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4364 FALMOUTH ROAD/RTE 28 - Health
4364 Falm6Uth Road '(route 28) Cotuit i4 j i P x a TOWN OF BARNSTABLE LOCATIONT� �/0� 4 �, SEWAGE#o?Qq VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. ������ �yfjlu SFr,• ?�-89Z� SEPTIC TANK CAPACITY /,,o f6 64 L /��d &I LEACHING FACILITY:(type) Sap G4 C ,j (size) NO.OF BEDROOMS OWNER S .►„ PERMIT DATE: COMPLIANCE DATE: it) - Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S}" 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 L•ri+✓^' �P� L%yry w.�.—i9/ �y ' ass L No. _( Fee ® THE COMMONWEALTH OF MASSACHUSETTS Entered in compueTr: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes RpPlication for Dizpo$al *pztem Cow5trUCtion Permit Application for a Permit to Construct( ) Repair(a Upgrade( ) Abandon( ) 3 Complete System ❑Individual Components Location Address or Lot No. y la / , Owner's Name,Address,and Tel.No. oZy-ozs- ce,),�tu/ �- 5 wgnwel Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: t Ldrejjv c, Dwelling No.of Bedrooms Lot Size 9 sq.ft. Garbage Grinder (__00 Other Type of Building f e �C_e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required gpd Design flow provided y � gpd Plan Date Number of sheets Revisi n Date Title cs S/y`P !� Size of Septic Tank Type of S.A.S. ! Description of Soil �O Xz4e ' Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this BoXd of Healdrri 91 Signed Date Q Application Approved by Date Application Disapproved by: V Date for the following reasons Permit No. va Date Issued C r -No. )U d '. s,--,.. _..a Fee ( / 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computler: i f Yes PUBLIC HEALTH DIVISION -_TOWN OF BARNSTABLE, MASSACHUSETTS' ;- 01ppCication for Di!5pozal *p.5tem Cori.5tructiou permit Application for a Permit to Construct.( ) Repair(V� Upgrade( - Abandon( ) ❑Individual Components Complete System p y�_ Location Address or Lot No. �10 � f Owner's Name,Address,and Tel.No. Assessor's Map/Parcel a Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ` Type of Building: _ -s p� �J�r d , Dwelling No.of Bedrooms of Size sq. ft. Garbage Grinder Other Type of Building �J% �IJC� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min required) yD gpd Design flow provided gpd i Plan Date 0 Number of sheets Revisi n Date 1 Title S_ 517� e `- Size of Septic Tank �J�®� "ti. Type of S.A.S. Description of Soil 7 0 �k Nature of Repairs or Alterations(Answer when applicable) k Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance.with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boa d of Heal . Signed Date D Application Approved by -., ;' Date H t Application Disapproved by: Date for the following reasons Permit No. UU Date Issued C V 1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the n-site Sewage Disposal System Constructed ( ) Repaired ( //�Upgraded ( ) Abandoned( )by O'/� / //� at D L/ has been constructed in accordance r with the provisions of Title 5 and the for Disposal System Construction Permit No. owl— IQ 2 dated U Installer �p� Designer #bedrooms q— J pU' f`f d( ( C�P Approved design flow yU gpd The issuance of this permit shall not be construed as a guarantee that the system w,i+1MIT ti6 as designeN. Date i — / J Inspector ---- -----------------•— - — --------------- r --- _ No. Fee (o " THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Oi5pofSal *p!5tem Construction 3oermit Permission is hereby granted to Construct ) Rep it Upgrade ( ) Abandon ( ) System located at ��h and as described in the above Application for Disposal System Construction Permit.The applicant recogni es his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Constructio• musl be completed within three years of the date of this ermt . Date („ /0� Approved by � c f 'iJ ��1ct � NOW,THEREFORE, does hereby place the (owner's name) following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health,which restriction.shall run with the land and be binding upon all.successors in,title: `T,3(q—4(r`ytu�t I�d! l'ri' may have constructed .(address) upon the lot a house and cottage containing no more than a total of bedrooms. agrees that this shall be permanent deed ( wner' ame) restriction affecting ,�ri ? located on iv,jll e being shown on the lan recor ed in Plan Book 5� ,Paged Or on Land Court Plan For title of tii see the following deed: Book g(o�. ,Page Or Land Court.Certificate of Title Number Execut as a sealed instrume t ` day of 2©O!7 _-- Owner's Signature. Owner's Signature Owner's Signature Commonwealth of Massachusetts •V lam!�"f�/C/�-•'/1/_ .• ,JS t, _ 12007 Then personally appeared the above named known to me o be the person6who executed the forgomg mstrument and acknowledged the same to bed free act and deed,before me, �L crrI� cQ p I/ NOTARY PUBLIC Q A : s p My commission expires: (date) ;��: 1. _:c�'•,� C�LI\IIA Mi4R1E JOHNSOPd N - Notarzi Public Commonwaairt; of Massachusetts, � My commission Expires May ly. 20.13 DEEDS BARNSTABLE REGISTRY OF DEED RESTRICTION WHEREAS, i'1 ��q .� n. 6 of (loner's name) 3(ol NC1 I,rno(.i4f-N C c,6 1f, . (address) Is the owner of r� f i�i �IiMY� -Cl t��,t�i t4�f C n J-tn t 4-) located at ' 3[ L tVY1oa(4& MA (hereinafter referred to as) r v� And being shown on a plan entitled"Subdivision of Land in &wi el MA., Property of Et al, j(J, duly recorded in Barnsta le Coun Registry of Deeds in Plan Book S 7( , Page_ or on land Court Plan Number WHEREAS, as the owner of said lot has (owner's name) Agreed with the Town of Barnstable Board of Health to a restriction as to the Number of bedrooms which can be built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS,the town of,Barnstable.Board of Health,as apre-conditton to granting a disposal works construction permit for the septic system in compliance with 310CMR 15.200 State Environmental Code,.Title V, Minimum requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building`permit for the replacement of an existing cottage on this property which also contains a single family home, is requiring that:the agreement for the restriction on the number of bedrooms on the lot be put on record.with the Barnstable County Registry of Deeds by recording this document, Town of Barnstable of zHE Regulatory Services Barnstable Thomas F. Geiler, Director ;mericaCity Public.Health DivisionI P! BARNSrABLY. 9 MASS. Thomas McKean,Director 2007 �Ar i639. A,o 200 Main Street. Hyannis, MA 0.26041 Office: 508-862-4644 Fax: 508-790-6304 March 16, 2009 Dear Mr. and Mrs. Michael Sweeney, Regarding your property on 4346 Falmouth Road, Cotuit, MA and your proposal to build a cottage on the rear of the property and to change existing cottage into a garage (with no living space above) the following items will have to be addressed: Engineered septic plans will have to be submitted for a 4 bedroom system. The plans will have to include and met all requirements of 310 CMR1500 and local Board of Health regulations. • A deed restriction will be required for a four bedroom property, three bedrooms in the main house and 1 bedroom in the cottage, if the wall in the office is to remain. If the office wall is opened to a five foot cased opening then a deed restriction is not necessary. • The two leaching pits under the driveway must be determined to be H-20 or the driveway must be moved. All components located under driveway areas must be heavy duty (H-20) loading and properly vented. If there are any questions please contact the Barnstable Health Department. Sincerely, Marybeth Mckenzie OCT-27-2010 11: 13 From:BORTOLOTTI CONST 5084289399 To:15083629880 P.2/2 FROM :down cape engineering ine FAX NO. :ISOS3629NO Oct. 27 2010 M030AM P2 Regulatary Services r'= ��•r? aid '✓� -Ilnrr "Me3d e an,Director 7t11111gf in"eet,flyaomu ,VA fr-601 Offims: 508-862.46 44 Igatmllgir &ItDe2isr►m. Qxr lificuttion 1Form Scwap g!Pei-Milo �001- 00Lkiseasor'a ib���lh'��-c�)j C� r 1[resp�rnar; �4J�. ., r>�� gp►s�rau,ic�r: �d�'`j-�.���`f7 ,�,��n�l o�, On Wm.4 isawd a uevrr►1it to kutail. s scro.c SyYAem at_ � i umd un a dcsigni drawn by (adLizoss) 1 el 61. o ._� dalbd— .�. (i�csi ra -- I c.UCIa'y loaf d;e .Septic WYKLMI refeIVI(Md ahnv-a -W4K iTISUAIKI �tibstiiurivilXp ac-nordbit To tAe tiaai�i, wliicL�.at.ag ,i,noi�ida nii�nr ap,prc►ved c11n.r�gO;s 9i�U11 uy lalrrr�,l x�luc�litiun 4:�i;�j.r divAbulion box for gc.-ptir..ttatk. 1 Mftt that the }I tic sys((nri r4JLTunicrxl above wine i'tuttalled with major ctaRftger, 0.0. � ueatcrthan 10' hiLizal rrloestiCm of tlu. SAS ur auy ve.rticAl i.10cat,ion,of oily erfmpoilaxst of th-e peptic n,sterri)but ii ita40rd woo'With Stato&Lornt RentatiGnS, k'lari revi.4ion or rowifie' l !At by desilaner 41 1i611ow. 10 DF UA .00(,/�( C ,ip��t�rre) DANG1 A. xi8tti QJALA ,� " CIViL No 48602 (�J • . Q,Z.ti/,V Qom, QJRT P esi�r,11Gr � S 11e.1 C"CoR'fiL'IA I 9LWA-4+ N941, F#'A: rlgmmD i.T1Tr� - gTff 7M0 rn>a.kl."t. I LI a&U-►AR TWU car 4 item lrhlSRTviirdrYo%i&.narCeii0c4ftjeGtM l ?6 04 dM TOWN OF BARNSTABLE 70,10 OCT 29 PH I: 02 DIVISION r C 2ND ST. / \ w DECK l/ \ p` DECK \ f SFIED \ E)GSTING 3 EIR DWELLING / TOP FNDN. / GAS ELEV. 75.1,V METER \ \ 9 1 BEDROOM `\ 0 CO OOTTAGE \\ 9A G Gam—G - G 1r \ f S \\\ STONE "y METER 0 \\ DRIVE CP f / f / STONE PARKING \ \ Q / / SEPTIC AS-BUILT 09-0" PREPARED EXCLUSIVELY FOR THE HEALTH DEPT, NOT FOR ANY OTHER USE LOCATION 4364 FALMOUTH ROAD, COMT SCALE : 1" = 30' OCT. 26, 2010 'PREPARED FOR: REFERENCE : MAP 24 PARCEL 25 BORTOLOTTI CONST/ SWEENEY� of MgsS q DANI I E L �yGN I off 508-362-4541 fax 508-362-9880 A. downcape.com © V OJALA w down cope engineefing,inc. No.40 80 civil engineers land surveyors �Vl / J �q S - 939 Moin Street ( Rte 6A) � YARMOUTHPORT MA 02675 DATE REG. L'Nfl URVEYOR r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments '( 4364 Falmouth Road (Route 28) Property Address Karen&Michael Sweeney , Owner Owner's Name information is CotUit required for _ MA 02635 May 23, 2008 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be.altered in any way. Important: A. General Information When filling out - forms on the computer,use 1. Inspector: only the tab key to move your Patrick M. O'Connell cursor-do not Name of Inspector use the return key. Septic Inspection Services Co. Company Name 189 Cammett Road Company Address Marstons Mills MA 02648 City/Town State Zip Code 508428-1779 SI 12855 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority. all May 23 2 y 008 pector's ig at re Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 08-138 Sweeney.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 15 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4364 Falmouth Road (Route 28) Property Address Karen&Michael Sweeney Owner Owner's Name information is y Cotuit MA 02635 May 23 2008 required for , every page. Cityrrown State- Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Recommend pumping tank, both leaching pits have 1-2"of effective leaching. 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 08-138 Sweeney.doc-080 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form =Not for Voluntary Assessments rt 4364 Falmouth Road(Route 28) Property Address Karen&Michael Sweeney Owner Owner's Name information is required for Cotuit MA 02635 May 23,2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ 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. 08-138 Sweeney.doc•08f06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 't 4364 Falmouth Road (Route 28) Property Address Karen&Michael Sweeney Owner Owner's Name information is COtUIt required for MA 02635 May 23, 2008 every page. City/Town State Zip Code Date of Inspection - B. Certification (cont.) C) Further Evaluation is Required by the Board of.Health (cont.): ❑ 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 indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® , Liquid depth in cesspool is less than 6" below invert or available volume is less than_day flow ® Required pumping.more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 08-138 Sweeney.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System form -Not for Voluntary Assessments 4364 Falmouth Road (Route 28) Property Address Karen&Michael Sweeney Owner Owner's Name information is required for Cotuit MA 02635 May 23, 2008 every page. City/Town State Zip Code Date of Inspection B. Certification cont. D) System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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. For large systems, you must indicate either"yes"or"no".to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 08-138 Sweeney.doo•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title • 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments .•''` 4364 Falmouth Road (Route 28) = Property Address ; Karen &Mic hael Sweeney . Owner Owner's Name information is required for Cotuit MA 02635 ^ May 23, 2008 every page. CityrFown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must'indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information'was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has,the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection?, ® ❑ Were as built plans of the system obtained and examined?(If they were not . available note as N/A) ` ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ - Was the site'inspected for signs,of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank' inspected for the condition of the baffles or tees, material of.construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) providedwith information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has 'been determined based on: ; ® ❑ Existing-information. For example, a plan at the Board of Health. El 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(5)] 08-138 Sweeney.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments yy 4364 Falmouth Road (Route 28) Property Address Karen-&Michael Sweeney Owner Owner's Name information is CotUlt required for MA 02635 May 23, 2008 every page. Cityrrown State Zip Code Date of Inspection D. System Information - Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for.example:' 10' gpd x#of bedrooms): 440 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ❑ No Seasonal use? • ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: Currently Occupied Commercial/Industrial Flow Conditions: Type of Establishment: - Design flow(based on 310 CMR 15.203): gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter.readings, if available: Last date of occupancy/use: _ Date Other(describe): 08-138 Sweeney.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4364 Falmouth Road (Route 28) Property Address Karen&Michael Sweeney Owner Owner's Name information is required for Cotuit MA 02635 May 23, 2008 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Tank pumped three years ago. Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box,soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (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) F ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: Second pit added 9/23/88 Were sewage odors detected when arriving at the site? ❑ Yes ® 'No 08-138 Sweeney.doc-011106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commo nwealth of Massachusetts. U Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4364 Falmouth Road Route 28 Property Address Karen&Michael Sweeney Owner Owner's Name information is COtUIt required for MA 02635 May 23, 2008 every page. Cfty/rown State Zip Code Date of Inspection D. System Information (cont) Building Sewer(locate on site plan): 1, Depth below grade: feet Material of construction: ❑cast iron ®40 PVC - ❑other(explain): Distance from private water supply well or suction line- feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ®concrete ❑ metal '❑ fiberglass ❑ polyethylene y El other(explain) If tank is metal, list age: years Is age confirmed'by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No ---------------------------------:---------------------------------- ------------------------------ Dimensions: 10.5'long x 5.8'wide- 1500 gal. Sludge depth: 611 Distance from top of sludge to bottom of outlet tee or baffle 26" Scum thickness 311 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Measured 08-138 Sweeney.doc-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 L , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y 4364 Falmouth Road (Route 28) Property Address Karen &Michael Sweeney - Owner Owners Name information is Cotuit required for MA 02635 May 23, 2008 every page. Clty/rown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or=baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): ' Recommend pumping tank liquid level was found at bottom of outlet invert Tees are intact Grease Trap(locate on site.plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: - date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): - Tight or.Holding Tank(tank must be pumped at time of inspection) (locate on site plan): ' Depth below grade: - Material of construction:- El concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): 08-138 Sweeney.doc•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official" Ihspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r� 4364 Falmouth Road (Route 28) Property Address Karen &Michael Sweeney Owner Owners Name information is COtUIt required for MA 02635 May 23, 2008 every page. CltyrFown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) - Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes " ❑ No' ` Alarm level.' _ Alarm in working order: 0 Yes ❑ No Date of last pumping: M Date Comments (condition of alarm and float switches,etc.): `Attach copy of current pumping contract(required). Is copy attached?,, ❑ Yes ❑ No Distribution Box(if present must be opened)(locate on site plan): o„ Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal; any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Liquid level at bottom of both outlet pipes. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 08-138 Sweeney.doc-08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 7 of.15 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 4364 Falmouth Road (Route 28) Property Address Karen &Michael Sweeney Owner Owners Name information is Cotuit MA 02635 May 23, 2008 required for y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number. Two 6x6 pits. ❑ leaching chambers number: ❑ 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.): High stain lines in both pits indicate 1-2"of effective leaching in both pits. y 08-138 Sweeney.doc-08= Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4364 Falmouth Road (Route 28) Property Address Karen&Michael Sweeney - Owner Owner's Name information is COtUIt required for MA 02635 May 23, 2008 every page. Clty/rown State Zip Code Date of Inspection D. System Information (cont.) Cesspools(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 'El.Yes - ❑ No Comments(note condition of soil,.signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.). F 08-138 Sweeney.doc•080 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 13 of 15 commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4364 Falmouth Road (Route 28) Property Address Karen&Michael Sweeney Owner Owner's Name information is cotuit MA 02635 May 23 2008 required for Y every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate.where public water supply enters the building. \% \ \/,/\ \/,/♦ ,/\/\/,/, \/\/ \f\ ♦/\f\/\f\/\f\/\/\ \ / I I I / I / I / / / / J%/%/ /%/%/%/%/% I /% / f / / el 1 / / / / \ ♦ ♦ %�tt% % % \ - \ \ ♦ 1 ♦ , \ \ \ / / / I / I / / / %/ /%/ / / / he z /%I%I%/%J%I%/%/%J%J%J I%J / / - / / I / I% - 25 2 / /, \/\ ♦ \ \/\ \ / / / / / / / / / f / ell /%/%/%J 37 JfJ / / / / / ffJ 40 5 44 j Water Service M1 � Falmouth Road (Route 2811 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4364 Falmouth Road (Route 28) Property Address Karen&Michael Sweeney - Owner Owner's Name information is COtUIt required for MA 02635 May 23; 2008 every page. City/Town State Zip Code Date of Inspection D. System Information(cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar T ® Shallow wells +: Estimated depth to ground water: 25 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: USGS topo map and town GIS. You must describe how you established the high ground water elevation: - Town groundwater contour map shows water at el 30 and topo map shows property at el 60 08-138 Sweeney.doe•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 -,.,-Town of Barnstable , / OFtHE l� Regulatory Services BARNSTABLE, : Thomas F. Geiler,Director y� 3 S. 10� p,EO39. Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 REGARDING SEPTIC INSPECTIONS BY PRIVATE CONTRACTORS DISCLAIMER This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original or copy of the report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observations and interpretations contained within this report. In addition, by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would be listed on the "Disposal Works Construction Permit". If you should have any questions regarding this report, please contact the certified Septic- System Inspector who conducted the inspection. QASLPTIC\Disclaimer Private Septic Inspections.DOC { MAIN HOUSE 3 Bedroom �r COTTAGE 1 Bedroom Left Side I is 41 44, s�• Ca�V•� r• I COMPLETESENDER: COMPLETE THIS SECTION ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X - ❑Agent a Print your name and address on the reverse l ❑Addressee so that we can return the card to you. B. Received by(Printed Name) Z—Qatp of geliverry ■ Attach this card to the back of the mailpiece, ,_14 f I or on the front if space permits. D. Is delivery address different from item 1? Yesl 1.tArticle Addressed to: If YES,enter delivery address below: ❑No 3. Service Type O'Certified Mail ❑Express Mall ARegistered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Deliver)?Pft Fee) ❑Yes 2. Article Number t j I (Transfer from service iabao R i-Pt 7 0 0 O q 3 5 2 4 9 4 6 9 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 1 UNITED STATE§` 1aQL gSE,RiIE n y t .t-0' ... ,E,: .� '•• �� `F�nstTass'Mal� w„ I P POsY9 Foes P�Td., I v . • Sender: Please print your name, address, and°ZIP+4 in'-4his box • C -70—wiv or- Ls C.0 0,2 111f111111If'lffllfllffff11 tiff/r/Ifd fiffflf{l'fff/if11thi?t Certified Mail#7006 0810 0000 3524 9469 �oFIKE ro Town of Barnstable Regulatory Services a i � BAftNSCABLE, + 9 nAs� Thomas F. Geiler'Director �O ��39• 1� Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 - Office: 508-862-4644 Fax: 508-790-6304 �✓ —O April 12, 2007 Michael & Karen Sweeney 4364 Falmouth Road Cotuit, MA 02635 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION a AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 4364 Falmouth Road Cotuit, was inspected on April 12, 2007 by Meredith Morgan, Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration in accordance with Chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.500—Owner's Responsibility to Maintain Structural Elements. Bathroom wall by window showing signs of chronic dampness (i.e. mold). You are directed to correct the violations listed above within thirty(30) days of your receipt of this notice by removing all mold and correcting the source of chronic dampness causing mold. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation.. Q:\Order letters\Housing violations\Rental ordinance\4364 Falmouth Road.doc , Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF TH OARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Tim Burns &Helga Romoser, Tenants Cc: Meredith Morgan, Health Inspector QAOrder letters\Housing violations\Rental ordinance\4364 Falmouth Road.doc FORM30 C&W HonsRWARRENTM THE COMMONWEALTH OF MASSACHUSETTS BOAJ3D OF HEALTH Y CI Y/TOWN DE ARTMENZ \v/ D ESS ��M sey`0 TELEP ONE Address 473 YU, �06je Occupa Floor Apart nt No. No.of Occupant_— No.of Habitable Room No.Sleeping Rooms_-`__ No. dwelling or rooming units No.Stories Name and address of owneri��r Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress: and Obst'n..- El B ❑ F ❑ M Doors,Windows.- Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Q(yYYI Stairs: ., , Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT i Ventil. L to .. Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas, Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub.- Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION PORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIE F UR " INSPECTOR TITLE DATE*1 TIME 10-*00 P.M. A.M. THE NEXT SCHEDULED REINSPECTION� P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions,when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as'a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits,or the obstruction of any exit, passageway or common area caused by any object, includirig'garbage or trash;,which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105,CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. . (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). i (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. n _ k d FORM30 &w HOBBS8WARRENTM THE-,COMMONWEALTHOFMASSACHUSETTS BO RD OF HEALTH - ' V CI Y/TOWN DEPARTMENT i S Cad I DRESS /o/ /f J wM sey� In', tj/�.•/; TELEPHONE y� Address z .I Occupa �* �r%/d'►'l05�'� Floor Apart ent No. No. of Occupant n _ No.of Habitable Room No.Sleeping Rooms__ No.dwelling or rooming units No.Stories y�, � t Q Name and address of owner � �p t'IQiM'1 �l� . Remarks Reg. Via YARD Out Bld s.: Fences: Garbage and Rubbish Containers: `; Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: , Dampness: M1Y1 ,0 X Fil !) P Stairs: Wf tl - I I V Li htin STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows:j HEATING Chimneys: y Central ❑ Y ❑ N Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Su ply Line: MS ❑ ST ❑ P Waste Line: H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: 1 ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT L`fn .'`Oatiets--Walls Ceils LWind. ` Doers' Floors tocks'" � ' Kitchen Bathroom Pantry Den Living Room ` Bedroom(1). Bedroom 2 Bedroom 3 Bedroom 4 Li Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: I Stacks,Flues,Vents,Safeties: Kitchen Facilities Sink I 1 P Stove ;f Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub.- Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted ! Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE -, OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) THIS INSPECTION PORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIE OF UR " INSPECTOR TITLE S LdlDATE TIME 10"0V P.M. A.M. THE NEXT SCHEDULED REINSPECTION P.M. 7 A A 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold,to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish,filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. � r Parcel Detail Page 1 of 3 c4 H r - . j F i 1 _ f' T A U1-1-.f •t // .rrD }�3'.R�R. 6ti•UG '� -1�11e, -'' `%t,� Logged in As: Parcel Detail Thursday, Ap Parcel Lookup Parcel Info Developer Parcel ID 024-025 'I iLOTS 25 & 25A Lot Location 4364 FALMOUTH ROAD/RTE 28 Pri Frontage 200 -Sec Road Sec Village COTUIT Fire District'COTUIT Sewer Acct I Road Index#0522 Interactive Map 'S Owner Info owner SWEENEY, KAREN I M & MICHAEL I Co-owner, Streeti 4364 FALMOUTH RD Street2 , City COTUIT Jil State MA zip 02635 Country - Land Info Acres 0.98 I Use Multi Hses MDL-01 I zoning RF I Nghbd 0104 Topography Level Road ,Paved Utilities Public Water,Gas,Septic - Location ' ~- - Construction Info Building 1 of 2 Year 1955 I Roof Gable/Hip Ext Wood Shingle Built -_ Struct - —_ I wall 1 ---.-_ _ ___i_. Effect Roof AC , 2219 ) Asph/F GIs/Cmp I None Area --- --- _ Cover ------ ---- TYPe Int Style Cod wall _Drywall _ !I Bed 13 Bedrooms - - Rooms --------- --- Int Bath Model Residential I Floor Carpet _ '� Rooms 2 Full Heat - Total Grade Average I Type Hot Water I Rooms 7 Rooms http://issql/intranet/propdata/ParcelDetail.aspx?ID=1316 4/12/2007 Parcel Detail Page 2 of 3 a I. • �;�s FA1 BAS BAS K 9IAT` 7' w � Stories 1 Story F A I Fuel Heat Gas Found- iTypical --------- ation 'FAT 1pK ,R _7tz 3!�. Building 2 of 2 Year Roof - Ext Built 1955 Struct Gable/Hip wall .Wood Shingle Effect Roof -"'- AC ®` Area 510 Cover Asph/F Gls/Cmp None - Type - - . Int - - Bed Style Cottage Plywood Panel J� 11 Bedroom -- wall -Y — Rooms - - --- _ Int -- Bath Model Residential ) Floor Minimum/Ply Rooms 1 Full - - -- - —- -- -- 122 -` Total Grade Below Average ' Type None Rooms 1 Room 0R; r2Z. Heat Stories 1 Story I Fuel Gas Found-__ ation ITypical -- _ - Permit History Issue Date Purpose Permit# Amount Insp Date Comrr 2/4/2003 Addn+Renovate 66805 $50,000 12/9/2004 12:00:00 AM 9/1/1976 B18695 $0 CO SF - Visit History Date Who Purpose 4/1/2005 12:00:00 AM Paul Talbot Drive by inspection only 12/9/2004 12:00:00 AM Martin Flynn Meas/Listed 4/20/2004 12:00:00 AM Martin Flynn Call Back Next 2/13/1999 12:00:00 AM Frederick Stepanis Meas/Listed 2/5/1999 12:00:00 AM Frederick Stepanis Meas/Listed Sales History Line Sale Date Owner Book/Page Sale P 1 6/19/2002 SWEENEY, KAREN I M & MICHAEL 15278/210 2 2/27/2002 SWEENEY, KAREN I M & MICHAEL 14863/338 3 7/15/1986 MULLALY, KAREN I 5218/222 4 MULLALY, KEVIN 3208/27 http://issql/intranet/propdata/ParcelDetail.aspx?ID=1316 4/12/2007 Parcel Detail Page 3 of 3 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parce 1 2007 $218,200 $3,100 $1,000 $131,900 2 2006 $215,900 $3,100 $1,000 $135,400 3 2005 $172,500 $3,000 $1,000 $126,900 4 2004 $140,500 $0 $1,000 $84,600 5 2003 $109,200 $0 $1,000 $55,000 ; 6 2002 $109,200 $0 $1,000 $55,000 7 2001 $109,200 $0 $1,000 $55,000 8 2000 $88,300 $0 $500 $40,000 9 1999 $73,900 $0 $2,500 $40,100 10 1998 $73,900 $0 $2,500 $40,100 11 1997 $60,900 $0 $0 $40,000 12 1996 $58,100 $0 $0 $40,000 13 1995 $58,100 $0 $0 $40,000 14 1994 $59,700 $0 $0 $40,500 15 1993 $59,700 $0 $0 $40,500 16 1992 $68,100 $0 $0 $45,000 17 1991 $91,800 $0 $0 $60,000 18 1990 $91,800 $0 $0 $60,000 19 1989 $91,800 $0 $0 $60,000 20 1988 $83,800 $0 $0 $19,000 21 1987 $83,800 $0 $0 $19,000 22 1986 $83,800 $0 $0 $19,000 Photos http://issgl/intranet/propdata/ParcelDetail.aspx?ID=1316 4/12/2007 el No... .' 7 L e, ® �, Fes$..cr� r�' i�D THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HE 1� TH �.e. ...........OF........ r•JSCafJ-4 . Appliraation for Uhipati al Workii Tatuitrurtion rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: �.3..�.:�-�.....-.. ...�-_.9. ? ---------------------------- Location.Ad r s or Vt No. Owner^^ `� Address �/� p •....._ \_�.� �e..........�_. �.d_.L. _................ <-a Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............ ...........................Expansioi0 ttic ( ) Garbage Grinder ( ) Other—T e of BuildingNo. of persons........ .................. Showers -• — Cafeteria e xtures ............ ---------- Design -- Flow -----LIQ---gallons per person per day. Total daily flow... -----•------------ 1 W - g P P P Y• Y �-•-•--•-------••.- �ons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter--------..-.-.-- Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.--................. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. i................minutes per inch Depth of Test Pit---.............---. Depth to ground water-.---------.-.---.-----. Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water.-----.............----. ------------------------•-••--•---....-----•--.....-------------•--•-----•---•--•---'•-••••-•.------......................................................... ODescription of Soil................................ .. . 4----•-••------------------------•----------------•-------------------------------......---.------ U -------••••-•----•••--•••--•••••---•---------••-•-•-••---•••......-•••••--------------- --•-------•-•-----------------------•••-•-----------•---•------------•-•••----------•---••-------------- -------------------------- ----------------------------------------------------------•---------------------------------------------------------------•--k U Nature of Repairs or Alterations—Answer when applicable..- ---- .�5�-.�`. ....--.... ....--. --------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ,L T I r--. the provisions of Ll i IE 5 of the State Samta Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha ben iss d by the board ofLl.,h, L �� Signed - - Date Application Approved BY-------- ...... ,`.---------•- ----------- t• -�f-- Date Application Disapproved for the following reasons--------------------------------------------------------------------------------•------------------..._......--•- ----------------•----•-•....-----....-----._........----------•••------------•••••-•----...._..---------•-------------------------•-••------•-••--•--------------•-•••••--------•••-----------••-....... p7 Date Permit No.-------- ......573................. Issued.... _ `a--O----------.-.-- Date Grp^ �� ' —XI f 1 ►d//i►1 No.:= - LTH THE BOARD AOF OF HEALTH Ts r C—-•'...a S"tom-Y� Apphratiott for Dispaii al Murke Tonstrurtion Vanfit Application is hereby trade for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Y S stem at ........... ...... .-- ---__•I.................................�-.. ................................................ - ............................... Location-Add s or slot 1 o. ......................................................... .........:.......................... ..........................................�a .......:t _1�L......................................... n ; Owner ` tI ►-a — d� Al, � Address W % . VVI L� � _____________ ..._____. ____..........._.. ....................... .... , Installer Address 1 Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.......... ------------------Expansion—Attic ( ) Garbage Grinder ( ) p`4 Other—Type of Building ............................ No. of persons...__ .............. Showers Cafeteria ( ) Q' a xtures -------------------••---•------•----•-•-••-••. 13 ------------------•--------- Design ........ .. W Flow.........:... ...............t_/o._.__ allons per person per day. Total daily flow_.- ...._...__..........gallons. g P P P Y• Y �------•---------,- 9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------_--------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) _ Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date--- -----------------------------•----- aTest Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water-____________-_--__-___. fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O ' .........................................................` ------•-•-•------------------•-----•••..*--------- •---------------------- •-•------------------------ Description or Soil �.✓...::-...... ... , V --•---••-------------------------------•----•--------------------------------...------------ V Nature of Repairs or Alterations—Answer when apPlicabl _ __.__��''_+.a..:= _ `_. `.....�........... ,Q. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TILE i of the State Sanit Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha b (en,iss�u:�Il by the bo\ar�d of 1 ealth. Signed--- �`-� 1-•................. C) Date ApplicationApproved By.................................................................................................. .............................•.......... Date Application Disapproved for the following reasons:-•----------•-•--•-•-------•-----•--•------------------•-------------------------------......-•---------------- ------••--•---•---•...........•--------•------•-------•---•-------------••-----•------ -------------------------------•---•-•--------••---•••-----••---•---•---•--------••--•----••----•-••-•----- (� Date Permit No........ ,z�� ----------------- Issued--.-.1....... .. THE COMMONWEALTH OF MASSACHUSETTS �--�- BOARD OF HEALTHi ................. Trrfif irFab of Toutph anre THIN' 1) TO CERTIFY, That h Individu 1 Sewage Dis osal System constructed ( ) or Repaired f by.....,.. 1 `. -....-•------ �- _ ---•............. ..........................................•---•--------- �-.._. Installer at........................................ —LO.-A................... c ,_�?.. ..�:�......------.....�=-�......---•-----•----------------------------------- has been installed in accordance with the provisions of TIT E 5 of�_h�State Sanitary de as desccribbed6n the application for Disposal Works Construction Permit No..___.__.�� J..... _..._ .... dated---- _C1...f...._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM Wll,6 f UNC�IO`N SA�S�ACTORY. DATE.............��JJ..... ..........__......•---• .. .. Inspector...... �C.� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 01L 1 fin,! OF...........: r'... :.. ^�'J • •.. .... FEE........................ �io� 1 o�k� ion ixr#ion per i� Permission is hereby granted. _ "` to Construct or Re air (1 Individual Sewag Disposa stem. {{�� 3� at No............ U.i"^1_....-• 1 w.. :,. _._ _ a? 7 f as shown on the application for Disposal Works Construction Permit k........... Street ��'•�'. Dated....?.'��.I_'°�-.Q._...... ..........................� ' v6- ;�-- -----------.----•--•-----•-••------------------- DATE ^ Q Board of Health -------- --------------•---•------•----•-+��-....._......_._.......-------.:.-•--- - FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ^y Town of Barnstable Zoning Board of Appeals Application for a Special Permit Date Received For office use only: Town Clerk's Office: Appeal # Hearing Date Days Extended Decision Due The undersigned hereby applies to the Zoning Board of Appeals for a Special Permit, in the manner and for the reasons set forth below: 4A Phone: Ej Applicant Name': t,= .. ��u3 t��►�r ��Zck,e� 1�1,tQr��yCy ��r�:�r.l, .. 4�— Applicant Address: V, \Q-x. C ���T_ Property Location: FArr'A6:&�, CciT":\.-T Q Property Owner: Ntc�nuz�.Su Phone: Sef - 6 443 Address of Owner: If applicant differs from owner, state nature of interest:' Assessor's Map/Parcel Number: Q.4- Z IS-, Zoning District: RF Number of Years Owned: 34 Groundwater Overlay District: W,P sec �( 1 �4�1 �� °u,^-Q 0c V�\ Vju� ��t) tk t`etS et T+c1L TLl�1�i Special .Permit Requested: Sa'Logl LAW A= Enxa 5�� eA Cite Section&Title from the Zoning O%rdinance Description of Activity/Reason for Request: CcLco j Cnir-r ea- -i t n,aeeA siew Qw—� �CnV)iAu C c'�' a' ,c r�,X ne"c1E' IRAQ -S—L\4 CtDLN C61Ta�Le�j-\7Z8 cN!E,P� Attach additional sheet.if necessary Description of Construction Activity (if applicable): V?��\A e�;-Zp- \QLA )W.,,1 C'r�Z t�T .s `� �i; 1� (Q�+1(� irrsti C[ UL,P IV—a '► two t Attach additional sheet if necessary The Applicant Name will be the entity to whom the special permit will be issued t# If the Applicant differs from owner, the Applicant will be required to submit one original notarized letter from the owner authorizing the application to the Zoning Board,a copy of an executed purchase&sales agreement or lease,or other documents to prove standing and interest in the property.. Application for a.Special Permit= Page 2 Is the property subject to an existing Variance or Special Permit ........No [ ] Yes [ ] No. Existing Level of Development of the Property- Number of Buildings: Present Use(s): ' !;� Existing Gross Floor Area: sq. ft. Proposed New Gross FloorArea:CLNT�f;, ,t�sq. ft. Site Plan Review Number: Date Approved: (not required for Single or Two Family use) Is the property located in a designated Historic District?....... ..............I............... Yes [ ]. No:Pq Is this proposal subject to.the jurisdiction of the Conservation Commission ......... Yes [ ] No K Is this proposal subject to approvatby the Board of Health .....:.................... .. Yes [ ] No [ ] Is the building a designated Historic Landmark?:................................................... Yes [ ] No [x] Have you applied for a building permit?................................................................ Yes [ ] No bc] Have you been refused a building permit?........................................................... Yes [ ] No The following information must be submitted with the application at the time of filing, failure to do so may result in a denial of your request. • Three(3) copies of the completed application form, each with original signatures. • Three(3) copies of a 'wet sealed' certified property survey (plot plan) and one(1) reduced copy(8 1/2" x 11" or 11"x 17")showing the dimensions of the land,all wetlands,water bodies, surrounding roadways and the location of the existing improvements on-the land. • Three (3).copies of a proposed site improvement plan, as found approvable by the Site Plan Review Committee (if applicable), and building elevations and layout as maybe required plus one(1) reduced copy(8 1/2"x 11" or 11" x 17")of each drawing. These plans must show the exact location of all proposed improvements and alterations on the land and to the structures. • The applicant may submit any additional supporting documents to assist the Board in making its determination.All supporting documents must be submitted eight days prior to the public hearing for distribution to the Board Members. Signature: 1L.11M Date: hC;C1C`n ko, Z 06 Applicant's or Representative's Signature' Print Name k1ky- 8geA .1 U4 e.;, t-tA4 e_h Address: A}3(A F_WNoq.& 261 _ Phone: �5-tlh-- 4&1-(A 1,..� Fax No.: e-mail Address: 0P�j 3 All correspondence on this application will be processed through the Representative named at that.address and phone number provided. Except for Attorneys, if the Representative differs from.the Applicant/Owner, a letter authorizing the Representative to act on behalf of the Applicant/Owner shal l be required. - i i. / -,_CAL � , Town of Barnstable Of THE T� Regulatory ServICQS Barnstable Thomas F. Geiler,Director AN-America C4 " Public Health Divisen BARNSrnsLE. 9 Mass. Thomas McKean,Director . i639• �� 2007 ArEo �a 200 Main Street. Hyannis, MA Q26QJ Office: 508-862-4644 Fax: 508-790-6304 March 16, 2009 Dear Mr. and Mrs. Michael Sweeney, Regarding your property on 4346 Falmouth Road, Cotuit, MA and your proposal to build a cottage on the rear of the property and to change existing cottage into a garage (with no living space above) the following items will have to be addressed: Engineered septic plans will have'to'be submitted for a 4 bedroom system. The plans will have to include and met all requirements of 310 CMR1500 and local Board of Health regulations. A deed restriction will be required for a four bedroom property,three bedrooms in the main house and 1 bedroom in the cottage, if the wall in the office is to remain. If the office wall is opened to a five -foot cased opening then a deed restriction is. not necessary. The two leaching pits under the driveway must be determined to be H-20 or the driveway must be moved. All components located under driveway areas must be heavy duty (H-20) loading and properly vented. If there are any questions please contact the Barnstable Health Department. Sincerely, Marybeth Mckenzie r 'c wN OF BA RNSTABLE i_OC1iT10Id 1►Yt v"'k. SE WAGF /# VILLAGE' e ASSESSOR'S MAP & LOT �-7 j INSTALLER'S NAME LSa PHONE NO. � woni SEPTIC TANK CAPACITY 1D®d ol L..rACI-IING F{ACILITY:(tyPe) L : ---- (-ize)� l0 0 0 - NO. OIL BEDROOMS PRIVATE•WELI. OR P PLIC<' WATER ____ BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: / A 2 711- VARIANCEGR1§NTED: Y!� N� ✓ ___ F r s a TOWN OF BARN TABLE yam, LOCATION '1 ��1t\/�C�U'�I� SEWAGE# VILLAGE 0"�u i t ASSESSOR'S MAP&PARCEL r INS•�3 NAME&PHONE NO �� SEPTIC TANK CAPACITY !CO Qj LEACHING FACILITY.(type) ��� (size) 1000 NO.OF BEDROOMS L/ OWNER r-"Ce,>/1 PERMIT DATE: C DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility.(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY I pp 25 25 37 40 5 44 Water Service _. _ Fa/mouth Road(Route 28) • � < am �e � °ag`s —f I� 4 : 0 . 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AtYElt t* FLOOD ZONE C _ g FIRmNo. COMM250001 00 PANEL � No. 2t30001 0021 D r\ / REV:J1R_Y 2. 1982 o/DH FND V,Y W@UfFAD PR07E7.'M WERIAY OISI= Is/CHRESMIRCEPROTECIM PIo 6' � y,¢ OVERLY DISTR= Op cc t`\ 0 I Plan of Land at o 1 °" \ 1 / 4364 Falmouth Road Ce "C i [ ®/°" 1 / Cotuit,Massachusetts 01 > mAW PIo IN 0 (� �� �� 11 /p / Michael Sweeney,et ux. _ 1 -\ 1 /�O O t l^_ / \ / �i / " / Plan of Land Proposed Site Alterations \\ F BAXTER NYE ENGINEERING&SURVEYING \ Vie Registered Professional 01 1 0 J ° / Engineers and Land Surveyors O 78 North Street,3rd Floor,Hyannis,MA 02601 / J 1& �410r Phone-(508)771-7502 Fax-(508)771-7622 . . .. w 1 / 0' 4O'. - 80' 120' SE C-40' DAIS 10-20-08 CAL REV. DAIS REMARKSFE ■ CD 1 . N AYMOIE POIR�24E t\ L 91 Tr P MQIMA�RY . O 04 PAW 22 2 SIl I1oli:ehf 7 O - T007-WA SYSTEM DESIGN: MAIN DWELLING FOR BOTH DWELLING AND COTTAGE SYSTEM PROFILE ALL SYSTEM COMPONENTS SHALL BE NOTES MARKED WITH MAGNETIC TAPE OR '� LEGEND WATERTIGHT C.I., 20" MIN DIAM., (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS ASSUMED N� 99 - EXISTING coNTouR GARBAGE DISPOSER IS NOT ALLOWED SECURED ACCESS COVERS TO FIN. GRADE C.I. WATERPROOF COVERS TO GRADE H 40 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING X 99 EXIST. SPOT ELEV. DESIGN FLOW: 4 BEDROOMS 0110 GPD = 440 GPD \ TOP FOUND. EL. 75.14' FILTER FABRIC OVER STONE 99 73.2' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 74.0 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. PROPOSED CONTOUR USE A 440 GPD TOTAL DESIGN FLOW 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS PRECAST H-10 BLOCKS OR FOR MAIN DWELLING TO BE AASHO H-,-Q [98.4] PROPOSED SPOT EL. SEPTIC TANK: 440 GPD (2) = 880 RISERS (1YP.) T PRECAST RISERS USE A 1500 GAL. SEPTIC TANK FOR DWELLING H-20 +"scH40 PVC 2'° PIPES E PVC MORTAR ALL H_20 FOR COTTAGE TO BE AASHO H-1Q TH1 ( ) TEST HOLE PIPES LEVEL 1ST 2 COMPONENTS USE A 1000 GAL. SEPTIC TANK FOR COTTAGE (H-10) (TYP.) INV's EL. 71.0' S. PIPE JOINTS TO BE MADE WATERTIGHT. 2$ '.'.'. � ➢ee�oe�,�,=�o . •• etc *72.05 f PROPOSED o 0 0 0 0 0 0 0 0 0 o Locus 10 �+ ° ° o ° ° ° ° ° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH d e 2% SLOPE OF GROUND TEE 0�0� N �0�� ,�,�8-& D��O ��0 0 0 0 o R LEACHING: APPROX. TEE 15o0 GAL H-20 , o000 00 � 0 00 0 � - 0 000 0000 ( ) 71.83 71,58 " ° ° ° ° ° ° ° ° ° ° ° 310 CMR 15.000 (TITLE V.) e SEPTIC TANK u c c6 MIN SUMP °o°°°°°° . oa0�a������ °o°o°o° SIDES: 2 (40 + 10) 2 (.74) = 148 GPD 4' UQ. LEVEL o 000000000000 oc ,� o >00000000 0 0 0 o o o o °0°0° �Q� UTILITY POLE ACME OR EQUAL GAS eA�E (PROP.) o N 0 0 0 0 0 0012 MIN. INT. DIAM. o O O O O O O O nj ',o°o°0000 M���������� o 0 0 o mmmm mmmm °°°°°o°° Ob V 0 0 0 0 0 0 o a i00000000 o���a�oa�a� °o o°o =mmmm= ;00000000 a g BOTTOM 40 x 10 (.74) = 296 GPD 71.31 ' 71 .14' °°°° ° ° ' °°°°°°° ° ° ° ° 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO :"::. FIRE HYDRANT BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. > 0 00000 0 0 0„0 °o°o°o°o OO n NOTE NOT ALL SYMBOLS MAY APPEAR IN DRAWING TOTAL: 600 S.F. 444 GPD 0 O 0 0 0 0 0 o O o O c " °OOOOOOOOOO00000000C 3/4"-1-1/2" DOUBLE WASHED STONE H-20 500 .GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. 0"o�0„O"O„O 10000000006" � „ „ „ „o, (3) UNITS REQUIRED USE (3) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) *MIN. ELEVATION REQUIRED ALL AROUND PRECAST STRUCTURES 9. (EXACT ELEVAITON UNKNOWN) CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 40' X 10' WI COMPONENTS NOT TO BE BOARD OF OR CONCEALED WITH 2.25 STONE AT ENDS 5 BETWEEN UNITS AND 2.6 COMPACTION. (15.221 [21) WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. *THE INSTALLER SHALL VERIFY THE AT SIDES MIN. LOCATIONS OF ALL UTILITIES AND ALL 10. CONTRACTOR. SHALL BE RESPONSIBLE FOR CALLING ( 2 % SLOPE) ( % SLOPE) ( 1 % SLOPE) DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCUS MAP BUILDING SEWER OUTLETS AND 1 LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES ELEVATIONS PRIOR TO INSTALLING ANY BOTTOM TH-1 PORTION OF SEPTIC SYSTEM FOUNDATION 11' SEPTIC TANK 27' D' BOX 16' LEACHING NO NO GROUNDWATER FOUND PRIOR TO COMMENCEMENT OF WORK. NOT TO SCALE SCALE 1"=2000't MA FACILITY 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE ASSESSORS MAP 24 PARCEL 25 APPROVED DATE BOARD OF HEALTH ' REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. LOCUS IS WITHIN FEMA FLOOD ZONE 12. EXISTING SEPTIC SYSTEM SHALL BE PUMPED AND C AS SHOWN REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. ON COMMUNITY PANEL #250001 0021 D DATED REV. JULY 2, 1992 COTTAGE LOCUS IS WITHIN ESTUARINE PROTECTION DISTRICT, SWELL PROTECTION DISTRICT AND RESOURCE i M PROTECTION OVERLAY DISTRICT WATERTIGHT, MIN. 20" DIAM. (NOT TO SCALE) ACCESS COVERS TO WITHIN 6" OF FIN. GRADE NO ADDED FLOW PROPOSED PROPOSED \ TOP FOUND, EL 75,2'± 74.3' MINIMUM .75' OF COVER OVER PRECAST 74.3 TEST HOLE LOGS 47SCH40 PVC MIN. 8" COV R 4"OSCH40 PVC PIPES LEVEL 1ST 2' ENGINEER: ARNE H. OJALA, PE, SE WITNESS: DAVID STANTON, RS 72.16' 10" PROPOSED "_10 +" PARCELS 25 & 25A APRIL 24, 2009 PROP. 71 .94 TEE ; • DATE: SEPTIC TANK TEE 71 .69 5� 41,934 SFf 4' ua. LEVEL o G�C�C�0 0.00 �� ��� PERC. RATE _ < 2 MIN/INCH GAS BAFFLE :.; 0 000000000000 oO „O„o o„o„o„o o„ 71.64' 71.47' CLASS I SOILS P# 12536 •` o 0 0 0 0 0 0 0 0 0 o c DEPTH OF FLOW = 0000000000 0 0 0 0 0 0 0 4 000000000000000000' }73.8 TEE SIZES: I 6" CRUSHED STONE OR MECHANICAL ELEV. ELEV. INLET DEPTH = 10„ COMPACTION. (15.221 (21) +74 49 0" 74.0' 0" 74.0' OUTLET DEPTH = 14" A A +74.98 +74.39 V � LS LS FOUNDATION- 1 1 SEPTIC TANK 5' D' BOX 47' TG sAs 4" 1 OYR 3 1 4» 1OYR 3 1 MIN. MIN. MIN. +74.67 9 E E ( 2 % SLOPE) ( 1 % SLOPE) (--!-X SLOPE) 74.92 r, LS LS 0 N � g" 10YR 6/2 g" 10YR 6/2 +74 74.8 GARDEN J PROP. 1000 GAL. 75.i 3 _ __ B °H-10 SEPTIC TANK 75. 4.57 SL SL �. . O 75.12 , +73. 6 695 +74.29 54 1OYR 5/2 . 5501 10YR 5/2 69.4' 169 PERC 74.09 C C �74. 7 74 PROP. RE-LOCATED COTTAGE 3.8 X 74.61 MCS MCS LG.. _1_+74. 2 MAPLE 4.68 X 74.39 --'PROP. +74 54 10YR 5/6 10YR 5/6 DRIVEWAY 6 2ND ST. EXPANSION DECK \ 120" 64.0' 120" FROM DWELLING TONOTE: POSSIBLE ORLINETTTAGE IN 9 \TH2 4.32 \ �74.69 \\ 64.0' 74.4. 74.72 AREA OF PROPOSED SYSTEM. 74.14 \ 1 > 4.74 \ NO GROUNDWATER ENCOUNTERED RE-ROUTE AS NECESSARY, TO 74 DECK BE MIN. 10'-FROM COMPONENTS. SHED '5 3 75.14 \\ +73.79 _ 7 .24 \ EXISTING 3 BR +74.40 PROP. VENT WITH CHARCOAL FILTER 73.64 DWELLING / TOP AND BUGSCREEN (FINAL PLACEMENT BY 3.67 4 1 \ \ Q GAS ELEV. FNDN.14' 4�J4 24 CONTRACTOR WITH HOMEOWNER METER 74.53 CONSULTATION) .38 ` SITE PLAN TITLE o 5' REMOVAL OF UNSUITABLE SOIL REQUIRED \\ 3. 2 \ 1�0 75.60 AROUND PERIMETER OF LEACHING FACILITY, 73.22\ -o DOWN TO SUITABLE SOIL LAYER. REPLACE O F WITH CLEAN MED. SAND, TO SPECIFICATION .61 \ , O C,O > OF 310 CMR 15.255(3) %Fy \ \\\ y�P� <c. \\G 1 BEDROOM � }73.Q6 '� \, �2 �� 4364 FALMOUTH RD. (RTE. 28) BENCHMARK: CONC. BOUND 73, COTTAGE 73 " \ yo +73.87 AT ELEVATION 73.1' 73 \ 32 +73.6Op COTUIT (TO BE RE-LOCATED) '�-- � \ � / 70.89 METER -I-7 7 STONE��\ DRIIVE \\\ oy \�FP PREPARED FOR PROP. 1500 GAL. \\ ��F 41 j H-' O SEPTIC TANK S +73. \, \\ +73.09 +73.31 - BORTOLOTTI CONSTRUCTION/ 35 2 M. SWEENEY STONE �� \\ \ It.13 \ PARKING \ \ TOP S.TANK \ 72.31 1���� APRIL 24, 2009 72.1i ELEV. = 72.0' Z�\ /.� i � \\\\ � / Q Scale: 1"= 20' LPIT +:71.83 / i .02+72 50 11 �� '7 �F ,/,.47 � 0 10 20 30 40 50 FEET O .20 11.86 off 508-362-4541 TO OFMgss fax 508-362-9880 9C' �� qOy downcope.com+72.42 '�.9 .`� �o`� DANIELA. yGm ,�° DANIEL Gv, . . . 1?p 10W1 cope engineering, Inc. '�71.56 o OJALA � � � CIVIL N " OJALA N i N No. •0 6502 � � C/V// engineers 172.53 / / 1.45 �o�FS GIST@C� lgN'o S �o� �. land surveyors 71 .46 Li-11--Iwv\ /(0) �� 939 Main Street ( Rte 6A) DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHRORT MA 02675 09-071 09-071.DWG(SBO)