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TOWN OF BARNSTABLE
LOCATION SEWAGE 077
VILLAGE J-C wW"silf t— ASSESSOR'S rMAP&PARCEL m O/�{
INSTALLER'S NAME&PHONE NO. 56&3,16 3f&-
SEPTIC TANK CAPACITY J` -00 G �T
LEACHING FACILITY. (type) 5-00 G&!`C &Wt!ZC�) (size) /0 )C30
NO.OF BEDROOMS
OWNER TO J Le
PERMIT DATE: 3 "/S-oZ` COMPLIANCE DATE: 7
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
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FURNISHED BY
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C�P'4ervl .�.r i p t. menta. . . . ,: 1� � ( �*:3 Thy nsta,tatio"� shag c.�wt 3 s' ;.atf nVFron ' r '� � •: �: Town 0
y ? M1_, 3r�ard of Health Rego tfons.
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. •�1 --� -, .. septic s�ct.m :�� . nu$eri�:r t?l',,r?ian shall not be installed until a :sefi town i^statlr_r
3 ' ► `R �✓ U14 ,-' :elves approval and -,;� r�siaJlatij�r permit frnrt►the aria ii+aa;e=o��;�.
`E F"eT kr -LxI I W.141 _ �(q � t r a to c„ : •• ,
6 _ Prior ILTf t0 installation,1;t1i. r?c' filer Sflaft t�?rlfy the locatior? V. �Li.iflC'S.�a'd'tC;' l'�VC'RS, 5k'itPr ,1'1e5
a:ui existing septic romporwnts prwr to instaifatior..
'11�.' � ZZI ` �G,db -?7 All ravity sewer Piping is to be 4 inch schedule 40 PVC at I.M" per for:T• c first 6 feet oui of
8 PR k� : � h fi'
P4- 1 the distribution box shall be level. All roping connections to be glu c-
r LO tv A L�Iv
>4y� i This septic_design plan. is n�"t t^ _ae oti: .:'rJ for property ling d.termur,ation or for any other
s` 1 1 - - .- ! t:�:rpose other the.i the proposed sep�.i:system installation.
=I Afi Title V compor:ents are to rneer Title V specifications.
i ``o =a klrt shall he otlitrite=t pr +±tJe�i components unfe_._,cep t oltents are H2O oariect.
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/� ' i >sj The existing Jeactiing Gr ct si�ac;i steal! be pumped and filled with meenal r)er Title V
I.C�Az"I N � �? � �IFP,�,�
af� ,ndonment Rr�lcedu�rs 1,:3chiner and cesspocl(s) and carttaillinated soils within the
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proposed SAS shall be rem3ved and replaced with clean sand pef Title V sp-,cifirat:ons-
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Serptic CCrrT1j3Olent� arE't�� �' 11 �i 3l 3�alater St3rVltE' llftf. �214'ef if;�@5 Crt3i;inP�ci Mates File sil"ii
'a;- sieevec .uiih an -hedu'e 40 PVC with end:g;cutser, Thg hater servitr-
- -T VIC' Ca ,;F O 'i k: 'd`. Il the sleewf be r►g ':YSt�t?(: 7'" i,•tic.stdP` r"
;0\R ,�• �1�� {::�>Jingtile line�aC�;I[L vv D (�t4 w4t i,'!` rf: garbage grinder exists in rl tr2, it is to be remol.cc' if the ;et: Stem is not
a
designed to accommorJ,ite a gar,'A:,- grinder,
— Y 51 CJ / Tli�7. installer is re-won ��:_`cn x avation around ai' ::{ :�,r ;,roperty and
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/ ? — rC,:tP..Ctlna the StruCtl'.. '+' ?K ?1!Stf[lCt;ire5 dl:r1n j t!. ?t1;3,i:i1e t ;,:CUSS o4 the sepli'..
�M '--; �Jc, pan-My represefO's thar I leptir system. can be iinstalk d on tile- :y meevngThii, v
blbI 'I e property owner shai, rr:vi;.ty de5ig� criteria to approve ti,,,total ncrrs�ret of bedrooms and design flow. instaitatict� of the. s.�f1tic 5ystern as proposed and receipt of na4'rnen? for the design
ZZ Tme shall be deemed a soul r.c rf�e (7F.r:iP"t -, i r : e,o-!
-- pp :ritf- , by the properly owner o nt of.
... - --3.11 Tne validity of this piar, si -li expire with the expiration of thr, town installat;,-rr peTMR issuPr; fC i
k I f r i l ;r• plan or the validit- �f'his plar, shall expire ors the expiration of the CerPficate of Compliant
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Town of Barnstable
Board of Health
MANSTASMAS&M� 200 Main Street, Hyannis MA 02601
Office: 508-862-4644 John Norman,Chairrman
FAX: 508-790-6304 Donald A.Guadagnoli,M.D.
F.P.(Thomas)Lee,P.E.
Daniel Luczkow,M.D.Alt.
March 9, 2022
Mr. David B. Mason, R.S.
28 Powder Hill Road
Barnstable, MA 02630
RE` 29 Forest:Street, Hyannis A= 266-014 '
Dear Mr. Mason,
You are granted variances on behalf of your client, Peter Miller, to construct an onsite sewage
disposal system at 29 Forest Street, Hyannis, Massachusetts.
The following variances were granted:
310 CMR 15.211:. To construct a soil absorption system five (5) feet away from a
foundation, in lieu of the minimum ten (10) feet separation distance required.
310 CMR 15.211:.. To install a septic tank six (6) feet away from a foundation, in
lieu of the minimum ten (10) feet separation distance required.
310 CMR 15.211:. To install a septic tank five (5) feet away from a property line,
in lieu of the minimum ten (10) feet separation distance required.
These variances were granted because the physical constraints at this property restrict the
design and placement of the new septic system components. The submitted engineering plan
appears to meet the maximum feasible compliance standards contained within the State
Environmental Code, Title V.
Sincerely,
hn Norman
Chairman
Q:\WPFILES\iMason 29ForestStreetHyannis Variances Jan 2021.docx
DATE:
* .q: $95.00. nE*:
REM Town of Barnstable s C
REC ff:
Board of Health SCHED.DATE: /
200 Main:Street,Hyannis MA 02601
Office: 508-Ka-4644
John T.Norman
FAX: 508-790-6304. Donaid:A.Guadagnoli,M.D.
Paul I Caimiff,D.M.D.
F.P.(Thomas)Lee,Alternate
VARIANCE REQUEST FORM
LOCATION r�
Property:Address: 6-s
Assessor'.sMap;and Parcel Number: Size of Lot: o F 1 4z%16
Wetlands Within 300 Ft. Business Name:
Subdivision Name:
APPLICANT'S NAME: D /2 & j? �l Phone
Did the owner of the roe authorize you to represent-him or he�Yes . No:-.
property t'tY Y . . . �_
PROPERTY OWNER'S NAME CONTACT PERSON
�
Name/ �' t✓ Name: ✓' ^t'`° i;�
Address I L�� ;Jl, 0) M Address: °f C 1 t,' �t`rC l-b L6 a,B' 4t4
Phone: Phone: j7t 161.
EMAIL:
RIAN EFROM RE ULATION(indReg.Code a) REASON FOR VARIANCE (May attach-separate sheet if more space needed)
NATURE OF WORK: House Addition :House Renovation U Repair of:Failed Septic System '
Che k/st:.(to be completed by office staff-person receiving variance request application):
Please submitJhst four on list as S collated packets ..
_ A. Five($)copies of the completed variance request form
_ B :Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when.proposing an I/A system or
secondary treatment unit(S.T.U.).
_ C.IFive(5:)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email:
bealth&own.bamstable.maus *(Pool Plan—5 hard copies)
_ D Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant,kitchen plans)and one(1)electronic:
version:
A completed seven(7)page checklist confirming review of engineered septic system plan by sttbmttttng,engineer or R.S.
Signed letter stating that the property or business owner authorized you to represent him/her:for this request
Applicant must notify abutters by certified marl at least ten days prior to meeting date at applicant's expense(for Title V and/or .
local sewage regulation variances only).
Full rhenu—Five(5)copies of full menu submitted(for grease trap variance requests only}
Fee Submitted*S95.00 for the following variances: 1)New construction, 2)Septic repairs vjn tncreaw in flows, and 3)New : . .
.owner/new lessee applying for food,pool or body in variances. Exemptions from Variance Fee: 1).Septic repair w u :an: .
increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not:a"variance").
Variance request submitted at least 15 days prior,to meeting date
VARIANCE APPROVED John fNonnan
NOT APPROVED Dodd A.Guadagnoli,M.D.
REASON FOR DISAPPROVAL Paul,J.:Canniff D M.D.
Q:\Application Forms\VARIREQ Rev Jan 1-2020.docx
David B. Mason, RS, CSE
28 Powder Hill Road
Barnstable, MA 02630
TO: Barnstable Board of Health
FROM: David B. Mason , RS, CSE
DATE: January 11, 2021
SUBJECT: 29 Forest Street, West Hyannis, MA
Proposed septic ugrade of two cesspools to a 1500 gallon septic
tank, dbox, 3-500 gallon units with stone.
Requested Variances;
Title V Section 15.211;
SAS to foundation slab; 10' required, 5' proposed, 5' variance
Septic tank to foundation; 10' required, 6' proposed, 4' variance
Septic tank to property line; 10' required, 5' proposed, 5'variance
The variance are requested per maximum feasible compliance.
The variances are requested due to the minimum lot size and the
need to upgrade the existing cesspools.
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