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HomeMy WebLinkAbout0117 LEWIS STREET - Health (2) 111 GROVE ST., HYANNIS A=310 - 116 gig 1 j ,s I � Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System Form.- Not for Voluntary Assessments M •''r 111 Grove Street LProperky-A-ddress--/ H_UD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information isequired for Hyannis MA 02601 _July 17 209 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A. General Information When filling out forms on the ✓� l computer,use 1. Inspector: only the tab key to move your Michael McDowell cursor do not Name of Inspector use the return key. The Building Inspector of America Company Name 2 Brookside Circle Company Address Wilbraham MA 01095 City/Town State Zip Code 800-626-4408 156 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and thatsthe c information reported below is true, accurate and complete as of the time of the inspection. The insction was performed based on my training and experience in the proper function and-imaintenanc@;of oraite sewage disposal systems. I am a DEP approved system inspector pursuant to Section 1§.340•bf - c Title 5(310 CMR 15.000).The system: i�r ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority o rn July 17, 2009 Inspector's Signature Michael McDowell/mjl Date The system inspector shall submit a-copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the.conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 111 Grove Street,Hyannis,MA,HUD.cloc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 l t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 111 Grove Street Property Address HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Hyannis MA 02601 Jul 17 209 required for � Y every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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: WA ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the.following statements. If"not determined," please explain. ❑ 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 water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed 111 Grove Street,Hyannis,MA,HUD.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts Title 5 Official .Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments °M 111 Grove Street Property Address H_UD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Hyannis MA 02601 Jul 17 209 required for y Y , every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.):,WA ❑ 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 of the Board of Health): ❑ broken pipe(s) are replaced ❑- obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: WA ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the-SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 111 Grove Street,Hyannis,MA,HUD.doc•0a106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments �M 111 Grove Street Property Address H_UD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Hyannis MA 02601 Jul 17, 209 required for Y Y every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): N/A ❑ 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: I **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 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 ET ® 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 El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool 0 ® _ Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/z day flow ❑ ® 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. 111 Grove Street,Hyannis,MA,HUD.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage bisposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments °�M •''- 111 Grove Street Property Address H_UD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Hyannis MA 02601 Jul 17, 209 _ required for _ Y y -every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to AII.Systems (cont.): Yes No ❑ ® 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of.2000gpd 10,000gpd. El ® 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. WA For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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 0 ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IW PA).or a mapped Zone 11 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 CIVIR 15.304.The system owner should contact the appropriate regional office of the Department. i 111 Grove Street,Hyannis,MA,HUD.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M 111 Grove Street Property Address HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Hyannis MA 02601 Jul 17, 209 required for Y Y every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by.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? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ®. ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, 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? . 2 ❑ 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: ❑ ® Existing information. For example,a plan at the Board of Health. Determined in the field (if any of the failure criteria related to Part C is at issue ® El approximation of distance is unacceptable) [310 CMR 15.302(5)] 111 Grove Street,Hyannis,MA,HUD.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal.System Form- Not for Voluntary Assessments 111 Grove Street Property Address HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Hyannis MA 02601 Jul 17 .required for y y , 209 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 1 `Number of bedrooms (actual): 1 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 110 gpd Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No r Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? WA ❑ .Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): 2 gpd Sump pump? ❑ Yes ® No Last date of occupancy: UnknownDate CommercialAndustrial Flow Conditions: WA Type of Establishment: Design flow(based on 310 CMR 15203) Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No. Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No ,Water meter readings,.if available: Last date of occupancy/use: Date Other(describe): 111 Grove Street,Hyannis,MA,HUD.doc•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 111 Grove Street Property Address HUD/Cityside Management Corp.22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is H annis MA 02601 Jul 17 required for _ Y y , 209 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Unknown, HUD owned house Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system , S ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained.from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other.(describe): Approximate age of all components, date installed (if known) and source of information: Septic system appears to be 9 years old based on materials used and Board of Health records indicating system was replaced in 2000. Were sewage odors detected when arriving at the site? ❑ Yes ® No 111 Grove Street,Hyannis,MA,HUD.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 111 Grove Street Property Address HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Jul 209 Hyannis MA 02601 required for Y y 17, every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 22 inches feet Material of construction: ❑cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line 30 feet feet Comments (on condition of joints, venting, evidence of leakage, etc.): Building sewer exits slab floor at rear of dwelling. There is a cleanput in right rear concrete slab of patio. Septic Tank(locate on site plan): Depth below grade: 18 inches feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -----------=-------------------------------------------------------------------------------------------------------------- Dimensions: 10'Lx5'wx5'D Approximately 1500 gallons Sludge depth: 2 inches Distance from top of sludge to bottom of outlet tee or baffle 32 inches Scum.thickness 0 inches Distance from top of scum to top of outlet tee or baffle 9 inches Distance from bottom of scum to bottom of outlet tee or baffle 14 inches How were dimensions determined? With tape measure and pole 111 Grove Street;Hyannis,MA,HUD.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage.Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 111 Grove Street y Property Address H_UD/Cityside Management Corp.22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Hyannis MA 02601 Jul 17, 209 required for _Y Y every page. City/Town State Zip Code Date of Inspection it _ P D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Fluid level is correct, that is, equal with outlet invert. PVC outlet tee and concrete septic tank were of sound condition. Pumping is recommended every three years. Recommend installing risers to within 6 inches of grade on all covers of septic tank. Grease Trap (locate on site plan): WA Depth below grade: feet Material of construction: c ❑ 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: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank.must be pumped at time of inspection) (locate on site plan): WA Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain): 111 Grove Street,Hyannis,MA,HUDAoc•06/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments wM • 111 Grove Street Property Address HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is required for Hyannis MA 02601 July 17, 209 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) WA Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened) (locate on site plan):" Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Fluid level was correct,that is, equal with outlet invert(1). No evidence of solids carryover. Top of distribuiton box is 30 inches below grade and is of sound condition. Pump Chamber(locate on site plan): WA Pumps in working order: ❑ Yes ❑ No_ Alarms in working order: ❑ Yes ❑ No 111 Grove Street,Hyannis,MA,HUD.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ° M 111 Grove Street Property Address HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Hyannis MA 02601 Jul 17, 209 required for y y every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): . If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ Teaching galleries number: ® � leaching trenches number, length: 1 at approx. 30' ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system. Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): No signs of hydraulic failure or breakout. House has, not been receiving normal daily flows for an unknown length of time. 111 Grove Street,Hyannis,MA,HUD.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts • Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M 111 Grove Street Property Address HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Hyannis . MA 02601 July 17 209 required for _Y _ r every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): N/A Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater,inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding,-condition of vegetation, etc.): Privy(locate on site plan): N/A Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 111 Grove Street,Hyannis,MA,HUD.cloc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M 111 Grove Street Property Address HUD/Cityside Management Corp.22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Y Hyannis MA 02601 Jul 17 209 required for y , every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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. Sketch is not to scale A=Inlet Cover on Septic Tank B=Outlet Cover on Septic Tank G 4 P C=Distribution Box 5RS XA=37'4" XB=31'3" XC=28'10" YA=34'4" YB=36'0" YC=37,8„ X O Cteanau+ nc Cap 61� Y I QW(N tag a*iz- 1I I &Oue- S+ce.e+ 111 Grove Street,Hyannis,MA,HUD.doc 06/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 111 Grove Street Property Address HUD/Cityside Management Corp. 22 Medallion Center, Greely Street, Suite 5, Merrimack, NH 03054 Owner Owner's Name information is Hyannis. MA 02601 Jul 17 required fory , 209 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to ground water: 6 plus feet feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ 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: Test pit determined no ground water at 6 feet. System was 9 years old per Board of Health. For more accurate depth to ground water level recommend inquiring with Board of Health records. 111 Grove Street,Hyannis,MA,HUD.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1 O � Map Parcel Application # Health Division _ Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address Village Owner 1 Address Telephone ro Permit Request 6 4o o - if � 4 Square feet: 1st floor: existing proposed 2nd floor: existing propose Total new Zoning District Flood.Plain Groundwater Overlay Project Valuation coo oo Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (#units) Age of Existing Structure g g Historic.House: ❑Yes �,No On Old King's Highway: ❑Yes 4NO Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing — new Half: existing new Number of Bedrooms: existing!new Total Room Count (not including baths): existing new First Floor Room Count. Heat Type and Fuel: ❑ Gas ' Oil ❑ Electric ❑ Other Central Air: ❑Yes �No Fireplaces: Existing tNew Existing wood/coal stove: ❑Yes No Detached garage: ❑ existing ❑.new size_Pool: ❑ existing ❑ new size — Barn: ❑ existing Cl new. . size_ Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 0-7 yD)-9 Address License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEB IS RESULTING FROM THIS PROJECT WILL E TAKEN TO SIGNATURE DATE �h M DOMESTIC SEPTIC DESIGN, INC. 63 CAPTAIN ALDEN'S LANE OSTERVILLE,MA 02655 (508) 420- 1904 January 31, 2000 Board of Health Town Hall 367 Main Street Hyannis, MA 02601 RE: Septic System Upgrade 111 Grove Street Dear Board of Health Members: In reference to the previous Board of Health meeting on January 18, 1999, the upgrade of a pre-existing home at 111 Grove Street from one (1) bedroom to two (2) bedrooms within a Groundwater Protection Zone was extended until further information to satisfy the requirements of 310 CMR 15 . 414 was completed. Prior to addressing the requirements of 310 CMR 15 . 414, I would like to address the outcome of the January 18 meeting and offer the following reasoning why approval of the proposed 2 bedroom house should be allowed. It is my understanding that the Board of Health for the Town of Barnstable allows, via the Transition Rule within Groundwater Protection Zones, for "new construction" of 2 bedroom homes with less than 18, 000 square feet, as long as the applicant submitted the septic system prior to January 1, 1999. The application for the proposed 2 bedroom house on an approximately 5, 900 square foot lot was received by the Board of Health on December 28, 1999, which meets the January 1, 1999 dead line. In addition, it was the determination of the Board at the January 18 meeting that the additional bedroom proposed to a pre-existing house is considered "new construction" . Therefore, it appears this application satisfactorily complies with the Transition Rule which should allow approval of the proposed 2 bedroom house at 111 Grove Street . Furthermore, if approved, this approval would be consistent with prior Boards decisions and therefore would not create precedence. r However, if the above does not satisfy requirements of the Board to allow approval under the Transition Rule, the following information is provided to comply with the requirements of 310 CMR 15. 414 . 310 CMR 15. 414 (1) (a) : The homeowner has knowledge that full compliance to Title V is required for septic system submittals after March 31, 1995 . 310 CMR 15 . 414 (1) (b) : The septic system proposed complies with the requirements of 310 CMR 15 except for 310 CMR 15. 214 . The cost of a new septic system to comply with 310 CMR 15 . 214 (the allowance of an alternative system within a nitrogen sensitive -area) is significantly greater than the conventional septic system designed and submitted to the Board of Health (approximately $12, 500 [Alternative] vs . $3, 300 [Conventional] ) . The value of the house is listed as $53, 700. 310 CMR 15 . 414 (1) (c) : Full compliance with out increase flow could be obtained and comply with 310 CMR 15 . As a result, it would be manifest unjust to enforce the requirement of an alternative septic system that would cost nearly 23% the value of the home, when the proposed septic system 1; complies with all the design requirements of Title V (except 310 CMR 15.214 ) , 2; adds additional environmental protection by having a larger leaching area then what the loading rate requires (3 bedroom design, even though only 2 bedrooms are proposed) and 3; is not a manifest unjust (the proposed conventional septic system costs approximately 9% the value of the house) . 310 CMR 15 . 414 (2) (a) : The system complies with all of Title V, except 310 CMR 15 .214 (see above for information addressing that requirement) . 310 CMR 15. 414 (2) (b) : An alternative system could be used but would be considered manifest unjust (see above for information addressing that requirement) . 310 CMR 15. 414 (2) (c) : A shared system and/or sewer connection is not applicable or feasible for this property. Note that a shared system would still most likely require an alternative system and sewer connection is not feasible without crossing private property. 310 CMR 15. 414 (3) : The proposed septic system increases the environmental protection over the existing failing cesspool by 1; providing solids to be separated from the effluent via a septic tank and 2; providing a larger leaching area to distribute the effluent, whereby minimizing the potential point source impact of effluent to the groundwater table below. I thank you in advance for your attention to this matter. If you have any questions, please do not hesitate to call . Sincerely yours, d n I? Daniel B. Joh son, R. S. , C. S.E. JAN-28-2000 03 :43 PM P. 01 Mid--Cape Septic 15 Louis Mreet Hyannis,Massachusetts 02601 ph.(508)-778.0684 fax(f08)-790-9732 January'28,2000 Dow l 11 Grove Street. Hyannis,MA Mid-Cape Septic's proposal to install a Title"V micro fast septic system for a three bedroom dwelling per Town of Barnstable and state codes. System will include 1500 fast tank septic tank,1000 pump tank, installing D-box,and 2000 feild with packed stone as the designed leaching system. Price includes all cpmponets to micro fast systems,eiectrical,labor etc. Price includes all pumpings,piping,permits,town inspections,trucking,sand,stone,labor and machine work, Removal of old cesspools and co.ntaminets,trees out and debris removed. System will meet Board of Health approvals. Area to be left graded smooth and as level as possible hand raked.Cno loam and seed to late in season.] Mid-Cape Septic's proposal is a guaranteed set price not to exceed any higher than stated in this contract. Price; $12,50&00 Deposit: $6000.00 to commence permitting Please allow up to 4+/-weeks for permitting and sch. Balance due upon completion and delivery of certificate. Respectfully submitted, Date tiger E. Roberts The above prices, specifications and conditions are satisfactory and are hereby accepted. Signed Date Signed mate Please sign both copies and return one to us. Thank you for your consideration. w p. ' No. Fee I` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for rie;poear *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Zcomplete System El Individual Components ~ Location Address or Lot No.�/ ��� ti; Owner's Name,Address and Tel.No. Assessor's Map/Parcel "7j�( ✓1 \�Q: Installer's-Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1 a 175- 0,/ i Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3 l gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. jqi Description of Soil i Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance ha7 o alth. Signed Date S Application Approved by t. Dates T Application Disapproved for the following reasons Permit No. e glo Date Issued .� rr '*' No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: --OUBLIC HEALTH--DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS pplicat on for 0igppol dip.5tem Con.5truction Permit ` t 'Application for Permit to Construct( 'Repaic�4( �)Upgrade( )Abandon( ) Complete System O Individual Components 3 Location Address.or Lot No./// 7— Owner's Name,Address and Tel.No. i Assessor's Map/Parcel Installer's Name,Address a&Tel:No:- __,. �- - --' Designer's Name,Address and Tel.No. 9 Type of Building: ,% Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow .3 �A j gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. rG G T Description of Soil^ S Nature of Repairs or Alterations(Answer when applicable) Qk cr,4 ff D-9 4 C_i'l f _ - vc. r S lam- C , o Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has..been js_sued-by. o"� 0 th. Signed Date '�S Application Approved by Date �� u ' Application Disapproved for the following reasons Permit No. ' l/ Date Issued --------- —---------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS. e Certff tcate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded(j,� Abandoned( )by *, (Z-,r set)—o (_. - at i v rti vt.1 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ?,VO dated Installer Designer The issuanc/es of this permit shall not be construed as a guarantee that the s tb ill function des ned.. Date L' ^� �'' ,0�'. g Inspector �� g> No. �Li� _._---------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 334pogal Op!gtem Con.5truction Permit Permission is hereby granted to Construct( )Repair( )Upgradea,< bandon( ) System located at / �-� G«.�- r �✓ and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction >fmust be completed within three years of the date of this 0 6tmit. Date: � ,f " � Approved by4- 116199 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERNEIT (WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated ��� �� concerning the property located at i' 5 T //y meets all of the followinc, criteria: The failed system is connected to a residential dwellingonly. There y are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. There are no wetlands within 100 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed • There are no variances requested or needed. The bottom of the proposed leaching facility will not be located less than five feet above the ma.<imum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimotor m 'ad when applicable] If the S.?,.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation, Please complete the following: 2 \/ A) Top of Ground Surface Elevation(using GIS information) �7 J B) G.W. Elevation / ) V +the MAX. Hd-,h G.W. Adjustment . D)Fr�RENCE BETWEEN and B S _.. SIGNED : ---- DATE: (Sketch proposed plan of system on back]. q:hcakh folder.ccrt o� -� � , �` c �— 0 � � 1 _ `� 1� A�� V r ,v'�1 ' � J„ � �„ + R� A^d vi ?,�` ��' TOWN OF BARNSTABLE j LOCATION fl 1 ( �.a✓r_ ,T SEWAGE # I� VILLAGE ASSESSOR'S MAP & LOTI/0— j - INSTALLER'S NAME&PHONE NO. :±2 I*n,-Ii42 S P 42 / c i SEPTIC TANK CAPACITY LEACHING FACILITY: (type) clo w (size) 46 X�o NO.OF BEDROOMS BUILDER OR OWNER Jet PERMITDATE: I '"l°" l COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site:or within 200 feet-of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility Feet Furnished by i 77, I I fl T, f T z L E / y OX8796.777 04-06-2000 12+55 • BAR STABLE± LAND COURT REGISTRY IZEDRFSTRICTION WHEREAS, Russell B. Dow,of 10 Kelly Road,Nantucket, MA 02554 is the owner of the land and buildings thereon located at I I I Grove Street, Hyannis,MA and being shown as Lot 21 on Land Court Subdivision Plan No. 10504-C; WHEREAS, Russell B.Dow,as the owner of said lot has 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 variance from the 310 CMR 15.214,State Environmental Code,Title V,Minimum Requirements for the NSubsurface Disposal of Sanitary Sewage and to obtaining a building permit for this lot; 0 WHEREAS, the Town of Barnstable Board of Health,as a pre-condition to granting the variance from 310 CMR 15.214,State Environmental Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, 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 this document; NOW,THEREFORE,Russell B. Dow does hereby place g lace the following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon .• all successors in title: v 111 Grove Street,Hyannis may have constructed upon the lot a house containing no more than two(2)bedrooms. Russell B.Dow agrees that this shall be permanent deed restriction affecting the property located at 111 Grove Street,Hyannis, MA,and being shown as Lot 21 on Land Court Subdivision Plan No. 10504-C. J Qh.UQ� !2- For title of Russell B. Dow see deed dated 2000,and recorded herewith. Executed as a sealed instrument this G'day of April,2000. Russell B.Dow COMMONWEALTH OF MASSACHUSETTS f BARNSABLE,SS. April 6,2000 Then personally appeared the above-named Russell B.Dow,and acknowledged the foregoing instrument to be his free act and deed,before me, Kate Mitchell Notary Public My Commission Expires: arch 2,2001 REGISTRY OF D TR AUE COPY ASS _. JOHN F.MEADE REGIS7�R BAR,;STABLE REGISTRY OF DEEDS TOWN OF BARNSTABLE CF TH E T��► OFFICE OF BAM9TABL4 o BOAR® OF HEALTH MABEL 5b °0 1639• ��� 367 MAIN STREET MPT HYANNIS,.MASS.02601 February 9, 2000 Daniel Johnson 63 Capt. Aldens Lane Osterville, MA 02655 RE: 111 Grove Street, Hyannis Dear Mr. Johnson: You are granted a variance on behalf of your client Manuel Botelho, from 310 CM 15.214, restricting sewage flows to one bedroom for every 10,000 square feet of land within Zone II districts. You are granted permission to construct an onsite sewage disposal system at 111 Grove Street, Hyannis, with the following conditions: (1) No more than two (2) bedrooms total are authorized. Dens, study rooms, finished attics:, sleeping lofts and similar-type rooms are considered "bedrooms" according to the.Massachusetts Department of Environmental Protection. (2) The applicant shall record a properly-worded deed restriction at the Barnstable County Registry of Deeds limiting the dwelling to two (2) bedrooms. The deed restriction shall be signed by the property owner. A copy of the recorded deed restriction shall be submitted to the Board of Health r E to obtaining a disposal works construction permit. This variance is granted because it is the Board's policy to grant applicants approvals to construct two (2) bedrooms maximum on lots of less than 18,000 square feet in size. Sincerely yours, Susan G. RaAk, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs botelho No. ¢ Fee '✓ — i � THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for �Diopo!6af *p.5tem Cold.5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) �5complete System ❑Individual Components Location Address or Lot No.��� �_�_s f 7`�h�: Owner's Name,Address and Tel.No. AssesE.or's Map/Parcel �17' \l D Installcr's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3— gallons per day. Calculated daily flow .5 �Acj gallons. Plan :Date Number of sheets Revision Date Title ;Size of Septic Tank r Type of S.A.S. hL 66 �ci Descriiption of Soil Nature of Repairs or Alterations((Answer when applicable) �C h JI�L- N 1 C N l gg,< 4 c 1.�'i�—/(/Grp L:I'� CCiI f%J e2z. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance ha&4eemi".ue4- �o alth. Signed Date Application Approved by > ! Date Application Disapproved for the following reasons Permit No. Date Issued - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded Abandoned( )by I()—�'AO,- St°fr at_ C vt-6-1 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. T,*/O dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the systp6dwin function p,designed,,- Date_ 7'' Inspector s � ►'.2-/-2 ��.7 _—� -- ------ ----------. No. � � r------------- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS MtOooar *p,5tem Con!6truction Permit Permission is hereby granted to Construct( )Repair( )Upgrade4-<, bandon( ) System located at 111 71 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this p t. Date:. 'e Approved by 5,;/, �-f!�' f- I own OI Barnstable I'll -- Depnrl tit cnl of IIeaItIt,Safely,and uoviroomenlnl Services of Ptu-1 Public IJcallh Division Dale d� 762 b•Ialn Sit ec I.Ilymuds NIA 02601 Fhp 6 9. ll �tolu.� U:de Scheduled � Dime Fee I'd.1____�/ ._ Soil Snilabilil))flssessmenl far Selvage Disposal Pelf Ily: .Q`}NIEL 4,JU f/iVI G' Wiloessed Ily: O/�N/9 %'✓) Olestjsly/ WCA•I`ON & GI,NERAL lwliWWATION Locmiun Add,css tuna's Nmne N rtil c /4 L/fts Address /it 6A'a a C .5i'K V- A sscssm's blapll'mccl: linginccr's Nnn,e d117VE'l" j o 'i ., NOV CONS'IItl1CHON Itlil'AIR & 'r&-L'sx) IcicphuncIl 09 _ 3S Land Use, G fig" Slopes('S6) �- Surfntt Sluucs �� O Dislances Gum: Open Willer Ilosly II Possible WO Men J11 D,Inkiog\Vole,\Vdl li Dmiongc lVny II 1',apeoy Line it Olhcr Il S K FTC i I:(Sheet onnte,dimensions of lot,expel luealions of test holes fi pac Ie•515,taenlc,vellnnds in pmximily It)lmle5) no-1 Obi'-f 4(- t I I I j•�oSE I I I I Sreccr A-.. 1'mcnl nmtcrial(geologic) 6-64((✓3C O-P;-Wrf// Depth to 11cdmck /'OT ORS, 4. Depllt io(iruund,vnter. Standing Willer In little: NET SP7I Weeping1fnmr Pit I:nce 05 lislimnlcd Seasonal I ligh(iruundontcr /(+Or'06J (idf(f y!me /A a l DETrRN11NATION JVOIt.SLASONAT,IIICyII \�A'I'I li'I'AIILIs Method Used: .. . . Depth Observed stmoling in ohs.Imlc: in. Deltth to soil mottles: Depth to weeping froth side of ohs.hole: In. Gomodwnici AdjosGnenl Il. Index Well ll Ilr.ndlop Dnte:_ _ ludrx Well level Adj.Factor_ Atll,(iloondwnler I.evel . ITWCOL;ATION TES'[' Observation I tole/1 '11 t,ill9" /0 JI3 Depth of I'm 37r,� •, I lmc ill 6" /O.'}s:jJ Soo(Prc-soak Iinlc a �O• I hoc(9"-6") 30SEC _ Flol1're-sOk /4- Role Io1In.Anch Site Sui(nbilily Asscssntcn(: Site Posted V Site IWIC11: Addiliood'Iesllug Nccded(Y/14) /Y O,Iginnl: Public I)cnllh Divlslon ObservaIloll hole Daln To Ile Conipleled nil Bock j Copy: Appliennl f �p IME) . � G DATE • IASNSI"M FEE: 9 MASS. 039,N�0� REC. BY y Town of Barnstable ko rtE o SCHED. DATE: C D EC 2 8 1999 Board of Health T01VNOFBARNSTABLE 367 Main Street, Hyannis MA 02601 (P, HEALni DEPT. Office: 508-790 *, FAX: 508-790-6304`8 t t Susan G.Rask,R.S. Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION . Property Address: //( 6-tLov 6 S CST- q-,VNtJ Assessor's Map and Parcel Number: $/G-- // G Size of Lot: Sr Wetlands Within 300 Ft. Yes Subdivision Name: No Y,- Business Name: APPLICANT CONTACT PERSON Name: 1K4NoCe- Name: l n116-L JoNN.10/J Address: (I! 6,1-°,!C STiL Er r Address:_ 63 (f�Pi, ,}4,Ve10 Ul 0j r-CAVttLe Phone: (Sb3)S9.0 -4111 /Pr-7-Z-/L feAA+C( #Mt) Phone: (S 0-6) 4x.0 —( 90 9 FAX: VARI,kNCEFROMRECi LATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) /A""ffof'"C"7 IA-AfT 14Y Ta 1}rJ ✓p �.F,r� F2 o h /8 P9/Loy.y 70 1lW��r^r /reek]'t(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same ownerAeasee only],outside dining variance renewals(same ownesAeasee only],and variances to repair failed sewage disposal systems[only if no expansion to the buildingproposed]) P Pied]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G. Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman, M.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. Q:/WP/VARIREQ TOWN OF BARNSTABLE CF THE T0� �P� o OFFICE OF Z 13ASB9TABL$, o BOARD OF HEALTH MABIL of 0 1659• ��� 367 MAIN STREET � o M HYANNIS, MASS.02601 February 9, 2000 Daniel Johnson 63 Capt. Aldens Lane Osterville, MA 02655 RE: 111 Grove Street, Hyannis Dear Mr. Johnson: You are granted a variance on behalf of your client Manuel Botelho, from 310 CMR 15.214, restricting sewage flows to one bedroom for every 10,000 square feet of land within Zone II districts. You are granted permission to construct an onsite sewage disposal system at 111 Grove Street, Hyannis, with the following conditions: (1) No more than two (2) bedrooms total are authorized. Dens, study rooms, finished attics, sleeping lofts and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (2) The applicant shall record a properly-worded deed restriction at the Barnstable County Registry of Deeds limiting the dwelling to two (2) bedrooms. The deed restriction shall be signed by the property owner. A copy of the recorded deed restriction shall be submitted to the Board of Health prior to obtaining a disposal works construction permit. This variance is granted because it is the Board's policy to grant applicants approvals to construct two (2) bedrooms maximum on lots of less than 18,000 square feet in size. Sincerely yours, �J & �.,., Susan G. Ra k, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs botelho TOWN OF BARNSTABLE LOCATION "SEWAGE # VILLAGE ASSESSOR'S MAP & LOTVC�" INSTALLER'S NAME&PHONE NO. "inn /oc- SEPTIC TANK CAPACITY LEACHING FACILITY: (type) f/o w C' (size)' NO.OF BEDROOMS BUILDER OR OWNER �! PERMTTDATE: I';1'Z1 COMPLIANCE DATE." Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility-i, Feet Private Water Supply Well and Leaching Facility (If any wells exist, 4 on site or within 200 feet of leaching facility) Feet_ V Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feetof leaching faci , _� f' Feet Furnished by_ �I' � Fey r' 4 y _ ,n i _ s No. FEE /`®a COMMONWEALTH OF MASSACHUSETTS Board of Health, j4P,&--SM4f MA. APPLICATION FOP DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair( ) Upgrade ) Abandon( ) - Complete System ❑Individual Components Location /it 6-2-3 q 16 S7; H 4-ti✓'i.S Owner's Name L v *r 4m a c-L r'E rei-fto Map/Parcel# Address gGAa u e j j54 QT-7 Lot# Telephone# -3-0-;� ecm,,- ®EhP•"►tl/ Ny Installer's Name Designer's Name 0.,,f'/ur CL j$t+/,jf C pj Address Address 63 64r,- .AL#e,-JJ 1-14 ®jrmi aL.-u Telephone# Telephone# --iy,Q L` Type of Building /� S('��''y�� Lot Size sq.ft. Dwelling-No.of Bedrooms / e,7V S 7 * (Pr-iC04 e 2 Garbage grinder ( ) Other-Type of Building No.of persons Showers ( ),Cafeteria ( Other Fixtures Design Flow (min.required) gpd Calculated design flow 31 J Design flow provided 3¢Q• 4 gpd Plan: Date /�l�-'�� Number of sheets Revision Date Title JA,F-44F �C-1-, V 1 Q0f&-L Description of Soil(s) C q-& 5jj-7--V / Soil Evaluator Form No. Name of Soil Evaluator � `',� Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS •tLD'L 4-(-V- 3 CI''I"i Ly The undersigned agrees to' tall the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to a e the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date l;L Inspections No. COMMONWEALTH OF MASSA 14 SETIS FEE Board of Health, ,MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ( ),Abandoned ( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE COMMONWEALTH Of MASSACHUSETTS Board of Health, , MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health _ I No. FEE_ C®MMONWEA]LT14 ®F MASSAC14USETTS s. Board of Health, A4M'S;,Astr MA APPLICATION ,FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT —_-•••- Applica on^for a Permit to Construct( `)� Repair( ) Upgrado%.) Abandon( - (IS-Complete System ❑Individual Components Location ((( &2,' J if S% 14 tf IV 141 Owner's Name G/u AmAi o s_ is re,tfo 11 Map/Parcel# Address III U e S Tt CC 7 Lot# Telephone# 50b)143 qa->. Installer's Name Designer's Name��fink C-L jD t+o%j j Q^! Address Address 67 CA P i. fl le7 t NJ Y.'J 0172'kq LLB Telephone# Telephone ,CCO) 4XJ-•)y Type of Building A[Stde-�7IA•L Lot Size sq.ft. Dwelling-No.of Bedrooms / e(-t S ' t i P/L---,i °j e 9 Garbage grinder'( ) Other-Type of Building No.of persons Showers ( ),Cafeteria O Other Fixtures Design Flow (min.required) /Z a 0 gpd Calculated design flow 3 3 0 t,Design flow provided 3¢0• 4 gpd Plan: Date I41 69,9 Number of sheets Revi$ iDate� Title I .Sa6SJA-FA4(_1F SC7,j*&C• d/SF*,)fo#rL Sg1rr-``^ Up6A/VL"' Description of Soil(s) 1A�% " °42I e Soil Evaluator Form No , J� Name of Soil Evaluator `�� Date of Evaluations y99 k ak DESCRIPTION OF REPAIRS OR ALTERATIONS tlr^4-C Lr C Caft L a r 1 CP7tc Arv4. 3 LVA-U e-t- U44ov6e-A-5 (o Jf'A -t.t_ ,}4C74 The undersigned agrees to' tall the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further ag�ree�tt fnot to ace the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed `I / Date PA_ Mkt vE1 ?'r- Inspections No. FEE COMMONWEA T14 Of MASSACHUSETTS Board of Health, , MA. C[RTI .1CATE Of COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undeersigned hereby`certify-that the Sewage,Disposal System;kConstructed ( `),Repaired.(.,.),:Upgraded,(",l);Abandoned-(-). •'.by: ----at '�— has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) I Installer Designer: Inspector: Date: --The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE 4 C®MMONWLALT14 ®F MASSAC14USETTS Board of Health, MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. , dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date Board of Health J t uwn ul Barnstable Dcparhncnl of lleallh,Safely, and Flivironnlrilhi Services 'oftl+�� Public Ile1ltll Division Hale � l Q 367 Blain Street,l lyannis MA 02001 It nMANAnlP- MANI �1t,jF0 Dale Scheduled 'Hine lice I'll. Soil Suitabilitp Assess/I eat for Sewage Disposal Performed lly: 0,-f gl67L t`�.J0 m-1\1 r-'/-J Mincsted lly: O/v�+ff l 0h4-/qj)/ 1,0CATION & GI,NFAZA11 16NVORf14ATION Location Address / wncr's Name 4,fv rDNc CU& 6 11 I c ` Gin of v u Address /// 6-ILA-1 C Assessor's Hap/1'arccl: Engineer's Nnntc NIM CONSTRUCTION REPAIR U.P64—'MZ) Telephone Il CV 3) 1-111d Ilse Lsfv'� Slopes( e) j— Surface Stones Dislnoces from: Open Willer Dody 11 Possible Wel Area II Drinking Water\Yell u Drainage Wily Il I'topero,Line 115, Il Other 11 S K E t Ct I: (Slrce(mate,dimensions of Inl,cxacl.locntions of tcsrholes R perc tests,locale cvc11nnds in proximity to hole;) V—1 L 4e � I SrKcc- r Patent nta(crial(geologic) �rC�Ge.e4L � isJI� Depth to Iledrock Depth to Groundwn(cr: Standing Willer in I lolc; No% ���� Weeping from Pit face P40 OpS, I:slimaled Seasonal I Iigh Groundwaler Now-O6f 6tLjU'rufF /AO u). I)ETERMINATION FOR SEASONAL 11IGII.;�'VA`I'LR.'I'E11ILI, Method ilsed: Depth Observed standing is obs.hole: in. Depth to soil ntotlles: Depth to weeping front side of obs.hole: in. Gtoundwnlcr Adjushocnl Il. _ Index Weil 11 _ .. RnndinR Dnlc: _ rules Weil level _ Atli. factor All Gtoondwnict I-cvel PI ItCOL:A'I'10N '['I�S'I' ii�ile / /f �y Time Observation I tole 11 -Time n(9" to 33 Depth of Pere 7.�5� '►'line n(6" 10:3 -10 Slat[Prc-soak-fime n End 1'rc-soak A� Rate Min./Inch 4a � Site Suilabilily Asscssmenl: Site Passed Site failed: Addi(ionnl'hcsliug Nccdcd(1'RJ) Original: Public llcallh D)vlshnt 0 Ilse rvalion Ilole D;1111 To Ile Completed on Ilach j Copy: Applicmtl DEGET 011SERNI TION IiOU LOG I lole I/ rP, Ocpill floor Soil lfolizoll . Soil Color Soil 01her Stollice(ill,) al h I g (Souchlic,Sioncs,lJoulducs. lLl I shical 1 g.y j"21 ml M-ci 4D YA-31;k 6W 1/9%L e' DEEP OBSERVATION jioup, Loc., Hole It I)C11111 I'lool Soil 11007.011 soil Texillic Soil Color soil 011ict Soll"Ice(ill,) (I JSDA) (Nionscil) N10111log (Sloiclorc,Sloou.s,llooldcics. DUOT 01181,00"ATION 11OLIP, LOGI II e 11 OC11111 hoar Soil I lol lzoll Soil Texillo: Soil Color soil Oflicr Sill fi-lcc(ill.) (USDA) (Mullsell) Mauling (Sillichlic.Stolics,llooldc1cs. twou, 0081'Ut'VATION 1101,1, 1,0c; I)CIIIII llool soil I lof izoll Soil Texillic soil Color soil Ulhcr Sorface(ill.) (I ISPA) (Monsc1l) Mauling (Sloldloc.Slolics.llouldt:1c's, ML(LU 11 S 11 r-amul-lal Above 500 year(too([boundary No _ Yes Within 500 Year boundary No Yes V1111111 100 year flood boundary No Yes MWIL—of-Umatimul—ly Occllrrijjgj'c Oils Majeri'll Mies a( least folic rect or nawralhy-occurring pel.v i w nalerkil exist in all areas obselved Olioligholil the '11-ca proposed for file soil absorption System'? If liol, what is the depth of naturally occurring liciviolls malclial? I certify that oil -_((L'9J (dat e) I have passed the Soil evilti'mor examinationexaminationapproval by (lie - -- Ocri'll 1111cill of Elivilolillicillal Protection and that life above analysis was purornic(l by tile co ,,.sislcll( will, the re(Iiiiii-ed 11-11111111191 c pail H and cl)cl'icllcc described in 310 Cfv1 It 15.017. Signature i M I c No. FEE COMMONWEALTH OF MASSACHUSETTS Board of Health, M'ST>�M; APPLICATION FOR ]DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( Repair( ) Upgrade Abandon( ) - (Complete System ❑Individual Components Location lit (?.eoje ST N tfn 411 Owner's Name L U A"14%JCL f C-j-ELIfo Map/Parcel# Address ((I 6/a q e _jY4t-es +` Lot# Telephone# SSU ,f 4.3-0-;,� I Or— 1EAt!-L, F,---4 Installer's Name Designer's Name Q ,%jj LL Address Address 67 (/try. (+^t 0J?-MWtL1T Telephone# Telephone# ,Cb j Type of Building / JIC�� t/t l Lot Size sq.ft. Dwelling-No.of Bedrooms I PIL-004 C Garbage grinder( ) Other-Type of Building No.of persons Showers( ),Cafeteria( ) Other Fixtures Design Flow(min.required) eZa-O gpd Calculated design flow 37 0 Design flow provided 340•a gpd Plan: Date /41a-7R 9 Number of sh%ets f Revision Date Title UP6-4-4vF" Description ofSoil(s) W19 Soil Evaluator Form No. Name of Soil Evaluator � Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS 6-&%L� Ar,i0 3 LCPYt t.-J%- 6"-6C 5 (0JCA4LL A4-C4 The undersigned agrees to it tall the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to a e the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections No. COMMONWEALTH OF MASSAC14USETIS FEE Board of Health, ,MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed( ),Repaired( ),Upgraded( ),Abandoned(,) by: at has been installed in accordance with the provisions of 310 CMR15.00(Title 5)and the approved design plans/as-built plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector: Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE C®MMONWEALT14 OF MASSACHUSETTS Board of Health, ,MA. DISPOSAL SYSHM CONSTRUCTION ELRMIT Permission is herebygranted to; Construct( ) Repair( ) Upgrade( ) Abandon( )an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Form 1255 Rev,5/96 A.M.Sunkin Co.Boston,MA Date e Board of Health 0000 Oki PURCHASE AND SALE AGREEMENT This 1�TN day of June,l999 1. PARTIES AND MAILING ADD LSSES ,-�,8- . Manueottelho, reenter of the Estate of Antone Bottelho, c/o Peter R. Perpall,Esq., 159 Main Street,Falmouth,MA hereinafter called the SELLER, agrees to SELL and Russell Dow, 10 Kelly Road,Nantucket,MA hereinafter called the BUYER or PURCHASER,agrees to BUY,upon the terms hereinafter set forth, the following described premises: 2. DESCRIPTION 111 Grove Street,Hyannis,Barnstable County,Massachusetts 3. IBUII.DINGS.STRUCTURE lWVROYEhWIS-FEKTURES included in the sale as part of said premises are the buildings,structures,and improvements now thereon,and the fixtures belonging to the SELLER and used in connection therewith including,if any,all wall-to-wall carpeting,drapery rods, automatic garage door openers, venetian blinds,window shades,screens,screen doors,storm windows and doors, awnings,shutters,furnaces,heaters,heating equipment,stoves,ranges,oil and gas burners and fixtures appurtenant thereto, hot water heaters,plumbing and bathroom fixtures,garbage disposers,electric and other lighting fixtures,mantels,outside television antennas,fences,gates, trees,shrubs,plants, and,ONLY IF BUILT IN,refrigerators, air conditioning bquipment, ventilators,dishwashers, washing machines and dryers; and but excluding 4. TITLE DRED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER, or to the nominee designated by the BUYER by written notice to the SELLER at least seven (7) days before the deed is to be delivered as herein provided, and said deed shall convey a good and clear record and marketable title thereto, free from encumbrances, except Z0 39Cd OSSV W -n3HO.LIW 3-LVA 89£TZ9£809 0T:01 000Z/9Z/10 (a) Provisions of existing building and zoning laws; (b) Existing rights and obligations in party walls which are not the subject of written agreement; (c) Such taxes for the then current year as are not due and payable on the date of the delivery of such deed; (d) Any liens for municipal betterments assessed after the date of this agreement (e) Easements,restrictions and reservations of record, if any,so long as the same do not or could not be used in such a way as to prohibit or materially interfere with the current use of said premises; T) S. PLAID If said deed refers to a plan necessary to be recorded therewith the SELLER shall deliver such plan with the deed in form adequate for recording or registration. 6. REc STERED Trr>t.E In addition to the foregoing,if the title to said premises is registered,said deed shall be in form sufficient to entitle the BUYER to a Certificate of Title of said premises,and the SELLER shall deliver with said deed all instruments, if any, necessary to enable the BUYER to,obtain.such Certificate of Title. 7. PURCHASE RJUCE The agreed purchase price for said premises is Fifty-Three Thousand Seven Hundred($53,700.00)Dollars,of which $ 1,400.00 have been paid as a deposit this day and $ 100.00 was paid on $52,200.00 are to be paid at the time of delivery of the deed in cash,or by certified,cashier's, treasurer's,or bank eheck(s). $53,700.00 TOTAL $. TIME FOR PERFORMANCRa DELIVERY OF DEED Such deed is to be delivered at 10:00 o'clock A.M. at the Barnstable Registry of Deeds, unless otherwise agreed upon in writing. It is agreed that time is of the essence of this agreement. Dh-YS &FrEQ, Tl+r 1S. JAN cX OF 14 To .LELL �q A�N�a� � 3�� �rE �wv 14., Est�ht- } �M 2 10 E0 3911d OSSd ? -n3HOlIW 31VA 89ET69680S 01:01 000Z/9Z/10 .11: 13 50836 '1368 KATE ML CHELL _: AS' 0 PAGE Fri JQL`21 .11 �1�il�s��MM ` ,tLCAPtItr►TIC � , ./0!T'l ►. 01 w • .41►A•t.+rf�r.kpnr fth►.ws.�i►�,Ir . i�wtAH,rr.uY1WRNYs11'tt1 Vida, Tub�,�� pll.isda�-�tt•o�r�r'ltr(�'i1i11 l!tl•I!,It Ili Cove Street 41ifln-6-. MA A4+e-C�po 9.pl�c'�proposel w i'nowl a Tille v a r4k ryllent Ih;a three bodrur+rn dwtNina pe+ Town of Jlynt�luhit Alld atetr p111t�. gysrtln M+111 Ihehlde fis+otl!llgA ISOO albs sy►tie tank. isis+alling 0•box.and lelyl 141+a•ttpacity HttHlralurs to the Cepjfloo R`acliiall kid vnlll P*Atd stuno. f1�e inehi0ca aA Pti+^I IRP.Dtyily,owmits,tow*11111wlirim,trucking.MM.antic,lalvv Anal machine wueK .Allr ClKfilf`Ctupnah.ctvttcs aiW tillwJ wsrh clNn fund. Syater"win 16rd of 11P41h appurua►s Arq to 6+c IcR Malw+l.>•nCalU wad U 14"1 I+a poubt(Nu ioem MtJ-Clllte�itptlt�a VWi�osa)is a symnicad m prite not to 1 cod a,rry higher IAu+ taro in I canU Oct W tue. ><�200.Oo I'f"e+t 3W.00 to ct►►►+rrwric+e p"ttina Flea"Ovw vp to 2*r wt+ahs rot Pawling am Kh 54144t dtur Wua completion and 414trery of oorrificnte Itest+ectArlly lalen+itlad, Wte _ i ePOYi pies. apeel6c/1t+011f and cemilws are sallifeetury end are iw+lbyr acetp44. Sgnad IHIe �i� tfete ►Itaww life hash copies er+d rrtvrn at a to u+ T1tr,nR y�.0 fvr.yvur�ccxraideration r 24'-0" /' 5'-10" // 1X-8 118" 4'-5 7/8" 3'-0"x 4'-8" (.J 6'-0"x 4'-8" / O 5'41" / 6'-2" N w — 2'-11 X-4„ m -CD E ` (currently Kitchen) x 2'-1" CO Proposed Bedroom 1 ' �\ Ia ImCD (currently Garage) .= 2' --------L -1" ,/ 10'--01/2" '2-101/2 Proposed Kitchen T-1" CO x .� T-5" / CD w J J 4'-0"x 6'8"PD _ 7, v 9'-5 3/8" - X'4 5/8"' Cb 6'-0"x 6'-8"SD - N - ------ L 3'-°x6'-e" 5'-6 1/2" / 5'-5 1/2" 71, CD CO / a - Bedroom 2 o / --� Zo 6'-4" I Mechanical Room I 5'-T' T-5" N \I 6,_4„ Scale: 114 inch = 1 foot i dH 24'-0„ 5'-10" � 13'-8 1/8" 4'-5 7/8" -- 3'-0"x 4'-8" 5'-0'x 4'-8^ Zz rnrn (currently Kitchen) m - J I I \ cV _ r C cV rn � � � N roposed Bedroom 1 1._,,, CD F I I n (currently Garage) 3'-0^x6'-F' 2r_1 n O O 10'-0 1/2" a Proposed Kitchen �_'� 71 N 4„ N T-5" , —a \\ 4 0 x 8"PD N LO 3'-0'x 6'-8" _ .� O 5'-6 1/2" '-5 1/2"CD LL Bedroom 2 6'-4" WH� v 1 Mechantc lcp fll Room 5,_7„ A J T-5"i1 ,E 6'-4" Scale: 114 inch = 1 foot Pt/q/\j Qf 5 E?77 c S Y Mel �^ - LEACHING CHAMBERS"FLOW DIFFUSOR q SCAt,E � z /o "END"CROSS SECTION o r RfA : S9 X 0 SF TEST PIT DATA MODEL:SHEA LE-F05(OR EQUIVELENT) 1 L h FINAL GRADE TO BE STABILIZED C Performed B: Daniel B. Johnson FINISHED GRADE(SLOPE•.02) Witnessed By: Donna Miorandi 1. (.1 , , I11. i2"(MIN) ,. H•10 G LL- 69 6, Datd: December 15, 1999 LEACHING CHAMBERS: 3 0 0 ` o° 41, r �S CFND) DIMENSIONS:&LX4'WX1`1"H O 9f 9 99 TP•-I' (EL. 99.8) 3' 1 1 [� 3/4 •11/2' DOUBLE _ Z I: �30'L X EEC X 7 H ING EA .� WASH D STONE O 0" �s„ R 2 Lam and E '-' CFgcNrwb, crr +6£RS 9 A, 10Y 3/ o. . Y fine s o $c,r q w 27" Bw, 10YR5/8 Loam fine sand o 30 rS 27" -120" Cl, 2.5Y7/4 Medium coarse sand o > No bserved ESHWT .��. oc� :LEACHING CHAMBERS LL,I rPs r 3 TO MEET THE W a fix , E g No Y�served Groundwater 10' REQUIREMTNETSOF U P 310 OMR 15.252 0 PERCOLATION TEST DATA 19ws x scarrc r.4Nk Date: December 15, 1999 ' DISTRIBUTION BOX � '- H•10 GEn►cNMARK D-8sf Soi ` Class: Class I (0.74 G/SF) RiS��E EL too.00 , p°Strl qo /o ,. REMOVABLE COVER 4"SCH 10OUTLET LATERALS Z Tof s�R� a s=.o� Per Rate: <2 MPI (TP-1) DISTRIBUTION BOX TO MEET ? SHALL BE SET LEVEL FOR A o<c.N c, REQUIREMENTS OF 310 CMR MINI MUM OF THE FIRST TWO 99f6 rr 15.232(WATERTIGHTNESS. FEET AND CONNECTED TO frs Nlr Dep h �of Perc Test: 37" - 58" CONSTRUCTIOWETC) 2" EACH DISTRIBUTION LINE �+ILoias EQ E---1 z I ��cS Po•� �- WITH SOLID SCH 40 PVC PIPE ♦ EDAof-1 AiJf {ief Nore� " •---�� PRoI ( 4 SCH 40 6' �. �4�10�T�oN rw�Ks SCHEDULE OF ELEVATIONS NO.OF OUTLETS: 3 o MECHANICALLY CRUSHED ($cc 'V ) lo, 4 SCH 40INLET TEE TO BE C o 6' (MIN} o �, II s:.c o 0 0 0 o STONE(<�3J4 DIA) Q r W , M 1 Under Slab (existing) 98.0 1NSTALLED(FORESSEXONLY) -. Z b h 99�4 ,o Inv,' In Septic Tank 97 . 60 � STABLE LEVEL BASE �' ¢ .` �+ In Out Septic Tank 97 .35 X ¢� ' 91ts ) �• oo In In Distrib„r;nn Box 97.10 0.. ;; . In " Out Distribution Box 96.93 ')' � I � 1500 GALLON SEPTIC TANK Q 4R,�,,;...,� ; Evsrm& NosisE f tu 1, In In Leaching Chambers 96.80 MODEL IK-1500(SHEACONCRETE) JOREQUIVALENT) "~ .CfE• ri w GRRAbE Bot "om of Stone 94.80 Bot om of TP-1 (No Obs. GW/F.S HWT) 8 9. 8 FINISHED GRADE I " 24"DIA 24"DIA 3"(MINj 24"DIA _ I LEGEND Z op ' � H•10 16-10 l Exi ting Contour - - - 98 - - - 4"SCH 40 d 2 -�j p Pr osed Contour 98 3 7 4"SCH 4D 10' FLOW LINE 14" 2'ABEL FlLTER A•300 _ � SEPTIC TANK TO MEET -• Te Pit "SCH 40TEE q - ao j, . 4 LIQUID LEVEL REQUIREMENTS OF � �, .. GAS BAFFLE 310 CMR 15.226 FOR p Q 0 ,p O Fi shed Floor Elevation FFE 4"SCH 40 WATER TIGHTNESS. .. .. W • TEE ETC W _ Y �R�e:o tea' Ba. ment Floor Elevation BFE cn C w W !� o c*, c MECHANICALLY � N o g u 6" (MIN.) + cam` oCOMPACTED � Wa r Line W _o CR SHED STONE STABLE LEVEL BASE <�3J4'UTA Te & Electric Llne T & E' ---- SEPTIC TANK DIMENSIONS: 10' 6"L X 5' 8"W X 5'B"H NOTES 1•--• AJCo PgfiKrn+bti+ �4• r: ER s 1. All construction ,,.ethods shall conform to the Title V 310 -., c- t, rv�rvo�G `' got° CMR 15 and the L ' ratable Hoard f 1 ) LL v b� q ) '� o Sea th Fegu l.at_ons. 1 +t There are no kno�. W �.�.ra,.e or ubi�c we.��s w _ r► P P zthin._10p_or 400 - J 5 1N . , . � feet of the ro o,ed leachi,. w. - iN P P ng area. (� w � � us W 1 Y N � ��. �s ` ' Q o ' R� 1 wMRows til 4� H7� Existing cesspool to be pumped and backfilled 0- 2 2 y Of prior to installing the new se tic tank. W ° � 2 Q P Q. ao al ? °°Rtis? �'� 9 . No changes are to be made in the field without the a rov 1 ,1 " z ar�p � g : of the Board of Health and the desi n en sneer. PP a u P+�'E s• Ar a� v g g v r _• dig �� ST • r 5. Proposed leaching chambers are not designed for use with .� garbage disposal. A �R oFl(,E OF SEPrtC. SYSTEM WAAA S(.A LE AS l Nownl s �� :� `� , o� ' warcnorr `"* 6• Contractor to notify Dig Safe 72 hours prior to `��' Construction. (800) 344-7233. c st 4r-osrr9r,�t A�rp loos l� �J c4e4 7. Property line information taken from Deed, Land jR�r; Registration Book 11, Page 255, reference subdivision lan Q P Nr Rea ftsk wENf.E �FURoPf*x 10504-C, dated August 10, 1931, by Morse & Chase, Engineers (f) P E l O(.�r wva 8, rz tisys Yiucort sNot R t � s n stoitEcfivE (Lot 21) . O cc cr a 1sR • A Rat .. 8. A deed restriction for a 2 bedroom house shall be re ister d roc tsLRA) ~~` 99'`� 99+rs �,: "" a� w"��;NALL, �' ° °ES'�y "'0, �K at the Barstable' Registry of Deeds for Ill Grove Street, e C3 », --=' G pcw ARK ` �� ( o ,• , Hyannis, prior to any issuance of construction permint. W VARIANCE: VIA TITLE V W a W A %A -J 3 E-- �'+9 _ - -----�-•-- 1 . Request variance to reduce the loading rate from 440 ,~� to 90 9 ScH 4v S:,o5 + ' ± GPD/acre (110 GPD/10, 000 SF) to 110 GPD/2, 960 SF, within a s or M„�, N nitrogen sensitive area, from the proposed upgrade of the W t U , i uy,4° s�,vr °� existing 1 bedroom house to 2 bedrooms, 310 CMF 15.214 . Q 1,1 1 j 78,or 97.b o 9>.3S yE 937LJ t. LL. i 9b 6eoU awE� ChS.CVL*TIONS � 9�.ao CsEe DCIL-) m DI3rRr6uMON ' 1 Bedrooms (Existing) + 1 Bedroom (Proposed) goX 110 GPD/Bedroom X 2 Bedrooms = 220 GPD Percolation Rate - < 2 MPI (TP-1) ; + Soil Class: Class I (0.74 G/SF) i PROPOSED LEACHING ARE�r.: g 5 , , IYOO &AUQA1 3 Ar 8 tF 4W � ( 1 ■ SePr-,c. rRNK 5 Leaching Chambers: 30'L x 10F W x 2.0'H (overall) Z Side Area: 160 SF X 0.74 G/SF = 118.4 GPD L1J 9x Bottom Area: 300 SF X 0.74 G/SF W 22 . (GPD LID Total Leaching Capacity: 340.4 GPD * [ Q LID 0) —} N p p * SAS Designed for a :I bedroom house minimum, per Title V •� O pl 01 Et- 89. S o 01-r� W 9° gorruM oP rP-� Q N N wo oSS. 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