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Home My WebLink About1665 MAIN STREET (COTUIT) - Health Uzi-illiain Street (cotuit) LCotuit P A = 017 002 i i Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6, 2009 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:When filling out A. General Information forms on the computer, use 1. Inspector: only the tab key to move your Patrick T. Sullivan cursor-do not Name of Inspector use the return key. Ready Rooter, Inc. Company Name rlb PO Box 371 -17 Jan Sebastian Dr. Company Address Sandwich MA 02563 City/Town State Zip Code 508-888-2805 S112843 - 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 June 9, 2009 Inspector's Signature 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. 1665mainstcotuit•03108 Title 5 Official Inspection Form:Subsurface Se ge Disposal System•Page 1 of 1 129 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6 2009 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: 0 ® 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 removal of garbage disposal. System not designed to handle. *High water readings during summer months due to irrigation. B) System Conditionally Passes: �- ❑ One or more system components as described i�'fhe"Conditional Pass" section need to be replaced or repaired. The system, upon com�l7tion of the replacement or repair, as approved by the Board of Health/nedN will pass. ,/ Answer yes, no or not (Y, N, ) in the ❑ for the following statements. If"not determined," please e ❑ The septic tank is o r 20 years old*or the septic tank(whether metal or not) is structurally unsounsubstantial infiltration or exfiltration or tank failure is imminent. System will pass if the existing tank is replaced with a complying septic tank as approved by the Balth.A metal septic tos 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 ate level in the distribution box due to broken or obstructed pipe(s)or due to a broken, set d or uneven distribution box. System will pass inspection if(with approval of Board of Health) ❑ broken pipe(s) are replaced ❑ obstruction is removed 1665mainstooluit•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6, 2009 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: .r r. r ❑ The system required pum i'hg more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspe n if(with approval of the Board of Health): ❑ broken pip 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 BoarO of Health in order to determine if the system is failing to protect public health, safety or the e>5'vironment. 1. System will pass unless Board of Health deter nes in accordance with 310 CMR 15.303(1)(b)that the system is not functioning I , a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet o surface water ❑ Cesspool or privy is within 50 f t of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Bo rd of Health (and Public Water Supplier, if any) determines that the system is f nctionin in a manner that protects the public health Y 9 p safety and environment: ❑ The system has a s tic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surfa a water supply or tributary to a surface water supply. ❑ The system has septic tank and SAS and the SAS is within a Zone 1 of a public water supply. Y ❑ The system as a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 1665mainstcotuit•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 3 Commonwealth of Massachusetts 4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6 2009 every page. Cityrrown 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 SA 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 alysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the pre ence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no er 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 '/z 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. 1665mainstootuit•03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 4 of 4 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is Cotuit MA 02635 June 6, 2009 required for I every page. Cityrrown 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. ❑ Z 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 a of the following, in addition to the questions in Section D. f Yes No 1 r ❑ ❑ the system is within 400 feet Of/a, surface drinking water supply s f ❑ ❑ the system is within 200 t of a tributary to a surface drinking water supply ❑ ❑ th/ea is located i a nitrogen sensitive area (Interim Wellhead Protection AA) or a apped Zone II of a public water supply well If you have answered "y que ion in Section E the system is considered a significant threat, or answered "yes" in Seov the large system has failed. The owner or operator of any large system considered a sig at under Section E or failed under Section D shall upgrade the system in accordance wR 15.304. The system owner should contact the appropriate regional office of the De 1665mainstcotuit-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 5 Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6 2009 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? Y P ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 1665mainstcotuit-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 6 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6, 2009 every page. Cityrrown State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 GPD Number of current residents: 5 Does residence have a garbage grinder? ® Yes ❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system i-ispected? ❑ Yes ❑ No Seasonaluse? ® Yes ❑ No Water meter reacin s, if available last 2 ears usage 2007=865 GPD* g ( y g (gpd))' 2008=400 GPD* Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: r" Design flow(based on 310 CMR 15.203): r�Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ElYes ❑ No d' 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): 1665mainstootuit-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 7 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6 2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Ready Rooter records: Pumped July 2005 Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Site tube on truck Reason for pumping: Maintenance 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) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: System installed April 14, 1995. Engineered and as-built plans on file w/Board of Health. Were sewage odors detected when arriving at the site? ❑ Yes ® No 1665mainstcotuit•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 8 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6 2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 41"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line. N/A feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: 33"feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No -------------------------------------------------------------------------------------------------------------------------- Dimensions: 11'X 5' X 4.5' 1500 gallons Sludge depth: 311 Distance from top of sludge to bottom of outlet tee or baffle 36" Scum thickness 4" Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 11" How were dimensions determined? Tape measure and dip tube. 1665mainstcotuit-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6, 2009 every page. Citylrown 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.): Intet and outlet PVC tees in place. Liquid level at outlet invert. Tank pumped and cleaned after inspection. Recommend maintenace pumping every two (2)years. Risers bring inlet and outlet access covers within 6"of grade. Grease Trap (locate on site plan): Depth below grade: ,� feet Material of construction: ❑ concrete ❑ metal Elf 62`glass Elpolyethylene Elother(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: e ,fI Material of construction: ❑ concrete ❑ metal ❑ fib glass ❑ polyethylene ❑other(explain): 1665mainstootuit-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6, 2009 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: �alions Design Flow: %f gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alar 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): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): One inlet, nine outlets. Equal flow. Very light solids carryover, no effect on system operation. No high water staining over outlet inverts. No leakage into or out of box. Riser brings access cover within 6"of grade. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 1665mainstcotuit-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6 2009 every page. Cityrrown 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: ® leaching chambers number: 9-chambers w/ 4 of stone ❑ 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.): Camera used to confirm location and inspect SAS. No sign of past or present hydraulic failure. SAS is located 110' from edge of wetland (North Rusty Marsh Pond). 1665mainstcotuit-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 112 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is COtUIt required for MA 02635 June 6, 2009 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): d Number and configuration Depth—top of liquid to inlet invert Depth of solids layer 'r Depth of scum layer f,r r' Dimensions of cesspool Materials of construction fr. Indication of groundwater inflow El Yes El No Comments (note condition oil, signs of hydraulic failure, level of pondin , condition of vegetation, 9 9 , etc.): Privy (locate on site plan): Materials of construction: Dimensions f Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): ;Y 1665mainslcotuit•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 13 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is required for Cotuit MA 02635 June 6 2009 every page. Citylrown 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. 1 0 i 1 � y IL4 e r r I 1665mainstootuit•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 14 L i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1665 Main Street Property Address David Weinstein Owner Owner's Name information is Cotuit MA 02635 June 6 required for , 2009 every page.. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 5 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: May 21, 1992 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: Previous Title V Inspection -2003 ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: ma.water.usgs.gov terraserver-usa.com You must describe how you established the high ground water elevation: Test hole for perc test found adjusted groundwater level at Elv= 1.70. Base of SAS at elv=6.70. (1992)Accessed local goundwater contour and topo mapping. Hand probing 2' below base of SAS found no ponding or groundwater intrusion after 1.5 hours. 1665mainstooluit•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 9 Z� DATE: G FEE: ' BARMABM I - MASS z639. �e� I REC. BY Town of Barnstable ---- �\ �'SCHED. . DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REOUEST FORM LOCATION Property Address: -!a(0 5 1M S+rc,f Assessor's Map and Parcel.Number: ►1lte 1-21 pcI 2 Size of Lot: I, Z r NVetlands Within 300 Ft. Yes t, Business Name: No Subdivision Name: APPLICANT'S NAME: pout Phone Did the owner of the property authorize you to represent him or,her? Yes ✓ No : 7) PROPERTY OWNER'S NAME CONTACT PERSON 0.7 {,. w rrt Name: p Q e�hs ,n p,� H�,rna�sz, Name: , V.ew,.rg SV✓th�l Address: Z3 5ftd-z St-. Address: St,T e�.�vr.c WIA Phone: Phone:(SoQ,I 77/—75,02 en,,-1-13 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) l 1 t tj C:Z IS 21I(1 ) Te 2116..% 2 0,Wim _T�jl td. It -u Le 1q(o 1nvT�•�L,1 � brcrs2 ��LI b� tol, mc.e.. NATURE OF WORK: House Addition 13 House Renovation ❑ Repair of Failed Septic System ❑ Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same yjl� owncrfleasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) to %'` r '._ Variance request submitted at least 15 days prior to meeting date vD6 �7 VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. C wk tale REASON FOR DISAPPROVAL Wayne A.Miller,M.D. C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LKFB\VARIREQ.D0C �: ^ ' f v- 2 February 13th, 2006 Board of Health Town Offices 200 Main Street Hyannis, Massachusetts 02601 Re: 1665 Main Street, Cotuit Members of the Board, This letter is to inform the Board that I have authorized Stephen A. Wilson,P.E. to represent me for the variance being requested at the above noted location. Sincerely, David Weinstein #2005-065-2 WeinsteinBOHL.eaff doe 6� 0 "A4ot-S At Zsry 0 aIt ' ! .8. • 1 s Lcv.c ` 97gt. » AO y, AL b - • -a AAA y - O �s 1 1 v ' 93V. aY Js 1111 a \ LLO.c 16� 1 0'♦ .. D K - r ;, • : Sr- Y - AUSMr MARSH�� -POND 4 *.,o►c ti s Ir! : t If q_S RD . xAa LOWELL m �. It ABUTTORS MAP BAXTER NYE ENGINEERING & SURVEYING Abutters List Map Parcel Owner&Address 16 1 J.M. Erickson,Trs. 53 Quarry Rock Road Branford, CT 06405 16 2 David G. Mugar & 222 Berkley Street 22 Boston,MA 02116 17 3-1 Donald T. Goldberg,Trs. f 203 West Newton Street Boston,MA 02116 Town of Barnstable oF'THE 1p� " Board of Health 9 MASS 200 Main Street - Hyannis MA 02601 1639• $ IolFp��A Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on 3A r-la G , the Petitioner(s), regarding the property at &4r Mosfd- the petitioner(s)and the Board of Health agree that the Board of Health has until (insert date)to act upon the Petitioners'completed application for a variance. In executing this Agreement,the Petitioner(s)hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): Board of He Signature: Signature: , 4etir(s)or Petitioner's Representative Chairman Print: S':O1WA0K 14 _ -),(Zrr.-, Print: Wayne Miller, M.D. Date: Date: Ob Address of Petitioner(s)or Petitioner's Representative Town of Barnstable ,fig Oil-41 41 S+ 4 Q Board of Health Public Health Division k *V%Ls , wL4-ss mzc eg s 200 Main Street Hyannis, MA 02601 Phone: (508) 862-4644 Fax: (508) 790-6304 file q:extend.doc Pon Baxter Nye Engineering & Surveying ' 78 North Street;'Hyannis;'Massachusetts 02601 VIA FAX April 18', 2006 Board of Health Town Offices 200 Main Street Hyannis, Massachusetts 02601 Re: 1665 Main Street, Cotuit Members of the Board, This letter is to inform the Board that our variance request for the above noted property is being withdrawn. The Conservation Commission approved(this morning) a revised plan that allows the pool to be the required distance"from-1h6 leaching system Sincerely, 4Shen A. Wilson, P.E. 1 cc: D. Solien cc #2005-065-2 WeinsteinBOHLetterldoc Phone (508) 771-7502; Fax (508) 771-7622 COMMONWEALTH OF MASSACH SETTS EXECUTIVE OFFICE OF ENVIRONMENT.�L AFFAiRS = w DEPARTMENT OF ENVIRONMENTAL ?::'ROTE N'COPY W ' d .v �o,,M SyeJ° MAP I PARCEL ; b y _� TITLE S LOT i OFFICIAL INSPECTION FORM—NOT FOR V0LC1NT,-,RY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEIM FORM PART A CERTIFICATION Property Address:_ 1665 MAIN ST. COTUIT, MA 02635 Owner's Name: JOHN HOLMGREN Owner's Address: 1665 MAIN'ST.COTUIT, MA 02635 Date of Inspection: 6/23/03 DECEIVE® Name of Inspector: (please print) JOHN GRAC1, INC. JUL 2 2 2003 Company Name: SEPTIC INSPECTIONS Mailing Address: P.O. BOX 2119 TEATICKET, MA.02536 TOWN OF BARNSTABLE HEALTH DEPT. Telephone Number: 508-564-6813 FAX 508-564-7270 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and ,hat the information reported below is true,accurate and complete as of the time of the inspection. The inspection was perforn;:A based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X Passes _ Conditionally P ses _ Needs Furth valuation by the Local Approving Authority Fails Inspector's Signature: Date: 6/23/03 The system inspector shall submit copy of this inspection report to the Approving Aut',ority(Board of I-lealth or DEP)within 30 days of completing this inspect' n. If the system is a shared system or has a design 11 jw of 10,000 gpd or`seater, the inspector and the system owner shall submit the report to the appropriate regional officr of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments SYSTEM PASSED TITLE V INSPECTION. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG TI1E SYSTEM'S USEFUL LIFE. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Page 2.of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1665 MAIN ST. COTUIT,MA 02635 Owner: JOHN HOLMGREN Date of Inspection: 6/23/03 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: SYSTEM PASSED TITLE V INSPECTION. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. B. System Conditionally Passes: _ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. n/a The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: n/a n/a Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): _ broken pipe(s)are replaced _ obstruction is removed _ distribution box is leveled or replaced ND explain: n/a n/a The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): _broken pipe(s)are replaced _obstruction is removed ND explain: n/a Page 3.of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM IN SPECTION ION FORM PART A CERTIFICATION(continued) Property Address: 1665 MAIN ST. COTUIT,MA 02635 Owner: JOHN HOLMGREN Date of Inspection: 6/23/03 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. I. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone I of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance n/a "This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: n/a Page 4,of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 1665 MAIN ST. COTUIT,MA 02635 Owner: JOHN HOLMGREN Date of Inspection: 6/23/03 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all-inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow _ X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the SAS, cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply _ X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. a Page 5.of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 1665 MAIN ST. COTUIT,MA 02635 Owner: JOHN HOLMGREN Date of Inspection: 6/23/03 Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No X _ Pumping information was provided by the owner, occupant, or Board of Health X Were any of the system components pumped out in the previous two weeks? X _ Has the system received normal flows in the previous two week period`? _ X Have large volumes of water been introduced to the system recently or as part of this inspection ? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up X _ Was the site inspected for signs of break out`? X _ Were all system components,excluding the SAS, located on site? X _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge and depth of scum ? X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes no X _ Existing information. For example,a plan at the Board of Health. X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] 5 Page 6.of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1665 MAIN ST. COTUIT,MA 02635 Owner: JOHN HOLMGREN Date of Inspection: 6/23/03 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 2 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): NO Water meter readings, if available(last 2 years usage(gpd)): — � �� Sump pump(yes or no): NO Last date of occupancy: n/a V `Z'J�t Co() COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow(based on 310 CMR 15.203): n/agpd Basis of design flow(seats/persons/sgft,etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: n/a Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: n/agallons--How was quantity pumped determined?n/a Reason for pumping: n/a TYPE OF SYSTEM X Septic tank, distribution box, soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components,date installed(if known)and source of information: 10 YEARS BY OWNER Were sewage odors detected when arriving at the site(yes or no): NO F r Page 7.of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1665 MAIN ST. COTUIT,MA 02635 Owner: JOHN HOLMGREN Date of Inspection: 6/23/03 BUILDING SEWER(locate on site plan) Depth below grade: 18" Materials of construction:_cast iron X40 PVC_other(explain): n/a Distance from private water supply well or suction line: n/a Comments(on condition of joints, venting, evidence of leakage,etc.): TOWN WATER SEPTIC TANK: X(locate on site plan) Depth below grade: 12" Material of construction: Xconcrete_metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is ~;e confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) SDimensions: 1500 GALLON Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 32" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 17" How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition structural integrity, li uid level a r q s s elated to outlet invert, evidence of leakage, etc.): SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. GREASE TRAP: _(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): n/a Page &of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1665 MAIN ST. COTUIT,MA 02635 Owner: JOHN HOLMGREN Date of Inspection: 6/23/03 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a DISTRIBUTION BOX: X(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE 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.): D-BOX WAS VIDEO INSPECTED AND APPEARS TO BE STRUCTURALLY SOUND. PUMP CHAMBER: _(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): n/a R Page q of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1665 MAIN ST.COTUIT,MA 02635 Owner: JOHN HOLMGREN Date of Inspection: 6/23/03 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type n/a leaching pits, number: n/a FLOW DIFFUSERS leaching chambers, number: g n/a leaching galleries, number: n/a n/a leaching trenches, number, length: n/a n/a leaching fields, number. n/a n/a overflow cesspool, number: n/a n/a innovative/alternative system Type/name of technology: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil, condition of vegetation,etc.): DIFFUSERS ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY.SYSTEM SHOWS NO SIGNS OF FAILURE. BOTTOM OF FLOW DIFFUSERS IS AT 6.64. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: n/a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater inflow(yes or no): NO Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): n/a 4 Page-10 of 1 I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(contir..;ed) Property Address: 1665 MAIN ST. COTUIT,MA 02635 Owner: JOHN HOLMGREN Date of Inspection: 6/23/03 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. c \ t A � � g �.I R 51 in Page-II of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM IP,'SPECTION FORM PART C SYSTEM INFORMATION(contin; ,�d) Property Address: 1665 MAIN ST.COTUIT,MA 02635 Owner: JOHN HOLMGREN Date of Inspection: 6/23/03 SITE EXAM _Slope _Surface water _Check cellar _Shallow wells Estimated depth to ground water 1 feet Please indicate(check)all methods used to determine the high ground water elevati, n: NO Obtained from systeiii,design plans on record- If checked, date of design plan reviewed: n/a YES Observed site(abutting property/observation hole within 150 feet.of SA:;) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators, installers-(attach documentation) NO Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: HAND AUGER-GROUNDWATER IS AT ELEVATION 1.70'. BOTTOM OF FLOW DIFFUSERS IS AT 6.64'. II ♦.. t J.K. HOLMGREN & ASSOCIATES INC. Registered Professional Engineers,Land Surveyors and Environmental Consultants 1308 Belmont Street,Brockton,Massachusetts 02401 Tel. (508)583-2595 Fax(508)588-7518 April 17, 1995 Barnstable Board of Health 367 Main Street Hyannis, Massachusetts 02601 Re: Permit#94-613 Dear Members of the Board, In accordance with your Rules and Regulations, please be advised that this letter will serve as certification that the septic system installed under the above referenced Permit number is in strict compliance with the approved plan. I have enclosed copies of the contractor's sketch and certification for your records. I would appreciate it if you could issue a Certificate of Compliance at your earliest convenience. Very truly yours, �cr '0 OF /:1,�s C, .5 Jo K. Holmgren, P.E. civil;- N10. a o F a JKH:Imc :; Land Surveys Subdivisions Septic Design Wetland Filings • Site Design Environmental Site Assessments TOWN OF BARNSTABLE LOCATION vim. \ SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL C:A'I INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY 117CO CD LEACHING FACILITY:(type) C�,.v�vn�n � w�s ,�(size),--( c NO. OF BEDROOMS OWNER�v. ,_Q PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility'o .Feet FURNISHED BY 3 P ,. TOWN OF BARNSTABLE ,LOCATION _166S' AlliglN s7/ SEWAGE # Q4-( i3 VILLAGE ASSESSOR'S MAP & LOT 617 INSTALLER'S NAME & PHONE NO. _-54Clc 775-33S7 SEPTIC TANK CAPACITY AY'ov Gr+C, LEACHING FACILITY:(type) 04r L e�f4�jiw 1i19 ize) ?¢z S:F NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER Pu6L'ic BUILDER OR OWNER -�'r?�n K- f�aLlvf6,Z" DATE PERMIT ISSUED: /OL/319¢ DATE COMPLIANCE ISSUED• --+ VARIANCE GRANTED: Yes No i 6WL i��✓�c � �aX THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH . .-... ....TONM...._.....OF.....-..-..-Cntuit................. .......................................... Appliration for Dtiipustt1 Workii Tome rurtiun Vamit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: 1665 Main Street Lot 3B & 13 Main Street John K. HolmgrenLocation-t\ddress 1308 Belmont StregtlLtgrockton, MA 02401 ......................_.......................................................................... ..........--......................................................................... ..- W o ner rs 55 Turnpike Street;d*:s B_ridgewater, MA 02379 ........• -__-- Installer Address 1.2 FiC. d Type of Building Size Lot.___'_____________________ Dwelling—No. of Bedrooms._.____.___.5_____________________--------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures __---•------------------------------------------------.-----------------------------•-••-•-•••-•----------•-•--------..._--•-•--------..........••---- W Design Flow___________________55....................gallons per person per day. Total daily flow.................550....................gallons. WSeptic Tank—Liquid capacity._1500-gallons Length_10�6..___ Width.5.8_.____. 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 ( ) aPercolation Test Results Performed by.._QaPe-___&__Ialand.__Engineerinq........... Date._My_.21,.._1992_.____.-. a Test Pit No. 1----2.........minutes per inch Depth of Test Pit 10-'0.......... Depth to ground water___7'-6............... r14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-------_................ x w b f� - - - -O Description of Soil ...See lan . D------ ---------•-------- -----------._ ..__.._..----•--------------- ---------------------------------------- x ------------- ------------------------------------------------------------------------------------------------------ - V Nature of Repairs or Alterations—Answer when applicable------------ i. ' Agreement: The undersigned agrees to install the aforedescribed Individual Sewage?D> posal Sys' m in accordance with the provisions of i1 i LE 5 of the State Sanitary Code— The undersig d tu'rtl�er_.agr. ''not to place the system in operation until a Certincate of Compliance has bee ssue t boar f heal Signed........ .. ................... = °---- . J K. Hol en, P.E. Date Application Approved By.................. - --------------------•-••---•-- --•--- Date Application Disapproved for the following reas s:-----••----•--••----------------------------------------••••-----------•------•-------•-•-----•------.......-•- -----------------•--..._......•-••--------•------...---------.....••---------------•••--•------•-•------•._._...---------------•----------------•--------------•-------•-- -----_.... y _ /-s Date Permit No......................................................... Issued_........../D - -t �y----•---•--•--...._. Date r f 4 r No..-..--•--------------• Fxs. / . (.)........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' OW 1'------n----------OF..........Cat.Uit..............--------------------..............----------------- Applira#ion for Biipnsal Works Tonstrurtiournmit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: 16E5 Main Street Lot 3B & 13 tin Street --••----..........................•---•------••------•-------•-•--•--......._...__............... .....-------•--•-----------•---•----------------------------•------•-----..._.._..........------•. Location-Address Lo o. Joiul K. flolmgren 1305 Pelm- nt Street, �rc�t,-ton, Ivy 02r01 .._.. - -... .............•--------......_..-----------._.... ..........-.............................................................__........ - -•-- W Stephm t:_nJo Paul &ffi xactors 55 T+arnpike Street;V:ssBridgewater, MP. 02379 Installer Address r ,n d Type of Building S Size Lot_..°.+................... U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .................................. W Design Flow.................. .......................... per person per day. Total daily flow................550.....................gallons. 9 Septic Tank—Liquid'capacity.1599.gallons Length_10!.G!°... Width.S!_8......... Diameter................ Depth................ Disposal Trench—:Vo. .................... 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..�'i�:. ...Iglunc.......1.1?.7.....r..?..c±............ Date.M ..211_M52.. aTest Pit No. l... ..........minutes per inch Depth of Test Pit10_'090__....... Depth to ground water..71-bit G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---__---__-___------__. P4 ------------------------------------• .............----•------------.................__...----............................................................... D Description of Soil------.---See attaCW. ...P....-------•------------------------------------------------- --- A ^ x ----- ---------------------------------------------------------------------------------------------------------------- W �Aq.a--&y, -------------_-------- --------------------------------------------------------------------------------------------------------------------------------------------- .---------------- .. - - ----------------- UNature of Repairs or Alterations—Answer when applicable-------------------------------------- t�§...... !1_I�,.._ �- ------------------- ................. I IL Agreement: 1 ACC, 30848 The undersigned agrees to install the aforedescribed Individual Sewage Di say ton c� dance with the provisions of TTT 5 of the State Sanitary Code—The undersigned further aez 2�y� p� �the system in operation until a Certificate of Compliance has been___ ssJ�e the � rd o ealth. u a Signed - -t. 10/12/94 John N ---- ----• -------------------------------- ......------------------------ ]mgren, P.E• Date ApplicationApproved By..................................................... .......................................... Date Application Disapproved for the following reasons----- -----------------••-....--------•-------------------.....---------------------- r Date --------------------------- ------------------ •-------------- ---------- ----------------- PermitNo--------- .............................................. Issued........-- .........)-............................. Date THE COMMONWEALTH OF MASSACHU NING ENGINEER MUST SUPERVISE BOARD OF HEALTH INSTALLATION AND CERTIFY IN wRMNG THE SYSTEM WAS INSTALLED IN STRICT ..........:.......o F. ACCORDANCE TO PLAN. G ...................... . ................................ Tntif iratr of fT�a t�rli �trr THIS-IS, 0,CAkTIFY� `'Phut the Individual Sewage Disposal System constructed ( '- or Repaired ( ) by 1 .... Y�,^ - �-.------•------- stal I------------------------------------------------------•-------------...----.------------- at ---------------•-------------._....`--.._............ has been installed in accordance with the provisions of TiTiE , 5 of The4State Sanitary Code�sl SA in the application for Disposal Works Construction Permit No..........................17 0............... dated_.-........_..._---_-_-Z....................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE.CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............. - � /^----e �—.... _.. L Inspec �� _.... THE COMMONWEALTH OF MASSACHU$MOGNING ENGINEER MU SUPEIM6 BOARD OF HEALTH 1 INSTALLATION AND CERTIFY IN WRITING THE SYSTEM WAS INSTALLED IN STRICT .........................................OF................................. ACCORDANCE TO PLAN. NO... .................. '....................... FEE......................... ' J Disposal Works Tonstrurtion Uprutit Permissionis hereby granted.............................................................................................................................................. i to 'Construct ( ) or Repair ( ) an Individual,Sewage:Disposal System 1 atNTO................................. ...................................................................................................................................................... / I Street C. !/! as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ------------------------------------- `��------------------------------------------..----------- Board of Health iDATE.....................................- ---•---------------------------.._._... .FORM' 1255 HOBBS & WARREN. INC., PUBLISHERS ASSESSORSMApN� No.�1-�-'--`�� Fee---�� PAR% ems„e t •—'�_ TOWN OF BARNSTABLE Application-*rVell Con5tructionPermit Application is hereby made for a permit to Construct (e), Alter ( ), or Repair ( )an individual Well at: J-61-5 - �` 4,ti s r= -- 7`14 T_--— ------------------------------ - ----—----------- --- Location — Address Assessors Map and Parcel -- a-�..----- lw �.., G>e± = - ----- -- - �� -- '`-``"`-= -4 -=-cct'-7`ca �t= ---- - Owner Address --------------------------- ---------- oK Installer — Driller Address Type of Building Dwelling------------------------------------------------------------------ Other - Type of Building -------------------- No. of Persons------------------------------------------- YP g-------------- t� i. J Type of Well--:-----------�---�------------------------------ Capacity------------------------------- ------------------------------- Purpose of Well---- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. 1 FT Signed �_ - _ ------------------ �7a/_e_- -- d�ate�, Application Approved By %�- ---------- --- -` -� =- -" -- date Application Disapproved for the following reasons:-------------------------------------------------------------------------------- - ---- ---------------___------ ---- - - '" date Permit No. — '� .K -" -- - ------- Issued---`-y-------��------- —� -------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the/Individual Well Constructed (-'), Altered ( ), or Repaired ( ) bY------------------��- ^-'"��( -- ------- ------ --------- ----------------- --------------------------- -- - ---------------- Installer at --------cn 7'-;1 ---1,-4-4------------------------------------------------------------------------------------- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit Nc-Am-- Dated `'"-!`j7��4 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- --- - -- - - -- Inspector---------------------------------------------------------------------- + n /,�f (31 .� No.- ="=--~- ;J '� ' 00 Z Fee---' - BOARD OF HEALTH TOWN OF' BARNSTABLE Applicat ion ifor Vell Congtruct ion Permit Application is hereby made for a permit to Construct (4!), Alter ( ), or Repair ( )an individual Well at: --------------------------------------------------- ---------------------------------------------------------------------- / Location - Address / Assessors Map and Parcel -- - -------------------------- - ---------------------- /� �j / Owner ��5+ Addres(s - ? �J L_�-- -� �! .1N° (/ ------- -------- ------- - -._r'6c�---- -------- _. Installer - Dnller Address TYPe of Building >..- r,�=�,.�r Other - Type of Building=-- - No. of Persons 4---------------------------- Typeof Well ---------------------- - -- Capacity------------------------------------------------------------------ Pu ' ose of Well -s�r s7 -- ,�----------`-' -�f- - -- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. D j SignedZ,r�--�-- - date 100 Application Approved By date Application Disapproved for the following reasons:----------------------------------------------------------------- ------- ---------------------------------------- -------------------------- ----------------------------------------------------------- _ -------- date"^ `--�. Issued--= ' -'" l Permit No. -- ---—�. --- ---- -= — =- - ------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (-'), Altered ( ); or Repaired ( ) by------------------- -------------------------------------------------------------------------------------------------------- Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit Noe--4 Dated-46nZ�-' ' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE - - - - --------- = - = Inspector-------------------------------------------------=------------------------ BOARD OF HEALTH TOWN OF BARNSTABLE Vell Con5truct ion Permit Fee- Permission is hereby granted- —��"-'�' ------------ --- -- to Construct ( -Y, Alter ( ), or Repair ( ) an Individual Well at: 4 - - -- - - -- Street as shown on the application for a Well Construction Permit DatedNo.- -�_ -- r - - ------ - - — - - -V0- Board of Health-- DATE 41 O ---- -------- ----------- ICE` .... .......... 39 as r Ac -------- p L .. ................................... - +4_4............ ....................... .......... ---------- ----------.... ------- ..... ..................... ..... .............. I........i L -------------- - ----- - L----------- .................... .......... ...... ................ T.. ....... .... .............. .......... POOL TERRACE . ......... .......... ................... ............. ................. ............... ............. ---- ---- -- ----- ........... ..................... Ul ------------ ......... ------ ................ ............ ............ ............ .......... ........ .................. ................ 4- ........ ........... .. ......... ................ ....... ... ............... ........ ........................ ......... .................. ........................... .... .......... .......... IIfi a- DATE DESCRIPTION DATE DESCRIPTION Till 11-1845 PRICING SET PLANS HERNANDEZ WEINSTEIN 04-1-4-M REVISED PLAN-PRICING SET O POOLHOUSE 0501-M PERMF SET ---------. ........................ --------.......... ..__.. a ............ rn -, - --- - ---- r I ........::::.....:...:: D _-....:_.._ _-... ... i o i .. I i -.. O - O ! ....-- ...--...: Z .... ...t:::._.... :...r.: - i - F-7 r -- -- A I II a I Jru ° ---- b ram----- LJ N Z O p C A -,_, ` rn - rn - `. r = ........... ---- _ ---- ---- rnAX < FEE < liz , a b e::,DATE DESCRIPTION DATE DESCRIPTION • D a -.. 11.18-M PRICING SET - N ELEVATIONS HERNANDEZ/WEINSTEIN &r -W REVISED PIAN•PRICING SET O POOLHOUSE x W OSOI-M PERMIT SET I I II I I I 1 Lr- W-10 1/4' 3'-S B/4' 1' • I� I I 1a'i1 va, I I I B,_B• I T-10 1/2° 9 1/{• d-I 1/4' I I C I ��-0• I I I lot[W-0 1/4• 3'-1 r a e 1 r I � I d 4 - z I K, 4 z p ,. II I �� r,, o f ; I ;•, rnlu- I III I I f I 4l I I I kz iR z I I I I — p1, C�l o I I I I I I I , igo a .DATE DESCRIPTION DATE DESCRIPTION ' W HERNANDEZ/WEINSTEIN 3 +*7&05 PRICING SET SECTIONS &r " 04-1448 REVISED PWF PRONG SET O POOLHOUSE o Ig oso+-0B PERNR SET U` u n n n tl XI o � N O ii I b i yy 1 `X3 - A � ' -------- k7 a xx Z ------ --- - ------ J ":: = ------ - --------- --- - i------- i; i I o O , N M -------------�ff o P P r DATE DESCR" DATE DESCPoPTM a or 112LOS m Sel a FIRST Hemandez-Weinstein AAA 0 FLOOR PLAN RESIDENCE x 0+23 COM MA r • � � S ✓ S I�•VM LD � t Q;l z s " _ I o � z a ❑ u - - --------- - ---it A � ❑ a � I ;r 3 4 + i ❑ ° 4 ` IL p o - D ° D �7 g, v DATE DESORPTION DATE DESORPTION SECOND Hemandez-Weinstein g 112z0B ft"8" FLOOR PLAN RESIDENCE "+ZAG PanlitE" N AMA 4 X z3 T D� za v rnn to A . O3 b �Ui =EZJ rn�C <r Di EZ O z x x t�t r _-- m =- - � c !i u x b � -N-I V = g e3 x d is Z O � � i rn d'�g$$ S 9 S GATE DESCRIPIId7 DATE Deamp m g7 q 3g �K v* Hemandez-Wetnsteln g _ "'�0S ea1 INTERIOR RESIDENCE g� 0IZA '�8et ELEVATIONS $ COMMA s o ----------------------- 1 �.l 1 4 BATH 1 - NORTH BATH # t- EAST BATH._# 1 - SOUTH BATH # i - WEST SCALE. 1/3•.17-O' S � � S b a t k a r 1 arch itec lc •PpS�my Nrm•e n.�n, a+lse TOE.St"ORAdE / �RAI,O!MIRNR / a �NN6 TO I Sa&69YUw ISa8695A86➢ 8)b►et hh rEmm�..e�e IN bbmeh,n.aaSW S WS-54 00!S0154w40o 1 ®� El m BATH # 2 - 0E5T BATH # 2 - NORTH BATH # 2 - EAST X BATH # 2 - 5OUTH X SCALE, 1/2'.1'-0' X !ZM 1/4•.11-0' X W—qz, 1/1`.I'7` SWP: 1/2'.1'-0' C : cV m �w LU st Bedroom - North 6uest Room - East 6uest Bedroom - South auLe, I/Y.1'o' X SCALE, 1/2'.1'-0• X WALE: 1/2'.1'-O' Z Op aF L< z� J W 5 A502 p0 � ✓ N � •:.Q • i f AL GENERAL NOTES : 1, AL - Jk 1.) THE INTENT OF THIS PLAN IS TO DETAIL EXISTING SITE CONDITIONS AT LOCUS. r S 00 L4L> r r , L.C. PLAN 16194 N 2. LOCUS AREA IS COMPRISED OF \ N/F DONALD T. GOLDBERG TR. / ) LOT 36 L.C. PLAN 16194 B LOT 13 L.C. PLAN 16194 J SITE JOAN M. GOLDBERG TRUST (SITE) ' :3p. LOT 4B L.C. PLAN 16194 B !T' X. ,1� F INVERT 12 PIPE x,` ��9' EL s os' Oil !� BARNSTABLE ASSESSORS MAP 017 PARCEL 002 p `� 00 CERTIFICATE OF TITLE: 170 , a oa• , BORDERING VEGETATED AL r• MY ,163 l �,ae'"''' a WETLAND AL 319 ,J� ` OWNER: DAVID R. WEINSTEIN & DEBRA Y. HERNANDEZ ^nk� � "b - 23 BROOKS STREET �- Q . �� r►� c z y t WF A-13" _ '0\�1 6 4.2 3 z WINCHESTER, MA 01890 �► l�'o '�. ►a, „ 4'1 -i4\ 3,6 /� �► !�' g 3.) ZONING INFORMATION y r na�:1 �� +u • W LC. LQT 13 J _ 1 5 t 5 r� G , ZONING DISTRICTS: RF PLAN 16194 WF A-1 3f / s O 100 OFFSET FROM y WF-A_ WETLAND FLAG LINE /y '� RPOD RESOURCE PROTECTION OVERLAY DISTRICT . w _ �� s .,,..-O �! �\ AP AQUIFER PROTECTION OVERLAY DISTRICT LOCUS MAP Scale. 1 - 2000' o �, ; , ,, r- S� orgy 5.0 - 7.7 44 �► MINIMUM CURRENT ZONING REQUIREMENTS N ZONE RF Z WF A-11 / woo & i /� � �Z7 / LOT 31 MIN. LOT AREA = 2 ACRES (RPOD) s,, 11?". 7' L.C. PLAN 16194N MIN. LOT FRONTAGE = 150# D.E.P. File #SE 3 . 4481 � / 4' �` \ �*� ~` 7,3 N/F D014ALD T. GOLDBERG TR. , G-PLAN s1946 v / S' ,' o JOAN M. GOLDBERG TRUST FRONT YARD = 30 SIDE & REAR YARD = 15 CONSERVATION NOTES: 4.e � ' 6,7 'fir E3.4 p 1c �� ,'' S WF A-9 `�`� - vl 7 Ipp 4.) COMMUNITY PANEL NUMBER: 250001 0022 D I. NO WORK IS TO BE DONE UNTIL FORMS A & B ALONG WITH REQUIRED LOT 10 J A-10 t \ p S THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS PHOTOGRAPHS ARE SUBMITTED TO CONSERVATION COMMISSION. L.C. PLAN 16194 5.8, 4 FENCE TO BE \ O �0, 8 WF B-1 , N/F DAVID G. MUGAR Ai ,' i REMovED- -- PTO F ZONES B, & All (EL 11.0) BASE FLOOD ELEVATION = 11.0 2. ALL ROOF LEADERS TO DISCHARGE TO DRYWELLS. / 7 1 B.o_-- j + _ _5.3 'y '�/ / ` i 'VINYL. CE ! •• ) a 7 7 g �- 4.3 3. LANDSCAPE MITIGATION PLAN TO BE SUBMITTED BY HORIUCHI - SOLEN r ` R Q�. ,�� ® 7.4 'C' 0 7,1t (5 _�_ 4, 5.) PRIMARY BENCHMARK: RM 46 FIRM MAP CP# 250001 0021 D FOR APPROVAL BY CONSERVATION COMMISSION STAFF. �� 3 ,' \ B.7 �y I� \ WF; B-2 FLANGE BOLT ON HYDRANT NEAR 7 ` � 10 z�0 { ' 8 0 �O �3.c 8�3 INTERSECTION OF MAIN ST. & OCEAN VIEW WF A-8x IV &PROPOSED 600 GAL.' h cRvs�+FDa LEACHING CATCH BASINo O'°F �\ 3 0,6 AVE. ELEVATION = 25.82 (NVGD 1929) / -' __ WITH 4' OF STONE _ � ti ,' 4.3 » CS FND / 11 _ ---- 1,1 >> ``8 0 / INVERT 12 PIPE PROJECT BENCHMARK: SEE PLAN L, 1L3 IL6 ' 10.0 8.3 ----fir---- - ' EL 0.6' IL -k.- AIF / / \� �7 4,3 6.) UTILITY INFORMATION SHOWN HEREIN: 94X HATCHED AREA TO BE ,' ,/ , ' > Za 7 5 ,' 1 WF 8-4 REPLANTED WITH NATIVE VEGETATION 9, LAWN LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND , x to 1 m /' MUST BE VERIFIED IN FIELD BY THE CONTRACTOR AND 1 O j APPROPRIATE UTILITY COMPANIES PRIOR TO ANY CONSTRUCTION. WF A-7 4.2 / / j , 8.6` '� rl A ' ,` l 1 /� , J o0 CHI 7.) EXISTING SEP11C SYSTEM LOCATION PER INSTALLERS TIE CARD 'Ji `S-t7OWER / P I'SElWBrIlm x r ' ,c _ '` \ - •�--- , r 4.7 PERMIT #94-613 BY JACK FEIN, COMPLIANCE ISSUED 4/19/95 b, 7 F,►° CJ LOSU GP d \ 1.4 PA�E , J / 6,9 WF B_5 m �c,�' \� ! , ' 8.2 o ' ` AL 8.) WETLAND FLAGGING AND DELINEATION PERFORMED BY SAMUEL BORDERING VEGETATED i , AL � 1t,6 `I.J HAINES OF ENSR INTERNATIONAL ON JUNE 16, 2005. ' f l WETLAND l �/ �,` �� ' ; _ REFERENCE FLAG BY SAME ON NOVEMBER 30, 2004. QU 7` I 9 O'�`s�:EC( ` ' /� v WETLAND FLAGS B-1 - 8-12 PER SAMUEL HAINES OF ENSR INTERNATIONAL 6-16-05 9.) A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. �� '8 �� / 3 WF B7 IF DETERMINED TO BE NECESSARY A TITLE SEARCH SHALL - STAY \\� o !' ,' BE PERFORMED BY OTHERS. ---=-- _ �r ,` \� D� N 131 - - / 'AL 71 10.) THE PROPERTY UNE INFORMATION SHOWN IS BASED ON CURRENT -- - .- ' r ' .,' 9' \No,�j'�G Y / ,` ;' a,o B_g ,�f ,1I� AVAILABLE RECORD INFORMATION CONSISTING OF PLANS AND T' 68 Dh �FF� =se5\\ �� , j 1o.5 x 8,e ,, ! = CERTIFICATES. THE EXISTING FEATURES SHOWN HEREON WERE WF A-57 w i 111 =`l��\ \�\��\ x 'r Z ! / J �1I1 OBTAINED FROM AN ON THE GROUND FIELD SURVEY PERFORMED .l f 1 1 ;.1 �' 1.1.7 r O I � -+ ', � S5 ' r r� BY BAXTER. NYE & HOL.MGREN, INC. ON DULY 20. 2005 IS � 6,8 � AL > V- CB LP D r PLAN REFERENCES: /2; 1 1 j \ \ " J T NE RET. / +' ; ; I 3.4 1u BORDERING VEGETATED L.C. PLAN 16194 B ( �� + r� 3 WETLAND WETLAND FLAGS A-1 - A-16 PER SAMUEL HAINES � � x 1 , .. r OF ENSR INTERNATIONAL 6-16-05 1 4 5. 1 ; WALL I ^ �� x 8.4 B, r' WF B-9 I f i w x 8,3 ' 'I 2 /\�p� ,� t _ 7. , AL 4.8 i t\\ ' 10.7 1L8 \ ��q^,n�' N ` - ,' ;r 4J WF'B-10 WF A-4 = - , ` 1 0 ; `zv x 10,71 .0 Z rr r •' h ` x 9:9 penny \COVF. _ r' ' AL AL AL AL Xl7,9 x i ,' 1,7 WF B-11 �--� - ' -� x 8,4 � r 6.6 / r/ RUSHY MARSH '� ', w `' �� I 7.611 1 A POND ' J ,� - x 10.9 -r r LOT 12 I WF A-3 4'3 T-W0#D-� 1 1 1 l !` L.C. PLAN 16194 ,� + i Q I Q I 'I �; + 100' I 3,5 A. N/F DAVID G. MUGAR CB DH FND + p - • I I _ WF B-12 ,L B r 2 _1 B:4 O r r �r LOT 4 B ' 1 3B*-0• '/ I BOX � ! + r A. L.C. PLAN 16194 19'1 Z 7.4 i j + N/F DAVID R. WEINSTEiN do DEBRA Y. HEF2NANDEZ l > I r a 1665 Main Street ,�(� l , f; r � \ SWl'MAfIWG _ U- - �� r � •c 9,� ao I + WF A-2 1 8,7 � i Cotult Massachusetts r w 9. L I LAWN x19.1 ! _ h LOT 3 I LC. P�'JW 1619 1 T _ j 7. R.8 a, +' -3 1 l r+ / _ - "- . ' PREPARED FOR A. / St LOX 13 LC;`PLAN 16104 J 9.6 �+ 0 6.51 r �1� - , , David R. Weinstein, et ux. t% / COMBINE TO,'CREATE LOCUS TWA �� , ? R, TOTAL PARCEL AREA pQED _ z 11T1E r A 5 257f SQ. �T: 1kq • . y - / x 8,5AL ` ! 4.8 1 ,1.20t ACRES AL A.- / M• H IND i ( Wetlands Permit Plan j �f o x- - EL 0 NGVD:07' i I i � ✓;'• _ i �` i , � � BORDERING VEGETATED 9r WETLAND AL _ 77 y BAXTER NYE ENGINEERING& SURVEYING DH fND �, , _ WOODED--_ , , >r. ° , Registered Professional Engineers and Land Surveyors LEGEND /ABBREVIATIONS =�, ` PROPOSED OF STONE � - � � Y ' '� �/ ` SWIMMING POOL PUMP OFF r I AL 87 North Street, 3rd Floor, Hyannis,Massachusetts 02601 >`£ = LIGHT POLE ! 4' MADE LAWN PATH W 6!r4 r' Phone - (508) 771-7502 Fax - (508) 771-7622 'Q = UTILITY POLE /,/ �� `/ / _\ N 78�800+ W 100' OFFSET FROM 9a r It ' l ' = GUY WIRE �331' 8 ' r � o +r 20 0 20 40 ® = MAIL BOX AL / lb/ // � ,_--- � \ \ WETLAND FLAG LINE � ' ', g i ( rr AL ® = ELECTRIC METER ,� �'` i i' I + SCALE IN FEET ® = GAS METER �o �� ,.\ ,�, t WF A-6 ' AL SCALE: 1" - 20' G = MARKED GAS LINE / 1ti �\ �� I - 6.4 I _ -«R*--«"*-�- = OVERHEAD WIRES �✓ \ i 4 - - I I WETLAND FLAG A-6 PER SAMUEL HAINES = TREE LINE ° - i C� FND OF ENSR INTERNATIONAL 11-30-04 aw o = CONCRETE BOUND LOT 3 A i o ' w' EL = ELEVATION L.C. I DATE: 12-12-2005c. PLAN 16194 ° 6.1 ; es' f �H Of CB = CONCRETE BOUND N/F ANDREW L do JAMIE K. STERN LP = LEAD PLUG DH = DRILL HOLE e y^ CAP 1. SAW, 2/6/06 REMOVE SPORT COURT FND = FOUND A 9�s � N0. BY DATE REMARKS o WF = WETLAND FLAG LOT 4 0,� F.F.E. = FINISH FLOOR ELEVATION L.C. PLAN 16194E FsS�ON- DRAWN BY: MCL ESI NEo BY: C ECK BY: JRE DRAWING NUMBER N/F ANDREW L do JAMIE K. STERN G.F.E. = GARAGE FLOOR ELEVATION � � �� EOP = EDGE OF PAVEMENT � 0: 2005 05-065 SURV wrksht 2005-065PB3.dw 2005-065-02 7. AL GENERAL NO'S : il+ d is 1.) THE INTENT OF THIS PLAN IS TO DETAIL EXISTING SITE CONDITIONS AT LOCUS. o SIITE LOT 30 N k n r Lc. PLAN 16194 / 2.) LOCUS AREA IS COMPRISED OF Jk S N/F DONALD T. GOLDBERG TR. LOT 36 L.C. PLAN 16194 B N LOT 13 L.C. PLAN 16194 J (SITE) ay .. B . JOAN M. GOLDBERG TRUST Alk ?" » LOT 4B L.C. PLAN 16194 B f ``I r �K , �� ' �° / BARNSTABLE ASSESSORS MAP 017 PARCEL 002 g0 F INVERT 12 PIPE ©' EL = 0.9 BORDERING VEGETATED CERTIFICATE OF TITLE: 170,163 berry ' �� WETLAND � x 3'q r OWNER: DAVID R. WEINSTEIN & DEBRA Y. HERNANDEZ a rYtl. tt /� VT iw t s + 0,. to 23 BROOKS STREET } ! �`° ' © r WF A-13�� q A�16 1 x 4�,2 +'? ,1,,, z WINCHESTER, MA 01890 -1411 �� r i �x 7s TOp A<v 3,) ZONING INFORMATION I j i 5 S ' G ZONING DISTRICTS: O RF L.C. PLAN 16194 WF A-1 3 ` ` �OpF 100 OFFSET FROM N ,; o _ /Icy WETLAND FLAG LINE /y RPOD RESOURCE PROTECTION OVERLAY DISTRICT P co Ak AL ' ems' I n _ �, �,�s S� ,` ,q AP AQUIFER PROTECTION OVERLAY DISTRICT LOCUS MAP scale: 1 - 2000 AL e�. ;o/% 5.0 x 7.7 / C / 116, MINIMUM CURRENT ZONING REQUIREMENTS - ZONE RF CO Alk z Jk WF A-11 ,/ W009ED / �' �� \ �11 j / LOT 31 MIN. LOT AREA = 2 ACRES (RPOD) ■ I � x, ��\'s,\ �2;��\ ��\`x�7, �) L.C. PLAN 16194N MIN. LOT FRONTAGE = 150' D.E.P. File #SE 3 . 4481 +' � ALA B'4 / rap �,ti F p,� - 7.3 ,��I N/F DONALD T. GOLDBERG TR. FRONT YARD = 30' SIDE & REAR YARD = 15' k B S / o JOAN M. GOLDBERG TRUST CONSERVATION NOTES: - ® C WF A-9 .g 8.4 x 7 Top 4.) COMMUNITY PANEL NUMBER: 250001 0022 D 1. NO WORK IS TO BE DONE UNTIL FORMS A & B ALONG WITH REQUIRED L.C. PLOT 10 s•8 A-10�'� ' �� FENCE TO BEa - 4 \ \ __ ®pS�o 4,8 WF B-1 THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS PHOTOGRAPHS ARE SUBMITTED TO CONSERVATION COMMISSION. N/F DAVID G. MUGAR ,, ��' .� g REM 0� x 5,3 TC'y F ZONES B, & A11 (EL. 11.0) BASE FLOOD ELEVA77ON = 11.0' 2. ALL ROOF LEADERS TO DISCHARGE TO DRYWELLS. �l vrrvyL 7.0 3. LANDSCAPE MITIGATION PLAN TO BE SUBMITTED BY HORIUCHI - SOLEN A L 7.4 w I x 71 4 9 - 5.) PRIMARY BENCHMARK: RM 46 FIRM MAP CP# 250001 0021 D FOR APPROVAL BY CONSERVATION COMMISSION STAFF. W5 B 2 FLANGE BOLT ON HYDRANT NEAR LAWN 10 \ X S 7_------\v- *- 8 -- -- T \ 3.7 �, �- 10,2�_ _- - °� ---- --" 7 g do Op S ��\ \ ��3. ��,3 WF A-s , / - -1 Iv rPROPosED 60o GAL. � p a � INTERSECTION OF MAIN ST. & OCEAN VIEW _ -"t�USHED S LEACHING CATCH BASIN o i '°�. , 6•1 �. 3 0.6 AVE. ELEVATION = 25.82 (NVGD 1929) CB FND li 1.1 ( ^ WITH 4' OF STONE _ y ' 4.3 INVERT 12" PIPE: PROJECT BENCHMARK: SEE PLAN 11,6 l EL = 0.6' AL ' i 11.3 1 10.0 8,X ------- _ -' / J -�� 9,4�� .7 ; 4,3 REPLANTED WITH NATIVE VEGETATION 9' ' .1 LAWN 6.) UTILITY INFORMATION SHOWN HEREIN: HATCHED AREA TO BE / ; WF B-4 LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND / �/ � � , � �� 75 , , x to o ; X i , / MUST BE VERIFIED IN FIELD BY THE CONTRACTOR AND I o / APPROPRIATE UTILITY COMPANIES PRIOR TO ANY CONSTRUCTION. .1� WF A-7 4.2 / , ' �I � t 8,6X \\ , J I � IAL 7.) EXISTING SEPTIC SYSTEM LOCATION PER INSTALLERS TIE CARD ,� s oWER l �Pa`ti CHIPSFm8m m � .% x J ,� r 4.7 PERMIT #94-613 BY JACK FEIN, COMPLIANCE ISSUED 4/19/95 �� CLOSU GQ PA�IEMENT JJ 7 6.9 ,r WF B-5 _ 1.4 , / BORDERING VEGETATE A 6 m // � i G�� ./ x o ,'f �' � 8.) WETLAND FLAGGING AND DELINEATION PERFORMED BY SAMUEL WETLAND % % �' 11.6 sy �o > / ' HAINES OF ENSR INTERNATIONAL ON JUNE 16, 2005. AL REFERENCE FLAG BY SAME ON NOVEMBER 30, 2004. I l 11 2 ' Q© 72 HF ,' I WETLAND FLAGS B-1 - B-12 PER SAMUEL HAINES 9 0 ._<� / , f = Iv l r OF ENSR INTERNATIONAL 6-16-05 9.) A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. I �� o �' IF DETERMINED TO BE NECESSARY A TITLE SEARCH SHALL AL AlkL�G�N 3� WF B-7 BE PERFORMED BY OTHERS. / Ajk z , // i2 - ,/ / � ? STORY SOD I i r i / '� - I D ` ` CAM - 7'g r 10.) THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT _;' to. E 4o WF B-8 AVAILABLE RECORD INFORMATION CONSISTING OF PLANS AND _ _ EB D� Ffy 9 FFE sss - x I , / 2 CERTIFICATES. THE EXISTING FEATURES SHOWN HEREON WERE 4,7 // 1 ' � � c I Q tg� r- X0;5_ 8,8 , r , � OBTAINED FROM AN ON THE GROUND FIELD SURVEY PERFORMED AL WF A-5 < _I o 1 ,1 11.7 55 - r/ rJr C) r I , BY BAXTER, NYE & HOLMGREN, INC. ON JULY 20, 2005 I � 8,1 F i w o �� ^ J gr � 6.8 f' / I ' � Z o /. I+ , z 12 i m � + � , ,` / z � PLAN REFERENCES: I , r I o Q - 1L9 W �.CB LP D r r , 1 , r J f I �' BORDERING VEGETATED WETLAND FLAGS A-1 - A-16 PER SAMU{_L HAINES 2 ! T NE RET. .. ( _ �0 i 3 WETLAND OF ENSR INTERNATIONAL 6-16-(15 II i I 4 .5' I x 1 .3 i WALLIr x 8,4 WF B-9 Ix 8,3 , Z � t - 4,8 i �� 1 10.7 11,8 Inc N 7' +r rrJ 4.7 WF/B-10 WF A 4 K �` jr ` 0 30 \N� x 10.71 �_t-AWN /� ,0 = JJr rr ,1J ` 93 DE coDECK I rl. r r C �AL - J r !rr l l ' `-� PO AL If 0 ITEPHE I rt �1 X�7.9 � 10,6 1 ,6 _ /J/ rJ 7 WF B-11 RUSHY MARSH w I I ' \� Tr ! -1 x 8,4 Jf 1,' ]POND A No30211 4.3 rr ' - y x 10.9 , 7.8 LOT 12 I WF A-3 woo D�D -- SS�onIA� L.C. PLAN 16194 ,� r I fit, �� _ Q -I g I 100 , 3.5 '�" tAL N/F DAVID G. MUGAR CB D� FND ; r 1�. 0 �" I' .- •'I 8.4 2 i + + WF B-12 A� LOT 46 �'j[}"BOX 91 I � i � L.C. PLAN 161946 J 1 , I Z 7.4 r i r N/F DAVID R > . WEINSTEIN do DE"BRA Y. HERNANDEZ �� I C. � J; `�' AL 1665.Main Street WF A-2 7 r 1 ( 8 o R 20' W N I Cotu�t, Massachusetts 1 Ally LAWN 9,1 r ? I r AL h J.QIA L.C. P AN 1619419J � •__- �" �W� 9 6 � i 7.8 Q x rr � i I ' ; PREPARED FOR B�� /, *� L/C PLAN 16 LOCUS `�\`� / _ / i' 6.5 i I David R. Weinstein, et ux. "ry �, COyrE11NE TO/ CREATE LOCUS �i, -_ �� i , , AL ? / 'TOTAL PARCEL AREA 1-� - - - - / m 2 i I j TffLE AL 4.8 .20f ACRES �- �-`-��= • ' i Wetlands Permit Plan a- .illy A-1 I.,f. 1, 1. M: HYD./ IND r � i r a / '/ , FROM _ - - EL m .07' NGVD /J I \ BORDERING VEGETATED FLAG LINE \�Alk � �, 14,'� I JI AL WETLAND ��,�• r BAXTER NYE ENGINEERING& SURVEYING r^ / / �,pv.l /i CON S1R(dC77* A ARy r r ` DH FND /� �/ j r wooDED� �J �� R% �f • ; ; S , ooI PROPOSED 60o GAL . _ 'c Registered Professional Engineers and Land Surveyors LEGEND /ABBREVIATIONS ,,� LEACHING S' OI�dE WITH - ` - IIAL y 87 North Street, 3rd Floor, Hyannis,Massachusetts 02601 o /� �, /� SWIMMING POOL PUMP OFF r 6 4 h w I + Phone - (508) 771-7502 Fax - (508) 771-7622 , / 14 WIDE LAWN PATH r I IAL �£ = LIGHT POLE / + I o 'a = UTILITY POLE / '' / N �8 °° w 0 = GUY WIRE ,� i 213 3Y 100 OFFSET FROM $ , / o i I , ; 20 0 20 40 7 /AL /I / / i -lb WETLAND FLAG UNE 1 , w + + ® = MAILEl B�C METER �' \� SCALE IN FEET © = GAS METER i WF A-6 SCALE: 1 20 �° r�. ' LD = AL = MARKED GAS LINE �� I - 6.4 I " o -�--ON*-«NW- = OVERHEAD WIRES / ' , \, I - I WETLAND FLAG A-6 PER SAMUEL HAINES cl� = TREE LINE / 0\ `�'\ ! - _ i � FND OF ENSR INTERNATIONAL 11-30-04 o = CONCRETE BOUND LOT 3 A o , e o i DATE: 12-12-2005 10 EL = ELEVATION L.C. PLAN 16194 i CB = CONCRETE BOUND N/F ANDREW L do JAMIE K. STERN LP = LEAD PLUG / 1 � DH = DRILL HOLE / 2. SA 3/3%6 REVISE POOL & CABANA i FND = FOUND 1. SAM 2/6/06 REMOVE SPORT COURT Ln KS LWF = WETLAND FLAG LOT 4A B DRAWN BY: M4CL DE'SIGNEMD BY: CHECKED BY: RE F.F.E. = FINISH FLOOR ELEVATION L.C. PLAN 16194 DRAWING NUMBER Ln G / ( N/F ANDREW L do JAMIE K. STERN G.F.E. = GARAGE FLOOR ELEVATION 0: 2005 05-065 SURV wrksht 2005-065PB3.dw -, EOP = EDGE OF PAVEMENT / 2005-065-02 N 07 FINISHED FLOOR = TYPICAL SYSTEM PROFILE Dt�,.:,,.. iviu56 5Oi^'tH'vi6t /Z �5 FINISH GRADE - — INSTALLATION AND CERTIFY IN WRITING FDN TOP = NOT TO SCALE - - - --- —� THE SYSTEM WAS INSTALLED IN STRICT 4 _—.`_ FINISH GRADE" OVER TANK- 10- '-S 9d 2 ACCORDANCE,TO PLAN, r 7 FINISH GRADE OVER LEACHING CHAMBER= ° r First 2 tc77 t J se be e C min. p 2,-(mfn.Jl _ _.. —_ ,—_•'-� _ -- ------ —____ _— � ___---_s � zpo 3o„w 4 G I PVC. OR I> 1 r , o ,� - --- �L C.I. TEES s ------- — UInD r ` B SMT / `... ••.0.,.-•+• .Y 'A r Y -.. _._ l%j _" j rOP.S/N dldl !f ____. .._..__ � .% FLOOR ° DISTRIBUTION BOX PRECAST LEA CHI NG � REINFORCED N /� Q _ J CONCRETE TO BE INSTALLED CHAMBER CO ALLED ON A LEVEL STABLE BASE 9 FOOTING /$ OUTLETS REQUIRED REQUIRED /-500 GAL. SEPTIC TAW TO BE INSTALLED ON A F[ =�•70 Paov.H Ioo LEVEL STABLE BASE {VE goy NOTE 2 DESIGNED SYSTEM CONSISTS OF SEPTIC TANK TO BE INSPECTED Q CLEANED ANNUALLY LEACHING CHAMBERS SURROUNDED BY FFF T OF 314" - 1/�2" ! �� O -- -------- -- -- — —— — WASHED STONE CAPPED BY 3" -�_— l 5ti� ,l PEA STONE uJ/ 6 oc :5'-- Benchmark I GENERAL NOTES I � I 4 I. ALL SYSTEM COMPONENTS SHALL BE INSTALLED /N ACCORDANCE WITHtic — R TITLE = OF THE STATE SANITARY CODE DATED JULY 11977 B ANY LOCAL - IJ6, ` — w I , ' p I Tank I" RULES APPLICABLE, ?-- — z -- -- -- - s — ' -- r--- -� - ---- - --_ 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING_ BY ✓OHN K. HOL MGRENPE. \\ rr;CAL DRYWE FOa ROOF av,IofF / . _. T 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFJLLING, NOTIFY THE ` 1 ENGINEER fI BOARD OF HEALTH FOR' INSPECTION. TAKEN°FROMS I --- PREVIOUS PLAN 4. FOUNDATION EL E VA T ION MUST BE CHECKED WHEN COMPLETED. - / (S.. P,OO RIN d 1 r 1 -- 81-011 I 5. THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN APPROVAL BY TR -- - _------—%�--O��--—— ---- JOHN K HOLMGREN PE. 6. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4 PVC Pa LOTS 38 a 13 , P� 7 USE ROTONDO FD 4 X 8 D FLOWDIFFUSORS (OR APPROVED EQUAL) --- " % I. 20 Acres , I R/A DESIGN SCHEDULE ELEVATIOI�V - - TOP OF FOUNDATION /3 . 00CALCULATIONSr u�FINISHED BASEMENT FLOOR '7, oo LEACHING AREA REQUIRED FINISHED GARAGE FLOOR 12 50 "213.31+. l / _.. . ___ _._ Bedrooms of //O GPD/BR - �- GPD 7&P2B'00" E SEWER INVERT AT FOUNDATION _ 9. 0q — -_ Additional 50% for Garbage Disposal NIA GPD 9 9 g' SEWER INVERT INTO SEPTI C TANK — 8. 7!0 ��y SEWER INVERT OUT OF SEPTIC TANK 8 . 5/ TOTAL - GPD, SEWER INVERT INTO DIST. BOX $. 17 PERC RATE 2 MIN./INCH 1. PLAN'REFERENCE: SEE PLAN ENTITLED, "SITE' PLAN OF LAND LOCATED IN . SEWER INVERT OUT OF DIST. BOX 8 . 00 A A Required- 550 GPD /0.75 gpd s.f.=733.3 S. F. r NOTES: _-- -- , BATt1`STABLE-COTUIT-11'[,ASS. PREPARI'D SEWER INVERT AT END OF SYSTEM 7. 70 AA Provided = 45 x 17 = 742 S. F. FOR RONALD RACKAUSI:AS." PLAN #52792 BENCHMARK: TOP OF CB ELEVATION=8.09'PER PLAN LEACHING AREA ( See Plon Reference J WATER TABLE /. ''f0 DATED I'!'IA1' 27, 1992, PRF;PATtED B1' CAPE, � REFERENCE. & ISLANDS ENGINEERING. ,! ,j�. I ORA N D I EXCAVATE TO ELEVATION 1.7't OR LOWER TO . SOIL LOGS SCALE l"` ry- LUITNE55 REMOVE ALL IMPERVIOUS MATERIAL BENEATH THE CAPE �s�AntD 5 ZI — 92 . FLOOD ZONE; Al - ELEVATION = I1.0 LEACHING AREA AND REPLACE EXCAVATED DATE ENGINEER EN G!N�p.R I Ill G CO-CO BOARD OF HEALTH AGENT BAR NS . MATERIAL,WITH CLEAN,CLAY-FREE SAND. TEST PIT I TEST PIT 2 TEST PIT 3 TEST PIT 4 TEST PIT 5 DISTRIBUTION BOX SEPTIC SYSTEM DESIGN TAKEN FROM PLAN ALL OUTLET PIPES TO BE EQUIPPED WITH REFERENCE SHOWN HEREON • �„ / ' SPEED LEVELER' BY TUF - TITE OR EQUAL. ��t:a 3` O Elevation= 3. 70 Elevation = Elevation= Elevation - Elevation = R ° �A N DESIQNM �INM Sv[3So(L Z' s �y INSTALLATION AND cffTIFY IN wRmNc� r THE SYs�TEa1 WAS INSTALLED IN STRIC'L' ZONING DISTRICT: ACCORDANCE TO PLAN. MIN/MUM ZONING REOUIREMENTS MED I U M FRONT l SIDE : Sr4 REAR / �,//�� j ND V O! I / Y � K. HOL-MG R EN - l CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM 7.5' -�_ =--` SHOWN HAS BEEN DESIGNED /N ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND THE RULES -7- /� ' /� 7- ` O REGULATIONS OF THE LOCAL BOARD 0 F HEALTH. O/V SITE E SA/ VI TARP D15POSHL J TO �/V/ LIMIT of EXCAIV. Lots 3B AND I3 MAIN ST. DES/GNED BYE LEGEND SEE PLAN p /L ® ST/L pLE-_ CO 7-UiT-- M A . REFERENCE L7 A/-T Ao 003 r/NG CONTOURS 9,900— — — —99.C� DRAWN BY: CHECKED BY . PRA"�SEU GbNrouRS — 99.0 r M E ✓K H J. K.HOLMGREN � ASSOCIATES INC. EXISTING ELEVATIONS 99'r00 SCALE : DRAWING No. � PROPOSED ELEVATIONS REGISTERED PROFESSIONAL - ��Oo 1 = 4 0 .. TEST PIT ENGINEERS AND LAND SURVEYORS ,- DATE: 1308 BF_LMONT STREET 10-14- 94 BROCKTON, MASS. 02401