HomeMy WebLinkAbout0070 SHADY LANE - Health 269129002
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TOWN OF BARNSTABLE
y� LOCATION '70 S m,,Q SEWAGE# 6 g A/O
VILLAGE ASSESSOR'S MAP&PARCEL d(2q /Z 9 ro,
INSTALLER'S NAME&PHONE NO. a/1e evtd4_ �n V Z g w
SEPTIC TANK CAPACITY & = H ® C t s r.
LEACHING FACILITY:(type) W L�r%Cska (size) , � 3 s L 0
NO.OF BEDROOMS .dM
OWNER re�t�4nalp J��Ov�Y�
PERMIT DATE: j 2 2 09 COMPLIANCE DATE: 5>Z - o':'I
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /Vo e I 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 CQ" L�h �J7�'e-S L LC
Ai 137o
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No. �—®D 1 L-0 .. r
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZippYication for Xi5pogal 6- rac t Congtruchou 30ermtt
Application for a Permit to Construct( ) Repair(K) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components
Location Address or Lot No."-1 tv3 $L,%,4 � 'L.A+n ti-i4-tv j Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel -2—( DMZ SAV�Q
Installer's Name,Address,and Tel.No. ��q� , >�j�-V�,se) Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Z� Lot Size sq.ft. Garbage Grinder ( )
Other Type of Building 5] h No.of Persons Showers( ) Cafeteria( )
Other Fixtures 7 q
Design Flow(min.required) d� gpd Design flow provided o� 3L ( gpd
Plan Date S-?,)—Z®c 1 Number of sheets Revision Date
Title -7a $LdaAo�l
Size of Septic Tank ('5007 yuj! "ka, Type of S.A.S. (�� S�Z�re_Qe�� 'Cl/'fM ci.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) ��Zl,�+� fch0 ✓� l�1�✓L
1'ytr✓ Y Dnk, 42 C "3 6 14 C
Date last inspected: Oat
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 Board of Health.
Signed Date 5 2 Z —
Application Approved by og, Date S —�. `d,_,
Application Disapproved by: Date
for the following reasons
Permit No. �OLf U Date Issued )L �-'d
Fee v v
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC'HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
r �lpprtcatton for Tifspogal *p.5tem Confstructton 3permtt
. Application for a Permit to Construct( ) Repair OC) Upgrade( ) Abandon O ❑Complete System ❑Individual Components
Location Address or Lot No."�0 (n A UA,Q 11-y•4-►n-> Owner's Name,Address,and Tel.No. Dt2__.0_,(�
Assessor's Map/Parcel Z.(rjC= Z
S
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Installer's Name,Address,and Tel.No. IfAp 41�lGs,5t) Designer's Name,Address and Tel.No.
/''v ?co3 J
Type of Building: ^�"
Dwelling No.tof Bedrooms Lot Size sq.ft. Garbage Grinder ( ) +
Other Type of Building 5 iv�� .- may— No.of Persons Showers( ) Cafeteria( )
Other Fixtures q
- Design Flow(min.required) 4` �y gpd Design flow provided o� 3�• ( gpd
Plan Date 57-Z f- Z o a j Number of sheets Revision Date
Title -7o 56a
Size of Septic Tank I S:po Ql(`�, Z, Type of S.A.S. (y? S zneS4�S C t/�C.M uL 1.
Description of Soil
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Nature of Repairs or Alterations(Answer when applicable) CA >7oD _"?-ky2 Ta
i) - IVL4 -e.5 t f:'/l C 3 G 14 C
Date last inspected: QG(
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 y this Board of Health.
Sigried Date 5"2 7, 'Z.
'i Application Approved by Date 57
Application Disapproved by: Date
i .for the following reasons
Permit No. g o o Date Issued S )'d
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (x. ) Upgraded ( )
Abandoned( )by llsl AYUAA.) Je C"I �/(fir),)GS t—C C-
at -71) 5 4/kL �..�,..c 'es.,ti'-s has been constructed in accordance .
r /
with the provisions of Title 5 and the for Disposal System Construction Permit No. a.00"1 "' j�-1 a dated
Installer /7"uj ib tal kvQ/)J LI Designer l aA-7 i
#bedrooms Ze Approved design flow U gpd I
The issuance of this permit shall not be construed as a guarantee that the system will function
�as design OP
G,
Date �� l�e t Inspector r M
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`j cam® ----------------- _-.---_---
r No. Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS
Dtgpoal *p!gtem Cottgtructton Permit
Permission is hereby granted to Con truct ( ) Repair (jX`) Upgrade ( ) Abandon ( )
System located attj (�, 1 J�iy y11
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 mu-scat be completed within three years of the date of thistrt-�
Date .d 1 Approved by `�
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I'Own of Isarnstabte
Regulatory Services
MR aa�, b Thomas F. Geiler, Director
MA�' Public Health Division
'Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office; 508-862-4644
Fax, %R•190.6304
Instiller & De—sign' ' titicatlon._Fnr�
Date:
DesigUer: _arc:.. E���ezrt�^T��_ Installer: C.n �w,t4� ErttecPrese�._
Address; _Z6.5 N CccWbe►r , t� dew Address' n^ '3 c v ? �,
G`as} Wnc•ehama H� 6253 f3T ��. ���1 __`,___..
Oil cn
was issued a permit to install_a
~(date) (instalier) '�"
septic system at, 70 SYlad y L on e-
based on a design drawn by
(address) `
..._—._ ,_._._ dated May 2 t 2 oO
(des bier) - ---�--___---
I certify that the septic system referenced above was installed substantial) accord'
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes
greater than 10' lateral relocation of the SAS or any vertical relocation of any componeric
Of the Septic systern) but in accordance with State & Local Regulations, Plan revision n�'
certified as-built by designer to follow,
_ JOHNS 41
(�ln;Stililcr'S S gnatUT'e
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(Designer's SiVe� esigner's amp ere)
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TRANS. NO.:
CITY/TOWN: Hyannis
APPLICANT: Capewide Enterprises
ADDRESS: 70 Shady Lane, Hyannis, MA
DESIGN FLOW: 220 gpd
REVIEWED BY: DATE:
N/A OK PTO
Legal boundaries denoted [310 CMR 15.220(4)(a)] X u
Street, Lot, tax parcel number and lot number noted on plan [310
CMR 15.220(4)(u)] X
Locus Provided [310 CMR 15.2204(t)] X
Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for
components) [310 CMR 15.220(4)] X
Easements shown [310 CMR 15.220(4)(b)] X
System located totally on lot served [310 CMR 15.405(1)(a) for
upgrades]- if not, a variance is required [310 CMR 15.412(4)] X
Location of impervious surfaces (driveways, parking areas etc.)
[310 CMR 15.220(4)(d)] X
Location all buildings existing and proposed 310 CMR
15.220(4)(c)] X
Location and dimensions of system components and reserve areas.
[310 CMR 15.220(4)(e)] X
System Calculations [310 CMR 15.220(4)(f)] X
daily flow X
septic tank capacity (required andprovided) X
soil absorption system (required and provided) X
whether system designed for garbage grinder X
North arrow [310 CMR 15.220(4)(g)] X
Existing and proposed contours [310 CMR 15.220(4)(g)] X
Location and log of deep observation holes (existing grade el. on
each test) [310 CMR 15.220(4)(h)] X
Names of soil evaluator and BOH representative [310 CMR
15.220(4)(h) and (i)] X
Location and date of percolation tests (performed at proper,.
elevation?) [310 CMR 15.220(4)(i)] — X
Percolation test results match loading rate? [310 CMR 15.242] X
Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] X
Observed and Adjusted groundwater(method for adjustment
given or indicated) [310 CMR 15.103(3) and 310 CMR
15.220(4)(n)] X
,. . Address 70 Shady Lane,Hyannis,MA Sheet 1 of 7
N/A OK NO
Location of every water supply,public and private, [310 CMR.
15.220(4)(k)] X
within 400 feet of the proposed system location in the case
of surface water supplies and gravel packed public water supply X
within 250 feet of the proposed system location in the case X
within 150 feet of the proposed system location in the case
of private water supply wells X
Location of all surface waters and wetlands located up to 100 ft.
beyond setbacks listed in 310 CMR 15.211 and any catch basins
located within 50 ft. [310 CMR 15.220(4)(1)] X
Water lines and other subsurface utilities located [310 CMR
15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[1]) X
Profile of system showing invert elevations of all system
components and the bottom of the SAS [310 CMR15.220(4)(o)] X
Stamp of designer [310 CMR. 15.220(1) and 310 CMR. 15.220(2)] X
Stamp of Registered Land Surveyor(required if construction
activities within 5 ft. of lot line) [310 CMR. 15.220(3)] X
Test Holes adequate (two in each of the primary and reserve
unless trenches as permitted in 310 CMR 15.102(2) or as
approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] X
Test hole adequate to demonstrate four feet of suitable material?
[310 CMR 15.103(4)] X
Test Holes adequate to confirm adequate groundwater separation?
[310 CMR 15.103(3)] X
Benchmark within 50-75' of system [310 CMR. 15.220(4)( )] X
Materials specifications noted? [various sections of 310 CMR
15.000] X
System components not> 36" deep (unless Local Upgrade
Approval or LUA requested) [310 CMR. 15.405(1(b)] X
Address 70 Shady Lane,Hyannis,MA Sheet 2 of 7
N/A OK NO
SE TTC )� N
Size OK? [310 CMR 15.223(1)] X
Inlet tee located ten inches below flow line [310 CMR 15.227(6)] X
Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR
15.227(6)] X
Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] X
Note regarding installation on stable compacted base [310 CMR
15.228(1)] X
Separation between inlet and outlet tees (no less than liquid
depth) [310 CMR 15.227(2)] X
Inlet/Outlet elevations at least 12" above high groundwater
(except as described 310 CMR 15.227(5)) or permitted for
upgrades under LUA [310 CMR 15.405(1)(k)] X
Minimum cover 9" (Tanks buried more than 9" must have risers
on all openings and on the d-box) [310 CMR 15.2228(1) and 310
CMR 15.232(3)(0] X
Three access covers (inlet and outlet must be 20" or greater) -
middle access at least 8" (by 7/07) [310 CMR 15.228(2)] X
Access to within 6 " of grade - one port for systems<I 000gpd,
two for systems>1000 gpd [310 CMR 15.228(2)] X
All at-grade covers secured to unauthorized access? [310 CMR
15.228(2)] X
> 10 ft from building foundation [310 CMR. 15.211(1)] X
Buoyancy calculation Required/Done [310 CMR 15.221(8)] X
H-20 Where appropriate? [310 CMR 15.226(3)] X
Setbacks from resources [310 CMR 15.211] X
Required when other than single-family dwelling or flow>1000
gpd [310 CMR 15.223(1)(b)] X
First compartment 200% daily flow; Second compartment 100%
daily flow [310 CMR 15.224(2) and (3)] X
"U" pipe through or over baffle, outlet of each compartment with
gas baffle or approved filter [310 CMR 15.224(4)] X
Address 70 Shady Lane,Hyannis,MA Sheet 3 of 7
N/A OK NO
Located at least ten feet from any water line? [310 CMR
15.222(2)] X
Disposal piping at least 18" below water line(when water and
sewer cross, see 310 CMR 15.211(1)[1]) X
Cleanouts required/provided ? [310 CMR 15.222(8)] X
Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] X
Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable
[310 CMR 15.222(6)] X
Proper pitch on all runs? (.005 within gravity-distributed trenches
and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] X
Siphon problem/(leachfield below pump chamber) X
Endcaps or vent manifold specified? X
Size and orientation of discharge holes specified? (not smaller
than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310
CMR 15.252(2)(h)] X
Materials specified (310 CMR 15.251(5) specifies various pipe
types allowed) X
DIST '� sr
P, RIB�U��I;9aN Bo,
Stable compacted base [310 CMR 15.221(2) and 310 CMR
15.232(2)(a)] X
Splash plate or baffle tee required on inlet/provided? (when
pressure sewer to d-box or steep pitch of gravity sewer) [310
CMR 15.323(3)(a)] X
Riser if deeper than 9" [310 CMR 15.232(3)( ] X
Inside minimum dimension 12" [310 CMR 15.232(2)(b)] X
Minimum sump 6" [310 CMR15.232(3)(e)] X
Watertight cover if<2000gpd); waterproof manhole if>2000gpd
[310 CMR 15.232(3)(d)] X
Capacity(emergency storage above working=design flow)? [310
CMR 231(2)] X
Proper setbacks [310 CMR 15.211 (same as septic tanks)] X
Watertight 20-in minium access manhole at least 20" MUST BE
TO GRADE [310 CMR 15.231(5)] X
Service components accessible (not too deep with piping,
disconnects accessible) X
Alarm floats - alarm on circuit separate from pumps specified? X
Exceeds two units must have two pumps operating in lead-lag
mode. [310 CMR 15.231(6) and (8)] X
Stable Compacted Base [310 CMR 15.221(2)] X
Buoyancy calculations needed ?Provided? [310 CMR 15.221(8)] X
Address 70 Shady Lane,Hyannis,MA Sheet 4 of 7
N/A OK NO
Calculations correct? X
4 feet of naturally occurring material demonstrated? [310 CMR
15.240(1)] X
Required separation to groundwater? [310 CMR 15.212)] X
Aggregate specified as double washed [310 CMR 15.247(2)] X
System Venting required/provided? (system under driveway or
>36" deep) [310 CMR 15.241] X
Inspection ports specified and within 3"final grade? [310 CMR
15.240(13)1 X
Breakout requirements met? (No violation of breakout elevation
within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and
Guidance Document] X
4010 ,FRIES PI�65_.w _6.'� R 31U GlvIR .25
Chambers and Gal. in trench configuration supplied with inlet
every 20 ft. [310 CMR 15.253(6)] X
Each structure with one inspection manhole(if>2000 gpd must
be to grade) [310 CMR 15.253(2)] X
Aggregate 1'minimum- 4' maximum. [310 CMR 15.253(1)(b)] X
2' sidewall credit maximum [310 CMR 15.253(1)(a)] X
In bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)] X
IT
RENCI3ES0 MAR 52 � <
Width 2'minimum 3' maximum [310 CMR 15.251(1)(b)] X
100 feet - maximum length [310 CMR 15.251(1)(a)] X
Minimum separation 2x effective depth or width whichever
greater(3x if reserve between trenches) [310 CMR 251(1)(d)] X
Situated along contours [310 CMR 15.251(2)] X
Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] X
ABED SA(1'IaximuYnc o3fbo„rfie1�5.00' gpd) r
minimum 2 distribution lines [310 CMR 15.252(2)(a)] X
Maximum separation between lines 6' [310 CM R15.252(2)(d)] X
Maximum separation between lines and outside of bed 4' [310
CMR 15.252(2)(e)] X
Aggregate depth below discharge pipes 6" minimum, 12"
maximum. [310 CMR 15.252(2)(g)] X
Separation between beds 10'minimum. [310 CMR 15.252(2)(f)] X
Bottom area used in calculations only [310 CMR 15.252(2)(i)] X
Address 70 Shams Lane,Hyannis,MA Sheet 5 of 7
N/A OK NO
Pressure Dosed System ? Provided pump and piping
calculations as required [310 CMR 15.220(4)(r)] X
Pressure dosing required on all systems>2000gpd or alternative
systems under remedial approval [310 CMR 15.254(2) and I/A
Remedial Use Approvals] X
If used in gravelless system -make sure jet is directed as not to
scour soil interface [Guidance Document] X
Inspections once per year(systems<2000 gpd) or quarterly
(>2000gpd) good to note on plan [310 CMR 15.254(2)(d)] X
Construction in fill -Did the plan specify that the fill shall meet
the specification of 310 CMR 15.255(3)? X
Impervious barrier and/or retaining wall ? [Guidance Document] X
Impervious barrier installation must be supervised by
designer [310 CMR 15.255(2)(b)] X
Retaining wall must be designed by Registered Professional
Engineer [310 CMR 15.255(2)(a)] X
Side slope not exceed 3:1 ? [310 CMR 15.255(2)] X
Breakout requirements met? [310 CMR 15.252(2) and
Guidance Document] X
At least 5 ft. from impervious barrier to edge of SAS (10 ft.
recommended) [310 CMR 15.255 (2)(e)] X
Gravelless,�System�[A�1 rova etters) �'�," �� ;�
Check DEP Approval letters for credits and design conditions X
If used with pressure dosing do not allow pressure discharge
to scour soil interface X
lte natcueSe tac S siem /AA roi�alSLetle ,
, . ..�.., . . .A .. Y; : . _
Was DEP Approval Letter provided and/or have you
reviewed the lettWWI
er for conditions? X
Is the technology being properly applied and does it meet all
DEP Approval Conditions? X
Is there a note on the plan regarding the requirement for
perpetual maintenance agreement? X
Any alarms involved on separate circuits X
Did the applicant submit an operation and maintenance
manual? X
Has applicant submitted a copy of a maintenance X
Are the variances listed on the plan ? [310 CMR 15.220
(4)(q)] X
RLS Stamp necessary on plan if a component is within five
feet of property line [310 CMR 15.412(4)] X
New construction or increased flow proposed- [Refer to 310
CMR 15.414] X
Address 70 Shady Lane,Hyannis,MA Sheet 6 of 7
N/A OK NO
Is the system in a Designated Nitrogen Sensitive Area(Zone II for
a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and
310 CMR 15.216 - also refer to Policy regarding upgrades of such
existing systems] X
Is the system proposed on the same lot as served by private well ?
[310 CMR 15.214(2)] X
Are the nitrogen loads proposed in compliance? [310 CMR
15.216(1)] X
f1G�iscelZ;atneous ��< �� � .,r � �; ➢� ,
Pumping to septic tank ? [ 310 CMR 15.229] X
Shared System [310 CMR 15.290] X
I
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Address 70 Shady Lane,Hyannis MA Sheet 7 of 7
�TME
Town of Barnstable P#
Department of Regulatory Services
RAMIRrABLK : Public Health Division Date Vh /j
200 Main Street,Hyannis MA 02601
ED Mpt�
Date Scheduled r Time— '=' Fee Pd. I dd
Soil Suitability Assessment for Sewage Disposa
Performed By: -i`C,Y��Q QYy1G.1��1 ) E 1 .GSE Witnessed By: v
LOCATION& GENERAL INFORMATION
Location Address -7 o g% _ n Owner's Name )zA , _,-A
`ly44AA0 Address 2-1Tvm tir�� �c /"`a-d�—o w• �
Assessor's Ma /Parcel: Z 124 "' (((�"'��" q l
P , / Engineer's Name (��tCt✓i�t Gjh1�1p�3cr,L��
NEW CONSTRUCTION REPAIR `� Telephone#
Land Use 5tQ_Ste-F-vnc�y �cesic(trohw( Slopes(%) 2: Surface Stones
Distances from: Open•Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line 7 (5� ft Other r ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
Parent material(geologic) "'�� Depth to Bedrock t.32 bS5
�• �
Depth to Groundwater: Standing Water in Hole: 713 2 �JSS Weeping from Pit Face '7 l 32 b5S
Estimated Seasonal High Groundwater 7 132 bS S
DETERARNATION FOR SEASONAL HIGH WATER TABLE
Method Used: yuect-60WvpkwN
" Depth Observed standing in obs.hole: 7 t 32- In, Depth to soil mottles: 7(32 in, "
Depth to weeping from side of obs.hole:' -7 0 L in, Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj,factor Adj.(Groundwater Level —
PERCOLATION TEST bate 513-69 Thne L0.4/1
Observation
Hole# Time at 9" -
Depth of Perc yg_6G Time at 6"
Start Pre-soak Time @ )0:/U H — Time(9"-6")
End Pre-soak
Rate MinJlnch C 2
Site Suitability Assessment: Site Passed__ _2S Site Failed: Additional Testing Needed(Y/N) " JU
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
*If percolation test,is to be conducted within 100' of wetland,you must first notify the.
Barnstable Conservation Division at least one (1) week prior to beginning.
Q:\SEPTIOPERCFORM.DOC
s
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency, ravel
22- 2(o A LS J Cyr
3/I
yo
Kf! '!32 G t-t'S jib/� - 3'-10% S�rovc1
s ocn e C Q1a 2 S
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.% rave
CA
s.2.�26 AL 5 IOYr 3�I _ A
2(a 8 13 I- S %C)°r
tl$-l32 S 2_5iJ`1U`/ro 3�o�Z1
S cwn� CdUA Q-S
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
CnitecGravel)
DEEP OBSERVATION HOLE LOG Bole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders.
Consist n
Flood Insurance Rate Man:
Above 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 pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? Ye 5 _-
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on ��"2� 99 (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 an xperience described in 310 CMR 15.017.
Signaturedila Date S 2 l^d 5
Q:1.SEPTICIPERCFORM.DOC
TOWN OF BARNSTABLE
.LOCATION -70 S�aV Lam SEWAGE # 2,0V-6 7b
VILLAGE �Qwf ASSESSOR'S MAP 6� LOT
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INSTALLER'S NAME & PHONE NO. fl,t t,
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) S 41 �r��i �.✓%i��GGcs�ze) 3 �K 1/X 1
NO. OF BEDROOMS Z PRIVATE WELL OR PUBLIC WATER ✓�Gr�
BUILDER O OWNER g66ZWV? 7-
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: gyp-" z4a l
7,66 W 94 'e.4-v�
VARIANCE GRANTED: Yes �� No
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION —TOWN OF BARNSTABLE., MASSACHUSETTS Yes
01ppfication for Mie;poe;ar *patent Construction Permit
Application for a Permit to Construct(1 Repair( )Upgrade( )Abandon( ) Zletrmplete System ❑Individual Components
Location Address or Lot No. 70 S I w /�} Owner's Name,Address and Tel.No.
Y b+9p,/_eK e DAv►S
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. y
yt}Nke-e Sc�,rV-e- CcM�e�t j ►4 �J
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Type of Building: Z i� `cT AP
Dwelling No.of Bedrooms A Lot Sizea , sq.ft. Garbage Grinder
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 3 gallons per day. Calculated daily flow 3 ® gallons.
Plan Date C76 Number of sheets Revision Date
Title L v-F N 64 tw iD _
Size of Septic Tank Type of S.A.S. S O�p »-v S
w e zj °S Tei
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) y l
Date last inspected: =�0 ► 0,7V-r C�7,
J-fc- � '
Agreement: `�s >� _ ilG /- _
The undersigned agrees to ensure the construction and maintenance of the afore described on 11
sewage disposal-system
in accordance with the provisions of Title 5 of the Environment 1 od n n place the stem in operation until a Certifi;�/: _
cate of Compliance has been issue t s d of Health. l
Signed Date / I�
Application Approved byqK� s4d Date `!
Application Disapproved for the following reasons
�C
Permit No. Date Issued // ZD"d-o
Fee a
' TF�ECOAIlAA1 EALTH OF MASSACHUS_ETTS Entered icrcoinput :
-.,
*_�'UBLIC HEALTH DIVISION_- TOWN OF BARNSTABLE., MASSACHUSETTS
Rpplication for Mtn o.5af * 5tem ton.5truction Permit
Application for a Permit to Construct(P<Repair( )Upgrade( )Abandon( ) ZR6mplete System El Individual Components
Location Address or Lot No. 7 S q L N Owner's Name,Address and Tel.No.
Y t ��-�tv 3►�uw N -t- DIgRLe(A e D,gvls
Assessor's Map/Parcel N y,�yAIIJ
�6 �; aq- �-
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. U L 7-�4�
�S
y►',osRC,�,S r►,�IIs,
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Type of Building: -D ���`CT
rt
Dwelling No.of Bedrooms_� Lot Sizeaa� 3 sq.ft. Garbage Grinder AV
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures t
Design Flow Q gallons per day. Calculated daily flow 33 0 gallons.
Plan Date /0-a8`00 Number of sheets Revision Date
Title P LET L A N OF 4;,C;>
Size of Septic Tank SOO Type of S.A.S. f-jj!1b1 CW pAc, 1nf.1�r S
Description of Soil
Sic n 7 83
Nature of Repairs or Alterations(Answer when applicable) �,n i _,0 ,
Date last inspected: " ( � F� ►lam' D 7�Z/( v /�
Agreement: /.TJ�/�c
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 od n n place the stem in operation until a Certifi_��e//
cate of Compliance has been issu7e7 Its d of Health.
Signed Date I /01O
Application Approved by- . Lay - ;. W _ ; _k.,- Date /l kyl
Application Disapproved for the following reasons ' /
Permit No. �U— (p 7 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS 6 d k m cr--/�-6 ,')
BARNSTABLE, MASSACHUSETTS 1 z 1 /U
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(ti')Repaired ( )Upgraded( )
Abandoned( )by -e i
at 70 5 t16 GA AW/J has been constructed in 3pcordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.74710 -67 6 dated Il /IY
Installer M. Designer V A N �e SyV Vg�/ Cv�S0 t1-iq"IS'
The issuance of this pe x shall of be construed'as a:',guarantee that the systen u'11 func '�n-as esign ed.
Date �, 9 Inspector
i
------------------------------
No.-u-4,v _6 76 a%-00"-2_.r- Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
;0i5po0a1 *pgtem Com6truction Permit
Permission is hereby granted to Construct(6''f Repair( )Up rade( )Abandon( )
System located at > 2-
H w-Dy A � , 11y,4y y/ S
and as described in the above ApplicAtion for Disposal System Construction Permit. The ap, licaq recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
1 ,
Provided:Construction must be ompleted within three years of the date of this 't.
ie4Date: Approved by i
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Doc3B21, 127 81-83-2881 2:54
Ct f t1:16��85
BARNSTABLE LAND COURT REGISTRY i
QUITCLAIM DEED -
Prnrwrty: 45 S,,nm+ ;-.14 �i{u:uar�i.M
BRANDT ASSOCIATES, INC.,a duly organized Massachusetts corporation, with an
address of 871 Bumps River Road, Centerville,MA 02632,for consideration of Forty-Two
Thousand and 00/100($42,000.00)Dollars paid,hereby grants to
D. S. DAVIS DEVELOPMENT, INC. .,a duly organized Massachusetts corporation,
:with an address of 407 A_nnable Point Road, Centerville,MA 02632
with QUITCLAIM COVENANTS
The parcel of the land with the buildings thereon situate in the Town of Barnstable
(Hyannis),Barnstable County, Massachusetts,and being further described as follows:
Being shown as Lots 54 and 67 on Land Court Plan 11328-B (Sheet 2)
s
Subject to the Agreement of Eric W. Rosengren and Lewis C. Perry dated February 27,
1927 and recorded as Document No.2349.
Subject to the rights of others over Suomi Road, Shady'Lane and Sauna Road, for all
purposes for which public ways may now or hereafter customarily be used in the Town of
Barnstable.
Subject to the restriction that only one 2-bedroom home may be erected on the premises.
For our title see Barnstable
s be
County
Registry of Deeds Land Court Certificate g rY rtificate of Title No.
137374. _
The grantor represents and warrants to this grantee that the conveyance of this property does
not constitute a sale or transfer of al I or substantially all of grantor's assets and is in the ordinary' I
course of its business.
IN WITNESS WHEREOF, the said BRANDT ASSOCIATES, INC. has caused its
corporate seal to be hereto affixed and.these presents to be signed and acknowledged in its name
and4ehalf by WILLIAM H. NELSON, its President and Treasurer, thereunto duly authorized,this
day of January,2001.
BRANDT ASSOCIATES,INC.
By: WILLIAM H.NELSO {
'1
4t -3
r
Tr
u-t
COMMONWEALTH OF MASSACHUSETTS
Barnstable,ss January 3 2001
•t Then personally appeared before me the above-named WILLIAM H. NELSON, President
and Treasurer of BRANDT ASSOCIATES,INC.,and acknowledged the foregoing instrument to be
the corporation's duly authorized act and deed as aforesaid,before me_
rPu n,Aires: l l/6/03
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BARNSTABLE COUNTY
REGISTRY OF DEEDS
A TRUE COPY,ATTEST
JOHN F,MMA9 i €q jj0
SAWTAP!E gEG1STpY OF DEEDS
,u, '$`}T' ''•`L .� ' i` „y;,z,,. ^5'.., "x't` 'r p"".'�,� ,",�'"'""t+w,x. ....t , '%,'s„ "µ �" " 9 A' "" -:a". �:�. t °"M;. - 'y1 s...
.� .... ✓a. ,-.:,`, t a?s n _Z' N �y ?yaiz^�t r ' .t'.. 9 y,]b�
TOWN._OF BARNSTABLE
i LOCATION _70 SEWAGE # Z�a2J -676
VILLAGE
ASSESSOR'S MAP & LOTZ6 °l
INSTALLER'S NAME & 'PHONE NO.
SEPTIC TANK CAPACITY: . /S070
LEACHING FACILITY (ey„pe) .S., 1 ��?� % G ($ize) ,3.
NO. OF BEDROOMS Z: PRIVATE WELL OR PUBLIC WATER � `rc
BUILDER O OWNER �✓OZN� T...W t
DATE PERMIT'ISSUED:
DATE COMPLIANCE ISSUED,:
Z' d Ril 'ili -rn
VARIANCE GRANTED: Yes No
Ho
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SA4®y �,
COMMONWEALTH OF MASSACHUSETTS od`
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
= DEPARTMENT OP ENVIRONMENTAL PROTECTION
d
ac��
ASSESSORS���
PANELN�.�� (J�--
TITLE 5 __......
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A pN'13p�dd
CERTIFICATION N ,1SbpSS3SSd
Property Address: 70 Shady Lane t.
Hyannis MA 02601
Owner's Name: Connelly Trust
Owner's Address: PO Box 1668
Sandwich MA 02563
Date of Inspection: June l 1,2004
Name of Inspector: PATRICK M.O'CONNELL
Company Name: SEPTIC INSPECTION SERVICES CO.
Mailing Address: 189 CAM METT ROAD
MARSTONS MILLS MA 02648
Telephone Number: 508-428-1779
CERTIFICATION STATEMENT
1 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 amt�Ft ���!r
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: '
X_ Passes TRIC rn^
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority 0'C N' L
r
Fails
' *
Inspector's Signature: A Date: _6/11/04_ ��irs'F5►aNSPEG�x��`
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving
authority.
Notes'and Comments: Observed no standing water in infiltrators.
****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.
Title 5 Inspection Form 6/15/2000 page 1
Page 2 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 70 Shady Lane,Hyannis
Owner: Connelly Trust
Date of Inspection: June 11,2004
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
_XX_ 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.
Answer yes,no or not determined(Y,N,ND) in the___for the following statements. If"not determined"please ,
explain.
The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally
unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank:as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
Page 3 of 1 1
OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 70 Shady Lane,Hyannis
Owner: Connelly Trust
Date of Inspection: June 11,2004
C. Further Evaluation is Required by the Board of Health:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the
system is not functioning in a manner which will protect public health,safety and the environment:
_ Cesspool or privy is within 50 feet of a surface water
_ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health (and Public Water Supplier, if any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
_ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of 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 coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.
3. Other:
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 70 Shady Lane.,Hyannis
Owner: Connelly Trust
Date of Inspection: June It,2004
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no'to each of the following for all inspections:
Yes No
X_ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
_X_ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
_X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
_X Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow
_X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
_X_ Any portion of the SAS,cesspool or privy is below high ground water elevation.
_X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
_X Any portion of a cesspool or privy is within a Zone 1 of a public well.
_X Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_X_ 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. IThis system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria
are triggered.A copy of the analysis must be attached to this forma
_No_(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large Systems:
To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd•
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
_ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped
Zone 11 of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered
"yes" in Section D above the large system has failed.The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304. The system owner should contact the appropriate regional office of the Department.
Page 5 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE (DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 70 Shady Lane, Hyannis
Owner: Connelly Trust
Date of Inspection: June 11,2004
Check if the following have been done.You roust indicate"yes"or"no"as to each of the following:
Yes No
_X_ Pumping information was provided by the owner,occupant,or Board of Health
X_ Were any of the system components pumped out in the previous two weeks?
_X_ Has the system received normal flows in the previous two week period?
_ _X_ Have large volumes of water been introduced to the system recently or as part of this inspection ?
_X_ __ Were as built plans of the system obtained and examined?(If they were not available note as N/A)
_X_ Was the facility or dwelling inspected for signs of sewage back up?
_X_ _ Was the site inspected for signs of break out ?
_X_ _ Were all system components,excluding the SAS, located on site
_X_ _ 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?
_X_ Was the facility owner(and occupants if different fi•om owner)provided with information on the proper
maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Yes no
_X__ __ Existing information. For example,a plan at the Board of Health.
_X_ _ Determined in the field(if any of the failure criteria related to Part Cis at issue approximation of
distance is unacceptable)[310 CMR 15.302(3)(b)]
Page 6 of l l
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 70 Shady Lane,Hyannis
Owner: Connelly Trust
Date of Inspection: June 11,2004
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): 2 Number of bedrooms(actual): 2
DESIGN flow based on 310 CMR 15.203 (for example: 1 10 gpd x#of bedrooms): 220
Number of current residents: 0
Does residence have a garbage grinder(yes or no): No
Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required]
Laundry system inspected(yes or no):
Seasonal use: (yes or no): No
Water meter readings, if available(last 2 years usage(gpd)): 132 gpd.
Sump pump(yes or no): No
Last date of occupancy: Occasional use for past three years.
COMMERCIAL/INDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): gpd
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no):_
Industrial waste holding tank present(yes or no):
Non-sanitary waste discharged to the Title 5 system(yes or no)`.
Water meter readings, if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records: None
Source of information: -
Was system pumped as part of the inspection(yes or no): No
If yes,volume pumped:____gallons-- How was quantity pumped determined?
Reason for ptunping:
TYPE OF SYSTEM
_X_Septic tank,distribution box, soil absorption system
Single cesspool
Overflow cesspool
_Privy
Shared system(yes or no)(if yes,attach previous inspection records, if any)
Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
Tight tank Attach a copy of the DEP approval
_Other(describe):
Approximate age of all components,date installed(if known)and source of information:
Compliance date:5/29/01
Were sewage odors detected when aiTiving at the site(yes or no): No
Page 7 of 1 I
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 Shady Lane,Hyannis
Owner: Connelly Trust
Date of Inspection: June 11,2004
BUILDING SEWER: X (locate on site plan)
Depth below grade: 16"
Materials of construction:_cast iron _X_40 PVC_other(explain):
Distance from private water supply well or suction line: 30'
Comments(on condition of joints, venting,evidence of leakage, etc.):
SEPTIC TANK: X (locate on site plan)
Depth below grade: 16"
Material of construction:—X—concrete_metal_fiberglass polyethylene
—other(explain)
If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of
certificate)
Dimensions: 10.5' long x 5.8'wide—1500 gal.
Sludge depth: 7"
Distance from top of sludge to bottom of outlet tee or baffle: 25"
Scum thickness: 3"
Distance from top of scum to top of outlet tee or baffle: 6"
Distance from bottom of scum to bottom of outlet tee or baffle: 11"
How were dimensions determined: STICK WITH HINGE FLAP.
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels
as related to outlet invert,evidence of leakage, etc.):
Tees intact and clear, recommend pumping
GREASE TRAP: No (locate on site plan)
Depth below grade:
Material of construction: concrete_metal_fiberglass__polyethylene=other
(explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance fi•om bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels
as related to outlet invert,evidence of leakage, etc.):
Page 8 of 1 1
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 Shady Lane,Hyannis
Owner: Connelly Trust
Date of Inspection: June 11,2004
TIGHT or HOLDING TANK: No (tank must be pumped at time of inspection) (locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass polyethylene other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: _ Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: X (if present must be opened) (locate on site plan)
Depth of liquid level above outlet invert: 0"
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of
leakage into or out of box,etc.):
Liquid level at bottom of single outlet pipe.No high stains or solids present.
PUMP CHAMBER: No (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.):
Page 9 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 Shady Lane,Hyannis
Owner: Connelly Trust
} Date of Inspection: June 11,2004
SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan,excavation not required)
If SAS not located explain why:
Type
leaching pits,number:
_X_leaching chambers, number: Five Infiltrators.
leaching galleries,number:
leaching trenches, number, length:
leaching fields,number,dimensions:
overflow cesspool,number:
innovative/alternative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil,condition of vegetation,
etc.): Checked interior of infiltrators, found no standing water
CESSPOOLS: No (cesspool must be pumped as part of inspection) (locate on site plan)
Number and configuration:
Depth—top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater inflow(yes or no):
Comments(note condition of soil,signs of hydraulic failure, level of ponding;condition of vegetation,etc.):
PRIVY: No (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.):
Page 10 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 Shady Lane,Hyannis
Owner: Connelly Trust
Date of Inspection: June 11,2004
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.
Shady Lane
1500 gal tank
D-box
`r
5 infiltrators w/inspection port in center
t ..
to
r
Page 1 I of 1 I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 70 Shady Lane, Hyannis
Owner: Connelly Trust
Date of Inspection: June 11,2004
SITE EXAM
Slope None
Surface water None
Check cellar Dry
Shallow wells None
Estimated depth to ground water: More than 20 feet
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record- If checked, date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
_Checked with local Board of Health-explain:
Checked with local excavators, installers-(attach documentation)
_X_Accessed•USGS database-explain: USGS topo map and town GIS
You must describe how you established the high ground water elevation:
Groundwater contour map shows water below el.20 and topo map shows property at or above el.40.
PA17T VIII ONSITE SEWAGE DISPOSAL REGULATIONS
SECTION 8.00 INTERIM REGULATION FOR THE PROTECTION OF THE GROUNDWATER
yy QUALITY WITHIN ZONES OF CONTRIBUTION TO PUBLIC SUPPLY WELLS
�v'pFTNF?0� ADOPTED 2/19/85,. BECAME EFFECTIVE 2/21/85, REVISED 4/17/85
OFFICE OF
BesasTssr,�, : BOARD OF HEALTH
AEI A89.
i639* 367 MAIN STREET
�D YAY k•
HYANNIS, MASS. o260t
LEGAL NOTICE'
INTERIM REGULATION FOR THE PROTECaTION OF THE GROUNDWATER QUALITY
WITHIN ZONES OF CONTRIBUTI;C?N TO PUBLIC SUPPLY WELLS
The Board of Health, Town of Barnstable, Massachusetts, in accordance with and under the authority
granted by Section 31, of Chapter 111, of the General Laws of the Commonwealth of Massachusetts,
hereby adopted the following rules and regulations after a public hearing at a meeting of the Board
held on February 19, 1985. Revised at a Board of Health meeting April 17, 1985:
PURPOSE
The initial findings of a townwide hydrogeologic investigation indicate that a substantial portion of
the Town's water supply may be in jeopardy from the long term build-up of nitrate-nitrogen, primarily
from the subsurface discharge of sewage effluent. It has been proven that nitrate contamination
in drinking water can be a serious public health problem. Based on these findings, three of the nine
zones of contribution to public supply wells are considered to be "at risk" zones requiring immediate
measures to mitigate the adverse impact to the groundwater from such discharges. These regulations
are temporary and will be in effect only until the Town adopts a ground water and water resource
protection program.
RESTRICTIONS
No permit for the construction of an individual sewage disposal system shall be granted within the
zones of contribution to public supply wells identified as zones 1,2, and 3 on a map entitled, "Town
of Barnstable, Public Supply Wells Zones of Contribution, dated February 19, 1985, and prepared
by SEA Consultants, Inc., Boston, Ma., which map is on file with the Board of Health, unless the
following standards are met:
A. The maximum allowable discharge of sanitary sewage based on the sewage flow estimates listed
in Regulation 15.02 (13) of 310 CMR 15.00, Title 5, of the State Environmental Code, shall not
exceed 330 gallons per acre per day; however, a permit may 'be issued if the applicant
demonstrates that the total concentration of nitrate-nitrogen in the groundwater resulting from
the proposed use will not exceed 5 mg./I. This determination shall consider the total predicted
concentration of nitrate-nitrogen at the down gradient property line of the lot upon which the
proposed use is to be located.
B. Nothing in this regulation shall prohibit the approval by the Board of Health of any application
involving the maintenance, repair or alteration of an existing individual sewage disposal system,
providing that said application does not involve a change of use as defined by existing Board
of Health regulations. Where a change of use is involved, the applicant must demonstrate
compliance with this regulation.
Variance to this regulation may be granted by the Board of Health only if the applicant can
demonstrate that:
I. Connection to Town sewer is not available; and
2. That enforcement thereof would do manifest injustice; however, the applicant must prove that
the installation of on-site sewage disposal systems will not have a significant adverse effect
on surface or sub-surface public or private water resources.
INTERIM REGULATION (Continued)
1
4
In granting variances, the Board shall take into consideration the direction of the ground water
flow, population density, soil conditions, depth to ground water, size, shape and slope of the lot,
existing and known future water supplies and other information deemed pertinent.
Thi re lation is to take fect on the date of publication of this notice.
bert L. Cliflds, C airman
b1AQ-&JN4-
Ann J e VshbDaugh ArP=� A F
rover arr shy
Town Co sel
BOARD OF HEALTH
TOWN OF BARNSTABLE
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ARTICLE XLVII. REGULATION OF WASTEWATER DISCHARGE
Section 1 INTRODUCTION
1-1 Findings
The health, safety and welfare of the residents of the Town of
Barnstable and its neighboring towns are dependent upon an adequate
supply of pure groundwat.e:r. The Town's entire drinking water supply is
derived from groundwater, .and—the United States Environmental Protection
Agency has designated all of Cape Cod as a "sole source aquifer"
requiring special care and protection. The groundwater system is
internally connected with surface waters, lakes, streams and coastal
estuaries, which constitute important recreational and economic
resources of the Town. Contamination of the aquifer and related surface
water resources pose a serious threat to the health, safety and
financial well-being of the Town.
1-2 Purpose
The purpose of this article is to protect the public health,
safety and welfare by maintaining quality groundwater through the
regulation of the volume of certain wastewater discharges.
Section 2 GENERAL PROVISIONS
2-1 Prohibition
No person, company, corporation, entity, trust or firm shall
install a new individual on-site sewage disposal system which will
produce more than three hundred and thirty (330) gallons per day of
wastewater discharge unless in compliance with the standards established
by Section 3 herein.
2-2 Certification of Compliance/When Required
A certificate of compliance with this article shall be received
from the Board of Health or its designed prior to the commencement of
any activity regulated by Section 2-1 herein.
Section 3 STANDARDS
3-1 Maximum Allowable Wastewater Discharge
Within Zones of contribution to existing and proposed public
supply wells, the maximum allowable wastewater discharge from new
individual on-site sewage disposal systems shall not exceed three
hundred and thirty (330) gallons per acre per day.
Zones of Contribution to public supply wells are shown on a map
entitled "Revised Groundwater Protection Overlay Districts Map" Planning
Department, dated. April 1993, which is on file in the office of the Town
Clerk.
The Zones of Contribution to public supply wells were determined
by SEA Consultants Inc. in their report dated September 1985, entitled
"Groundwater and Water Resource Protection Plan, Barnstable, MA",
revised by SEA Consultants Inc. , September, 1989. The GP Overlay
District is also revised to include: the Zone of Contribution to the
West Barnstable well #15-75 determined by the Cape Cod Commission; and
the .Zone of Contribution to proven future Barnstable Fire District well
#8-90 determined by Whitman and Howard, Inc. The reports and maps are
on file with the Town Clerk.
3-2 Additional Limitation/Certain Areas
In addition to the standards of Section 3-1 herein, within 2, 000
feet of existing and proposed public supply wells as shown on the map
entitled "Revised Groundwater protection Overlay Districts Map" Planning
Department, dated April 1993; the maximum aiowable wastewater discharge
from a new individual on-site sewage disposal system shall not exceed
two thousand gallons per day, unless located outside of the SP zone to
the existing and proposed public supply wells. (Section 3-1 and 3-2
amended by item #94-059 on 12/16/93 - Barnstable Town Council)
3-3 Flow Rate Determinations
To determine compliance with Sections 3-1 and 3-2 herein,
wastewater flow rates shall be determined according to Title V of the
State Environmental; Code, subject to the interpretation of the Board of
Health.
3-4 New System Defined
For the purposes of this article, the phrase "install a new
individual on-site sewage disposal system" shall not include the
maintenance, repair and alteration of an existing individual on-site
sewage disposal system. However in no case shall the discharge of
wastewater increase beyond that present prior to such maintenance,
repair and alteration.
3-5
Any new system not in violation of the standards contained within
Section 3 shall be deemed to be in compliance with Section 3 .
Section 4 ADMINISTRATION
This article shall be administered by the Board of Health or its
designee by verifying compliance with the provisions established herein.
Within ten (10) working days of receipt of a request for a certificate
of compliance, the Board of Health or its designee shall notify the
applicants thereof as to the approval or disapproval of the request.
Upon determination that all provisions of this article are being met, a
certificate of compliance shall be issued. However, in instances where
an upgrading of an existing individual on-site sewage disposal system is
proposed, the Board of Health may require from an applicant evidence
that the proposed upgrading will not adversely affect the groundwater
quality.
Section 5 ENFORCEMENT
The provisions of this article shall be enforced by the Board of
Health or its designee, which may, according to law, enter upon any
premises at any reasonable time to inspect for compliance.
Section 6 VIOLATIONS
Written notice of any violation of- this article shall be given by
the Board of Health or its designee specifying the nature of the
h violation and a time within which compliance must be achieved.
Section 7 PENALTIES
Penalty for failure to comply with any provision of this article
shall be three hundred dollars ($300.00) per day of violation.
Section 8. SEVERABILITY
Each provision of this article shall be construed as separate. If
any part of this -article shall be held invalid for any reason, the
remainder shall continue in full force and effect.
Adopted November 7, 1987-Art.3 .
Approved December 3, 1987.
Revised November 4, 1989.
Amended Nov. 1, 1990
t
Op THE T DATE: s•
FEE
* BARNSfABLE,
9 MASS.
�A 1639• ��� REC.!f BY
Town of Barnstable
S CHED. DATE: go
! �
b
Board of Health
367 Main Street, Hyannis MA 02601
Office: .508-862-4644 Susan G.Rask,R.S.
FAX: 508-790-6304 Sumner Kaufman,M.S.P.H.
Ralph A.Murphy,M.D.
VARIANCE REQUEST FORM
LOCATION
Property Address: t'� �,q��/ A) �/,q,y
Assessor's Map and Parcel Number: 9441 1 I;5 -J Size of Lot: 4A 7-7 3
Wetlands Within 300 Ft. Yes Business Name:
No Subdivision Name:
APPLICANT'S NAME: EN I A J 2� .G IAJ I Phone —7 1 S ® �
Did the owner of the property authorize you to represent him or her? Yes No
PROPERTY OWNER'S NAME CONTACT PERSON
Name: &A A � C® �i � �• me: Lll,
Address: es u>w S_�. J tti � Address:tlb u A t ;J le J C Q &.. U
T
Phone: Phone:
VARIANCE FROM REG IJ,LATION(List Reg.) REASON FOR VARIANCE(May attach if more space need d)
Checklist(to be completed by office staff-person receiving variance request application)
s,"' Four(4)copies of engineered plan submitted(e.g. septic system plans)
Four(4)copies of floor plan submitted(e.g. house plans or restaurant kitchen plans)
E� Signed letter stating that the property owner authorized you to represent him/her for this request
Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting
date at applicant's expense(for Title V and/or local sewage regulation variances only)';
Full menu submitted(for grease trap variance requests only)
Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/leasee only],outside
dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed])
Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVED Susan G..Rask,R.S.,Chairman
NOT APPROVED Sumner Kaufman,M.S.P.H.
REASON FOR DISAPPROVAL Ralph A. Murphy, M.D.
l`""'✓ Q:/WP/VARIREQ
TOWN OF BARNSTABLE
Of THE tp
OFFICE OF
i EAXXSTJUL1, s - BOARD OF HEALTH
y M"S. of
pp 039. \00 367 MAIN STREET
HYANNIS, MASS.02601
December 11, 2000
William Nelson
C/O Yankee Survey Consultants
P. O. Box 265
Unit 5, 40 B Industry Road
Marstons Mills, MA 02648
Dear Mr. Nelson:
You are granted a variance from the Board of Health "330 Regulation", listed as
Part Vlll, SECTION 8.00. The variance will.allow you to construct an onsite
sewage disposal system at 70 Shady Lane, Hyannis with the following
conditions:
(1) The applicant shall submit revised floor plans of the proposed dwelling.
The plans shall be clear and easily readable. Each room shall be labeled
as to what the proposed use will be.
(2) The designing engineered plans shall be revised to show a five (5) feet
removal of impervious materials surrounding the leaching facility.
(3) The property is limited to a maximum of two (2) bedrooms. Dens, study
rooms, finished attics, sleeping lofts, and similar rooms which are isolated,
providing privacy and are intended to be used as a sleeping areas, shall
be considered as "bedrooms" according to Massachusetts Department of
Environmental Protection.
(4) The applicant shall record a deed restriction at the Barnstable County
Registry of Deeds, specifically restricting the property to a maximum of
two bedrooms. A copy of the recorded deed restriction shall be
submitted to the Health Division office prior to obtaining a disposal works
construction permit.
nelson
t
This variance is granted because most of the existing homes in this
neighborhood are of similar size, with two to three bedrooms each. By right, the
applicant could construct a one bedroom home without a variance. It is the
opinion of this Board that the construction of one additional bedroom in this area
will not adversely affect the quality of the groundwater in this area. Also, the
proposal to construct two bedrooms on 22,773 square feet lot meets the
provisions of the State Environmental Code, Title V.
Sincerely yours,
Susan G. Rask, R.S.
Chairman
Board of Health
Town of Barnstable
SGR/bcs
nelson
YOU WISH TO OPEN A BUSINESS?
For Your information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in tow
you must do by M.G.L.-it does not give you permission'to operate.) Business Certificates are available at the Town Clerk's Office, 1°` FL[367h
Main Street, Hyannis, MA.:02601 [Town Hall)
� Fill in
s
a e.
Y
t
aPPU GANT'S YOUR NAME
-. /V
BUSINESS YOUR HOME ADDRESS 70
TELEPHONE It Hame Telephone Number. . ?11KJ-odd
NAME OF NEW BU31NEss J /ems. C.. �,,, ,, TYPE OF Bi1SINE5S: der„ r 1S THIS A.-HOME OCCUPATC ]N YE5
ADDRESS of BUSIfVESS O G :MAP/PARCEL NUMBER C�C1 I oZ cJ �jCS
When starting a new business there are several things you must do in order-to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you-in obtaining the information ou y Iriay need. You MUST GO TO 20❑ Main St. - (corner of Yarmouth
Rd. &Main Street) to make sure you have the appropriate permits and licenses-required to legally operate-your s in this town.
1. BUI_LDING'COM ISS.10 R'S OFFI
This individua h e infoRi�1_ d f an mit requirements that main to,this type of busin
P VJST COMPLY WITH HOME OCCUR
* RULES AND REGULATION
Aut pri d Sigrnatur S. FAILURE TO
COMMENTS:dA.hn
COMPLY MAY RESULT IN FIN
2. BOARD OF HEALTH
This individual has b infor e o e p r it requirements that pertain to this type of business.
uth ized Si natur
COMMENTS: . 7 .
3 :CONSUMER AFFAIRS LICENSING AUTHORITY)
This individual ha n info � 'of the lice i g it ents that pertain to this type of business:
Authorized Signature.*
COMMENTS:
� I
rr� Hazardous Materials Inventory Sheet checKust
5 08 Date
Physical Street Address-Check database to ensure it exists
Working Phone Number
Actual Amounts-(le.gas being used to fuel machines,thinner to
Jclean brushes all count as hazardous materials)
Storage Information-location of storage,how long Is storage for?
If none,note that.
Disposal Information-where and who?If none,note that.
Applicant Signature-understand what is listed and noted
Staff Initial-any questions,know who to ask
Vehicle Washing/Rinsing? -provide a vehicle washing policy and
explain it-note that it was given
Attach the Business Certificate with your sign off and comments
"The inventory form should explain what the business consists of and the procedures
they are doing. Notes need to be left to explain what you discussed with them.
y . Date: 1 //S'/ ar",
TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS:
BUSINESS LOCATION: 7:92— 16 C Z'" INVENTORY
MAILING ADDRESS: (AZA 1 09 f1/ISnJ. ciga, TOTAL AMOUNT:
TELEPHONE NUMBER: tea' oe6k 01 ?eO `S_ WWz
CONTACT PERSON: (VA LI N C152962Alfl),
EMERGENCY CONTACT TELEPHONE NUMBER: CIo� ) y0/ ` Oz�Z MSDS ON SITE?
TYPE OF BUSINESS: Orin 4
17
INFORMATION/RECOMMENDATIONS: Fire District:
,00 5-j .
Waste Transportation: Last shipment of hazardous.waste:
Name of Hauler: Destination:
Waste Product: Licensed? Yes No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use,
storage and disposal of 111 gallons or more a month requires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health and the Public Health Division have determined that the following products exhibit toxic
or hazardous characteristics and must be registered regardless of volume. ,
Observed/Maximum Observed/Maximum
Antifreeze (for gasoline or coolant systems) Misc. Corrosive
NEW USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road Salts (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor Oils Pesticides
NEW USED (insecticides, herbicides, rodenticides)
Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers)
Diesel Fuel, kerosene, #2 heating oil NEW USED
Misc. petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
Degreasers for engines and metal Printing ink
Degreasers for driveways & garages Wood preservatives (creosote)
Caulk/Grout Swimming pool chlorine
Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Misc. Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt & roofing tar .PCB's
V Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
t/ Lacquer thinners (inc. carbon tetrachloride)
NEW USED Any other products with "poison" labels
Paint &varnish removers, deglossers (including chloroform, formaldehyde,
Misc. Flammables hydrochloric acid, other acids)
Floor &furniture strippers Other products not listed which you feel
Metal polishes may be toxic or hazardous (please list):
Laundry soil & stain removers
(including bleach) /� AT u Od SrT
Spot removers & cleaning fluids
(dry cleaners) y �'f
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
] PAR ) Real Estate System - General Property Inquiry] Help [ ]
Par--el Id: 269 129-002- Account No: 410424 Parent : 175189
Locution: 45 SUOMI ROAD HYANNIS Neighborhood: 55CC Fire Dist : HY
Devel Lot : 54 & 67 Lot Size : . 50 Acres
Current Own: BRANDT ASSOCIATES, INC State Class : 130
871 BUMPS RIVER RD No. Bldgs : Area:
Year Added: 90
CENTERVILLE MA 2632
Deed Date : 060195 Reference : C137374
January 1st : GLADDING, DOUGLAS P & Deed MMDD: 0489 Deed Ref : C117378
Comments :
Values : Land: 37500 Buildings : Extra Features :
Road System: 45 Index: 1568 (SUOMI ROAD ) Frntg:
Index: ( ) Frntg:
Control Info: Last Auto Upd: 040896 Status : C Last TACS Update : 032796
Land Reviewed By: Date : 0000 Bldgs Reviewed By: Date : 0000
Tax Title : Account : Taken: Account Status : Hold Status :
Cancel [ ]
Press XMT for more data
Next screen [PAR ] Action [ ]
Owners Name [ ]
Road Index [ ] Road Name [ ]
Parcel Number [269] [130] [ ] [ ] [ ]
P 339 578 645
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail See reverse
Se to
Street&Nu er
i
P office tate,&ZI Code
D
Postage
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Return Receipt Showing to
Whom&Date Delivered
a Return Receipt Showing to Whom,
Q Date,&Addressee's Address
coCD TOTAL Postage&Fees
M Postmark or Date
E
ti
rn l/q/,?
o_
Stick postage stamps to article to cover First-Class postage,certified mail fee,and
charges for any selected optional services(See front).
1. If you want this receipt postmarked,stick the gummed stub to the right of the return
address leaving the receipt attached, and present the article at a post office service m
window or hand it to your rural carrier(no extra charge). m
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q
return address of the article,date,detach,and retain the receipt,and mail the article.
LO
3. If you want a return receipt,write the certified mail number and your name and address
on a return receipt card,Forth 3811,and attach it to the front of the article by means of the
gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article
RETURN RECEIPT REQUESTED adjacent to the number.
w
4. If you want delivery restricted to the addressee, or to an authorized agent of the O
addressee,endorse RESTRICTED DELIVERY on the front of the article. r M
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receipt. If return receipt is requested,check the applicable blocks in item 1 of Forth 3811. li
6. Save this receipt and present it if you make an inquiry. i Cl)
The Town of Barnstable
I DAMSTAM t Department of Health, Safety and Environmental Services
MUL
s�0
039 Public Health Division
0 M t639 ��
� AY k'
367 Main Street,Hyannis,MA 02601
Office 508-790-6265 Thomas A.McKean
FAX 508-775-3344 Director of Public Health
January 8, 1997
Brant Associates Inc.
871 Bumps River Road
Centerville,MA 02632
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00,STATE SANITARY CODE H.
MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF
BARNSTABLE BOARD OF HEALTH'S NUISANCE CONTROL REGULATION NUMBER ONE
The property owned by you located at 45 Suomi Road,Hyannis was inspected on January 7, 1997,by
Edward Barry,Health Inspector for the Town of Barnstable,because of a complaint. The following
violations of the Nuisance Control Regulation Number One Regulation and the Sanitary Code H were
observed:
410.602: Brush and other debris scattered on the ground throughout the vacant lot.
You are directed to correct this violation within seven(7)days of receipt of this notice.
You may request a hearing if written petition requesting same is received by the Board of Health within
seven(7)days after the date order is received. However,this violation must be corrected regardless of any
request for a hearing.
Please be advised that failure to comply with an order could result in a fine of not more than$500. Each
separate day's failure to comply with an order shall constitute a separate violation.
You are also subject to non criminal citations of$40.00 for the first violation and$15.00 for each
additional violation. Tickets will be issued daily until the violations are corrected.
joPER ORDER OF THE BO OF HEALTH
as c can
Director of Public Health
:a
N
01
The Town of Barnstable
Health Department
""ff"` 367 Main Street, Hyannis, MA 02601
,"I
Office 508-790-6265 Thomas A. McKean
FAX 50l344 GU►�° �` ' `E'��'`' v le-Director of Public Health
71OR
f '
N_O_TICE TO ABATE VIOLATIONS OF_105 CMR 410.00, STATE SANITARY
CODE III MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION ®�
The property owned by you located at was
inspected on /*"' """ , 199 by �ii �''�I �1 '
Health Inspector for the Town of Barnstable, because of a
complaint. The following violations of 105 CHR 410.00,
State Sanitary Code II, Minimum Standards of Fitness for
Human Habitation were observed:
You are dire ��o cor these vio 'inns w
four 2 ours of eipt o s otice.
` C
You are a*wv directed to correct `
within .Sj,o ��7� days/hours of receipt of this
notice.
You may request a hearing if written petition requesting
same is received by the Board of Health within seven (7)
days after the date order is received. However, these
violations must be corrected regardless of any request for
a hearing.
Please be advised that failure to comply with an order could
result in a fine of not more than $500. Each separate day s
failure to comply with an order shall constitute a separate
violation.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean
Director of Public Health
UNITED STATES POSTAL SERVICE First-Class MailPostage&Fegs Paid
USPS ;
Permit No.G-10
• Print your name, address, and ZIP Code in this box•
Public Health Division
`I Town of Barnstable
` P.O.Box 534
Hyannis, Massachusetts 02601
i
i
i
5 1!\O
d SENDER:
C ■Complete items 1 and/or 2 for additional services. I also wish to receive the I
H ■CQ7nplete items 3,4a,and 4b. following services(for an
■cPrint artl too ou name and address on the reverse of this form so that we can return this extra fee):
■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
permit.
y ■Wiite'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery to
■The ReturnReceipt will show to whom the article was delivered and the date ..
c delivered. Consult postmaster for fee. °�
v 3.Article Addressed to: 4a.AArticle Number J/ m
Y c I
4b.Service Type «'
0'7 7 / �Uv>" -a�,u fig "Ppcj ❑ Registered ertified x
to ry)/)� CIO
❑ Express Mail ❑ Insured y I
rn / /
¢ r ❑ Return Receipt for Merchandise ❑ COD
a7.Date of Delive
z �,
p 5.Received By:(Print Name) 8.Addressee's Address(Only if requested
W and fee is paid) =
g 6.Si re: (Addressee or Agent.
PS Form 3811, December 1994 Domestic Return Receipt
r
rt
BARNSTABLE
90,
/\ �� Gam\ AfN STREET
BEpNpCHMARK �� PINE 9 SA aAD
=O00 O(ISSUMED) �� "y� LOCUSS
A.M. 2691130
GARAGE`, �� �- k LOCUS MAP
0 I OO '
PROPOSED
(Tp 2-BEDRM.. ,� —a /Jw ASSESSORS MAP.•269, LOT 129-2
1�#2 00 T.O.F-9B. . PLAN REF 11328 B SH.2
/q
ZONING.• "RB»
A.M. 2 6 911 32-3 o \ ,� FLOOD ZONE. C
00 A.M. 269/129-2 0 \`� `� 3. / FENCE �� COMMUNITY PANEL#
0• 66.
9 �v
14J AREA= 22, 773 ESQ.FT. ` 1 00 O 250001 0008 D
12 33 w o I 1
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2
TP DATER 7102192
/C B. o °� o� L- ___J WELLHEAD PROTECTION
o � ,
-1
0 VERLA Y DISTRICT - WP
Qp LOT SIZE: 22, 773E S.F.
A.M. 269/115 2 BEDROOM RESTRICTION
PLOT PLAN
OF LAND
A.M. 2691129-1 ;
LOCATED A T.-
1 70 SHADY LANE'
°� HYANNIS, MASS.
BRUCE
G.
ems_ �p a MURPHY � PREPARED FOR:
' " #9 ALAN BROWN & DARLENE DA VIS
OCTOBEER 28, 2000
IN. y GRAPHIC SCALE YANKEE SURVEY CONSUL TANTS
0
30 0 ,s 30 60 120 P. O. BOX 265
Gc, O UNIT 5, 40B INDUSTRY ROAD
MARSTONS MILLS, MA. 02648
( IN FEET PH. (508)428 0055 FAX(508)420-5553
1 inch = 30 f1w
JOB NO. 52527 DCB
98.5 _ 1
MP OF FOUNDATION 1
r- 20' MIN.
10' MIN. CONCRETE CO VERS ' 4" SCHEDULE 40 P. VC
MIN. PI7rH 118 PER FT. 2"LAYER OF
1/8'-112"
/ CONCRETE COVER_ WASHED STONE
EL= 9B = 7'
B MAX / / i i i i / / / / / / / / i EL 9B.
4" CAST IRON PIPE r`i 6" MAX / / / /
(OR EQUAL MINIMUM Y
PITCH 114 PER AT t W CLEAN SAND
FLOW LINE C
INVERT 1 10" _ EL.= 95 T
— 98.5 MIN. 14"
EL.------- INVERT �2.0'— 0 0 0 00 0
CAS �6 SUM LEVEL 0 ° o o°o 0
INVERT• BAFFLE EL = 96' INVERT INVERT 000000
0 0 c° 0 0 Fl, = 94.3
EL.=96.25 EL.= 95.75 — EL.= 95.5 __ / I
(7V BE PLACED ON FIRM BASE) DISTRIBUTION
AfArBANICALLY COMPACTED OR B' OF S7VNE BOX EL.=95.3 5 HICH CAPACITY 1.
__1sLQQ__GALLONS 719 BE WATER TESTED INFILTRATORS
SEPTIC TANK IF MORE THAN ONE OUTLET Il' X 38' TRENCH FORMATION -i
PLACE ON 6" STONE SOIL ABSORPTION
PROFILE OF 314" Tn WASHED
S
INDEX WELL MI W 29 DOUBLE WASHED Tt�NE S YSTEM (SAS)
SEWAGE DISPOSAL SYSTEM ZONE C ADJ 5.1'
NOT TO SCALE OCT.- 2000 WATER TEST HOLE ,f2 ELEV. =-84.2' USCS. ADJ. ELEV. = 89.3'
OBSERVATION HOLE I ELEV.=_1°11'_ BOTTOM OF TEST HOLE ,f3 ELEV.=_85_3'_
(PERCOLATION RA TE _-<2_ MIN./ INCH A T 36" TOP) OBSERVA TION HOLD`'. 2 ELEV.= 93.4'_ OBSER VA TION HOLE 3 ELEV.= 98.3'_
(. DEPTH HORIZ TEXTURE COLOR U077 OTHER DEPTH HORIZ TEXTURE COLOR MOTT OTHER DEPTH HORIZ TEXTURE COLOR M077 OTHER
0-3 O ORGANIC
" 0-18 FILL 0-5.5' FILL
3"-8" A SANDY LOAM IOYR 4-1 18"-26' A SANDY LOAM IOYR. 4-1 5.5 -6' A SANDY LOAM lOYR 4-1
8"-18" B LOAMY SAND IOYR. 4-6 06"-4' B LOAMY SAND IOYR. 4-6 6'-8.5' B LOAMY SAND OYR 4-6
18'"_11' CI MED./SAND IOYR 6-6 PEA 4'-I1' Cl MED./NAND IOYR 6-6 8.5 -13' Cl MED./SAND IOYR 6-6
NO WATER ENCOUNTERED WAILER ENCOUNTERED ® 116" EL= 84.2 NO WATER ENCOUNTERED
GENERAL NOTES I SOIL TEST
1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E:P. DATE OF SOIL TEST 1011712000 SOIL TEST DONE BY BRUCE C. MURPHY, R.S
TITLE 5 AND THE TOWN OF _B4RMTAQLE_--_ RULES AND WITNESSED BY:
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE DONNA MORANDI
2) ONE
COVER ON SEPTIC 27ANK SHALL BE BROUGHT
THIN 6" OF FINISHED GRAD& OTHERS HIN z PERC. 9683 DESIGN CA L C ULA TIONS.'
3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF 2
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN INSTALL- NUMBER OF BEDROOMS . . . . . . . .
10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE GARBAGE DISPOSAL . . . . . . . . . NO
USED UNDER OR i17THIN 10 FT. OF DRIVES OR PARKING AREAS. 5 HIGH CAPACITY
4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL INFILTRATORS WITH TOTAL ESTIMATED FLOW CAL/DAY
BE MORTERED IN PLACE 4' STONE SIDES, AND ENDS ( 110__GAL/BR/DA Y x 2 BR.) 220
5) NO DETERMINATION HAS BEEN MADE AS 717 COMPLIANCE WITH REQUIRED SEPTIC TANK CAPACITY 1000 CAL
t DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS 719 11, X 38'
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. IN MEDIUM;SAND SOIL CLASSIFICATION . . . . . . . . 1
6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRAC717R DESIGN PERCOLATION RATE 2 MIN./IN.
IS TO CALL "DIC— SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS
PRIOR TO COMMENCING WORK ON SITE NOTE- 5' O VEf?DIG OF FILL EFFLUENT LOADING RATE . . . . . . . 74 CAL/DA Y/S.F.
7) CONTRAC717R IS 717 VERIFY GRADES AND ELEVATIONS AS WELL AS LEACHING CAPACITY (AREA X RATE) 369 CAL/DA Y
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE TO MEDIUM SAND MAY BE RESERVE LEACHING CAPACITY (H-201 369 CAL/DA Y
9) LOT IS SHOWN ON AS MAP ____ AS PARCELS 1��—�_. HEALTH FOR jFY BOARD OF
8) PARCEL IS IN FLOOD ZONE___C"____-- - REQUIRED. N077FY BOARD
TION. (38X11X 74)+(38f 38+11+IIX .83 X . 74)
Q
SHEET 2 OF Z JOB NUMBER__ 52527
98.5
7OP OF fFt&,&ATION
20' MIN. ,
j 10' MIN. CONCRETE COVERS
4" SCHEDULE 40 P. VC
MIN. PITCH 1/8 PER FT. 2"LAYER OF
CONCRETE COVER WASHED I�NE
F i i i i B' MAX / / _T / i i i i / / / i ♦ i EL= 9e EL= 9B.9''
4" CAST IRON PIPE B" MAX
PO MINIMUM MH /4 PER FT
CLEAN SAND
FLOW LINE
INVERT l�
w
— 955 !4 �2.0�� o o°Oo 0
EL.—_-- INVERT--- GAS �6 SUM LEVEL ° ° o ° o°8
INVERT RAFFLE EL.= 9B_ INVERT INVERT o°o°0 o o0 o
EL.=98 25 EL.= 95 5 EL.= 95.5 o = 94.3
(7V BE PLACED ON FIRM BASE) DISTRIBUTION
MArAWNICALLY COMPACTED OR B' OF SMAW BOX EL.=95.3 5 HICH CAPACITY
GALLONS M BE WATER TESTED INFILTRATORS
SEPTIC TANK IF MORE THAN ONE OUTLET -..11' X 38' TRENCH FORMATION
PLACE ON 6" STONE . SOIL ABSORPTION
PROFILE � 3/4" 7t7 1—l/2
OF INDEX WELL MI W 29 DOUBLE WASHED SMNE SYSTEM (SAS)
SEWAGE DISPOSAL SYSTEM ZONE c I ADJ 5.1'
NOT TO SCALE f OCT. P000 WATER TEST HOLE #2 ELEV. = 84 2'_---- USGS. ADJ. ELEV. __89.3'
OBSERVATION HOLE 1 ELEV= for.7'_ BOTTOM OF TEST HOLE 13 ELEV.=85.3'_
`J
(PERCOLATION RATE _!??_ MINI INCH AT 36" TOP) OBSERVATION HOLE ? ELEV= 93.4' OBSERVA TION HOLE 3 ELEV.= 98.3'_
----- ---
DEPTH HORIZ TEXTURE COLOR OTT. OTHER DEPTH HORIZ TEXTURE COLOR M077 OTHER DEPTH HORIZ TEXTURE -COLOR MOTT OTHER
0-3" 0 ORGANIC 0-18" FILL_ 1 0-5.5' FILL
3'-8" A SANDY LOAM lOYR 4-1 18'-26' A SANDY LOAM IOYR 4-1 5.5 -6' A SANDY LOAM lOYR 4-1
8"-18" B LOAMY SAND IOYR 4-6 26'-4' B LOAMY .SAND IOYR 4-6 6'-8.5' B LOAMY SAND OYR 4-6
18-11' Cl MED./SAND IOYR 6-6 PE
4'-ll' C1 NED./SA I4D IOYR 6-6 8.5'-13' Cl MED./SAND lOYR 6-6
NO WATER ENCOUNTERED YATER ENCOUNTERED O 118' EL= 84.2 NO WATER ENCOUNTERED
GENERAL NOTES SOIL TEST
1) ALL WORKMANSHIP AND MATERIALS SHALL CONMRM 7V D.E:P. DATE OF SOIL ,TEST 1011712000 SOIL TEST DONE BY BRUCE C. MURPHY, RS.
TITLE 5 AND THE 7VWN OF lURMZWM--__ RULES AND
REGULATIONS AVR THE SUBSURFACE DISPOSAL OF SEWAGE.' WITNESSED BY. DONNA MORANDI
2) ONE ROUGHT TO
COVER
6 ROF FINISHED GRADE: OTHERS ON SEPrIC 7ANK SHALL BE BR7THIN 12" PERG hf 9683 DESIGN CALCULA TIONS.
3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF 2
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN INSTALL• NUMBER OF BEDROOMS .
10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE GARBAGE DISPOSAL . . NO
USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 5 HIGH CAPACITY
4) ANY MASONARY UNITS USED 7V BRING COVERS 7V GRADE SHALL INFILTRATORS MYTH TOTAL ESTIMATED FLOW
BE A/ORTERED IN PLACE' 110 CAL/BR/DAY x ,2 __ BR) 220 CALIDA Y
4' STONE SIDES AND ENDS -----
5) NO DETE'RAMNAT/ON HAS BEEN MADE AS TO COMPLIANCE A77H t � REQUIRED SEPTIC TANK CAPACITY 1000 CAL
DEEDED OR ZONING REIGULATIONS. OWNER/APPLICANT IS T O 11' X 38'
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. IN MEDIUM SAND SOIL CLASSIFICATION . . . . . . . . I
j 6) UTILITIES SHOJYN ARE APPROXIMATE ONLY, EXCA VATION CONTRACTOR DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN.
IS TO CALL "DIG— SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS
PRIOR 7V COMMENCING WORK ON SITE NOTE I 5' O VERDG OF FILL EFFLUENT LOADING RATE . . . . . . 7'4 CALIDA Y/S.F.
7) CONTRACT0R IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS TO MEDIUM SAN13 REQUIRED LEACHING CAPACITY (AREA X RATE) 369 CALIDA Y
SITE CONDITIONS PRIOR 70 COMMENCING WORK ON SITE RESERVE LEACHING CAPACITY H-20) 369 GAL DAY
8) PARCEL IS IN FLOOD ZONE___C_____. NOTIFY BOA1�D OF
9) LOT IS SHOWN ON ASSESSORS MAP __2B9AS PARCELS j 2— HEALTH FOR INSPECTION. (38XIIX 74)+(38+38+11+IIX .83 X . 74)
I SHEET 2 OF 2 JOB NUMBER__ 5f52Z-------
'f
' - BARNSTABLE
fl
g0UTE
y STREET
o /
► 1' ` BENCHMARK. IS 9 SA AAD 04 J 1 7 pp OF C. P c1m LOCU
` ELEV.=100.O(ASSUMED) ,,�
/
A.M. 2691130
GARAGE\'; \\ �o�� �- \� LOCUS MAP
PROPOSED � �—�� r �
• PPP
6f 1 2-BEDRAif 1 `� i Jw ASSESSORS MAP.•269, LOT 129-2
Y ao z T.a F=98.5 � ��y > N Q PLAN REF. 11328 B SH.2
s� oo cn ZONING: ,PREP'
A.M. 2691132-3 Aso ( �, ` ` - FLOOD ZONE- "C"
w
00 M. 269/129-2 00. `! \`� \`� 93, FENCE
A. COMMUNITY PANEL
AREA= 22, 773 fSQ.FT. ` 166 00 O 250001 0008 D
• 2 33 WTP co o� I 1
5821 DATED: 7102190
f C B. o °� _' ___J WELLHEAD PROTECTION
o �
0�{, O VERLA Y DISTRICT - "WP"
,p LOT SIZE: 22, 773f S.F.
A.M. 269/115 pL O T PLAN 2BEDROOM RESTRICTION
_ OF LAND
A.M. 2691129-1 s
LOCA TED. A T.-
r ,�, 70 SHADY LANE
" ' HYANNIS, MASS.
,y
All
up�P r PREPARED FOR:
49
0 Ay ALAN BROWN & DARLENE DA VIS
5 ,Mn
3 � 3 7 s
OCTOBER 28, 2000
'' rr `� ' �' ��'' REVISED. DEC. 12, 2000
i
— coo GRAPHIC SCALE
YANKEE SUR VE Y CONSUL TAN TS
30 0 15 30 60 120 P.O. BOX 265
UNIT 5, 408 INDUSTRY ROAD
MARSTONS MILLS, MA. 02648
( IN FEET PH.(508)428-0055 - FAX(508)420-5553
1 inch = '30 ft.
JOB NO. 52527S DCB
• 1
BARNSTABLE
2
K/\<4F� / ,�' AfN STREET
' ca. \�
Q 4c- �► 1' B7E�pNpCHMARK PINE 'ar,SA AD
J =100 O ,SSUMED) ya LOCUS
A.M. 2691130 �D''- - ca- �2 TP 0
GARAGE jr �- LOCUS MAP
°
,71WOPOSED \\ /
s (Tp #2 z-gEVR,� /J� ASSESSORS MAP.•269, LOT 129-2
PLAN REF 11328 B SH.2
IN
ZZONING: ,.RB"
o
A.M. 2 6 911 32-3 �s ( �. �' - FLOOD ZONE.- . "C"
00 A.M. 2691129-2 166. 3, FENCE �� COMMUNITY PANEL,¢
AREA= 22, 773 fSQ.FT. �` \� �, 9 1pp O 250001 0008 D
12 33 W
S82 p o�Tpfl DATED: 7102192
C.B. WELLHEAD PROTECTION
o �
L O VERLA Y DISTRICT - "WP
0 ^_ LOT SIZE. 22, 773f S.F.
,�� •'o - A.M. 269/115 2 BEDROOM RESTRICTION
PLOT PLAN
A.M 269/129-1 OF LAND
LOCA TE'D A T.•
70 SHADY LANE
HYA pm XNNIS, MASS.
m QQ T��J .. r•l1b
��� o�� :•.. :; momPREPARED FOR:
���.�s Q�' °°• 5�` _ ;' �7, ° ALAN BROWN & DARLE'NE DA VIS
OCTOBE'R 28, 2000
aa c GRAPHIC SCALE YAWEE SURVEY CONSUL TANTS
30 U 15 30 - 60 120 P. O. BOX 265
UNIT 5, 408 INDUSTRY ROAD
• '`y� MARSTONS MILLS, MA. 02648
OJ ( IN 'FEET PH. (50(6)428-0055 - FAX(508)420-5553
1 inch ! 30 M
JOB NO. 52527 DCB
�a
i
F
EL. =_98.5_
TOP OF F1�UNDAT/_ON y
f 20' MIN.
10' MIN. CONCRETE COVERS
4" SCHEDULE 40 P. VC
y MIN. PI7CH 118 PER FT. 2"LA YER OF
1 1/8"-112"
/ WASHED-S70AW
/ / / � • • • / / i / / / —? / / � . . 7 CONCRETE COVER EL= 9e EL= 9B.T
C.s 6" MAX / / / / / i;74
4" CAST IRON PIPE 6" MAX
PI7L^114 ER FT i
!_2
CLEAN , . SAND
FLOW LINE
INVERT I' m-
EL. _
MlN.
— 96.5 14 INVERT I 0' ° o c 0000 o
CAS 6 SUM LEVEL ° ° o °°o °
INVERT BAFFLE EL.= 96' INVERT INVERT °o o° ° o°
EL.=9s_25 t EL.= 95.75 _ E[ = 95 5 ° o = 94.3
(7V BE PLACED ON PIRA! BASE) ; DISTRIBUTION
MECHANICALLY COMPACTED OR B" OF SMNE y BOX EL.=95.3 5 HIGH CAPACITY
__1 LQ2__GALLONS 710 BE WATER TESTED INFILTRATORS
SEPTIC TANK —Il' X 38' TRENCH FORMATION
IF MORE THAN ONE OUTLET
PLACE ON 6" S717NE SOIL ABSORPTION
PROFILE OF 314" 7t7 1-112
INDEX WELL MI W 29 DOUBLE WASHED S71'JNE S YSTEM (SAS)
SEWAGE DISPOSAL SYSTEM ZONE C ADJ. 51'
NOT TO SCALE OCT. 2000 WATER TEST HOLE hV2 ELEV. =_84.2' USCS. ADJ. ELEV. = 89.3'
OBSERVATION HOLE I ELEV.=_10,.7-'_ BOTTOM OF TEST HOLE 03 ELEV. =_85_3'_
r
(PERCOLATION RATE _-<2_ MIN./ INCH A T 36" TOP) OBSER VA TION HOLE' 2 ELEV.= 93.4'_ OBSERVA TION HOLE 3 ELEV= 98.3'_
i. DEPTH HORIZ TEXTURE COLOR OTT. OTHER DEPTH HORIZ TEXTURE COLOR OTT. OTHER DEPTH HORIZ TEXTURE COLOR OTT. OTHER
0-3" O ORGANIC 0-18" FILL 0-5.5' FILL
3"-8" A SANDY LOAM IOYR. 4-1 18"-26 A SANDY LOAM lOYR 4-1 5.5'-6' A SANDY LOAM lOYR. 4-1,
8"-18" B LOAMY SAND IOYR. 4-6 26"-4' B LOAMY SAND IOYR. 4-6 6'-8.5' B LOAMY SAND OYR. 4-6
f 18"-11' CI MED./SAND IOYR 6-6 PERc. 4'-11' CI MED./SAND 10YR 6-6 8.5'-13' Cl MED./SAND IOYR 6-6
NO WATER ENCOUNTERED X4TiiR ENCOUNTERED ® 116" EL= 84.2 NO WATER ENCOUNTERED
GENERAL NOTES SOIL TEST
1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. DATE OF SOIL, TEST 1011712000 SOIL TEST DONE BY BRUCE G. MURPHY, R.S.
TITLE 5 AND THE 719WN OF BARNSTABLE_--- RULES AND WITNESSED BY:
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE DONNA MORANDI
2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT 710 DESIGN CALCULA TIONS.�WITHIN 6 OF FINISHED GRADE: OTHERS WITHIN 12" PERC. , 9683 a
3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF 2
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN INSTALL- NUMBER OF BEDROOMS . . . . . . .
10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE 5 HIGH CAPA:''ITY GARBAGE DISPOSAL . . . . . . . . . NO
USED UNDER OR 97THIN 10 FT. OF DRIVES OR PARKING AREAS. INFILTRATORS WITH TOTAL ESTIMATED FLOW
4) AN BEYM ASONA DYINNITS UUSED T O BRING COVERS 719 GRADE SHALL � ( I10__CAL/BR. -2/DAY x ___ BR.) 220 CAL/DA Y
PLAC
5) NO DETERMINATION HAS BEEN MADE AS 70 COMPLIANCE WITH 4 STONE SIDES .AND ENDS REQUIRED SEPTIC TANK CAPACITY 1000 GAL
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS 7V 11, X 38
• ' �f OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. IN MEDIUM -SAND SOIL CLASSIFICATION . . . . . . . . 1
+I 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRAC7VR ( DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN.
IS 7V CALL DIG— SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS EFFLUENT LOADING RATE . . 74 CAL/DAY/S.F.
PRIOR TO COMMENCING WORK ON SITE NOTE— 5' O VERDIG OF FILL
7) CONTRAC7OR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS LEACHING CAPACITY AREA X RATE 369 GAL DAY
SITE CONDITIONS PRIOR 7V COMMENCING WORK ON SITE' TO MEDIUM SAIID MAY BE RESERVE LEACHING CAPACITY (H-20) 369 GALIDA Y
BJ PARCEL !S /N FLOOD ZONE___C"_____. REQUIRED. NO7'If'Y BOARD OF
9) LOT IS SHOWN ON ASSESSORS MAP 269AS PARCELS 122-2_. HEALTH FOR II✓SPECTION. (38XIIX 74)+(3B+3Bf11+I1X .83 X 74)JOB NUMBER 52527_-----
SHEET ,? OF 2
j
------------ ------ ........------
PROVIDE PRECAST CONCRETE
T.O.F. EL.= 30.4'± EXTENSION RISER WITH CONCRETE 4"SCHEDULE 40 PVC MIN. SLOPE I % GENERAL NOTES
COVER TO WITHIN 6"OF F.G. OVER FINISHED GRADE OVER INFILTRATION= 29.4- - 29.2'
INLET AND OUTLET COVERS. INISH GRADE OVER D-Box= 29.2'± SLOPE @ 2% MIN. 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS
INSPECTION PORT WITH ACCESS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY
FINISH GRADE REMOVABLE WATER-TIGHT COVER OVER BOX TO WITHIN 3"OF F.G. APPLICABLE LOCAL RULES.
@ FND. EL.= 29.3 ± FINISHED GRADE OVER TANK EL. 29.5+ RISER TO WITHIN 6"OF FINISHED GRADE (ONE PER TRENCH)
2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE
rn 5-DIA. OUTLET(S) DESIGN ENGINEER.
PROPOSED 4" 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL
EXISTING 4" ............ PVC SEWER PIPE 9"MIN. SYSTEM UNLESS OTHERWISE NOTED.
SEWER PIPE 9"MIN 36"MAX. TOP OF SAS B.O. 26.43' 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN
36"MAX.
ELEVATION =26.43' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS
61' 30' 3"DROP MAX
2"DROP MIN 3" 9" MIN.SLOPE01% A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF
SEWER
9"
THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION.
*14"
10" U 1 PROVIDE WATERTIGHT
14" _�26.5 + 4" PVC I JOINTS (TYP.) 144 1 1.33- 16"TYP 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM.
(TYP.) T
SEPTIC TANK 4"PVC OUT TO 090, n10.1"TYIP�' 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
• LEACHING FACILITY I n
7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN SYSTEM IS
SHALL
CONTRACTOR CONTRACTOR OUTLET TEE NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED
SHALL VERIFY SIZE 4�" VERIFY CONDITION OF 12" 26.00' 25.10' (laid flat) -2.875'(34.5")_� WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH.
AND CONDITION OF EXISTING TEES 22"ZABEL FILTER 26.30' MIN 26.13' 5.0' (TYP.)
EXISTING SEPTIC AND REPLACE AS MODEL#Al 801-4x22 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 33.00' ESTABLISH ON A NAIL SET
TANK NECESSARY 6"CRUSHED STONE (TYP.) 5'MIN. 11.50' IN AN OAK TREE AS SHOWN ON PLAN.
OVER MECHANICALLY -(TYP FOR BOTH ROWS) 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH
COMPACTED BASE 20.0
DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE
5 OUTLET DISTRIBUTION BOX GROUND WATER ELEV.- < 19.70' AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN
EXISTING 1,500 GALLON CONCRETE SEPTIC TANK TO BE INSTALLED ON A LEVEL STABLE ENGINEER.
BASE. FIRST TWO FEET OF OUTLET BIODIFFUSER (PROFILE) BIODIFFUSER END VIEW 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE
PIPES TO BE LAID LEVEL. WATERTIGHT.
'CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE CROSS SECTION VIEW 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING
TO ANY WORK& NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE DISTRIBUTION BOX DETAIL 8 - ARC 36HC (#3616BD) BIODIFFUSERS REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM
NOT TO SCALE NOT TO SCALE APPROPRIATE AUTHORITY.
------ 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED
IV.
PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2. i, 0 : TEST PIT DATA UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND
H-20 LOADING, OR AS INDICATED ON PLAN.
74`As PERC NO. 12562 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES.
CONSTRUCTION NOTES: • INSPECTOR: David W. Stanton, R.S. 1
4 EVALUATOR: Michael Pimentel, E.I.T. 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE
1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE ZONE 2 C.S.E.APPROVAL DATE: Oct. 1999 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE
I • ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER
TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. DATE: May 13, 2009 UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3).
TEST PIT#: 1
W. E. 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE
2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE r, ELEV TOP 30.70'
CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. • ELEV WATER= < 19.70' 16. PROPOSED PROJECT IS LOCATED WITHIN:
F--
W REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS Benchmark PERC RATE <2 min./inch ASSESSORS MAP 269 PARCEL 129-02
ARE NOT CONSISTENT WITH TEST PIT DATA. IQ Nail set in Oak Tree Elev. =33.00'
U) 1 " "
Approx. M.S.L. • DEPTH OF PERC= 48 -66 FEMA FLOOD ZONE C ON PANEL# 250001 0008 D
CAU TEXTURAL CLASS: 1 OWNER OF RECORD: FERNANDO DEMOURA& ELVIS C. CASAGRANDE
ob
04 &
M x, I I /1/ -1 -�,N REMOVE ALL UNSUITABLE ADDRESS: 70 SHADY LANE
PROPOSED INSPECTION PORT 0)
> CIV MATERIAL DOWN TO C-SOIL HYANNIS, MA
WITH ACCESS BOX TO GRADE
z TONE DRIVE AND REPLACE WITH CLEAN • 0" 30.70'
< (TYP OF 2) COARSE SAND lie
S. _j Fill
IL so 28.87' 17. PLAN REFERENCE: L.C. PLAN 11328-B(SHEET 2)
an 22"
6 • a A Loamy Sand
i Gas a 1 OYr 311 28.53'
70 a 0 26" 18. DEED REFERENCE: L.C.C. 183433
B Loamy Sand 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
1 OYr 5/8
•
-4-PROP. TOTAL 8 ARC
48" 26.70'
20. PROPERTY LINE INFORMATION IS APPROXIMATE ONLY. THIS PLAN IS TO BE USED ONLY FOR
36HC BIODIFFUSERS
0 Perc
SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF
(4 PER TRENCH) 0.
0 • 66"
25.20' THIS PLAN OTHER THAN ITS INTENDED PUPOSE.
-
MAP 269 }-PROPOSED •
#70 0 0 , -V'l DISTRIBUTION BOX
PARCEL130 EXISTING 0k 2-BEDROOM � % C Medium Sand
DWELLING TP 1 AL 2.5Y&6
TOF GAS
30.4'± 30.7' (5-10%gravel; some
ti MAP 269 TP2 cobbles)
S9s8bo PARCEL 129-02 3'
LOCUS PLAN
) .7- z
22,768 S.F.± , WUj 132" 1 19.70'
LU SCALE: 1" 1000'10 i
OD z No Mottling, Standing or Weeping Observed
is TEST PIT DATA
LL
EXISTING INFILTRATOR 0 1;: DESIGN DATA PERC NO. 12562 LEGEND
Uj (q
166.97 SAS. PORTION OF SAS TO Up � 0 INSPECTOR: David W. Stanton, R.S.
EXISTING 1,500 GALLON BE REMOVED AND Uj NUMBER OF BEDROOMS (DESIGN) 2* EVALUATOR: x 50 EXISTING SPOT GRADES
SEPTIC TANK TO BE UTILIZED REPLACED WITH CLEAN M R: Michael Pimentel, E.I.T.
% AS PART OF THIS DESIGN r'OARSE SAND AS SHOWN DESIGN FLOW 110 ___QAUDAY/BEDROOM C.S.E. APPROVAL DATE: Oct. 1999 50 EXISTING CONTOUR
0
0 TOTAL DESIGN FLOW 220 GAUDAY DATE: May 13,2009
EXISTING VENT PIPE DESIGN FLOW X 200 % = 440 GAUDAY TEST PIT#: 2 17701 PROPOSED SPOT GRADES
USE EXISTING 1,500 GALLON SEPTIC TANK ELEV TOP = 30.70' -cm- PROPOSED CONTOUR
MAP 269 DEED RESTRICTION TO BE FILED ELEV WATER < 19.70' U/HjVV EXISTING OVERHEAD UTILITIES
MAP 269 PARCEL115 PERC RATE = - GAS EXISTING GAS LINE
PARCEL 129-01 INSTALL 8 - 16" HIGH ARC 36HC (#3616BD) BIODIFFUSERS DEPTH OF PERC= W W EXISTING WATER LINE
SYSTEM CAPACITY TEXTURAL CLASS: I TEST PIT LOCATION
--- EXISTING 1500 GALLON SEPTIC TANK
opt (TOTAL L.F. OF BIODIFFUSERS)(7.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD o 1b 0. 30.70'
(40.0')(7.8 SF/LF)(0.74 GAUSQ.FT.)= 230.9 GAL. LEACHING/DAY PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE
Fill
22" 28.87' Ell PROPOSED DISTRIBUTION BOX
TOTALS: A6" 10 Loamy Sa 28.53'
and PROPOSED 16" HIGH ARC 36HC(#3616BD)BIODIFFUSER
2 11
TOTAL NUMBER OF BIODIFFUSERS: 8 B Loamy Sand
TOTAL NUMBER OF COUPLINGS: 0 1 OYr 5A
0 TOTAL LEACHING AREA: 312.0 SQ.FT. 48" 26.70'
61 7.> TOTAL LEACHING CAPACITY: 230.9 GAL./DAY
DATE BY APP-D. DESCRIPTION
q (3 PROPOSED SEPTIC SYSTEM UPGRADE
N, 1% NOTE:. C Medium Sand PREPARED FOR:
(2 0 EFFECTIVE LEACHING AREA OF 7.80 SF/LF OBTAINED FROM THE 2.5Y 6)6
7 CAPEWIDE ENTERPRISES
DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER (5-10%gravel; some
0 0 "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO cobbles)
0 HC-1 ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST LOCATED AT
4) MODIFIED JULY 23, 2008). TRANSMITTAL NUMBER=W000052. 70 SHADY LANE
132-1 1 19.70' HYANNIS, MA
1) SWING TIE MEASUREMENTS ...-..No Moftling, Standing or Weeping Observed -
#70 SCALE: 1"=20' BOARD OF HEALTH USE SCALE: I INCH = 20 FT. DATE: MAY 21,2009
EXISTING 0 10 20 40 80 FEET
2-BEDROOM DESCRIPTION HC1 HC2
DWELLING -
PREPARED BY:
TOF 30.4'± HC-2 BIODIFFUSER CORNER(1) 40.5' 23.4'
L
JC ENGINEERING, INC.
BIODIFFUSER CORNER(2) 28.0' 33.9'
2854 CRANBERRY HIGHWAY
' EAST WAREHAM, MA 02538
BIODIFFUSER CORNER(3) 38.8- 42.5
SITE PLAN BIODIFFUSER CORNER(4) 48.6- 34.8' 508.273.0377
SCALE: I"=20'
Drawn By: MCP Designed By: MCP &ecked By:JLC JOB#: 1619