HomeMy WebLinkAbout0004 SYDNEY DRIVE - Health �4 Sydney Dr. Hyannis
o p
� f
a G
G o .
v 0
o
TOYrS1 OF BAMSTABLE
L��_ATION �,✓� I Y� SEWAGE �k
VFiLAGE--Z Y,4�v,?//S ASSESSOR'S MAP & LOT
RNSTALLER'S NAME&PHONME NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
Jklaximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edgs of Wetland and Leaching Facility (If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
i
too
o
oF
Town of Barnstable P# 70.2s-
, ' ►'�, Departiment of Regulatory Services
Public Health Division DateWARR 2L9 Ltl
� *659• ,6�' 200 Main Street.Hyannis MA 02601
�FD Mld� •
Date Scheduled U Time Fee Pd. l00
Soil Suitability Assessment for Sewage Disposal
Performed By I'1(6A ae k P,iyne n WA , F Z 1 C S C- \
a Witnessed By: G'i V�
LOCATION& GENERAL INFORMATION
Location Address Owner's Name
iee CAP I,,e
'I II Address 1/ Sy(ven price� e-
.µyi �
j'fl�J s K A
(n✓lil r
Assessor's Map/Parcel: ///// Engineer's Name CN�ineerin
a$�
NEW CONSTRUCTION REPAIR ✓ Telephone# 50 8`Z7 5-0 3 7-7
Land Use St(4e t ew,i fy elwell:n� Slopes(4'0) Z- Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line >10 ft Other — ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
See ettod'd �(
Parent material(geologic) � �° 712.
b S
(g g ) 5� Depth to Bedrock t 2� 5
Depth to Groundwater. Standing Water in Hole: 712o Weeping from Pit Face t 2O4
Estimated Seasonal High Groundwater 7( 20 4� 5_s
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used: C)Iyect-6QSe,(v0V0n
Depth Observed standing in obs.hole: 120 In. Depth to soil mottles: 7 t In.
Depth to weeping from side of obs.hole: 7 t 20 In, Groundwater Adjustment
Index Well# Reading Date: Index Well level _ Ad1.factor ,^� Adj.Clroundwnter Level o
PERCOLATION TEST brae 6-251v Time 11 Ad
Observation 1
Hole# Time at 9" �
Depth of Perc 36.- 5 y Time at 6"
Start Pre-soak Time @ I 0 6 Ad _ Time(9"41)
End Pre-soak �' I I AM
Rate Min./Inch Z
Site Suitability Assessment: Site Passed 105 Site Failed: Additional Testing Needed(Y/N)
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:\SEPTICIPERCFORM.DOC
r -
DEEP-OBSERVATION HOLE LOG Hole# k
Depth from Soil Horizon Soil Texture Sdil Color Soil. Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.% ravel
L/- 8 A L s
LS
3(0-120 C. H-GS 2.�Y"/6 /oose-
DEEP OBSERVATION HOLE LOG Hole# 2-
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
y s A LS / Y� 3/Z
3t9-i2o G 1f-c S 2,5 y1-4
Noose
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consisto cv.%Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Foil Texture Soil Color Soil
Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
onsi ten 1
t
Flood Insurance Rate Map*
Above 500 year flood boundary No_ yes_✓_
'Within 500 year boundary No 1/ yes -
Within 100 year ficod boundary No :Z- yes
Depth of Naturally Occurrine Pervious Material
Does at least four feet of;naturally occtrring 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 certi that on )o- 2-1- 9 9
fy (date)I hove passed the soil evaluator examination approved by the
Department of Environmental Protection ane that the above analysis was performed by me consistent with .
the required training,expertise a expo . cc described in 310 CUR 15.017.
Signature Date 9-2-/0
QASBPTIC1PBRCFORM.DOC
4
e�
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS ` J�
DEPARTMENT OF ENVIRONMENTAL PROTECTION
A �
F
W
d
M
ti
k,,N Syb
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION c,
Property Address: 4 SYDNEY DRIVE HYANNIS,MA 02601
Owner's Name: CARMINE MOLINARI
Owner's Address: 4 SYDNEY DRIVE,HYANNIS,MA.02601
Date of Inspection: 9/19/01
Name of Inspector: (please print) JOHN GRACI
Company Name: SEPTIC INSPECTIONS
Mailing Address: P.O.BOX 2119 TEATICKET,MA.02536
Telephone Number: 508-564-6813 FAX 508-564-7270
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is
true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and
experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system
inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
X Passes
_ Conditionally Passes
_ Needs Furth valuation by the Local Approving Authority
Fails
Inspector's Signature: Date: 9/19/01
The system inspector shall submit 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
SYSTEM PASSES TITLE V RECOMMEND PUMPING EVERY ONE TO TWO YEARS TO PROLONG THE
SYSTEM'S USEFUL LIFE.
****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.
Titles S Tncnartinn Fnrm Fi/1 sr)(nn 1
Page 2 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 4 SYDNEY DRIVE HYANNIS,MA 02601
Owner: CARMINE MOLINARI
Date of Inspection: 9/19/01
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
X 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:
SYSTEM PASSES TITLE V RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S
USEFUL LIFE.
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.
n/a 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: n/a
n/a 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: n/a
n/a 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: n/a
i
Page 3 of I 1
OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 4 SYDNEY DRIVE HYANNIS,MA 02601
Owner: CARMINE MOLINARI
Date of Inspection: 9/19/01
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 I 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 n/a
"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:
n/a
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 4 SYDNEY DRIVE HYANNIS,MA 02601
Owner: CARMINE MOLINARI
Date of Inspection: 9/19/01
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for alLinspections:
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 '/2 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 nLa.
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. [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.]
(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
X the system is within 400 feet of a surface drinking water supply
X the system is within 200 feet of a tributary to a surface drinking water supply
X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped
Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered
"yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat
under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner
should contact the appropriate regional office of the Department.
a
Page 5 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 4 SYDNEY DRIVE HYANNIS,MA 02601
Owner: CARMINE MOLINARI
Date of Inspection: 9/19/01
Check if the following have been done. You must 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 from owner)provided with information on the proper maintenance
of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
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 C is at issue approximation of distance is
unacceptable) [310 CMR 15.302(3)(b)]
S
Page 6 of I 1
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 4 SYDNEY DRIVE HYANNIS,MA 02601
Owner: CARMINE MOLINARI
Date of Inspection: 9/19/01
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): 4 Number of bedrooms(actual): 4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440
Number of current residents: 2
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): NO
Seasonal use: (yes or no): NO
Water meter readings, if available(last 2 years usage(gpd)): n/a
Sump pump(yes or no): NO
Last date of occupancy: n/a
COMMERCIAL/INDUSTRIAL
Type of establishment: n/a
Design flow(based on 310 CMR 15.203): n/agpd
Basis of design flow(seats/persons/sgft,etc.): n/a
Grease trap present(yes or no): NO
Industrial waste holding tank present(yes or no): NO
Non-sanitary waste discharged to the Title 5 system(yes or no): NO
Water meter readings, if available: n/a
Last date of occupancy/use: n/a
OTHER(describe): n/a
GENERAL INFORMATION
Pumping Records
Source of information: n/a
Was system pumped as part of the inspection(yes or no): NO
If yes,volume pumped: n/agallons--How was quantity pumped determined? n/a
Reason for pumping: n/a
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): n/a
Approximate age of all components,date installed(if known)and source of information:
17 YEARS
Were sewage odors detected when arriving at the site(yes or no): NO
Page 7 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 4 SYDNEY DRIVE HYANNIS,MA 02601
Owner: CARMINE MOLINARI
Date of Inspection: 9/19/01
BUILDING SEWER(locate on site plan)
Depth below grade: 40"
Materials of construction:_cast iron =40 PVC Xother(explain): 20 PVC
Distance from private water supply well or suction line: n/a
Comments(on condition of joints,venting,evidence of leakage,etc.):
TOWN WATER
SEPTIC TANK: X(locate on site plan)
Depth below grade: 16"
Material of construction: Xconcrete_metal_fiberglass_polyethylene other(explain)n/a
If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate)
Dimensions: 6' X.6' H 10"
Sludge depth:2"
Distance from top of sludge to bottom of outlet tee or baffle:32"
Scum thickness: 1
Distance from top of scum to top of outlet tee or baffle: 24"
Distance from bottom of scum to bottom of outlet tee or baffle: -1"
How were dimensions determined: MEASURED
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related
to outlet invert,evidence of leakage,etc.):
MAIN CESSPOOL AND ALL COMPONENTS APPEAR TO BE STRUCTURALLY SOUND.RECOMMEND
PUMPING EVERYONE TO TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE.
GREASE TRAP: _(locate on site plan)
Depth below grade: n/a
Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a
Dimensions: n/a
j Scum thickness: n/a
I Distance from top of scum to top of outlet tee or baffle: n/a
Distance from bottom of scum to bottom of outlet tee or baffle: n/a
Date of last pumping: n/a
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related
to outlet invert,evidence of leakage,etc.):
n/a
7
r
Page 8 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
i
Property Address: 4 SYDNEY DRIVE HYANNIS,MA 02601
Owner: CARMINE MOLINARI
Date of Inspection: 9/19/01
TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade: n/a
Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a
Dimensions: n/a
Capacity: n/a gallons
Design Flow: n/a gallons/day
Alarm present(yes or no): N/A
Alarm level: N/A Alarm in working order(yes or no): NO
Date of last pumping: n/a
Comments(condition of alarm and float switches,etc.):
n/a
DISTRIBUTION BOX: _(if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: n/a
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.):
NO BOX
PUMP CHAMBER:_(locate on site plan)
Pumps in working order(yes or no): NO
Alarms in working order(yes or no):NO
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
n/a
R
i
Page 9 of 11
I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 4 SYDNEY DRIVE HYANNIS,MA 02601
Owner: CARMINE MOLINARI
Date of Inspection: 9/19/01
SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required)
If SAS not located explain why:
n/a
Type
1000 GAL 6' X 6' leaching pits, number: 1
n/a leaching chambers, number: n/a
n/a leaching galleries, number: n/a
n/a leaching trenches, number, length: n/a
n/a leaching fields, number: n/a
n/a overflow cesspool, number: n/a
n/a innovative/alternative system
Type/name of technology: n/a
Comments note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.):
( g it
PIT APPEARS TO BE FUNCTIONING NORMALLY.STAIN •MARKS INDICATE LIQUID LEVEL HAS BEEN
ONE FOOT TO PIPE..PIT NOW EMPTY.BOTTOM IS AT 9 FEET
CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration: n/a
Depth—top of liquid to inlet invert: n/a
Depth of solids layer: n/a
Depth of scum layer: n/a
Dimensions of cesspool: n/a
Materials of construction: n/a
Indication of groundwater inflow(yes or no): NO
Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
n/a
PRIVY: (locate on site plan)
Materials of construction: n/a
Dimensions: n/a
Depth of solids: n/a
Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
n/a
9
Page 10 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 4 SYDNEY DRIVE HYANNIS,MA 02601
Owner: CARMINE MOLINARI
Date of Inspection: 9/19/01
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.
lb� f�CIcL
oec�
3°
o
�sa�P
t
in
Page 11 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY.ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 4 SYDNEY DRIVE HYANNIS,MA 02601
Owner: CARMINE MOLINARI
Date of Inspection: 9/19/01
SITE EXAM
_Slope
_Surface water
_Check cellar
Shallow wells
Estimated depth to ground water 13+feet
Please indicate(check)all methods used to determine the high ground water elevation:
NO Obtained from system design plans on record-If checked,date of design plan reviewed: n/a
YES Observed site(abutting property/observation hole within 150 feet of SAS)
NO Checked with local Board of Health-explain: n/a
NO Checked with local excavators, installers-(attach documentation)
NO Accessed USGS database-explain: n/a
You must describe how you established the high ground water elevation:
NO WATER FOUND.TO 13 PLUS FEET.TESTED BY AUGER.ADJUSTMENT TO GROUNDWATER IS 3' 9"
FROM MIW 29 ZONE C-BOTTOM AT 9'
I
rt
P�oFtr � Town of Barnstable
Board of Health
snxxsrn$i,e.
619� P.O. Box 534, Hyannis MA 02601
- ATfpMpYA
Office: 5087 62-4644
September 26,2001
Mr. Ralph Crossen -
Eagle Eye Inspection Company
Box 43 Hyannisport, MA 02647
RE: 4 Sydney Drive, Hyannis
Dear Mr. Crossen:
You are granted a variance on behalf of your client Carmen Molinare, from 310 CMR 15.2.14,
restricting sewage flows to one bedroom for every.10,000 square feet of land within Zone II
districts. You are granted permission to construct an onsite sewage disposal system at 4 Sydney
Drive,. Hyannis, with the following conditions:
.(1) No more than two (2) bedrooms are authorized. Dens, study rooms, finished attics,
sleeping lofts and similar-type.rooms are considered "bedrooms"according to the.
Massachusetts Department of Environmental Protection.
(2) A floor plan shall be submitted showing only two(2) bedrooms in the dwelling.
(3) The applicant shall record a properly-worded deed restriction.at the Barnstable County
Registry of Deeds limiting the dwelling to two (2) bedrooms.. The deed restriction shall
be signed by the property owner. A copy of the recorded deed.restriction shall be
submitted to the Board of Health rp for to obtaining a disposal works construction permit.
This variance is granted because the application was originally filed on December 22, 1999, prior
to the ending of the transition rule deadline. At that time, it was the Board's policy to grant
applicants approval.a.to,construct two (2) bedrooms on lots of less than 18,000 squarefeet in size
when a standard Title V system is proposed.
Sincerely yours,
n G.tas , R.S.
Chairperson
Board of Health
Town of Barnstable
Crossen2
TOWN OF BARNSTABLE
�FTHETO
OFFICE OF
BAMgT BOARD OF HEALTH
MAS&
°o i639• `gym 367 MAIN STREET
�c MaYArHYANNIS,MASS.02601
February 8, 2000
Sarah Ojala
939 Main Street
Yarmouthport, MA 02675
RE: 4 Sydney Drive, Hyannis
Dear Mrs. Ojala:
You are granted a variance on behalf of your client Carmen Molinare, from 310 CMR 15.214,
restricting sewage flows to one bedroom for every 10,000 square feet of land within Zone II
districts. You are granted permission to construct an onsite sewage disposal system at 4 Sydney
Drive, Hyannis, with the.following conditions: .
(1) No more than three (3) bedrooms are authorized. Dens, study rooms, finished attics,
sleeping lofts,and similar-type rooms are considered "bedrooms" according to the
Massachusetts Department of Environmental Protection.
(2) The applicant.shall submit a monitoring plan for the proposed F.A.S.T. system.
,. (3) The applicant shall record a properly-worded deed restriction at the Barnstable County
Registry of.Deeds limiting the dwelling to three (3) bedrooms. The deed restriction shall
be signed by the property owner. A copy of the recorded deed restriction shall be
submitted to the Board of Health prior to obtaining a disposal works construction permit.
This variance is granted because it is the Board's policy to grant applicants approvals to
construct three (3) bedrooms on lots of less than 18,000 square feet in size when a nitrogen
reducing alternative-type systems are proposed to be installed.
Sincerely yours,
LSusan G. Rask, R.S.
Chairperson
Board of Health
Town of Barnstable
SGR/bcs
carmen
"OY—L7—7C) v
DAT—n:
- -
(� FEE:HAS&
��$� REC. BY�
Town of Barnstable
SCHEL. DATE:
Board of Health
367 Main Street. Hyannis MA 02601
Ofrlcc: 5U-190412is Susan G.Rask.R.S.
F.4-` . 908-71-0-65)a Sunner Kaufman.M.S F
S.
Ranh A.Murphy,M.D.
VARIANCE REQUEST FORM
LOCATION
F-opera/Address:__"� S`tf7�-►tE Y �/L``'E -{ °•.._t�—tt S
Assessor's Map and Parcel Number: �-{' Size of Lot:
Wetlands Within 300 Ft. Yes )_ Subdivision`:ame:
NA_,w--
Business Name,
APPLICANT CONTACT PERSON
Name: G�2r►+)r.lE (Y)oLt k Name: 5o.4-A.A4
a -awGVtG1+i l7rt• "roMDl�t•i'� Cc.�E Address: R3`I Ill
Ad..ress:lo + t••1Y t oa$4 iT_
Phone: Phone: -7(o 2— c`4 s--4
FAX:
FA.,:: \S o
VARiANCF-FROM REGULATION,Liu Res) REASON FOR VARIA_NCE:ltitay avch if more spare irdcd)
l S,Zt 4( 1) N t-M�o
PSa&1 3''50 (1 x4 •_ apt
AQ�T V t t k 5�,P!4 8,c
i "Aeo.•('str is be cump.)araj 51;
v•iC8 srctJ-per scr.rrcz:ring>ariance request aFplicarcorti
_ Four(d)copses of;Ian submitted septic system Mans and,'or restaurant floor plans)
Applicant u::dersta-ids that the abt:'iers aust be norined by certified mail at least ten da s prior tc m_etin,
date a:app`.icancs expanse(for T:tk V a.1cyor local sewage regulation variances only) `
Full menu submitted(for grease trap�s:iances o-lV)
Variance request app:ic-attor.fee collected t+oiee:of6reswmamtd7riauor—%vai,{ra ufofuenurne+'iwtec*retlemetr.�tarsde�
• w: pwed}) '
w.jvr]Kefee��b(tine f••sot.•�i0fett+etf�.yX.dnt.�fe:A ft9eif fultd feoa�e dnyeae:apta•�•�afly�f+e..+pn.ro+wt4•�}.�i.ea re I
Variance request submitted at least !5 days prior to :neetina date i
VA RIAN: =APPROVED_ S tsar G.Rask,R.S.,Chairman
NOT.APPROVED Sumner Kaufman,M.S.P.H.
P.EASON FCR D!SA?PR-)VAL Ralph A.tvturph�,�i.D.
Search for Map%Parcel 004' Town of.Bamstabi0
_ � Fo%�Pareel<Number�289004 _ _ _ _ �_ _ � �RentalP`operty{Y�/N)
Buslness;Name: ( Zone of Contribution(1l/N): `.
Area Number Contaminant
Phone � �� � aFu®I Stooge Tank Permit `=
"` � �*� � Disposal Works
Perc Test Well Permit omstru Hon
Y Fila/Permit No 2001012t
''°issuance Date: �t - 01/08/2001
Gompl'etion'Rate.
Size of Septic Type/Size of SAS: ,D, BOX FOUR FLOW DIFFUSERS 3.5 STONE
Tank: � 1500 ,, ��. • � ,'
comments:
,n
: par 289004 Owner MOLINARE,CARMINE&MARIE proploc- 15 SYDNEY DRIVE
lnnouati�e/�Ite'rnatiue Technplogy SepticSysierns Single or
Ciusteo`d
1/�A'Type; � IIA Service Type: �'
Mi
fi
�el y i P-Yd4r. a, M4 f
J '
7r
(.W m
^? 10 I Lr : X µ n —
' I m G)
u I ' �' Wit• CIL
I`
i
z N f
rO�n r Cb
————
2—34. 5'—a•
CD
� v
Z co ,pC
qNS IK: " _-
I I, R Y J Y
7+-11
y _+ g•f
N
cl
O
CD
I I r •r•
+ _
n
c
/��
r I A
r #- w' p •-'y O1
j 7
H—
I.
i
r F H
I
' - 10' X IV P.T. DECK W/ HANDRAIL-,
10' X 12' P.T. DECK
14'-0' T_1 26'
11'-10" 2'-2' S'-1I 1:-1 6: 5.
-5•. 1: 3• -0.
VERIFY WINDOW
LOCATION WITH
-_CABINETS PRIOR _
TO CONSTRUCTION
co
• �, x = :> � I= - -D C:j
01 6 WET WALL OR
. -... .. STRAP 2 X 4,WALL
FOR PLUL48INC
.BREAKFAST AREA
o PROVIDE 5/8" FIRECODE GYPSUM .__ -- 'KITH
WHERE GARAGE ABUTTS DWELJNC i��•i;i!�''i
Y 36
NEAT - O• n UN
OPTIONAL e' CMAAIFER
OPTIONAL WINDOW .
(NOT ON SCHEDULE) 2'-O" 3'-T "2'=6' "'• '
b
.A'
WOOD BEAM ABOVE BY OTHERSI
`A•'+ 2.+ u Y.".#V btia6:V.'8'aw- x -- i:a'A'. �' '• - - _ -
R I: I
LIVING ROOM
a
o DNNG
•L ik OPEN RAIL;(END'AT CF]UNG)
i
4
�9'-0" X 7'-0'.O.H. GARAGE DOORI e Me rCNREER
OO ' _ rzo[ai
[ :
. W,w
ur-
ty '<<
-Y—G' 9:-0• 2:-1. .4'-0' �'.7 0} 6--0": 6'-0" 7--0"
A
I
• t�
TOWN OF BARNSTABLE
�FTMErO
OFFICE OF
BOARD OF HEALTH
NAM
pp 1639. `00 367 MAIN STREET
DMA�� HYANNIS, MASS.02601
February 8, 2000
Sarah Ojala
939 Main Street
Yarmouthport, MA 02675
RE: 4 Sydney Drive, Hyannis
Dear Mrs. Ojala:
You are granted a variance on behalf of your client Carmen Molinare, from 310 CMR 15.214,
restricting sewage flows to one bedroom for every 10,000 square feet of land within Zone II
districts. You are granted permission to construct an onsite sewage disposal system at 4 Sydney
Drive, Hyannis, with the following conditions:
(1) No more than three (3) bedrooms are authorized. Dens, study rooms, finished attics,
sleeping lofts and similar-type rooms are considered "bedrooms" according to the
Massachusetts Department of Environmental Protection.
(2) The applicant shall submit a monitoring plan for the proposed F.A.S.T. system.
(3) The applicant shall record a properly-worded deed restriction at the Barnstable County
Registry of Deeds limiting the dwelling to three (3) bedrooms. The deed restriction shall
be signed by the property owner. A copy of the recorded deed restriction shall be
submitted to the Board of Health prior to obtaining a disposal works construction permit.
This variance is granted because it.is the Board's policy to grant applicants approvals to
construct three (3) bedrooms on lots of less than 18,000 square feet in size when a nitrogen
reducing alternative-type systems are proposed to be installed.
Sincerely yours,
'Susan G. Rask;R.S.
Chairperson
Board of Health
Town of Barnstable
SGR/bcs
carmen
c
tel.(508)362-4541
939 main street rt 6a fax(508)362-9880
yarmouth port
mass 02675 dCW/! Cope engineering
civil engineers& land surveyors
structural design
Arne H.Ojala P.E., P.L.S.
December 22, 1999 Timothy H.Covell, P.L.S.
Daniel A.Ojala,P.L.S.
land court
surveys
Barnstable Board of Health
367 Main Street
site planning Hyannis, MA 02601
sewage system Re: Variance request for 4 Sydney Drive, Hyannis
designs Proposed 3 bedroom dwelling
Assessors Map 289,Parcel 4
inspections
Dear Board Members:
permits The attached is a request for variances from Title 5 15.214 (1)under 15.005
(Transition Rules) and Barnstable Board of Health's"330 Regulation"(Part VM
Section 8) . Our client wishes to permit the construction of a 3 bedroom dwelling on a
15,970+/- sf lot at the above-referenced location. The lot resides within a WP District
according to the"Town of Barnstable Revised Groundwater Protection Districts",
dated September 1998. The area is served by town water and town sewer is not
available at this time.
No other variances are requested. This septic system could have been constructed in
complete compliance with the 1978 Code without the need for variances. Under the
Transition Rules regulation 15.005 (4) (contiguous lot),the system is designed to the
maximum extent feasible and is slated to be completed within 3 years of obtaining the
Disposal Works Permit. No other contiguous-ownership lots abut this lot, and in
accordance with 15.005(4), one 3 bedroom dwelling is allowed if designed to the
"maximum extent feasible". We are proposing the addition of a denitrifying system
(F.A.S.T.)to reduce the nitrogen in the effluent.
On behalf of our client, we are requesting a variance from the Title 5 regulation and
Barnstable Board of Health"330 Regulation"to allow a 3 bedroom house on a 15,970
sf lot within a WP District. The addition of a three bedroom home will not appreciably
increase the nitrogen concentration in this area, in that the use of the denitrifying
system will significantly reduce the nitrogen in the effluent.
Very truly yours,
Arne . Ojala, PE, PLS
Down Cape Engineering,Inc.
cc: C. Molinare
i
tel.(508)362-4541
•939 main street rt 6a fax(508)362-9880
yarmouth port
mass 02675 down Cape engaineefing
civil engineers& land surveyors
structural design
Arne H.Ojala P.E., P.L.S.
Timothy H.Covell,P.L.S.
Daniel A.Ojala,P.L.S.
land court
surveys December 22, 1999
Carmine Molinare
site planning 60 Lakeview Drive
Tompkins Cove, NY 10986
sewage system
designs Re: 4 Sydney Drive, Hyannis
Dear Mr. Molinare:
inspections
A public hearing has been scheduled for the Barnstable Board of
Health to take action on your request for variances from a Title 5
permits regulation and a Barnstable Board of Health Regulation. The variances
requested are as follows:
Title 5 15.214(1) Nitrogen Loading Limitations: To allow construction
of a 3 bedroom dwelling on a 15,970 sf lot (to be allowed under
15.005, "Transition Rules".) Note: a F.A.S.T. system is proposed to
reduce the nitrogen content in the effluent.
Said hearing will be held in the Hearing Room of the Barnstable Town '
office, 367 Main Street, Hyannis, MA, probably in January, 2000.
Please check with the Health Department to confirm exact date and
time.
Sincerely,
Sarah B. Ojala
Down Cape Engineering, Inc.
cc: Abutters
file
Barnstable Board of Health
i
i
Abutters to Map 289/4
137 Miles Sydney, 27 Nottingham Way, Pawtucket,RI 02800
152 Carmine and Marie Molinare, 60 Lakeview Dr., Tompkins Cove,NY 10986
2 Dorothy E. Siddall, GT,RJ, and DR Siddall, 3680 Jeffrey Ct., Cincinnati, OH
45236
14 Channel Development Corp., 110 Breed's Hill Road,Hyannis 02601
153 Victor and Ludmila Shtern, 65 Babcock St., Apt. 6,Brookline 02146
Map 268/303
Barnstable Water Co., Box 326, Hyannis 02601
I
T.O.F. AT :EL, 24,
SYSTEM PROFILE TEST HOLE LOGS
' 5' --
`�""" — ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE)
ACCESS COVER (WATERTIGHT) TO ENGINEER: D.A. OJALA, SE
, WITHIN 6" OF FIN. GRADE 25 MINIMUM .75' OF COVER OVER PRECAST /� 29' SLOPE REQUIRED OVER SYSTEM WITNESS: DONNA MIORANDI, RS
DATE:_ 11/5/99 -I- p5s
RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE fR
;•� 21.5 — — FOR FIRST 2' < 5 MIN/INCH
PROPOSED 1500 PERC. RATE = i
GALLON SEPTIC
19,25' TANK (H- 10 ) 19,0 j1EE 17.0' CLASS I SOILSp# 9593GAS 17.0' fRpS�BAFFLE 17,17' cx� c otF.Y
r 16.4�TjowSLOPE) 6" CRUSHED STONE OR MECHANICAL o ;,.5' 9 SIDES � 4 0. C7 C] 0 ED 3 ® ENDS, � � LOCUS
4, COMPACTION, (15.221 [2) _ 15,5 E� ELEV. 4
�/ 21.8'
DEPTH OF FLOW = (�q; SLOPE) 0" 19.5' Q"
TEE SIZES 3/4" TO 1 1/2" DOUBLE WASHED STONE
0
INLET DEPTH a 10" 0
2„ 2,
OUTLET DEPTH N/A NO SCAt_E
A LOCATION MAP
FOUNDATION— 10' SEPTIC TANK g' D' BOX 4P LEACHING 7' LS FACILITY 4" 10YR 3/2 4' 10Y LS R 3 2 ASSESSORS MAP 289 PARCEL 4
E LS E LS
5" 10YR 7/1 5" 10YR 7/1 ZONING DISTRICT: RB
B B YARD SETBACKS:
FRONT = 20'
TH 1 C� 8.5' S LS SIDE = 10'
28 ' 10YR 56/ 17,17' 30" 10YR 5/6 19,3' REAR = 10'
PLAN REF. - 183/21
C C FLOOD ZONE: C
PERC MED/COS PERC MED/COS WP DISTRICT
2.5Y 7/6 2.5Y 7/6
N
S YDNEY DRIVE ' 132" 1
E 132" a.5 0.8
' EDGE OF GRAVEL ROAD '
��— — NOTES
----�
NO GROUNDWATER FOUND
� __---_-�-------------
�-•------ ---------------r J_._,_ __--,-...__-._- r NOT ALLOWED .� _ APPROXIMATED FROM I-iYANfJIS QUAD
�EPT1C DESIGN: (GARBAG DISPO ER IS 1 . DA;UM DE �N:
utv. , 2 Lhi -is
� . JVf
UTILITY
SOLE
08 77' USE A 220 GPD DESIGN FLOW 3. MI?��#NUM PIPE PITCH TO BE 1/8" PER FOOT,
;:' EPTIC TANK_- 220v GPD ( 2 ) = 440 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASH(J f I 10--_--
_ 5. PIPE JOINTS TO BE MADE WATERTIGHT.
26- USE A 1500 GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
LEACHING: ENVIRONMENTAL CODE TITLE V.
SIDES: 2(22 + 11) .96 (.74) = 46.8 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
rot USED FOR LOT LINE STAKING,
18 BOTTOM: 22 x 11 (.74) — 179 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40--4" PVC.
20 �""� -- TOTAL: 305 S.F. 225.9_GPD 9, COMPONENTS NOT TO BE BACKF'II_LED OR CONCEALED WITHOUT
- 22 [ USE 2 FLO DIFFUSORS WITH 3.5' STONE AT SIDES INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
- - CAR - FROM BOARD OF HEALTH.
<� - - W AND 3' AT ENDS
2 BEDROOM DEED RESTRICTION REQUIRED
; � N
DECK I
PROP. 3 SR IDWEIl- _ LEGEND d"** T N .j E W G�" �,�A l�,l
,0 w TH1 ar
LOT 1 100.0 PROPOSED SPOT ELEVATION OF --- --� -^- T-
.x4.�� 4 SYDNEY DRIVE
a ro 100x0 EXISTING SPOT ELEVATION
IN THE TOWN OF,
100 PROPOSED CONTOUR ( HYANNIS)
BARNSTABLE
o1Q0 EXISTING CONTOUR PREPARED FOR: C -M Q(_I N A I E
i c�
z' ; r
n ; t
a TH BOARD OF HEALTH 20 0 20 40 60 Feet
o '
-- - — MA
APPROVED DATE
SCALE: 1" = 20' DATE: DECEMBER 20, 1999
TITLE 5 VARIANCE REQUIRED 15.214 (1):
UTILITY �° N N`° (UNDER 15.005 TRANSITION RULES): TO REV. 9/12/01 (3BR-2BR)
O
cu ALLOW A 2 BR DWELLING ON LESS THAN
WIRE N N ' / / oft 5ae-362-4541
LOT 2 AN ACRE (15,970 SF) tax W 362-9aso
121.52' 15,970 SFt _
BARNSTABLE "330 REGULATION": PART down cape engineering, inc. �----, ��q� x 6i
q LtH Of ,yA ,yv, J,
R VIII, SECTION 8 - TO ALLOW A 2 BR CIVIL ENGINEERS ARNE ��q� A qs�
BENCHMARK DWELLING ON 15,970 SF LOT H. ALA
- CONCRETE BOUND LOT 3 LAND SURVEYORS OJALA I 4;
ELEV = 14.75' � o. _63 vQ 92 4 ���/�
99--3�35 939 main st. yarmouth, ma 02675 /l.n JALA P� irISTEIR /�, O ,
r. DA 7I'
,
i
r
' -----' -------------------jai_.. '�-�-•--
t
i
,
{� I_
i
I c_—_" _.. «+.�. n••+,.�.� yr. 'A" M�S`h T"Et..•b �' 9u[ _ ... ...,.. ..
� u��.�...,...,...we•,a. .....,..o„m,,,,,.,M„wy,,.w„w,w�a.r �'"r.,. . m _ .,.....�,..m^-.,.'•""'^^"� 'u"'w,....,��...,,,,."" ^...,..""•....uwr,y,. '•"'+„"+,.�,,,,� '
I
.—
L_
{
L. .
_ -
- I 1
040 FC '
O i -
r'
�jAllR kC.;�►k1�LYYrS I ,.
I ,
y
, t
fV
I - I _
't.