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0044 BETTY'S POND ROAD - Health
t 44-BETTYS IPOND''RD., '.HYANNIS ) L I I ('��A � e f F i Town of Barnstable Inspectional Services Department w CAB = Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Michelle and Thomas Russell 44 Betty's Pond Road Hyannis, MA 02601 RE: SEWER4CONNECTION:DEADLINE EXPIRED 44 Betty's Pond,.Rd; Hyannis A 290 092-001 , Dear Property Owner, p Y , Your sewer connection deadline extension has passed. Please contact the Public Health Division Office to provide an update relative to the status of property's connection to public sewer (i.e. contractor name,. DPW sewer connection permit number, anticipated connection date.) If you would like to request an extension, such request must be in writing addressed.to the Board of Health (200 Main Street Hyannis, Massachusetts) or e-mail Sharon Crocker at: sharon.crocker@town.Barnstable.ma.us within fourteen(14) days. I Sincerely yours, Karen Malkus-Benjamin Town of Barnstable Health Division Coastal Health Resource Coordinator karen.malkus(c)town.barnstable.ma.us � � I Z I o ► SME Town of Barnstable F rpm $"M L�F, Board of Health ' 200 Main Street, Hyannis MA 02601 %639. �0 Office: 508-862-4644 FAX: 508-790-6304 Paul J.Canniff,D.M.D. Donald A.Guadagnoli,M.D. John Norman January 11, 2019 Mr. Thomas Russell 44 Betty's Pond Road Hyannis, MA 02601 - '�.;,,.RE r onnect><on Extens><on Granted, ty Pond Road,'Hy„ann`><s ��k;••.k� , . �• -�.� , • ��', A` �209 092' 001 Dear Mr. Russell, During the November 27, 2019 meeting of the Board of Health,the Board voted unanimously to grant you a one year extension to connect your property located at 44 Betty's Pond Road to public sewer. You are granted an extension until November 30, 2020 to connect your property to town sewer, or until the property transfers to another owner, whichever occurs first. This extension is granted because you testified that you are experiencing ongoing health problems from the fire at your home. You also indicated that you have had insufficient funding available to connect your home to public sewer. If you have any questions please call the Barnstable Health Division at: 508-862-4644. Sincerely, JPau Cann M.D. Chairman Q:WP/SewerExtension Russell 448ettysPond2019.docx (la�7 h? Thomas J. Russell 44 Betty's Pond Road Hyannis, MA 02601 November 12, 2018 Town of Barnstable Attn: Board of Health, Sharon Crocker 200 Main Street Hyannis, MA 02601 Dear Ms. Crocker, I would like to be added to the next agenda regarding my sewer deadline extension at 44 Betty's Pon j- y^ ann�I-am currently experiencing ongoing'health problems incurred from the fire at my home. Please notify me with the decision since I am unable to attend the meeting due to severe mobility issues. If you have any questions,please call me at 508-685-3814. Respectfully, Thomas J. Russell, Sr. .s ci Town of Barnstable Barnstable ..Board of Health„ j edca�j 9`"R' `�► ` 200 Main Street, Hyannis MA 02601 O �'Dlf1 MA.S s � 2007 Office: 508-862-4644 FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi July 26, 2016 Mr. Thomas Russell 44 Betty's Pond Road Hyannis, MA 02601 RE' Extension Abranted, Sewer Connection _'44 Betty's Pond Road, Hyannis$ ' r v i to 209-092-001 i' Dear Mr. Russell, x You are granted a one year extension until July 30, 2017 or until the property transfers to another owner, whichever occurs first,to connect your home located at 44 Betty's Pond Road, to public sewer. This extension is granted because you testified that you recently sustained an injury to your leg , and are nolonger able to work. Therefore there is insufficient funding available to connect your home to public sewer at this time. You may request an additional,extension from the Board next year, if needed at that time. If you have any questions please call the Barnstable Health Division at: 508-862-4644. F Sincerely, Chairman Q:WP//Sewer Extension Granted Russell 44 Bettys Pond Road 2016.docx 44 Betty's Pond Road 209-092-001 Owner:Thomas Russell 508-292-0673 i Sewer connection due: 3/30/15 House age 1925-4 bedroom House occupied Not a registered rentals 9 Sewer connection requires pump 1 _ Septic permit 2007—Tom McKean approved new tank attached to existing leach field 20x30-Health Division Action: Reminder sent 2/9/15, returned without signature- Not connected by deadline. Order letter sent 8/21/15- returned unsigned. Re-sent,10/21/15 for November BOH meeting and posted on house , Failed to appear November—owner called office and said he would be at January meeting BOH meeting results received 6 month extension r Town of Barnstable Barnstable Board of Health j edcac j • BARNSfABLE, I - 9 MASS. g 200 Main Street, Hyannis MA 02601 I 639. �e ° 2007 plfD MA'1 A Office: 508-862-4644 ; Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi January 22, 2016 Mr. Thomas Russell 44 Betty's Pond Road Hyannis, MA 02601. RE:.Board of,Health Show Cause..Re"4k 44'Betty's Pond Road, Hyannis Dear Mr. Russell, This is a reminder that you are scheduled to appear before the Board of Health to provide an update to the Board at their July 12, 2016 meeting at 3:00 p.m. for a continued show-cause hearing. This hearing will be held_ to receive updated information regarding your request for an extension of time to connect your property at 44 Betty's Pond Road to Town sewer. The hearing will be held at the Town of Barnstable Town Hall, Hearing Room, second floor, 367 Main Street, Hyannis, . If you have any questions please call the Barnstable Health Division at: 508-862-4644. PER ORDER OF THE BOARD OF HEALTH' ` '+ a . o as A. McKean, C.H.O. Agent of the Board of Health Q:SEWER/Russell 44 Bettys Pond 2016.docx FROM THE BOARD OF HEALTH MEETING RESULTS FOR 1/12/16: . D. Thomas Russell, owner—44 Betty's Pond Road, Hyannis CONTINUED TO JULY 12, 2016. Mr. Russell is unable to work at this time due to medical injury and has great financial hardship. He is trying to modify his current mortgage to lower payments as he is in danger of losing his home. The initial assessment had a big impact and increased his mortgage by approximately $200/month. The Board granted a six-month extension and would like this item returned to the Board at the July 12, 2016 meeting for update. u I IME Town of Barnstable Barnstable ~* Board of Health I edcaI.F BMUISTAB9 MASS 200 Main Street, Hyannis MA 02601 1639• �� ATFo MAC 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi January 22, 2016 Mr:Thomas Russell ' 44 Betty's Pond Road Hyannis, MA 02601 RE Board of Health Show Cause Hear><ng r ;t �.' r � REMINDER �- - . = Dear Mr. Russell, This is a reminder that you are scheduled to appear before the Board of Health to provide an^ update to the Board at their July 12, 2016 meeting at 3:00 p.m. for a continued show-cause hearing. This hearing'will be held to receive updated information regarding your request for an extension of time to connect your property at 44 Betty's Pond Road to Town sewer. The hearing will be held at the Town of Barnstable Town Hall, Hearing Room, second floor, 367 Main Street, Hyannis, If you have any,questions please call the Barnstable Health Division at: 508-862-4644. PER ORDER OF THE BOARD OF HEALTH o as A. McKean, C.H.O. Agent of.the Board of Health a , Q:SEWER/Russell 44 Bgtys Pond 2016.docx T tHNE Town of Barnstable Barnstable .�. * Regulatory Services Department ;edeaC j RARNSTABM A _.. KASS -----_--_- --._-_----____Public_Health_Division- 200 - am Street, Hyannis Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 -0035 March 28, 2013 THOMAS &MICHELLE RUSSELL 44 BETTY'S POND RD IMPORTANT NOTICE HYANNIS,MA 02601 Map & Parcel: 290- 092 The Department of Public Works informed us that public sewer lines are now available in your neighborhood. According to our records, your property has a septic system. This letter directs you to connect your dwelling, at 44 Betty's Pond Road, Hyannis, MA, to public sewer on or before 3/30/2015. The old septic system must be either removed or filled in due to future safety concerns. This may be done by the same contractor who connects you to the sewer. Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. Failure to comply with this Board of Health Order may result in a complaint against you, in a court of law. For additional information pertaining to the sewer connection, please see the reverse side of this page. PER ORDER OFT BOARD OF HEALTH T ke A. c ean, R.S., C. Agent of the Board of Health Cc: Barbara Childs, WPC/Roger Parsons, Town Engineering, DPW Enc. QASEWER connect\Letters Stewart Creek Sewer Connects\MA1l.ING L.etA Sewer 2Pgs Merged 3-28-13 Yr2015.doc Public Health Division March 28, 2013 ADDITIONAL INFORMATION AND REMINDERS FROM OTHER DIVISIONS: SAVINGS AVAILABLE/GRINDER PUMP: A reminder to those of you who need a grinder pump for your connection: Department of Public Works (DPW) sent you a letter in December 2012 stating the town, for a limited time of two years, only from the receipt of the DPW letter, would provide you with the pump at no charge. (This can save you thousands of dollars.) Please note: You must pay the installation cost through y�gur own contractor. Please make your contractor aware of this, if interested. Also be aware: this is a shorter deadline than the Public Health Division's deadline on the reverse side of this page. SAVINGS AVAILABLE/PERMIT FEE: The Town offers a waiver of the residential sewer connection fee of $420.00 for those properties that connect within two years of the receipt of the DPW December 2012 letter. LOANS: For loan(s) available, please see the enclosed brochure, or see the town website: htt_p://www.town.barnstab]e.ma.us/cdbg (under the "CDBG Programs", see "Sewer Connection Loan Program). For loan specific questions, you may contact Kathleen Girouard, Growth Management, at 508-862-4702. CONTRACTORS: Information on Licensed Sewer Installers is available on our web site at www.town.barnstable.ma.us/PublicWorksTech/sewerinstallers. Contractors, approves to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis—contractors, please call Dave Anderson at (508) 790-6244. FOR ANY QUESTIONS /ASSISTANCE: Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. QASEWER connectTetters Stewart Creek Sewer ConnectsWAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc J v� Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM J . PART C SYSTEM INFORMATION(continued) Property Address: ¢�'�Q� Owner: 1J55 GZr— Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water su enters the uilding. Qa2c.Crz_ ``�3 7 dam. �✓��G ��tZ 92 P � 2 ram-, ^x r � a Vj 0y, 4-0 i -� d LD Epp L cO�O/N�i ZS� � /4{rdSG' 00�r_e�.e�� — r 10 3 G �j (508)862-4024 P ° FAX(508)790-6230 SfARLE. gARt1•fo;�•°� LINDA EDSON SPECIAL INVESTIGATOR-AMNESTY PROGRAM TOWN OF BARNSTABLE REGULATORY SERVICES BUILDING DIVISION TOWN OFFICE BUILDING 200 Main Street,Hyannis,MA 02601 email:linda.edson@town.barnstable.ma.us t f OF ig . . ; I,ne .Town of Barnstable * ,nRrsrnsLe, • 9� 1M Jy. Department of Health Safety and Environmental Services AtFD Ma't° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner January 22, 1997 Thomas and Michelle Russell 44 Betty's Pond Road Hyannis,MA 02601 Re: 44 Betty's Pond Road,Hyannis Dear Mr. and Mrs.Russell: I regret to inform you that as a result of the Zoning Board of Appeals action you must make some changes to your apartment so that it comes back into compliance with zoning. Please come in to see us to make arrangements for this conversion. Sincerely, Ralph M.Crossen Building Commissioner RMC/km cc Gloria Urenas,Zoning Enforcement Officer a f ' I I ` Town of Barnstable j Planning Department �— ff'—�� Staff Report Appeal No.96-141 Special Permit Pursuant to Section 44 Nonconformities Appeal No.96-142 Use Variance Russell �► Date: November 01, 1996 To: Zoning Board of ppeais > From: Approved By: Robert P. Schemig, Director Reviewed By. Art Traczyk Principal Planner Drafted By: Laura Harbottle,Associate Planner Applicant: Thomas&Michelle Russell Property Address: 44 Betty's Pond Road,Hyannis Assessor's Map/Parcel Map 290, Parcel 92-1 Area 1.51 acres ,Zoning: RB Residential B Zoning District Groundwater Overlay: GP Groundwater Protection District Appeal No.96-141 Special Permit Pursuant to Section 44 Nonconformities Filed October 4, 1996 Public Hearing,November 6, 1996 Decision Due February 3, 1996 Background: The property is'located at 44 Betty's Pond Rd., Hyannis, and consists of a 1.51 acre lot which contains a wood frame dwelling, garage, pool and several sheds. Assessor's records list the property as a single family dwelling. The property is located in the RB Residential B Zoning District,where single family dwelling is the only allowed use today. The applicant is requesting relief in two forms: I. a Special Permit to alter a pre-existing nonconforming use, or 2: a Use Variance to permit the continued existence and change of the two-family dwelling. The existing apartment is being proposed to be relocated to a garage attached to the house. Work had started on this change and the Building Commissioner issued a Stop Work Order for any interior work until zoning relief could be obtained. Staff Review and Comments: Zoning History-Special Permit: From Staff research the history of zoning of this locus appears as follows: Originally zoned in 1951 as Residents A Zoning District which permitted as-of-right single and two-family dwellings. Changed to RA-1 in 1956 with the comprehensive rezoning of the Town. This permitted single family dwellings and two family dwellings by Special Permit Only. In 1969, it was rezoned to RB as part of Comprehensive Rezoning. That district permits only single family dwellings. o secure a non-conforming Special Permit for this use-a two-family dwelling on a single lot- the applicant will have to ubstantiate that the use predates 1956 and was legally created. to plans for the proposed apartment were provided. The applicant should provide a site plan showing parking s aces nd floor plans of the apartment showing the room layout. p the two family dwelling is permitted by the Board, it is recommended that occupancy be restricted and the total number f bedrooms capped given the location of the site adjacent to Betty's Pond and the on site waste water disposal. Does e on-site septic system meet current Title V requirements? se Variance: the Board cannot find to grant the Special Permit, it may wish to consider the Use Variance. The locus of this appeal is ire than 300 feet off of West.Main Street and therefor meets with the requirements of Section 5-3.2 (5). pp ie area has been identified as an Area of Critical Concern by the Board of Health. These areas of concern have been :ated based upon the failure of a majority of the on-site septic systems in the area. This lot is also in a Groundwater TOTPN of zA=s= ar r Applicst;ag Hoard of Appeals _on -for a special Perptit Data Received Town Clerk 0 f=ice ;; -if ; ' '�; a i it Far ef=Tce use onty• A peal # ar=ng Date J J' D c'_sion Due 'es• The undersigned hereby applies to the Z4 ,, , Pe_^_.it, in the manner and for the reasanss h re Board eLe�3,.hcr a specia? Applicant Name: Thomas Russell and Michelle Russell Applicant Adess; 44 Betty' s Pond Road Hyannis, Phone (508) 778-1336 y 02601 PrcFe==? Lccat_oa: 44 Betty' s Pond Road, Hyannis, MA 02601 Prcper`y owner: Thomas Russell and • Michelle Russe Address Of Owner: 44 Betty' s Pond Roan11 , Phone _ ad, Hynis, MA 02601 IS aFP�raat dtttsrs srzs mmer, Bette mature Ce :atoreset Number of Yuri aa+sds 2 years Assessors Map/parcel Number:' 290 / =92-1 zoning Dist-_ct: Groundwater Overlay �fl District: AP special Pe=jt Requested: Alteration of a Cz Section T1L1e or cne Adon nc O=znnCe Descr_pt_on of Activit-y/Reason for Request: To re-locate Non-conforming apartment use of an existin a pra_ xjcf-jn-a g portion of the structure previously used for apartment Purposes. - Desc=iptlan of t.�ctian Act -vit'.1 (if applicable) : Uperrade Pre-existing apartment to conform with current Building Codes Proposed Gross Floor Area.to be Added: 0 Altered: :sistiag Level of. Development of the Property - N=!:er of HuildiZgs: 5 P=-sent tTse(s) : House with attached Apartmgnjress :'cow Area:2008 plus 3 sheds, 1 detached Garage 3 --�,sc• y WN OF s _ ,SARNSTABLE +► .. ..., -- - -;.: Zoning Board Of Appeals _. Application to Petition for a Variance - - Date Received Town Clerk office. j117 For office Use only: V Appeal # OCT _ Hearing Date J; Decision Due The undersigned herebya ' - pplies tc the Zoning Board o Appeals for a Variance from the Zoning ordinance, in the manner and for the:.reasons hereinafter set forth: Petitioner Name.:Thomas Russell and Michelle Russell Phone ( 508') 778-1336 Petitioner Address: 44 Betty' s Pond Road,' Hyannis, MA 02601 Property Location: 44 Betty' s Pond Road, Hyannis, MA 02601 Property owner: ,'Thomas Russell and Michelle Russell phone (508 ) 778-1336 Address of owner: 44 Betty' s Pond Road, Hyannis, MA 02601 If petitioner differs from owner, state nature of interest: Number of Years owned: 2 years Assessors Map/Parcel Number: 290/92-1 Zoning District: RB Groundwater Overlay District; AP 5-3.2( 3 ) General Pow Variance Requested: 5-3.2( 5.) General powers: Variances and s. Use Variances Cite Section & Title of the Zoning ordinance Description of Variance Requested: Use of existing structure for apartment use within the RB Zoning District. Description of the Reason and/or Need for the Variance: to legalize prior use of existing structure for apartment use. Discription of Construction Activity (if applicable) : Renovation of Pre-existing apartment to conform with current Building Code. Existing Level of Development of the Property - Number of Buildings: 5 House with attached Apartment Present Use(s) : 3 Sheds, 1 detached Garage 2008 plus g a60 detached gage Gross Floor Are Proposed Gross Floor Area to be Added: 0 520 �4 Altered: Is this property subject to any other relief (Variance or special Permit) from the Zoning Board of Ampeais? L-51. 51 0 � a 17 PARCEL 1B SHE'D - `� POOL JS Ir FjVD ,w C HIE 9 s' 5 2: _ �, ��•—SHE'D \� 44 5'HED GAR `' GAR vide t PARCEL A NO TE-F PRE—EXISTING NONCONFOR.WING ZONE RB" This MORTGAGE IVSPE Ban .CTION S is For FLOOD ZONE- "'C"" Sank T'se. Onl�c �/� — REGISTRY 'OWNER: /ON_!. do 1IARY E s D REF: BUYER: YL✓E'STEP E: 8;25l 4 _ _ _-- — -E UYER: I i a�f !_CKF�4�D_RC�lZLL _ PLAN REF: 33,5145 _fC�.L E: >.' = 60' 7' ZEBY CERTIFY TO K�VJT�QLV��LU�'1<�4Sr� ------ --- — -- — - - ---- - PORAT/ON ______THAT THE BUILDING 'lF Y.�.\I<EE cURVEY N ON THIS PLAN IE LOCATED ON THE GROUND AS `�H °'� N AND THAT ITS POSITION DOES ____ CONFORM PAU2L CONSULTANTS y. iE ZONING LAW SETBACK REQUIREMENTS OF THE A. 40B (SUITE 1) OF _ BARNC7'jBLE ____AND THAT ��" y [NDL'STP.`! ROAD ES_ NOT_ LIE WITHIN THE SPEC1aL FLOOD HAZARD N°' a `tA=sMvs uttt:, MA. 026 a AS SHOWN ON THE H.L':D. uaP DaTED_?_�/92 -- y s ` c�s�aE`' a��- TEL: .428-00--:- ru^:ik ;—�,�nel 2.50001 0006 0 TOWN OF BARNSTABLE LOCATION -_� 1 O/' SEWAGE # ` r., V�LLAGE � ASSESSOR' MAP & LOT INSTALLER'S NAME&PHONE NO. - , / SEPTIC TANK CAPACITY �Sr 'LEACh-,NG FACILITY: (type) �� �� f size) `— NO.OF BEDROOMS BUILDER OR OWNER wz PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottum of Leaching Facility Feet Privatw Water Supply Well and Leaching Facility (If any wells exist on we 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 b ' U `�,C� �5�' � -- w a '�' j � e �` s., � � � �� -S s►� . � ., .. - �, No. f � Fee THE CO MONWEALYH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for 33ioogar *pmemc Comaruction permit Application for a Permit to Construct( ) Repair 6 Upgrade�j Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.4!� �T- <y J� /�V Owner's Name,Addres ,an Tel,No. 4-4/7- �e// Puss6 �/ Assessor's Map/Parcel 7 9d G)2 f OU1/C�/�/f ,f viU/5,�26G Installer's N e,Address, T\ No SV45 G� Designer's NCame A dws and Tpl.N 17 z - �G41-P4 QD /7 Type of Building: Dwelling No.of Bedrooms �� Lot Size IGSge�V' sq. ft. Garbage Grinder ( ) Other Type of Building �1 10V L, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) d gpd Design flow.provided gpd Plan Date Z^/4a— �G+7 Number of sheets 7�r�/0 Revision Date Title r Size of Septic Tank d `�d r,�. Type of S.A.S. t VU� Description of Soil 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 system in accordance with the provisions of Title 5 of the Envir mental Code of to place the system in operation until a Certificate of Compliance has been issued by this Board of a Signed. Date Application Approved by 1047 Date Application Disapproved by: Date for the following reasons Permit No. Date Issued F ',..;-w:......,,,,.,,.�-, ...F� :F.:, x� �� �.-�..:.. v ,�"; ��?'`�" reJ}' .> _.-....�,y,ez:.:•-61s--W j,.:..- ,,��- m .. „Jy� .-:I�,. .,.: -, ^,-.:.-�: r Fee` - THE COMMONW AEAELH OF MASSACHUSETI?S Entered_in computer: !/ PUBLIC HEALTH DIVISION - TOWN OF 8ARNSTABLE, MASSACHUSETTS Yes Application for 1i5po5ar *pgtem Construction Permit Application for a Permit to Construct O Repair'66 Upgrade,e'Abandcm( )' ❑Complete System ❑Individual Components Location Address or Lot No. . Owner's Name Addre s,and Tel No.Y/OZ66/ �i�/�� sS Assessor's Map/Parcel Z✓0 92_ 1 Installer's Naine Address,pd T 1.No. -��j Designer's Name A dr ss and 1.N � 1' S�d�/f' /4rfUzrG3 Type of Building: t Dwelling No.o f Bedrooms Lot Size ��� sq.ft. Garbage Grinder ( ) Other Type of Building /Q �/ ( No.of Persons 4 Showers( ) Cafeteria( ) °,,Other Fixtures Design Flow(min..required)' y gpd Design flow provided gpd Plan/'bate Z- 16 ZUU Number of sheets �'d ,Revision Date Title'07 Stze of Septic Tank Type of S.A.S. Description of Soil7 X U Nature of Repairs or Alterations(Answer when applicable) 1 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 Cod_e afnd7not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health Signed Date a 12.f)/l3� Application Approved by _ � Date Application Disapproved by: Date for the following reasons Permit No. '7 6 0-1 -©&/ Date Issued ————————— ——————————————————————— ————"—— �1 THE COMMONWEALTH OF MASSACHUSETTS ,�A It V BARNSTABLE, MASSACHUSETTS D - Ov Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired �X ) Upgraded - Abandoned( )by v d n e / S 4av at .ep -I j �!.✓Ic+ d !1 t has bee�n/c�ons�trJ cted i/n.arccordance with the provisions of itle 5 and the for Disposal System Construction Permit No. ,(�/( / I!�f�'jl dated Installer t D ^` 112y -�S�lTt/ Designer� .S!/1�✓ #bedrooms ¢ Approved desi flow and , The issuance of this permit shall of be c}ol strued a,�n�s`ja lguuarantee that the system un�f'on as desi✓g�nedf' Date `) f 1_./ 9 Inspector �I f it l'J Gt � ✓ � i � A- -------------------------------- `-- -= —,No. [.V � (i(y� Fee l oV THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 1igpogal *pgtem Corigtruction Permit I Permission is hereby granted to C//onstruct,/ ) lepair�(r ) '.Upgrade Qy ) Abandon ( ) System located at 4 6. j (l° and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Constru(ttion ust be completed within three years of the date of . �l Date � this permit Approved by ' Department of Regulatory'Services r. Public Health Division Date 200 Main Street,Hyannis MA 02601 rFO MAt A �-7 Date Scheduled / 1 Time Fee Pd. `4�0 soil Suitability'(A�ssessment for Sewage Disposal Performed By: Witnessed By { LOCATIO & GENERAL INFORMAT N Location Address AV i�C1�' 4 Owner's Name je r� a a �� , ���(//f Address ap zoo lard? 9Z-j `79ti/f Assessor's Ma Parcel; `Engineer's Name LC1,1S cradZ e G1�. _ NEVV.CONSfRUCTTON. � V 8V7'"•� `/� REPAIR _ _ _ Telephone# �17—�6�XJ• 61 7��t/ ` Land Use - Slopes(96) v 3 y Surface Stones Distances from:�Opeo Water Bod _ft Possible Wet Area 1Zc-.)/ ft Drinking Water Well /L,ft 7 4/414M pp Drainage Way 120 - ft Property Line 12aj 'sc), R Other o�i- Pc. ft TCH:(Street name,dimensions of lot.exact locations of test holes&peerc tests,locate wetlands n roximity to holes)-- 7 C) iY Cb Parent material (geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: 7°� y,Weeping from Pit Face_ 79 941f Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE cgs moo,tea Method Used:e�� 05(_S 12'-�/ Depth Observed standing in obs.hole: 7q�� 94 in. Depth to soil mottles: ���A'� in. 3"� �,�D Depth to weeping from side of obs.hole:79` 94" in, Groundwater Ad ustmetit �,9 ', 'f-f--S I 4�/ .11 C�a/e�x Well#.�p�0 Reading Date Index Well level Z3•o Adl,factor �ne Adj.aroundwater Level t//�$�/ 111�y PERCOLATION TEST. Date tme Observation Al h /r Hole# h Time at 9" —_-- Depth of Pere J�h �� Time at 6 fStart Pre-soak Time @ / 'Time(V-6") _ End Pre-soak ll' Z.2 Lk LO l Zj"t t Rate MinJlnch /J Site Suitability Assessment: Site Passed Site•Failed: t" Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back------ ***If percolation test is to be conducted within 100'of wetland,you must first notify the. Barnstable Conservation Division at least one 1 week �' O e k .prior to beginning. P g g Q:\SEPTICIPERCFORM.DOC r DEEP-OBSERVATION HOLE LOG Hole#.L Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(im) (USDA) , (Munsell) Mottling (Structure,Stones,'Boulders. isteGravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons' cy.%Gravel) 2z" . 2 sv- ' &z.= /3.3 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. conlistency, oGravel) 14 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Other Soil Color Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Cons' Flood Insurance Rate Man: / Above 500 year flood boundary No_ lyes__v_ Within 500 year boundary No_ yes Within 100 year flood boundary No— yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervi us material exist in all areas observed throughout the Y area proposed for the soil absorptions stem? us If not,what is the depth of naturally occurring pervious material? Certification I certify that on V t3L(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 tr ' ' ,e ertise and a per' nc escribed in 310 CMR 15.017. Date Signatur /"-261'G, P�OFtHE Tpk� Town of Barnstable + BARNSTABLE, : Board of Health 9 MASS. Q, i639• 200 Main Street ArED MA1 Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D Junichi Sawayanagi April 30, 2007 Thomas and Michelle Russell 44 Betty's Pond Road Hyannis, MA 02601 RE: 44 Betty's Pond Road, Hyannis A = 290-092-001 Dear Mr. and Mrs. Russell, You are granted permission to maintain the existing soil absorption system only 21 inches above the groundwater table at 44 Betty's Pond Road, Hyannis, with the following conditions: (1) You shall replace the existing cesspool (which is sitting in the groundwater table) with a new septic tank within six (6) months, on or before October 18, 2007. (2) The septic tank shall be constructed in compliance with the engineering plans dated December 18, 2006. (3) The dwelling shall be connected to public sewer as soon as it becomes available. This permission is granted because the Board of Health received an email from Mark Ells, DPW, which indicated that 44 Betty's Pond Road is in one of the two highest priority sites designated for connection to the town sewer once funding is approved by Town Council It is recommended that the applicant come back before the Board in May 2009 if public s er does not become available within the next two years. 7 Since el yours Wayne iller M.D. Chair an Q:\WEFILES\Russell 44 BettysPond2007.doc y McKean, Thomas From: Ells, Mark Sent: Tuesday, April 17, 2007 3:25 PM To: McKean, Thomas Cc: Niedzwiecki, Paul; Pisch, Steven; Burgmann, Bob Subject: RE:44 Betty's Pond I have reviewed your attached letter and will provide a letter stating that the Wastewater Facilities identifies Betty's Pond Road as part of the Area of Concern H1. AOC H1 is one of two prioritized areas in the Wastewater Facilities for planned sewer expansion. The prioritization process is addressed in the Wastewater Facilities plan. We would expect to move forward with the planned sewer expansion into AOC H1 upon approval of the Wastewater Facilities plan (MEPA/DRI hearing scheduled for May 2, 2006 at 7:00 PM) and receiving Town Council approval for the capital funding for this sewer expansion project. I shall keep you informed of our progress on this matter. -----Original Message----- From: McKean,Thomas Sent: Tuesday,April 17,2007 2:28 PM To: Ells,Mark Subject: 44 Betty's Pond << File: D Let DPW 44 Bettys Pond.doc>> 1 i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ONDELIVERY ®'Complete items 1,2,and 3.Also complete A. Signa e veAddres �S item 4 if Restricted Delivery is desired. gent is Print your name and address on the reverse so that we can return the card to you. g.(Received by(Printed ame)G C. D e- f Dete. ) ® Attach this card to the back of the mailpiece; Rp O or on the front if space permits. D. Is delivery address different from item . Y sV 1. Article Addressed to: If YES,enter delivery address below:: O-No Ms Michelle Russell [44 Betty's Pond Road 1yannis MA 02601 3. Service Type ❑Certified Mail ❑Express Mail ❑Registered ❑ Return Receipt for Merchandise 1 ❑ Insured Mail ❑C.O.D. F'- v, \ 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from service label) 1 7005 1160 0000 0191 2731 1 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail ` c- Postage&Fees Paid USPS, ,Permit No.G-10 ° Sender: Please print your name, address, and ZIP+4 in this box• r I PUBLIC HEALTH DIVISION cr% rn TOWN OF BARNSTABLE 200 MAIN STREET hYANNIS, mASSACHUSSETS 02601 Town of Barnstable �pU INE Tp/`, o, o Regulatory Services 1ARNSTABLE Thomas.F..Geiler,Director MAM9�A . ••� Public. Health. Division Thomas McKean,Director. 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax:..508-790-6304 January 10 2007 Ms Michelle Russell .44 Betty's pond Road Hyannis, MA 02601 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 44 Betty's.Pond Road,Hyannis,MA was last .inspected December.6th.2006 by James D. Sears, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system"fails"under the guidelines of 1995. TITLE 5 (310 CMR 15.00) due to the following: Leaching pit was full,backing up into D-Box and septic tank was.full of waste. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable # Health Department. BARNSTABLE HE TH DEPARTMENT T omaAdq ean,R.S:, C.H.O. Agent of the Board of Health COMMONWEALTH OF MASSACHUSETTS Z ExECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION F , If i TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM y� PART A (� CERTIFICATION Property.Address: S�"�t/ �� ��/5�� ��� 92 oZ6o/ Owner's Name: G C- — Owner's Address: Date of Inspection: Name of Inspector: (please rint) �✓�✓/�t�/J/7` Company Name: S C Mailing Address: 7' Z Telephone Number: CERTIFICATION STATEMENT ; I certify that-I have personally inspected the sewage disposal system at this address and that the information report dr below is true, accurate and complete as of the time of the inspection. The inspection was performed based oii v training and experience in the proper function and maintenance of on site sewage disposal systeFns. 1 am ai_D'EP approved system inspector,pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: f ' n CD Passes _ Conditbrially Passes Needs Further Evaluation by the Local Approving Au Lority 1 Fail? rTt Inspector's Signature: Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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. V Notes and Comments &M,*2 �� ****This report only describes conditions a(t 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 Inspection Form 6/15/2000 page I Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: ��� � S � � R� �f Owner: Date of Inspection: Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System s: J5� I have not found an rmation which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exis . failure criteria not evaluated are indicated below. Comments: B. S tem Conditionally Passes: One more system components as described in the"Conditional Pass"section need to be laced or repaired.The s em, upon completion of the replacement or repair, as approved by the Board of Heal , '1]pass. Answer yes,no or not dete ed (Y,N,ND) in the for the following statements. If"not determined"please explain. The septic tank is metal and ove 0 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or filtration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying se ' tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is s turally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is avai ble. ND explain: Observation of sewage backup or break out or high static wate vel in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. em will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled of replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The s tern will pass inspection'if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner: $ Date of Inspection: 12 --4) C. urther Evaluation is Required by the Board of Health: nditions exist which require further evaluation by the Board of Health in order to determine if the system is failing t rotect public health,safety or the environment. 1. System ill pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is of functioning in a manner which will protect public health,safety and the environment: _ Cesspool r privy is within 50 feet of a surface water Cesspool or rivy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Bo rd of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner t t protects the public health,safety and environment: _ The system has a septic tank and it absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a s e water supply. _ The system has a septic tank and SAS an e SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the S is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS ess than 100 feet but 50 feet or more.from a private water supply well". Method used to determine dis e "This system passes if the well water analysis, performed at a D certified laboratory, for coliform bacteria and volatile organ ic'compounds indicates that the well is free om pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less an 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this rm. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 14C71Z 8677Y'f ZqW01 N� Owner: Date of Inspection: /2- 4; —UA xD. System Failure Criteria applicable to all systems: ( , You must indicate"yes"or"no"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool - Static liquid level in the distribution'box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow �( Required pumping more than.4 times in the last year NOT due to clogged or obstructed pipe(s).Number T of times pumped _ Any portion of the SAS,cesspoo or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. +_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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. r e Systems: e ` To be con • red a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate ei es"or"no"to each of the following'. (The following criteria app large systems in addition.to the criteria above) yes no the system is within 400 feet of a s ce drinking water supply the system is within 200 feet of a tributary to a ace drinking water supply the system is located in a nitrogen sensitive area(I_nterim llhead 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 ' ificant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any larg stem considered a significant threat under.Section E or failed under Section D shall upgrade the system in acco ce with 310 CMR 15.304.The system owner should contact the appropriate regional office of the'Department. 4 Page 5 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: "'�V 96- 1S P`�J Y1 ® / Owner: 5 SL-z Date of Inspection: / Z. to l� Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No Pumping information was provided by th owner, occupant, or Board of Health Were any of the system components pumped out in the previous two weeks ? Has he 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 ? X _ 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,y=" .Rd he SAS, located on site? _ Were the�tmanholes uncovered;opened,and the interior of the tank inspected for the condition 1 of the baffles or tees,material of construction,dimensions,depth of liquid, depth of sludge and depth of scum? _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes no Existing information. For example, a plan at the Board of Health. Xisunacceptable) Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance [310 CMR 15.302(3)(b)] 5 Page 6 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 4V✓F lS p O'W 00 Owner: Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): 4�— DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):�' �i✓�+ vrjd / Number of current residents: Does residence have a garbage grinder(yes or no): 'VO � Is laundry on a separate sewage system( es or_no);W[if yes separate inspection required] Laundry system inspected(yes or no): L$�/�tA? 7U �SYS Seasonal use: (yes or no): OP4o, �'��?7.0 p'�o✓K�lfGYJ Water meter readings, if available(last 2 years usage(gpd))W 90 J Sump pump(yes or no): 4P Last date of occupancy:_d 9 14 OMMERCUL/INDUSTRIAL T of establishment: y Design w(based on 310 CMR 15.203): gpd / Basis of de ' flow(seats/persons/sqft,etc.): Grease trap pre t(yes or no):_ Industrial waste ho • g tank present(yes or no): Non-sanitary waste dis rged to the Title 5 system (yes or no):_ Water meter readings,if av ' ble: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: d!VA-02 Was system pumped as part of the inspection(yes or no): If yes, volume pumped:/pergallons--How was quantity pumped de rmined? Reason for pumping: C S 'pG� �I>.� L/r'I/�GY �lTTfijJ��-/ �� ,��f�,- 'w TYPE OF SYSTEM soil absorption system z,4 '0'/ Single cesspool m -� � �U mew cesspool % � rL.t 401��3 _Privy t cn.= _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): 7P<ZEXpa,e-7Z 1,19Y.41 fq: ' Approximate age of all components,date installed(if known)and source of information N /�4 � AM �Gsi�� n� �" __ _# �/ � y�� o f S Were sewage odors d tected when arnvmg he site(yes or no): ( p 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: f SvUill Owner: / — 4- —06 Date of Inspection: // 50, e— BUILDING SEWER(locate on site plan) n Depth below grade: 2-4 r7701) 3�� /dS�j 6 `l/�e�a�✓.Sf�I�Cl/S���7�, Materials of construction: cast iron 440 PVC_other(explain): Distance from private wa er supply well or suction line: Comments(on condition f" rots,venting,evidence of leak ge,etc.): 1 4SEP� C TANK:_(locate on site plan) /�L�jS G% i�OSl� Depth below gr Material of construe " _concrete_metal_fiberglass polyethylene —other(explain) If tank is metal list age:_ s e confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee o ffle: Scum thickness: Distance from top of scum to top of out tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations,,inlet and outlet tee or baffle conditio structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): GRE P:_(locate on site plan) Depth below grade: Material of construction:_concrete_ tal fiberglass polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,stru 1 integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): 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: 4� !N44V/?'1 Owner: US Z.E_ Date of Inspection: /2— lP -06 TIGHT OLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION (if present must be opened)(locate on site plan) ��i�iLL�G�T� Depth of liquid level above outlet invert: _ Comments(note if box is level and distribution to out ual,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUM BER: (locate on site plan) Pumps in working order(yes or no Alarms in working order(yes or no). Comments(note condition of pump chamber,condition o s and appurtenances,etc.): _ 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: �9677`� AG /0 R9 Owner: /2!/SSCZ-L Date of Inspection: /Z—e...—vy SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) /X V.I�SAS 1 'located explain why: Z 770., --A,Ufe-�7, Type ® a-I-a leaching pits,number:— r�leaching chambers,number: leaching galleries,number: �G �� c leaching trenches,number, length: leaching fields,number, dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments (note corWition of soil signs of ydrauli failure lev of ponding, damp soil, condition of vegetation etc.): lVIZ Y 111: �L�}C,�rJ—D'K/ CESSPOOLS: (cesspool must beipu ed as f inspection,Aocate on s, plan) el Number and configuration:7AV9 Depth-top of liquid to inlet'invert: Depth of solids layer: Depth of scum layer: �i ?Zv Dimensions of cesspool: �/1/S/pJ� �• _ �� /7� lif/S/o �`%6J/s� ��T� Materials of construction:-e-D.1vG A4D4&!Y 9�/—42) 2`K indication of groundwater inflow(yes or _--. Comments(note onion of soil,signs of hyedr�aic failure, levNo�f oonding,condition o�yegeta not : PRIVY: to on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, le onding,condition of vegetation,etc.): 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: ¢�'���� S POA4�7 P Owner: Z/S S 6zx— Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water su enters the uilding. Vill bR r Z3%2 g-�4L �C-E� 40 27 1�-cj)- 2 13 e7TY IS ��T� e Page 1 1 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) � Property Address: 4e l/ Q -1 p l: iV RV z7/ Owner: S L Date of Inspection: /Z —6 SITE EXA , Slope I`., , , 3 Surface water •S��r �c�T77�s P�.� , Sys Zao 4 Check cellar a2� Shallow wells �vv5cr3f.32 C�,7Cea��o� j Qcas���� Estimated depth to ground water SL feet '5 5 57 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) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: [IS 6 s —�-Ouih/�� . , ,,,� T�j �v� 1� IS,Z You must describe how you establisKed the high ground water elevation: 313k- X L6 17S LIM 0 412� yrt =! S l�vT,Tr�•7 Z 4-6-A" )7&7771 11 Town of Barnstable Regulatory Services • Thomas F. Geiler, Director IIAMsrMM : - A,.� Public Health Divisio# Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 a Office: 508-862-4644 Fax: 508-790-6304 January 10 2007 1, Ms Michelle.Russell 44 Betty's pond Road Hyannis,MA 02401 F ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,Title 5 The septic system owned by you located 44 Betty's Pond Road,Hyannis, MA was last inspected December 61h 2006 bx�D. Sears, certified septic inspector for the State of Massachusetts. The inspection of your septic system.showed that your system "fails" under the guidelines of 1995 TITLE 5 (310 CUR 15.00)clue to the following: Leaching pit was full,backing up into D-Box and.septic tank was full of waste. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department, BARNSTABLE HE TH DEPARTMENT T om lc ean,R.S., C.H.O. Agent of the Board of Health m x 17. �4 S ; � p j i s CD ciE w g �d co1 - V i \„'.■III i I I t IC CD 1 w No � I 77 =4 0CATION SEWAGE PERMIT NO. VILLAGE IMSTA LLER'S MA Ill E & ADDRESS �owes s UILDER OR OWNER DATE PERMIT ISSUED DATE COMPt1ANCE ISSUED _ �� 1 �.►. , I 0 -J � � 07 \ c 6' o-, 0 d � d c d .� c � � � ° ° . o 0 o � 1 �' � Q d Q ^�'' �. V �.,a „a `� FEs....�!....................... ! THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEALTH ---•-- ......._...._..-....... OF..-.. ... __ Appliration for llhipvii al Works Toutitrurtion t# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst- ... - .. s.✓t - -----....._. .. ...__. o e�� Location yAd ress or Lot No. l p .__..._._..... -•---_.._..-••••-•----....•--•-••--• ••--•-•••. ...................•••--•--•••----•--•-•••...•------------•---�� r Owner Address W -_ N_W_ N_r)._.... P_ ....._._ .+.......-•---•--. •-•...-•••••-----•-•--•-••-----•-•...•---• •..............••••-•••---...--•• ---•••-••••--•- nstall Address I Type of Building Size Lot____________________ _____Sq. feet U Dwelling—No. of Bedrooms____________ _____________________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building persons � YP g --=----------------------... No. of P �------------------- Showers ( �— Cafeteria ( ) d Other fixtures -------------------------------------------------------•-•----••- .... ............. s' ow_________:_________________________________gallons per person per day. Total daily flow............................................gallons. k—Lipid ca acit _ _a® aRons Length.. __._ Width. ..... Diameter________________ Depth.. _ __ x Disposal Trench—No. ._____ok........ Width----J.0.......... Total Length.__'_v______ Total leaching area_.19.94_0.sq. ft. Seepage Pit No...................... Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft- Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by............................................. ___ Date....................... a Test Pit No. I................minutes per inch Depth of Test Pit_.._ Depth to round water.......I.__.______._._. P P �------- P g f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil...... .n_ _ __'____.___mil=GIU... x U --------------------------------------- � U N t of Repairs o lter tions—An whe applicable___ r:X -_j_�-t �__:___� xlr .�._.__.. �� Agreement; I 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 operation until a Certificate of Compliance has been' ed by th oard Aiealth. S- ned---- -- ��---...._._ Application Approved B r!��:'. ` Date Application Disappr ed o the following reasons:--••--------------------•---•-------•---------------•---------••---------------...-•-••-•-:...---•••••-•-•--••-• ................................. •••••---•----•---••--•-••••---••---••••-- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (Irr$ifirFa#r of Tomph aurr -T, E Y, That the Indidual ewage Disposal System constructed ( ) or Repaired ( ) by---- �t�,► r ---- ��----.... <:.. �----- •--.-•inscaii�------------•.............................. •-•---•-------..... ........_.._...__ at........... ----•-•••• ......... ............................ ... ------------------------_.._-----•---------...-•--•••••-•----••--_•-••-- --•--• ......................... has been installed • accordance with the provisions of T i7e State Sanitaryaibed in the application for Disposal Works Construction Permit No...................................... ted_----_-- .......__._.______..___________ THE IS;S�AFN OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THESYSTEM W IdC� SATISFACTORY. DATE fl /.7 ----••- Inspector_ a 7 ! THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................... OF No......................... FEE........................ Per ssio4njranteto Coiy ( ir drv• ewag Di�osal System atNo. -•- •-•--•-••- ................•---•••-••-----...-•-••-•-....._...._._.... -------- ••-• •• • -- - _. .._._......... Streetas shown on the appfor Disposal Works Construction Permit o _ �- .:: Dat ____ _______________________ ........................ _- --• .......................... --------------------------------•- Board of Health DATE-----------------------------------•-----•-----------•-----•------------------- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS .q I ^, �. ,� 9 - 677 LOCATION SEIRIAGE PERMIT NO. VILLAGE INSTA LLER'S NAME 5► AQDRESS ► ,C t �s ski `- GUILDER OR OWNER DATE PERMIT ISSUED /0 � J/ DATE COMPLIANCE ISSUED a"-o'bSO0 a -b -b-a0 � A . O ' V Opfa 0® C3oc;,Oo(9 - t -I f i f a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map c?9 d Parcel-6%o2 Q'(} l Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer /� Application Fee 650 Planning Dept. / Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address r`G'�x/ p Village Owner�Ag:� G<. Address Telephone - Permit Request %D L_1�7-.D P_1c T ) e-0AAi 21z:z 7-0 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation IQ- 66 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: 0 Yes ❑No Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing ❑new size Pool:❑existing O new size Barn:❑existing ❑new size Attached garage:❑existing ,❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Curr a Proposed Use - 2 BUILDER INFORMATION U�S`5 -� Telephone Name r hone Number pl� �z Address '� %�,� ��D �.� License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WIL(BE TAKEN TO SIGNATURE DATE I/ � � AWE DATE: FEE: 1NA68.` p• 1639. �7��n TM�r s�}� REC. BY VV Town 11 of Barnstable le SCHED. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-8624644 Wayne A.Miller,M.D. FAX: 508-790-6304 Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: "r - ! !fl/ i� i aoL�p6/ Assessor's Map and Parcel Number: Size of Lot: Wetlands Within 300 Ft. Yes t/ Business Name: No Subdivision Name: p D APPLICANT'S NAME:7 �U Phone ( 9-�pc' Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: /�/f?.QS s<-/�i ���'i�iAa6�:� Name: C� _ Address: 7� ,C--%/�1��5�DN� /�Yi9i`S Address: 5 Phone: (S0 cJO� Phone: VARIANCE FROM REGULATION(Last Reg.) REASON FOR VARIANCE(May attach if m re"space needed� ^` { NATURE OF WORK: House Addition ❑00000 House,Renovation P Repair of Failed Septic System 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) _ 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 hkAer 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 (forTitle 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 ownedleasee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building probed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED. Wayne Miller,Chairman NOT APPROVED Paul J.Canniff,D.M.D. REASON FOR DISAPPROVAL C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK1\VARIREQ.D0C February 28, 2007 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Reason for Variance: Our septic system at 44 Betty's Pond Road,Hyannis, Massachusetts failed on December 6, 2006. We have since obtained plans from an engineer,Edward Stone, in order to repair the failed system. It was determined a new system would need to be relocated on the property and reinstalled at the cost of over$20,000. After meeting with numerous Town officials, it has been determined the town sewer system is scheduled to be installed along Betty's Pond Road in the very near future. Due to the current circumstances of a sewer coming into our area in.the near future,we are requesting a variance to waive the necessity of installing a septic system at this time. Your approval of our request is greatly appreciated,. Sincerely; Thomas and Michelle Russell 44 Betty's Pond Road Hyannis,MA 02601 508-685-3814 i No.._Q. ._le..�'.7.. Fim.... .............' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. ......................O F...................................... Appliratiun for Miplisal Works Tunitrurtiun Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S 07 . ........ . *........ . ..••. ---••-..-----•._--.._••...._•••_...__ ......................••... ........•. ......................./ —�- Location I Ad ress or Lot No. owner - Address a .- �ANZ .._. .__!1_ .P_ s ......... -�:4---------------- -•-------------•-- nstall Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.............`...........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons ............. Showers — a YP g ------•--------------- P �----=- ( /� ...Cafeteria A4Other fixtures ------------•-------------------------•••---•----------•••-----••--------••-.....-----_.. w s' ow............................................gallons per person per day. Total daily flow............................................gallons. Wk—Liquid*ca acit .. .-0® allons Length.. .... Width. ----- Diameter................ Depth_....... x Disposal Trench—No. ......J......... Width....1.0......... Total Length.... ._4v.r..... Total leaching area..lP._ 4.0sq. ft. Seepage Pit No--------------------- Diameter................_--- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) A. Dosing tank ( ) Percolation Test Results Performed by.................................................... .... Date....................... 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....._............_..... O Description of Soil....._'.1.4.!1_ _ ___________ �lil.. ---------- - - -- --- x • ---------------••----------------•------•---•---------------•------------------------•---••-••-------•..---•- w x ------ ------ ---- ----------------------- ] U N t of Repairs o�. lter tions—Answ whe applicable___ . 1.t�_. __..___._ .. ��Y1/'t��___-.-_�J V �?r -k�_ -( .....19.0)e.... a �'� ................---. -----1 ............................. ..................................... Agreement: The undersigned agrees to install the aforedescribed Individual-Sewage Disposal System in accordance with the provisions of iI',!Z- 5 of the State Sanitary Code. The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' ed by th oard _iealth. Application Approved B .•. ........ r -------------• -- 1l --------------------- Date Application Disappr ed o the following reasons----------------------------------------------------------------•---------------•------------------._....-•---•-- Date PermitNo.......................................................... Issued....................................................... � t No.u.. 2 7— Fimz.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF........................................._.......... , ppliratiun for Uiipuual Vorkg Tomtrurtion ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Systemt-------- :1.........20�?J........--..... =------ ........................-......................................................................... Locatio .-Address - --• --•-------------or Lot-No: --------------------------------------- -------=-- ...----......--------....----.. Owner Address 2�v yy-c1 rJ e.! •............... .....•--------•------••--•---................••-•-----------------........._......._......._---- Ikaller Address Type of Building Size Lot............................Sq. feet .., Dwelling—No. of Bed ......... ............................Expansion Attic ( ) Garbage Grinder ( ) .4 Other—T e of Building No. of persons a YP g ---------------------------- P �..----•-•------- Showers (�= Cafeteria ( ) P4Other fixtures .------••--------------•---------•-------------------..---•-••------•-•---•---•-•---•......-•-•------•---- •----- W Design Flow.................................. .:......gallons per person per day. Total daily flow............................................ Ions. WSeptic Tank—Liquid capa ty__L_Q_®.gallons )oength------_--------- Width. s.... Diameter---------------- Depth.... _..._. x Disposal Trench—No_ ____ ___________ Width__60.._........ Total Length_...Q�_.�_...__ Total leaching areaZ_4 ._J0'J__dq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..................................................... ... Date....................... Test Pit No. I................minutes per inch Depth of Test Pit.._._4_......... Depth to ground water.........-_-_-__-__----- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ - - •.---------- ------- - -- ODescription of Soil........... ------•-----�----- ._M-i--••- ------------•------••-•••--------•---------••••-•------•----•••------•-•------•-----------............••... x U --•-------------------------------------------------•-•----------------------------...........----------•-•-------------•--•----------•------...... ................................................... W .....................................--.......................................... $ --- U of Repairs or Al er do —Answer when pplicable.__ [.l!1. � Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben s e..19 ----- ....................................... Date Application Disapp ov or the following reasons-------------------•--------.._..-----------------------...--•-------•-----------------...--•-------.......------ _..--•--•-•--•-•---•-•------------------------------------------------------------------- ------------------ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................:.......................OF..................................................................................... Tprrtif iratr of Toutpliunrr JE Y That the Ind,; idual ewage Disposal System constructed ( ) or Repairedbyf ._.... �i�.. Installer ----------------------------------•--------•-------•---------------....----•--•----------- at..... -----------------•----•-•-••-•-•--...-- --•••-------.._...•-•-------------••-•----•---•--•-----------•-•-••-•... •--•-• -•........--•------------ has been instalnce with the provisions of T :� e State Sanitary •bed in the application for Disposal Works Construction Permit No............................ .__________ a.ted_...._._ .-. . THE 155 AN OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WI L F///NCB SATISFACTORY. DATE__/./ ZL _.7------ ----- ......................................... Inspector------<- ---- --------•-----------•-------------------------------------••-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . w ...........................................OF............................................................................... .._... No......................... FEE......................... >; �iu� +, k� � lion rrutit Per •ssiolhereb rante :... tc Con ( air divi ewag Disposal System at AO.............................. . --•--•-------------------------•--•...---•-----------------•.-•-------------•-•--•--•-•-------•--•--•------ ---------•- •. .... ...... -.......... Street as shown on the app cation for Disposal Works Construction Permit o.__ :_:�` Dat�_..__ ............................... ............................... ....................... =........ --------•---•• ................................................ Board of Health DATE........................................................................... =.... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS f r _1 i 677 LOCATION SEr9fAGE PE R III IT N0. VILLAGE I III STA. LLER'S NA#IE a ADDRESS • � �� ales c.�.�F u.�s7 ;•���a� jd U i L D E R OR OWNER T DATE , PERMIT ISSUED I` DATE COMPLIANCE ISSUED f 4 ;.j �I 'y aob a lo aD -6 D O O bdC) b00o000Voo0 pooh tea' CL�2 77 LOCATION s I w A G E ,PERMIT NO- V I L L A G E INSTALLER'S NAME ADDRESS 60ILaER OR OWN EA PATE PEItM ISSUED DATE C0 P,LIANCE ISSUED ,per®L j �00t, ten, McKean, Thomas From: Ells, Mark Sent: Tuesday, April 17, 2007 3:25 PM To: McKean, Thomas Cc: Niedzwiecki, Paul; Pisch, Steven; Burgmann, Bob Subject: RE: 44 Betty's Pond I have reviewed your attached letter and will provide a letter stating that the Wastewater Facilities identifies Betty's Pond Road as part of the Area of Concern H1. AOC H1 is one of two prioritized areas in the Wastewater Facilities for planned sewer expansion. The prioritization process is addressed in the Wastewater Facilities plan. We would expect to move forward with the planned sewer expansion into AOC H1 upon approval of the Wastewater Facilities plan (MEPA/DRI hearing scheduled for May 2, 2006 at 7:00 PM) and receiving Town Council approval for the capital funding for this sewer expansion project. I shall keep you informed of our progress on this matter. -----Original Message---- From: McKean,Thomas Sent: Tuesday,April 17, 2007 2:28 PM x m To: Ells, Mark Subject: 44 Betty's Pond << File: D Let DPW 44 Bettys Pond.doc>> e 1 Page g s f�C OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) l-jv > Property Address: 441 9&J`'-� t9410 R' Owner: . /2 LISje—LC Date of Inspection: SOIL ABSORPTION SYSTEM (SAS): (locate on site plan,excavation not required) IX Z.14'SASXVIocated explain why: Al-- S�sJt3-= 14,,Jb /6;e3o,X r 'xz s 2 b-r P� Type leaching pits,number: leaching chambers,number: � ,� G,4/SGy2f ��5 X�• B�6 �3�5�` f leaching galleries,number: leaching trenches,number, length: �O leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note cojoition of soil signs oPnydrauli failure lev of ponding, damp soil, condition of veggetation etc.): Y 1A IVC n/c� /(/Oit/Ls� q;J �L3�/i/— •K,. J T1J/7D/C !VIC�l/SCrL� 2�'�stj Batt-r�/I�v�,g ��vi�l�C CESSPOOLS: (cesspool must be um ed as of inspection) ocate on s' plan) Number and configuration:TVv_ XG SjrS� Depth—top of liquid to inlet invert: `' /!'i Depth of solids layer: Depth of scum layer: Dimensions of cesspool: W.5106-- Materials of construction: �O.yG�3LOG�u�f� G�/� Cyl7G _ C!�/t�G19CvCK J0. indication of groundwater inflow(yes or no). Comments(note ondition of soil,signs of au is failure, le of ponding,condition o¢yegetat oetc. -� / p� -vc2 ,((� PRIVY: to on site plan) Materials of construction: NJ,f� Dimensions: '�S daLe?dt! 16" Depth of solids: �1�1�jU � S. i Comments(note condition of soil,signs of hydraulic failure, le onding,condition of vegetation,etc.): T�G�� � Glf�t/�t/�✓��� I l 9 lvw COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION NL TITLE 5 LT OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A (� CERTIFICATION Property.Address: #�,-X S Oef /Pb oZ�o� Owner's Name: Owner's Address: 0-- Date of Inspection: /Z— --04 Name of Inspector: (please riot) V11117WV f STai✓�- Company Name: — S5U1Z Mailing Address: T Z Telephone Number: — �l CERTIFICATI IATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the i1matiot""borted below is true,accurate and complete as of the time of the inspection. The inspection was performe�based "h y training and experience in the proper function and maintenance of on site sewage disposal systeM4. 1 am ail) P approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The S<j''em: —' Passes Condit'fbnally Passes ' Needs Further Evaluation by the Local Approving Au hority Inspector's Signature: �4171/ Date,: �Z—�—off The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. tr� ( �-'� f S�DU� n VNotes and Comments /M y � ��� Lem 11�� IV T5�- �j .T �/ %SVo 0-10^ , cs' ETC K * P only report onl describes conditions/tthe 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 Inspection Form 6/15/2000 page 1 Page 2 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property:address: /� ������ S ° 447 R9 1f Owner: $e?-x— Date of Inspection: 2—G -U L Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System s: I have not found any ' rmation which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exis . failure criteria not evaluated are indicated below. Comments: B. S tem Conditionally Passes: One more system components as described in the"Conditional Pass"section need to be laced or repaired. The s em, upon completion of the replacement or repair, as approved by the Board of Heal 11 pass. Answer yes, no or not dete ed (Y,N,ND) in the for the'following statements. If"not determined"please explain. The septic tank is metal and ove 0 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or filtration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying sep ' tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is s turally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is avai ble. ND explain: Observation of sewage•backup or break out or high static wate vel in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. em 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: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The s tem will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: & 'S 0✓!I Owner: Date of Inspection: --6 —O� All C. urther Evaluation is Required by the Board of Health: nditions exist which require further evaluation by the Board of Health in order to determine if the system is failing t rotect public health, safety or the environment. 1. System ill pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is of functioning in a manner which will protect public health,safety and the environment: _ Cesspool r privy is within 50 feet of a surface water _ Cesspool o rivy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Bo rd of Health (and Public Water Supplier,if any) determines that the system is functioning in a manner t t protects the public health,safety and environment: _ The system has a septic tank and it absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a sur a water supply. The system has a septic tank and SAS an e SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the S is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS i ess than 100 feet but 50 feet or more from a private water supply well". Method used to determine dis e "This system passes if the well water analysis, performed at a D certified laboratory, for coliform bacteria and volatile organ ic'compounds indicates that the well is free om pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less an 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: Date of Inspection: D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No 7K Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool 4- Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number 7—' of times pumped Any portion of the SAS,cesspoo or privy is below high ground water elevation. �1[ 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. 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. 14 E. a Systems: To be con ' red a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate ei es"or"no"to each of the following: (The following criteria app large systems in addition to the criteria above) yes no _ the system is within 400 feet of a s ce drinking water supply — the system is within 200 feet of a tributary to a ace drinking water supply the system is located in a nitrogen sensitive area(Interim Ilhead 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 ' ificant threat,or answered "yes"in Section D above the large system has failed.The owner or operator of any larg stem considered a significant threat under Section E or failed under Section D shall upgrade the system in acco ce with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 Page 5 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: tl S SCE—� Date of Inspection: / Z Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No Pumping information was provided by th owner, occupant, or Board of Health Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period ? Have large volumes of water been introduced to the system recently or as part of this inspection ? _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up Was the site inspected for signs of break out? G Were all system components,ye� u �g the SAS, located on site _ Were the![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? P g P _ 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 _ 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 Xisunacceptable) [310 CMR 15.302(3)(b)) 5 Page 6 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ''� SYSTEM INFORMATION Property Address: �3� ISiO IW Q-) Owner: s/ SSG�L-L Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): 4*4— 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): 't►�O ?CIO Is laundry on a separate sewage system( es or no)zW[if yes separate inspection required] Laundry system inspected(yes or no Seasonal use: (yes or no):;VP 7Z> d940. � s�� rC p�-o✓sc�'!JG�y� f Water meter readings, if available(last 2 years usage(gpd))V'!?4 ✓.�/ Sump pump(yes or no): 09 Last date of occupancy: � QG ism �� l�� /* 'V`H' OM MERCIAlANDUSTRIAL T . of establishment: y Design w(based on 310 CMR 15.203): gpd / Basis of de ' flow(seats/persons/sgft,etc.): Grease trap pre t(yes or no):_ Industrial waste ho ' g tank present(yes or no): Non-sanitary waste dis rged to the Title 5 system(yes or no): Water meter readings,if av ' ble: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: 44-0.2 Was system pumped as part of the inspection(yes or no): y�y If yes,volume pumped:/" gallons--How was quantity pumped det rmined? N— �T1 1v!/� Reason for pumping: � S�oGL Tl> TYPE OF SYSTEM soil absorption system 7� i Single cesspool 1 ,�,�P x Overflew cesspool %- � eJlr�Ul CJ/Cf 4'01'3 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): c3��7T�',04V-7� S /94��/GJRy Approximate age of all components,date installed(if known)and source of information: /� 2, a m s��) Were sewage odors d tected when arnvmgfCe site(yes or no): p /� 1HVio 7� 3/3/Z CZ(;AVZ— 7-Z' 36;` 6 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: f Owner: Date of Inspection: // S SGrGL BUILDING SEWER(locate on site plan) n Depth below grade: 6-3-99 Materials of construction: cast 'von40 PVC_other(explain): Distance from private wa er supply wel or suction line: A Comments(on condition f' is venting,evidence of leak ge, etc.): SEP C TANK:_(locate on site plan) Depth below p gr Material of construconcrete_metal fiberglass polyethylene _other(explain) c ' _ If tank is metal list age:_ Is e confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee o ffle: 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: How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle conditio structural integrity, liquid levels as related to outlet invert,evidence of.leakage,etc.): I//4- GRE P:_(locate on site plan) Depth below grade: Material of construction:_concrete_ tal fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle. Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, stru 1 integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): 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: Owner: USSG _ Date of Inspection: /2- 4 —U6 TIGHT OLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order.(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to out ual,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUM BER: (locate on site plan) Pumps in working order(yes or no Alarms in working order(yes or no): Comments(note condition of pump chamber,condition o s and appurtenances,etc.): Page 9 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: � �p�� /`7 l Owner: SC:LL Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) /X V,WSAS;*Iocated explain why: / 77 cU c a•v-el Type /X3� leaching pits,number: ® It leaching chambers,number: � ,� �,q/SU�2f �/ 5 X 4r,b K P.a leaching galleries,number: leaching trenches,number, length: go leaching fields,number, dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note co ition of s�oi�l signs of ydrauli5failure lev of ponding, damp soil, condition of vegetation, etc.): Y ""`C 6V101A4F/ �v0�� � J �L v K/ 7Z/7D� !>/ 21-1��2e�J 2���✓zj Bat��//I�v'yq��Z�����L CESSPOOLS: (cesspool must be um ed as of inspection) ocate on s(IP13 lan) f�ioW n'�'¢�3gP �St � /ZA; Number and configuration:77VO X 4;— Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: e?L-Y Dimensions of cesspool: �/1/S/P,—c� / �®�G /7� /�f/S/v �`.��s� `it-, Materials of construction: �o�G�3lDUL /�`��/A��CX /�G/3Cr�UC �/ ' Cl cr indication of groundwater inflow(yes or no): E .._ ._________.___._._____ 0 Continents(note�oQ�n of soil,signs o 3a� is failure, le�21 f ponding,condition o yegetatio noet�� / AV ,4/, PRIVY: to on site plan) Materials of construction: /vl, Dimensions: cvr,,gL4 Depth of solids: Comments(note condition of soil, signs of hydraulic failure, le onding, condition of vegetation, etc.): 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: -4' 1-41A ig&771L S LOAOIi7 Owner: Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate where public water su enters the uilding. p�z- Kg ,0�4��G /lit 92 12 V }0 :COOL 31 �� AiPdY !gk r -� ' X02 � vL,�I � vGp o*ve- i�r�u�r�c.cc� S Uv� 10 Page I I of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 2_ SYSTEM INFORMATION(continued) Property Address: Owner: L Date of Inspection: /2 —e, SITE EXA Slope /` ' rc. 3 "/ Surface water 44--r 6t!TT'r Pam -sue f ZGo Check cellar a2� Shallow wells Teti ��Sc // �pf rr-fit�/�q�ty S4S /�/r�v5cr3 is2 G�CeaiG�o� Q�srdac�c t� / G ey r`'J_ s¢f Estimated depth to ground water 5L feet sf�� $' 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) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: 1J5 6 ,4w7{ rp 6P.0,t'_0 1.5.Z You must describe how you establisVed the higb ground water elevation: xGe es �� verZ n !1 a`p t� t� r L RoT?r,-7 ��Zz73, �4-;f Yv7YZ>,,j 4 _ I 11 0 A. G �� �, �� . 4 �` l \\ `� {, \,�. ��i/)- n ✓✓// V I9J �� ��7� �� � s�i�i ma`s - ��a � �� ®�' � � � � � �-� � ��� C 1 C � , I Please.note, we've moved!! cp� - 1 116� Steams&Wheler, LLC 15451yannough Road Hyannis,MA 02601 (508,362-5680(p)•(508,362-5684(� 800.229.5629 www.steamswheler.com F�=.... ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEALTH ...--•....... ............................OF.....:.....................-..:._..__:... .............................................. ppfiration for Utipuaal 19ork,15 Ton'idrnrfton punfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Systt. #LocationjAd�jress� 5.✓.[.. r ------3 .......... ..................................................................................................or Lot No. -._..... �( +-•--•--- --•.............. •-•• ................................. .......................................... Owner Address ¢'Wd9 N...•--- . ........C-Q_+:.............. astall � Address Type of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms.__............ _____ ___ _ ___Expansion Attic ( ) Garbage Grinder ( ) aa Other—Type of Building yp g ..................... No. of persons_._._�___________________ Showers ( �— Cafeteria ( ) Other fixtures ..................................... W s• 4F, w._._ ______gallons per person per day. Total daily flow............................................gallons. k—Liquid capacity 'd�gallons Length________________ Width_,.__.____ Diameter________________ Depth.._._______. Disposal Trench—No .......cK........ Width....Y_O.,...... Total Length._._v_ ..... Total leaching area--- eC_gcbjsq. ft. See a e Pit No p g ______-__ Diameter........: ......... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by............................................... ___,.._.__...._......... Date....................... 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� -•--•-•----••...............................................•---------. O Description of Soil........ �n_fX..`___ �l U. -_-•--- -•-_•••. ------•-••---•••-•••--•••--•-•••-••--------------•------•-•-------•-...._......•--_.. U ......................................-------------------------------------------------------- •---------------- ----•---•- W --------------------- - `- U N t of Repairs o lter tions—Answ when applicable d� -n.. ___._____ .___._(�12r ./.._._ i�D �' : .:-f - ..._r. s# -Z --------- ------ ----- ------------------•-----------------------.--------- --- 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 operation until a Certificate of Compliance has been ed bythj&board Aicalth. S ned._ ........ ..... ` r Application Approved B - -- ........... •-•--- - .............................................. --....Al?. ...- Date Application Disappr ed o the following reasons.- ......................................................................................................... ... . •--.................................................................................... Date I PermitNo............:... -•-••- •-•--•-•• ••-- Issued-----------•---•----------•--.._ ---------------- r);�, - ilate THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................... ................OF..................................................................................... T"Utifirate of (rum Rnnrr E Y ,That the Individual ewa e Disposal System constructed ) or Re aired- ) g P �' ( P ` !" Installer f at.................................. .......................................--•=••-----•-•-----•• - ••-•--_.. ._. --.-..--------._._...•-•-•----•_----•• ...... has been installed ' accordance with the provisions of T e State Sanitary 'bed in the ted- -- application,for Disposal Works Construction Permit No......................................... ..__.-___.___.__.._____...___________ THE/SSAN OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM F NCB TION SATISFACTORYDATE__& 7..l...........: ......................................... Inspector......._a.._... ..._._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ' HEALTH , No......................... FEE........................ . � �nr�inn rrant� Per 'ssioo, IDD rante ----- -- ------ .....� .----•---...--•----------•------------- ..................................................... to Co ( ir div' ewag Disposal System atNo..---•••••--•-•--- .....•--•--------•••---_.�__.__._...._........---........-•-•---• - ----------- .._.... Street ,,as shown on the for Disposal W orks Construction Permit o._ .:__ Dat ......... ............................... •-••----•••--••--_. _._...-- ............Health ------•.............................� " Board of DATE...... -...--•--•••---•-•=•- l FORM 12.55 HOSRS & WARREN. INC.. PUBLISHERS CAPE COD.. BUILDING Richard Davis ImShE�� 1230 Newtown Road Cotuit, MA 02635 508-420-0260 LETTER OF INITIAL LEAD NON-COMPLIANCE DATE Dear ad B T we i�J This_Le.t-ter s-pcertify. that I inspected the property located at at/ tment no,. , and relevant common areas, in the city or town of for dangerous levels of lead according to 105 CMR 46 .730 (A) through(F) : Procedures For Initial Inspection;Regulations for Lead Poisoning Prevention and Control, and determined that there were , VIOLATIONS.' The inspection was conducted on /n Please_ be advised that Massachusetts law requires that only certain residential surfaces be free of lead paint . (Deleading must be done by a licenced deleader MASS. �state law) NOTE: A copy of the report must be on site at: the time of re-inspection which is after the deleading process . STRIP ALL WINDOW WELLS OR COVER WITH FLASHING. SEE NOTE FOR FURTHER -- REQUIREMENTS. DO NOT PRIME OR REPAINT UNTIL THE INSPECTOR HAS SEEN THE BUILDING. NOTE: MASS. GL CHAPTER 111 S.S . 190-199 Requires that : On both the interior and the exterior of any dwelling, loose offending paints or putty,., regardless of surface or height, must be removed. The surface should then be sanded, reputtied and repainted with a non-leaded material in order to reduce further deterioration. Any chewable surface within (5) five feet of a standing surface must be stripped to the bare wood and repainted with a non- lead paint. FEDERAL LAW,:24CFR_ Part 3'5 . Dated 1 April 87 requires stripping be ; hone to the (5) five foot level and as above. I ** As of above date of regulation Sincerely, `. it 'will be the responsibility of the owner to be aware of ^ any future changes in the d aw. Richard Davis I, 1 74 Inspector Licence # Report # �.( O06 G At the time of inspection children under 6 were living in the house 1P YES 0 NO 0 INCONCLUSIVE Il i L- N0 a r. • C`� ".as ��� • 4 a - ° 4� E' •r 4 .. 1 �G]:'. .. .. Sub-Area 50. o � TT r 4Q�p _ p _ r _ „�._ _ PS A NUE 1 �A — 13 a _ 13 L1 Q D 1 �? _ r o a o Gj21 o � 4 e -G-4Lu P q •' p u G G� - DR -. - G. O G�. G, u G � �i Sub-Area 4 e' C;, C� L:. �y�G G I 'tiG1 G } Yi l° GIG{G G f > _ G 0 4 ... .. G) �. I G Gam�'` G�. 1_!2j.. V EG] P a rGl G CID. G 4i `.r=_ Sub-Area 3 . :. I Cry eGCG C ES * n __ _ �} 'G V:: ° :. VEN E x.._. 1'��;;`9`'�4•,G__ 4 �; ru' °G] , /f Imo' FG G CGi. R Q G OG PINEC�9 1 �. C'tJx (< G 1 �' --ems I— .'. ar i} L=j LG 13 G " ' G G G t�s u lug�G (. LO � ❑ � C-'3 ❑ _ G G 1. Q CT ❑ EM 1 m[G r p > ';�> 0 G„ G. G ♦ GJL Legend STRErET' G7Y G D o C7 OP ® CROCKER G��I►, serrG^'" NApeopv shGC�G� nSub-Area 10Ps Existing Pump Station �Gl s,D v ° Proposed Grinder Pump G 4 Go • 4 SG I � lG Existing Pressure Sewer � _�A°E L . . �' oP s� m*1 u ---- Existing Force Main a D g O G ------ rkJ'4° !:Existing Gravity Sewer °' � �e��� �' CG] - - Proposed Pressure Sewer a Town Owned Property \ Easement �: . � -. Sub-Area 2 ..ve AOC Sewer.Area W - 4 , AOC Expanded Sewer Area ° TOWN O OF BARNSTABLE MASSACHUSETTS Stearns ,Wheler, LLC 1 inch equals 400 feet STEWART S CREEK AOC SEWER EXTENSION Environmental Engineers and Scientists FIGURE 6-3 HYANNIS,MASSACHUSETfS File Location:DAAreaHt\Figures\Report,Figures\30243F06_3.MXD JOB NO.:30243 DATE:5/28/04 ALTERNATIVE 2 - PRESSURE PS � ♦ �^ t�9 � I � Sub Area 5 1LIL gTREE+T - . WEST MAIN STREETS 2 MAIN � .. .. ♦ -'� :.'z 1 * . 00 ° Ll c IF` E: : }Q z �-7 ' C7 L APLE AVENUE 0,0.01 vas wow.- �I 1 --� `: Sub-Area 4 , PS ��'5 7�r v' ffr , St , : .. I . .13 -f 5 — Sy 1 _ �7 f f I _ Inn LE D) ° S'fp E O. E I - -.. .. .. •O+IN m SeARR§ K ROu [] It PS. } PS 1 r _,7.._:.a.�_:'+.l_-•r.___„f-_'��; ._r_ _._ _-, +.. a �. 3 _-_._ .. __ ..�. _ _ - � ,�' N AEU^TICAL`t�; � Ili D-1 LAI� TUT PS h tl It �I Lttsss r�-II s L I b C r G % '4 1' �(+'�1 U( m. / t 711 C LPS E D R _ j:: kmt-� .. tZ ;. '� � ... 0 ♦ �`� _�.�e_ j —=' 1 :. w . oy t i0 T c eta i3a o ' >0 JI OCKER.$ ' Legend Nt •�' ... .. 12 4 ^�. .. �j111TU.DIL, .°A—� a fr FPS] Existing Pump Station , y NO H ` PS 1 R PS S tL L A G F .iy( M^ — -:-'Existing Pressure Sewer N'ARB°P' .. u' - ^-�?: i"t '`, 01PS ---�, l Existing Force Main a pCD -' Existing Gravity Sewer l .® Town Owned Parcel Are'2 .v f uG LJ o Sub 61 9 0 : Fs 1 Proposed Pump Station: N' Proposed Force.Main ,3 Ind Proposed Gravity Sewer ,�:]: Easement y AOC Sewer AreaDG AOC Expanded Sewer Areac...i' V _ U' tz � TOWN OF BARNSTABLE-MASSACHUSETTS G Stearns &Wheler LLC 1 inch equals 400 feet ` STEWART'S CREEK AOG SEWER EXTENSION Environmental Engineers and Scientists FIGURE,6-1 HYANNIS,MASSACHUSETTS File Location:D:Wrea H;\Figures\Repoq Figares\30243F6_1.MXD JOB No.:30243 DATE:5/28/04 ALTERNATIVE 1 - GRAVITY TOP OF` FO UNDATION S 1 A ND A R D NOTES ES EL 22 45 Raise covers to within 6" of finish grade install risers as needed 1) THIS PLAN IS FOR THE STALLATION OF A SEPTIC SYSTEM. - El = 18.85 - '1� 8-8 18 3 2) ALL INSTALLATION PROC' RES AND MATERIALS SHALL CONFORM TO 310 CUR 15 000, THE STATE ENVIRONMENTAL CODE, GROUND SURFACE EL _ - -- SUBSURFACE DISPOSAL REGULATIONS. :....,...:: TITLE 5, AND THE TOWN OF --- Barnstable 3) NO DETERMINATION HAS BER'N MADE AS TO COMPLIANCE OF A VAILABLE PROPERTY INFORMATION WITH RECORDED DEEDS El = 18.0 OR ZONING REGULATIONS.. h3^fi �►`.C���o�ry 4) TOWN WATER DOES SERVICE THIS PROPERTY 16 5Q - - 19. 45 A - , ' ti TOP .EL g { 1, 3 MAX 5) THERE ARE NO EXISTING �PITLLS WITHIN 200' OF THE PROPOSED SOIL ABSORPTION SYSTEM. INVERT EL �•• .' .;= MIN 2' LAYER DOUBLE WASHED 6) ALL COVERS OF SYSTEM G"c7MPONEN7S' SHALL BE BROUGHT TO WITHIN 5" OF FINISHED GRADE 19.45 i�g'� ,!` \10» 1/2" STONE 14 12 7) ALL SYSTEM COMPONENTS 'SHALL REMAIN ACCESSIBLE FOR INSPECTION NO STRUCTURES SHALL BE LOCATED DIRECTLY INVERT EL t �, � — — - - . — - - EFFECTIVE UPON OR ABO VE THE COMPONENT ACCESS LOCATIONS, WHICH WOULD INTERFERE WITH THE PERFORMANCE, ACCESS, INSPECTION i q INSTALL SIDEWALL PUMPING OR REPAIR W W �, GAS W E1 -,12.4 BAFFLE w 8) NO DRIVEWAY,,.PARKING Ok TU.. RNING AREA, OR OTHER IMPERVIOUS AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTION 3/4"- 1 1/2" DOUBLE SYSTEM, EXCEPT WHEN V TING HAS BEEN PROVIDED. Three Existing Conc (H 20) .... c� �? Diffusers Chambers w13 stone WASHED S T E N E 9) SEPTIC TANKS, GREASE Th APS, DOSING CHAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED ON A 6" STONE BASE ti ti w 4'-0" x 8'-0' x 1'-6 .E" 15.0 6" STONE BASE ( ) BOTTOM EL TO ENSURE STABILITY ANV PREVENT SETTLING. t I 10)i{/e UTLET DISTRIBUTION LINLS SHALL REMAIN LEVEL FOR A MINIMUM OF THE FIRST TWO FEET OF THEIR LENGTH Proposed (H-10) In 1,500 Gal Septic Tank QZ 11) ALL SYSTEM COMPONENTS SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' S = a.c� ��D.a¢ (Typical) ¢�; OF DRIVEWAYS OR PARKIM7 OR TURNING AREAS, IN WHICH CASE H-20 COMPONENTS SHALL BE USED. 8� o - 10) ALL BUILDING SEWER LINE" SHALL HAVE AN INNER DIAMETER OF 4" AND SHALL BE CAST-IRON OR SCHEDULE 40 PVC. "s - 5 = �T 13) THE DEPTH OF THE TOP OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36"' UNLESS VENTING HAS BEEN PRO VIDED. x�s�?'ny Pro�osea� E'k�'s��» 13.20 E L Aunt Be t ty s Pond 14) IN THE AREAS OF EXCA 1 ATION, EXISTING GRADES SHALL BE REESTABLISHED UNLESS NOTED AS PROPOSED CONTO URS. .30' Date: 1211 06 1 / 15 IF SOILS ARE ENCOUNTE21,I) DURING THE EXCA VATION OF THE SOIL ABSORPTION SYSTEM THAT DIFFER NOTABLY FROM — — — - THE DEEP OBSERVATION H�LE LOG CONTACT THE ENGINEER BEFORE PROCEEDING. - -- 16) CONTRACTOR` TO I VERIFY. Le?CATION OF ALL UNDERGROUND UTILITIES. 17) EXISTING PLUMBING 'TO BE MODIFIED TO MEET PROPOSED - N - - -- -- - -- - -N- - - - _N _ _ _ - OUTLET ELEVATION & LOCATION -mod � 18 EXISTING CESSPOOL TO PE PUMPED AND REMOVED PER TITLE 5 60. 0'0 UP o , 14.0910„ �,� N 0903850 ERE Gas 1�919' W D17, SIGN i N s UP 6/h' ° Glis co — �,� i BRB 68 14a 4 co d ,� .. tor T _ ... � R - 64.34 ,�: Number of Bedrooms: • FND Inv 3 E,Ir Hse BRB L = 51.51 ;. Gar I� ..�-�' � TCF s'L 22.45 Garbage Grinder: NO i { b Exist „ Design Flow: 440 Exist ��cp 1-1/2 to 2„ _v m 19.45 , (110 Gal/BR/Day x Number of BR) �i 4" Septic Tank: H-10 'o 1. 50(� o Inv rI! J (Minimum = Design Flow x 200%) Gal \ Existing 4" PVC �- 1 a�— Exist Pool Filled J� To Remain -- ' Concrete Apron �4" Pro ' Leaching Area: � i Map 290 �! (19.84) 21. I a to new tank Sidewall: II ZON t Parcel 92-2 ZONE Cleanou (2 Sidewalls x � —Ft - �'—Ft) + ,O E' II E' Ex Inv Drop Top r' (2 Endwalls x _�d-r FT _Ft) p i ��9 4s E / EL - 17. 85 El, = 18. 85 j Existing 4" PVC Bottom: 0/ r'.z0 ----To. Remain i .^ g - ------Ft x Ft h t ------ > ���� 19�� � \ . - , 1 St �-t�z��1�_ �,;_�_._ _____ � � _ Junction Nfazlhole Deta-.z1 �- _ - �' e . Prop. 16 spli t Y COI2 cre t e 1 Rail Fence �l y ig)` 1 Bdr \ i — Exist Cesspool to be - CoVer Long Term Acceptance Rate (LTAR)(Z•6' 1I � -'-1--. 1P Slab 19.45 sandfilled & utilized Proposed '' � �, � � as Junction Manhole :-' Leaching Area Design Capacity: 500 GPD 1,500 Gal �-�'—° �� 09,�� � 1g�5� See (Sidewaalll�Area + BottomAiea) is 1.. .....' 1 ( r s F- .S S-Tank � ♦- <A -- Detail Prop ,4" PVC o / Q Exist Cesspool C1g.6) O _ M _... �! 500 — 440 — 60 2 to be removed ��� r_ __ _ N/F G-PD Provided GPD Required — Reserve per Title 5 a lti � v :: /' ,�' Town of Barnstable a Map 290 °'� Parcel 91 Existing 4- PVC To Remain �. Existing three .4 x 8 ,. ' ,�, `�� ti OF MAs 18 _ cone . diffusers to remain ��.;' saw _ _ VIM o. 1140 o`'� EDWARD coo / rsT NONE � � j gNl7AR�P No,2898 �Lo 4 Al tdp 1 Q] Site and Se wa e -Plan Com ovenO�t ra de 2 P of s x, Mitchells � P P� t�a a1' North ST PROJECT LOCATION 44 Betty'sPond Road � . Hya C USnnzs, MA 0260-1 _ s _ 7 w._ _- _ , L U/ u,,., 92 1 AL - ,- - -; � � ASSE?S,50I-�S .MAP LO 1` West Main st < APPLICANT. J �M'L� c South S T Michelle Fussell 44 Be t ty s Pond Road ALw Old �a� Hyann-is, MA 02601 AL i 00 47 _L®C Z LS Map PREPARED EY 44 Be t t 's Pond Road EAS Survey, Inc H annls MA 0�601 141 Route 6A y Sandwich, MA 02563 (508) 888—3619 �,- PI Bk 335 Pg 45 SCALE. 1 " _ 20' DATE.• 12118106 / Plan Reference -------- X p v Title Reference _ alk 9353 91_ 07 ------------ REV. 1� A "� 65,800 f Sq. Ft. _ Flood Zone Lot Size � c� D WG. N0. 3295 SHEET 1 OF 1 I i + Wa ter Main STAIVDA-RD NOTES 1�e l l y s Pon d 1) THIS PLAN IS FOR THE 11VS7ALL,ATION OF A SEPTIC SYSTEM. (?� 2) ALL INSTALLATION PROCr DL'R1 S AND MATERIALS SHALL CONFORM TO 310 CUR 15.000, THE STATE ENVIRONMENTAL CODE, d NRoTITLE 5, AND THE TOWr CAI' ____Barn________-__ SUBSURFACE DISPOSAL REGUTATIONS. � _ Barnstable 1 -� �' t - --_ - NO DETERMINATION HA5 hEE N ..MADE AS TO COMPLIANCE OF AVAILABLE PROPERTY INFORMATION WITH RECORDED DEEDS �� 60. 00 3) \ N N 09°38'S0 , N 1 .°O<9'1 -- _, OR ZONING REGULATIO.A>. ;- ` >E--?V 6,�._7 THIS PROPERTY _..-.___ t E g R Prbp 1 500 -_-.• ,� 0 -- _ _ 4) TOWN WAT1 R DOES' ..,, ,, E� -. ' P d� ' -._ THERE 'ARE NO EXISTING- WELLS WITHIN 200' OF THE PROPOSED SOIL ABSORPTION SYSTEM. Gal S—Tank o o _..—� ._._ 17919 5) f b + Install " (21.3) ti _._ �� L. 7f'�rtc� ow- - » o Up w 6) ALL COVERS OF SYSTEM COMPONENTS SHALL BE BROUGHT TO WITHIN 6 OF FINISHED GRADE \ / Cleanout 6' g o� "\ Pro 1, - _ (21.5) 11.5, 0_'�O p 000 Gal I 1y 1�9°� - 7) ALL SYSTEM COMPONEN7`,3 SMALL REMAIN ACCESSIBLE FOR INSPECTION. NO STRUCTURES SHALL BE LOCATED DIRECTLY + - Pu_mp Chamber, O101, _. 5 \ UPON OR ABOVE THE, Cc',)MP6NENT ACCESS LOCATIONS, WHICH WOULD INTERFERE WITH THE PERFORMANCE, ACCESS, INSPECTION ROPOSED LEACHING FACILITY 5 68 (16 7) \ -1 c — P UMPING OR REPAIR. I ' \ I DTII - " f \ 8) NO DRI VEWA Y, PARKING r17 R TURNING AREA, OR OTHER IMPER VIO US AREA SHALL BE LOCATED ABOVE A SOIL ABSORPTION } 2. q . 8 j $ I�T SING HAS BEEN PRO V117ED. V Gar I a _ 4 (17r \ � �t � � � 1 SYSTEM, EXCEPT WHEN , - SYST Co I PTop 15. I R? 1 9) %' \\ `�1~ \ 9) SEPTIC TANKS, GREASE"TRAPS, DOSING CHAMBERS AND DISTRIBUTION BOXES SHALL BE PLACED ON A 6" STONE BASE t Repl um b S � 'D71�I Laundry 6'� \ Y 1lID Q TO ENSURE STABILIT PRE PTNT SETTLING `715 30' ' - r j i v� 16 10) OUTLET DISTRIBUTION LINTS SHALL REMAIN LEVEL FOR A MINIMUM OF THE FIRST TWO FEET OF THEIR LENGTH. sz o Q v ono � � �. ��•� 4) (1s 3) 11) ALL SYSTEM COMPONENS1iS S,FIA1-_,L BE CAPABLE OF WITHSTANDING H-10 .LOADING UNLESS THEY ARE UNDER OR WITHIN 10' 20.95 'dam1_, 2 Story :. _-_ J '` gr� ,�. OF DRIVEhAYS OR PARAING r_';, TURNING AREAS, IN WHICH CASE H-20 COMPONENTS SHALL BE USED. t rcF d 2 H r - `�- . '`� 12) ALL BUILDING,SEWER LIVES ,:y>r`:�LL HAVE AN INNER DIAMETER OF 4" AND SHALL BE CAST-IRON OR SCHEDULE 40 PVC � 3 Bdr Hse r -- - i 13) THE DEPTH OF THE TOT;'' OF ALL SYSTEM COMPONENTS SHALL NOT EXCEED 36" UNLESS VENTING HAS BEEN PROVIDED. f 18.4 14) IN THE AREAS OF EXCA VAT10N, EXISTING GRADES SHALL BE REED TABLISHL'D UNLESS NOTED AS PROPOSED CONTOURS. (19 84) N J / IF SOILS 1 ENCO DURING THE EXCAVATION OF THE SOIL ABSORPTION SYSTEM, THAT DIFFER NOTABLY (21.5� ; � ! ` ,,,,,/ 5 ARE UNThREL' D M,, BL Y FROM ZONE' II � � zl (19.8) ZONE' II _ ;' Pa re el B r 1 ) It � � w Z, THE DEEP�OBTOR VA VERIF� HOLELOG LGCATION OFO�ACT THE UNDERGROUND UTILITIES. IB,�F#�}RE PROCEEDING. t 0 19 �7 Ft. r 16) CONTRACTOR ALLCh 1 i 1 ( ' Ll:.b .14 j I �! t -" (17 4) 17) EXISTING PLUMBING TO BE MODIFIED TO MEET PROPOSED i =l 21\ -, OUTLET ELEVATION & L�%tCA7I0N Apt 18) EXISTING CESSPOOL TO;I BE -PUMPED AND REMOVED PER TITLE' 5 8 (21.71) ' r 5 V + G Instoll Myers MRG20 Grinderes2� Pump in Existing Manhole f (See Detail) ! r Exist Cesspool t�^' he remoUe h$ i fy — , -- ._ ' FXCAVATION NOTES ' as per IICIe .a a 0� 1 �' 1) EXCA VATE ALL MATERIAL ABO VE SOsL HORIZON C (SEE DEEP OBSERVEx I0.1r cn ,--.- Y 7-41 � HOLE LOG) AT APPROXIMATE ELEVATION- 97.9 FOR A LATERAL DISTANCE' OF 5' Abandon per Title 5 cs - -o (WHERE POSSIBLE) IN ALL DIRECTIONS BEYOND THE OUTER PERIMETE-h Or THE LEACHING AREA. ___ --- ___ �- ) 57 OF CLEAN GRAN&LAR SAND FREE FROM G'RGANIC -CIO __ � �,� 2 FILL MATERIAL SHALL CONSh - ` MATTER AND OTHER DELETERIOUS SUBSTANCES, WHICH MEZ, S THE TLXT Ui?AL CRITERIA PUT FORTH IN SECTION 15 255 3 OF TITLE 5. 3) SCARIFY THE BOTTOM SURFACE OF THE EXCA VATION PRIOR TO PLACEiVEM J - wetlan r ' OF FILL INTO THE RETAINING STRUCTURE 4) PLACE FILL ONLY WHEN BOTTOM SURFACE IS DRY. AL IL OF All -A i s'E 1140 ra;Ci; A. tt1 AL Errs AL God � op p Mitchells '��i r- Way o� SITE AND SEWAGE PLAN REPAIR/UPGRADE' 1� i ! Locus t ,N�� PROJECT LOCATION � �; ,� 44 Be t ty s Pond Road � O �Q �O'` Hyannis, MA 02601 i r �� West Main ASSESSORS MAP 290 LOT 92-1 g j ,-! Street � _! APPLICANT'' I a b� 1�Ichelle Russell 44 Be t ty s Pond 1�'oa d Hyannis, MA 02601 I Locus Map 44 Be t ty s Pond Road PREPARED BY Hyannis, MA 02601 EAS Survey, Inc. Ao� G� r i — ---- 141 Route 6A East Sandwich, MA 02537 r (508) 888-3619 ` — t PL BK 335 PG 45 _ y 1 " — �0� I Plan Reference ----------------------------_-------- 5 SCALE.- - , DA T.L. Feb 16, 200 7 Bk 9353 PG 20 7 -- - Title Reference ----- -------------- ——=_ l. _ C.. REV. ( �, Flood Zone __-- C __-- Lot Size _6-�,800- 5q. Ft. D WG. NO. 3295 SHEET 1 OF 2 _ t