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HomeMy WebLinkAbout0775 MAIN STREET (COTUIT) - Health 775 MAIN STREET, COTUIT A=235-041 i i i i No. .• ®�p Fee l� c S BOARD OF HEALTH TOWN OF BARNSTABLE Y ZippYication _for lVell Con�trUcti0* Vermit Application is hereby made for a permit to Construct(i-f, Alter.( ), or Repair O an individual well,at: r-, 1,� Nt u I S T- Cow /� Location-Address Assessors Map and Parcels++� --------- G I)ov/ice ��, 77S MG-1,ry�� C67C /—GQ Owner Address �a2n��g �(�N/V C/ &S- Installer-Driller Address Gl�,�er o?Sa chi C.o�yc�sT• nie7 Type of Building Dwelling Other-Type of Building No. of Persons a� Type of Well l/'/ r 4 a 0 Capacity PurposeofWell l/'✓ce,G Agreement: The undersigned agrees to install the afore described 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 Compl' nce been issued by the Board of Health. Signed —0-0� 4r ay aI Date a Application Approved By D to Application Disapproved for the following reasons: Permit No. Issued Date --------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE (f,erttficate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(vY Altered( ), or Repaired( ) by De AJAilS �r�anin el� Installer at 7 2S M u t w 4 ek has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private We 1 Prote tlon Regulation as described in the application for Well Construction Permit No. ated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector s s No. 1�'�I � '� /� Fee 15 BOARD OF HEALTH C5 TOWN, OF BARNSTABLE Y(cartion for ernttt a Application is hereby made for a permit to Construct K Alter( ), or,Repair( ), an individual wellrat: Co 11-4 E .t t`- J.as..,,,xn.:w.—....:.wr.—...W Location-Address' ;Assessors M_ap and Parcel Owe " Address PrE��w S lcarvn1e �I /off sz MaCG .e gyp. /rite C-)JG Yam/ 4 Installer-Driller r Address yxJ,� Type of Building Dwelling Other-Type of Building' No. of Persons Type of Well /r"r G 6 ( /0 vEJ �/ ��BUG Capacity Purpose of Well l/`/i 4 G // w 0 i Agreement: The undersigned agrees to install the afore described 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 ha&been issued by the Board of Health. Signed S-�JY .)I, Date Application Approved By D .- ate Application Disapproved for the following reasons: Permit No. Issued Date e------e ---------------'------_---------------------------------- ------------------------ --- BOARD OF HEALTH r TOWN ,OF BARNSTABLE Certificate of Compliance � THIS IS TO CERTIFY,that the individual well Constructed(v);r Altered( ), or Repaired( ) by Of Aviv I S SC�a N AJP l Installer: at. 775 M u 1,, Sr: n��r'sT M x' 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 No. Ld AO/k(—DqDated 1171e THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL �FUNCTION SATTISS�FACTORILY. j �$ Date 1 ► Inspector BOARD OF HEALTH TOWN OF BARNSTABLE } / Yell Con0tructiou Permit No. INd11 •' " Fee Permission is hereby granted to Div ry r S S_G-Ji'U(2 r1 t Installer M4-- to Construct(-); Alter( ), or Repair O an individual well y No. 775 �r, `S-7 C.o7u 17- f Street as shown on the application for a Well Construction Permit No. W of P Dated Date 1 ! Approved By Y.s.,{1A - �P�/�+�'�/�►�� (C/� t TTON TOWN OF BARNSTABLE . ?7.5�/��jp $>. Vi. AGE %j` SEWAGE�► --!g 1NSTI-ER'S NAME&PHONE NO. �o!'rbl� `l r LOT v3 Il SEPTIC TANK CAPACITY e.f LFACIiIriG FACiI,pJY:(type)y1s:• c�• `.�. S r/•.A.,.,(i)(sire).:'.T ,: r NO.OF BEDROOMS `^ BLUMMMAER O PERWrDATE: //�� COMPLIANCE DATE: ,9�� SePmUou Distance Betwan the: Maximum Adjusted GmndwaterTable to the Bottom of Lt private Water Suppiy Well and ng Facility •3 r hag Facili Fen ou site or within 20D fat of kachi facility) (R 8°y a►ells exist Edge of Wetland and � within 300 feet of ng F�m'(H any wetlapds exist Fmmisbed by B facility) 3 Q t ,r t� l *No. / Fee THE COMMONWEALTH OF MAS USETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARN ABLE., MASSACHUSETTS `� Zippfication for �i5po5ar *p5tem Con!5truction Permit 0 Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) L�J Complete System ❑Individual Components r Location Address or Lot No. `7� l�/I/D f� 65,`- Owner's Name,Address and Tel.No. Assessor' MWParce Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: �J ' /`, Dwelling No.of Bedrooms [ Lot Size sq. ft. Garbage Grinder l � Other Type of Building e'40No. of Persons Showers( ) Cafeteria( ) Other Fixtures `J Design Flow gallons per day. Calculated daily flow "! gallons. Plan Date Number of sheets Revision Date Title _Size of Septic Tank Od Type of S.A.S. 4--m,—A4, Description of Soil � Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued-by t 's ar , f Heal �� � Signed Date Application Approved by Date Application Disapproved for the following reasons r Permit No. `' Date Issued '.'n•,�r--+"�r....^'�, 1— i it ... ,. .-.. ., h �,�.r-,. ^Y .r•-.�i�`'..w.� ". ;..�: -,. `T .c .,wir_. .. , .i.",f ,. .. •. .ro..n 5... .. .No. ~ alFee ' C t THE COMMONWEALTH OF MA USETTS Entered in computer: t Yes -iPUBLIC HEALTH DIVISION -TOWN OF BARN ABLE., MASSACHUSETTS/� Rpplication for �Dkgpooar *p5tem Congtruction 3perntit p� Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) L"f Complete System ❑Individual Components 1 Location Address or Lot No. 77S u�/y t� ��- Owner's N e,Address and Tel.No. Assessor's MpjParce Installer's Name, ddress,and Tel.No. Designer's Name,Address and Tel.No. ,6 -_- Type of Building: Dwelling ^ No.of Bedrooms f L Lot Size sq.ft. Garbage Grinder 40 Other Type of Building e 02rlf o. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow y gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank��� Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Certifi- cate of Compliance has been issued y t ' ar f Healt // /�� Signed Date Z� Application Approved by _ Date ApplicationyDiapproved for the following reasons Permit No. *" Date Issued THE COMMONWEALTH OF MASSACHUSETTS O3 S 4G�1 BARNSTABLE, MASSACHUSETTS Certificate of Compliance r d THIS IS TO CERTIFY, that t e On site Sewage Disposal System Constructed( )Repaired ( )Upg ade ( ) Abandoned( )by �`lU 117114/7 G©� • C Gat © o✓ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. R dated Installer I Designer The issuance of thisV sliall In/ot/be construed as a guarantee that the system�willyfunction as designeyd.j Date �1 / Inspector No. � '"� �' -------=—=----------- 035--0 0 Fee---- " THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lwie;poal *pztem Cott.5truction 3permit Permission is hereby granted to Construct� )Repair(✓)Upgrade( )Abandon( ) System located at 7 7 /yI /x -'c'r and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this it. Date: Approved by 1/6/99 s NOTICE: This Form Is To Be, Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I, /r� �� T/J4✓�`®� , hereby certify that the application for disposal works construction permit signed by me dated /�Z`�� , concerning the property located at 7 � �� 577 -meets all of the following criteria: The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. /There are no wetlands within 100 feet of the proposed septic system +� There are no private wells within 150 feet of the proposed septic system 1� There is no increase in flow and/or change in use proposed r There are no variances requested or needed. a� The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] If the S.A.S.will be located with 250 feet of any vegetated wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) Z B). Groundwater Table Elevation max.adjusted g.w. Z • _ l 2 � z DIFFERENCE 35 ✓ J l SIGNED : DATE: [Sketch proposed plan of system on back]. q:health folder:cent C— TOWN OF BARNSTABLE �- LOCATION 7 7✓ C��� , VILLAGE / ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. BD,(\7U61%)Z�A57,-, SEPTIC TANK CAPACITY LEACHING FACIL=: (type) __ G:• /K- 6 Klk,4,3 (3)(size) a f-, A 3S" NO.OF BEDROOMS / BUILDER 0 OWNE i PERMTTDATE: z ` COMPLIANCE DATE: � Separation Distance Between the: Maximum Adjusted Groundwater Table.to the Bottom of Leaching Facility �yr 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) 171/7.r Feet Furnished by !� L i i r � - Z , J vs�h /sW Q of cz�f �✓� 77 S /,, w AJ a Q C TOWN OF BARNSTABLE c V'GE SEWAGE 0 l ASSESSOR'S MAPy& LOT 03a�p�1 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY Is-e 0 Ci L LEACHING FACILITY: (type) fW G41 L 4 f���..s (size)Qr..A 35"ac . NO.OF BEDROOMS BUILDER O �WNE O Z% PERMTTDATE: I Z — COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Jr! 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) 414 Feet Furnished by 77s- fi O0 y J . rG .a i 1 R `ki TOWN OF BARNSTABLE .TION _ 7 7 / /. �T f SEWAGE # ' l� V' .AGE Ce 7 ASSESSOR'S MAP& LOT 59351"W INSTALLER'S NAME&PHONE NO. Bo/'7�7Z,, -I 41/I-57- 7 SEPTIC TANK CAPACITY i.f;; C LEACHING FACILTI'y: (type) b r n h ( ::.;.. NO.OF BEDROOMS (size)� BiUDER O WNE CI /� PERMrrDATE: //Z —/�'� I COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility y Fee Private Water Supply Well and Leaching Facility t on site or within 200 feet of leaching facility) any wells exist Edge of Wetland and Leaching Facility �� Feet within 300 feet of leaching facility (�any wetlands exist Furnished by P ------------- I �^ O O Crocker, Sharon From: JOHN DOYLE <jdoyle5827@aol.com> Sent: ,Saturday-,-August 14, 2021 9:50 AM To: Cocker, SharonF "` a, Subject: R 775 Main St Cotuitn- Sep"ris.,Location Thank you for the information. For your files, the septic work done in 2001 related to the movement of the septic tank due to an addition to the back of the home. The tank was moved and there were no changes to the leaching field. A cover to the tank is located 13 feet 4 inches from from the left corner of the basement bulkhead.This cover is the one closest to the intake pipe of the tank. The tank was last pumped on 4/1/20. John Doyle 775 Main Street Cotuit, MA 02635 6 -7-S MA ST. COTu) � Bk 13483 Rg86 #2384 01-12-2001 @ 11 : 29a Deed Restriction Whereas John F. and Anne M. Doyle of 12 Walkup Road, Sudbury, Massachusetts are the owners of the property located at 775 Main Street, Cotuit, Massachusetts (hereinafter referred to as the Property) and having Parcel Number of 035-041, duly recorded in the Barnstable Registry of Deeds in Plan Book Whereas John F. and Anne M. Doyle as owners of said Property have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms on said lot due to the size of the existing septic system. Whereas the Town of Barnstable Board of Health, as a pre-condition to authorizing a building permit for the construction of a modification to the Property, and authorizing the issuance of a building permit for the construction of the modification to the existing property on this lot, is requiring that the agreement for the restriction for the number of bedrooms on the lot be put on record with the Barnstable County Registry of Deeds by recording this document. Now therefore, John F. and Anne M. Doyle do hereby place the following restriction on their above referenced land in accordance with their agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: The owners shall not seek to increase the number of bedrooms, being four, in said lot unless and until such time as the existing septic system has been modified in order to be in compliance with 310 CMR 15 214, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage to ?N • ` x accommodate such increase. 60 3y hand and seal this twelfth day of January, 2001 •� ,-•%'7Yt�»•t�u'-11/c�-.2.�t.,L.�-�fJ � / i lG�-O-•✓st: zat _ � G Anne M. Doyle C.!.�?t�;t�rv�i :VDU � • �u�/(�L�-,�, �:7�� � . �.-� o F.Doyle � � L /� �00 7 1�`y .� t .•ti• ����5�(�,,�� ,��-�ti�� �.�- may` �i'l u,�,,;� �.�.1�-�a.c��,, '�V �p `'� '.�.'. i•fn Zip©�/,� -7 /,, G 4 BARNSTABLE REGISTRY Of DEEDS ' ' RECEIPT Printed:01-12-2001 @ 11:32:33 BARNSTABLE COUNTY REGISTRY OF DEEDS JOHN F. MEADE, REGISTER Trans#: 5892 Oper:THEO Book: 13483 Page: 86 Inst#: 2384 Ctl#: 494 Rec:1-12-2001 @ 11:29:18a Loc: BARN 775 MAIN STREET ------------------------------------- DOC DESCRIPTION TRANS'AMT ------------------------------------- RS RESTRICTION 1 BARNSTABLE TOWN OF RA Recording fee. 10.00 S2 Surcharge CPA $20.00 20.00 ZA Document Copy -Man .75 Total fees: 30.75 Ctl#: 495 Rec:1-12-2001 @ 11:29:18a ----------------------------- DOC DESCRIPTION TRANS AMT P POSTAGE FEE MP Mail per page fee .34 #** Total charges: 31.09 CASH PMT PAYMENT -CASH 31.09 01/11/01 THU 13:37 FAX INTERPAY 16 001 1-11-201 2:26PM FROM P. 1 VaI VIL tuu ta.44 r.-U iidikKYAY ���r �A % d �/-W `e-�• d I %1 -o"66 ( Deed Restriction Whereas 7ohn F. and Atone M.Doyle of 12 Walkup Road,Sudbury,Massachusetts is the owner of the propoly located at 775 Main Street, Cotuit,MOSsachuseM(hereinafter referred to as the Property)and having a Parcel ID Number of 035-041.duly recorded in Barnstable CouMy Rt$istry of Deeds in Plan Book I IM,Page 018. _ Whereas, John F.and Anne M.Doyle as the owners of Said property have agreed with . the Town of Barnstable Board of Health to a restrictivn as lathe number of bedrooms wila , h _ • , '==MiM=tkMftOn said lot due to the size.of the wdsting septic system. Whereas,The Town oFBartistable Board of HeaMh. As a pre-Condition to authorizing a building permit for the construction of a modification to the Property and authorizing the issuances of a building permit for the construction of the roodif cation to the existing property on this lot is requiring that the agreement for the restriction on the the number of bedrooms' vAd on the lot ba put on record with the Barnstable County Registry Of Deeds by recording this document. Now,Therefore John F. And Anne M.Doyle do hereby place the following restriction on their abov&referenced land in accordance with theit agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title:: �.cA.r,�.�.e .erf►-a.�.�.,nc.�" �it� .�5 Antiritrrt[�,� .� /�c�'�.tc-� . W veshistien until such t 10 CMR 15 214.State une as in compliar<ee n otuaen a c�t< a rnimum Re etnents for the Subsurface Disposal of Sanitary Sts"rage. ' Witness my hand and seal This St°day of January,7001, Anne M.Doyle 1 Johu!'F Doyle g �j�m