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0468 MAIN STREET (COTUIT) - Health
t ..468 Main Street �.� '' Cotuit TOWN OF BARNSTABLE LOCAThON %6$ /Y*l9 -5T r SEWAGE # 1,007^r/7 VILLAGE nrvir ASSESSOR'S MAP & LOT 42"?7 INSTALLER'S NAME:.&PHONE.NO:`-_, ' 2d-9�38 Jo5> �3a�•bs SEPTIC TANK CAPACITY LEACHING FACILITY: (type),'- L01-tlrePrOe5 (size) NO.�OF BEDROOMS . BUILDER OR OWNER �✓ e4'at�r� dh 'TS ' PERMITDATE: .//— /`7'— 07 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Grouridwater.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.Facihty(If any wetlands exist within 300 feet of leachin facili ) Feet Furnished by r � 1 f I ' No, Fee i n, � � THE`COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes pplication for �Digonl *y5tem Cootruction Permit Application for a Permit to Construct(Repair(C--Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. e//sg mo/,� Sr Owner's Name,Address;and Tel.No. Orel?' Creg'oHl �Qoberrs Assessor'sMap/Parcel 9'738 3 Installer's Name,Address,and Tel.No.SOS—y2 o- Designer's Name,Addressand Tel.No. Jos-Cpl7 O-e C /10>✓ �i,!s u� o / /20l o�y Type of Building: Dwelling No.of Bedrooms_ y Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) --q eI O gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) toTAV// y /lda/ �!� 5' /�!� ei3p4e!T /LTATors A/-2b aO T /UO drag' /%xreeeel ge✓ r�0115 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 Board of Health. Signed Date Application Approved by Date It— 1 L( -0 Application Disapproved by: Date for the following reasons Permit No. 00 f Date Issued ——————————————————————————————————————————-- HE'-" a Entered in computer V - T COMMONWEALTH OF MASSACHUSETTS ' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYtcatton for ;tgpoar *pgtem Con0tructton Permit Application for a Permit to Construct(4<Repair(GY'Upgrade( ) Abandon( ) El Complete System ❑IndividTal Components Location Address or Lot No. ��/h �f ytii� Owner's Name,Address;and Tel.No. Go 1"vi T 6r e f O yl �Q abr'rrs Assessor's Map/Parcel Installer's Name,Address,and Tel.No..§-,g—qa 0'�x f Designer's Name,Address and Tel.No. Type of Building: ' Dwelling No.of Bedrootns Lot Size sq. ft. Garbage Grinder ( ) ` Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures �' (_it Design Flow(min.required) y G , gpd Design flow provided S ( q gpd Plan Date Number of sheets Revision Date tj= Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) xy 5yall P,_ga/ a/- S� y/rah yp/9G/T!/ a �"l� i 'Tr�ri�rS H-26 U/9irS �I/O Srati� f /x ree� -__ lju / ' S""Oo ' �- `'Date last inspected: _ Agreement- I The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. fr Signed ;' Date �R. -r Application Approved by �j Date f/- / Lf �U Application Disapproved by: Date e for the following reasons Permit No. d 00 5 s* Date Issued THE COMMONWEALTH OF MASSACHUSETTS y v BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ,G.) Repaired ( 4-. Upgraded ( ) Abandoned( )by at (� 6�yJ,rg�y/ ���Tyi Y has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a dated Installer�05 r►,a�„ 10:e gjeg.+�7s Designer —� f #bedrooms Approved design flow gpd The issuance of this permit shall n be con trued as a guarantee that the system wi'I un tion as designed. Date 17 Inspector 104 ks �, ` vl / �'t"`/ �vV't1 L'l --------------------------------.?---`------- nn No. d �4- r f Fee 1* THE COMMONWEALTH OF MASSACHUSETTS t PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS lwtgpool *p.5tem Con.5tructton Permit Permission is hereby granted to Construct ( 4--) Repair (4--) Upgrade ( ) Abandon ( ) System'located at �G 9 /?il wll I' A ill and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. t Date LI — 0� Approved by 1 { 12/03/2007 06:20 5084775313 ENGINEERING WORKS PAGE 02 1 7- Town of BamftbLe Re tory serve 'l'bomea F.teller,Dkv tpr - PubacHeaemmen . Thomas McKean,DhWWr . 209 Mrin Street,H.y.aatla MA 026" ' :: Pax: 5W79i0004 r e Aaseasor's MapT d Z Z— Q r j Ate; Addis : ywvr+t-ff-On �d .LL"" was i33ued a permit to i>astall a septic t (� I`✓t ��' �y/ based on a daip do ,i by I• the septic system referenced above was installed subetan"ly of-the which nay Include mipor approved sharks such as lateral reto loea u box and/or septic tunic,; R ..,...,.. I.fir.that the septic system ret�renc ed above was installed with • trs chv4 (�.e. 1 'id&W relocation the SAS or any vertical Mocatil of `,•. �sxem)but in accord Stets.9t cc with St Local R. e ::. 43 by des*er to follow. g4t18►ticros. 1 r rm ar s�It%OF ©LZ PETER T. McENTEE CIVIL ti ,a y No.351as z ISTEp'� + FSS�ONAL ��'�� ' �siatnre) (Affix Des' ® Here) T ,• MUM H ptioMaa*M cWtiftom-'Pan i 3.2&4 M.dw i q 15 210' 1'i^Paratlon of f lans and Ji ectncanui» n v•., ,. r r •. --,r, ".. ,•, - r I,_ ; The plans and specifications for every on-site system shall be prepared as follows: (1) Every system shall be designed by a Massachusetts R�gisiered Professional Engineer or a'Massacltusetrs Registered Sanitarian provided that such Sanitarian shall not design a. system designed to dischargc more than 2,OM gallons per day pu.*stiant to 310 CMR 15.203. Any athcr agent of the owner.may prepare'plans for the repair of a system.designed to discharge not more.than that} 2,000 gallons per day pursuant to 310 CMR 15-203 provided the are reviewed b :a Massachusetts Registered Sanitarian and•approJcd by the-approving Y y authority; .(2). .Ever—plan submitted for approval must be dated and bear the stamp and signature of the designer, � --• -• • -(3f Every plan for a new system or plan for the upgrade or expansion of an e—:sting.systvn• n which requires a.variance to a property line setback distance,'must-also reference'a clan which bears the stamp and signature of_a Massach'als-etu: Licensed Land Surveyor in accordance with M.t.L. c: 1I2, § SID; (4) Every plan for a system shall be of suitable scale•(one inch.=40 feet or fewer for plot plan and one-inch—ZO feet or fewer for details of sysrcm.ttempanenu). ��d.shall 1r.cIude. : r. d fiction of: ' (a) the legal boundaries of the facility to be served: (b) the holdcr and location of any easements appurtenant to or which could impact the : _ -: .(c). the location of the a1I dwelli.tg(s)or buildizgfs)axisnng and proposed on the facility and identifiea_dci i of those-to-be served by the system; " • - -'(d) =the'iacation of existing or proposed irnpendous•ar_eas, inclu'd;ng:4riveways and irking areas (e) location and dimensions of th'e system (including reserve area); 'A fl, system design calculations, ihcIading design daily sewage flow, septic rank capacity required and providcd);.soil absorption system capacity (required and provided); - hether system is designed for garbage gender, (g) North arrow and existing and proposed contours; (h) Iodation,and•log of deep'obscrvation hole tests including the date of test, existing grade elevations marked on each test, and the names of the repreientativc of the : approving authority aid-soil evaluator, (i) location and results of percoladon-tests including the cite of test-and iho names of the rc ,cscntative of the approving authority and soil evaluator, . p'-- — -- __ ) name and ct - icatidtti numbcr-of-the-Sod-Evalt}ator of record; (k) location of'every'+crater supply,public and private, ; 1. within 400 feet of the proposed system location in the case of surface water supplies•and gravel packed public water supply wells, 2. within 250 fact of the proposed system location in the case;of tubular public water supply wells, and 3. within 130 feet•ofthe proposed•system,location iri -be case of private water supply wells; 1) location cf-any surface waters of the Camrnoawealth;-rivers, bordering•vege�ted wetlands, salr marshes, inland or coastal banks. regulatory floodway, vcIociiy zone, : .--surface water supplies, tributaries to surfacc water supplies,certified vernal pools,private water supplies or snctintl lines, gravel packed-or tubular public_water,supply wells, ' .. subsurface .drains, leaching catch basins, or dry yells; and ;he location of any nitrogen sensitive area identified*in 310 CNM .15.2I5 withi.-s which portions of the pmpased _.._ stern are located. ( location of water lines and•othdr subsurface titilides an the faeiIity; observed and adjusted groundwater elcvadon in the vicinity of the system; o) a cdmplete profile of thte system; (p) a cote on the plan listing avaranccs to the provisions of 310 CMR 15.000 sought . conjunction with the plan.; . the location and,elevation of one., bersc.'tmark.within SO to 75 feel of the facility which is not si;bjcct to dislocation or loss.dirrg cons"ction'a'ry the fac'iLty, (r) when•dosinng is-proposed, 'complote des'ga"anE"specification of the dosing systcrn 1� propassed including.but not limited to dosing.c:tamber capacity (required and provided},' . 1" purnp cuzves and specifications, number a,dosing cycles and dcpck per eycTe; Sand Filar or ,quivalent altcrnadve technology is regLzred or (s) when a Rccircn-piFi, ste=,including a hydraulic rode; roposed, a complete plan and spetificat<on for the sy g Y p ( ation of the,facility including the nearest existing street, I locus plzn,to show tr`ie loc u the sticei ntimber and lot number, if any, of the facility; and. (V) the matcrals of caasrvc:fon.and the specifications of the system. 4 F Town of Barnstable Health Inspector Office Hours FTHE O Regulatory Services. 8:30-9:30 „ Thomas F.Geiler,Director 3:30—4:30 * BABNsenat.E. r� 039. ��� Public Health Division A�Eo �A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT SEPTIC QUESTIONNAIRE Date: 1. General Information: Size of Property: 2865 Address: 468 Main St Cotuit,MA Map 022 Parcel: 00117 n Name: ROBERTS, GREGORY S Phone#: 2a. How man bedrooms exist at our property now? to Yvt �+ Y Y p P tY � 1� � f " 2b. Are you planning to add any bedrooms? 0 If yes,how many? n 2c. How many bedrooms total are proposed at this property(including the amnesty unit)? -4- - 2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the home and the proposed amnesty apartment. Provide width measurements of any o'en doorways. Please label each room clearly. 3. Is the dwelling connected to public sewer? YES T N� r 1 n If the dwelling is connected to public sewer,skip questions#4 through#9 below. co 4. Location of dwelling is INSIDE or OUTSIDE a Saltwater Estuary Protection Zo e? t, > 5 . Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public su ply weX0 rr— o rri 6. Is the dwelling connected to an ONSITE WELL or to PUBLIC V 7. Is a disposal works construction permit on file? ° r NO 8. If yes,how many bedrooms were approved according to this permit? drooms. 9. Were any building permits obtained for construction of additional bedrooms? YES r NO i 10. Is there an engineered septic system plan on file at the Health Division? YES or NO 14. Has the septic system been inspected by a DEP certified inspector within the last two year . YES or NO FOR OFFICE USE ONLY J The Public Health Division has noobjection to-IL? bedro/oms this roperty. Special Conditions: F �-� Cd. mot' "J- a se- Signe 4AL Date. f 1(0 a� Q;/health/wpfiles/amnestyapp Town of Barnstable P.# Departtnent of Regulatory Services ° o 67 F, Public R Wth�Division s tirtsrr�eta; , , 4 h tb y: �� 200 Main Street, MA 02601 rF0 Mlle s11 Date Scheduled '' '1`ime Fee Pd O`Ott i. 5/^o/, l S`utab° lity Assessment for Sewage Disasal l 011 Performed By:. y e• � -C -� ro E;� Witnessed By;. sUv ,r � 5, . ., LOCATION& GENERALIINFORMATION x . Location;Address �. Owner's Name Grrvc f "r4 Address le�`I�?6r :i f f-is�7 p- c+c ; Assessor's Map/Parcel.,. .U Z 2 (} 7 Bngineer's Name /q/-Qf/ 6 Oct NEW GONSTRUCl70N x REPAIR.- " "' Telephone# r 1 �A '.band Use l i'1 1 Slopes(4) Surface.Stones Distances fromi Open Water Body r" A'r ft .Possible,Wet'Area�ft ' Drinking Water Well �� ft Draina a:Way �f _ft. Pro ert Lane + ft Other ft g y p Y SI TCH•:(Street name,dimensions of lot,exact locations of test holes&p6rc tests,locate wetlands In proxin to holes) _ f 4 ---a.,•, r«�.:r+-,.-+,ys-+' ---•----'3'+m.�'m + .-_....+ a'g,;,�"", -- ."".'x'c-•,-�--;sg' �.s --a -•.�-ayr, lC,_ G� N;a--twcuvx Depth to.Bedrock Parent material(geologic) ' Depth to Groundwater Standing Water m Hole: © Weeping from Pit Face ! r Estimated Seasonal High Groundwater i , fw DETERNIINATION FOR SEASONAL HIGH-WATER T-AB�.E Method Used: Depth Observed standing in obs,hole: in, Depth to soil mottled,. -• t, Depth to weeping froni.side of obs.hole. lr.,• Groundwater AdJusttttenk ft•i . ' ' ' Index Well# Reading Date: Index Well level ,,...,, A faetor A- t7raundwater l.cvai,,,;.,� ,1- PERCOL,ATIOi:TES ' Uate ;,,� .�., ..,.�.... Observation } f` Hole# -e it '0 , Depth of Perc �� Time at 61' w i Start Pre-soak Time @ i Z� �;rj'• me(9 G") ,p I End Pre-soak �� �' Rate Mm:/tnch Site Failed• AdditionaLTestiti Needed(Y/N) Site Suitability Assessment: Site Passed �/ ._ g Original: Pubiic.Health Division Observation Hole Data To Be Completed on Back ***If percolation est is to be'conducted within 1001 of wetland,you must first notify ' . 4 : Barnstable Conset'vation Division at least one(1) week prior to beginning. DEEP-OBSERVATION HOLE LOG Hole# a Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(m) -xj . (USDA), (Munseli). Mottling . (Structure,Stones,Boulders.. 13� e 2,s( 6j q AJ � 3 DEEP OBSERVATION HOLE.LOG. Hole# �- Dcpth_from Soil Horizon. , $90 Texture, Soil Color. Soil . Other.... Surface(in:) (USDA) (Mansell) Nlottling (Structure,Stones,'Boulders. Al la al e- p 2s��. DEEP OBSERVATION HOLE LOG Hole# DoP >'!9m Soil Horizon; SoII Texture SoihColor SoII "• Uther Surface{in.) (USDA) (Munsell) Mottling (Structure,:Siones,'Boulders. Qnsisten I}EEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Col Boil or Other Surface(lq;) th (USDA) (Mansell) MQttlin- g (Structure,S(opes;B.ouiders,' Flood Insuianceatate 1VIa ; 1 n r Above 5B0 ycar flood bouridury No_ Yes Within SOO::year boundary No Yes WitHrn lb0>ycar flood boundary No Yes `-rna, De't r,I rvlo a Dies ----------------- Con at least four feet of naturally occurring:pervious tnaterial exist in all areas observed throughout the area proposed farthe soil absorpgon system? ,, , If not,what is ttiede th p of naturally oecumng pervious material? Ct3rtii5cation .. I certl that on (. ��95 fy .(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that above analysis was performed'by me consistent"with the',`Tequtred tr g,expertise and experience described'in�10 C1vIR 15.017. Signature. Date l® S Q;4SEPTICCPBEt�F�O&M.DOC . , J 7 �/. JSA LD El t: rz,4 ►;eta r--,g,0 P, E ° 4 r ._ ti F-rEATEC� �ri�l�'H 7�1 S�ft4c ReA CD rIll 7 p J 2 A.6-a.C 1 E `LOFT k i i ' p —GC—A I; �� R- 1"4 Ole ,t 4 ` - DwIF - ' 1 .. ...:....+wwH-.�/cYM.a _ _ - .,.._S�a yi-v-. _..��c.`.f•>wa:,i._ee. - L1111 �,.., 34 a - L4 • i - N tt-t TLI5 ; I � .�Ea 4 TOWN OF BARNSTABLE i LOCATION �g M�ih Sr- SEWAGE.# .2 4o7 'Y VILLAGE & LOT 92 --17' INSTALLER'S NAME&PHONE NO. Si6-eI20-f, 410s eox l gx"'V SEPTIC TANK CAPACITY /SDD LEACHING FACILITY: (type) r,9i 5 (size) NO. OF BEDROOMS el-- BUILDER OR OWNER 9h,5510-6 PERMIT DATE: /'T- 07�7 COMPLIANCE DATE: / l' Separation Distance.Between the: . Maximu Adjusted Groundwater Table to the Bottom of Leaching Facility Feet m Private Water Supply Well and Leaching Facility (If any wells exist on site or.within.200 feet of leaching facility.) Feet i Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facili ) Feet Furnished by ✓ `7J �1 r'"�. l - ^ ' qL Town of Barnstable Health Inspector oFTtle 1p� Office Hours ti Regulatory Services 8:30—9:30 g y Thomas F.Geiler,Director 3:30—4:30 snxxszasLE, 9� b �0� Public Health Division ATEp �A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT — SEPTIC QUESTIONNAIRE Date: 1. General Information: Size of Property: 2865 Address: 468 Main St Cotuit,MA Map 022 Parcel: 001G17 Name: ROBERTS, GREGORY S Phone#: 5 01D 2a. How man bedrooms exist at our property now? Y Y P P tY , 2b. Are you planning to add any bedrooms? If yes,how many? 2c. How many bedrooms total are proposed at this property(including the amnesty unit)? 4- 2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room clearly. 3. Is the dwelling connected to public sewer? YES r NQ' ..c If the dwelling is connected to public sewer,skip questions#4 through#9 below. z 4. Location of dwelling is INSIDE or OUTSIDE a Saltwater Estuary Protection Zo-.e? ca 5 . Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to publics ply we11� s, CD 6. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? co 7. Is a disposal works construction permit on file? YES or NO 8. If yes,how many bedrooms were approved according to this permit? Bedrooms. 9. Were any building permits obtained for construction of additional bedrooms?. YES r NO 10. Is there an engineered septic system plan on file at the Health Division? YES or NO 1 Lk Has the septic system been inspected by a DEP certified inspector within the last two year . YES or NO f ------------------------------- -- -------------- ---------------------------------- ---------------- FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at.this property. Special Conditions: Signed: Date: Q;/health/wpfiles/aninestyapp • C5 04 a -- .�. ' Y Vul' ' MA 'N 1 ell i -LO - k le l� Y — •dal, -. � RRf� _.��i�jOk �1�1c Q )' � o a E { i Jr -fop cm 0 L!P �RoLL i en f , r - f H J-c� 7 • 1 TTga ul 1= C --�•.f+ ..., .. .7...ja.snsm. c i lel r � /41L. 1-7 NV = - J . � Q I Town of Barnstable Health Inspector �FTHE Tp� Office Hours yP•. ti� Regulatory Services_ 8:30-9:30 Thomas F.Geiler,Director 3:30—4:30 + BARNSUBLE, MASS. ,0r Public Health Division �prf Thomas.McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE hh Date: U 1. General Information: Size of Property: 2865 Address: 468 Main St Cotuit,MA Map 022 Parcel: 00117` Name: ROBERTS, GREGORY S. Phone#: 2a. How.many bedrooms exist at your property now. Iy I� c, c tY hoar 5 Y 2b. Are you planning to add any bedrooms? If yes,how maiiy? 0- 2c. How many bedrooms total are proposed at this property(including the amnesty unit)? 2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room clearly. - 3. Is the dwelling connected to public sewer? YES or NO If the dwelling is connected to public sewer,skip questions#4 through#9 below'. 4. Location of dwelling is INSIDE or OUTSIDE a Saltwater Estuary Protection Zone? 5 . Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells? 6. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? 7. `Is a disposal works construction permit on file? YES or NO 8. 'If yes,how many bedrooms were approved according to this permit? Bedrooms. 9. Were any building permits obtained for construction of additional bedrooms? YES or NO 10. Is there an engineered septic system plan on file at the Health Division? YES or NO 11. Has the septic system been inspected by a DEP certified inspector within the last two year . YES or NO FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this property. Special Conditions: Signed: Date: Q;117ea1071i vpfiles/mnnestyapp 1 (ff u a l t,�! tip APO 4 I V 1 �� f I I. "T ell 16 1-OPT Y �,CA�-FZ z Ole � � -N� boo✓ WCA S E t E f a —^..L'.,:....�.t.-_.::...:,-.. x .]x.� .....:....r. ;...�'. ...�,...-.u..'��r.-. ..:"y.�aad.Y.ter?.U�.k.sP} _M•. ... _._v ,±s?-- +..a.ncg—^. INC ` �gHeD W to ` ...y✓. ,,:�r. 1. - -.w..,_ �a•.s,.F.. :. 'xim!--Tn•�gik�t' -p WP jr OZ . � 1 P I�Tl ETON i t Tw 5 <r 1 I i j i 1 I� - F /e 1 . �`.; V 'THE Barnstable F 1p� The Town of Barnstable '"W "B`MAS& Growth ManagementP Department All-America City 9�'0T 1639. � 367 Main Street,Hyannis,MA 02601 Ep Mp. s Office: 508-862-4086 Patty Daley,Esq. Fax: 508-862-4782 Interim Director 2007 FAX y DATE: 10-b GI TO: FROM: to 4ne P E oje ngin r;8h ail. stable. u RE: FAX: # pages: including cover sheet McKean, Thomas From: McKean, Thomas Sent: Monday, February 02, 2009 8:40 AM To: Dabkowski, Cindy Subject: 468 Main Street Cotuit The submitted plan shows four bedrooms, plus three lofts and an unmarked room in the first floor of the cottage building.A total of seven (7) bedrooms are potentially counted on the submitted plans, but the septic system was only designed for four(4) bedrooms. ~ Please advise. 1 c LOCATLO-.N. SEWAGE PERMIT' 'NQ. _ .1 G IR M A a N :ST. q+ - i 1 �� VILLAGE INSTALLER'S NAME A ADDRESS Ja P: MAW 0 2f R IS 0 WS tjr t U I L D E R OR OWNER DATE PERMIT ISSUED .y . I—. DAT E COMPLIANCE ISSUED -' t , 4-- C N'1 4s� � � � , .t � . �� �' �/� � �1 a 1 ` .� 0 .a �, �r �. - Y ` .,; '� 3 THE COMMONWEALTH OFMASSACHUSETTS BOAR® F HE LT, . .. .. ........OF... ... ....... Applira#ion for Diopooal Works Tonotrnr#'ton ramit Application is hereby made for a Permit to Construct ( ) or Repair (Lr/an Individual Sewage Disposal System at: ...... ..� . .. _... ....•--- --•- --------------------------------- ...-- ----•- o ho - dr s Lot No. .............................•.._.._........ �> O Addre s Installer Address dType of Building/ Size Lot............................Sq. feet U Dwelling 41 No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ..............:....................................................................................................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length________________ Width................ Diameter__-_____-__-_-- Depth................ x 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. 1................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..--.------ --------------------------------•--•----------------------------------------------------------------...-..-..._-- x ----•------•------------------------------------•--------------------------------------•-•--------------------- �---- f U Nature of Repairs or Alterations—Answer when applicable-__•,t�..d� ,- /.�........................................ ® O ® / ' Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLi, 5 of the State Sanitary Code— The undersined further agrees not to place the system in operation until a Certificate of.Compliance has been • sued bWthe oarY- f4heaa Sig .......... •` - �:. 7` / Date Application Approved BY ------ ----••••-• .... Application Disapproved for the following reasons:------------------------------------------------------•-----------------------------•••••. •----------.._... .................................. ---•--...----------------- ....... .................................................................................................................. •••••••-•••••-•-•--- Date Permit No....••..A 4 G°t Issued � ..a.�.- � -- ---------- ------- e...--- Date No.... Fss.., .. THE COMMONWEALTH OF MASSACHUSETTS BOARD ,QF HE�L' 01 r ~'\ ........... s.... ... :... �. �d...............x:._._..._. Appliration for Disposal Works Tonstrurtinn rrmff Application is hereby made for a Permit to Construct ( ) or Repair ( A)'an Individual Sewage Disposal System at ,/� ation ------ --------- --------Zr---i_ ........----------------.... ---------•----------------...------------------------.._.._...--- p Lo Addr s or Lot No: ....... �r2�'�:+'�F...... bG_i3F. '_-i_.. wt _...................'............. ......................•_-____..:_. ...___-____-__•_____.-...._.._...._..............__ `,° Omner Address Installer Address QType of Building/ Size Lot............................Sq. feet V Dwelling V No. of Bedrooms________________________________ _Expansion Attic ( ) Garbage Grinder ( ) pa-, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) P I Other fixtures...................................................... W Design Flow.............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter_--_--______-___ Depth................ x 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........................ G Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ P4 ............ .............. O Description of Soil----------- �'���I'��:y' -•---•-•----------•---•--•-----------••.............•----•--------------•-•--...........-•----•-•-- lx •••-._..••-------••---•-•-••--•••---••••-- -------------------•--•-•----•-••-----•---.._..---•--- U .................................................. ------------•-•••-••----•--••••••-----.......•---•------•--•-••-----••---••--••----•-•...-•---•••----•-•---------•-•........_._......•--•---•---- ----. -- V Nature of Repairs or Alterations—Answer when applicable __rgi ` r r�' ,� _______________________________________ ............................................................_.............................................. zy mla'l Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TLITIL4 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been' ssued by the,boar4f heaItt- /T Signed __,...._. '.�.......-• --------_--- �__,..----xs.--''- -•- •---- - Date Application Approved BY, --==- ---- .. a e .gg_.. !l • e — 1' Application Disapproved for the following reasons:-------•• e-•--------•----•------••--•----------•---•••-••-•-•-•-•--•-••--.............................. ......................................-••--•-----...•-•-•-.....•-•••-•-------••-----------•----------....___._.._....-••------•-----••---•-------------=----•-------- ................................ Date PermitNo......................................................... Issued_....................................................... Date 1.r4 THE COMMONWEALTH OF MASSACHUSETTS BOARD O, HEALTH �'.. ::.........OF......... ... . N. '.... .. f ............................. , - T,kUS TC�� ERTIFY hat the Indiud"dual Sewage Dl posal System constructed ( ) or Repaired G/' '9t 6 s t nstaller f at �� ttw !�` =- <.:... =... A `�4�'-- •-•-•---------------------------------- -----------------••-------------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------ _____:: ___. dated................................................ K rW'E401 ST":THE ISSUANCE OF THIS CERTIFICATE SHALL. O B O STRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......... g.'. �................... Inspector_...... *_ THE COMMONWEALTH OF MASSACHUSETTS BOARD Ofr - HEALTH ° No......................... FEE... ............... Disposal"Jup Permission is hereby granted._ .... . ° to Constr ct ) epaar (1�`) an vidu Sevc=ag �as� k tem Street "" " 1 as shown on the application for Disposal Works Construction Permit No.11T_-.1.6s1i.Dated.... ...... f _ -------- ------- � ' � � Board of Health DATE......... .". ..................... -••---••- /"' FORM 1255 A. M. SULKIN, INC., BOSTON - l EXISTINGL-LEACH PITS TO BE PL!-MPED, FILLED W/ SAND AND ABANDONED. C EXISTING SEPTIC TANK 5°�9 TOP OF TANK, EL.=101.2t �i INV.(OUT)'--99.85t a 100 �J`Q� , o• Approximate property line LOCUS 241'.f' a > Area , 80 !ants 'r 20,484f S.F. °yap 10o P I € i �'� 0.47f AC. a �,s� °Sr `.' s. - Q-- . . Map 22 �a O `b Njj ��` /// . . . . . `��08 �?°!k. . . . . .. . . . . . . . .. . . . . . ° 10 o6y ; PRIMARY Parcel 17 0.H /"DWELLING 468 -... plan is r (# �i' ' �i'/ , � ��• ...,� �' i j� !J/ � "/' y � LOCUS MAP N.T.S. �-I Z ° 100 W�`W TOF=102.5 4 W ;) / (Assumed)/ Cn m Arbor / Out #" ful% cellar" i ;'' ' lant� U c :U ' ,ACCESSORY C0 1"'s7r h ; f, r �1 / f' cD _ j�DWELL/NG // no cellar CvJ � Shell � 1�v' /- 'p� ' � ��, `/ON,SL�8 �+ .a 'y '�.•-. �.,� �...,, .�.� G O �.. �,l all tS .�, `I CD Parking / 102 1f1; --- ---� lonts�p P �Pr xl G INSPEC ��. $ I 'ION ! (' �rL �aP 0 Area G G —G G �� PORT - + fP-1 TP_2 W / r� G G---- 7 �-- ^�' ---J- -�-- --r- / / cab �00 Q�.•� sPR( POSG S&S_�I Shell Drive ` �--. Ian �i ��O .` 1000Co 0t 2.3 Sh ell Drive G 10G���— G 1 G 242 GENERAL NOTES: HEALTH 1 BOARD OF HEAL TO THT AND T HE MST B E GINS APPROVED - 102 ED BY THE LOCAL + + Benchmark Set 2 OFL WORK THEE STATED MATERIALS SHALL ENVIRONMENTAL CODE,NTORM TO THE E V, AND ANY APPLICABLE REMENTS �9APPLICABLE { 100 101,1� Corner Of concrete opron S6. LOCAL RULES AND REGULATIONS. 6� `' EL.=102.67 (Assumed) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR FF TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE N� DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING , FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN LEGEND ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. g9 PROPOSED CONTOUR 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF �10 �F MAss9 HEALTH FORCTOR OR OWNER TO PROPER INSPECTIONS DTIFY URINGHE LOCAL BOARD CO CONSTRUCTION. OF � �yG 99 PROPOSED SPOT GRADE � PETER T. ✓' -"' 100—' EXISTING CONTOUR 7. WATER SUPPLY PROVIDED BY TOWN WATER. McENTEE PROPOSED SEPTIC SYSTEM UPGRADE x 103,37 EXISTING SPOT GRADE S. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. `v' CIVIL No. 35109 468 MAIN S TREET COTUIT MA 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED --Wy EXISTING WATER SERVICE TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. �'FG/S1���� Prepared for: Gregory Roberts, 468 Main Street, Cotuit, MA 02635 —G— EXISTING GAS SERVICE 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING Engineering by: Surveying by: SCALE DRAWN JOB. N0. —O.H.W. EXISTING OVERHEAD WIRES CONSTRUCTION. i - ' Engineering Works WARNER SURVEYING 1"=20' P.T.M: 230-07 12 West Crossfield Rood 22 Long Road —U EXISTING UNDERGROUND WIRES 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS V�� Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET N0. ® IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. I 10 20 07 TEST PIT AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). I (508) 477-5313 (508) 432-8309 P.T.M. 1 of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED • INSPECTION RISER PIPE IN FINISHED GRADE SHALL NOT BE < EL.99.33 LAWN AREA. SET TO WITHIN FOR A DISTANCE OF 15' FROM THE S.A:S. PROVIDE RISER OVER D-BOX & SET 3" OF FINISHED GRADE T.O.F. INSTALL RISERS W/COVERS OVER EACH MANHOLE TO WITHIN 6" OF FINISH GRADE FINISH GRADE: 102.3(MAX.) (Existing) AND SET COVER TO WITHIN 6" OF FINISH GRADE F.G.-EL.102.3 EXISTING F.G. EL.103.0± t ' MAINTAIN 2% MIN SLOPE OVER LEACHING AREA\:' BIAXIAL GEOGRID > INSTALL RISERS OVER INLET & OUTLET 3/4"-1 1/2" APPROVED FILTER FABRIC BX TYPE <. TO WITHIN 6" OF FINISH GRADE DOUBLE WASHED OVER STONE ONLY (under driveway) STONE 4" SCH 40 PVC 4' SCH 40 PVC ti 'e Eli ®.S= 1%'(MIN.) ® S= 1% (MIN.) . 11EFF.DEPTH.. -pROPO )� 1' '4 ROWS OF 5 UNITS AT 6.25'/UNITINV.=98.92 EXISTING p-BOX OVERALL LENGTH = 32.3' INV.=99.85t INV.=99.17 I INV.=99.00 •SOI ABSORPTION SYSTEM (PRO' FILE) EXISTING EXISTING1000 GALLON ON CFCTIC TANK N.T.S. DRIVEWAY: 1" SHELL OVER 3" HARDNER OVER 6" GRAVEL NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING L • LAWN: 4"-5" LOAM & SEED PIPE INVERTS PRIOR TO CONSTRUCTION''. TTO TOP OFICHAMBERSPERC SAND 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BIAXIAL GEOGRID / BX TYPE GRADE ON A MECHANICALLY COMPACTED SIX. BREAKOUT=TOP PRODUCED BY TENSAR CORP. INCH CRUSHED STONE BASE, AS SPECIFIED IN TOP ELEV.=99.33 ATLANTA GEORGIA 310 CMR 15.221(2). INV. ELEV.=98.92 12" 3)" INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM ELEV.=98,00 III�II IIIII�II 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE. . 2.8' ABOVE BOTTOM OF SEPTIC S I STEM PROFILE ST.P.1 N.EXCAVATION OR G.W. EFFECTIVE WIDTH-11.2' XI 5-4" POLYSEAL OWLETS -EXISTING SUITABLE 22" MATERIAL 4" �- t-4" POLYSEAL INLETS 4" N.T.9. NO GROUNDWATER AT EL.=91.1 USE 4 ROWS OF 5-HIGH CAPACITY INFILTRATOR CHAMBERS t ' WITH NO SEPARATION BETWEEN EACH ROW & NO STONE O 0Ui N N �\ \ \ �\ \\\\ � � TYPICAL SECTION _ N N IA \. `\\\. \ N.Li SOIL LOG z DESIGN CRITERIA Top view Section '\.ACCESSORY... a \, DWELLING DATE: OCTgBER 5;. 2U07 (REF# 11,975) NUMBER OF BEDROOMS: 4 BEDROOMS (PER SITE INSPECTION BY BOH, 10/2/07) dB-5 H-20 \ ., SOIL EVALUATOR: PETER McENTEE PE CSE CLASS I - D-'B O X \\ OIL TEXTURAL CLASS: \ `',\ WITNESS: DAVID STANTONSTANTON=HEALTH AGENT DESIGN PERCOLATION RATE: <2 MIN/IN TP ' 1 Depth Elev. •TP-2• Depth DAILY FLOW: 440 G.P.D. Elev, - DESIGN FLOW: - 440 G.P.D. 102.1 O„ 102.1 O GARBAGE GRINDER: NO FILL FILL 1000 GAL. CAPACITY 101.6 6" 101.6 5" EXISTING SEPTIC TANK: U tl-0 O O O O O OU •�I .s� f A 0 0 0 0 0 0 0 0 0 0 0 0 0 o SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (440) = 594.6 S.F. 00000000 00000000 10YR4/2 10YR4/2 .74 101.3 B.. 10" 101.3 B 10l' USE 4 ROWS OF 5 HIGH CAPACITY INFILTRATOR H-•20 UNITS WITH Fes- 28"� 28"-�I SANDY LOAM SANDY LOAM AI - 3g•9 ---- -. .j10YR 5/8 � 10YR 5/8 O STONE AND EXTENED BY 1 FT WITH STONE (11.2' x 32.3') Closed End Plate Open End Plate �-2� g' 1 vi i g9.1 36" 99.1• 36 SIDEWALL AREA: NOT APPLICABLE C 38" C BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.72 SF/LF OF INFILTRATOR) ti q I Q i PERC (INFILTRATORS) 20 UNITS x 6.25 LF x 4.72 SF/LF = 590.0 SF \ I I 50" (STONE) ..........1' x 11.2' = 11.2 SF Z \\ \ \ I I AREA \ I p I M-C SAND M-C SAND TOTAL 601.2 SF I LIJ I N 2.5Y 6/4 2.5Y 6/4 DESIGN FLOW PROVIDED: 0.74(601:2 S.F.) = 444.9 G.P.D. \ ` 1 (N IM PROPOSED SEPTIC SYSTEM UPGRADE -i� 75" -� tom--34 )S), S�. I 00 1 1.25 I I I 468 MAIN STREET, COTUIT, MA Side View End View \\ 91.1 132" • 91.1 132" HIGH CAPACITY INFILTRATORS, H-20 LOADING ' PRIMARY -- 15.1 -11.2� I PERC RATE <z MIN'/IN. ("c" HORIZON) Prepared for: Gregory Roberts, 468 Main Street, Cotuit, MA 02635 DWELLING 26 3 NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN J N INFILTRATOR CHAMBERS - Engtneeringwarks waR1vER SURVEYING N.T.S. , P.T.M. 230 07 \\�\ `\ \, \ _ 12 West Crossfield Rood 22 Long Rood DATE CHECKED SHEET NO. \ \\\ \ 20 07 Forestdole, MA 02644 Harwich, MA 02645 10 S.A.S. LAYOUT • (508) 477-5313 (508) 432-8309 / / P.T.M. 2 of 2 N.T.S. \ I