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Home My WebLink About0067 FIDDLERS CIRCLE - Health Fiddlers Circle Hyannis F A = fl ° f t TO OF BARNSTABLE ��,�� - LOCATION ` /�=�� G'-`— SEWAGE # '�Q�3 ��I VILLAGE. n . ASSESSOR'S MAP & LOT'Z I�O.r INSTALLER'S NAME&PHONE NO. SEPTI C TANK CAPACITY LEACHING FACILITY: (type) T� (size) 3 1CL>X NO.OF BEDROOMS TXILDER OWNER, /t' / J - PERMITDATE: h�k 3 COMPLIANCE DATE: ' I. Z �3 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by a-D e — 4Cr 1 I I - I 5T�. 1' J .Zr No. ZOOS- 5,61 /DO'S`Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Migonl 6potem Conotruction Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components e Location Address or Lot No. W e r Owner's Name,Address and Tel.No. ��r �o /� rAJA) CO icy y9 7^,,/J Assessor's Map/Parcel � _. � hY: /1 r fN. 4r Installer's Naamj, dre o. Designer's Name,Addressalid Tel.No. ' 1�t Few. N 0b Aar -4F- 9/S f Type of Building: ,/ -!5 ft. 1` 0 Dwelling No.of Bedrooms Lot Size `f sq. . Garbage Grinder Other Type of Building esi 9.,+.N0.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow ,�® gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 164 0 Type of S.A.S. L X k 6 Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 7F TM Pro VeA q 2 .S r s5em Agreement: T � -H. we��The undersigned agrees to ensure the construction and main nance of the a ore escn a on-site sewage spos s ` in accordance with the provisions ironme Code and not to place the system in operation unti a Ce ,'fi- cate of Compliance has bee ed f 1 . - Signe Date d 0 Application Approved by ..S • Date Application Disapproved or the following reasons Permit No. �►bQ3"' S"S�( Date Issued 0 ———————————————————————— — yNo. of 35 I t ` ► Fee �U i^— kEntered in computer: \ ..v t THE COMMONWEALTH OF-MASSACHUSETTS 4"Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Mizpooal,�/Pkem Conotruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components n Location Address or Lot No. 7 J', �e! Owner's Name,Address and Tel.No. t, Nu �o�u ro 7yc�� t o I fidy�/ Assessor's Map/Pazceb r�yp�a / G �/ �?r�P,/ A J Installer's Nme,Address,and�e.No. `' Designer's�Name,�Address d Tel.No. Ye N �56 Type of Building: ! r ..Dwelling No.of Bedrooms" Lot Size `� 66�sq.ft 13arbage Grinder(/L) y Other Type of Building G 1^4 psr�Prluo.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated,daily flow -' � gallons. Plan Date Number of sheets Revision Date Title r Size of Septic Tank /5®D Type of S.A.S. k Description of Soil, : E re.!it s Nature of Repairs'or Alterations(Answer when,applicable) - Date list inspected: I M o p Y u vu( 92 ,5 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-sites ge disposal system in accordance with the.-provisions of-Title 5 of the/1Eti�%ironmentarl Code and not to place the system in operation until a Ce 'fi- cate of Compliance has bee issued by th �oar 'f/Desalt( g Si ned— �1'f Date //./ ® 0 Application Approved by Z �C�. e • Date Application Disapproved forfor,the reasons a Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance _ THIS IS TO CERT ,Y th/a�the On-site Sew ge Disposal System Constructed( )Repaired( i)Upgraded( ) Abandoned( )by R Rf t a�5` r�r e"t 4043 ��'G at ( 7 Fr le r c"e, f 1 e has been constructed,41n accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ZC03-5 ( dated I Installer ::;a Wr a,au t*r q A r e.*J Designer -6c,r J 4 a The issuance of this permit Ihall not be construed as a guarantee that the system wilhfu cti:-)n as dd-';Or,;PH V Date r 17�c/ I/)! Inspector — -- ---------- ------ ----------. No. [)0—S S ' Fee .�— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi!5pogaL*PZtem Conotrilction Permit Permission is hereby granted to Construct(nq r�Repair(t, )Upgradg- ( )Abandon System located at `y �X ° �. r S ' Ce L l ¢, r 0 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local prT' isions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by f TOWN OF BARNSTABLE SEWAGE # �� LOCATION » ASSESSOR'S MAP &LOT VII.LAGE. � INSTALLER'S NAME&.PHONE NO. �� C �� o SEPTIC TANK CAPACITY (size) i LEACHING FACILITY: (type— ) NO.OF BEDROOMS BUILDER OWNER �•�fi Z CIS PERMiTDATE: 03 COMPLIANCE DATE:_ Separation Distance Between the: Feet . Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by r c � N ® o a s o'er f L l Q` ti Town of Barnstable i s .Y DAI�iHSTABiE. 's .. Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,KS. FAX: 508-790-6304 Sunnier Kaufman,MSPH Wayne Miller,M.D. December 19, 2002 Mr. Stephen Wilson, P.E. Baxter, Nye, and Holmgren, Inc_ 812 Main Street Iti Osterville, MA 02655 R43Fti1d(er'sx 3 3ricfe, Hyann,�s A=H288'158 1 Dear Mr. Wilson, You are granted conditional variances on behalf of your clients, Lynn Conroy and Robert Colford, to construct a replacement onsite sewage disposal system at 43 Fiddler's Circle, Hyannis. The variances granted are as follows: PART VIII, SECTION 4.00: The soil absorption system will be located 84 feet away from wetlands, in lieu of the one-hundred (100) feet minimum separation distance required. PART Vill, SECTION 1.00: The septic tank will be located 95 feet away from wetlands, in lieu of the one-hundred (100) feet minimum separation o distance required. 310 CMR 15.211(1): The soil absorption system will be located six (6) feet away from the property line, in lieu of the ten (10) feet minimum separation distance required. -310 CMR 15.211(1): The septic tank will be located 7.5 feet away from the property line, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.2110): The soil absorption system will be located 9.5 feet away from the foundation wall, in lieu of the twenty (20) feet minimum separation distance required. - v �--' WilsonColford ILI - fy 91 These variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The old cesspools shall be disconnected from the dwelling and shall be either removed or properly filled with sand in compliance with the abandonment procedures contained within the State Environmental Code, Title V. (4) An impervious liner shall be installed along the foundation wall facing the soil absorption system location. (5) The septic system shall be installed in strict accordance with the engineered plans dated October 31, 2002. (6) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated October 31, 2002. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the close proximity Joshua's Creek. The proposed system will replace two old cesspools and the engineered plans appear to meet the maximum feasible compliance standards contained within Title V. Sincer IYY ours Wayne ller, .D. Chairma WilsonColford IBk, 16298. Ps62 T$$69 U`1-27-2Q0.3 al 12:24p DEED RESTRICTION I I WHEREAS, Lynne Conroy and Robert Colford of 43 Fiddler' s Circle, Hyannisport, Massachusetts, are owners of property located at 43 . Fiddler' s. Ci.rcle, Hyannisport, . Barnstable County, Massachusetts. and being LOT 43 as shown on plan of land entitled "Subdivision Plan of Land-Hyannisport-Barnstable, Mass. , as surveyed for Howard G., Pulsifer, SQale 1"=41 , January 1951, Whitney & Bassett, Architects :& Engineers, Hyannis, Mass ." duly IJ filed with Barnstable County Registry of Deeds in Plan Book 96, Pant 1 -47 WHEREAS, Lynn Conroy and Robert Colford the. owners of said . lot have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining 1. a S variance from the :State Environmental Code- 310 CMR 15 . 21 .A and to obtaining a building permit for this. lot; V WHEREAS, the Town.. of Barnstable . Board of Health, as a pre-condition to granting the variance from the State Environmental Code, 310 CMR 15.21.A and authorizing the issuance of 'a building permit for the construction of a single family home on this lot is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the. Barnstable County Registry of Deeds by i N recording of this docume.^.t; � J NOW THEREFORE, Lynne Conroy and Robert Colford, above named, do hereby place the following restriction on their above-referenced. land in accordance with their agreement with the Town of Barnstable Board of Health; which restriction shall run i with the land and be binding upon all successors .in title: 1 : Lot .43 may have constructed upon the lot a house containing no more. than _three. (3) bedrooms until such time as the Barnstable Board of Health shall change its regulations and allow I further construction on the premises . Lynne Conroy and-Robert Colford agree gee that this shall be a permanent deed . :restriction affecting Lot 43 located . at 43 Fiddler'.s Circle, ,, Hyannisport, Massachusetts, and being shown on the plan recorded : in Plan Book 96, Page 137. �1- I For title . of Lynne Conroy and Robert Colford, see deed recorded in Book l'(na��(g, Page f�+D i i (ti Ott. i Ly ne Conroy Robert. Colford ;f i COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS JANUARYJ y, 2003 Then personally appeared the above named. Lynne :Conroy and Robert Colford and acknowledged the foregoing instrument to . be their free act. and deed, before me. I i ary Public Jan Davis My Commission E s: 10/31/08 i I i i 1 -2- Transmittal Fetter To: ' - +Board of Health - - -- 200 Main Street_ Hyannis, MA 02601 _ - --- - Attn: From: Stephen A. Wilson, P.E. Subject: 61n„-ey �Ca/ 140 Date.• We are sending you ®Attached ❑Under Separate Cover The following documents: N Prints ❑Order of Conditions El Approval❑Cert.Plot Plan El.Septic System Permit ®Other DATE QUANTITY DESCRIPTION 2.7 ?�b3 a c ' 1 A These items are transmitted as checked below: ❑ For Your Use ❑ As Requested - For Your Files ❑ For Review and Comment ❑ For Recording ❑ For Distribution Other: Pi c as b Kok 4k.e k lam: n e d re as LLaw leg E UR I M cc r,vw 66 Z iGzdAems C,�. t N I✓��"DW N Qcie-wasiA ode-el- n CJri".Lt� C bN dt "ISM/ A&* , q- -/aSyy-0 -¢iVf/ M1'vAL-00 A Additional Distribution 1,r.,.0 File No. .2¢bt—oGo Baxter,Nye&Holmgren Inc. Phone: 508-428-9131,ext. 13 812 Main Street Fax: 508-428-3750 Osterville,Massachusetts 02655 E-Mail:swilson@jkholmgren.com Transmittal Letterl.doc �.'.' Bk, 16298 P962 48869 01--27-2003 a 12=24P vi ' DEED RESTRICTION WHEREAS, Lynne Conroy and Robert Colford of 43 Fiddler' s Circle, Hyannisport, Massachusetts, are owners of, property .. a located at 43 Fiddler' s Circle, Hyannisport, Barnstable County, Massachusetts, and being LOT 43 as shown on plan of' land entitled "Subdi'vision ' Plan of Land-Hyannisport-Barnstable, Mass. , as surveyed for Howard G. Pulsifer, Seale 1"=41 , January 1951, Whitney & Bassett, Architects & Engineers, Hyannis, Mass ." duly filed with Barnstable County Registry of Deeds in Plan Book 96, Page 137; WHEREAS, Lynn Conroy and Robert Colford the owners of said lot have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a S variance from the State Environmental Code, 310 CMR 15. 21 .A and to obtaining a building permit for this lot; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting the vsiriance from the State Environmental Code, 310 CMR 15. 21,.A and authorizing the issuance of a building permit for the construction of a single family home on this lot is requiring that the. agreement for the restriction on the number of bedrooms in any house constructed on the lot. be put on record with the Barnstable County Registry of Deeds by recording of this document; LA J NOW THEREFORE, Lynne Conroy and Robert Colford, above named, v do hereby place the following restriction on their above-referenced land in accordance with their agreement with the Town of Barnstable Board . of Health, which restriction shall run with the land and be binding upon all successors in title: 1 . Lot 43 ' may have. constructed upon the lot a house :containing no more -than three (3) bedrooms until such time as the Barnstable Board of Health shall change its regulations and allow further construction on the premises. Lynne Conroy and Robert Colford agree - that this shall be a permanent deed .restriction affecting Lot 43 located at 43 Fiddler' s Circle; Hyannisport, Massachusetts, and being shown on the plan recorded in `Plan'' Book 96, Page 137 . -1- 01 For title of Lynne Conroy and Robert Colford, see deed recorded in Book 1'(�aQg, Page fib Ott. Ly ne Conroy V Robert. Colford COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS JANUARYa y, 2003 Then personally appeared the above named Lynne Conroy and Robert Colford and acknowledged the foregoing instrument to be their free act and deed, before me. OarylPublic Jan Davis My Commission E s : 10/31/08 o _2_ I f Town of Barnstable NAMBoard of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. December 19, 2002 Mr. Stephen Wilson, P.E. Baxter, Nye, and Holmgren, Inc. 812 Main Street Osterville, MA 02655 Dear Mr. Wilson, You are granted conditional variances on behalf of your clients, Lynn Conroy and Robert Colford, to construct a replacement onsite sewage disposal system at 43 Fiddler's Circle, Hyannis. The variances granted are as follows: PART VIII, SECTION 1.00: The soil absorption system will be located 84 feet away from wetlands, in lieu of the one-hundred (100) feet minimum separation distance required. PART VIII, SECTION 1.00: The septic tank will be located 95 feet away from wetlands, in lieu of the one-hundred (100) feet minimum separation distance required. 310 CMR 15.211(1): The soil absorption system will be located six (6) feet away from the property line, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.211(1): The septic tank will be located 7.5 feet away from the property line, in lieu of the ten (10) feet minimum separation distance required. 310 CMR 15.211(1): The soil absorption system will be located 9.5 feet away from the foundation wall, in lieu of the twenty (20),feet minimum separation distance required. WilsonColford These variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The old cesspools shall be disconnected from the dwelling and shall be either removed or properly filled with sand in compliance with the abandonment procedures contained within the State Environmental Code, Title V. (4) An impervious liner shall be installed along the foundation wall facing the soil absorption system location. (5) The septic system shall be installed in strict accordance with the engineered plans dated October 31, 2002. (6) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated October 31, 2002. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the close proximity Joshua's Creek. The proposed system will replace two old cesspools and the engineered plans appear to meet the maximum feasible compliance standards contained within Title V. Since r ly yours Way, a lier, .D. Chai rna WilsonColford BAXTER, NYE & HOLMGREN, INC. Registered Professional Engineers and Land Surveyors 812 Main Street,Osterville,MA 02655 (508)428-9131 FAX:(508)428-3750 November 5th, 2002 Board of Health 200 Main Street Hyannis, Massachusetts 02601 Re: Variance Request, 43 Fiddlers Circle - Members of the Board, On behalf of.our clients, Lynn Conroy& Robert Colford,we.are requesting,variances to , _ . upgrade an.existing septic system as part of a remodeling project for the existing house. The house currently has four bedrooms but will have three when the project is complete: The proposed system'has'been sited to keep the leaching facility as faraway from the wetlands as possible. I will attendance the public hearing to present the project and answer any questions the Board may have. Sincerely, —� Joephen�AW!�Ison, P.E. encl. cc: Conroy/Colford #2002-060 conroy4.aoc Land n Surveys • Subdivisions Septic Design • Wetland Filings • Site Design Y P g g g CF IKE DATE: ti FEE: BAMSTAB1E. + y mass. REC. BY i63q. �� 'Town ®f Barnstabl t p eCHED. DATE: .fi N Board ®f Health 200 Main Street,Hyannis MA 02601 u Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 43 Pr dcjlera Circle is 1,n1 e _ Assessor's Map and Parcel Number:. M.2.1t I Sig Size of Lot: l6n ZTO's,r Wetlands Within 300 Ft. ,Yes . •�:. Business Name: • No --� .Subdivision Name: -- — ----- --- APPLICANT'S NAMI✓: L:3"n Genre /MR bc�P Cal . Phone` Did the owner of the property authorize you to represent him-or her? Yes &/ No . . PROPERTY OWNER'S NAME CONTACT PERSON Name: L!vtn C—� Q-.6,r+ Cc I f a..,Q Name: Sl�ph&n A. W d 3uA P6_ f3sukr Nya. W%I"re.n Address: Z$ gbc„dee�jAJ*y% MA ozitt. Address: elz Wlarn S+..OskrvtIL MA ouSS Phone: Phone:�S5o ) Am-`t l I 13 VARIANCE FROM REGULATION(List Reg.) _ REASON FOR VARIANCE.(May attach if more.space needed) Aeon¢ mir, -le cls.ek" ,!Mans Mm sosea ouni lefoLe is o64ckt•i ea urz�l�er Se.�baelt warn Wet1?n.eFe J NATURE OF WORK: House Addition ❑ House Renovation IeRepair of Failed Septic System Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _160* Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LKFB\VARIREQ.D0C October 281h, 2002 Board.of Health Town Offices 200 Main Street Hyannis,Massachusetts 02601 Members of the Board, This letter is to authorize Stephen A. Wilson, P.E. to represent us before the Board in the matter.of requesting variances for the septic system:We thank_you for your..cooperation in.this matter. •y- Sincerely, L n Conroy Robert Col.ford #2002-060 Conroyldoc 21 wE ' to 331 8 139-2 Vj 140 31 .ZjAL c. U3 �pp4. �tac Ixo�� LO .� 1Dje sect .ce-1 e-9) 'ryG � Mll.t. se 119•Z • S o ° 121 120 .25AL� 96 t22 ® n O \ 1 4? 13a AG �PO t C s 12 \l 123 !� 7 J7 16/G p AVC _' - - 102b w $ (•.8.1 G'949^) .7.",- .p 4 Ft GtclIKs C%mlc - pAt", �W a 142 144 � ITa C 22 �� 109 156 135 146 i3eG r goat no c 131 n 10 0 l34 $ ? 35k N \ 11 yaG n 14T yyrG CIP. %so Sze' r '"AC flu Lf-PS p 1 - +. 163 q jk 4 146 153 t 09 .23rG o 69 ° g .23ac iy� zsaG t >�OL 7f ILI'-1 163 0 i 160 2Jao' v - - t4 24 AC. t32 b .23sc- is 166 y 68 y w ^ 162 6 150 C. 161 1314 4' . .26 ac. 151 -23AC- 4 h (► }e GIP. 1 Ap� v tns zowc S Pb( * �Ioo1_[PSI a= s�6� C ti 'C-s d i %T0 " l 65 m8 1 AC y ��.t iT3L piP� Ti.e ! I t5 i .2pAC- f I - . � a s ,. - ,► 4y � =SAG q3 S nAc vim" )SAC. 174 sN, 60 .30 b 104 $ 0 17t 41AG _ ) / �s f I175 T. 21AC. IC9-I U~E �5 103 b r .• TT.• 6 .2J14 � 2 IZB V�LANp2 _ I .. _ .. - > _ .. Abutters Map Scale 1' 200' BAXTER, NYE & HOLMGREN, INC. Registered Professional Engineers and Land Surveyors ABUTTERS LIST Map Pcl Owner&Address 288 157 Jonna E. Johnson 79 Fiddlers Circle Hyannis, MA 02601 288 156 Dorothy Crocker P.O. Box 214 Hyannis Port,MA 02647 289 110 SLT Realty L.P. Sheraton Hyannis Hotel 35 Scudder Avenue Hyannis,MA 02601 0k,. ..16248. .P962 '0$86.9 . 0 —27-2003 al:. 12=24P n n j DEED RESTRICTION WHEREAS; Lynne . Conroy , and Robert Colford of ..43 Fiddler' s i Circle, Hyannisport, :Massachusetts, are owners iof property a located. at 43. Fiddler' s. Circle, Hyannisport, Barnstable County, Massachusetts, and being LQT3 as . shown on plan of' land entitled "Subdi'vision Plan of Land-Hyannisport-Barnstable, Mass . , as surveyed for Howard., G. Pulsifer, Seale 1"=4 January 1951, Whitney & Bassett, Architects & Engineers, Hyannis,. Mass ." duly q1 filed with Barnstable County Registry of'' Deeds in Plan Book 96, Page 137: WHEREAS, Lynn Conroy and Robert Colford' the owners of said lot have ;agreed with the Town of Barnstable Board of Health to a ILI restriction as to..the number of bedrooms. which can be included in any home built ` on .' said lot ., as . a pre-condition to obtaining a S variance. from the State Environmental Code, 310 CMR 15. 21 .A and to obtaining a building permit for; this lot; V WHEREAS, the Town of Barnstable Board of Health, as a pre-condition , to granting. .the variance from the State Environmental Code, 310 CMR 15.21 .A and authorizing th.e issuance of . a building permit. for the construction of: a single family .home on this lot is requiring that the. agreement for the . restriction on the number of bedrooms in any. house constructed on the lot 11 be` Put- on record with `the Barnstable County: Registry of Deeds by recording of this document; LA J ' V NOW THEREFORE, Lynne Conroy and Robert Colford, above named, .., do hereby place : the following restriction on their above-referenced land in accordance with their agreement with the Town. of .:Barnstable Board . of Health; which restriction shall run . with the .land and be binding upon all successors in title: 1 . Lot 43 may, have constructed upon the lot a house containing .no.. more than ,-.three (3) -bedrooms until such time as the Barnstable Board *of: Health all change its regulations and allow further construction on' the premises. Lynne Conroy;°and.:Robert ::Colford agree that.: this shall be a permanent deed . restriction affecting Lot 43 located at 43 Fiddler' s Circle : Hyannisport, Massachusetts, and being shown on the. plan recorded in 'Plah * Book 96, Page 137 . _1_ u For title of Lynne Conroy and Robert Cplford, see deed recorded in Book 1'(o��lB, Page fib Ott . Lyrtne Conroy Robert Colford . COMMONWEALTH: OF MASSACHUSETTS BARNSTABLE,.SS JANUARYJ y, 2003 Then personally appeared the above named Lynne Conroy and Robert Colford and acknowledged the foregoing instrument to be their free act and deed, before me . ary Public2?10/Davis My Commission E31/08 -2- Transmittal Letter To: _; Board of Health 200 Main Street Hyannis, MA 026011 Attn.: ow. MC ktIZIA From: Stephen A. Wilson, P.E. Subject: - c 1 4 t2 � v s � C ra. \/r:r�c.u�e� cq 3 FiaQo��c la. � urn �1Gal�'ore9, Date: ,_(T1d IL r We are sending you ®Attached ❑Under Separate Cover The following documents: ❑Prints❑ Septic System Design❑Variance Approval❑Recording Slip❑Order of Conditions J Other DATE QUANTITY DESCRIPTION 6 41 A ' 41 Loco These items are transmitted as checked below: ❑ For Your Use ® As Requested ❑ For Your Files ❑ For Review and Comment ❑ For Recording ® As Required Other: 4eAf s rm 0-�- ae add Additional Distribution �Gte File No. 26o2—o(.0 Baxter,Nye&Hohngren Inc. Phone:508428-9131,eat.13 812 Main Street Fax: 508428-3750 Osterville,Massachusetts 02655 E-Mail:swilson@jkholmgren.com Transmittal Ldter1doc ' FORM 9A - Application for Local Upgrade Approval Commonwealth of Massachusetts [3nrns+7la Ic .�I-t.�ahr�is) ,Massachusetts (City/Town) Application for LOCAL UPGRADE APPROVAL Title 5, 310 CMR 15.000 DEP Approved Form Required by 310 CMR 15.403(1) Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd,where full compliance,as defined in 310 CMR 15.404(1),is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405,or in full compliance with the requirements of 310 CMR 15.000,require a variance pursuant to 310 CMR 15.410 through 15.417. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy,or the addition of a new design flow above the existing approved capacity of a septic system constructed in accordance with either the 1978 Code or 310 CMR 15.000. Facility Address: 43 RJAlce-s C%^ le- City/Town: Nuannis- Facility/System owner: I_�., Care�, 12ob�rf Coy Address: 2fl Ab,nd.er, Roadl City/Town: rvl,I+., , State: rM A Zip: C5Z)RL Telephone• ( ) Type of Facility(check all that apply): 0 Residential- ❑ Institutional ❑ Commercial a School- Describe facility Qy,S n@_4 heArsa.+, k na3 e. Type of existing system: ❑Privy Cesspool(s) ❑Conventional System ❑Other(describe) Type of soil absorption system(trenches,chambers,leach field,pits,etc) Design Flow per 310 CMR 15.203: Design.flow of existing system 44o gpd Design flow of proposed upgraded:system :33o gpd Design flow of facility 33o gpd Proposed upgrade of system is: ❑Voluntary. ❑Required by order,letter,etc. (attach copy) Required following inspection pursuant to 310 CMR 15.301 Provide date of inspection 9 / /o /eooZ FORM 9A - Application for Local Upgrade Approval Department of Environmental Protection DEP Approved Form-3/20102 Page 1 of 3 I Jv Describe the proposed upgrade to the system cc �or+sli-tic /SQO �a/f a d 2'�c -��,c b4 Local Upgrade Approval is requested for: Reduction in setbacks) (Describe reductions) a I IAA .s*S += time - 4' ., SAS -in be 4 5� .� •��w c4 a h cnn i.l� I�• T a I l�� — � Il sceF�c -Panic 1z, be ?,S l a 'fi_��32 - ❑ Percolation rate for 30 to 60 min/inch Percolation rate min/inch ❑ Reduction in SAS area of up to 25% {SAS size and%reduction) SAS sq ft Reduction %° ❑ Reduction in separation between the SAS and high groundwater Separation reduction ft Percolatiori rate min/inch Depth to groundwater ft ❑ Relocation of water supply well(Explain) Other requirements of 310 CMR 15.000 that cannot be met Describe and specify sections of the Code is allow FRS 4-5 haw !o� o� coyrr If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation,an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(i)(1).The soil evaluator must be.a member or agent of the local approving authority. High groundwater elevation determined by: . (Print or type evaluator's Name) (Signature of evaluator) (Evaluation Date) Explain why full compliance,as defined in 310 CMR 15.404(1),is not feasible. (Each section must be completed) L. An upgraded system in foil compliance with 310 CMR 15.000 is not feasible: k-.stk cz n G 2. An alternative system approved pursuant to 310 CMR 15.283 to 15,288 is not feasible: _ �,.a o��p ftousc /'cnod�hars u.%/ rec�vr� �oc� -fror,� 44D 9sr! - I Department of Environmental Protection DEP Approved Form-3/20/02 Page 2 of 3 FORM 9A - Application for Local Upgrade Approval 3, A shared system is not feasible: s kuSON 4.. Connection to a public sewer is not feasible: ' s c4xr czy a la is 1= i Fi�clLe%s Cl—Le or v�ea b-+ ribodls The Application for Local Upgrade Approval must be accompanied by all of the following: (Check the appropriate boxes) ❑ Application for Disposal System Construction Permit Complete plans and specifications Site evaluation forms ® A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). Other(List) �o w.^ Va rl .ic¢ tzc CERTIFICATION: "I,the facility owner,certify under penalty of law that this document and all attachments,to the best of my knowledge and belief,are true,accurate,and complete.I am aware that there may be significant consequences for submitting false information,including,but not limited to,penalties or fine and/or imprisonment for deliberate violations.. Facility owner's signature Date / Print name Name of preparer 'Sh�qka^ A (.A),, o Lshi P Date 1 t /1 t/o Z Preparer's Address: 0 r-tMa s l-lol.nava;q - �SIZ 01GO.1 SJ t - City/Town: bs�zY c�.//c State: ",q Zip: G ZGSS Preparers teleph ne• ( 5 37 ) A-ZV=913 I cxf l3 —NOTE: 310 CMR 15.403(4)requires the system-owner to provide,a copy of the local upgrade. 'approval to the appropriate Regional Office of the Department.ofEnvironmental Protection,Bureau . of Resource Protection,Division of Watershed Management,upon issuance by the.local approvin,g authority and before commencement of construction. LL Department of Environmental Protection DEP Approved Form—3/20/02 Page 3 of 3 I FORM 9A - Application for Local Upgrade Approval Commonwealth of Massachusetts Qernsla Ic C t-tya�his ) ,Massachusetts (City/Town) Application for LOCAL UPGRADE APPROVAL Title 5, 310 CMR 15.000 DEP Approved Form Required by 310 CMR 15.403(1) Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic with a design flow of less than 10,00t)gpd,where full compliance,as defined in 310 CMR 15.404(1),is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405,or in full compliance with the requirements of 310 CMR 15.000,require a variance pursuant to 310 CMR 15.410 through 15.417. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy,or the addition of a new design flow above the existing approved capacity of a septic system constructed in accordance with either the 1978 Code or 310 CMR 15.000. Facility Address: 43 RJollers Ctr+dc City/Town: Nuannis- Facility/System owner: Address: 2a Ab�ndec., RoaeA City/Town: (ryl, } State: ryyl A Zip: 021 8` Telephone: ( ) Type of Facility(check all that apply): Residential. ❑ Institutional ❑ Commercial Q School Describe.facility Qy,siti„a A heArsam kkauac. Type of existing system: ❑Privy W Cesspool(s) ❑Conventional System ❑Other(describe) Type of soil absorption system(trenches,chambers,leach field,pits,etc) Design Flow per 310 CMR 15.203: Design flow of existing system 440 gpd Design flow of pioposed upgraded system 33o gpd Design flow of.facility 33 o gpd Proposed upgrade of system is: ❑Voluntary ❑Required by order,letter,etc.(attach copy) Required following inspection pursuant to 310 CMR 15.301 " Provide date of.inspection 9 / /o /206Z FORM 9A - Application for Local Upgrade Approval Department of Environmental Protection DEP Approved Form-3/20/02 Page I of 3 Describe the proposed upgrade to the system cc Co"S- j-t-r-A 174G) .r&TA ""A /.SG10 4Mo �.flt "ten and 2' 3I+c G4 1 Local Upgrade Approval is requested for: ® Reduction in setback(s) (Describe reductions) h 1- 211(1)i o I In- S*c 4= 4 �recr Arid ?� a I(n.J SIBS 40 be Q S .�F� 4.1 `fn all s co FK -l-a n lz � b c '7, I i r' Percolation rate for 30 to 60 min/inch Percolation rate min/inch ❑ Reduction in SAS area of up to 25% (SAS size and%reduction) SAS sq ft Reduction ❑ Reduction in separation between the SAS and high groundwater Separation reduction ft Percolation rate min/inch Depth to groundwater ft ❑ Relocation of water supply well(Explain) 13 Other requirements of 310 CMR 15.000 that cannot be met Describe and specify sections of the Code Lc, � S. 4n, havc. (o o w If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation,an Approved Soil Evaluator,must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(i)(1).The soil evaluator must be a member or anent of the local approvinZ authority. High groundwater elevation determined by: (Print or type evaluator's Name) (Signature of evaluator) (Evaluation Date) Explain why full compliance,as defined in 310 CMR 15.404(1),is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is not feasible: i�Sh►t� c. ,�bc ,a 1 Wenk < n ha - . • ac 2. An alternative system approved pursuant to 310 CMR 15.283 to 1,5.288 is not feasible: 1-2 n,po2c.P ltousc DEP Approved Form-3/20/02 Departmentm of Environmental Protection Page 2 of 3 FORM 9A - Application for Local Upgrade Approval 3. A shared system is not feasible: Wcs tck,*+,a f A.zxw- - enaak [,!I- has a f-ss 4. Connection to a public sewer is not feasible: K)- cr y a l4 4e ft i >=i�C.lfC%'s CI✓rl¢ av^ NL�n b-. rYS o cQ� -- ' The Application for Local Upgrade Approval must be accompanied by all of the following: (Check the appropriate boxes) ❑ Application for Disposal System Construction Permit. Complete plans and specifications ❑ Site evaluation forms ® A list of abutters affected by reduced setbacks to private water supply wells or propertylines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). Other(List) 1 o w,% Va r-I .tea >2c Rrvyl CERTIFICATION: "I,the facility owner,certify under penalty of law that this document and all attachments,to the best of my knowledge and belief,are true,accurate,and complete.I am aware that there may be significant consequences for submitting false information,including,but not limited to,penalties or fine and/or imprisonment for deliberate violations.. Facility owner's signature Date Print name Name of preparer ShA2k&^ A tso-A PE Date if /1Z/Oz Preparer'sAddress: 9"r�MIKe HolnyLH SIZ ✓✓fGI- SEr f City/Town: AL State: to�x- 4 Zip: o ZGSS preparer'sUlephone: 5�8 A28-9131 ! at 13 NOTE: 310 CMR 15.403(4)requires the system owner to provide a copy of the,local upgrade approval to the appropriate Regional Office-of the Department of Environmental Protection,Bureau_. of Resource Protection,Division of Watershed Management,upon issuance.by,the.local approving authority and before commencement of construction. Department of Environmental Protection DEP Approved Form-3/20/02 Page 3 of 3 F FORM 9A - Application for Local Upgrade Approval Commonwealth of Massach usetts Ba.rr\54-*b It (t-4ahv,is ,Massachusetts (City/T&n) Application for LOCAL UPGRADE APPROVAL Title 5, 310 CMR 15.000 DEP Approved Form Required by 310 CMR 15.403(1) Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd,where full compliance,as defined in 310 CMR 15.404(1),is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405,or in full compliance with the requirements of 310 CMR 15.000,require a variance pursuant to 310 CMR 15.410 through 15.417. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy,or the addition of a new design flow above the existing approved capacity of a septic system constructed in accordance with either the 1978 Code or 310 CMR 15.000. Facility Address: 43 Rjallcrs Circic City/Town: _"uat,nis- Facility/System owner: �_,,,,„ �,,.,�, Qober•f Cnj gj5e 4 Address: Zia Ati�.•de�N Rose£ City/Town: rrl,1+av, State: A Zip: oz1$G Telephone: ( ) Type of Facility(check all that apply): NResidential_ ❑Institutional ❑ Commercial School Describe facility Qx,si•,.,c: �} It¢dracm hnnstr Type of existing system: ❑Privy Cesspool(s) ❑Conventional System ❑Other(describe) Type of soil absorption system(trenches,chambers,leach field,pits,etc) Design Flow per 310 CMR 15.203: Design flow of existing system 44o gpd" Design flow of proposed upgraded system 33o 'gpd Desiga flow of facility 33o gpd Proposed upgrade of system is: ❑Voluntary ❑Required by order,letter,etc:(attach copy) Required following inspection pursuant to 310 CMR 15.301 Provide date of inspection 9 / !o /26oz- FORM 9A - Application for Local Upgrade Approval Department of Environmental Protection DEP Approved Form—3/20102 Page I of 3 R r R Describe the proposed upgrade to the system cc L'oresljtic� 2e,,) -Ft/c<i i�„�!i /SQ7 +a//cn Se►�tic Mtn and 2G '':/,c 64 r Local Upgrade Approval is requested for: ® Reduction in setback(s) (Describe reductions) IS 2I 1{i 91 low 4= x— raa 11rL Tip 8 l pry+ SAS is be 5 r � �•1 }tur► t e ff ram. 1 ire. r-' Percolation rate for 30 to 60 min/inch Percolation rate. mirJinch 0 ❑ Reduction in SAS area of up to 25% (SAS size and%reduction) SAS sq ft Reduction %° ❑ Reduction in separation between the SAS and high groundwater Separation reduction ft Percolation rate min/inch Depth to groundwater ft ❑ Relocation of water supply well(Explain) Other requirements of 310 CMR 15.000 that cannot be met Describe and specify sections of the Code i• n16.w =!}S 4s, h3vc. 4" o� Coyzr. - If the proposed upgrade involves a reduction in the required separation between the bottom of O.e soil absorption system and the high groundwater elevation;an Approved Soil Evaluator must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(i)(1).The soil evaluator must be a member or agent of the local approving authority. High groundwater elevation determined by: (Print or type evaluator's Name)" (Signature of evaluator) (Evaluation Date) Explain why full compliance,as defined in 310 CMR 15.404(1),is not feasible. (Each section must be completed) .1. An upgraded system in full compliance with 310 CMR 15.000 is.not feasible: !Ds4ancr. /1 -13 jd c, g ,1c3c a l et 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not feasible: 0!!w .3$o Department of Environmental Protection DEP Approved Form-3/20102 Page 2 of 3 FORM 9A - Application for Local Upgrade Approval 3. A shared system is not feasible: Avt ^ cack l f- 11aS d -14 4.. Connection to a public sewer is not feasible: IJo Se t 'F��ellcr r Clrrle cr NLe n b-+ rY5 n c4 4 --- . The Application for Local Upgrade Approval must be accompanied by all of the following: (Check the appropriate boxes) ❑ Application for Disposal System Construction Permit Complete plans and specifications ❑ Site evaluation forms A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). Other(List) I o w,% Va rI •_C Q Y2c CERTIFICATION: "1,the facility owner,certify under penalty of law that this document and all attachments,to the bestof my knowledge and belief,are true,accurate,and complete.I am aware that there may be significant consequences for submitting false information,including,but not limited to,penalties or fine and/or imprisonment for deliberate violations.. Facility owner's signature Date Print name Name of preparer ShWkt.^ A CO'Is on- p� Date V l 12/oz Preparer's Address: �a,.l,� uwe Q i-lol»+svzH BIZ ✓ C-1-1 lrr•c F City/Town: ds,&,y./le State: ",V Zip: 6Z65,5 Preparer's telephone: _.._. . .. NOTE: 310 CMR 15.403(4)requires the system owner to provide a copy of the local upgrade Regional Office of the Department of Environmental Protection,.Bureau approval to the appropriate . _ of Resouree Protection,Division of Watershed Management,upon issuance by the local approving. . _ authority and before commencement of construction. LLI Department of Environmental Protection DEP Approved Form—3120/02 Page 3 of 3 e I FORM 9A - Application for Local Upgrade Approval I Commonwealth of Massachusetts Massachusetts (City/Town) Application for LOCAL UPGRADE APPROVAL Title 5, 310 CMR 15.000 DEP Approved Form Required by 310 CMR 15.403(i) Form 9A is to be submitted to the Local Board of Health for the upgrade of a failed or nonconforming septic system with a design flow of less than 10,000 gpd,where full compliance,as defined in 310 CMR 15.404(1),is not feasible. System upgrades that cannot be performed in accordance with 310 CMR 15.404 and 15.405,or in full compliance with the requirements of 310 CMR 15.000,require a variance pursuant to 310 CMR 15.410 through 15.417. NOTE: Local upgrade approval shall not be granted for an upgrade proposal that includes the addition of a new design flow to a cesspool or privy,or the addition of a new design flow above the existing approved capacity of a septic system constructed in accordance with either the 1978 Code or 310 CMR 15.000. Facility Address: 43 F;.1611ce-s Cie-or- City/Town: }-(ua�nis Facility/System owner: 1_vh„ �,,,•a� 12o�r* [dl�"4 Address: zia Ab,,d«N Road& City/Town: ln,l+,, State: "A Zip: CD21$` Telephone: ( ) Type of Facility(check all that apply): ®Residential. ❑ Institutional ❑Commercial ❑School Describe facility Qy,S "S_ h ac s c. Type of existing system: ❑Privy W Cesspool(s) ❑Conventional System ❑Other(describe) Type of soil absorption system(trenches,chambers,leach field,pits,etc) Design Flow per 310 CMR 15.203: Design flow of existing system 4.4o gpd Design flow of proposed upgraded system 33o gpd Design flow of facility gpd Proposed upgrade of system is: ❑Voluntary ❑Required by order,letter,etc.(attach copy) Required following inspection pursuant to 310 CMR 15301 Provide date of inspection c7 / 10 /eooZ FORM 9A - Application for Local Upgrade Approval i Department of Environmental Protection DEP Approved Form—3/20/02 Page I of 3 Describe the proposed upgrade to the system cc CortS14'rlc>4 n4t.7 =Y.,TArn eua6 t 474 and 277c I3 c G4 1 Local Upgrade Approval is requested for: ® Reduction in setback(s) (Describe reductions) 5eh,% is /i ;o g I latasr}� !x �j o�veTcr.�bc. lt� ' Tip a l(ca SAS -In be 4 5 �Ff��a 1cw► wP 11' min/inch ElPercolation rate for 30 to 60 min/inch Percolation rate . ❑ Reduction in SAS area of up to 25% .(SAS size and%reduction) SAS sq ft Reduction % ❑ Reduction in separation between the SAS and high groundwater Separation reduction ft Percolation rate min/inch Depth to groundwater ft ❑ Relocation of water supply well(Explain) Other requirements of 310 CMR 15.000 that cannot be met Describe and specify sections of the Code If the proposed upgrade involves a reduction in the required separation between the bottom of the soil absorption system and the high groundwater elevation,an Approved Soil Evaluator,must determine the high groundwater elevation pursuant to 310 CMR 15.405(1)(i)(1).The soil evaluator must be a member or agent of the local approvinZ authority. High groundwater elevation determined by: (Print or type evaluator's Name) (Signature of evaluator) (Evaluation Date) Explain why full compliance,as defined in 310 CMR 15.404(1),is not feasible. (Each section must be completed) 1. An upgraded system in full compliance with 310 CMR 15.000 is.not feasible:.,75#arty,ho 1 a ,bc;c COOGI lo&n gqQ,6he- a 2. An alternative system approved pursuant to 310 CMR 15.283 to 15.288 is not.feasible: ` Ao24.P 1100s4 /'catod AMS u7Y/ rt�dvr� �lou -/roryr 44D 9> Department of Environmental Protection DEP Approved Form—3/20/02 Page 2 of 3 FORM 9A - Application for Local Upgrade Approval 3. A shared system is not feasible: 12cs tck.+,a( Avtcz - emc1, l ol- ka s c 1-ls 4. Connection to a public sewer is not feasible: K)o s cupc.,- cty n i tc.to k - 17i&CJI(,CA f CI✓CLe C:v- VNX_a b-< r-b a proval must be accompanied by all of the following: The Application for Local Upgrade Ap i (Check the appropriate boxes) ❑ Application for Disposal System Construction Permit,. Complete plans and specifications ❑ Site evaluation forms A list of abutters affected by reduced setbacks to private water supply wells or property lines. Provide proof that affected abutters have been notified pursuant to 310 CMR 15.405(2). Other(List) I a c.�.� Va r-� .tea 1�c CERTIFICATION: "I,the facility owner,certify under penalty of law that this document and all attachments,to the best of my knowledge and belief,are true,accurate,and complete.I am aware that there may be significant consequences for submitting false information,including,but not limited to,penalties or fine and/or imprisonment for deliberate violations.. Facility owner's signature Date Print name Name of preparer Sl z2kt-% A W,use", P E Date Y /!z/O Z- Preparer's Address: 1-lolw+cr>. ' elz MC-1-1 S}rK F City/Town: CSs�zy-c�.Ile State: �y 4 Zip: C ZG3S ' Preparer's telephone: cyf-l3 NOTE: 310 CMR 15.403(4)requires the system owner to provide a copy of the,local upgrade approval to the appropriate Regional Office of the Department of Environmental,Protection,Bureau. . ..... ._ _ ..._... of Resource Protection,Division of Watershed Management,upon issuance by.the,local approving authority and before commencement of construction. Department of Environmental Protection DEP Approved Form-3120/02 Page 3 of 3 " 'ojjra�'.o I3�ai iist�ble OCt 2 5 EN T'fl 1Jepnrltnent of lLestltlf,Sttfety,atnd CnylroimenlalScr�ices. `op,t+Etq� Public ;hea I.lth Di.vlsro�k: i��. .2C/o. yr 0/ JG7 Mnin Strcct,I lynnniiMA 02601 nA'rwctAfLB : a. q. �a °rco►nl,l" Bite Scheduled O G. finie Q'doAm fee 1'(I. Soil Scfit4Uility Awssine»t for Seivc� e Dish osal OI'crfonncll I3) _ 1w� (�i 15C1V1 Witnessed ill Data, ✓4R.klimYl 1JOC `t' vIV C 1✓NInt INS UlZi1 A` X(?N t i.,ocnilon Address 43 41Ie�s ctr < 0\vncrsNninc .1.yn.. vnw.. p. 5: Alidress ryr1�Id+r�., MIA 2lsrG Assessor's Mn,/I'nrcel:. rv� I 28fr 1. 7$g.. Gnghlccr'.c Name :$(zphe.ti 9 G4)F(sa•, . Plg. / NG\V CGNS LIIUCl'ION RrPAItt 'I'cicphonc If SQY_s} .-1 1 S-t e+rl`13 Land Use, tQ t..tl rJL.,l u. S,ioIIcs(/.) 307, StliNcc_Stolics ' I10/lt Dis(npces from -Opcn Wntcr body 7 5. 11 Possible Wel Alen (1 Drinking WnlcrWell It Urnlnngc Wny I1. Properl).L,lf10 Il 0111cre. II Si(Cj✓l C1)!: (Street smile,dimensions or to(,ckact locnllons of test holes R perc Icsis,locnle ivcllnnds in proximity to holes) 106 OFFSET FROM JOSHUA'S CREEL( t`)?iG1Yi' STAKE hJP TEND169 , N 78'40'10•E 236'1: . t t - _ .STAKE�Er C� 110.DD' tY•e : '� 1T,io' ✓�.-fND 26'! ;'�SS 9'II6t . '�.'�• 1 :Cf55P001 �. r 14. LSA s.3+G ... x•%e�: COVERS \ \ �^ 1 . ROu6En GRAVEL.`\ \\ 1'• t o qs TBN \ .. AERA BS PLDC \ \ \ \ C'-P .. . 1356 ORAS EL.-13.99'.. \ f+,p _ 1417 o. 1157 1\• .. 4.? ta,3 5 '. `.,�^ 1 / / SWUMING POOL 2.0 'WLF ('J �O /// CONCRETE PAGO \ 45 \, '404 LSA -�S4P TER F //•r /f/rY/�/r 9!0' ///WOOD/FRAME D11E1L1 i 8 4 N Oj `, \�• - . t , irNOIiSE NO.4J%i�•��i' 8 i' - \ / ' t'i 1 ,STATE COASTAL BANK� In. \x`%' � � .AT FLOW EL it `\ LSA. 1`:.1 :52 ,L.4' .\ e \ \ fs 85.00' STAKE FND F 255•t 98-40.10•W 340'1 - .. .. ✓�\ l i D4 i .[.4 12.5 x 11.7 O _6 (.9 \::4.* 724/1 STAKE SET 5.7 FIDDLERS CIRCLE Po Pnrent innterinl(geologic)af(cid .044w-t.l Depth to kdrock Depth to Grot ndwriter: Slinding Wn(er ill I UP: WCCping from I'i(.Irnce fistintnted Sensonril.Ii.igh GrounJtveter '.11 V Pr, ll)✓m�1t1YIIN�,T'IC�N .(�XtCSQN�L XzIG>lx.'� A`I' I ,'I' 13L Method Used. Depth Observed stmtJing in obs hole,.,. In;. Dclith In soil inottics:: in Depth I'd weepliig frorii'slde of obs.hole:. tn. 'Cround\vnler�ldfiislincnl Il. _ r lnde,e Well Al Rending Onle: jildex Well level A4Q.fnctor Adj.0rTnrndwn(cr lxc,cl }r :i0: ...:...,.:. ::::;::>:::: L'EItCCjL 'iCSN:IFS.'I Uut� i'tuic, Observnlimi tole N :. 1'(mc nt9". Delhi,of t'erc k Time nl G Slnit Prc sniik Tlmc @' �1 a O to I'intc(9'-6") BuJ Prc sunk. ;1 01.1: Sc�.4c i Itnle Min./Inch Site Stiilnbility AsscsslnenL She PnsseJ •. Site I nllcd: Addilionnl.'I'csling Nee (YIN,, origirtnli Public 11cnith DIVISiori Obsem(loll llole 1)a(.I To.13c Cvnlplc(cd un 13nc1t j Cony: Ahplicrim. Et PiTOU821 VAT. r1 IIO LOB u t # Depth from Soil Horizon Soil Texture Soit Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,'13oulderes. n ' tenc % a el C �l1tc,4.Wtt r.a:vlo CGl '!° /9 RVA'XION I;tOL LOG ;Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,I3oulderes. _ pn�istency%o Grnvel :::<:.b lSttA' 'tOIYC�I.E I,�Cole Depth from Soil Horizon Soil Texture. Soil Calor Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Slones,Uoulderes. Consistenc ravel) :DEEP:OBS, RV.E1T) *oN"'*XIOL: LCJ�G Htilc.#` Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(it (USDA) (M,unsell) Mottling (Struclure,_Stones,Uoulderes. Consistency.%Graveo Modjnsurance Rate Map: . .AU` Above 500 year flood boundary No_ Yes " Within 500`year boundary .. No Yes Within 100 year flood boundary No r"`. Yes Depth of Natural Occurring Nrvious.Matet•ial Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Y s 'If not,what is the depth of naturally occurring.pervious material? certification' I certify that on Apk:l, l`lCI . (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 training,expertise and.experience described in 310 CMR 15.017. Signature , ' _ ' Date /Q G � . (PHONE CALL FOR ' DATE' " TIME ;�-� P. OFLsA.�@,CLt,�2 �pQ� Ltiti• P..,HONED' ❑FAX cam/ RERJRNLO PHONE ❑MOB'ILE •, '72 - .6 v did '`,, sr YOUR CALL AREA COD N MB` EXTE SIONPLEASE CALL s -M E S SAGE 43— ML2L , • t WILL CALL / &"0 S GNED � \ �. � � � � �I V�� • s '` ` ` � � \� � � \ \ � \ \\ \� ` � � _ \ ` ` ��._. \\ �� \ �` \ \ ,� � �, � `` \.. w\ ,� \� ,. .� 1� { � � �i'0��f ��v� �i __ `vJ i • p - - '�. �, � a. � . ,. *� .' .. ;:gig--,r,.- ,,,�_ .,�,...r,� - � � �- r -_ - .. - y� Health Complaints 17-Aug-98 Time: 12:00:00 PM Date: 8/13/98 Complaint Number: 1503 Referred To: GLEN HARRINGTON Taken By: BARBARA SULLIVAN Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Number: 43 Street: Fiddlers Circle Village: HYANNIS Assessors Map_Parcel: Complaint Description: Last week a van was sighted parked out front of 43 Fiddlers Circle. The carpet cleaning guy came out and ran a hose to the catch basin to discharge all the dirty water form the rug cleaning. There was no name on van but it had a Rhode Island lic. plate. Actions Taken/Results: GH - I checked the catch basin. No evidence, odor or staining indicative if rug cleaning solutions, was observed. Catch Basin was dry. We have had 2" of rain over last 2 days and incident reportedly occurred 1 week ago. No other info available to follow-up on. Investigation Date: 8/13/08 Investigation Time: /-30:00 PM 1 -\ COMMONWEALTH OF MASSACHUSETTS l EXECUTIVE OFFICE OF ENVIRONMENTAL.AFFAIRS DEPARTMENT OF ENVIRONMENTAL PRO E EP. 1 �, 2002 fOwN OP oEOT. TITLE 5 OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION 9 33 Property Addre Owner's Name: Owner's Address. �o� � ,o.,P� MAP 2,�f��, h!A 0" m/ PARCEL. Date of Inspection:_ ?��.. de 14 LOT - .Name of Inspector: (ple seprint) Company Nam41 , Mailing Address: ,U A o-),�P VT FAILED INSPECTION Telephone Number: /• CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: 66A3 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. `` Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use.at that ,h 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 6/15/20.00 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: t Owner•. . Date of Ins tion: ��CJ Inspection Summary: Check A,B,C;D or E/ALWAYS comple'te.all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria.not evaluated are indicated below. Comments: -- B�. System Conditionally Passes: ['One or mOestem compo en nts as described in the"Conditional Pass"section need to be replaced or .y .�,.a vzi" *.I repaired.The system,upon completion of the replacement or repair; as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N;ND)in the for the followincy statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits_substantial infiltration or exfiltration or:.tank failure is imminent:System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal.septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup•or�break out or-high static waterrlevel in the distribution box due to-broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than'4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval tof the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 r , Page 3 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A. CERTIFICATION(continued) Property Address: —7y Owner:VCrx'41 57 Date of Ins. ction: C. Further.Evaluation is Required by the Board.of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310,CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: — Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier,_if any).determines that the system is functioning in a manner that protects the public health,safety and.environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of surface water supply or tributary to a surface•water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well: _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a. private water.supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates.that the well is free from pollution from that facility and the presence of ammonia nitrogen;and nitratinitrogen is equal-to°or less•thari-5 ppm provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM—.NOT FOR V LUNTARY ASSESSMENTS SUBSURFACE SEWAGEDISPOSALSYSTIEM INSPECTION FORM PART A CERTIFICATION(continued) Pro ert Address: r Y Owner: / .Date of Ins ' tion: D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No .< Backup of sewage into facility or system component due to overloaded or clogged'SAS or cesspool Discharge or ponding of effluent to the surface of the ground.or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or Vcesspool 1/2Liquid depth in cesspool is Tess than 6"below invert or available volume is less than day flow -7 Required.pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped /Any portion of the SAS,cesspool or privy is below high ground water elevation. �/ Any portion of cesspool or privy is within 100 feet of.a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a:public well. /Any portion of a cesspool or privy is within 50 feet of a:private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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.] / e,5(Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must,serve a facility-with a design flow of 10,000 gpd to 15,000 gPd• You.must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no — _ the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—I WPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. 4 r Page 5 of 11 OFFICIAL INSPECTION,FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: Date of Ins ction: Check if the following have been done. You must indicate"yes"or"no"as to each of the follow.ina: Yes .No _ Pumping.information.was'provided by the owner,occupant,or Board of Health Were.any of the system components pumped out in the previous two weeks? // Has the system received normal flows in the previous two week period? V 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? V Were all system components,excluding the SAS, located on site Were the septic tank manholes uncovered,opened; and the interior of the tank inspected for the condition of.the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? j/_. 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. _V/ Determined.in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 n Page 6 of 11 OFFICIAL INSPECTION;'FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner: 0 D Date of Inspe ion: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(.design):_� Number of bedrooms(actual):� /0 DESIGN flow based on 310 C 15.203(for example: 11.0 gpd x#of bedrooms): — Number of current residents: .Does residence have a garbage grinder(yes or no):,4.&C Is laundry:on a separate.sewage system (yes or no),>._/L&4if yes separate inspection required] Laundry system inspected(yes or no Seasonal use: (yes or no a Water meter readings, i available(last 2 years usage(gpd)): Q© `f© Sump pump(yes or no): Last date of occupancy:� � �' G �r/V 12� � ✓/L COM.MERCIAL/INDUSTRIA,O(& Type of establishment: . . Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sq.ft,etc.): _ Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: (. Was system,pumped as part of the in pection(yes or not. 40-- If yes, volume pumped: gallons --How was quantity pumped determined? .Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes, attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank —Attach a copy*of the DEP approval --V—/Otlier(describe): _ S La24�-) ADDroxipjay.age of all comporlpts, date i stalled(if known) and source of information- Were sewage odors detected when arriving at the site(yes or no):�`"" 6 Page 7 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INF'O�RMATION(continued) c ' L?�! Property Address: Owner: CD Date of Insp`ction: z �CX0 BUILDING SEWER(locate on site plane°w Depth below.grade: Materials,of construction:_cast iron _40 PVC_other(explain): Distance from private water supply well or suction line: .., Comments(on condition of joints, venting, evidence of leakage,etc.): SEPTIC TANA�ocate on site plan) Depth below grade: Material of construction:__concrete_metal_fiberglass_polyethylene _other(explain). , If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(a•tach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee.or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of:scum to bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): GREASE TRAP- locate.on site plan) Depth below grade:. Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: _ Scum thickness: _ Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet.tee or baffle: Date of last pumping:_ Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 7 . Page 8 of I I OFFICIAL.INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: � �U a Date of In p ton: , TIGHT or HOLDING TANK (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete—metal. fiberglass__polyethylene__other(explain): .Dimensions: Capacity: gallons Design Flow: gallons/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.): t , DISTRIBUTION BOX. (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 outlets equal,any evidence of solids carryover, any evidence of leakage into or out of boa,etc.): PUMP CHAIVIBElocate on site plan) Pumps in working order(yes or no): Alarms..in w.orking,prder..(.yes or no):.. , Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): 8 r Page 9 of I 1 OFFICIAL.INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION(continued) Property Address: D 6C J Owner: Date of I s tion:_(I\ SOIL.ABSORPTION SYSTEM (SAS):'V (locate on site plan,excavation not required). If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number, dimensions: �verflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil,condition of vegetation, tc.): CESSPOOLS: ; (cesspool must be pumped as part of inspection)(locate on site plan) Number and configurations Depth`—top of liquid to inlet invert: Depth of solids layer:, ! Depth of scum layer:. Dimensions of cesspool: (a, Materials of construction: k .y2 Indication of.groundwater inflow(yes or no �J omments (note condition f soil,signs of hydlaulic failure, level of o •ing,�condition-of veQ tation; . y PRIVY(locate on site plan) Materials of construction:. Dimensions: Depth of.solids: Comments (note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation,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: C �:/ ` Owner: ^A Date of Ins ection: b-(/ C-')00 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference.landmarks or benchmarks. Locate all wells within 100 feet.Locate where public water supply enters the building. j I 10 Page I l of I 1 OFFICIAL.INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner:Date of �U� Ins e ion: �- SITE EXAM Slope Surface water Check cellar Shallow wells r , Estimated depth to ground water feet Please indicate(check).all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date.of design plan reviewed: Observed site(abutting property/observation hole.within 150 feet of SAS) Checked with local Board of Health-explain: _,Checked with.local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: ©r t. 11 I Cpb V i I Permit Number: Date: Completed by:. HIGH GRO-UND-WA.T E-R LEVEL C.OMPU T ATION Site Location,: �( 7 �j ��,J ( //�(� � Lot No.. Owner: I:f/�n/%0 Address-- �d� Contractor: ! ry le td -e70 .O . Address: q 5 r Notes:. ' STG?'• 1 . Measure depth ao*-water tabl.e. to nearest.1•h0:a:L_......_. Date Z- __....:,.___.................-......... ... - mont h/day/.Y.ear I STE. . 2 Using.Water-Level.Range Zone and I h.de•x W611::Map-l ocate site.aR&decermine: OAppro.priate.1ndex UWater-level-rnne zorre:... �j Sri i=P;:3:: Using-mo nth ly.repart;.."Cui:rent Water R.esources:Conditions" determine current-depth-to water.le el lorindez wel•I ............................ lU ti month/year STEP. 4 Using,Table.of.Water;level Adjdstmen.ts for index well (STEP 2,4),;cument depth � to waterIevel for.index well ('STEP 3):, andwater-level zone (STEP•2B) I determine water level adjustment ..:............_................,._:.._........................._.........;.:_'-,.._ S.T.E,P. 5 stimate depth to:hiah water by subtracting thevvater level adjustment.(STEP 4`) rom measured-.depth to.water gyp' �j __ -! ``� level-at site.(S T�EP' 1)'._....-... _....... ....................... ..............._.............. ^I re t n. titl a rjon . i re !3:---tct7roduvlb Iv'v0iT)°r7i�l'Qil�lii Il 6T1: 5 vij �001� OW5M QK)W IXI) +� 9-,1� 110-19 8 HWJ i MAODi MIN I 'AXI ;51xl ;51xl w WOOd x�= N MIND o MIN _ -J ---------- _ _ _ 10:01 cR W OOM" N1W �SIXl '151M F =_ °a o O E Q'10�-Ifl i i 1 MAN i S>-12 - - - - z� x X x ' WOO II d�SyW .�SIX1 a x J51X1 J51M fl Li l V w < C \Jl O K x _KsO QO2� N © �� o z CC OHO `�` O �0 Q) = � w0 � O — � �� O O Z ^ o ` l 0 r 2'-6 1 LO O S z IOW 2_I_3/4" x 9 I/2"01 ,�� 0 j N n �� O O I I-------4 L i, � -.7`-�'� Z O Z Oz 0 N O N N O L 6.,0'� l II �� oojig Q) OD ol I � y II �� - o — o x x �, -� -71.\ I \ � Co o s oNoo CD 01 i a n -� � � L---------J 0 C1 O O 61'SII �I'' I �'' 6 ,5 n� v 0-0 Z 6'-0' -'3 CAPI7 ON <AC PITION>. n � FOR. , � DESIGNED/DRAWN BY: N N � RE MODE LING THOMAS A. MOORE DESIGN COMPANY ` LYNN CONROY BOB COLFORD P.O. BOX 2124 26 WAMPUM DRIVE I L o w o T_ r n�� !i T T 17uv 08 896-6403 24'-01t Z > .. . acf) 66 O : � V �:) � Z " o cn boo .. W LO 5t - w N Z wr5t OM . 60 g A cv*..4 .. Z Q C) (n w 01-1011t W x O w ,u ug a.o5. - - - - - - - - - - ww 1 XI51 - �n I 3'�_ . , I' I n�C � � ----�-�= --- n ; A� A '"""'' Rip. o z 1 , L_l __� oz EXIN N W 4 . 0,05. .._ t -r�u►�t FAMILY �wyr. wx . 5t, r�- }�ssa�� DOOM(� 1 1 1 � 1 , VA L — J 1 1 1 1 1 1 , c VAMW ar.W III 11 I I 11 , tA ROOM O � LL 00 r , ROOM ---, V 1cn M I i Ali P NING A H ROOM - llwbom SC • 1 F-------1 , q ' 1 1I r=w5r. �w5r. ter. wW DATE : j COVMV PCRCN 8/23/2002 PROJ. NO. : 22-G57 F�OOP\ P�AN DWG. NO.: I,�G�Nn o EXI51'iNG WALL. GON5fI0N t0 tTMAIN HLE lJ ® NEW WA I CMI ION A I =1 06"WI.I.CaNM,110N to M MMoven Nt "tr sue' ,� . Ar' �. 4�= ~4• "4 4`" �° X ♦ r i 'tr ,4 t,.{ q, 1J';{S '", r. ♦iFf"'.hi�P q- M7•!"7S'kt'* 6 =,�,- +" 1h,1�E •:y +F {l'; ' ,e s X� S r �r EXISTING LEGEND PROPOSED SOIL LOGS DATE: 10/8/2002 { ":'r '•'x' ; -� a*:�,'+r,- _ ,�, , T _.4k �' •r {, p- i1V 'htr� ac � �.; '� :• ��. , , r St Tuund PK NoilSet/Fond Concrete Bound .. ;.,,. .# ,, , ,, .� , •. ,r�c ; ' ,:„ :� ,� ENGINEER : BOARD OF HEALTH AGENT U Gas Gate ®.E.P. Flolle # SE 34071 f Stephen Wilson,PE Dave Stanton ® Electric Meter 1 yl�,.►y,.I- Ft��J�'� � e {i,'j-. a"-.�u'J'4t t y�"xLi •'�'.. _ .r�%iC� �,+� ��iL,'[". ..�� • • r'r,T•Lt 8, •'.a= {t x A,' y-j.,, '� e �iY: i ♦ '�`. i�" .i r '"t'� r r.,. 1 f f rti♦ �4, k.ar ^��" 4,-} f ^t Y ai. ,•. {.tip. ' , � ;, TEST PIT 1 ® Catch Basin # ^''• "�~•~♦�=,f� F:` ��` `� + `' '"�- . ..v.....` •','4 '� "+� =4 '. G.S.E. = 13.8E ® Gas Meter ,ras. .. '1 1 .r.•� 15 ,y.: 4 / y„a* '�i A". .a..•�• ' ,! « :!:_ , i ,:� d, ,„. , ;� :� 14'�•''+?" ;�" s ;' . .. .'; s=" ''' . . 0" ® TV/Cable Box Water Gate •rg AP SANDY LOAM ® Telephone Riser .( 4/3 -o- Utility Pole • : I ,- I t y - >; . .. :,r '� ;`• 2{a, Contours 20 00 •41•"+^+ 9`¢�=>:} y Jb ,�•1�^•..{�4`u - B k� - - 10 YR , _ . •^�+. e ;1 • ••':Y^r, ;;;�i•:,f,,. '4 'ry, ;+ ,.�';;:sa•,.�, i`�rrrih - .,� 2C1Drc>1D Spot Grade , ,. t '�'r�` '� ryl _ _ �•" �%" -b."* SANDY LOAM Wetland Soils Test Plot t • :It nyy, IF f R ,.4. a' j..j• ` ;� x , �;: �•k + ts►b ter. 20" to YR 5 1 -X ->< -x - Chain Link Fence ^ Stockade Fence X, .4,; C t MED. SAND - oHw oHw- Overhead Wires 'V #1 A ,.• t ]� �s i '� }� STATE 60ASTAL, , :.� }"t Jf 1 - s 'a�1 �.{;lrA� a .f•�ar�� S-! I H4C ,a ,� BANK ; �1'� c WLF i 70" 10 YR 6/8 -'� -c - Gas Line t •, E 21 ,3 - W w - Water Line '+: yi•y .,....-" a x '' _�, t PUMP EXISTING t�l 1 t'�O �if • ,,, t,� . , y r �- .tz r co s O Gas Gate „Lys♦*•a"4 r;•' +' I,' " ......-..5. .�.-Y.u,fi - .,..w.+�.,:..v 100 OFFSET FROM = CESSPOOLS AND FILL `�'o.� k:�° MED. SAND Trees LOCUS MAP JOSHUA'S CREEK = WITH CLEAN SAND �'0 1 i„ 1 , ,,it � 132" t0 YR 7/3 s�"" ' - - Light Pole .. - v.�0 1r�, t ( '•` PERC 0 48' c� _ r'r'� ' •':' �, 1 �� ; NO WATER ENCOUNTERED RATE= <2 MIN/IN ZONING DISTRICT: RB STAKE &4P'FND l `*� �. �+ ® ELEV 2.8 UNABLE TO SOAK N 78*40'10" E 236' if 1 = ,%STAKE §ET •�, _-"CB OVERLAY DISTRICT AP (AQUIFER PROTECTION) - 110.00' 119 t _ i S, s't `� J GENERAL NOTES . MINIMUM LOT AREA: 43,560 SQ. FT. r. 00 w i4.42 ( X,t.,�, .. � cc, '\ � 0 ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH MINIMUM FRONTAGE: 20 ! $ i LSA l \ FRONT YARD = 20' SIDE YARD = 10' REAR YARD = 10' ' �.'' E,SSPbO 1.a:_' , _ f�'``; AA t, TITLE V OF THE STATE SANITARY CODE DATED MARCH 31,1995 z covE I ANY LOCAL RULES APPLICABLE. LOCUS PROPERTY IS SHOWN AS: , t, l' C3` rn , T.h L L. ERA BRASS PLUG `TBM .. ` o� r / -�>::� 1 LIMIT OF t;i.£,w ` C ASSESSORS MAP 288 - PARCEL 158 ® EL.=13.99, , cDi I ;� i^WORK ry.. i 15 ` �•', ` '� `. 1 n� � ANY CHANGE TO THIS PLAN MUST BE APPROVED BY THE ' ' l i r0' i�.>, r .,3, L._.16 N, ', ,, �` ` � �� DESIGNING ENGINEER LOCUS DEED: ' m �,:, ti �,' 0 12�o ( ' ', � VARIENCES REQUESTED GEED BOOK 11,674 PAGE 212 , © � 6.4 ' r `,t ! `�' t� ,' 1 }r`�~ .. f , 1 ,y< ,, i V lk91U1ifQf] POOL. ty` �, 4 ! I` '7 I` ! t � WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, N r I v '4.1_ � f' `4 TITLE V. NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT PLAN REFERENCE: .Q c� I ` t` ! ,` '!i i i r ' c:k FOR INSPECTION. o y. �; .A� ! ` ! i , ! 25,, ( ! WLF#5 \ Section 15.211(1) LOT 43 PLAN BOOK 96 PAGE 137 `, Z � i , � , , ; ; i, ! , v, :r ;x ., t ; '� f�, ;` _ A) To allow a soil absorbtion system to be 6 feet off a lot Tine o Z { ,ys '�l ! ' t`�rs� ' i�tiMP I" in lieu of the required 10 feet. THIS PROPOSED SEPTIC SYSTEM WILL REQUIRE THE RECONFIGURATION COMMUNITY PANEL NUMBER 250001 0006 D E o r + t } ,-.1 14.E LSA FILTER yyLF 4 •� -0F THE INTERNAL HOUSE PLUMBING. o ` �, ` is h; ,F r •, # B) To allow a soil absorbtion system to be 9.5 feet off a foundation THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS o I ,; , ! , 1 ,• , a= v+ o - ; !t. �I\ 1 " i ! �., in lieu of the required 20 feet. o c OOD FRAME DWELLIN ZONE A 10 (EL. 11). l 4 •. : . Gl ,. .. z V _. ` 1 : L t A , tt' 1::. n HOuSE N U `' C) To allow a septic tank to be 7.5 feet off a lot line ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" PVC., SCH 40- N 9i0-- ! , F.F.E. - 17.26' \ _ 3` !LEACH `�' `=+.: '� STATE COASTAL BANK ` in lieu of the required 10 feet. PIT, WOOD AT FLOOD EL. 11 x r 1,_..: 1 0 �. Section 15.221 7 " `� 1 �. ', i 1 y ,,SHED \ O EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING Q (,.ii?� 1� , \ 1 ! , 1 Frame;:` ( �.� � o SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5' PER • � x c;, ,� ' \ '•ti To allow a soil absorbtion system to have 6 feet of soil cover STAKE �� v�� c, `•, in lieu of the maximum of 3 feet 310 CMR 15.255. CO I n Q 14,fr o pt 00�X 12,E k> h ri G+� I ° o° Q ��' ?M2F `? `'• TOWN OF BARNSTABLE REGULATIONS; PROJECT BENCHMARK : DATUM = NGVD ?4 . o t , TP2 {� .1 TBM = BRASS PLUG SET IN CONCRETE PATIO ® ELEV.- 13.99 LA'�rtf °� TEST PIT ��,�, ) + r ,r ; ( qa = x ,,'; o� ( ; ,x Section 1.00 1T4 85.00' STAKE FN.� x` `� - '� ��°� 11 '1" 255' t ` �' S� �. �. > A) To allow o soil absorbtion system to be 84 feet from a wetland - i _ S 28'40' " w 34o'f. IC�`� +' ,_ `', in ►ieu of the required 100 feet. _ LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND uP j; �a / 12. . `: lc,`; , 1, p , � � � `� > 'k,t, SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE ° ^ WLF #'b B To allow a septic tank to be 95 feet from a wetland ` ` °` *` '. 6.5 ",16 ) p UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. 724/1 1 t, • `o,` ' � STAKE SET in lieu of the required 100 feet. ^ ,� WETLANDS DELINEATED & TEST PLOTS CONDUCTED 7 22 02 • i - N X9,7 , oo -1O � �r'BY SAMUEL"HAINES W.S. & KATHRYN S. BARNICLE P.W.S OF ENSR. o ` , .� VARIENCES GRANTED . . December 19, 2002 - ---- ;-- ' R S CIRCLE "� FIDDLE � �o _ ® THIS PLAN IS BASED ON AVAILABLE RECORD INFORMATION AND PLANS AND AN ON THE GROUND FIELD SURVEY BY THIS FIRM ON / / - PROPERTY OWNERS: ROBERT W. COLFORD PK NAI LYNN CONROY a,,,� ? 28 ABERDEEN ROAD � \_SET '. MILTON, MA 02186 11.�+ UP # 725/1 t, 67 Fiddlers Circle Hyannis, Massachusetts PREPARED FOR Robert W. Colford / Lynn Conroy TITLE 3-- ., Wetlands Permit Plan /Septic Repair FINISH GRADE 9' MIN. 36" MAX COVER TYPICAL SYSTEM PROFILE acLUDrNc roPsorL FINISHED GRADE = 15.1 f 2" MIN. LAYER WASHED COMPACTED BACK FILL FINISH FLOOR NOT TO SCALE STONE 1/8" to 1/4" 2" ELEVATION = 17.26 OVER DISTRIBUTION LINE EFI EcnvE DEPTH 2' BAXT'ER, NYE & HOLMGREN, INC. cu 4" PERFORATED WASHED STONE PCV SCH 40 Registered Professional Engineers and Land Surveyors o FINISHED GRADE OVER TANK = 15.0tY LEACHING TRENCH CROSS-SECTION oft 4' PVC VENT 812 Main Street,OsterviRe, Massachusetts 02655 ��W qss 9 �-, • •• FINISHED GRADE OVER D. BOX = 17.0E W/ SLOTTED END CAP a� TEPHEN °� 8"MIN. 3" (mi . 4 Phone- (508)428-9131 Fax - (50$)428-3750 �n 4" SCH. 40 PVC ... . 40 PVC 4' MIN I C s , � FIRST 2 (To BE LEVEL) Leaching Area Requirements6. a - 4" SCH FINISHED. GRADE OVER LEACHING TRENCH -18.Ot t TYPICAL) ® 2.0% " _2 MIN. LAYER " 3 ® 2.0% PVC or 2 min then @ 2.090 4 PERFORATED 1 8" TO 1 4" STONE 9" (MIN.) COVER 20 0 20 40 0,�-6 3 10" CI TEES GAS BAFFLE OE 4" SCH. 40 PVC PVC SCH 4O / !�! / 36 (MAX.) COVER _ ir/OVA r- -o CONSTRUCT ACCESS 6" SUMP ,., 3 BEDROOMS AT 110 GPD/BEDROOM - 110 GPD MANHOLE OVER INLET WASHED STONE __NA__GPD N -�_�•• - : .. ,.: • ;,_ :;. ADDITIONAL 50% FOR GARBAGE DISPOSAL SCALE FEET a TO TANK WITHIN 6"T FINISH LEAS IN : REINFORCED CONCRETE " "' . PERC RATE _ <2 MIN. / INCH (CLASS 1 ) e FOOTING : ... srolwE�SeasE SCALE:1"=20' DATE: 10/31/02 ;. .�...:•.:`:- �: :. z EL- 1a1 DESIGN SCHEDULE ELEVATION LIAR = 0.74 GPD/S.F. INV=12.1 FINISH FLOOR ELEVATION 17.26 MIN. LEACHING AREA OF S.A.S. REV. DATE: REMARKS SEWER INVERT AT FOUNDATION 13.2 -1- 1129103 Add Pool L.P. Y SEWER INVERT INTO SEPTIC TANK 13.0 330 GPD/ 0.74 GPD/S.F.= 446 S.F. MIN. 0 3 No Groundwater Observed ® Elev. 2.8 SEWER INVERT OUT OF SEPTIC TANK 12.7 Er 1500 GALLON SEPTIC TANK DISTRIBUTION BOX PROPOSED SYSTEM: LEACHING TRENCH 2' x 3' x 64' TO BE INSTALLED ON A LEVEL STABLE BASE 70 BE INSTALLED ON A LEVEL STABLE BASE LEACHING TRENCH SEWER INVERT INTO DISTRIBUTION BOX 12.5 - SEWER INVERT OUT OF DISTRIBUTION BOX 12.3 DRAWING NUMBER SIDEWALL 2' x 64' x 2' - 256 rA o SEWER INVERT INTO LEACHING SYSTEM 12.1 BOTTOM 4' x" 3' = 192 H: 2002 02-060 surve worksht 02-060s 2.dw o BOTTOM OF LEACHING TRENCH 10.1 448 SF WATER TABLE: NONE OBSERVED AT ELEV. 2.8 2002-060 Cu �'� r' �' '' I ' .k�aa:� t�..; �'y,• w a •'y`- alV.�n+ <_ '::f�,a� *r` �;.,a,..w, `e' 0 r "�`MO�.i;•p I ��aj�d � ,,7�. �� } .Ti'fR }R.jj -�=�\t i ��F fi� .rt�' r-�r, °.r ,+3..+F.�.Zr� _ f F(/�1/(-�///�� yC: ,,el.7:Y F 'vra'a'•.,..y, w y,.t; f I�4 a .► {•. ,�,a• 'r r?' Y... n :i ir` I L V L N D PROPOSED ;.; ATE 1 /8/Z002� D 0 EXISTING t,4 ,,. '..t ..� i'..r-s '"'r� F, t`e r �} .ice ! v ye+ SOIL LOGS �. } 4 1 , •� � . 4o F pt .a' + "i R SOIL LOGS 0 x . f =P Stake & Tac Set/Found ' '� ' ( ��t' ` � ' ,„9 >a v �e• ,y} ' .,. 10,338 ` .,... `t'}►'�.e Lr •nI ..r•+s."s'{,;.,'!'J5•; a"r S �` a... ,``:^•y ^ti 4... a. .- g ap4�' F, .y' ,•, ;,e :: ;. Role BOARD OF1IEALTHAGENT: PConcret il eBoundd" ENG1 EER P � Gas Gate D.E.P. SE Stephen Wilson PE Dave Stanton • ,�•' '€L.. }1r, /� a. 'a'ti» .€$,'t-0i'i6 ' may... ayy 3 , !€ eI �,ar• a �... '!� t{ j + � ` 1,^ . S�.�.a I wiE.sn..d ti C� .,..s 1 A:-? 2+,�,;".« ® Electric Meter �. �.. { t s `+` _., ` `',. 'a i TEST PIT 1 ® Catch Basin �A4� `, - ®� Gas Meter f rt• L . E !' '�. F r �'4,i M.�'wVl•. V�� E W IJ R Zk _ G.S.E. 13.8f Water Gate 4 p" ® TV/Cable Box e ;k, ., - �; •- ��i}c ,,'r ,�} a AP SANDY LOAM ® Telephone Riser ID! y :, # : '' +tslrac11 10 YR 4 3 -O- Utility Pole 2°° Contours200x00 ;ec >} � ' "j- -mot ;:rt; Spat Grade _ Wetland Soils Test Plot Y a SANDY LOAM , y 6 . 20' 10 YR 5 1 x -x - Chain link Fence C 1 Stockade Fence ti, '. ''' oHW s r ' oHw- Overhead Wires ter= . .``++ ,. -r y�y STATE 6OASTALzu MED. SAND,.;; H t e l"�,�j y 11° ' it i A i�.�t .a.3S t .' 'r./J-7, ; - .� BANK l } WLF 1y7 70" 10 YR 6/8 -C -G -C Gas Line 3. gw x1r zmd s, . 1.t,. .y�� y� � `� � � 7�� 't t ; j - w w - Water Line A i PUMP EXISTING s � t s e�O tr h � C2 O Gas Gate ;..r:._.'�:�_._'... �_ ..t. 100' OFFSET FROM CESSPOOLS AND FILL � � � `" G '�` Co `� MED. SAND JOSHUA'S CREEK = WITH CLEAN SAND �'o t ', r +^i•}y'� loos Trees LOCUS MAP _ ,, z`•o ,r`` ,1 , ;t 132" 10 YR 7/3 Light Pole 9 1 = 2000 = ` ;i '`. ', ,c�k, PERC 0 48" NO WATER ENCOUNTERED RATE= <2 MIN/IN STAKE &aP IFND ® ELEV 2.8 UNABLE 70 SOAK ZONING DISTRICT. RB �_• - _ �..}`-, , ' OVERLAY DISTRICT AP AQUIFER PROTECTION N 7,9'40'10" E 236' 1# t = ' STAKE tET •it t;: ,CB ( ) _ _ t t o.00' ;. ; -.;, a GENERAL NOTES MINIMUM LOT AREA: 43,560 SO. FT. = i 0.8 6'1 r�, MINIMUM FRONTAGE: 20' i - Tiz& 4.1� ,. r• . LSA` "� f�. '1N1.P6`` L. \ ttSALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH FRONT YARD = 20 SIDE YARD = 10 REAR YARD = 10 ESSbO ,�� t= TITLE V OF THE STATE SANITARY CODE DATED MARCH 31,1995 �. COVE I �tt,�,GrR 'v1 !. . �° , O �, o , I 1 [kC 4`�n`I'ECI k' ` . \ '• `, o� ANY LOCAL RULES APPLICABLE. LOCUS PROPERTY IS SHOWN AS: t u, ,., L !- AC RA�;i TBM ` ASSESSOR'S MAP 288 - PARCEL 158 y'(+ y �' 1' LIMIT OF J i,?, ?5 BRASS PLUG '\ `� �-� o t t WORK ,�' `` ® EL.-13.99'�� , i 7. ANY CHANGE TO THIS PLAN MUST BE APPROVED BY THE LOCUS DEED: w �. ` 1 , ; 1-..'c;+� ,a ,, - c„(Y ' 1'Cyr z,r, 4 , '`'�` Y o 10 } t a DESIGNING ENGINEER DEED BOOK 11 674 PAGE 212 �^ t ` ; „J F s•ro t t N 6.4 rr t '``t ,,5 t t -� 14,3-r t? k L; ; i 1 ? ` l.F i VARIENCES REQUESTED U `i �i F�a;M",x;N,'. PC�C)L. fin. > ,� % I f j l '}+ f ` �,C WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, PLAN REFERENCE: -Q , ?3: '', , , ��1 `, t , ', t y i , , 1 `1` TITLE V: `, , t , , , L NOTIFY THE ENGINEER & BOARD OF HEALTH AGENT LOT 43 PLAN BOOK 96 PAGE 137 _ Z f J N WLF #5. Section 15.211(1) FOR INSPECTION. O 1 z i *'' " =� l `� '\ ~` A) To allow a soil absorbtion system to be 6 feet off a lot line COMMUNITY PANE NUMBER 1 1 ` t: `'��1 Y'``, t.. '� ' `t a LSA ' PUMPr ' in lieu of the required 10 feet. THIS PROPOSED SEPTIC SYSTEM WILL REQUIRE THE RECONFIGURATION L E 25000 0006 D - Ta <.: LTER WtF°�14 OF THE INTERNAL HOUSE PLUMBING. THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS B) To allow a soil absorbtion system to be 9.5 feet off a foundation ZONE A10 (EL. 11). °;- o o t � t ` i ' o o FRAME D� ` r '�, ~ in lieu of the required 20 feet. �3 \ ` \ ' ', WELLING; 1 k'�, „ ;Y a, n _. WLF3� " E 6 'HOUSE N0. 43 i t '` � � Q` 11 �`� ``� C) To allow a septic tank to be 7.5 feet off a lot line ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4 PVC., SCH 40 9,0. , 1, ,: \�� - 3 7 € ,Q •S ° v- F r ` 0-�F.F.E. = 17 26' ', t` ' l Sy,1 STATE COASTAL BANK 1, in lieu of the required 10 feet. lr.;' t �'�`i ��.; i ', t `, ; j '� ° +1? I WOOD AT FLOOD EL 11 o ', �, { � }, , , t� ,SHED \ Section 15.221(7) EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING a�;_ ` f d� '2 � SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5', PER o �b �, `� To allow a soil absorbtion system to have 6 feet of soil cover o� ri f.�.^ - 2, :7.1 i�,r N o°°o $ET 3 i� r� 1 ' in lieu of the maximum of feet. 310 MR 1 to �111 -- ^' 3 C 5.255. PINa2' 6 3l ° '0 12.4 �, '� 1 \ `, t r TOWN OF BARNSTABLE REGULATIONS _ o v Q t WLF w., PROJECT BENCHMARK . DATUM - NGVD TP TEST PIT J ��i0• ' o' o� ; r4 `1 TBM = BRASS PLUG SET IN CONCRETE PATIO ® ELEV.= 13.99' "� •'• . 1�, , Section 1 o -� :00 85.00' STAKE FND _ !'i �i �' 1c.a `.. 255' t I }c .1� A To allow a soil i P j '.,� 8.40' " W 340t ) In lieu of the required 100 feet. to b 4 feet from a wetland I AND o absorbt on system e 8 f :,r,:: re u'red LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE,, I ice',1 ` 1c_',� 9 ~`,,"�k,� :? 11,7 C� cP :WLB) To allow a septic tank to be 95 feet from o wetland SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE 724/1 + 110 so e..3 ANY CONSTRUCTION. 1 l .,STAKE SET in lieu of the required 100 feet. UTILITY COMPANY PRIOR TO A ' T 72 , , WETLANDS DELINEATED & TEST PLOTS CONDUCTED 7-22-02 o � ` ��oo ��..1 o s�� :., BY SAMUEL HAINES, W.S. & KATHRYN S. BARNICLE, P.W.S, OF ENSR. FIDDLER'S CIRCLE �o THIS PLAN IS BASED ON AVAILABLE RECORD INFORMATION AND PLANS AND AN ON THE GROUND FIELD SURVEY BY THIS FIRM ON 7108102. i3.15 i .o PROPERTY OWNERS: ?3r) ROBERT W. COLFORD PK NAI '% LYNN CONROY ay •�SET '. 28 ABERDEEN ROAD UP MILTON, MA 02186 7 5/1 STEPH N rn I / No.30216 I 12,' AL Ems\ 0 Fiddlers Circle s Hyannis, MA IPREPARED FOR Robert W. Colford / Lynn Conroy TITLE Wetlands Permit Plan / Septic Repair 3 P P FINISH GRADE 9" MIN. 36" MAX COVER TYPICAL SYSTEM PROFILE EXCLUDING TOPSOIL FINISH FLOOR FINISHED GRADE = 15.1# 2" MIN. LAYER WASHED COMPACTED BACK FILL ELEVATION = 17.26 NOT TO SCALE STONE 1/8" to 1/4" 2" OVER DISTRIBUTION LINE BARTER, NYE & HOLMGREN, INC. N ---- 4" PERFORATED WASHED STONE o EFFECTIVE DEPTH 2' PCV SCH 40 3/4" TO 1 112- Ln Registered Professional m •. FINISHED GRADE OVER TANK = 15.0# Engineers and�Ild Surveyors LEACHING TRENCH CROSS-SECTION 4" SL VENT 812 Main Street, 0sterville,Massachusetts 02655 o FINISHED GRADE OVER D. BOX = 17.0# W/ SLOTTED.END CAP m 81e11N. 3" (mi . 4 4" SCH. 40 PVC . Phone - (508)428-9131 Fax - (508)428-3750 + 4" 2 0H. 40 PVC 4' All n c� N r o 7.1 (TYPICAL) ® y, FIRST 2' (TO BE LEVEL) FINISHED GRADE OVER LEACHING TRENCH =s.o# Leaching a c h i n Area Requirements � s•(min.) CAD 2.0q PVC or then ® 2.090 4" PERFORATED 2" MIN. LAYER ---� 9 10 CI TEES GAS BAFFLE OL2 min PVC - SCH 40 1/8" TO 1/4" STONE 9" (MIN.) COVER 20 0 20 40 3' CONSTRUCT ACCESS 6" SUMP 36 (MAX.) COVER 3 BEDROOMS AT 110 GPD BEDROOM = 110 GPD MANHOLE OVER INLET 4" SCH. 40 PVC / a WOITH NN 6"TFINISH LEAST : . (W/ASHf D STONEo 1 � ADDITIONAL 50% FOR GARBAGE DISPOSAL __NA__GPD SCALE IN FEET o REINFORCED CONCR 6" CRUSHED - PERC RATE = <2 MIN. / INCH (CLASS 1 ) cv FOOTING STONE BASE o ' � <• ' " DESIGN SCHEDULE ELEVATION SCALE:1"=20' DATE: 10131102 j INV=12.1 z a= tat LTAR = 0.74 CPO/S.F. FINISH FLOOR ELEVATION 17.26 REV. DATE: REMARKS SEWER INVERT AT FOUNDATION 13.2 MIN. LEACHING AREA OF S.A.S. SEWER INVERT INTO SEPTIC TANK 13.0 330 GPD/ 0.74 GPD/S.F.= 446 S.F. MIN. p w No Groundwater Observed ® Flay. 2.8 SEWER INVERT OUT OF SEPTIC TANK 12.7 1500 GALLON SEPTIC TANK DISTRIBUTION BOX SEWER INVERT INTO DISTRIBUTION BOX 12.5 PROPOSED SYSTEM: LEACHING TRENCH 2' x 3' x 64' i TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE LEACHING TRENCH DRAWING NUMBER SEWER INVERT OUT OF DISTRIBUTION BOX 12.3 SIDEWALL 2' x 64' x 2' = 256 o SEWER INVERT INTO LEACHING SYSTEM 12.1 H: 2002 02-060 surve worksht 02-060s .dW o BOTTOM 4 x 3 = 192 N BOTTOM OF LEACHING TRENCH 10.1 448 SF 0 CU WATER TABLE: NONE OBSERVED AT ELEV. 2.8 2002-060 0 N 2 Z > O : � Varn Z 4200 Frif- cn ix OM 4 0 � 0 d A Q � � W C/) N W Z � ocn R v [_� z 13'-10"t w cn xOc� a05, ... E"' W 4 - - - - - - - - - - - I Ir -- - �nw , I I I `-----�-�= 3 - - A110 n�C 4 � C�A1'N ' 4 � v� ' ' ' '`� ° `" I I I I t-w T 0 z A �W5. �rilatr� I IL-------- FAMILY O �w5r. IQX�I51', RAX, i KILN i I r ====� POOM 1 Ir 1V� I I I I I I 151', ' I III I ' �- — J 'I I i I I I ► � i (VN1.1�G>;N.ING) �. PSOOM I - - O O - I L'-r-r1rL ' ku Ooldw MANMP I i N E--+ U aO5, LIVING �--� - - - - - - I BOOM U Z CL05, _______________ (VwmaLwAA) Ri � O n�NING I I -- Z N POOMle oil MPROOM " l ' ,� � A l l I j Ir� I II II III � I F------A I II \ SCALE : II II III \ � 1/4" = 1'-0" �w5r. ew5r. Ew5r. NEW COV P DATE p0kCH 8/23/2002 W-Pt PROD. N0. 22-fi57 FLOOP\ P�AN DWG. NO.: l,�G�Nn o UI5t1N6 WU CON511<U ON fO MMAIN ® NSW W&L CON5•fUflON C_:1 U511N6 WALI. CON51PX110N t0 Ve MMOVU7