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0173 MITCHELL'S WAY - Health
Hyannisy ,, III I I� 0 —,J =J�RECYCIppCo2m QD UPC 17734NO.2-153CR NASTINQ$,MN x,��` �a� ri��ti�n� � � ���; J a 4,t t . Crocker;,Sharon From: Brigham, Anna Sent: Tuesday, July 07, 2020 12:59 PM To: Crocker, Sharon Subject: FW: 173 Mitchell's Way Hi Sharon, Thanks for following up! See the email below. This is what I received from Tom Rugo. The Health Questionnaire is part of this series of photos. The Questionnaire needs to be completed by Health Dept in order to proceed with the Accessory Affordable Apartment hearing tomorrow. Please let me know if you have any questions. Lopmev f 0F Anna Brigham Principal Planner I Planning&Development z Town of Barnstable 1200 Main Street I Hyannis, MA 02601 anna.brigham@town.barnstable.ma.us ¢L",A N P 508-862-4682 Website I Business Barnstable I HVArts I Barnstable iForum The Town of Barnstable is operating and providing critical services to our community. Town offices at Town Hall and 200 Main are not open to the public, but staff is available remotely and meetings are being scheduled by appointment only. The best way to reach us during this time is by e-mail, but you may also leave a message at 508-862-4682. For updated information on the Town of Barnstable's response and resources related to COVID-19 visit www.BarnstableHealth.com. Thank you for your patience and support as we continue adjusting to the COVID-19 outbreak. From: Tom Rugo [mailto:tomrugo@comcast.net] Sent: Monday, July 06, 2020 5:01 PM To: Brigham, Anna '.Cc: tomrugo@comcast.net `Subject: Fwd: 173 Mitchell's Way i Hi Anna attached please see Jay's completed bd'of health form. Thank you Tom IRugo Sent`from my iPhone Begin forwarded message: t From: James Tripp <ajsdiscountggmail.com> Date: July 6, 2020 at 2:59:47 PM EDT To: tomrugogcomcast.net Subject: 173 Mitchell's Way i / ` I CITIM f� � � �Yi E a•J e t t j -r`I Y4��*"' 'l,h�"s'���"/t�. }t r � + 9� � Health Depaitirienftiv. =off Hours:8 00'A.M 4:30 P.M a TOWp Of Barnstable: Received by Health '~ u a ory, crvices -'Reg' Department on 7Rich-ard V.Scaili,Director Public Health Division, r 1.6mas McKean,Directotr ki/ F 200Main Street,Hyannis,MA 02601•' Office: 508 862-4644' Faxp 508-740r6904 ACCESSORYFORDABLE APARTMENT . SEPTIC: ,'QUESTIONNAIRE ProperlyAddre ss: 7. �G til 0�6 + Assessor's Map/Parcel Numbtr: �q 00 7� Applicant(s) Name: Phone: ;so:8= ..�3T I O X4 E-Ntail: Size of Lot: CS'2L) :2a. How many bedrooms exist at your property now? 2b. How,many-bedroom are you planning to add as part of the•Accessory et Affordable Apartment.Program application? 2c. How many bedrooms total-are proposed at this property (including the Accessory unit)? _ i 2e. It the proposed Accessory.Apartment contained within:. `{ the main' house; OR; a•detached,stru.cture A 2f j : Submit floor....plans•for-all buildisags-on the entire property. Show, all existing-rooms in the dwelling and the proposed accessory apartment.. `Labeteach room clearly. Label•measured ' width of all open dootWays. -Use-straight edge for hand drawn :plans and be:sure a I' 'beling is legible. . p. Slgneds' D'ate., I 'Ii l4 Y lit ACCESSORY_AFFQRbABLE APARTMENT � 1 Ck SEPTIC QUESTIONNAIRE .. FOR STAFF USE ONLY: 4` 1. Is the.dwelling connected to Town'sewer? ❑Yes �No 2,r Dwelling located p:INSIDE [9 OUTSIDE the'Saltwater.,Estuary Protection Zone `�i a Dwelling located P INSIDE e' SIDE public supply well Zone.of-Contribution 4. Dwelling is connected to:r❑ON-SITE WELL 16tIC WATER 5. sposal'works constructionpermit on file? CLY� ❑No 6 If yes, how many-bedrooms were allowed by this permit: bedrooms 2009 �r, 7: Were building permits obtained for additional bedrooms? ®< . ❑No 8. Engineered.septic system plan: a. On file at the Health'Division? es ❑No ` 1 . If proposed accessory unit Is detached from principal dwellino Is that plant on rile? ❑Yes. ❑ No ,. 9. Existing septic system capacity is bedrooms For the accessory unit to receive approval from the Health [aepactment'the F following.action'must occur: ❑'Existing system accommodates proposed'additional bedrooms) sd ❑Upgrade existing system to accommodate additional.bed!oorn(s) l ?� ❑Must'remove.a bedroom from the main house ❑Must,connect.detached structure to the existing septic system ❑Must install septic system for the detached structure - MM h,+;* Other:. L Signe a j� ,. LJ?�Ir'" w�(�`ir:,,h v'�.�•v' ��-if�M �'' ,,{':- a ��.. i z�y, C� , {j i ��c rfa a i.,' �S .'t` L- s� , e "r•. a .,.� Y�,�nr' }4 r `=�•A ' �' rt� �;p �� � g� ��',� 'S� >CY `�h' ` ,�e �/'r +'�?� � '"�+•�• 'f�'p:i� 1 _�#'��..ylph,W tr y "�? '! i� •r � ,, ��� � f}',!{.0�_ ,r',.� '�" ._ws Y a,�� '� �_ a f�`' � 1 1 I ,)�, s•Z ra,4 ' •i S� h RUG THOMAS R. O 11 275 Millua�'' T'O Box'73 ' ;:* Barnstable Villager N4A Ob30 tonnugo(a'cciiiicast.tic t `- 1 1, 508.375.9975 ��•J YA 4�' v July 3, 201.9 'Sw Thomas.McKean • Town of Barnstable !;f Regulatory Services. f' Public Health Division ? 200 Main Street f Hyannis, MA I! ti. Dear Sir or Madam; ' Attached please find: 1. Mr. James A Tripp's completed Accessory Affordabie'Housing Apartment Septic Questionnaire for your fii&&— (L .I 'Phis application is scheduled to be heard Wednesday July 8,•2024 at the { `- Board of Appeals. Thank you..,-.' " Please contact mel if you have any questions, thank"You. rl Very rs I . rY Y ou �. 4 ' Thomas R.Rug tomrugo@comcast net ns Enc. 1 CC:-J Tupp r r i TV 4 4, L+y ay4q rT� R tr'cP i �9 { r 'd ; Yt j' " 4y ,M,,.t t h Q^ �: _ . .. k a ® ■►`eie� ■■ ■■■ ■ill. ® � _ - a ■■■` - �� ■■ - ice, ■■e■i■��l�J'�i�i e■e■®I -_ ■ ■i ■■■e■■■■ee® sei see Xu Icy ■■■�■ ee ■®■ ■■®■■!■■ ® ■■1■■■� 'JINN Sol son ■ .1�W �iiiiC■� ■iiit1® � ids ® !■eee■ ®se���r v ����� ■ LeiWAS 0®■o®�®® . 1 f ' s „ -►� ;s '� '• R^" .xrN '' -,I...' .ifsr �ir.....,ra,14, Id - .Ply e - �1 � I:���� tit• f j - -- - --------- _fr y f # i � 7 aCy 1 . s 4 C3 I -m-k k�j 14 y x^ IF _ Fri f Flealth ®epartment.®rop-off Hours: 8:00 AA—4.30 0134 Town of"B.arinstAIe Received liy:;[iealtt:. �UtHElp R@gU)IatO'y'�erV1CeS. Departinent:on. Richard V.Scali,,Di:reaor eucxsraece, MAC Public Health Division sa79: Thomas McKean,Director: 200 Ma nStreet,:Hyamnis,MA 02001 Office: 508-8624644 Fax 508.-75M304 ACCESSO TAF'FOROABLE APARTMENT S TIC QUESTIONNAIRE Property More _ rl /��` 'C.�e1 S W* JN 5 Assessor's Map/Paecel N,urnbee: �'D' trb ' 00 I Applicant(s) Name: T1 Ar1' -f IN T Phone: I �`�'"1 i 6� E-Mail: Size of Lot,- 0 1, A C 2a, How many bedrooms exist at your property now?'_ i 2b. How many bedroom are you planning to add as part of the Accessory Affordable.Apartment Program,application? �I 2c. How many bedrooms total are proposed at this property,(including, the Accessory unit)? 5-: 2e. Is the proposod Accessory Apartment contained within: the. m* house; OR a detached structure 2f. Submit floor plans for all' buildings on the entire property. Shoe all existing roorns in the dwelling and_the proposed accessory apartment, Label;each r°oob7 clearly:. Label measured width of all open,doorways. Use straight-edge for hand.drawn plans and. be:s;ure all labeliir g is-legible. f Signed. Date: . � _ 1 1` ACCESSORY AFFORDABLE,APAR.TMENT SEPTIC QUEST,IIVNAIFtE FOR STAFF USE ONLY 1. Is the dwelling,cormected to Town;sewer? ❑Yes El No 2. -Dwelling located ❑;I;NSIDE ❑ OUTSIDE the Saltwater Estuary Protection Zone 3. Dwelling located ❑'INSIDE ❑ OUTSIDE public supply well.Zone of Contribution 4. Dwelling is.connected to EI ON SITE"QUELL "❑ PUBLIC WATER, 5. Disposal works consfiruction perm t.on file? 171 Yes ❑ No 6. If".yes; how many bedrooms were allowed.by this permit: bedrooms 7. Were building permits obtained for additional b.edrooms? _0 Yes El No 8. Engineered septicsystem plan: a. On file:at the Health Division? ❑Yes ❑ No. b. If proposed accessory unit is:detached'from principal,dwelling, is that plan on file? ❑Yes. ❑ No 9. Existing septic ystem capacity is bedrooms For°the accessory.unit to receive:approval from the Health Department the- folloWing action Must occur: ❑ Existing:system accommodates proposed.additional bedroom($) ❑.Upgrade existing system to accommodate-additional bedrooms) ❑ Must remove a bed room: from?fihe main house. must connect detached structure to the existing;septic:system ❑Must install septic system for the detached structure ❑ Other Signed, Date ��� U� 2 THOMAS R. RUGO Attorney at Law 275 Millway - PO Box 730 Barnstable Village, MA 02630 tomrugo@comcast.net 508.375.9975 July 3, 2019 Thomas McKean Town of Barnstable Regulatory Services Public Health Division 200 Main Street Hyannis, MA Dear Sir or Madam; Attached please find: 1. Mr. James A Tripp's completed Accessory Affordable Housing Apartment Septic Questionnaire for your files. This application is scheduled to be heard Wednesday evening, July 8, 2020 at the Board of Appeals. Thank you. Please contact me if you have any questions, thank you. Very truly yours, I Thomas R. Rug tomrugo@comcast.net Enc. CC: J. Tripp Health Department Drop-Off Hours: 8:00 AM — 4:30 P.M Town of Barnstable ' Received by Health Regulatory Services Department on - Richard V.Scali,Director .BARPWABM . =r Public Health Division i63y. �0 ;e Thomas McKean,Director ,. 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 ACCESSORY AFFORDABLE APARTMENT SEPTIC QUESTIONNAIRE Property Address: 13 7 1 r,bej I W Assessor's Map/Parcel Number:' R O® 1 4,71 Applicant(s) Name: FMCS II`� Phone: 00 S- 131 l 0,�'4 E-Mail: pi S CruA Q �= Size of.Lot: 2a. How many bedrooms exist at your property now? , . 2b. How many bedroom are you planning to add as part of the Accessory Affordable.Apartment Program application? 2c. `How,many bedrooms total are proposed at this property (including the Accessory unit)? _ 2e. is the proposed Accessory Apartment contained within: the main house; OR a detached structure 2f. Submit floor plans for all buildings on the entire property. Show all existing rooms in the dwelling and the proposed accessory apartment. Label each room clearly. Label measured width of all open.doorways., Use straight edge for hand drawn plans and be sure air labeling is legible. Signed: Date: 1 ACCESSORY AFFORDABLE APARTMENT SEPTIC QUESTIONNAIRE FOR STAFF USE ONLY I., Is the dwelling connected to Town sewer? ❑ Yes [V No '.2. ,Dwelling located ❑ INSIDE 016UTSIDE the Saltwater Estuary Protection Zone 3. Dwelling located, ❑ INSIDE Beo"UTSIDE public supply well Zone of Contribution P._ 4. Dwelling is connected to ❑ ON-SITE WELL W- BLIC WATER 5.' Disposal works construction permit on,file? es ❑ No 6.^ If yes, how many bedrooms were allowed by this permit: bedrooms 7. Were building permits obtained for additional bedrooms? ❑ Yes E No ' 8....Engineered septic system plan: a. On file at the Health Division? 3,Yes ❑ No b. If proposed accessory unit is detached from principal dwelling, is that plan on file? ❑Yes ❑ No 9. Existing septic system capacity is t2 bedrooms For the accessory unit to receive approval from the Health Department the following action must occur: ❑ Existing system accommodates proposed additional bedroom(s) ❑ Upgrade existing system to accommodate additional bedroom(s) ❑ Must remove a bedroom from the main house ❑Must connect detached structure to the existing septic system Must install septic system for the detached structure ❑Other Si 'ne Date 7Z7 20 LU 9 - 2 ap FOR TOUGH CO9VIBMONS woodbywy.com/®SB ■■ii■■i■■■i■■■■■■■■■■■■■■■■■■■■ _ ■iii■■■■■■■■�1■ii■■■iii■■■■■■■■■ ■■■■■■■■■■■■f ■■■■■■■■■■■■■■■■■■ i■ii■iiii■■■ii■it��"i■■■■■■iii■■i■ ii■i■■■iiii■i■ii■ ;i■■■■■■■■■■■!1 ■■!!■■■■■■■■■■■■u■■■■■■■■■■■■■■I ■■!i ■■■■■■■■■■■■■■■■■■�L�■i■■■■■I ■■. ■■■■■■■■i■■■■■ii■ �� ■■■■■■! i■■■ii■■■ii■ii■■®■■■iii��•: i■■■■ ■!ii■i■■■■■■■■■iii■■■iii■ii■■■■I � !■■■■■■■iii■i■ii■iiiii■® ■■®■■■� . misamil■IAI■■p]■■■■■■■■��!■i■■■■■■■■■1 ■■dill■ '�!■ �■■■ ■■■■■■■HEIi■■■■i■■1 ■li _- ■�1 'ii■■■ii■■ 1■■R■■■ R■■■■■M 1 - ■I■ ' ij ■■■i °�■■■®■�■�■■■■N�■■■■■■1 ■■ii1 iI`� iii■■■■■ii■■■■i.��■i■■■�1 ■■!®Ia��®i�®®®i■�!®®®i®■i0i�r�■ii■■I1 ■iiiii■■■iii■■■■■i■■■■■■■■■■■■■ e 4��I 7 � �� p � nn `�`J ���' { �, v -�, 0 ... .. _ �r -' -ION (\f 4, , s a'•s'itn/e%f1j.~�Y .�m.w..rwn.ra rw..-mas+�rw..:.rx..e.+�..W,a.r.�.:wu,.+r..sa.e.s....�wn�«.�f^^^"°v4�ra=Nn.p..,..,,-,V.rwW�.,...M..--..- Mk"+rY'" .;.•+'r+� .^Ywiv"W'�a. '...sr.i+�+;•sw wa�•`a..r.rm..r..ew.{.».www• } \emu .. rl e � HP ceJet 5200 All-in-One Printer Fax Log for Ju 20 8:10AM Last iransaction Date Time Ty Station D Duration Paces Res Digital Fax .Jul 1. �:09AM ax Sent 50877801 0:28 1 K N/A r -.r.eor-a�w. ..e .ew.....r..ynv...,•. .. w., r w y va .n-.•...e .wi'_, yY�..w-yw,_� e W. .. ..,.Mt.h. -.Ww a r � -� ct HP Offi at 5200 All-in-One Printer Fax Log for Jul 012020 8:13A Last Trani action Date ime Type Station ID Duration Pages Resul Digital F Jul 1. 8: AM jFamxSent 5082550068 0:44 1 OK N/A y J r THE FOLLOWING IS/ARE THE BEST IlIvIAGES FROM POOR I QYIALITY ORIGINAL (S) , A- , IL DLa4La N �cw Fee o. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pprtcatton for atgpogar 6pnem ConfStruction Permit Application for a Permit to Construct( ) ,Repair( ) Upgrade( ) Abandon( ) ❑ stem Complete Sy stem y ❑individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. G�1� c7 t�cCU/I i9c n 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(min.required) � U gpd Design flow provided d gP Plan 'Date Number of sheets Revision Date Title . Size of Septic Tank .13-60 Am Type of S.A.S. In Description of Soil �� Nature of Repairs or Alterations(Answer when applicable) .7d� S Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore d accordance with the provisions of Title 5 of the Environment de and not to place th Compliance has been issued by this Board of H I t i ned Application Approved Application Disapproved by: �' y for the following reasonsF Permit No. Date— Issued k as THE COMMONWEALTH OF MASSACH BARNSTABLE, MASSACHUSE �a Certificate of Com Uattc THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( Upgraded ( ) Abandoned( )by !q at S ZL1,,tV has been constructed in accordance �Jm with the provisions of Title 5 and the for Dispos System Construction Permit No i— dated Installer A4, kieDesigner /// #bedrooms -Approved desi n flo ;1111 gpd The issuance of iis pe it shall not be construed as.a guarantee that the system wi fun c ' as desig e Date L I I loci Inspector ——————————————————————————— No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION —BARNSTABLE, MASSACHUSETTS tg ogar 6pgtem Con6truction permit Permission is hereby granted to Construct ( ) Repair-( -'.)`-Upgrade Upgrade ( ) Abandon ( ) System located at ,' ' r_ ,; ✓,�' and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be coinpleted within three years of the date of this pent!iit: Date -���' Approved by, Y FROM :down cat pe engineering inc FA a NO. :15083629880 , Jul. 23 2003 08:52AM P1 Town of Barnstable, ; Regulatory Services Thomas F. Ceiler,Director a. MAO& Public Health Division V s� � S'homas McKean, Director° 200 Main Street,Hyannis,MA 02601 �3 1.:k, 508-862-4644 °Fax: 508-790-6304 Installer & Designer Certification Forrrt A ®� lgewaf!e Y'cr><aait# Assessor's NlapT arcel Designer, Ou �Da �..... Addfrc%s: rt,.¢lid i�ear. ._.: : ...� was issued a permit to install (d.att) - (installer) srsl:>t:ir systci1,at /._ �CA `!f W based can a design drawn by G 2- P _ (address) dated (dc er) T Certify that the septic system referenced above was installed su:bstantiaflw according is tdesign, lateral relocation of thehe whicli may include minor char► es such as cli6trilsution box and/or septic tank. 1 1`certify that the septic system referenced above was i»stalled with major cl>a'j.nges (a.e. greats than 10' lateral relocation ol'the SAS or any vertical relocation of arty component oJ.'thc septic system) but in accordance with State & Local Regulations. Plan revision or cel'taf-°ed gas-built b - ,Me.r to ibllow. r d DANIEL (111stal.er' Si nawre) ®,A1_A (1)esi� Signature)) (Affix Desl s Start Here)sn� s nature TO PTJRUC. tiEAt.JR RTVTSTON. CERTIFICATE 0 ANCE WILL NOT BE ISSUED UNT11, BOTH TH•H1% F'(3H2M AND AS-RUMT CARD A.91 X.1',C.EIVE,D BY'H'UR BAii NSTA9 LE, fl''UBLI.0 TT.F,ALTH3'DHVIS10N. '111ANK YOU. Q:1l,aal h/sc ic`Dcsiper Certification Fortn 3-26-0 i,dQ,e TOWN OF BARNSTABLE LOCATION i 7 ( SEWAGE .VILLAGE ASSESSOR'S dP&PARCEL , INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY -LEACHING FACILITY:(type) (size) T NO.OF BEDROON� OWNER `✓..J�PERMIT DATE:_ b AL�/J— COMPLIANCE DATE: 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 � N > I�, P� �, W No. � � Fee 5 THE COMMONWEALTH OF MASsACHUSETTS Entered in computer. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Z1pplication for Oigogal *pgtem Con0truction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. e/Z Owner's Name,Address,and Tel.No. Assessor's Map/Parcelp Installer's Name,Address,and Tel.No.�8 Z O� Designer's Name,Address and Tel.No. Type of Budding: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures N(�7Le Design Flow(min.required) gpd Design flow provided / O gpd Plan Date Number of sheets levision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) % SP 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 En 'ronmental Cod d not to place the system in operation until a Certificate of Compliance has been issued by this Board of H` Signe o p / n Date Application Approved by .9Date Application Disapproved by: ZZ 7 Date for the following reasons Permit No. Date Issued Y..'K"fP�"rv..r-e�7✓nnh�..r�..s,..r�T..+.nY* � *T''!;� �'Y/ ,. �e�inrl'p7+`�{7'''�'r�,(�C.%Tr.Ty�r�'�„'T' 'n t g w T,..xM h��. . ,c'w+`a�..'1v^+.b' '�,"4n ,+"^.1, q < .^'4's err ti..T..k'q-rr:..s"`^lW'wl•..!"'�+ �°.dJ_ !. .' C ','ws f,/✓// r � No. � T EtCO MONWEALTH OFsMASsAcHU rLTTS Entered in computer: PUBLIC HEALTH DIVISION"- TOWN OF BARNST ABLE, MASSACHUSETTS Yes prtcatton for �BiOaal *pgtem Cortgtructton,.permit Application for a Permit to Construct O Repair{ ') Upgrade( ) Abandon( j ❑Complete System ❑Individual Components Location Address or Lot No. /� � e!11419y Owner's Name,Address,and Tel.No. „I Assessor'sMap/Parcel ,69 fe Installer's Name,Address,and Tel.No. Y, Name, Designer's a g ame,Address and Tel.No. 1 O // :f�'CSG. ,.fit/ Z„Jr""'�• ,�, d Type of B Iding: j tf: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) ! Other Fixtures - Design Flow(min.required) n( gpd Design flow provided ��(:� d rt�� �. gP Plan Date Number of sheets evision Date j Title �. Size of Septic Tank «`C�d Type of S.A.S. Description of Soil %{4 Nature of Repairs orAlterations(Answer when applicable) (�,» 'Date last inspected: Agreement: The'undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage dispoJi,system in , ,accordance with the provisions of Title 5 of the En.4ironmental Cod and not to place the system in operation until a Certificate of Compliance-has been issued,by this Board of H"it Signe �7 c i O Date Application Approved by / Date Application Disapproved by: V Date IL for the following reasons 3 P,i pmit No. p.• Date Issued ———.-'———— —— ———— ——————————————Z, —— ——THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS } Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (1/ ) Repaired ( ) Upgraded ( ) Abandoned( )by at .Je 1�f has been co structed i acc rdance with the provisicps of Title 5 and the for Disposal -ystem Construction Permit No. dated Installer /5' d Designer /1) #bedrooms Approved design flow gpd The issuance of th' p if shall not lie construed as a guarantee that the system I n tion as,designed. "Date tJ Inspector — —————————————— �——. Fee �^ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH'DIVISION-BARNSTABLE, MASSACHUSETTS �Dtgo!gal *pgtem Con5trurtton VCrmt,t Permission is hereby granted to Construct ( Repair ( ) Upgna V e ) A an o ( ) System located at r W 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 m t e corrtplet within three years of the date oft s pe it, Date Approved by - 4. r , %I;U VC. 8ND, EL. 31.8 + 32,0 Af%t'C/fe//g Way +-320--------------31.9--------------4--3L5___ R=946.08' --v—+ (L_ LOT 4 N L=152.87' \ I ---+ 30.9 1 43,931 f SF 1.0± AC. '` + 31— �\ Z I I 2 = I I + 31,2 � F + 31.0 0\�o + 30,6 3 I a ^3j 0 O I + 30.8 + 30.e� + 30.7 REMAINS i I OF CELLAR HOLE TH2 I 1 + 30.8 I 1 1 0.a THt 34.T 1 I "13h31' .2 PROP. RET. WALL PROP. DWELL. TOP FNDN = + 30.6 ��) 35.7' 0.1' �0 'N13 WALK OUT 30.2 31'dM) 8: ,3 ELEV 280' PROP. 78•2' CK 27.8 PROVIDE NEGATIVE GR�— (ALL RUN-OFF TO BE Ud � + 30.3 FOUNDATION) —� 0 3 PROVIDE DRYWELLS TC TH4 RUN-OFF 1 m + 30. I t 0 + 0.2 30.3 + 30,1 1 W + 2b.7 PROP. RE GARAGE N \ I O + 29 0.2' 24 \I 9 L� + 28.5 9 ' 30 �O 2 \ =_j PROVIDE VENT VATH CHARCOAL FlLTEI AND OUGSCREEN(FINAL PLACEMENT + 28.8 + 28.5\ HOMEOVAER CONSULTATION) 'ZS + 29.6 3 27.2 +-29,0 \ 26,2 + 27.5 OLD BORROW 117 18 O. PIT 1=F1:'K :violin care engineering inc FAX NO. :15083629880 Nov. 14 '200( 10:37AM P1 owri Capp �ngineerin�, ins , C!V!r r1 11�Cr°� 9 LAN✓ 5UPV�YOR5 a�? MAIN 5t / �� b,'. YA�.� ��,. ✓,; , Al- CZ m,2'07 'r �. .u. a.Da s� ,u•w� - ..mwaam vim+ .. 17RC111 ::_!own cape engineering inc FAX NO. : 15083629880 Nov. 14 2007 10:37AM P2 G� T �11+tn�1�,� 1')t:)wn•Lulcut e1f..lit�I1t111B1n�y Sa•L vices ... 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Ah plb to➢pedfor-& T r4i11 In:11Crjai(l1cJ4AA;h:)—_— ---._•.—"— ....___ Weeping re Iw PI(tvece --- �. n) p51i 4u(J°a1lndwal(1r; �inllt4lag�VT1r1 in Ilulr,: ,_ _. .----.._...— v Ii4vir(Irxi ScasOlva1ltt1711[1muv1(fwaicr_—.— —.— LL __ �11 "WATIM'I'AIBLE' ji'ou SEW., Jr .---- )111 la Rtv11 a1o111es,__._�__._,.._�.___�_ IIv, llsrvl: — .,.•_..__.-.,.__-la. TJf-0 ullnlrnl,.— ..__..._fr. U C111pr.IVcd SIR, (1 Jun vb9,hole: e17111 —_._ I - 111. UrdulvelWn111T AtIJ ^� (ltateelllWM1ler f BV111_-. _ 3 i3rplb tuiwr-c1)itin rrohl slide t)(aba,lltrie: _—. .._-".�'—..- A(I•rpQttrP._._---- Ilravlin Uale InAr..x Well f_Ve!i__:._-_•__ t �- 117d1 A Vdr11 N --—•- �.__�•--._—_..�-- .f•In 1���; .---•-_---•_—.�— IlBI:�)L,A.'1'IOI�d'D.Dp�•In u,tl�_�._.._-- . t r IlaG:Jd 'rime pl Y �t- } Ti1x1+1(4"•6") — .. ln•,�:t"4r.,c[Y:tic"1-tvt3n-(tL __ -_— •' �?41((P I.4 sows. �-.— �—_—_--_. } 'h,:efr Mi4n.f.Irro1. _—. —. - _ aoew9're�nlog e•Ioo..W I1t'R'ID:—. .. �... ._�—.• •.•�-'' She T�wi1r.A' —.. A°Pdl 7,11t S%'hlk bi Illy Asxrllatur(ld: She 1'•ase11_— --•-- ;"— r;)r111h)al: 1`ubllr,'llrhhlt T.)tvtctua U9s<srvalirn Ito le 1)Inla J o 1Yae C-gnrlpleolct)on),lack --- -- i v 1 ma6 711, iC nTAI.YIOfif,� d➢Aae a CAI�J J i cvJrn adilB turf•i9 1. lae aa►la(1(ulaca@ w J1,1B6ee ;i.()() t i s'xs-101B9(1 y c t SCB l r11.Yolt 7)fvfivatnn 119,fa:elsL(filer (1) 'av(a?Jc (ts"JdB Ley Br(;p�ilBniul�. 7 - 0,33 ' 'owxa o �3�yr>tasl�ibXe Delrnrinlmit or.Reg Ilatory'Services nxfliAM� i 1'lll�lic 11c*s1lll> I)Ivisior.l pnir, J —0------- MAIM $ 20(1 Main:itrccl•Ilynnnrs MA tl?.GOI JHim L yee rd. Date Scheduled` I . . 'ess z erzl.rvX' Seilyage ,Dzsj)osal r 'vzJ' Szcrtabzlrlysrs 1 Wilncsscd BY: Performed Dy: LOCATION & G1 N.ipRA�LJNit'OINMA'I'ION 'Lcrcatian Address f __ i:ddres• Engineer's Nanrc - Asscssor's Map/l'Itccl:` 6 _ �5 ' 'relephone N13W CONS71010-ION REPAIR _ i v Surface 5loncs __---< . 'Slopes - I.nnd Use --- fl Drinking Water Well n � lcu 1Vatcr(laly ---_It Possihlc Wet Area I)iS11 nCCS from: tll U__---- __ ,tee 65 Ihainago way zex C 64 S W L _ LIS& r sue` ° rr i., i t. 36nt66 I j� s1-10 ' i• li`cct name,duncnsloris of Int•ra .• � ::� { 4 © . 63• e "� r 9-S (J, 6T R ry ash ® w sAAc 66 69 ® plat 110 62 T a to bs� f � i © �r ��♦ - o - 100 ;. -14.1 $ - I petpt. ZC r-� • aPL 17 by Ihplh to Aedrock Parent material(gcdlbgic), from Pt pe Weeping i Pr i [)CI III to Gioundwa�cr: 5t:ruoli:61V^lcr in 1lole _� w f I3slimated Seasonal Nigh Groundwater 'PION It Ui�SEWSONAI,IIIU11 WA'1'EI.t'I'AJ3LE ; D-11'I'ERAIINAIn. Me(brxl Used: ,,., - Ip, c)roundwnlcr AdjoRtulcnt ...., :-- 17cplh C�becrvcd slanding3n obs.hole: �- ^� arou0tlwnler Level .; 9 Ucplh lolwccping front side of obs.hole, - r- 1: AtU,(AClbr, _ -- Index Well Irvel _-�-- index Wcll.tf ►leading Date. . I'I�ItCDfile OLATJ UN 'I 1l S" Obscrvatiun Olei ' rc is i • 'I'lllle Al G ,---•--�—•-�"'" Dcp(h of Pcrc _., • start Pre-soakTitn(3.r? Did Pre-soak -�— - Ralc Min-/lncb - Sitc f�llrrl;�_�_.---- /1JJitionnl•Testing i3ecc?cd tYrN)--T--"'" Site Suitability AsseNsnlcne $ilc 1•assed, a Corn leted on Back--- --- Obscrvatioli I-tole Data To I3 P Original. Public Ilchltlt Uivtsion I i< test is'to he coudut .cal withill 100 or wetlniud,you must first nolUfy use * *If 0laihr �vrct(c [>'rior U>'Irt•gitinir�g. I3liru5tnblc Ctf t�scrvt><twn I7ivisiou ill least Dare{:1.) •• . . ,. j WEP OBSERVATION 1101,tt, 1.,O1 ldull /I lkpth from Soil Ilorizon Soil'I'extura Soil Color Soil Other Surface(bl.) (USDA) (Munscll) Mottling (Siruclurc,Sloncs,Boulders. �fa�Stl Imeje 'OJISERVA'lVON .HOLE LOG rrt)le I/ T milill6o01 Soillfotizon SoilTexlure Soil Color Soil Oticr Surfacc(in.) (USDA) (Muuselq Mottling (Structure,Stones,Boulders. _ousis(cll�.9G llfayel) j)EEp OBSEI VAVON HOLE LOG Mile# Dcplb flnnr._ Soil Ilorizoo Soil'I'Mure Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stntclitre,Sianes,Boulders. Consislet cy.%Qrpyell__ pEli.1'OJJSERVA`I'.ION HOJJLe LOG hole# — Dcplh fiuw Soil Ilorizoo Suil'icxlurc , •Soil Color Soil 01her Swfica(iu.) (USDA) (Mansell) Mo111111g (Siructure.Stooes,Boulders. f Flood Insurni4a Ra t). i Above 5)'l0 year Bond boundary No— Yes Witbiu 100 year boundary No_. Y43 l�t - Willun lW y e r float boundary No Yts a bu ry I� 1)e it I of Nulu uliV nccurrinr,pew rylmis Mutcrtul , Gz-; Docs at least fo it feet of naturally occurring parvioils n,ritc.rlul exist in all areas observed throughout the t-area ro scd f r ilia soil absorption sysic"l? — P �. If not,What is the depth of naturally occurring pervii,us material? 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S N • Qa Qa t R R R z!\ , j SYSTEM PROFILE NOTES " LEGEND SYSTEM DESIGN TOP FNDN. AT EL. 35.7 � ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) 1 ACCESS COVER TO WITHIN 3" OF FIN. GRADE APPROX. NG\D s o 100.0 PROPOSED SPOT ELEVATION GARBAGE DISPOSER IS NOT ALLOWED ACCESS COVER (WATERTIGHT) TO 1. DATUM ISCb WITHIN 6" 0;- FIN. GRADE /r__8 a .0 MINIMUM .75 OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 2. MUNICIPAL WATER IS AVAILABLE 100x0 EXISTING SPOT ELEVATION DESIGN FLOW: 4 BEDROOMS ® 110 GPD = 440 GPD " 30.0 2 DOUBLE WASHED PEASTONE �� USE A 440 GPD DESIGN FLOW RUN PIPE' LEVEL OR GEOTEXTILE FABRIC 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. 100 PROPOSED CONTOUR FOR FIRST 2 g et PROPOSED 1500 4. DESIGN LOADING FOR ALA... PRECAST UNITS TO BE AASHO tr St. St• SEPTIC TANK: 440 GPD (2) = 880 100 EXISTING CONTOUR GALLON SEPTIC 25.50' } h a,n USE A 1500 GAL. SEPTIC TANK SLAB ELEV. 28.0' 25.75 TANK (H- 10 ) GAS o0 8 H- 10 (INFILTRATORS TO BE H-20) f to BAFFLE 25.10 c 3 Mitchells 25.29 �� 25.12 o. 0•83' 5. PIPE JOINTS TO BE MADE WATERTIGHT. `° � St. LEACHING: INVERT EL. 26.0 t �'$871a CU oath SIDES: 2(51.75 + 9.83) (.83) (.74) = 75 MIN. ems" CRUSHED STONE OR MECHANICAL24.27 6. CONSTRUCTION DETAILS 1'0 BE IN ACCORDANCE WITH w S a ( 2.0% SLOPE) COMPACTION. (15.221 [2]) I USE H-20 HIGH CAPACITY INFILTRATORS MASS. ENVIRONMENTAL CODE TITLE V. m Main BOTTOM 51 .75 x 9.83 (.74) = 376 ( west Moin St. St. o� DEPTH OF FLOW = 4r ( 1 % SLOPE) ( 1 % SLOPr} 3/4" TO 1 1/2" DOUBLE WASHED STONE c° 609 451 TEE SIZES: 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO S rider \a TOTAL: S.F. GPD BE USED FOR LOT LINE STALKING OR ANY OTHER PURPOSE. 00 o USE (7) H-20 HIGH CAPACITY INFILTRATORS WITH 4' STONE INLET DEPTH = 10"_ P� AT SIDES ourLEr DEPTH = 14" 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. AT ENDS AND 3.5 FOUNDATION 21 FACILITY G 5.07' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED 11 SEPTIC TANK D BOX -- 4 OBTAINED WITHOUT NSPECTION BY FROM BOARD OEiEALTH.'ARD OF HEALTH AND PERMISSION Locus MAP APPROVED DATE BOARD OF HEALTH MA 10. CONTRACTOR SHALL BE' RESPONSIBLE FOR CALLING NOT TO SCALE BOTTOM TH 1 EL. 19.2' DIGSAFE (1-888-344-723,�) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO ASSESSORS MAP 290 PARCEL 74-1 COMMENCEMENT OF WORK. ' LOCUS IS WITHIN FEMA FLOOD ZONE C 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH ANDAROUND THE PROPOSED LEACHING FACILITY. I i BENCH MARK - TOP OF CONC. BND. EL. = 31.8 + 32.0 ` Mitchells Way TEST HOE LOGS TEST HOLE LOGS -32 -------------+-3�,9--------------+-34.5------------ R=946.08' + + 32.411111- --+ 30.9 �^ L=152.87' 3� ' ENGINEER: DAN CRt)TEAU, EIT ENGINEER: DAVID FLAHERTY, RS srP LOT 4 43,931 f SF 9N� i ED BARB°1`, BOH NA MIORANDI, 1.0� AC. �'` I I + 318 WITNESS: i WITNE,. . z I DATE: JULY 23, 1196 WAORZ DATE: ,�2007 + 31.2 \ a PERC. RATE _ <i 2 MIN/INCH PERC. RATE _ < 2 MIN/INCH 7 + 30,6 Q I p 1 + 31.0 0\a 3 I o_ 1 i CLASS I S(71LS P# 8742 CLASS I SOILS P# 1 1707 p a li 30.9 Ln EL5V. ELEV. ELEV. ELEV. _I + 30,q REMAINS p 30.2' O" 30.4' O" 30.2' Orr 30.2' + 30.8 + 30.7 I OF CELLAR i HOLE A A A A TH2 I I LS I + 30.8 SL SL LS 1OYR 3/4 10" 10YR 3/4 12 1OYR 3/4 1OYR 3/4 4 TH1 34.7' I �� B 709 911 .2 B LSLS B B PROP. WELL. _ - RO . D PROP. RET. WALL TOP FWDN = 24 $.2' 22 28.5 LSµ w r. : _.._ LS. (TYP) 35.7' 0.1' + 30.6 WALK OUT 30.2 C1 C1 1990 . 10YR 5/6 28.6' rr 1 OYR 5/6 r ,3 ELEV 28.0' MS 26 28.0 PROP. 27 8r PROVIDE NEGATIVE GRADE FROM FOUNDATION l OYR 6 6 10YR 6/6 76.2' CK- (ALL RUN-OFF TO BE'OIRECTED AWAY FROM " / 48" FOUNDATION) 43 fJCO + 30.3 C C 3 PROVIDE DRYWELLS IV HANDLE ALL ROOF PERC C2 C2 PERC cO TH4 RUN-OFF F FS 00 S I -- C, 2.5Y 6/6 2.5Y 6/6 MCS MCS + 30, I 00 1 6 60" 0,r 30.3 + 0,2 �o i s 10YR 5/8 1OYR 5/8 I w + 30.1 C3 C3 PROP. FUTURE ;p + 7 0 MS CS GARAGE CV \ 132" 19.2` 120" 20.4' 126" 19.7' 128" 19.5' NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED I l + 28.5 29 \ PROHDE VENT VATH cNARCOAL FILTEF AND BUMCRCEM(FINAL PLANT q'An+ 30 + 28,8 + 28.5\ HOMEOWNER CONSULTATION) i 28 + 29,6 27.2 t� +'X29,0 \ ' � 26,2 + 26. \ + 27,5 J OLD OD BORROW 1 18 O. PIT ITTLE f OF I 173 MITCHELLS WAY - - - HYANNIS off 508-362-4541 I I' ( fax 508 362-9880 I OLD BOG AS SHOWN ON PB '449/71 - PREPARED FOR down cape engineering, inc. � JAY TRIPP Cl VIL ENGINEERS LAND SURVEYORS �X�NOFMg4c o ARN�4 y� I o�� ARNE H ti °'\ OCTOBER 16, 2007 939 Main Street YARMOU THPOR T, MASS. �� OJALA OJALA 71nk.i7 o No CIVIL 2 No,2634� I Scale: 1"= 30' °Fo cl �` �� - 0 15 30 45 60 75 FEET DATE ARNE H. OJALA, P.E., P.L.S. 07-033 07-033SP(SBO)