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HomeMy WebLinkAbout0476 MAIN STREET (COTUIT) - Health 416 MAIN STREET, COTUIT - i - - A- i r BARNSTABLE, MASS, CFO MA't�' Town of Barnstable Regulatory Services . Richard Scali,`Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO November 4, 2016 Mr. Wayne A Coluccini 476 Main Street, Cotuit, MA Dear Mr. Coluccini, , Thank you for a copy of your letter addressed to Paul Roma dated October 25, 2016. There were some questions contained within it which may fall under the jurisdiction of the Town of Barnstable Public Health Division. I included the questions contained in your letter and my answers below: 21E Environmental Site Assessment Study QUESTION: Why is a 21E not required for this property? Based on historical usage, and'long term outdoor exposure of vehicles, garbage and hazardous materials, such a study would most likely uncover potential environmental contamination issues. It appears that by maintaining the business under Mr. Medeiros' prior business permitting,this requirement has been skirted and potential environmental issues remain unknown and unaddressed. This is not acceptable for this fragile environment and our ground water aquifer. ANSWER: The Public Health Division does not require 21E studies to be conducted. Operation and Inspection of Automotive Business QUESTION: If Regulatory Services does not have jurisdiction over business operation, WHO is responsible for overseeing compliance with the State of Massachusetts Project Manual for Auto Shops? ANSWER: The Public Health Division does not oversee compliance with State of Massachusetts Project Manual for..Auto Shops. QUESTION: You have referred operational questions regarding oil separators,vehicle storage and hazardous waste management to the Health Division. We have not heard from the Health Department in response to these questions.Does this department conduct regular inspections to insure MA State i compliance? ANSWER: Beginning on July 1,2016,a full-time hazardous materials specialist position was funded for the purpose of conducting inspections. Now that this position is funded, regular inspections will be conducted in the future. On November 1, 2016, Hazardous Materials Specialist TimothyLavelle conducted an inspection at this property. His inspection revealed the following: • There were no chemical tanks or fuel storage tanks on the property. • Many years ago,there were approximately 25 junk cars in the rear. All of those vehicles were removed. • There is a floor drain in existence. It is connected into a dry well. Mr. Lavelle ordered Mr. Medeiros to seal the floor drain. Mr.Lavelle will be following-up with a re=inspection next week and will be taking additional action(s) if necessary to gain compliance in this regard. Sincerely, cKean, CHO Director of Public Health Cc: Paul Roma Richard Scali r TOWN OF BARNSTABLE LOCATION SEWAGE#b7�FS-®8J VILLAGE ASSESSOR'S MAP&PARCEL INSTALLERS NAME&:PHONE NO. SEPTIC TANK CAPACITY /�pU C Exu �s LEACHING FACILITY:(type) �� G,sl G�eY�l�.�J/�� (size) /� X 3�,f`XJ✓ NO.OF BEDROOMS OWNERiC�- tJ PERMIT DATE: 7-r 6q' COMPLIANCE DATE: t, Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ��" Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist _ `"within 300 feet of leaching facility) Feet FURNISHED BY-iW=✓ 41" 1 r � -- i - r Nc r" E No. I Fee THE COMMONWEALTH OF MASSACHUSETTS entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes pphratton for Mt aY i§pgtem Con0truction der 't Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑.Complete System Individual Components Location Address or Lot No.Y-* eV°`1 S Owner's Name,Address,and Tel.No. e61? „J V 7& 4 s Assessor's Map/Parcel &,9.� po 9- !Vz p ��Y/ Lo e-- Installer's Name,Address,and Tel.No. `����j��fJ Designer's Name,Address and Tel.No. (��t C'�1f/'6t r"i f Type of Building: Dwelling No.of Bedrooms Lot Size io-C "'sq-#. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures J�/ Design Flow(min.required) $ 7 G1 gpd Design flow provided 7�f� gpd Plan Date Fe.3 Number of sheets R/eviss Date Title %,11-i -6 o/9 7,(., Q/y S e'a Size of Septic Tank %d60 GF �+� eA 121, Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) -t $iceS;s 4111 1 li 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 Bo of alt --- Si Date 1 Application Approved by Date s7 Application Disapproved by: Date for the following reasons Permit No. -- Date Issued (3 `S No. _ " d - a 1k.x Fee 0-;z. NE COMMONWEALTH OF MASSACHUSETTS=—=--4 red in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for �Oiopooal 6pgtem Congtruction der 't Application for a Permit to Construct O Repair(/upgrade O Abandon O ❑ Complete System Individual Components Location Address or Lot No. l Owner's Name,Address,and Tel.No. cCr•�'� II Assessor's Map/Parcel Installer's Name,Address,and Tel.No. /�G. �c/fs G�"'� Designer's Name,Address and Tel.No. �✓� gm F•8514 /2)•�I.I! tv✓l Type of Building: (� Dwelling No.of Bedrooms / Lot Size •d9 x7C �sq•€t, Garbage Grinder ( V Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ''// Design Flow(min.required) wa gpd Design flow provided /�f� gpd Plan Date 1;.3 9,da.-i 7 Number of sheets Revision Date Title /,Ile 37- 5-,/1 �/--9 O/ Size of Septic Tank /eleiV Gs Aca ' �jlr)/ilk Type of S.A.S. 3 6-o `Description of Soil .�..{ 9-Ze q Nature of Repairs or Alterations(Answer when applicable) -eolfl+-- f••� ••- /%G Date last inspected: r` Agree ent: 'k, 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 Bo of H alt Si rte"d" Date 1 Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. � - � � •! Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( Upgraded ( ) =`a Abandoned( )by e J >pirf 1199-11 at 6/7(,2 pj,!/ - ��/, has been constructed in accordance with the provisions/of Title 5 and the for Disposal System Construction Permit No. �yf�1 ( dated Installer � ��/t��n/ 6W.) 11r1fd AJ Designer 10,%/ 62P/11 4-�K i4.•r.,s,4 #bedrooms Approved design flow yrr . d gP The issuance oft is permit shall not be construed as a guarantee that the system will s io a.,desig�ed. Date r I Inspector���^r _ ——=————_——— d-- —————__—_——— "' R / No. � �" 1 Fee /00 t THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS lwitpogal 6p5tem Construction Permit Permission is hereby granted to Construct ( Repair Upgrade ( ) Abandon ( ) System located at 61"76 Awed ,ri and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction ust b completed within three years of tie date of this�� Date � Apprrowed by FROM :down cape engineering inc FAX NO. :15083629880 Mar. 18 2008 11:14AM P1 Town of Barnstable Regulatory Services Thomas F. Geiler,Director MAW Public Health Division Thomas McKean, Director 2.0(1 Main Street,Byanais. MA 02601 Office: 508-9C-464A Pax: 309-790-6304 Installer S Desia ar'Certification Form Date: S—/Fe?, Sem-age permit* a)DGP-- 09-/ Assessor's MaplParcel Designer: staller: �✓' !D (/ 1 r'1D 1 t Zt Address: � �( _ ,ol Address: I do 7� on r-d� was issued a pump to install a (dat:.j �}// (lnstalier j septic n'stem az " ! b a i bass on a design draum by r (address j dated L /OP ,. �. (de51_ ter) cer`ar that the septic system referenced above was installed sub�smmiall�- according to the design, which Ala}' include minor approved cbanges such as lateral relocation. of the distribution box and/or septic tank. I certify° flat the septic System refertnmd above was installed vtzth maior cbanges (i.e. gre an ater.th 10' lateral relocation of-the SAS or any vertical relocation of any component of the sepf c system)but in accordance MTh State &_ Local Rcgtllations. Plan revision or certified as-built by desig:aer to follow. P4g1 s c. ARNE H i g OJAk A In s Signaiure7— U CIVIL No. 30792 �19 s'•4WA6 F.Cd ' ( esigrier's Siena�ure t.4ffix l�esiene-`s Stamp Here) PL>E sr, REt TO BARNSTABLE UBLT Y-TEALTPI D1Z7S N. CERTIFICATF t)F CnhiPLl NCTLL �T BE ISSUED UN pp THa THIS FORM AND AS->iitJlLT CARD ARE E VJ R.)✓CE1nD BY THEE RNSTABLE PUBLIC HEALTH 1,)1\71SION. THANK YOU_ n.ZIoolthfCantir./17P.civner CCY.IfI[2ilOii F'b'n1 7.76-{�i.d0. . q`0 /1/a/c, 0/ J(� �Y k / d.1 roo— y L /�/ ✓i S Din i n5 i 0 ��o sty IYA {' 4 go of 2400 , . v BORTOLO'TTI CONS(' tUC'rION; 1'NC. '` pPT� 45 INDUSTRY ROAD, MARSTONS MILLS, MA 02648 ., 508-771-9399 508-428-8926 FAX: 508-428-9399 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 12& _ Date Of Inspection Q0 Inspector's Name: Olvner's Name and Address: CERTIFICATION STATEMENT: I Certify that I have personally Inspected the Sewage Disposal '�:tilem at this address and that the infornla- tion reported below is true,accurate and complete as of the time of Inspection. The Inspection was perform- ed based on my'Training and Experience m the Proper Function and 1Vlaintenarice of On-Site Sewage Dis- posal Systems.TI system: Passes Conditionally Passes Needs Furt vale tioii B the Local Approving Authority Failure Inspector's Signature °' Date:._ /�4d i "rhe System°Inspector shall submit a copy of this Inspection Report to the Approving Authority with'Thirty (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 Department of Environmental Protection. The Original should be sent to the System Owner and copies sent to the Buyer,if applicable and the Approving Authority. INSPECTION SUMMARY: A) SYSTEM�PASSES: I have not found any Information which indicates that the System violates.'any of the fail- ure criteria as defined in 310 CMR 15.303, Any Failure Criteria not evaluated are indi- cated below. B) SYSTEM CONDITIONALLY PASSES: One or more System Components need to be Replaced or Repaired.'The System,upon completion of the Replacement or Repair,Passes Inspection. Indicate yes,nor,or not determined(Y,N;OR ND). Describe bases of determination in all instances. If"not determined",explain why not. _The Septic Tank is Metal,Cracked,Structurally Unsound,shows Substantial Infiltration or exfil- ,,f ;tratfon,or Tank Failure is imminent. The System will Pass Inspection if Existing Septic Tank ,.. is�Replaced with a conforming Septic Tank as Approved by the Board Of Health. Sewage'Backup.or Breakout or High Static Water Level observed in the Distribution Box is due to broken or obstructed pipe(s)or due to a broken,settled or uneven Distribution Box. The System will pass Inspection if(With Approval of the Board Of Health): SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) ,u. Broken pipe(s)replaced -_'.Obstruction is removed Distribution Box is leveled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). _ The System_will passinspection_if(with approval of.'I'he Board.Of Health): Broken pipe(s)are replaced Obstruction is removed. 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 the Public Health,Safety and the Environment. 1)SYSTEM WILL PASS UNLESS BOARD OF HELATH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL-PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE)DETERMINES.THAT THE SYSTEM IS.FUNCTION- ING IN A MANNER THAT PROTECTS THE.PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a Septic Tank and.Soil Absorption System and is within 100 Feet to a Surface Water Supply or.Tributary to a Surface Water Supply. . lahe System has a Septic Tank and Soil Absorption System and is with a Zone 1 of a Public Water Supply Well. The System has a Septic Tank and Soil Absorption System and is within 50 Feet of a Private Water Supply Well. The System has a Septic Tank and Soil Absorption System and is less than 100 Feet but 50 Feet or more from a Private Water Supply Well,unless a Well Water Analysis for coliform bacteria and volatile organic compounds indicates that the Well is from pollution from the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: 1 have determined that the System violates one or more of the following Failure Criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct.the failure. Backup of sewage into facility or system component due to an overload 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 clog- ged SAS or"cesspool. Liquid depth inpsspool is less than G"below invert pr,ayailable,volume is less than 1/2 Agy flow: Required pumping more than 4 times in the last year NO'1 due to clogged or obstructed pipe(s). Number of times pumped - 2 - r s X' SI113Sl1RFA('N: SEWAGED151'O5AI;" SYS'1'F;M'IN5PN;C'I'1ON liO1ZM, . PART A - CERTIFICATION (continued) Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within.100 Feet of a surface water supply or tributary to a surface water supply. Y• Any portion of a cesspool or privy is within a Zone 1 of a Public Well.' Any portion of`acesspool or priw•y is within 50 Feet of a private water supply well. Any portion of a cesspool or privy is less than'100 Feet but greater titan"50 Feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed Jo be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: 9 Theafollowing criteria apply to a large system in addition to the criteria above: The design flow of a system is-10,000'ggd or greater(Large System).and the system is a significant threat to public health and`safety and'the enviroinnent because one or more of the following collditlollsexist f'y F ' Tlie system is wlthiii 400 Feet of a-surface-drinking water`su(iply ! t ± sx ,.. The system is within 200'FeeVofaiiributary to atsurface drinking"water'supply The system is located in a nitrogen sensitive area Interim Wdihead-Protection Area "" yF (1WPA)or a mapped Zoie ll of a'public water supply well. The owner or operator of any such system shall bring`the system and facility into full compliance with the groundwater treatment program requirements of 315 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B s CHECKLIST Check if the fol wing have been clone: Pumping information was requested of the owner,occupant,and Board of Health. one of the system components have been pumped for,,atleast two weeks and the system has been receiving normal flow rates during that period. Large-volumes of water have not been' introduced into the system recently or as part of this inspection. ..: ✓ 'As-built plans have been-obtained and examined. Note if they;are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up rhe'system`does"not receive'non-sanitary or industrial waste flow;)%, Che site was inspected for signs of breakout. :'.e: „��a , ::- ,,»• All-system,componenB,excludiug•the Soil Absorption System;have been located on site. ✓The septic_tank manholes were uncovered,opened,and the interior. of the septic tank was in- spected for condition of baffles'or:,tees materiahof construction;dimensions,depth of liquid, / depth of sludge,depth of scum.. V the size and location of the Soil Absorption.System on the.site-has been determined based on existing information or approximatedf.by.non-intrusive methods..:., - 3 - SUBSURFACE SEWAGE DISPOSAL SYSTEM .INSPECTION FORM PART B CHECKLIST(continued) Ve e facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL: Design Flog. 0 gallons Number of Bedrooms: N tuber of Current Residents:. .c2 Garbage Grinder: y Laundry Connected To System: Seasonal Use:, Water Meter Readings,if ailable: Last Date of Occupancy: - ,(COMMERCIAL/INDUSTRIAL Type of Establishment: -Design Flow gallons/day' Grease'Trap Present: (yes or'uo)' Industrial Waste-Holding Tank Present: - - - - Non-Sanitary Waste Discharged To The Title V System: -- - -- Water Meter Readings,if Available: - Last Date of Occupancy: OTHER: (Describe) Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS any'source of information: System Pumped as part of inspection: If yes,volume pumped: gallons Reason for Pumping:. - TYPE 9 F SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy _. Shared System(If yes,attach previous inspection records,if any) - - Oth�r(explain): APPROXIMATE`AGE of,all.c m orients, to installed if known -and source of information. Sew ge odors detected when arriving at the site: - -4- ` SUBSURFACE',SEWAGE ;DISPOSAL',SVSITEM,,JNSPECTION FORM PART (' GENERAL INFORMATION (continued) SEPTIC'TANK: / Depth below grade: Material of Construction: Concrete metal FRP Other (explain) Dimensions: Fr. X X ' Sludge Depth: Scum Thickness: Distance from top of sludge to bottom of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee.or baffle: Comments: (recommendation for pumping,conditioin of inlet and outlet tees or.baffles,depth of liquid level i relation to out t invert,structural integrity,evide ce of leakage,etc. ` IJ GREASE TRAP: Depth Below Grade: -- Material of Construction: concrete metal FRP Oilier (explain) . Dimension.s: -Scum'Thickness:- Distance from top of scum to top of outlet tee or baffle: _. Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,'deptb of hijuid'Icvel in relation to outlet invert,structural mtegrity,.evidence of leakage,etc:)` TIGHT OR HOLDING TANK: Depth Below Grade: Material of Construction: concrete metal FRP Other (explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm Level: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX: Depth of liquid level above outlet invert: ( 7�1 � Comments: (riot if level and istribution is a ual,evidence of solids carryover,evidence f leaka a into or o t of box,etc G ' '.PUMP CHAMBER: Puiiip is in working order a _, .. , t..;u..., ;. .. "-Comments: (note condition of pump chau�lie�,condition of pumps And appurtenances,etc jh - 5 - s i.,�• t .. Y�f�' ,��trfy'�rA«#. +,�n"''ryi,„�����4 ij:��'�t '�.wJ` ;� r r a, a +�°r ➢ - .. SS��� M1 r/ SIJBSURFACE SEWAGE DISPOSAL, SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SOIL ABSORPTION SYSTEM(SAS): (Locate on site plan,if possible; excavation not required,but may be approximately by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits,number: 1 Leaching chambers,number: Leaching galleries,number: Leacahing trenches,number,length: Leaching fields,number,dimensions: Overflow cesspool,number: mments:(note conidtion of soil signs of hydraulic failure level of ponding,c n�lition of vegetation,etc.)_ A � � D� MX I CES SPOOLSi. Number and configuration: Depth-top of liquid to inid invert. Y r° Depth of solids layer: Depth ol'scum layer: `Dimensions of Cesspool:' Materials of construction: Indication of groundwater: I ntlow(cesspool must be pumped as part of inspection) - Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) PRIVY/- 'AO-- Materials of construction: Dimensions: Depth of Solids: .Comments: (note condition of soil,signs of hyddraulic failure,level of ponding,condition of vegetation, etc.) Fa '- qi �s - 6 - SLIBSURFACE.SEWAGE. DISPOSAL SYSTEM,INSPECTION .FORM k. SYSTEM INFORMATION (continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references,landmarks or benchmarks. '- Locate all.wells within 100 Feet. ia DEPTH TO GROUNDWATER: f - Depth to'groundwater: Feet Method of Determination or Approximation: ✓r/ Q�� JI1�� _ 7 - Assessor's offioe (1st floor): sF Assessor's map and lot number rall,l.�....� THE To y Board of Health (3rd floor): / �. d� ♦� _ Sewage Permit number °; ;a f , `ram AEd9TADLE, i -��'`. ..��� ��` �, � »� • 'o Engineering Department (3rd floor): ��, ; MAD& House number ..........................................................:............. t639- a MIN p. APPLICATIONS .'PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. ,only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION .FOR PERMIT TO ...... .......•/•[✓••..5".lr �C.Y(� 6..................::.................... T__ ..... TYPEOF CONSTRUCTION ............... ... . .. ....................................................................... ................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applie for a permit according to the following information: Location .... ......... ..�� ....... !..:..........��✓.....: ............................................ Proposed Use ......... .................... Zoning .............:... l - ...........................................Fire District ................. ..... r Name of Owner .,Ne ' .4. W: .............. ...Address Nameof Builder ....................................................................Address ............ ....................................................................... Nameof Architect ............:.....................................................Address ....................................................._.............................. I Number of Rooms ............ .................................................Foundation .... ......... ......... Q ... Exterior ..........�LL rr"...r: ..., . ....:.{�.:.�s................................Roofin t f .� , * �`` E - g y_ i. . . .. ......I. ................ . .....I ,� c t7 .......Interior Floors ..::,�:.-:.:: :: `3„-�..........:........:........................_.... :.....................:............................................................. Heating ........... Y.`...i '. s` :+' .i.. ............:....................Plumbing ..... x':::I�`.s: ... ..�. .... Fireplace .....................�� .. ::: ..........................................Approximate Cost .............. f l ......... Definitive Plan Approved"b� Planning Board _______________________________19-------- . Area ......!'. � Diagram of Lot and Building with Dimensions '' Fee ....../..��.___...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS - I hereby agree to conform'to all the Rules and Regulations of;fhe Town"of Barnstable regarding the above i:._....�.:._ construction. ,. - � A, 1,4 Name ;�'!..!�.. ..--r/ ..:... ::.... Construction Supervisor's License ...../.0r.:C `r' rASSESOR'S MAP NO. PARCEL ATION u�/s� - `f`76 SEWAGE PERMIT NO. AGE U+A LLER'S NAME Ii ADDRESS �'Ic I k eS B U I L D E R OR OWN EIR o es- r�u N( ��4 bu= ` DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � � _ o, t f i " . OF ��� cf • a No.._ '. .-G 32 Fs$..' Q ....._. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ......................OF...........� I�./V S%/t7`iV Applira#ion for Uiipnstal Workii Toustrurtilatt Frrutit Application is hereby made for a Permit to Construct (-'�or Repair ( ) an Individual Sewage Disposal syst* at:...........................4......K.m... .............. �--v MAN: Address or Lot No .......... ! L '!1.-05..... ._ A��-:. ......I Q SLI........ ................ :.. 9 ....._ ,Q� Ow Address r .......................UW�AY.�....,�..(.1....._.. ....................... ............•._..................... .faA���r�4.�l cl..�re�............................ Installer Address ' el. Type of Building Size Lot... 5 )Sq. feet U Dwelling—No. of Bedro ... ......................Expansion Attic ( Garbage Grinder AV 04 Other—Type of Building3o �... No. of persons............................ Showers ( ) — Cafeteria ( ) 0.' Othe ures -------------------------------- W Design Flow.......... ...............gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity. .gallons Length................ Width.-_-__-_____-_-- Diameter..............j. 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--__--____.____---__--. rZo Test Pit No. 2................minutes per.inch Depth of Test Pit.................... Depth to ground water........................ P4 •-••------------------------••-•--••---------------------------......-•--•------------...._.._..----.......................................................... 0 Description of Soil................-----•-•----------------------•--.............................-----------------------------------•---•--......------------------------......--•...--- x U ------------------------------------------------------•------•----------•-•-----...---------------•-._....-----•---•--------•••-------•-•---------------••--••-•••-------------------••-......------.... W -•--•-----------------------•-----...•-•-•--•-------•----•----------------------------•--•-•----••----•-------•----•--------------•-••----••------------------------------------------•--•------.---•- VNature of Repairs or Alterations—Answer when applicable............................................................................................... •----------------------------------------------------------•------------------------................--•••---.....--------------------------•----•--------------------------•---••----•...-------------•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'I ITLE 5 of the State San ar_y__ further agrees not to place the system in operati n unti a ertificate of Compliance has been issue the board o alth. _ igned............. -------- -- --� ........................ V �1 Date App ication pproved By........... :........ ........••--------------------------•... --•---.l:-Q ----_ki.-- Date Application Disapproved for the following reasons-----------------------. _...-----------------------------..........-•-•--••••--••--------• at.e--......... ...............................; ............................•. --------••--.. Date PermitNo......................................................... Issued_....................................................... Date �'► 1 cu ......... No._ ----. FEs D THE COMMONWEALTH OF MASSACHUSETTS BOA R-D----' H E TH F.Ry b ...................Y..UiIU--------..OF............... .���.1�,�:T.(`t,. lipurFation for Disposal Works Ton,strurtion thrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System a ........... ..........C - cation-Address or. Lot NoIe \ l ... Address ................ ... . .�......-••------- !�J �.----•--------------•--- --G =,_ 4?.i.((L • ••...... Instal er Address Type of Building Size Lot.................... ......Sq. feet Dwelling—No. of Bedroeuas........ ............................Expansion Attic (N) Garbage Grinder 41-10 Other—Type of Building No. of persons............................ Showers ( ) — Cafeteria ( ) Other-fixtures .--------•----• •-••-----------------••-•----•---•--.•------••---•-----•-----••--•------••----••-•-----•-----••----••-•.....-•--- Design Flow......... .................gallons per person per day. Total daily flow____.._.........._................_...__.___gallons. Septic Tank—Liquid capacity.16*_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........................ fX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -•------.._..-•----•---•----•-•-•................•-----------•--....••-••-........----••-•••••-•-•--......................................................... ODescription of Soil........................................................................................................................................................................ W U •----------------------•--•----••--•-----------......----------------------...---•--•---......---•--•-----•---------------••--•-----------------------................................................. W Io -----•---------------------------------------------------------------------------------•------------------------------------------------------------------------------------------••-------------------- -U x, Nature of Repairs or Alterations—Answer when applicable............................................................................................... -•--------------------------•------••---....---------------•----:....----------•---------.....------------....---------------------•----------•-----------------------------------......---•--••-•--... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T ITLP, 5 of the State SaniTar -to-& The-t n.. . ' d further agrees not to place the system in. opeerat' n unt' ertificate of Compliance has been issue 'y the board o ealth. c c Appication pproved By........ _.. ....................•--•----.........-- .......I._0...!(p...`.tl Date Application Disapproved for the following reasons:---•-•-•---•••---•-•-----------------------------•-•--•-•-•---••-----•-•---•-••----••-----...-••---............. ....................•--------•------•----•--•---•-•---------••--------...... -----------------------------------.-------------------•----•---------------------------------------------------•--- Date PermitNo....................................................... Issued_....................................................... Date ti. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.............. Trdifirtttr of Tomplianrr THIS AS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) b #1 -C.0.1.0 5 ----------- Installer at..... :�...- '-----•1V3 ." ----: K.a.�7 ,. '------•---------------------•---•---------------•------------....-------------•------------ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Cote 1bd s�>;il�ed in the application for Disposal Works Construction Permit No.__..__� '_.�3.�-....._ dated______________ __ __ _______________ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CO STRUED AS A.-GUARA }TEE THAT THE SYSTEM WILL UN TION SATISFACTORY. DATE............... ..�.� V G-•........................................ Inspector................................................................ :. i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 <, ...........................................OF.............................................._._.................................. No._.. ..:.._: , FEE........................ Disposal IV ko Tonotrtt Uan pamit r> --�......------•--• =cile�i ?.i�......f7. ! .�L�'w2..................•--- Permission is hereby granted___ _ _...G.:.____.. �. ............... to Construct ( or,Repair ( ;) an Individual Sewag� Disposal System -------•-----------------------•--.............. "Street as shown on the application for Disposal Works Construction Permit Dated.... .................... -----•--` =--•-- - th Board of Health, DATE-------- - . .. -- ................................----......--- ��� FORM 1255 A. M. SULKIN, INC.. BOSTON•• E✓ S1<,►:� (DATA ;i%1G►: FAMILY - 3 BCORQoM /JO GARQIACaE (jiZND62 S,Ei� ����1' O�z; s F�L ow s 110 x 3 5EPTIG TAkjK R �1SE 1000 G�!►1.. � r;., 01•5P05AL Prr VsE S DGWALL A¢F.X • I!�O-5.17-1 Igo 5.F X 2.•5 a 375 6.R0 r �: i BOTTOM AREA• . Ir c �F• F 4`. So S.f~ x 1•o 5 o b.P o -foT^%- DA 11_Y F1.oy,( s 33o G.Pc'• I� PEzEZCOL.ATION LZA?Ei I IN 2MIN G�L65S aWILLIAM r C . ,PETER C. i N V E IYJ. J.l No. 19334 �GfF �Nu SUM� � 10NAL Er�� �'lc'p r .vv Sce•c.E '.f s T TOP FND• l o ou INV. ,. Slistl�iG.. D 14T. INV. `PT 1 L /, _ .. 0oX . 100 /� /d/. Z 7AN K 'r�r�• . 3 Gaa.. �EaGu �av•G PIT INV. INV. WASUGO 5TuN6 G C E E2T I F I G o P�-o? P L.A►iJ P9_0FIL6 LOL4'�IOIJ 7— '�� W4 �- N O S CA•LE •5 G__ /�►L E ,Q�i�/o�cJ �AT E 9•.�7,P 15 ' REFraV-SkC& I CERTIFY TNAT THE E -zq FN17 SKoww N626aN GOMPI.`(5 1n11TN"THCz SIc�LINE � U 7— � - A u D S 6T BACK R,6 Q 0%Q.WA SJ4* - o ,oG,d,, ,eo .eLTy!T�. '(OWN GF: �t�"T'A�LG AND If-, F�v`�'" I ' LOCATED WITNI •t DAT EL g/s,xTE ct.e W Yr= I W C. a.E�l s��Q6v �►N 0 6 u r.V itroeS Tu15 PL&IQ ►5 NOT F3n5c n Z>W AN T 03Tt�EZVILLFs • MAss• w I IN'5T9_uME,NT SvQVE-Y4 -rNE n►=CSE 5 6wou ,/ I ►i.,-.• a,c. �►S� DTQr D.E?ER1^I►.lE. E.oT �. INE�j APPLIGA►•IT ��:��::.E�T���.G17�/ k6 W-OF 4t4 PETEf2 �, SULLIVAN �' r N No.29733 �, �Cj3T6AtS�� �*Va� Apr `�•�` Jr SSIONAL O Ne CE,eT/,�=/EO r / CE.2T/.c'y T,UAT O'�"O DO-noIj S.yOWiLr f/E.2EO.(/C0�1,oL YS !�//Thi SCA L /1C/Z-- A/-/O S'E7-,3A CfG .�E'QU/.2E�'lE.t/T.S OF T.�/�' 7'-oN�it/aF �•C�l�tl .2E�E.2Eit/C� I .44CA 7E'-e=> ! 17-X11 V 77-4E OA Tom: Q• /D-�� .: ,__... / ; .,, . .. QA XTE,E?E TfA//.S P,CA.v/,s it/o7' BASSO Gyiv A,t/ .2EG/.STE.eEpp SU.eYEYaI /NST.eU�l.�it/l$U,2YE}i� 7-y� OSTE.2Y/,Cl�a �J.4.S.S. OETLP�j1X/E .�!>T�/it/6S. i::�lC.,;' �� - 'E-ISTIIJG) F;S-�:G. IEXIIINDI a FDC li.+, - EX;S? EXIST EXIT EXIST. DECK EXIST. o FAMILY ROOM FA I _ J - 1 EXIST. I Ro MMER ----J. L,..— ^SUNROOM b 00o.. . REM ° LO b N WNhTEFR'l - REi M '.l - , RNJGF NEW e L'DR KITCHEN (VERIFY KITCHEN bl LAYOUT WI OWNER) EltiI EXIST. ® 6 f N HALL NEW .cr,I 161A`L^ i 2, e I PANTRY - —————————— +I I I ~ ------- — DECK 1 ON — p bo ' - 6.6POST EXIST. LIVING EX T. I EXIST. CLOS! DINING =I 4 B 1 . ROOM 3, ClEW b EATING - EXIST. R 0RE DR HALL 1 4 -. Illj .z _ �F— FYJST. E]u5r E%ISi. - A A _ • —————————————— —————— ———————— - - uNE Dr s.r.roDvi ——__——— A EOTTO`n C: INSTwIL FLw:HWG • " CE-tING JOI?S wT ROOrrry cY:w EK RPXE 6 • _— CONNEE:TION SOXROS'O.J:TCi EXIST ., 1`-XISTF:^vl IEXITwGI ,iweaTlc.n 12 FIRST FLOOR PLAN 4 NOTES: _ LEGEND: SEC 1.) CONTRACTOR IS TO VERIFY ALL EXISTINGCONDITIONS O.U'FLOOR -G9F1 - 0 EXISTING WALLS &DIMENSIONS IN THE FIELD " CONSTRUCTION TO BE REMOVED 2-) CONTRACTOR TO VERIFY ALL'INTERIOR&EXTERIOR MATERIALS, - - DETAILS,&FINISHES IN THE FIELD WITH OWNER NEW CONSTRUCTION 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT IrEwuEK•'<\&r��c` ® ® NEW AiEN CORNER - FIRST FLOOR TO BE 6'-W ABOVE SUBFLOOR RIY N95:t1 BOARDS - To MnTCNEwsT 4.) ALL CONSTRUCTION TO CONFORM TO 760 CMR MASSACHUSEfTS STATE BUILDING CODE.SEVENTH EDITION NEww.L.sIJwGEE so:W - _ 110 MPH EXPOSURE B WIND ZONE,1-00 ASPECT RATIO FOR NEW ADDITION ONLY F 10.5T FEOOfi TO WTLN EXISRNG _ - 7.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY Su9FLOOR - 8.) THE NAILING SCHEDULE ON SHEETA2 TO BE FOLLOWED WITH NO EXCEPTIONS. 9.) 'FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL WINDOW SCHEDULE BENISON COMPONENTS NEWAZERIX6 DOOR TRIM IV 10.)VERIFY ALL PLUMBING 8 ELECTRICAL DETAILS VV/OWNERS ON THE SITE REaNErJrNE� .i 11.)THISDURNG SITE IS IN THENG 0NSTRUCTION 110 MPH WIND BORNE DEBRIS AREA.EXPOSURE'B'nnnllTY MANUFACTURERS UNIT ROUGH OPENING REMARKS &WITHIN ONE MILE FROM NANTUCKET SOUND PER SATE OF I - A MARVIN INTEGRITY ITDH 3056 7-6 t/2-x 4'-B t/4• DOUBLEHUNG IMPACT MASSACHUSETTS WIND SPEED MAPS -B MARVIN INTEGRITY ITDH 3040 2'-6 112•x 3'�L 1/4•' NE\v uRRwGE snEE DOUBLEHUNG IMPACT � 12")GLAZING PROTECTION PER 760 CMR 5301.2.72 TO.BE IMPACT GLAZING WINDOWS WFL.STYM&C oR C MARVIN INTEGRITY IAWN2523 T-1-xt'-11 518' AWNING IMPACT D MARVIN INTEGRITY TDH 3052 2'-6 1/Z'x 4'-4 1/4' DOUBLEHUNG IMPACT 1.CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNERAND ROUGH OPENINGS I WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS - I 2-MARVIN INTEGRITY IMPACT LOW E 11 ARGON FILLED,WHITE EXTERIOR/INTERIOR ' ' S -(VERIFY GRILLE&SCREEN OPTIONS WV OWNERS) ------------------------------------------------------- 3.WINDOW-U-VALUE TO BE.33 OR LOWER TO PASS RES-CHECK CALCULATIONS RIGHT SIDE ELEVATION SCALE ERGS o=SSbNSERFFFTOZF.F� DWG. N O. COTUIT BAY DESIGN,LLC NEW ADDITION FOR. TNESE°RAWWG6 PR OR TO STFgT GF 43 BREWSTER ROAD °oNSTRucTRF THE GU ONG LDNTFwCTDR 4•. _ ).—O "o"E oP�a.Y.5�6 FOR T�w TRTRU`CCTM ENT i\1ASHPEE,MA. 02G49 I COTMFIEN-E6\,q TFgT6YM GTNE P14 (SOR)974-I IGC, COT IT TCCTNT RESTDFNCF- S1�STE� � PROFILE �- NOTES Rout TOP FFLOOR AT EL. 59.5' ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (WT Tod A� CANER To WITHIN 3" of FIN. -GRADE 1. DATUM IS APPROXIMATE NGVD ACCESS COVER (WATERTIGHT) TO 58.0' MINIMUM .75' OF COVER OVER PRECAST /` WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 2. MUNICIPAL WATER IS EXISTING g 2 DOUBLE WASHED PEASTONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. 56.8 RUN PIPE LEVEL OR GEOTEXTILE FABRIC *EXISTING _ FOR FIRST 2 3' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO **EXISTING 1000 ' 5 .4'f H- 10 EXI TING GALLON SEPTIC TANK GAS 55.3' BAFFLE 54.79' / 1 S4.62 EZI 0 0 0 O 0 0 0 5. PIPE JOINTS TO BE MADE WATERTIGHT. c 54.5' p � O 1 E2 00 [30 focus 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 1r DEPTH OF FLOW = 4' W CRUSHED STONE OR MECHANICAL C7 CO � O O O O 0 0 MASS. ENVIRONMENTAL CODE TITLE V. TEE SIZES: COMPACTION. (15.221 [21) 2' O 0 0 E] � E3 0 0 E3 c 52.5' . INLET DEPTH = 10" _ 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO I_ 3/4" TO 1 1/2" DOUBLE WASHED STONE BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. I OUTLET DEPTH = 14 0 a (1.2 % SLOPE) ( 1 x SLOPES 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4* PVC. r, NENTS NOT BE D OR FOUNDATION-EXISTING SEPTIC TANK 54' D' BOX 14' LEACFACILII ITMNG 5� WITHOUT 9. OINSPECTION BY BOARD OFHEALTH AND CONCEALED LOCUS MAP *THE INSTALLER SHALL VERIFY THE **THE INSTALLER SHALL CONFIRM MIN. PERMISSION OBTAINED FROM -BOARD OF-HEALTH. SCALE: 1" 2,000't LOCATIONS OF ALL UTILITIES AND ALL SEPTIC TANK SIZE AT 1000 GALLONS AND 10. CONTRACTOR SHALL BE-RESPONSIBLE FOR CALLING-, BUILDING- SEWER OUTLETS AND ELEVATIONS ITS SUITABILITY FOR RE-USE DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION ASSESSORS MAP 22 PARCEL 69-2 PRIOR TO INSTALLING ANY PORTION OF BOTTOM TH-1 .5' OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO SEPTIC SYSTEM COMMENCEMENT OF WORK.' LOCUS -IS WITHIN WP--OVERLAY DISTRICT LEGEND 11. EXISTING LEACHING FACILITY_SHALL_BE PUMPED AND _ REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 10Q.0 PROPOSED SPOT- ELEVATION_ 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED +100.00 EXISTING SPOT ELEVATION LEACHING FACILITY. 10 .0 PROPOSED CONTOUR 13. SYSTEM NOT SUITABLE FOR VEHICULAR LOADING. SAWCUT AND PATCH 100 EXISTING CONTOUR ASPHALT TO MATCH EXISTING SYSTEM DESIGN: GARBAGE DISPOSER IS NOT ALLOWED DESIGN FLOW. 4 BEDROOMS ® 110 GPD = 440 GPD TOP S. TANK ELEv.=56;7T _-- ------ - -_.__ USE A _440 GPD DESIGN FLOW VG \ ETc _ - oG w�REs ` ��ExI R DECK SEPTIC TANK' 4440 GPD (2) = 880 DWELL. **RE-USE EXISTING 1000 GAL. SEPTIC TANK FFLOOR TEST HOLE LOGS - sT ! ELL=v=5a.5'- LEACHING: �� SIDES: 2 (33.5 + 12.83), 2 (.74) = 137_GPD _ ENGINEER: DAVID FLAHERTY, R.S., SE2755 p9• - � PP`� ..-- .� eR�' . DONNA MIORANDI, R.S. Ilk w BOTTOM 33.5 x 12.83 (.74) 318 GPD WITNESS. Qn TOTAL: 615-S.F. 455 GPD DATE: JANUARY 30, 2008 / TH-1 ;: ,1• �� I •` ' PRIMA '� USE 3 500 GAL. LEACHING CHAMBERS ACME OR EQUAL PERC. RATE < 2 MIN/INCH Ilk ,, p _1. 1 v , 46.2 O ( ) I 12087 \� =•••:"�'"• "' / WITH 4 STONE ALL AROUND CLASS SOILS P# �tY / \ 1�� IN,\ / / CORNER BRICK LANDING ELEV. ELEV. BENCHMARK t�1 � Q 58.0' 4 58.0' El = 58.78' MA / APPROVED DATE BOARD OF HEALTH FILL FILL \ 29" 10YR 4/2 , 30" 10YR 4/2 , \\ i TITLE 5 SITE PLAN B B s \ --_57-- ' OF LS LS 476 - MAIN ST. . 40' '10YR 5/6 54.7' 39" 10YR 5/6 54.7' LOT 2 (COTUIT) _BARNSTABLE, MA 1.09: ACt PREPARED FOR C BORTOLOTTI Cr NSTJ PERC MCS MCS MARK McCARTIN DATE: FE-BRUARY- 4, 2008 2.5Y 6/4 2.5Y 6/4 N r� ZOFM A�^ �� 14,& aff 508-362-4541 Zti O°`� DANIEL e��; fox 508 362-9880 g© DANIELA. A. o OJAL.A OjALA CA _ civil. C No.40980 down cape en gin eerin g, Inc. 126 47.6 120 48.0 � Cl 1//L ENGINEERS NO GROUN ATER NCOUNTERED Scale:1 20 �y f ��sTEa : t � LAND SURVEYORS 0 10 20 30' 40 50 'FEE 939 :Main Street - YARMOU THPOR T, MASS. DATE DANIEL A.' OJALA, P.E... P.L:S. DCE #08-009 08-00.9.BORTOLOTTI_McCARTIN.DWG (DDF) -