Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0063 SEVENTH AVENUE (HYANNIS) - Health
63 Seventh~Ave -' ' - Hyannis A= 246=152' e � � �� 7 - �t �� l Q � N. UV 3 6Ye�'� Fee "V THE COMMONWEAL H OF MASSACHUSETTS Entered m computer : es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for bisposal *pstem Cunstruttiun permit Application for a Permit to Construct( ) RepairA Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. & sevev, ALe Qwner's Narpe,Address,and Tel.,No.&/)-qw-d 1RC/6 Assessor's Map/ParcelaV6 /S''�> o ,.) AAA U 16'$3 Installer's Name Add r ss, d Tel.No.$®Q-127/-� ?,5.99,,,pp signer's Name,Address,and Tel.No. 6ag'9(DL® 6V/' ��'�olaYfi.�o 46-iYau +Rs PJ '%A�r/i< ._-ZnC cj;:of 1A9 i:,7Q - 1�� O�Q O�Co ' Type of Building: jwjpef L Dwelling No.of Bedrooms 3 I Lot Size ° a� sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date off Number of sheets Revision Date I Title ;it Size of Septic Tank /,���/49 Type of S.A.S. f Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1 �l o'lU `5�r dotr,a-00 44 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 C not to ace the system in operation until a Certificate of Compliance has been issued by this Bo d of Health S'gne _ Date J� , Application Approved by IlAx Date Application Disapproved by V Date for the following reasons Permit No. C 3 ,I d o Date Issued t. 7.. _rV t> �lJv (� Fee No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es application for Misposal 6pstem (Construction i3ermit Application for a Permit to Construct( ) Repair) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No.&3 .5e ae.-1 O wner,,. e,Address,and el.Nob/0-y�D"/19Sl6 Assessor's Map/Parcel,?S/(o /$';z C.�.% N yGl 1�17�� h �U16'�MAnsfiller sAddress apc(Tel.No.SUS''7�'!1' �}9�os Name,Address,and Tel.No. 'Jb�S' cxkt t v,c . c`STrrlus�r� ticse ��k�v 111 I is a a.(_09-119- , o M /4 Type of Building: Dwelling No.of Bedrooms Lot Size 6 f�G sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other,Fixtures Design Flow,'(miin.required) .330 gpd Design flow provided 333� gpd: Plan Date QA,, t,'C ao ;IOI L Number of sheets Revision Date �T Title > AC /c 6a t, o , Size of Septic Tank 132041411 /V/17 Type of S.A.S.V4461 Description of Soil Nature of Repairs or Alterations(Answer when applicable) (- t Cat /4961 Z Olt� Date last inspected: wm f� 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 Certificate of Compliance has been issued by this Bo d of Health.-- - S gne Z C• -- Date l 4.r Application Approved by Date C /( Application Disapproved by Date for the following reasons------"- Permit No. U L'' a Date Issued C t - -------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS _ Certificate of Compliance THIS IS TO CERTIFY,that the On ' Sewage Disposal system Constructed( ) Repaired,(>-), Upgraded( ) Abandoned( )by at 6 3&vP_n /Qe V,1101boo 5,j,4 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N'g �/G 1l 0 dated Installer : f 1/CVn C- Designer a i� #bedrooms —( f�/!�r�: Approved desig ow 7 gpd The issuance of this permit shall not be 4t/ed as-9fguarantee that the system will , cti n design •. O Date Inspector / APd11 ,1j (-/ ------------------------------------------------------------------------------ No. 6 U Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS misposal 6pstem-Construction permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon System located at 5�64e f and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction lust be completed within three years of the date of this permit. . n� by,Date [✓' j / �/ Approved °tr K APR-18-2014 03:34 From: To:15087906304 Pase:1,'2 FROM :dawn cape engineering Inc FAX NO. :15@83629880 Apr. 17 2014 03:22PM P2 RemJ � `ilnoti�tiara�'.�."eii!,a:�,��;o•e�x�x o i3Affi�6TAAf1. ` �. T1no�n� 1i� 'a'sam,:ibvreega►r Fzx: sins-790-630 L?ffic�: 5(1F.e62-4544 T�b4sP14aslr 4& ➢e�� a 1: 3• :art4�ts�Form )i:DHWQ vw'i4iE� �Yttannk# ea�a�7`' f 4� �6 Desi e 4figA Installer: / `�� v/" ZOY ... �.aildA csa�: �J _ a+� �- • .__ 1�,�lrfu•ess: _ U — d �!y•-1� �wkW issueaSk pe uitTO ill'ILK a (date;) ilisti ud) `peptic System at 63 Jwc-,sk- & • based an R deaigU rftxivvu by (adrl tS5) • ,cal � �tA_. ��� (it'tc:d. .. . _._.. . , SlgllC%1:) - T reatif-Y,that the septic systtmt refer macd above. was j-aSP.r&ed.ubetentW-y R,canrdinr;•tu lhr. rtasip� vbioh may'iuciudz muW3 F1PPMVr-d r AI19Cs ;;ra.a 1 as 1�rez:al rr^iocatiuzl Of t11r: dl;,trihttM boy and/of sep61'tark- .( -,Mtify that the -.,qtc iy&-au:eferenc;ed abova wa.S iVA-00d wii}1 iaOjnr chaagrm (i.e. gr:eat.ot than 10' .lalrsil.raioradou Of the S PS o:r any-v4,xidcal rr,:location tit RTry cunupoT. ut, of the sn�tic system,}beat in.itwordAnce�Ni'�State d�:Loe.21 Rugulataaus, PNI re'�isj.On.u). t:r,�, fied as Iiuili:by designer tr•r fuLluw. oANIELa. _ OJAw N {InStf�11FY'S StgLL'�tu�o) U CIVIL Na 46501a 44 +''� �^ - $tangy• Ha:re e,�y.�i►lk,'s'8 tiii�;�tW:e) �.��i..ttlii r�s7;:;iYCiC 9 p } ,�,i'�p►,§1i, ytElUr4d'TO.. n�TtP]^.l' i '� ,Y}[,� HF.I G'3'Yl Ab1Vl�;1"N {:Eamp'ta . t91Vi�'T.XAI`l °JJI[3� TVCI'� ii 31D=1T�l'A .--•,.�' 1+ 11t A�@f11� A�`�{iUTAD_A? Qd E�IL:NEID F{Y T1�E EMNST1�LE tMvll:�.Y�'�'OMD47�•.�1C�lU_ %�_ O �e_tjriess� Tom of Barnstable P# ' Departi rent of Regulatory.Services R sT�r� Public Health Division Date 7 MAM ran►+96 200 Main Street, yanais MA 02601 t Date Scheduled d �zme C d . .' Fee Pd. !� Soil pSuitabilityj Asswment jor Sew Di p®s � Performed-By: 'I d( lip ��1 Witnessed By: Location Address LOCATION& GENERAL INFORMATION 3/ (`tve At - tQ„t ' b U � r I„ Owners Name �Q ✓���.1'tf'tom W ,, i4 a y\ tU4' a0�!1/ Address Assessor's Map/Parcel: / 0 /47/15 Q, Engineer's Name e. NEW CONSTRUCTION REPAIR Telephone# Land Use: !�J r Lle WGi Slopes(%), _ Surface Stones /Ij /} Distance's from: Open Water Body ( ft Possible Wet Area / S fl Drinking Water Wcil >/ �ft Dralhage Way > t 0 c) ft Property Une t`l ry ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands itn proximity to holes) \ 2 G L a C u"): FiZE Q u Me 7n { �w I P�J r/— M ,... C) IT Parent material(geologic) (Gt i tr�u Depth to Bedrock Depth to Groundwater. Standing Water in� //H/ole: / IA • Weeping from Plt Face Estimated Seasonal Hlgh Groundwater /v DETE��NATION FOR SEASONAL H][ Method Used: H WATER TABLE BJGE �+! C� Depth Observed standing in obs.hole: In. Depth to soil moUlast In, Depth to weeping from side of obs,hole: In, Groundwater AdJustment Index Well# Rcading Date: Index Well level - Adj.factor— Adj,(lrquildwater Leval , I'ERCOLATIO�i T +'ST bats�! Una Observation � - . Hole# 3 Time at 9" Depth of Pere Time at G" Start Pre-soak Time @ _ Tima(9"-6") End Pre-soak RataMln./Ioch r ch Site Suitability Assessment; Site Passed Sitp Falled: / Additional Testing Needed(YIN) . Original: Public Health Division Observation Hole Data To Be Completed on B ack-------- ***If percolation test its to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(I) week prior to beginning. Q:\SEPTIC\PSRCFORM.DOC DEEP-OBSERVATION HOLE]LOG Vole#_ Depth from Soil Horizon Soil Texture Sdil Color Soil• 0 et1� r Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, • o i ton�Y,96'Ciravel) 2 -�DL S DEEP O]BSERVATYON HOLD LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. 15 t o sis rr %Gravel) - � � ]DEEP OBSERVATION HOLE LOG Hole#. Depthfrom Soil Horizon Soil Texture Soil Color Soil Other' Surface(in.) (USDA) (Munsell) -Mottling (Structure,Stones,Boulders. Co t to c Gravel) ]DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color soil Other Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones',Boulders. Co si to Flood Insurance Rate Map: VAbove 500 year flood boundary No— Yes _ Within 500 year boundary No Yes ' Within 100 year flood boundary No._ Yes. Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perviou material exist in all areas observed throughout the area proposed for'then oil absorption systo. I If not,what is the depth of naturally occurring pervious matcriall Certification - I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me,consistent with . the required training,expertise and experience described in�10 CMR 15.017. Signature �-�" Date QA1 EPMPERCPORKDOC Bk 2E0B4 PsICJ4 ®r15261 DEED RESTRICTION WHEREAS, aZ o Q Oe- C J t O �Q � (owners name) X Of s 7 o AIA MA (address) is the owner of TC,✓2 rf K located (address) � . at Acts` VAr\AA-Q , MA(hereinafter referred to as and being shown on a plan entitled"Subdivision of Land ' Sec ► 19a,-K MA, Property of .J'C-4xl et al, duly recorded in Barnstable County Registry Of Deeds in Plan Book O , Page 2---3 ; Or on Land Court Plan Number i-- �Ct.•ran W% WHEREAS, J JOt v1 e o e f oe71th as the owner of said tot has (owners ne} agreed with the Town of Barnstable Board of He 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 disposal works construction permit in compliance , with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, 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 property, 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, deeds _ NOW, THEREFORE, �o_ 0 G G J J does hereby place the (owner's owner's name) hI,SJr following restriction on his above-referenced [arid 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: 1. 63 ,n cJ C,yevN / /e, may have constructed (address) .0 u on the -'e lot a house containing no more than ne- (J)bedrooms. 0Q,A, tk IA V'_ s XV agrees that this shall be permanent deed restriction affecting, located on MA, and being shown on the plan recorded in Plan Book 3 , Paged _: Or on Land Court Plan For title of see the following deed: Book .©3 , Page 311 Or Land Court Certificate of Title Number Executed as a sealed i stru ent �� day of U Owne s signature er's signat6re Owner's signature COMMONWEALTH OF MASSACHUSETTS D►'t 2 S k-/� ss 1 , 20±y Then personally appeared the above-names pa I'r't f . Q�Gh lco 4 e� known to me to be the person who execu ed the foregoing instrument and acknowledged the same to be Gut' free act and deed, gore me, 611K, a", 0(A- P: O'lQ 2CVi, rotary Public - My commission expires: aio ,a0 /y - - (date) "-4 V — deed r - BARNSTABLE REGISTRY OF DEEDS ry Ar R � f� � t ! l i if if P 4 F . Town of Barnstable Barnstable ° Board of Health Bw[uvsTABM MASS. $. 200 Main Street,Hyannis MA 02601 1 039. tQr rfD MA'S 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi April 9, 2014 Mr. Daniel Ojala, P.E. Down Cape Engineering 939 Main Street, Route 6A Yarmouth Port, MA 02675 RE ,, , 63,Seventh Avenue, Hyannis, MA �. °�`` �� a A-- Dear Mr. Ojala, You are granted variances, on behalf of your client, David Henessy, to construct a replacement onsite sewage disposal system at 63 Seventh Avenue, Hyannis, Massachusetts. The variances granted are as follows: 310 CMR 15.211: The soil absorption system will be located two (2) feet away from the property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The septic tank will be located five (5) feet away from the property line, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.211: The pump chamber will be located five (5) feet away from the line, in lieu of the ten 10 feet minimum setback required. property ( ) q 310 CMR 15.211: The soil absorption system will be located ten (10) feet away from the foundation, in lieu of the twenty (20) feet minimum setback required. 310 CMR 15.211: The septic tank will be located eight (8) feet away from the foundation, in lieu of the ten (10) feet minimum setback required. 310 CMR 15.405 (1 b): Greater than three feet of soil will be placed on top of the soil absorption system. Q:\WPFILES\OjalaHennessySeventhAvenue2Ol4.doc f Section 360-1, Town of Barnstable Code: To construct a soil absorption system 88 feet away from the edge of a wetland, in lieu of the minimum 100 feet separation distance required. The variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The system shall be installed in strict accordance with the revised engineered plans dated April 7, 2014. (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans dated April 7, 2014. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system due to its close proximity to wetlands. Sincer ly yours, Wayne iller, M.D. Chair an QAWPFILES\Oj al aHennessySeventhAven=2014.doc �IKE e^l S DATE: ®Z/ 1� FEE: * / 1 ► SA MAS&LE. 39. REC. BY Town of Barnstable SCHED. DATE:/y1N� Board of Health 200 Main Street, Hyannis MA 02601 Wayne A.Miller,M.D. Office: 508-862-4644 � 014FAX: 508-790-6304 /� Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION 3 / �� �� , '� Property Address: `� CI"t� �►- � Assessor's Map and Parcel Number: � (i l S Z., Size of Lot: y. Zl �`- Wetlands Within 300 Ft. Yes k Business Name: No Subdivision Name: APPLICANT'S NAME: Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON 1 I Name: ��y to I�t Nwlrc SS y Name: —t)A"kroL d 5&I.A Address:p�0 , &0* 1t2. ► -I ON LA*-p J 0 ts83 Address:�'S�1 r`�1 Anil S y�Poat —o_ 1� Phone: Phone: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) S S nor-�-z sue_ -71M 3 OA-74 tit 1rz S t4 L-f-r-- NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic s5em Checklist (to be completed by office staff-person receiving variance request application) / Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form. Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registere sanitarian Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for*'Title _ t-ry V and/or local sewage regulation variances only) ,tr _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) _ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC �I tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, iftC structural design civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. March 18, 2014 Arne H.Ojala P.E.,P.L.S. Timothy H.Covell,P.L.S. land court Andrew R.Garulay,R.L.A. Surveys Barnstable Board of Health 200 Main Street site planning Hyannis, MA 02601 Re: 63 Seventh Avenue, West Hyannisport sewage system designs Dear Board Members: inspections The enclosed represents a variance filing for the upgrading of a failed septic system(2 cesspools). The system is designed utilizing a 1500 gallon septic tank, 1000 gallon pump chamber and a leaching facility consisting of 500 gallon chambers. No increase permits in habitable space or bedrooms is proposed. The system is designed based on the existing 3 bedrooms. The following variances are requested under Maximum Feasible Compliance 15.405 and Town of Barnstable Regulations: landscape architecture Under Town of Barnstable Regulations, Art. I: Section 360-1 and 15.405 Title 5: la: Reduction in setback, leaching facility(SAS)to lot line (10' to 5'); septic tank and pump chamber to lot line (10' to 5') lb: Reduction in setback, SAS to foundation(20' to 10'); septic tank to foundation (10' to 8'); SAS > 3' but<6' below final grade Under Town of Barnstable Regulations and 15.405 lf. septic tank and pump chamber to be 0' from floodzone A elevation 11 (= coastal bank under policy 92-1 of DEP regulations) and SAS to be 32' to Floodzone A el. 11 (Coastal Bank). Under Town of Barnstable Regulations: SAS to be 88' to BVW and 32.' to Floodzone A el. 11 (DEP coastal bank definition). Due to severe site restrictions to include the presence of a vegetated wetland and a coastal bank at the westerly portion of the property and lack of useable upland area, setback variances are requested in order to maintain the greatest distance possible to the wetland areas (coastal bank being the most landward resource area and by definition is elevation 11). The leaching facility is 88' to the Bordering Vegetated Wetland. Groundwater was not encountered during the test hole procedure; the base of the leaching facility is 5.0' above the bottom of the test hole and estimated to be 9' above tidally influenced groundwater. A liner is proposed between the house and the leaching facility. I � I i I UNITED STATES POSTAL SERVICE First-Class Mail Postage&fees Paid E USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box• Down Cape Engineering, Inc. 939 Main Street, Suite C Yarmouth Port, MA 02675 i SENDER: SECTION. DELIVERY i A. Signature � ■.Complete_items 1,2,and complete 9 i item 4 if Restricted Delivery is desired. ❑Agent I ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received (Printed Name) . Da)Da)B of Dplivery ■ Attach this card to the back of the maiipiece, or on the front if space permits. / D. Is/delivery address different from item 1.' ❑Yes 1. Article Addressed to: C. ._ If YES,enter delivery address below: ❑No �7, 3. rvice Type �Cerdfled Mail �Express Mail I vtr� f0 J Registered O Return Receipt for Merchandise r - ❑Insured Mail ❑C.O.D. 0dov 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article(Number 1 (Transfer from servicelabeq L,{ 711 35p;=00D0 3255 3223 PS Form 3811,February 2004 Domestic Return Receipt 102595-0z nn-154o UNITED STATES'POS -,s,,ER Wit First-Class Mail Postage&Fees Paid LISPS -24 Permit No.G-10 * Sender:' ease print your name, address, and ZIP+4 in this box • r1own Cape Engineering, Inc -.39 Main Street, Suite C Yarmouth Port, MA 02675 SENDER: COMP LETE THIS SECTIOW�l COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete rAature j item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee.I so that we can return the card to you. B. Received by(Printed Name C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? Yes- 1. Article Addressed to If YES,enter delivery address below: ❑No I 3. r Service Type �/1�l/J ❑Certified Mail <❑Express Mall ❑Registered ❑Retum Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number7011= 3 5`0 0 0000 3255 3 216 (transfer from service labeo PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 I' I UNITED STATES:R. '5TAh S # l L r`"' First-Class Mail I ,mot_,,, ; � Postage&Fees Paid .�_-.. USPS M `''rti.� Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box• I I I I (Down Cape Engineering, Inc. I 339 Main Street, Suite C I I N Yarmouth Port, MA . 02675 I I I I I lillii�ll�lililllir�l�}relitlilllu��rill�ll���ll>»�iljijl�llr�l i I • • • • • I _ ■ Complete items 1„2,and 3 Also complete A=. igna e item 4 if Restricted Deltvery.1s'desired Agent e Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. eceive (Fame) C. D of Delivery tz/ el ■ Attach this card to the back of the mailpiece, or on the front if space permits. " ;D. Is delivery address different item 1? ❑Yes 1. Article Addressed to: .1�'y If YES,enter delivery address below: ❑No , �. ✓' 3. S ice Type rtifled Mail ❑Express Mail Registered O Return Receipt for Merchandise / Insured Mail ❑C.O.D. P d 4.,Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number' " (transfer from service►abed It:?011 3'0520` ooao 3255 324 7 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-t540 I UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees`Paid USPS I Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box• I ! I I I I I Down Cape Engineering, Inc, ! 939 Main Street, Suite C Yarmouth Port, MA 02675 I I ' I-. .�'�� _ __. �'•I,I!'ililitailsil�l�lsilt���3ilis�t>>ajlii,illilyi411il111i�'' . :SENDER: COMPLETE"THIS SECTION'! d COMPLETE THIS.SECT16N ON,DELIVERY ■ Complete items 1 2,;arid 3:Also complete ature item 4 if Restricted Delivery is desired. gent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. . Received b (Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, .-,,� or on the front if space permits. I.- e 1. Articl D. Is delivery address differentt�m item 1? ❑Yes " Addressed to: :.If YES;enter,delivery addres4elow: ❑No Certified Mail:.❑Express Mail I Vh 1 eeistered 13.13etum Receipt for Merchandise O Inslirea t *'CS C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes. 2. Article Number ?;011i t3500 ':-0000 3255 3230 $� (transfer from service iai PS Form.3811,February 2004 Domestic Return Receipt 102595-02-M-1540j �� � � f E c-�. ,�, :, I �`' - - :'^.'-ter-; � ..� < I tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, MC. structural design civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. Arne H.Ojala P.E.,P.L.S. Timothy H.Covell,P.L.S. land court surveys March 18, 2014 Andrew R.Garulay,R.L.A. site planning Dear Abutter: sewage system A public hearing has been scheduled for the Barnstable Board of Health to take action designs on a request for variances from Title 5 Regulations under CMR 15.000 and Town of Barnstable Regulations for the subsurface disposal of sewage for a proposed septic system upgrade at 63 Seventh Avenue, West Hyannisport. The proposed Title 5 inspections system will replace 2 cesspools. The variances requested are as follows: permits Under Town of Barnstable Regulations, Art. I: Section 360-1 and 15.405 Title 5: la: Reduction in setback, leaching facility(SAS)to lot line (10' to 5'); septic tank and landscape pump chamber to lot line (10' to 5') architecture lb: Reduction in setback, SAS to foundation(20' to 10'); septic tank to foundation (10' to 8'); SAS > 3' but< 6' below final grade Under Town of Barnstable Regulations and 15.405 If. septic tank and pump chamber to be 0' from floodzone A elevation 11 (=coastal bank under policy 92-1 of DEP regulations) and SAS to be 32' to Floodzone A el. 11 (Coastal Bank). Under Town of Barnstable Regulations: SAS to be 88' to BVW and 32' to Floodzone A el. 11 (DEP coastal bank definition). Said hearing will be held in the Hearing Room, Room 300, South Street, Hyannis, April 8, 2014 at 3:00 pm. Please check with the Health Department to confirm date and time if you are interested in attending. Sincerely, Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. cc: Abutters file Barnstable Board of Health barnboh We feel that by granting these variances,the same degree of environmental protection can be attained without the need for strict adherence to the Title 5 and Town of Barnstable Regulations. Very truly yours, aniel A. O_j a, PE, PLUS Down Cape Engineering, Inc. cc: Hon. David Hennessy t Map Page 1 of 1 Town of Barnstable Geographic Information System New Search I Home I Help Parcel Custom Ma Abutters Map Size Q E] zoom out Y Y Y L fl®n a s In Viewer �0}�/� (� _ ® AR II�l. \J Iv � �=JPG CY • ® Map: 246 Parcel: 152 u Fll Property �} Location: 63 SEVENTH AVENUE(HYANNIS) Info -Q9 Owner: - HENNESSY,DAVID H&KAREN W f Add/Subtract Add Mailing Labels in Subject Parcels Q Abutter List Map&Parcel 245052 JH� _ et Location 0 SEVENTH AVENUE(HYANNIS) n Owner MCKEON,ANN L ® -m Map&Parcel 246141 Location 72 SEVENTH AVENUE(HYANNIS) Board of Health Owner SPINNER,WILLIAM C&MCNALLY, Copyright 2005-2070 Town of Bamstable,MA All rights reserved.Send q esfAe�o8cd7mrtti8l04D.451 BarnstableMA v1.2.5122[Production] Location 71 SEVENTH AVENUE(HYANNIS) Owner DEATON,MARIA Map&Parcel 246152 Location 63 SEVENTH AVENUE(HYANNIS) Owner HENNESSY,DAVID H&KAREN W Map&Parcel 246153 Location 59 SEVENTH AVENUE(HYANNIS) Owner LEARY,SYBIL&OLSSON,K L& BROWN,P R Map&Parcel 246169 Location 53 SIXTH AVENUE HYANNIS Owner DAVID,THERESA TR http://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?propertyID=246152&mappa... 3/21/2014 r d o I� m� ;, o o C n O O o-u � > D Z -------------- cl I -- Cl cl I 1 I 1 I I � I t I I No-] -- 7 -- —7 6 I I I I � I r °I 1 E] 010 O10 "p 4r L� 9�og�e DATE: APRIL 1,2014 PREPARED BY: DK KTW GROUP FIRST FLOOR PLAN FILE NAME: _ goB�g66-g�{9 Osten/Llle,Messachusettes NOTE: CONTRACTOR OR SLIPERNSOR RESPONSIBLE FOR HE /.8.556 SCALE.F/A I n ME VERIFICATION AND COROINATION OF ALL DIMENSIONS.RCUGH ROUGH OPENINGS,ELECrRCAL HVAC 3 STRCTURAL SYSTE —� ALL COMSRUCRON SHALL COMPLY WRI FERERL,STATE ANMS.D Id LOCAL BUILDING CODES r • [labaran. H Kendali " 508-540-5457 p. T ,' = II a 011 I � — I . I I I I PTTV( 1III {I I I I;II II I c Of F.LJC F 7�_�v.L.��r{t� t�• _ ,�,� �I �= �Z.� �`� , r, 1;7��:1�4 I n ?�` M°. �7��Yt �. i ,:<....,:...._. 4......�.a.f.�. ._.e, �.....++++�•..r�vOww+weWr..�.w. q r !�rer Y.=.. - �; '`�6 d. gym_ n � -- - ... ! + i�, �'�� i i ��is t � _� 0'�+W � � J � � � � r��. s .l 1 ��� 1I � ;. �1 � { '� f ,r, �`I � E � . � � ' i � � 4 � �� r � � � � �� ' .I l� � �� � w � � �� � ! � � I � � � 1 f �� . , � E.: , per � _ �� f �c� � �: ( ; i �,� � i � ; � J ..�. ,. ��a�tt �� at � �t ` �,�^ �� ,� v'� _ � � _ i.. �,. r Win.. - - a� .._.„ �._ __..__..__.,.�___. .�. � __--{w..: �/ Commonwealth of Massachusetts Title 5 Official Inspection form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is West Hyannisrt NahP15 MA 02672 0825/13 required for every page. Cityfrown I state Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way.Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms on the computer, use the tab 1. InInspector: �.� key too m move your cursor-do not Michael Kellett use the return Name of Inspector key. Aardvark Environmental Inspections Company Name PO Box 896 Company Address few East Dennis MA 02641 Cityfrown state Zip Code 508-385-7608 SI 3742 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ F4iii ❑ Needs Further Evaluation by the Local Approving Authority ;V , 0826/13 M = Ins�ctors Signature Date y k CIO The system inspector shall submit a copy of this inspection report to the Approving Autho*(Boqrj-0 of Health or DEP)within 30 days of completing this inspection.If the system is a shared sysibm 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. N t5ins-11/10 Title 5 Official Insps ' n orm:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hy �annis rt MA 02672 08/25/13 page. Citylrown 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: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or 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. Check the box for"yes","no"or"not determined"(Y,N, ND)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 ortank 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. ❑ Y ❑ N ❑ ND(Explain below): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hy �annis rt MA 02672 08/25/13 Page. Cityfrown state Zip Code Date of Inspection B. Certification (cunt.) B) System Conditionally Passes(cunt.): ❑ 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 ❑ Y ❑ N. ❑I ND(Explain below): ❑ obstruction is removed ❑ Y Q N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ 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 ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: El 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 rAns•11110 Title 5 Offcial Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 official Inspection Fora s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hyannisport MA 02672 0825/13 page. City/Town state Zip Code. Date of Inspection B. Certification (cunt.) 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. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well*". Method used to determine distance: **This system passes if the well water analysis,performed at a DEP certified laboratory,for 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 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 ❑ ® clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6°below invert or available volume is less than'/day flow t5ins•11/10 Title 5Official inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection dorm s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hy �annis rt MA 02672 08/25/13 page. City/rown state Zip Code Date of Inspection B. Certification (cunt.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for 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. ❑ ® The system fails.I have determined that one or more of the above failure criteria etast 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. 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 ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered `yes"in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t5ins•11/10 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hyannisport MA 02672 0825/13 page. Cityrrown 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? ® ❑ 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 approximation of distance is unacceptable)P10 CMR 15.302(5)]. D. System Information Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15203(for example: 110 gpd x#of bedrooms): 440 t5ins•11/10 Title 5Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hy �annis rt MA 02672 0825/13 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[f yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings,if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 10/12Date Commerciallindustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): 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: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts UVTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is West H annis rt MA 02672 0825/13 required for every y � page. City/Town state Zip Code Date of Inspection D. System Information (cunt.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 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 ❑ Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (f 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)and a copy of latest inspection of the VA system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11110 Title 6Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 official inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hy �annis rt MA 02672 0825/13 page. Cityfrmn state Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components,date installed(if known)and source of information: 07/84 per BOH Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 4.0 feet Material of construction: ®cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints,venting,evidence of leakage,etc.): Septic Tank(locate on site plan): Depth below grade: 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: Sludge depth: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y` 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hyannisport MA 02672 0825/13 page. Citylrown. state Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form K Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hyannisport MA 02672 08/25/13 page. Citylrown state Zip Code Date of Inspection D. System Information (cunt.) 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): Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): 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 t5ins•11/10 Title 5 Official Inspection Forrn:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hy �annis rt MA 02672 0825/13 page, Cityfrown state Zip Code Date of Inspection D. System Information (cunt.) Distribution Box(f present must be opened)(locate on site plan): Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 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: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Ford s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hy �annis rt MA 02672 0825/13 page. Cityrrown state Zip Code Date of Inspection D. System Information (cunt.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number,length: ❑ leaching fields number,dimensions: ® overflow cesspool number: 1 ❑ innovative/altemative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc): This system has a 6'x5'drywell block pit which was empty with a stain line 18"up from the bottom. Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2 inline Depth—top of liquid to inlet invert 35" Depth of solids layer 3" Depth of scum layer na Dimensions of cesspool 5'x3' Materials of construction drywell block Indication of groundwater inflow ❑ Yes ® No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hy �annis rt MA 02672 0825/13 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.): The pit was sound and dry with no sign of failure. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.): t5ins•11/10 Title 5 Official Inspection Form:Subsurrace Sewage Disposal System•Page 14 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hy �annis rt MA 02672 08/25/13 page. City(rown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System:Provide a view 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.Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately front 14 7 19 16 t5ins•11N0 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 sd.. Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '( 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hy �annis rt MA 02672 0825/13 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 high ground water: 8.6 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: I augered to 10.0 feet and found no water. I adjusted to 8.6 feet. Bottom of leaching is at 6.1 feet. Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 63 Seventh Ave Property Address Martin traywick Owner Owner's Name information is required for every West Hyannisport MA 02672 0825/13 page. Cityfrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A,B, C,D,or E checked ® Inspection Summary D(System Failure Criteria Applicable to All.Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface,Sewage Disposal System•Page 17 of 17 HIGH GROUND-WATER LEVEL COMPUTATION Date: Site Location: Permit: Owner: Phone: Contractor: Phone: Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. 0 (depth is in feet below land surface) Date: 0 mm/d yy feet below is STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: A) Appropriate index well B) Water-level range zone STEP 3 Using monthly "Current Water Resources Conditions" determine current depth to water level for index well. 02 I mm/yy STEP 4 Using Table of Potential Water Level Rise for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 26) determine water-level + adjustment. 6 `' 0 STEP 5 Estimate depth to high water by subtracting the water-level adjustment (STEP 4) from 0 measured depth to water level at site (STEP 1). NOTE* Tables 1-9 "Potential Water-Level Rise" are attached as worksheets to this file. monthly index well data: www.capecodcommission.org/wells.htmi TOWN OF BARNSTABLE LOCATION 4( - Z TC s.�}- t SEWAGE# VILLAGE -U). PyaV ASSESSOR'S MAP&PARCEL �= INSTALLER'S NAME&PHONE NO. '=T10 e—CYLer7_% 1 ��c�, .SEP,TIC TANK CAPACITY LEACHING FACILITY:(type)-E�:ZiL_e, k�bjF (size) JC[9S3 X NO.OF BEDROOMS PERMIT DATE: 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) 14 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY ��,�d �qP� er� n.nt r _, ; 6� � � � � � N �a � \ . y _ ��.. � �� lld ,f f TOWN OF BARNSTABLE LOCATION -'?euA SEWAGE# VI ;LAGE et if 11 is eQfT ASSESSOR'S MAP&PARCEL-2V6 INSTALLERS 4AME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) l 0d 6 (size) NO.OF BEDROOMS OWNER i!/.2 A<are i, U/ Je ss y PERMIT DATE: 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 1 �— �J ; � �� u �� 1 ��—' � V Ro � ��� �, p.� - � -� l -� S1 °� -- _ . .. s SHALL SYSTEM PROFILE KSY WITHCMAGNETICTTAPE OR BE NOTES NOT TO SCALE COMPARABLE MEANS FOR FUTURE LOCATION. NGVD 29 O` PROVIDE MIN. 20" DIAM WATERTIGHT ( ) 1. DATUM IS ti ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE T io 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING � \ TOP FOUND. EL. 18.1' FILTER FABRIC OVER STONE (OR WATERTIGHT C.I. COVERS TO GRADE IF UNDER DRIVEWAY) o o� 18.0' � 2% SLOPE REQUIRED OVER SYSTEM 18.0' 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. � TobeY C MINIMUM .75 OF COVER OVER PRECAST 4. DESIGN LOADING FOR PROPOSED PRECAST -D PRECAST H-10 BLOCKS OR UNITS & D'BOX TO BE AASHO H-2Q• SEPTIC TANK RISERS (TYP.) PRECAST RISERS Craig�l��e Beoch Rd. Y. 2'o 4"OSCH40 PVC MORTAR ALL TO BE H-10 PIPES LEVEL 1ST 2' H-10 COMPCNENTS � � 1' 1. 5. PIPE JOINTS TO BE MADE WATERTIGHT. ENDS SIDES 14.3 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE N *15.0 1500 GAL H-10 14 0_0 0 t 0 " a ° WITH 310 CMR 15.000 (TITLE 5.) ' TEE E]�O mL�(]m- _"mmm TEE SEPTIC TANK = o = = � _ _ � _ _ _ PLUMBING TO BE .50 °°°°°°°° _ _ _ _ _ _ _ _ _ = = = = = o14 14.25 12" MIN. INT. DIM. ° ° ° ° ®ooaoaaaaa� aooaaao co us RE-ROUTED TO EXIT " °°°°°0 °°°°° o >°°°°°°°° °°°°°°°° 7. THIS PLAN IS FOR PROPOSED WORK ONLY ANDAT ELEV. SHOWN GAS BAFFLE °°°°°0°°°0°0 6" MIN. SUMP ° ° ° ° _ - _ _ =_ _ _ _ _ _ _ _ _ _ _ °°°°°°°°° ° �������F2MQ� �0�0��® ° ° ° ° NOT TO BE USED FOR LOT LINE STAKING OR ANY N �0�0�0�0o :o0000000 , 13.57' 13.4' °0°0°0°0 11 .3 OTHER PURPOSE. 4' LIQ. LEVEL (ACME OR EQUAL) 1 L 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. Nantucket 0000000000000°00000000000000000000000000000000o H-20 500 GAL. LEACHING. CHAMBER BY ACME PRECAST OR EQUAL. Sound °,° °_0_°_�_•,_� ° 0 0 0 0 ° 3/4"-1-1/2" DOUBLE WASHED STONE (4) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR ALL AROUND PRECAST STRUCTURES CONCEALED WITHOUT INSPECTION BY BOARD OF 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 38' X 7.83' HEALTH AND PERMISSION OBTAINED FROM BOARD �- COMPACTION. (15.221 [2]) OF HEALTH. LO 10. CONTRACTOR SHALL BE RESPONSIBLE FOR ( 2.8% SLOPE) ( 2 % SLOPE) ( 1 % SLOPE) CALLING DIGSAFE (1-888-344-7233) AND LOCUS MAP VERIFYING THE LOCATION OF ALL UNDERGROUND & 6.3' BOTTOM TH-1 & 2 OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF NOT TO SCALE FOUNDATION 18 SEPTIC TANK 28 D BOX 12 FACILITY LEACHING NO GROUNDWATER FOUND I WORK. *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL 11. ANY UNSUITABLE MATERIAL ENCOUNTERED ASSESSORS MAP 246 PARCEL 152 SHALL BE REMOVED 5' BENEATH AND AROUND THE UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS VARIANCES REQUESTED UNDER MAX.. FEASIBLE COMPLIANCE PROPOSED LEACHING FACILITY. SITE IS WITHIN FLOODZONE A10 EL. 11 AND C PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 15.405 AND TOWN OF BARNSTABLE.REGULATIONS ART. 1 SECTION 360-1: 1 a: REDUCTION IN SETBACK, SAS TO LOT LINE (10' TO 2'); ST 12. EXISTING LEACHING FACILITY SHALL BE PUMPED TO LOT LINE (10" TO 5') AND REMOVED OR PUMPED AND FILLED WITH CLEAN 1 b: REDUCTION IN SETBACK, SAS TO FNDN (20' TO 10'); ST SAND. LEGEND- rC I D TO FNDN. (10' TO 8'); SAS >3' BUT <6 BELOW GRADE C I y 1 g: REDUCTION IN SETBACK, WATERLINE < 10' TO COMPONENTS 99- EXISTING CONTOUR UNDER TOWN OF BARNSTABLE REGULATIONS & 15.405 1 f: ST TO BE 32' FROM X 99 EXIST. SPOT ELEV. FLOODZONE A ELEV. 11 (= COASTAL BANK UNDER 92-1 OF DEP REGULATIONS) & SAS TO BE 32' TO C. BANK. UNDER BARN. REGS: SAS 99 PROPOSED CONTOUR TO BE 32' TO FLOODZONE A EL. 11 (COASTAL BANK DEF.) & 88' TO BVW 198•41 PROPOSED SPOT EL SYSTEM DESIGN: TH1 y GARBAGE DISPOSER IS NOT ALLOWED TEST HOLE 5' REMOVAL OF UNSUITABLE SOIL REQUIRED YY AROUND PORTION OF PERIMETER OF LEACHING PROP. VENT WITH CHARCOAL FILTER m FACILITY, DOWN TO SUITABLE SOIL LAYER. AND BUGSCREEN (FINAL:PLACEMENT BY < DESIGN FLOW: 3 BEDROOMS @ 110 GPD = 330 GPD 2% SLOPE OF GROUND i REPLACE WITH CLEAN MED. SAND, TO MEET CONTRACTOR WITH HOMEOWNER USE A 330 GPD DESIGN FLOW SPECIFICATIONS OF 310 CMR 15.255(3) CONSULTATION) UTILITY POLE 7, PROVIDE APPROX. 62' OF 40 FIRE HYDRANT f MIL LINER AT 5' OFF PORTION SEPTIC TANK: 330 GPD (2) = 660 18.03 OF SAS IN AREA SHOWN. TOP yy 4.� 118.28 •iir . i +.3', 6uTiurh L1Jt A IOU vAL. r--lv ;.�r=Fi i�, Iril'vt� NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING #1 2.93 10.3'f 110't 8' e LEACHING: CONC. RET. WALL t TH RAVEL ` SIDES: 2 (36 + 7.83) 2 (.74) = 129 GPD 17. PARKI TEST HOLE LOGS I PARCEL 152 ° I 0 • BENCH MARK - CENTER OF BOTTOM 36 X 7.83 (.74) = 208 GPD 0.21 AC BRICK LANDING. EL. = 18.5 x 8.3 0 18.38 TOTAL: 455 S.F. 337 GPD DANIEL E. GONSALVES, SE #13587 EXISTING DWELL. ENGINEER: x 53 TOP FNDN. EL 18.1' 6 8. USE (4) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) WITNESS: DONNA MIORANDI, RS I/ ? 118.58 WITH 1' STONE AT ENDS AND 1.5' AT SIDES RE-LOCATE EXIST. WATERLINE DATE: 2/19/14 #2 4.36 FIRST FL. EL 19.1' 73 0.17 x .50 WALK-OUT FLOOR x 7 96 Z 18.43 PROP. RE-LOCATED PERC. RATE _ < 2 MIN/INCH o x 4.6 FIRST ELEV. 10.2' gl •-�_ - n WATERLINE. SLEEVE FOR FLOOR ENTIRE LENGTH (NOTE: BOTH CLASS I SOILS P# 14287 3; DECK CLEAN-OUTS LINE AND SEWER LINE MA I x s.64 nnJS ESTS BE CONSTRUCTED OF APPROVED DATE BOARD OF HEALTH ELEV: ELEV. U_ 32'- O 1 d`z 1 'r` 150 PRESSURE PIPE 3.62 AND SHALL BE O" 17.3' O" E:P 17.3' o� 00 x 9 4' - N O PRESSURE-TESTED I 0) .5&? ,9 1 CAUTION: CASLINE V 8.93 NOTE: LOW, OVERHEAD FILL FILL #3 # 4.51 5.98 2 �� WIRES FROM POLE TO PROP. ORK L IT LI ' 4.21 rn x 9.16 1 6 HOUSE TITLE 5 SITE PLAN OF STA ED SI FEN E o 24 22 ,..�•►/ x 14.82 OF B B 00 0') 1.75 NOTE: FLOODZONE ELEV. 11 LS LS i 35 t DEP POLICY 92 BANKCOASTAL ASAs PER 63 SEVENTH AVENUE X 8.42 50" 1 OYR 5/6 13.1' 1 OYR 5/6 x 6. 5 48" 13.3' WEST HYANNISPORT I PREPARED FOR c c i DAVID HENNESSY INSTALLER/PLUMBER SHALL CONFIRM SUITABILITY FOR RE-ROUTING PLUMBING PRIOR TO INSTALLATION OF ANY PORTION OF SEPTIC SYSTEM. FEBRUARY 20, 2014 FS FS #4 x 4.23 REV. 4/7/14 (NO PUMP) Lj"O MASSY {�O�x ysS lti, off 508-362-4541 10YR 6/4 10YR 6/4 sy�G "�\�cyl � '���� k : fax 508-362-9880 DAN!ELA. �N i�o' DA141 L downcope.com O f� 0Ji1LA �I down Ctf a en ineerift /IIC• No.4 c a CJ0.4GG80 f p 8 �� P°� TE��°�ti �: o ;S , '` civil engineers 132" 6.3' 132" 6.3' ,> Fss, NA `��� s Scale: 1 = 20 �-((-��Iy ; := y R land surveyors 939 Main Street ( Rte 6A) NO GROUNDWATER ENCOUNTERED�1 0 10 20 30 40 5o FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 i 1 4-0 > 14-014 HENNESSY-NO PUMP