEYOR i;Q^IT..OURS (EXIST11�1G) •- 1"..'A�t.IryTL� iL. :_ 'MA j Yarmouth&Orleans, 1-O IS(PROPOSED) --O--O 0--0- APPROVED - DA'iE� __. �I DATE E_E i SECTION - SEWAGE I.n - SEPTIC TANK - _ „D;,.BOX - - LEACH- C3AS 1 �1� TO F OF 1ST. 7-LocaP_ ..2.,OF"a TO vz" lT+-44 tom{ l.Ga 0, WASHED STOVE n Ma-s cu I.to c1.at�p.t�G nF Gts�n� ,s asz�'�sr=r 1,0 5 Q Cr =— IN- �� IN• ouT. l IN ».�.., _. t' 4t -!� ...�MsJ" -'9,�✓. /die.\ t Q �� V _ � .. 4g 4"1.�J SEPTIC 47 Z9 TANK GFIc.'�1 " E y. l>Q• 6� ` � � ELEV. ELEV. ELEV.: ELEV_ ° C g 1 A 1 ELEV. ELEV. f 0 �•- �t WASHED STONE ' .3> .TEST HOLE LOG , -�r��a��. -� TEST eY - ►-► E�cts-T-L S%T� taI_ � > --- ►c> { ---- WITNESS (i $.. C EST 0A7E --- --..-- - DESIGN L`' �._BEDRQOM HOUSE �c� ` ' y� '� �>ag T.H. 1 T.H. 2 In LLEV. K -,�J_.__ LI_E V. •G Z L - - �/ DISPOSER DISPOSER ' ti5 "c PERC RATE _,_�. MIN/1N. - -._-_-_..., } - - \` s� FLOW RATE d.}-4Cs(GAL.iOAY) 44 SEPTIC TANK ai•4-(--% K (L )= C.^ Irs-'1.... caC Af a.SC_ r�o ar its REQ'D SEPT1 TANK SIZE 1' 0� � 07.. ObL v i LEACH FACILITY -45A !. SIDE WALL _.. G;'D. I BOTTOM Iste- t�t % Ttt:7tw' T TOTAL . �` a 35.- = S9C� a��d t TCe� d - ( - �' i�e. G L7 Tic t�2 s t w tC s C G`�• `a ?t L►c-n e3�a Lc�C�'i'� 7G I'S T"�N Gr. Grizhl L;t�7> f q T"c:a `E5G15T[t'�lC. 3.tL_C>l 1G `� tl1 u I USE: ----_----_..LEACHING __13 �1!!4- 6i�R [_ss'L C.C�i..ta F2t "T'tcaia ::; �? , .. 2S.G r>c 4._x €3•a`'Ds t3F_ Q�I t•tvr_,z`r 7 e \,p 4gs _WATER ENCOUNT ED ..._.. ... •—_� NOTES: (UNLESS OTHERWISE NOTED) I. DATUM (MSL) +-TAKEN F LTM �Y\u3_S_.____---.QUADRANGLE MAP P' --` r�yw�\ 2.MUNICIPAL WATER______l�__________ ___ _________AVAILABLE f ro 3, PIPE PITCH: 'W'PER FOOT 4. OESiGN LOADING FOR ALL PRE-CAST UNITS: AASHO -d•_ _-44 r 54 MIN. GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. DISTANCE AS CERTIF[ED. {l/�-�---- 6. PIPE JOINTS SHALL BE.MADE WATERTIGHT 7•CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS.' I HEREBY CERTIFY THAT THE BUILDING PLAN A SITE STATE TITLE 5 ENVIRONMENTAL CODE T L � � SHOWN ON THIS PLAN IS LOCATED ON THE �,L�I�,}, 'LOCUS:_La"i-S Z GROUND AS SHOWN HEREON THAT IT.-_4_.. CONFORM TO THE ZONING BY LAWS OF THE .� - - �---4 TOWN OF __ --------- -.- __ REG.PROFS L ENGINEE R WHEN CONSTRUCTED. DATE - REF; d' O W. 11 Cd.Pe eft • . Rh � CIVIL ENGINEERS -7 LAND SURVEYORS `- ------ BOARD OF HEALTH REG. LAND SURVEYOR _ h� tL1Pi;G-r�.eF.� - .- - _•.-.... SCALE Ie� _ �� '"( �jb �' ^„•��. ' ' r~-- -'~-~---- �---~~---------~--~-�'�~- - -� ~ --~ ' ` ; � i ! � / | � . ! ' � � ^ i > ! � } / � � � � " ! � ; � ! ' / SOIL TEST --� P#1586$ j TOP OF FOUNDA`10N i 20 FT. MINIMUM FROM CELLAR OR CRAWL SPACE j ELEV. = 1�0_ 10 FT. MINIMUM 10 FT MINIMUM FROM SLAB SOILDATE OF SOIL TEST TEST DONE BY TAM NAYES_0�9 'ASSUMED) i CLEAN SAND WITNESSED BY -�2..-QEaMARAL$ -_-- \ CONCRETE r-INSPECTION PORT COVER LOAM AND SEED I 4" SCHEDULE 40 PVC PIPE OBSERVATION HOLE ` j c MIN. PITCH 1/8" PER FT. -1 2%8LA�Ro�2" OBSERVATION HOLE 1 ELEV.=-_100_0 1 PERCOLATION RATE _< 2 _ MiN./INCH AT 54 _ INCHES bdANHOI E E ` WASHED STONE -- -- A E 100.0 MAX. \ OR FILTER FABRIC VENT DEPTH HORIZ TEXTURE COLOR MOTT. OTHER +2,5* 4" CAST IRON PIPE 97.75 MIN. REQUIRED 0-12" HTM NO II (OR EQUAL) MINIMUM I I PITCH 1/4" PER FT. FLOW T z 12-25 B - LOAMY SAND 10YR6 8 -- --- LEVELERS TEE I - 25-1 -38" C MEDIUM SAND 2.5Y7/4 FLOW UNE 97.0a> ELEV = 98.8 • --- "_- - NO WATER ENCOUNTERED AT -__t 38 ELEV. = 88.5C ELEV. = 97l5t_ � 10 o ° ❑ ❑ ❑ ❑ ❑ o ❑ ❑ ❑ ❑ C] ----- OBSERVATION HOLE 2 ELEV. Oo% 2 O" l i_`o ELEV. = 98.94� LEVEL I ° ° ❑ D ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ q I o 0 ELE`✓ _ _ 1�_- GAS ELEV. = _96.84_ 6" SUMP ELEV. = _ g7_ lo� o ° ° fury I o ° � D ❑ ❑ ❑ C7 ❑ u ❑ ❑ ❑ C1 ,0 2' 40 ML I DEPTH HORIZ TEXTURE COLOR MOTT, OTHER BAFFLE DISTRIBUTION 1 = o/O ° -� I VINYL 0_12" HTM NO LIQUID OUTLET �---- ELEV. ° °° I L.. ❑ v 13 LJ ❑ ❑ ❑ o ❑ C ° o ° s 94.25 UNER _ _ __ BOX _ ELEV. 12-25" IB LOAMY SAND 10YR6/8DEPTH TEE 4 FEET 14 INCHES (TO BE PLACED ON FIRM BASE) TO BE WATER TESTED 3 500 GALLON GALLEY-3 WITH �25-1'24' C MEDIUM SAND 2.5Y7/4 5 FEET 19 INCHES IF MORE THAN ONE OUTLET STONE IN AN 6 FEET 24 INCHES 1500 GALLON I NO WATER ENCOUNTERED AT ___124" ELEV. - _ 89.67 7 FEET 29 INCHES (TO BE PLACED ON FIRM BASE) 13' X 33' X 2' TRENCH FORMATION z WELL N/A _ _ 8 FEET 34 INCHES SEPTIC TA 275 ZONE �_ I SE C TANK 3 4" TO 1 1 2" CLEAN I DESIGN CALCULATION DOUBLE WASHED STONE SOIL ABSORPTION ;�, � INDEX ELEV. ADJUST NUMBER OF BEDROOMS 4 FREE OF FINES & SILT SYSTEM SAS ! GARBAGE DISPOSAL UNIT __ TOTAL ESTIMATED FLOW SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED USGS PROBABLE WATER TABLE ELEV. = ------ �../ REQUIRED CAPACITY GAL. ( 110 GAL./'W/bAY X , 4 BR.) ._ GAL./DAY NOT TO SCALE WATER TABLE ( / / ) ELEV = ------ \./ I T �'SQ_ ACTUAL SIZE OF SEPTIC TANK (EXISTING) 1 BOTTOM OF TEST HOLE ELEV. s __PP-0- GAL. I SOIL CLASSIFICATION DESIGN PERCOLATION RATE 5_�_ MIN./IN. EFFLUENT LOADING RATE Q,7-4r GAL./DAY/S.F. LEACHING .AREA !ft .00 SO, FT. (13X33)+(46X2X2) LEACHING CAPACITY (AREA X RATE) -4 .62 GAL./DAY I 61&00 X 0.74 RESERVE LEACHING CAPACITY -_9N.E_ GAL./DAY NOTES: 1 ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND TH ' TOWN'S RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE, 2, ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO FINISHED GRADE, 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-20 LOADING. f ' 4. ANY M:ASONARY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED sN PLACE, i 5. NO DE:TERMINATI.ON HAS BEEN MADE AS TO COMPLIANCE WITH t DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO 1 OBTAIIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY, 6. UTILITIES SHOWN ARE APPROXIMATE ONI_ ', £XCAbAT?ON CONTRAC s'OR i 'S TO CALL "JIG SAFE." AT 1 888- 344- 723x AT LEAST 72 HOURS I Cfl 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS i SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION y;.2o o iS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER 96' p IMMEDIATELY. . 15t7• � 8. PARCEL IS IN FLOOD ZONE LOT 1+2 9, LOT IS SHOWN ON ASSESSORS MAP -_207 - AS PARCELS 45-- 'k 02 o° 9,443.2 f S F -� , ~-� 10. EXISTING SEPTIC TANK, D. BOX .AND PIT ARE TO BE PUMPED AND REMOVED .� ALONG WITH ANY POLLUTED SOILS ENCOUNTERED. �, 8 8 11, THE INSTALLER IS TO GIVE THE ENGINEER A MINIMUM OF 48 HOURS 1 99..'8 `� ' C (2 WORKING DAYS) NOTICE FOR -HE FINAL INSPECTION (NUMBER BELOW). 1.i \NG O*c�S G \� 1 VENT o X15TtNG ROoos N j 99.1 1A, SOIL 2. IAABSORPT ABNCES TO SORPTION STEM LE 5 �LESSRTHAN 610'LE REGULATIONS: SLOABS(VAR. OF 5.6'). I �*\Sj E9�OOa ABED w/ B. SOIL ABSORPTION SYSTEM LESS THAN 20' FROM CELLAR (VAR. OF 15.2'). 6 1Qa 9 .$ rn - \oH` t W C. !v0 RESERVE AREA. ,�9 100.7\ N T -3 0.8 c, 1500 GALLON f Al .7 �. -- l9.0 101 . +'� SEPTIC TANK 9 SEpT . � {D - --"'' --- 1 98.9 14 APPROVED. BOARD OF HEALTH 13 �`° ""' _w-� •r )U v gyp; 5, 100, 100.5 f TEST 1 , ,; t a�. " HAY f DATE AGENT %: OIL '�?� S,NQi90 _� 9 , TEST 2 .� �f ST�� 1u1 t�p�� ----- MASS. ' PROPOSED SEPTIC DESIGN SEPT LOK �+NITAR\PN CEJ�\ i�, ��f1� AJ• �dC'7 )► I �� o _. __...___..__. rf. �� o"`� �498 STREW, I�O� I f *__ opuNiWAN �Atij�oI ! I "I'll 14 P, 0. PDX 483 + Q� ROBS Ias�- soy Tl~ DENNIS, IAs . `G SPOT ELEVATION O0x0 fc�i WILL v, , t_X,SDNG CONTOUR 0. 01 1 . ' / I f AE _SL�AE ANAL SPOT ELEVATION J I � FEs3. 5, 201 _ FINAL CONTOUR--- SOIL TEST LOCATION 1TIL!;Y POLE C3 NA! LAND i I t1 ✓ .. OB NO.' 2 5 I TOWN 'WATER -WW f CATCH BASIN GAS LINE CESSPOOL C.P. CLEAN OUT .... -- --•�- I 'LOCATION ( y �. REV, � f F� ,� . Ski Y _. ....._�._ ___.��....___._._..__...._ _ 1.38",perO.-\872.,' 2019 T. M. HAYS `R,S I