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HomeMy WebLinkAbout0566 PHINNEY'S LANE - Health ti '66 P'HINNEYS LANE CENTERVILLE A = 250017 urr �p,ECYCIEp� 111ZQ[d'"O =° ym UPC 12543 No.53LOR FASTRIGS, MN �� �. v �� JUN VIG W2=33 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do-by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: a._ ' APPLICANT'S YOUR NAME/ K� �0.�c� V�e Cam►'►.�0. l� " ' "� iiRI BUSINESS YOUR HOME ADDRESS: .5-6(o �'bi nne 5 Lctv�e S T x`_ Cer.-Feryi.11eO.�43;- TELEPHONE # Home TelYphone Number .4'Q, T.5 19.3 ;u621 AN NAME OF CORPORATION: NAME OF NEW BUSINESS D•A. 7a TYPE OF BUSINESS Home —d. Yard. Wor K IS THIS.A HOME OCCUPATION? X' YES ADDRESS OF BUSINESS -66 : lri H. I-L, AG MAP/PARCEL NUMBER o25 O 61 .(Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COqhaa ER'S OFFI MUST COMPLY WITH HOME OCCUPATION This individ inforrm� d f y arm t re uire isthatpe ain to this type of bual ALES AND REGULATIONS. FAILURETO COMPLY MAY RESULT IN PINES. rized at MM NT lr"\ (J (, i p 2. BOARD OF HEAL MUST COMPLY WITH ALL This individual has been informed of per ' r irements that pertain to this type of business. _t(AZARDOUS MATERIALS REGULATIONS Authorized Signatu e COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: r } Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: D. h. -D• BUSINESS LOCATION: 5�6 09 /nney.S Z.,I- Qf4frt Ao INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: '-RkGLn� !/ c6nn-&c L EMERGENCY CONTACT TELEPHONE NUMBER: k-S-6193 MSDS ON SITE? TYPE OF BUSINESS: /-&a x C ¢ Y -0 ve ore-% " T INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED - Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers oe Windshield wash . WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Siyfature Staff's Initials i _ _ i TOWN OF BARNSTABLE LOCATION hmWeNk LrJ SEWAGE# Q4-a(p VILLAGECcn,kef ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO: XJfc, &16[ar Tior 5D8-YQ0-V,4 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) oL�SQCIr4d r bt b (size) t; d 6 X a'T-X2, NO.OF BEDROOMS `3 OWNER MC-C.Orrncte-jr PERMIT DATE: fY//L COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility Of 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� r o0T- lo,s OVA, D- rS t_ 17 ACIC lFrorjT �.� �I-N5,7 ouT-111,5' 1 D -a41 7f W L N �-� No. 6 33( Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ipritation for Dish aY *pstem Construttlon permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Addr or Lot No. Owner's Name,Address,and Tel.No. 114C cz.lc Assessor sMap/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. icy-. h '510 vj Type of Building: Dwelling No.of Bedrooms j Lot Size 2Z,460 sq.ft. Garbage Grinder( ) Other Type of Building f eSIDmy,IC, No.of Persons '_ Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '3 gpd Design flow provided 3 N 5,'7 gpd Plan Date Number of sheets �2— Revision Date Title Size of Septic Tank 15 o O Type of S.A.S. 'j p� C,l r,�, r- ­3 41 S�Onr_ Description of Soil Nature of Repairs or Alterations(Answer when applicable) I�� E 1 S C © r, (L _c��T 4 i C A-CII-A c A^JO ,_X, 1i CX:1 F.C,0 b1-3 (' r Pf!5 L C E L2U r S ir�N'� 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 Certificate of Compliance has been issued by this of He gned �✓z Date / Application Approved by Date ZQ �� Application Disapproved Date for the following reaso Permit No.4,61h ���I Date Issued ��, b - 3i -44 ,1� No. # Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIPPlication for M are*Pstrm (Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) 0 Complete System ❑Individual Components Location Addres�or Lot No. 57&(, P `r � ` �. Owner's Name,Address,and Tel.No. Assesso��Map/P�arcel O j` , /Vc ro✓'vtccfL Installer's Name,Address,and Tel.No.f Designer's Name,Address,and Tel.No. <,ce-L)C-- 7!55 Type of Building: Dwelling No.of Bedrooms Lot Size '2 21 t-I GO sq.ft. Garbage Grinder( ) Other Type of Building (C°S t c ft*I G) No.of Persons '� Showers( ) Cafeteria( ) Other Fixtures P Design Flow(min.required) "5 C) gpd Design flow provided 3 gpd Plan Date ? 1 1 Number of sheets -' Revision Date Title Size of Septic Tank 14;a'fJ® Type of S.A.S. P 1i pq t.) 41 SfOrjt Description of Soil 444 Nature of Repairs or Alterations(Answer when applicable)_1.fie 1 G�� c, 15 nC.3 e, G4l��� St4l�1iC figN0 a. 'SCD C,0 (.10,-%) !L,r�K► Ycr5 4>))FL, W` Sfo1Nlr 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 Certificate of Compliance has been issued by this B•arg of He lth. 415e 217)i� 0-,Z— Date Application Approved by Date j l Q 4<6 Application Disapproved by Date for the following reason Permit No. 2p I -3;,j/ Date Issued r --------------------------------------------------------------------------------- ----------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( 01�Upgraded( ) Abandoned( )by ,•,�i,., A ,c , �.� pp n!C at r G[: ill+ N N tr.�5 L\ C^ !�/�) 1 Y has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 6—n dated /A91 0 Installer NDC-0�G C, N C Designer .✓r i yr S #bedrooms Approved design flow —3 j gpd The issu ce � tM shall not be construed as a guarantee that the system `1`fu do /as{'d/es/ied' _ 1 Date g Inspector t ------------------------------------------------------------------------------------------------------------------------------------------ No. l — 33� Fee%16 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS -Misposat 6pstem `Destruction permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at 57,06 P V/+/U-F./-S I and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Co struction must be completed within three years of the date of this permit. Date Zp Approved by Town of Barnstable Regulatory Services Richard V. Scali,Interim Director MAWavucsrAe�ae, peg Public Health Division 1639. Thomas McKean,Director 200 Main Street,Hyannis,MA 0260.1 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 2,6 Sewage Permit# l Assessor's Map\Parcel Designer: 15 y.c?."Q-e 1'0r rLIL-& I Y. Installer: 'D;A ro r-a"J � 1", 4-- Address: i Z &,j, Address: ?, o- ris ag= 1q s— On �q �. /dam'' L was issued a permit to install a (date) (installer) septic system at S(e 6 ?k\" v►vie y' S based on a design drawn by (address) Ft W-/-. i°'1 L l;,n t-+i:..t F C� dated -7 121 1 !o (designer) 7L 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. f 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 liance with the terms of the AA approval letters(if applicable) c�P Cy o PETER T. nstaller's Signature) CIVIL No. 35109 01h I' (Designer's Signature) (Affix Dest Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM: AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASepticlnesigner Certification Form Rev 8-14-13.doe Town of Barnstable P#_._ /`5 D q �p'` ►'�, Department of Regulatory Services BAmaI'ABIA Public Health Division Date e t- 16.39L. ,6� 200 Main Street,Hyannis MA 02601 rfd trlAy Fr Date Scheduled_ Time U t .t x V Fee PiL. Soil Suitability Assessment for Sew e �9iamsp sal Performed By: Witnessed By; l ,_ LOCATION & GENERAL INFORMATION Location Address Owner's Name 379 LaLC1es"(4 D^ lt�l'es'� �neac�P� �V_(_,kQ. l --'�rl -�v. l IL Address 37 y L� S��c:� �7�'' V\.) 'r' MACZ-Q�'3,K_ Assessor's Map/Parcel; 23,'Z Engineer's Name NEW CONSTRUCTION REPAIR Telephone# Lund Use Z��t ���a 1 Slopes(9'0) Y' _ Surface Stones__ZjLa^g Distances from: Open Water Body V Q ft Possible Wet Area�Q(l� ft Drinking Water Well Drainage Way__2�f ft Property Line " _ft Other SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) rn ( uV L/�S a5�c�t� Z Dr q1 Parent material(geologic) (J- Y\ � ' Depth to Bedrock � ll Depth to Groundwater: Standing Water in Hole.(5�f( �16 Weeping from Pit Face _ Estimated Seasonal High Groundwater E?L _3q' F A),&Vo �S l-`cb f`p-�-¢� DETERIVHNATION FOR SEASONAL HIGH WATER TABLE. Method Used: _ Depth Observed standing in obs.hole: ,� , in, Depth to soil mottles: Depth to weeping from side of obs,hole: M�,-„,,,"�,ln, Groundwater Adjustment,,...—v—fr, Index Well# Reading Date:_ Index Well level Adj,factor_ Adj,10roundwttter bevel— PERCOLATION TEST Date- Tln,--- Observation Hole# '-z- _ Time at 9" . v. Depth of Perc �t J 9 CL l l.Qo�) Time at 6" � Start Pre-soak Time @ \ 1 Time(9"•6") End Pre-soak Rate Min./Inch. Z_ Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)_ Original: Public Health Division Observiftion Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first:notify the, Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP-OBSERVATION HOLD;LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in'.) (USDA) (Munsell) Mottling '(Structure,Stones;Boulders. _ Consistency.%Gravel) LY►2. 4Iz g - ZW 2il-1,10 C_ fl\-C g ow'd :DEEP OBSERVATION HOLE LOG Hole#_'Z- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. _ Consistency,%Gravel) )DEEP OBSERVATION HOLE LOG Hole#,� Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co istency.%Gravel) :DEEP OBSERVATION HOLE LOG Hole# Depth frorn Soil Horizon Soil Texture Soil Color Soil Other. Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistency,11/0 GM 1) Flood Insurance Rate Man: Above 500 500 year flood boundary No, Yes X, Within 500 year boundary No Yes.�. ,. Within 100 year flood boundary No Yes Depth of Natura_lly Occurring Pervious Material Does at least four feet of naturally occurring pervious~material exist in all areas observed throughout the area proposed for the soil absorption system? J If not, what is the depth of naturally occurring pervious material?_._. Certifleation I certify that on tt e (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required trai.nin erdse and experience described in 10 CMR 15,017. Signature _ Date Q;�.Effl(_'�PENRCFORM.DOC Town of]Barnstable P# p� Department of Regulatory Services / Public Health Division Date a639 �d� 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd. Soil Suitability Assessment for Sew e D'sposal Performed 13y:_ I ' `L Witnessed By: ham! _n � LOCATION & GENERAL INFORMATION Location Address, tp �l1yyt r�7 �5 Owner's Name Address6 l�h n.Vl�y i s 1.v1 7 Assessor's Ma /Parcel: 2G I O Zb r P � Engineer's Name NEW CONSTRUCTION REPAIR . Telephone# .90T II Land Use 12.q Ak Vt C, 1 Slopes(`qo) ��Z Surface Stones Distances from: Open Water Body G� ft Possible Wet Area It Drinking Water Well T?L KY1 Drainage Way .6�W4 ft Property Line "� r ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 0 z , k 0(1�� �s: Lct t1 Parent material(geologic) 0 Depth to Bedrock Depth to Groundwater. Standing Water in Hole; Iva a�� Weeping from Pit Face- Estimated Seasonal High Groundwater 3 DETERMINATION FOR.SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: _ In, Depth to soil mottles: _ in. Depth to weeping from side of obs.bole: in, Groundwater Adjustment--.......ft. Index Well# Reading.Date: Index Well level_.,;,- Adj,fAetor_ Adj,Groundwatr lAvel,,,,n, _ "PERCOLATION TESL' Date Time Observation Hole# Tinto at h" �.. Depth of Pero Z �G 7i I �lq''IQkJ Time at 6" Start Pre-soak Time @ d (s / Time(9"-6") _ End Pre-soak _ Rate Min./Inch. Site Suitability Assessment: Site Passed . Site Failed: Additional Testing Needed(`l/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one (1) week prior to beginning. Q:\S 8PT IC\P ER CFO RM,D OC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil Other Surface(in'.) (USDA) (Munsell) Mottling '(Structure,Stand;Boulders, o sistency,%Gravel) Ir LA- A .�` c S - y 2- 3 �� s�� �e-`t-t2s�t•$ DEEP OBSERVATION MOLE LOG Hole# '� Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o Isi en % yei) Nl DEEP OBSERVATION HOLE LOG Bole# Depth from Soil Horizoa Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Gravel) DEEP OBSERVATION BOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soli Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, o en Flood Insurance Rate Map: ' Above:i00 year flood boundary No— Yes Within 500 year boundary No ,K'r Yes Within t00 year flood boundary No\ Yes , I Deptli of Natura,Ry Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? .. Certification "1 (�� I certify that on 1 (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by.me consistent with . the required g, expertise and experience described in 310 CMR 15,00. r7 ..�.... ��-----_ Date--=•-�-�r- S j Q:\SEP'r1C1PF,RCFORM.DOC Barnstable PROF IKE ro�� y� Town of Barnstable er;caU y BARNSTABLE.w Kass. ' Board of Health039. e v !H plED MPS a 200 Main Street, Hyannis MA 02601 200� Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. September 12, 2016 Mr. Peter McEntee, P.E. 12 West Crossfield Road Forestdale, MA 02644 RE: 566 Phinney's Lane, Centerville A = 250 - 017 Dear Mr. McEntee, You are granted variances, on behalf of your clients, Richard and Lisa McCormack, to construct an onsite sewage disposal system at 566 Phinney's Lane, Centerville. The variances granted are as follows: 310 CMR 15.405: To construct a soil absorption system five feet away from the property line, in lieu of the ten feet minimum required. 310 CMR 15.405: To construct a soil absorption system six feet away from the side property line, in lieu of the ten feet minimum required. 310 CMR 15.405: To install a septic tank eight feet away from the property line, in lieu of the ten feet minimum required. 310 CMR 15.405: To construct a soil absorption system eight feet away from the cellar wall, in lieu of the twenty feet minimum required. 310 CMR 15.405: To install a septic tank eight feet away from the cellar wall, in lieu of the ten feet minimum required. The variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. Q:\WPFILES\McEntee 566 Phinneys Lane Variances Aug20l6.docx (2) The system shall be installed in strict accordance with the engineered plans dated July 21, 2016. . (3) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated July 21, 2016. This variance is granted because physical constraints at the site severely restrict the location of a soil absorption system. The proposed system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sincerely yours, Pa aul Canni W,V. . . Chairman, Board of Health Q:WP//McEntee 566 Phiney's Lane Variances 2016.docx i Engineering works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 TeVFax(508)477-5313 July 28, 2016 Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 566 Phinney's Lane, Centerville, MA, Title 5 Septic System Upgrade Representation Authorization Dear Board members: I hereby authorize Peter McEntee PE to represent my interests for the subject project. Richard McCormack BATH ;MASTER BEDROOM 187 ts.f. SECOND FLOOR GREEN HOUS LNDY. E BATH ENTRY z w FAMILY RM KITCHEN PANTRY DECK STORAGE CELLAR STAIRS BE OM cn Pw ) w o LIVING RM BE OOM GARAGE ENTRY 144ts.f. 169ts.f. PORCH ENTRY FIRST FLOOR FLOOR PLAN 566 PHINNEY'S LANE, CENTERVILLE, MA �fNE APr PL f I` DATE. �� r mof • 6 FEE: rj * lARN9TABLE, # �6 � "' v REC. BY ' Town of Barnstable � SCHED. DATE: ���� Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: ��6 ���`'� �4✓� �;Q/ (�'Q Assessor's Map and Parcel Number: Z,�® —� l-7 Size of Lot: 7iZl �r7 t��r Wetlands Within 300 Ft. Yes Business Name: No_ Subdivision Name: APPLICANT'S NAME: e IBC, f Pe� Phone Did the owner of the property authorize you to represent him or her? Yes _� No PROPERTY OWNER'S NAME CONTACT PERSON Name: (2�-G�✓ry L:S S C Ca rM C.CC'c Name: l--e C (Q(o '�ln a v�V►.e-� t S �--1'� �Z- �- �5'5 �t�t CJ1 Address: r ay,ll ��(� Z!_ _ Address: o. e F Nam_ Phone: �S—�o 1 at 3 Phone: (4?--7—"r-3r-t 3 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space nee d) 16 cmrL Is ��L�' 3 �t�� - Este (is Q K. e�v-e k-a NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System ZZ Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J6 i OR s env C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary ��L� N9 Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC 4 rA� Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax (508) 477-5313 August 5, 2016 Town of Barnstable Board of Health 200 Main Street Barnstable, MA 02601 Re: 566 Phinney's Lane, Centerville (Parcel ID: 250-017) Dear Members of the Board, On behalf of my client, Richard McCormack, the following request for variances related to a septic system upgrade, is being made. A complete septic system is being proposed to replace the failed septic system. Variance Requests are as follows: • 310 CMR 15.405(a)&(b)—CONTENTS OF LOCAL UPGRADE APPROVAL 1. A 5' variance, S.A.S. to property line (front), for a 5' setback. 2. A 4' variance, S.A.S. to property line (side), for a 6' setback. 3. A 2' variance, septic tank to property line (side), for an 8' setback. 4. A 12' variance, S.A.S. to cellar wall, for an 8' setback. 5. A 2' variance, septic tank to cellar wall, for an 8' setback. Variance requests are being made to maximum feasible compliance. Si cer ly, Peter T. McEntee P.E. 8/4/2016 AbutterReport Board of Health Abutter List for Map & Parcel(s): '250017' Direct abutters (no set distance) and the properties located across the street. Total Count: 7 close Map& Parcel Owners Owner2 Addressi Address 2 Mailing Country Deed CityStateZip LARKIN,SEAN L & 104 HUCKLEBERRY NEW CANAAN, 230116001 ACKER,LOREN HILL ROAD CT 06840 19724/182 230116002 OIMAURO,JOSEPH 581 PHINNEYS CENTERVILLE, 10367/308 J &CATHERINE M LANE MA 02632 230209 DESROCHER, EILA KSL REALTY TRUST 354 OLD JAIL BA RNSTABLE, 24812/326 STR LANE MA 02630 IVEN, MICHAEL F & 81 WEQUAQUET CENTERVILLE, 250013 PAMELA J LANE MA 02632 21853/246 SHRAUGER,MARK 580 PHINNEYS CENTERVILLE, 250016 A &SARAH J LANE MA 02632 26537/209 MCCORMACK, CENTERVILLE, 250017 LISA A &RICHARD 566 PHINNEY'S LN MA 02632 21874/293 J 250018002 MCKAY,DANIEL J 421 BUCKSKIN CENTERVILLE, 27942/38 &JILL M PATH MA 02632 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. If a certified list of abutters is required, contact the Assessing Division to have this list certified.The owner and addressdata on thislist isfrom the Town of Barnstable Assessors database asof 8/4/2016 . http://maps.tow iofbarnstable.us/arcims/appgeoapp/AbutterReport.aspVWe=BOH 1/1 Town of Barnstable Geographic Information System August 4,2016 231014 231013 O 251161 251160 #118 #60 251218 ro 250122 #9 qq #635 231015 230114 #37 251217 '� # 2510) 250159 #100 #47 230115 #23 �// 230109 0 56 O#627 250015002 #166 #84 #141 a 250121 250158 #6 O #168 230117 Q 250048 O #48 #595 250157 230110 250015001 #150 :.::230116002 i::':'::'::::::. 230/11 #581:. 230166 #58 #31 2 50064 250156 #614 #140 230113 O #20 #w5,.55 :•:,:: .:'•.'• :::.:. :' '•;.:.'.. 2j#'�l 154 p t:`• �!:• it :i•':%'•::i``rr:}::•.'r:i.:::`. 25 34#600 230112 230167003 � /// 50155T00 #138 '•: 250063 O O Q #•580:;::?;;;::•.:..::;:::• #97 v� 250153� .Q r #108�' 230167002 - �4 6 004 2301 7 J #535 D {�}��' ••�a'�r�.`::•.•.''�'���:+?c'�i.'i�.`?•".�;i'.'•; :;;:.•'.::::•::.'{:�{ti`:•:'`l y iF�:�'�i i f:c:... 566 7. 250151T00 230101003 ,� :;: 250013::: "` :;::.:C<``: 250152 #17 2 30167001 #9 #491 :: #81:�:: 5 t # 19 a 3 250150T00 2302 230101004. #499" Ov S S 01 25 5 2 R #10 41 2 O 75 3 230118 2 0101001 #520 #35 O 250126 #22 250128 250124 #34 q.,, 23015 230/65 a #66 #602 vv #836 230121 #43 Sj. O �^y 250012 O 230156 �LyB 230164 #45 250127T00 250127H00 #67 230172 #848 230137 250021 #28 #28 250065 #867 'yi< #810 VIA tD #46 #1030 7 0173 <RO O 250011 250#028T00� 250022H00 #849 13 #33 #38 DISCLAIMERS:This map Is for planning purposes only. It Is not adequate for legal Map:250 Parcel:017 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 or such as building locations. Buffer •/✓'f/ Engineering Works Inc. 12 West Crossfield Road, Forestdale, MA 02644 5 TeVFax(508)477-5313 August 5, 2015 Re: 566 Phinney's Lane, Centerville, MA (Assessors Map 250, Parcel 017) Construction Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and Local Regulations have been submitted to the Barnstable Health Department for approval. The following variances are being requested: • 310 CMR 15.405(a)&(b)-CONTENTS OF LOCAL UPGRADE APPROVAL 1. A 5' variance, S.A.S. to property line (front), for a 5' setback. 2. A 4' variance, S.A.S. to property line (side), for a 6' setback. 3. A 2' variance, septic tank to property line (side), for an 8' setback. 4. A 12' variance, S.A.S. to cellar wall, for an 8' setback. 5. A 2' variance, septic tank to cellar wall, for an 8' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, August 23, 2016, at 3:00 p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA cerely, C�- Peter T. McEntee P.E. ,. .y Op'ME _ Town of Barnstable .�°$ Department of Public Works 367 Main Street,Hyannis MA 02601 1' Office: 508-862-4090 Mark S.Ells Fax: 508-790-6400 Director November 12, 2003 Mr. Thomas McKean,Division Manager Town of Barnstable Health Division 200 Main Street Barnstable MA. 02601 Dear Mr. McKean; Mr. Richard McCormick of 566 Phinney's Lane, Centerville approached us concerning the progress of the Lake Wequaquet,Long Pond and Cape Cod Community College Sewer Extension Project. Mr. McCormick is applying for a building permit and has been advised that he needs to rebuild his existing septic system. We have advised him that the sewer extension project is on schedule and that the consultant engineer has recently submitted the"Preliminary Design Report". The final design will take another year to finish and that we are planning for a third quarter of 2005 as a beginning of the sewer construction. The design calls for a gravity sewer to be build in Phinney's Lane adjacent to the McCormick property. Mr. McCormick will be receiving a betterment assessment as an abutter to the sewer extension. Very Truly Yours M Ells De Cc; Richard McCormick 566 Phinney's Lane Centerville MA 02632 November 13, 2003 Mr. Thomas McKean,Division Manager Town of Barnstable Health Division 200 Main Street Hyannis MA 02601 Dear Mr. McKean; I am in receipt of a copy of the letter dated November 12, 2003,which you received from Mr. Mark Ells of the Department of Public Works. In the letter Mr. Ells states that the sewer will be coming past my property at 566 Phinneys Lane, Centerville. I am currently submitting plans to the building department for an addition to the above-mentioned property. It is my intention to connect to the sewer extension as soon as it becomes available to me. Therefore I am requesting a variance to the requirement of installing a Title 5 septic system at this time. I will maintain my existing system and do what ever is necessary to meet all Health Departments requirements until I am connected to the sewer. Yours Truly Richard McCormack 566 Phinneys Lane Centerville, MA 02632 508-M-0995 V SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property Owner's name C Date of Inspection �P �bsvys I o z" PART/ A CHECKLIST Check if the following have been done: Pumping information was requested of the owner, occupant Health. and Board of _�_/None of the system components have P been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. /rY As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs P g of sewage back-up. The site was inspected for signs of breakout. All system components, excluding the SAS have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. V The size and location of the SAS on the site has been determined based /on existing information or approximated by non-intrusive methods. y The facilit y owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. SUBSURFACE SEWAGE DISPOSAL SYSTEM 'INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residential -1 number of bedrooms _0 number of current residents No garbage grinder, yes or no No, laundry connected to system, yes or no NIL seasonal use, yes or no %o,4L 5:.L If nonresidential, calculated flow: Water meter readings, if available: Last date of occupancy GENERAL INFORMATION Pumping records and source of information: o V rk 4-6 0 i^ Nu System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: � 1s � Type of system Septic tank/distribution box/soil absorption system Single cesspool V Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) * Other (explain) Approximate age of all components. Date installed, if known. Source of information: P p= Iry u✓^ ar i�/U Sewage odors detected when arriving at the site, yes or no e � SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK:-!y6 (locate on site plan) depth below grade: material of construction: concrete metal FRP other(explain_ dimensions: sludge depth distance from top of sludge to bottom of outlet tee or baffle scum thickness distance from top of scum to top of outlet tee or baffle distance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc. ) DISTRIBUTION BOX:N !g (locate on site plan) depth of liquid level above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc.) PUMP CHAMBER: (locate on site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc. ) a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) : (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be -present, explain: Type. leaching pits and number leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions overflow cesspool, number 0? 8v t j t�_ x;? a f S Comments: `� °I"f'f4 X S u �r b,�,-i4, (note condition of soil , signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) O. 1 h �A w z-c� s y r� b•t o L ✓�[s G In c1` .5 k G( �l 5 4. S �,.7� 1_(. I_., I" C CESSPOOLS (locate on site plan) : number and configuration ah��� w; j� .: ��-7a depth-top of liquid to inlet invert depth. of solids layer depth of scum layer a, dimensions of cesspool 5 'aQpft ,S/ 1a materials of construction indication of groundwater inflow (cesspool must be pumped as part of inspection) S 'e? Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) v® rCA how C.c 5 5 ._%/ w h✓f �m c S N 1s t' J � . i^�.� S. ✓1 4 a.�.. . nr SL�t S /b 1 r PRIVY: N//1 (locate on site plan) materials of construction dimensions depth of solids Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc. ) i • 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE L=SPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' 26 . �13 w� 7 `y5 / 1 UVW ou� S, r o v\.� DEPTH TO GROUNDWATER r depth to groundwater method of determination or approximation:- i �V SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined" , explain why not) Backup of sewage into facility? Al Discharge or ponding of effluent to the surface of the ground or surface waters? N Static liquid level in the distribution box above outlet invert? Liquid depth in cesspool <6" below invert or available volume< 1/2 da_ flow? Required pumping 4 times o more in the last year? number of times pumped N/n Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy: below the high groundwater elevation? within 50 feet of a surface water? N_ within 100 feet of a surface water supply or tributary to a surface water supply? within a Zone I of a public well? �f within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS) ? within 50 feet of a private water supply well? less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well .water analy, . for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART D CERTIFICATION Name of Inspector 1�,-e y L-J; l 1 ; v. yr r S Company Name �- / / ' (fir rU � S 5 �� vrSrJcL� � '^ � Company Address u - Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and manntenance of on-site sewage disposal systems. Che one: = I have not found any information which indicates that the system fail to adequately protect public health or the environment as defined in 310 CMR 15. 303 . Any failure criteria not evaluated are as stated in r the FAILURE CRITERIA section of this form. I have determined that the system fails to protect public health and h the environment as defined in 310 CMR 15.303 . The basis for this determination is provided in the FAILURE CRITERIA section of this form. Inspector's Signature S Date Original to system owner Copies to: Buyer (if applicable) Approving authority a F. -- 98 -- EXISTING CONTOUR eq keuet X 100.98 EXISTING SPOT GRADE yP° La —W EXISTING WATER SERVICE �ec0 LOCUS —t; EXISTING GAS SERVICE m �° �Of a Or 3 m —O.H,W—OVERHEAD WIRES t9 TEST PIT y sf'a a o c t. V 3 BENCHMARK Great Marsh Rd �° Beth MY 8 /tEL.=47.70 CHMARK-2 LEGEND og�b Route 2 Route 28 ?roc ER/TOP STEP west Mon St LOCUS MAP 7- ���� NOT TO SCALE 44.26 P-�/l� EY'S' BENCHMARK-1 44,26 AIVE43,94 MAG. NAIL SET a -- -edge of pavement 43.52 EL.=44.47 ret. wall '_-4-4- 43.27 x 43.11 45,78 4:4>. 4;.;. 45.68 • 46, 9 T� N 59� 45,66 6,5$ "PROP.,," „25.-.; Zo 46.21 1 1"�jgt'-E i "44..47.. �} "`OP.... .A.S. 1 128.60' , 45.48 -� 46,68 45 TONE PAVER' jj �� �:..:`.. �6,00 EXISTING LEACH PlT WALK TO BE REMOI/ED FE CE 46,91 ap 46.52 x 46.71 .7 0 (SEE NOTE 11, SHEET 2) 47, - Q 8' `• 4( .13 PROPOSED 47.12 Q / SEPTIC TANK 8' Q 7,59 �1 47.47 a EXISTING GARAGE J m 48.36 HOUSE(7f566) m T.0.F.=47.54f / 49.42 �� I x DECK51.09 / 50.5� x 51.74 + 47.70 "-- S0.4 ------ -50-�-----___------_--+-..-52- .x_53,22 �--- 53.67 vret. wall _ 00 � ' — N 53.81 x 53.32 _ v' N CA i � d? C, 00 O � � N m PARCEL ID: 250-017 22,460 ±SF + 57.46 � $---------- ---—------ -1- 59.06 _ --60---- --.--60------ x 60.3 COOP F7771 6-2, j - 6-2------------ -&2-------------nnn SHED N 56'02'10" E 1-23-58"--64--- _ Q, PETER T. p, McENTEE CIVIL No. 35109 A�Rfc/STE��° �� PROPOSED SEPTIC SYSTEM UPGRADE PLAN Fs�o � 566 PHINNEY'S LANE CENTERVILLE, MA � ] � S Prepared for: Richard McCormack, 566 Phinney's Lane, Centerville, MA 02632 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. McCORMACK, LISA A. & RICHARD J Engineering Works, Inc. 1"=20' P.T.M. 175-16 566 PHINNEY'S LANE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. CENTERVILLE, MA 02632 (508) 477-5313 7/21/16 P.T.M. 1 Of 2 w j NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=43.5 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=47.54t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=46.9t F.G. EL.=46.8t F.G. EL.=46.7t F.G. EL.=46.7f MAINTAIN 2% SLOPE OVER S.A.S. 9 MOST., 0 R ON RM WA W, L = 20 L = 26' L = 5' ® S=1% (MIN.) ® S=1% (MIN.) p S=1% (MIN.) 4"SCH40 PVC 4'SCH40 PVC 4'SCH40 PVC 2" LAYER OF 1/8" TO 1/2" P3' DOUBLE WASHED STONE to"1 e aaa0aaa (OR APPROVED FILTER FABRIC) ia., aaaaaaa INV.=43.85 48` LIQUID aaaaaaa --3/a' TO 1-1/2' DOUBLE ��L ADD 1 . PROPOSED 4' 5.2' 4' WASHED STONE INVGAS BAFFLE .=43.30 INV.=43.13 • �• INV.=43.60 DD BOX EFFECTIVE WIDTH = 12.8' 3 OUTLETS INV.=43.00 FLt PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN CONNECT TO THE EXISTING SUITABLE SEWER OUTSIDE HOUSE AT, OR ABOVE, INV.=44.25 H-20 RATED TOP CONC. ELEV.=44.1 t BREAKOUT ELEV.=43.50 INV. ELEV.=43.00 lam=. NOTES: aaaaaaaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & BOTTOM ELEV.=41.00 INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. 4' 2 x 8.5' = 17.0' 1 4' 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' TO GRADE ON A MECHANICALLY COMPACTED 6" CRUSHED PERVIOUS MATERIAL STONE BASE, AS SPECIFIED 310 CMR 15.405(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=35.6 =_ 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOG BOARD OF HEALTH AND THE DESIGN ENGINEER. DATE: JULY 7, 2016 (REF#15,095) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL EVALUATOR: PETER McENTEE PE(SE#1542) OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE WITNESS: DAVID STANTON R.S. HEALTH AGENT LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: -310 CMR 15.405(1)(a)&(b): ELEv. TP-1 DEPTH ELEv. TP-2 DEPTH 1) A 5' variance, S.A.S. to property line (front), for a 5' setback. 46.6 O 46.7 0 2) A 4' variance, S.A.S. to property line (side), for a 6' setback. FILL FILL 3) A 2' variance, septic tank to property line (side), for aN 8' setback 45.4 A 14" 45.7 A 12" 4) A 12' variance, S.A.S. to cellar wall, for an 8' setback. SANDY LOAM SANDY LOAM 5) A 2' variance, septic tank to cellar wall, for an 8' setback. 45.1 10YR 4/2 45 3 '1 OYR -4/2 - 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR B 18" B 17" TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. LOAM SAND L ND LOAMY SAND 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 10Y43 2 42" 10YR 5/8 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 43.1 42', C ENGINEER BEFORE CONSTRUCTION CONTINUES. C 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM (BARNSTABLE G.I.S.t). PERC M-C SAND 42"/60" M-C SAND 6.. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 2.SY 6/6 2.SY 6/6 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 5% GRAVEL 5% GRAVEL HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. COBBLES COBBLES 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 35.6 132" 35.7 132" 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS PERC RATE <2 MIN/IN. "C" HORIZON AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. NO GROUNDWATER ENCOUNTERED 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND/ DECK NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. EXISTING 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC HOUSE&566) SYSTEM COMPONENTS NOT SHOWN ON THE PLAN T.D.F.=47.54E DESIGN CRITERIA GARAGE NUMBER OF BEDROOMS: 3 BEDROOMS �- SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) g oo� 794. DESIGN PERCOLATION RATE: <2 MIN/IN 9.1 T DAILY FLOW: 330 GPD 1 1-00 CV DESIGN FLOW: 330 GPD I PROP. S.A.S. 1c�i GARBAGE GRINDER: NO-not allowed with design '1- LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF -25� -y 1 74 GPD/SF SEPTIC LAYOU T PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES , SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 566 PHINNEY S LANE CENTERVILLE, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: Richard McCormack, 566 Phinney's Lane, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. ' TOTAL AREA:.............................................................. 471.2 S.F. Engineering Works, Inc. N.T.S. P.T.M. 175-16 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD (508) 477-5313 7/21/16 P.T.M. 2 of 2 t e z I 0� 12Lli .2' �'1 J �� 12.2' �� I lu � ' dtn too ((0 `5s N N Q ;ems yN O , O w w Q Q LOT AREA = u LOT AREA 2 24GO.5 5.P. �� 2 24GO.5 5.P. \23�4i 1 \ rah BUILDING LOCATION - PLAN BUILDING LOCATION - PLAN FOR ' FO R 5GG PHINNEY'5 LANE CENTERVILLE, _MA 5GG PHINNEY'5 LANE CENTERVILLE, MA Zp OF PREPARED FOR tH OF PREPARED FOR T N ti� L15A RICHARD MCCORMACK T N ti L15A RICHARD MCCORMACK o U BA SCALE: DATE: DRAWN BY: o U BA SCALE: DATE: DRAWN BY: 35 9 ` 1 = 40' 02- 1 3-2009 TMW J9 N 1 " = 40' 02- 1 3-2009 TMW r JOB NUMBER: REVISION: 5HEET NUMBER: o Q� JOB NUMBER: REV151ON: SHEET NUMBER: q��FESs�QNP 09-002 CPP- I ss�o�' 09-002 CPP- I lqN�SUM �qND SUM WELLER * A550CIATE5 WELLER * ASSOCIATES Z - I G45 FALMOUTH RD., SUITE 4C -- P.O. BOX 4 1 7 CENTERVILLE, MA 02G32 Z - I G45 FALMOUTH RD., SUITE 4C -- P.O. BOX 4 17 CENTERVILLE, MA 02G32 l 2 WINDY WAY, #232 NANTUCKET, MA 02554 2 WINDY WAY, #232 NANTUCKET, MA 02554 TEL.: (508) 775-0735 --- FAX: (508) 775-0754 TEL.: (508) 775-0735 -- FAX: (508) 775-0754 EMAIL: tri5weller@comca5t.net EMAIL: tri5weller@comca5t.net REGISTERED LAND 5URVEYOR5 REGISTERED LAND 5URVEYOR5 Traverse PC Traverse PC /. �t� ca�S7uc�7��✓ To �� iN /�GGO.PO/f/��C f�PO/�O.SL�O G •q�5►G,�'_ L✓�77�/ iY!/,�5�. STrt T� �j'vi�.oin�G God 7��biT�a,�/ 2, 17L 5�ipi.✓G T.s>in�, , �i..i��i .S Tv .�"o.Q LiS�9 �Pich'�9�P� �'I� Co���cr! �/�?Z� ��'/S'7J�'�'. ✓�lo to �/�i�/n/�YS L/�n/� cE�vrz�prt�E � �-i.q OZ�. 32 001 i i -4-- -- --------—2-51 - O _�._.�.. �7'o Tv � oe.41 loe � I —� 1