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Home My WebLink About0164 OCEAN VIEW AVENUE - Health 164 OCEAN VIEW AVEIVLI A=033-011 r i �I �i i TOWN OF BARNSTABLE LOCATIGN &41 nC '' AVC SEWAGE# 7&07—�S7 .VILLAGE n ASSESSOR'S MAP&PARCEL 077 —01 II INSTALLERS NAME&PHONE NO. 0jfC t SEPTIC TANK CAPACITY c�6 Q LEACHING FACILITY:(type) -Y— 4 (size) 7*2Xf2,Xz � NO.OF BEDROOMS OWNER CS . PERMIT DATE: COMPLIANCE DATE: l 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 f TOWN OF BARNSTABLE LOCH IQN _ �� (,T �„ �s s. ,,� . SEWAGE#= � VILLAGE ASSESSOR'S MAP&PARCEL TA . INSLLERS NAME / &PHONE NO. / SEPTIC TANK CAPACITY LEACHING FACILITY:>(type) 16 dw-i—, f (size) NO.OF BEDROOMS OWNER---...-.. . . ..9 .:1� .PERMIT DATE: COMPLIANCE DATE: Separation Distance Between.the: . Maximum Adjusted Groundwater Table to the Bottom of Leaching Facili Feet Private Water Supply Well and Leaching Facility(If any wells exist on site of within 200 feet of leaching,facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist ' withi-a 30 feet of leaching facili ) - - Feet FURNISHED BY�,1 , TOWN OF BARNSTABLE L'OCAT-ION SWAGE# VILLAGC ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY I LEACHING FACILITY.(type) (size) NO.OF BEDROOMS OWNER 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 wkhin-300 feet of leaching facility) Feet FURNISHED BY ._. .„ - f1 �� °�;�, . . � �i a �� ®. ..... .... , �1 v ® - fl _ �. � a., e � � a dfl 4" �_ �� 1. �/� �� TOWN OF BARNSTABLE �ATION ;,� SEWAGE LAGE_ ,+ ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. 1 3 ece ly ' SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) XJX V2 NO.OF BEDROOMS Mai- OWNER � PERMIT DATE: At, COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facili Feet Private Water Supply Welland 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 facili ) I Feet FURNISHED BY l _ e 1 v AD o No. 1 iRO8 7/qo #ffiweo Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes i ZIPPricartion for Bitpont *p5tem Cow5truction Permit 1� Application for a Permit to Construct(,I"Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 164 Owner's Name,Address,and Tel.No. a broC s17r�� Assessor's Map/Parcel I�•e Installer's Name,Address,and Tel.•No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of XWooms t 7 Lot Size f' �7 sq. ft. Garbage Grinder QV6) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures p© Design Flow(min.required) 880 gpd Design flow provided 8g6 gpd Plan Date vA_ _ Number of sheets 2 Revision Date Title ro Size of Septic Tank � Type of S.A.S. ZZ.S X 4 Z' 1F-'12jfk w� ® ►c�rn17 Description of Soil?-& 11127? 0Z3` PILL CdqYY\ Z�-�y � [�� t�rk s�� (.��•, SG� �lY sq`` C� C�►y�.sy SI r, rned. S�n� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by th' Board of Health. Sign Date !� Application Approved by Date Application Disapproved by: Date for the following reasons - Permit No. Date Issued - —• _ - .v. J j� F� � ../(J/ f t,�j �'� '' T� SST No. V f(/f ` r 1 J �ypp�]�� ?v(\/` Fee sV Entered in computer: -THE COMMONWEALTH OF MASSACHUSETTS Yes ` PUBLIC HEALTH VVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for Cow5truction Permit Application for a Permit to Construct(-Repair,( ) Upgrade(�) Abandon O [E Complete System ❑Individual Components Location Address or Lot No. (2y 00�1,-,,Uscu Owner's N me,Address,and Tel.No. Assessor's Map/Parcel O3'j -b a°mybro°k C�u;stR e �/ Installer's Name,Address,and Tel.Now y Designer's Name,Address and Tel.No. Sul\,v�r E~n:�n-e•erv� .� Q i Type of Building: Dwelling No.ofMdrooms 17 Lot Size 1(0,871 sq. ft. Garbage Grinder (A Other; Type of Building No.of Persons Showers( ) Cafeteria( )` x �` Other Fixtures pr1 `Design Flow(min.required) �UU gpd Design flow provided gpd Pl'an•,j Date iigyt} I A.Zcn6 Number of sheets Z- Revision Date Title k Size of Septic Tank Z.oeo (e111\1Un Type of S.A.S. ZZ.S X y Z.t w4 Description of Soil?-k l 57Z O-Z3\' RLL cdowr\ Z?'4W bLAy� INK ;-JC Cc�m,. Sand q�—S`o el Leifer` Z.5`I0(„ (hed. Se sal-(Zo C z (Av e- Z,s Y (d m � 1;6 Nk') b Nat eaof Repairs or Alterations(Answer when applicable) `A Date last inspected: .s Agreement: .i The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in = f accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this_Board of Health. €, Signe� I 5 �k r cc n Date Application Approved by [ � / / l////t % Jj�� Dateri / 4y Application Disapproved by: v �" Date for the following reasons \ Permit No. 022 , (R k Date Issued LIre J , THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of.Compliance / THIS IS TO CERTI`FY,,,that the On-site Sewage Disposal System:Constructed ( )' Repaired ( ) Upgraded ( ) Abandoned( )by at ( �(et c v\�� ku'e''i`-'-2 , COLi has been constructed in accordance with the provisi l� e-v ons of Title 5 and the for Disposal System Construction Permit No. _ 'r dated e-N Installer k@� &Ut"r Designer \W%4 #berooms r"1 Approved design flow gpd The issuance of this permit shall not,be construed as a guarantee that the system will fun tion as d('es is gned. ` Date t =� / Inspector .� y --- . — ---�--- ==—=-----=--------------------- No Z� � - Feel <J Q THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS �Digonl i§pgtem Cougtruction Permit Permission is hereby granted to Construct (,-T- Repair ( ) Upgrade ( ) Abandon ( ) System located at l(oq O(C(,rt UleL-) Au ell-- cov-j, 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 cond�it**.s. Provided: Construction m st be co leted within three years of the ad t' e of this per Date I� C��% , Q Approved�- Town of Barnstable • Regulatory Services e : �� Thomas F. Geiler,Director Public Health Division Thomas McKean,Director y 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 . Fax: 508-790-6304 Installer& Designer Certification Form 200 Date: i O/`i e I 6 Sewage=Permit# 4 2. 1 Assessor's Map\Parcel 0 33 Oil Designer: S u c i_►yizW a fV 6-i w c-is a Ala i jvc- Installer: H i c k e Y Cv/vs 11LU 41 i vA 7 P A it K G f2 rZ Q 30 (Zo s q fly L/9 ivy . Address: 0 s t E R v i i_i_c, M W ss Address: H y 4/v wa s M ol s s On 2� �c .�a �� 'was issued a permit to install a (date) (installer). septic.system at i hLi 0c EA A,wi s w Psve- 661"1T based on a design drawn by (address) Sui—LivifVL=7AI&iNc-f.ctzsdated /Jug-. I k, Zoet. (designer) X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e.greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer xo follow. PUM (Installers Signature) 80111V 'J - D.29733 QW. (Designer's Signature) (Affix Designer's Stamp Mere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL.BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.THANK YOU. Q:Health/Septic/Desiper Certification Form 3-26-04.doc } 08i14.'06 _LION 08:45 FAX' 5084282273 LEVENTHAL �IOU1 08i12/2006 15:47 79!25979093 $RA EhIROBT94G PAGE 02 } C:015 �9 -11,10 a Q � I } - fed-momlot, i ; { C '� 4 IG I No. ' �` 4 Fee , j®'" THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipprtcation for Bigonl �&pztem Cow5truction Permit Application for a Permit to Construct(.Repair( ) Upgrade( ) Abandon( ) ❑ Complete System I-J Individual Components Location Address or Lot No. I(a4 CCe, Owner's Name Address,and Tel.No. MJ,� i ��c Cass s�� r ��1�y'`TrYsh Assessor's Map/Parcel 033_p S I Cp�a.0 e�a11�Ave-. Installer's /Name,Address,and Tel.,Vo.�J ` Designer's N �' ame,Address and Tel.No. L Svc\"JC 1 (:ruJ� 2fYv� nC, elf //T �Z 7/ � � ��.� u�iffi-e- OZLass sob-` Zz -334 Type of Building: Dwelling No.of Bedrooms 17 I oo MS I,ot Size 1(a0 877 sq. ft. Garbage Grinder fA)D) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 880 gpd Design flow provided gpd Plan Date 16. Number of sheets Z Revision Date I017-q'O'7 Title �jr e P14� \�agoe k IrneTuet-RAV Size of Septic Tank ZjQW Type of S.A.S. 0 bps Description of Soil �crL - ((, 2,72 d-1 L k-kk (laar,n t/e� Road Sur�r,r�1 (Z:35 T3 L_w.jer Cog� o� 10Y2 S/C® S��ea% e t ��ie� e Sk�c l Z.SY S/(y (,a y`i 2.0" C z is yer- Mil Sur\j, (e l q r Nature of Repairs or Alterations(Answer when applicable) Re. Sa+k.B �--O-$ux\ o4al to. t,rTJQ-<- fe"'k- ZM( -(qZ1 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 Environme 1 Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo f yC� Sign tm Date Application Approved by Date Application Disapproved by: Date for the following,reasons Permit No. '� Date Issued No. FeeJO THE COMMONWEALTH OF MASSACHUSETTS ~ Entered in computer: �{ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes \ 01pplication for Mizponl gpp!5tem Cow5truction Perm-it Application for a Permit to Construct(-Y*'Repair( ) Upgrade( ) Abandon( ) ❑ Complete System [ Individual Components Location Address or Lot No. 164 oce c \ Vl�t.� �N e- Owner's Name Address,and Tel.�Io. U\AV ybrOD Cis A t "N"T"�N Assessor's Map/Parcel 07 -O( S CpmTo! 'ea\%Ave- 13 /�. y. Instal�' Name,Ad ress,and Tel. o. Designer's Name,Address and Tel.No.Sv\\%JAnC:n/ � of 7 7VV\4v Type of Building: x Dwelling No.of Bedrooms 17 goo MS Lot Size 1(Ao877 sq. ft.' Garbage Grinder (0) Other Type of Building No.of Persons Showers( ) Cafeteria( )_ Other Fixtures :r" t - ' Design Flow(min,required) 880 gpd Design flow provided A80 d T A gP Plan Date FN v� 6 Zb6Co Number of sheets Z-- Revision Date 101 Z'{l07 t Title 5( �4n oQpSec� �rv\QtOoew�t2\�\�s #, Size of Septic Tank ZJ060 Type of S.A.S. B-150a 61A ONAW&.0 FA-f-(CA Description of Soil �Perc I , 37Z O—I L k-�� (Coats /or Rur�d�5Ur .�a-1 IZ.-3-S t3 LaYer Cc,,2 jf Snnck IO`& 5/Ce '35-(e0" C\ �� rhet 5a,d Z,SY SA (y'IZO C2 Cher Mel• 5�mcj LS (¢(� Nature of Repairs or Alterations(Answer when applicable) ' Date lastinspected; Agreement: t The undersigned agrees to ensure the construction and maintenance of the afore descri�ed on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in,operation until a Certificate of,. Compliance has been issued by this Boa?A of Healt \ -! Q } Sign 11 c s..Date g Application Approved by (/ J�7 I/� �e a Date Application Disapproved by: / Date v for the following reasons i. Permit No. J y Date Issued _ _ nr . rr r ------------- THE COMMONWEALTH•OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS F r` Certificate of Compliance THIS IS TO CERTIF that the On site Sewage DDisposal Systeym--Constructed (✓jam Repaired ( ) Upgraded ( ) Abandoned( )by jl!! 'O /v�d has be�eyn�const cted in accordance 5 'with the provisions of Title 5 and the for Disposal System Construction Permit No. //t � '� i dated Installer P>. c9 t „Designer #bedrooms j Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the systee �wfl'l-fu,ncti-om designed. Date 3 1/-2/0 inspector 4OJ_ �.•^""'" '> � --- //// ----------------- . ————— , S0- ---- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 1=i.5po,5ar Q�pgtem Con5trurtton-permit Permission is hereby granted to Construct (✓) Repair , Upgrade ( ) <�Abandon ( ) Oc 11\cw rtk„c (o\v .. System/located at �lnt-I et��. fiI k 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.4.1 Provided: Construction must be completed within three year f the date of this permit. Date ' J— ^y '*Approved by .�. Town of Barnstable Regulatory Services '� �� Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date:3 zoo-- Sewage Permit# 5'n7 Assessor's Map\Parcel 033 0 11 Designer: SLJLr_i VdiV IL--iV"1VAF[:R„l,,2rvcInstaller: yo -to Lo-M ce vs'f, -7 PA(ZKL5 iL r4 D Address: 0,53-- i—s-a y -i-I ��?�I ss Address: /1414r s`teiys /41 L-L-S : /`V tl On Aorl-5G01116Ph1� was issued a permit to install a (date) (installer) septic system at '64 25-0-41v yiEiv /��,� eej-r i r based on a design drawn by s al-L i tIR/v (address) Give=>ivL a iit;��nic dated 4 41 c- /F' 2 � �� r c' I r I a 7 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e.greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. (Installer ignature) o`' P,: U �s SULLIVAN CIVIL. v No.29733 O � (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.THANK YOU. Q:Health/Septic/Desiper Certification Form 3-26-04.doc --------------- _____ l STORAGE GARAGE/STORAGE PDR. RM. l:✓a:1� w o ENTRY LAUNDRY �-----------------I I ----------------I I 1 1 1 1 I 1 1 1 1 1 l i 1 1 I I t I 1 1 1 1 I 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 F I R 5 T F L D O R P L A N 6ARA6E/STORA6E'WO gyre.Fr. ENTRY/STORA6E.286 Sa FT. SCALE: 1/6' c 1'-0' TOTAL 11SS SO.FT. SEAT BATH. 11 - ----------------------------------- BEVRM. I aaero � LM BATH. 2 ti BEDRK 2 ow. gg 51Tnw ----------------------------------- SECOND FLOOR PLAN SEp„,FLOM.gip 0&FT. 96ALE. 1/8' • 1'-0' z SULLIVAN ENGINEERING INC. 7 PARKER ROADIP O BOX 659 OSTERVILLE, MA 02655 Peter Sullivan P. E.Mass Registration No. 29733 peter@sullivanengin com phone 508-428-3344 fax 508-428-3115 September 11,2006 Wayne Miller,M. D., Chairman Town of Barnstable Board of Health 200 Main Street Hyannis,MA_�2b01 164 Ocean View Avenue, Cotuit Dear Board of Health, At your Board of Health Public hearing on September 5,2006,we were asked to verify that there are no potable wells within 150 feet of the proposed septic system at 164 Ocean View Avenue in Cotuit. On September 8, 2006, office staff went to the Cotuit Water Company and met with Chris Weisman who verbally confirmed that all properties within 150 feet of the proposed system have town water. _ I trust this meets your present needs and if you have any questions,please contact the office. Thank you. truly yours, eter ullivan,P. E. Sullivan Engineering Inc. - Cc:,Bonnybrook Cross Street Realty Trust Members of American Society of Civil Engineers,Boston Society of Civil Engineers r t•� TOWN OF BARNSTABL,��,��''�`�►�" LOCAUO*4 W L.S�E�"" . . '..2. al .t/Q AGE # VIIIAGE ASSESSOR'S & LOT INSTALLER'S NAME&PHONE NO. S15fMC TANK CAPACITY LEACHING FACILITY: (type) , ize) 'DO . NO.01.,REDROOMS u�DI-�. CUI.LDER OR I PERMI T:DATE: - Z S S COMPLIANCE DATE: Sepaiatlon Distance Between the: Maximorh Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and LeachingFacility ty (If any wells exist on:site or within 200 feet of leaching facility) Edge`of:Wetland and Leaching Facility(If any wetlands exist --------------- Feet within 300 feet.of leaching facility) Furnist ed`by Feet } 1 %P; �� T y-r o Ada I'd?I4.-06 31 ON 6 45 F S :U&12'k22-ii LEVENTHALl�JOUL 1' 08i 2/2E6E 15 T BR 4,!EMRCBTtbi P4GE 02 e �-99093 � r . . I ..r�Econc = rPic I w I. oil i , , ! T_ f f i Town of Barnstable Board of Health 200 Main Street,.Hyannis.MA 02601 Office: 508-8624644 Wayne Miller,M.D. FAX:.. 508-790-6304. Paul J.Canniff,D.M.D. October 4, 2006, Peter Sullivan,.P.E. Sullivan Engineering Box 659 Osterville,.MA Dear Mr..Sullivan, You are granted permission,.on behalf of your client,.J: Robert Casey, Trustee,.to construct an onsite sewage disposal system designed to.be connected to eight bedrooms=. at 164 Ocean View.Avenue,Cotuit. The septic system shall be constructed in accordance with the submitted plans dated August 18,.2006. Since 1 yours,- Wavyile iller, M.D. Chairm BOARD OF HEALTH TOWN OF BARNSTABLE Q/WP/Sullivan6BedroornCasey ,fi�t i►�� y DATE: - P/- � FaS:JYLv I.i aeaysr�fsts ,yEo► REC. 'BY ( C Town of Barnstable Ste. DATE: Board of Health 367 Main Slzeet,.Hyannis MA 02601 Office: 508-862-4644 Susan G.Risk,R.S. FAX 508-790-6304 Sumner Kaut nan,M.S.?.R Ralph A.Murphy,M.D. V.ARLANCE REQUEST FORIM LOCATION Property Address: I 1py O(fin y:et,� (NQ M0•e t Assessor's Map and Parcel Number: 03, —O ( ( Size of Lot: (0M 9 5F Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NA.N1E: J. RAer� C t�i�1 s , Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON S, Rom CASky, c�s1 eQ Name: 3vM�br�a4 ��s S ��-, Tf�7� Name: Address: S I Lmmd,> .)eCAV, Address: 05�,�kyp .IMN- Phone: FticSIA Phone: SO c� q 2 8 _3_�49 VARIANCE FROM REGULATION (May attach if more spacanceded) 1V Ory E- NATURE OF WORK: House Addition 2`—_ House Renovation ❑ Repair of Failed Septic System ❑ ` Cnec.klirr(to be completed by office staff-person receiving variance,request application) ✓ Four(a)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 ownerllease: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]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman, REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signatur item 4 if Restricted Delivery is desired. C-1 ent ■ Print your name and address on the reverse X v y ' ❑Addressee so that we can return the card to you. g, - ed b Printed Name) C. Date of Delivery , ■ Attach this card to the back of the mailpiece, or on the front if space permits. D.As duel very a dress different from item 1? Yes 1. Article Addressed to: '-' "'' I r dg ery address below: ❑ No J 1 1 �Jl soon�' y c11 Type 6 1 ry ce V Z� Mail ❑Express Mail ❑Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from service label) : ;?0 0 3; 1010;;0 0 01 3 6,4 2, 8�3.6 5 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 I UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 � I • Sender: Please print your name, address, and ZIP+4 in this box• j I I I _ I Engineering Works 12 West Crossfield Road i Forestdale, MA 02644 I I ' I I I v _I i SENDER: C OMPLETE THIS SECTION COMPLETE THIS SECTION . ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X �/� ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Rece' ed by(Printed N me) C. D13717-o5,, of Delivery ■ Attach this card to the back of the mailpiece, G/U �c . or on the front if space permits. 1 D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No ��M b`1 ✓Na°kr '�:sue;c.� � 3. Seryic2Type L�Certified Mail ❑Express Mail JI ❑Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7.003 1010. 0 0 01 .3.6 4,2 e i 3A 1 (Transfer from service label) -.s. -IS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 •.Sender: Please print your name,address, and ZIP+4 in this box• Engineering Works 12 West Crossfield Road Forestdale, MA 02644 I I . I . SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signat item 4 if Restricted Delivery is desired. ❑Agent X ■ Print your name and address on the reverse L ❑Addressee so that we Can return the Card to you. B. Received by(P kited Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? Oyes 1. Article Addressed to: `� If YES,enter delivery address below: ❑No 4 � ( 3. Service Type �� CT M-dertified Mail ❑Express Mail ❑Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7003 1010 0001 3642 8 310 � (transfer from service label) � i PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box• Engineering Works 12 West Crossfield Road Forestdale, MA 02644 G"3 }} ffff�3ft } frr3f��f f! trlr t 11 fifffWIT11rftrtrill? I/ li, t tttttt tt a t► t COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4'if Restricted Delivery is desired. R ❑Agent ■ Print your name and address on the reverse X ,_ Addressee so that we can return the card to you. . eceived by(Printed Dame) C. Dat ofD.J.1very ■ Attach this card to the back of the mailpiece, C/' WV I or on the front if space permits. !� 'L D. Is delivery address different from Re ,1? ❑ es 1. Article Addressed to: If YES,enter delivery address below: ❑No CI'•�� I , I 3. SServv'' e Type fl i x II ;2'ertified Mail ❑Express Mail C � ,( v,�i 1vV ❑ Registered ❑Return Receipt for Merchandise MD Zfy-z Z ❑ Insured Mail ❑C.O.D. 7 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) i i;, 7 3. 101:0 .0.0 01,•3 6 4 2 _$3 7 2 �3� i1a_ _t. PS Form 3811,,August 2001 Domestic Return Receipt 102595-02-M-1540 r UNITED STATES POSTAL SERVIE w, . � � �. »� ,:��•..s�,-,.-µ_First-Glass Mailx�., --,Postage:&Fees Paid p+ G LISPS...._.. ..,,. ' �`� Permit No.G-10 • Sender: Please prifit your name,address,and ZIP+4 in this box• I I I Engineering Works 12 West Crossfield Road Forestdale, MA 02644 j I`1!!!!l131!!�lti�!!tt!!l1t11l�I�lt!!!lili�!!!!!!Itlt�llF3!I31 SADER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired._ ❑Agent. ■ Print your name and address on the reverse X Addressee so that we can return the Bard to"you,— B.VAC by(Printed Name) Date f D (very, ■ Attach this card to the back of the mailpiece, or on the front if space permits. d D. Is delivery address different from item 1? Yes 9 1. Article Addressed to: If YES,enter delivery address below: ❑No e MA 3. Sery Type can 9 111 p V't Rertified Mail ❑Express Mail l ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7003 1010 0001 3642 8358 (transfer from service label) PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 f UNITED STATES POSTAL SERVI PM GOB M4 Ot I t � osm _a .P_�i PM j cl. - F��PPrif Klo G Q. _ • Sender: Please print your name' address, and ZIP+4 in this box• I ol Engineering Works 12 West Crossfield Road i A Forestdale, MA 02644 • i � I .-�;�•::.�:s�: lii,�„Fi�i�li:,�ia�l�if,1,�l,ifi=�,��,tlli,:,,�.=f�=f1�11:i1�t I� SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. ignatur item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. g�0 ,yrl ed by(Printed Name) C. Date f Delivery ■ Attach this card to the back of the mailpiece, / _V�� _/�_Dor on the front if space permits. CJ D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No T � �.a}2 so, ��✓l r� '� M�� 3. �SService Type f d3-Certified Mail ❑Express Mail 2� 2 ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7003. ,1010„ 0001 3642 8334 (transfer from service label) - - PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVI MA irs ss-Mail"� w id P M ,: USPS .. ;L c Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box• I I Engineering Works i 12 West Crossfield Road i Forestdale, MA 02644 i I )it, I!!)11),))1,:�,,,li)11,t,�t)i��l,)1�,1�i i i COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. , , `" r(� ❑Agent ■ Print your name and address on the reverse X p'"' �� c�!C - d ressee so that we can return the card to you. B/R ceived by"" 'ted Name) of ivery ■ Attach this card to the back of the mailpiece, �� G or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No �+ 3. Service Type 93116ertified Mail ❑Express Mail / C ZL J -Z ❑Registered El Return Receipt for Merchandise J ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from service iabeo 7003 1010 0001 3642 8402 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 r INow UNITED STATES POSTAL SERVI O� MA D aw ` I w P r11 ,f • Sender: Please print your name, address, and ZIP+4 in this box• I I I Engineering Works 12 West Crossfield Road Forestdale, MA 02644 I • �I I t��;� s�[ii�li��s�ii'{�i1`£14�41�1tI444�1��«t«3��1 � '�''� • iif£ift i.il� r SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X� -- �' SG - dressee so that we Can return the Card to you. B. eceived by(Print d.Name) C. Date of Delive ■ Attach this card to the back of the mailpiece, �U or on the front if space permits. / D. Is delivery address different f item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No /S5(L `x - oux r C�Q✓� ✓ �I�l M 3. �SServv�ice Type M-&rtified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes z. Article Number 7003 1310 .0001 .36.421 8327 (Transfer from service label) _ � PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M- 5540 UNITED STATES POSTAL SER Mq F1"rsf-Cl4ss•,Maa'i cO O, Postage 8 Fees Paid a yy� s LISPS -�" Lwu PermifNo:G=1U • Sender: Please 1 t.q�U e, address and Z•IP+4-ira..tt syb(A-S". W �I I I Engineering Works 12 West Crossfield Road Forestdale, MA 02644 I 03 {{{tort{�{t{{tit{tt{t{ti{tt{t�{{mint{{{�utnt{{tt�t{Itt{t{ �ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY a Complete items 1,2,and 3.Also complete A. Si ature item 4 if Restricted Delivery is desired. ❑Agent A Print your name and address on the reverse X - ❑Addressee so that we can return the card to you. B. ceived by(Printed Name) C. to of Delivery a Attach this card to the back of the mailpiece, I or on the front if space permits. 2' 1 D. Is delivery addressZt> different_(rom item 1? El Ye 1. Article Addressed to :' —+. - If YES, n4ecdelli addr()OU ess below: ❑No b 3. Service Type'' ' - t�� i 1�C i CA Er&rtified Mail ❑ Express Mail ❑Registered ❑Return Receipt for Merchandise 9 3 0(c3 ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from service label) ;;;; ;?0 0 3,,10g10g;U0 0A- 3 6 4 2 i F 8 3 9 6 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 I UNITED STATES POSTAL SERVICE First-Class Mail f A�� G 330 ge 'Fees Paid T t Y • Sender: Please pri �yo fr A6616` address, adZ1P44-h I I I Engineering Works 12 West Crossfield Road Forestdale, MA 02644 � I I i I I ,t 40-13-06 04:35PM FROIA-GOULSTON & STORRS +1-61T T-559 P.002/002 F-119 1 1 Town of Barnstable .Board of Health 200 Main Street Hyannis,MA 02601 August 18,2006 Re: 164 Ocean View Avenue,Cotuit Dear Sir/Madam, ' I,J. Robert Casey,Trustee of the Bonnybrook Cross Street Realty Trust, owner of the propery located at 164 Ocean View Avenue in Cotuit hereby authorize Sullivan Engineering, Inc_to represent zre in all rnaters before your Board. Sin. Yours, ��' J. Robert Casey Town of Barnstable ►'r! � �� o�Tat rati P v Department of Iicgulalory Services aA ; Public HealthDivisiolt u:Ite MAO& � i6J9, `6� 200 Main Strcct,Hyannis MA 02601 : AtED MKl� Date Scheduled Cal Time Fee 1'd. soil-suitability Assessineizt for Sewage ,Dis,osal 91 PerformedBy:�. Him 17 L //I Witnessed By: v LOCATION& GENERAL INFORMATION Location Address Owner's Name;/bn h y,64d0/C �ress St � TrkS!' d1v t:}. 'I Address ISO �n rCx.rc�� f 6 cS kw Assessor's Map/Parcel: L7 3 3 Pcr-r""V G// Engineer's Nantc Jr J I/f a n L 1"�•�271 C NEW CONSTRUCTION ✓ REPAIR Telephone 11 5 Ddf Land Use aznvvel Slopes(,/ Surface Stones /Ajan,p . Distances from: Open Water Body (�90 11 Possible Wet Area CIOS-0. It Drinking Water Well Soo It h t Drainnge Way Sb It Property Line Zo ft Olhcr N R SICETCII:(Street onme,dimensions of lot,exact locations of test holes&pert tes(s,locate wetlands in proximity I holes) Cross Street Z - tarz Parent,nnlerial(geologic) W4 Depth to[,cihock SOlJ !! Depth to Groandwalcr: Standing Walerin liole: Weeping from Pit race NOA ; fv t cc Estimated Seasonal Iligh Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: )Uan Ql�ft Gbay-2_ r- Depth Observed standing in obs.bolt: in. Depth to soil mvltics: in. Depth to weeping from side of obs.hole: in. Groundwalcr Adjuslmenl n• Index Well p Reading Dale: hldcx Well Icvcl Adj.factor Adj.Groundwater Level PERCOLATION TEST Dale O� Ti Inc IL9PL F Obseryntion lole H Time at 9" n v Depth of Perc Time at 6" Start Pre-souk Time© Z S_ �4 Ion Time(9"-6") t h End Pre-conk M:n Y", n Rnle Min./inch fin- 1� Site Suitability Assesmoc l: Site P6ssed ✓ Site rniled: Additiounl'I•csting Needed(YIN) original: Public llcallb Division Olrservatton Hole Data ro Be Completed on Back----------- *"If percoht(ioll test is to be c0n(llrr.(c(1 Ivilhill 100' of tivetlantl,yotl must first 110lify the Barnstable COnscrvatioll Division -,it lend one(1) week prior (o beginning. Q:UIiA(,TII/WP!PIiRf'1 CtltM PEEP OBSERVATION ROLL LOG Rule It-A— Depth Gum Soil Ilulizon Suil•rextrne Soil Color Soil Qthcr Surthet;(In.) (USDA) (Munsoll) Molding (S(tuclnro,Stones,Dl,uldcrs. b-Vi` FILL. (DAV"N, Z3-44p (. (Ail end oNk S/Cp x MEd, Sa1J Z.SY SI(C 5-9-IZo" Cz. vied, 5g, 7-SY (Q/4 DEEP OBSERVATION HOLE LOG hole!I T Depth from Soil Horizon -Soil Texture Soil Color Soil Wier Surrace(in.) (USDA) (Munscll) Mottling (Struchrrc,Sloncs,Douldcrs. Consistency %Gravcl) _ ILL (Ak — z.S`! 5�4 cob-IZ of C Z iY1�LQ• Sand z,�� rely DEEP OBSERVATION DOLL LOG hole/I Dcpth from Soil liorizon Soil Texture Soil Color Soil . Othcr Surrnce(in.) (USDA) (Munscll) Mullling (Sltuchne,Stones,Douldcrs. FILE..`?4RA - T �U-IZ4t, CzackSand Zrty (49CD -- I - ,;t DEEP OBSERVATION HOLE LOG �[ulc !!-L�— Depth farm ! Soil lluriwn Soil Texture Soil Color Soil Ihcr Surface(i'n.) I (USDA) (Munscll) Mottling (SUuclurc,Stones,tlouldcrs. Q V-1-1 sislccocy.o Gravc — 13-35 13 Coarhv n� �oy� s/(e 5�-12�'' C z rned S��d1 �.SY ply blood Insurance Rate Map: ' Above 500 year flood boundary No_ Yes Within 500 year boundary No Ycs Within 100 year flood boundary No✓ Ycs Deulh of Naturally Occurring hCrVIUOs Mlticrial Does at(cast four feet ofnaturally occurring pervious material exist in all areas observed throughout lire area proposed for the soil absorption systclil? �/eS If not,what is die depth of naturally occurring pervious material? Ccrtiticatiun I certify that on 11109 (date)1 have passed the soil evnlunlor examination approved by the Department of l;nvironurcntni Protection and that the above analysis was perronncd by nic consistent with the required training,expertise and experience described in 310 CMR 1.5.017. Signature V Date Q:I ICA.LTI I/W P/PL•ItCfORM SULLIVAN ENGINEERING INC. 7 PARKER ROADIP O BOX 659 OSTERVILLE, AM 02655 Peter Sullivan P. E. Mass Registration No. 29733 peter@sullivanengin.com phone 508-428-3344 fax 508-428-3115 September 11 2006 p . , Wayne Miller,M. D., Chairman Town of Barnstable Board of Health 200 Main Street Hyannis, MA11112,1511)1 164 Ocean View Avenue, Cotuit Dear Board of Health, At your Board of Health Public hearing on September 5, 2006,we were asked to verify that there are no potable wells within 150 feet of the proposed septic system at 164 Ocean View Avenue in Cotuit. On September 8, 2006, office staff went to the Cotuit Water Company and met with Chris Weisman who verbally confirmed that all properties within 150 feet of the proposed system have town water. I trust this meets your present needs and if you have any questions,please contact the office. Thank you. 7truly yours, C� eter ullivan,P. E. Sullivan Engineering Inc. Cc: Bonnybrook Cross Street Realty Trust E � f�r - j Members of American Society of Civil Engineers,Boston Society of Civil Engineers COMMONWEAL'T H OF IVIASSACH USE TTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS. - DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM 4 PART A CERTIFICATION Property Address: "? , 4 I ,q 9 7 L . Owner's Name� ;f) Ll dd Owner's Address: , � I4V J/ 4 ez Zee, Date,of Inspection: a =y Name of Ins ecto leaseprint) 9 1-10 Company Name Mailing Address Telephone Number: ` • C-ri 4 CERTIFICATION STATEMENT 1 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 Needs Further Evaluation by the Local Approving.Authority Inspector's Sianature: Date: 4, 2-3 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.. Notes and Comments ****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. Title.5 Inspection Form 6/15/20.00 page 1 Page 2 of I 1 i OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSSSNIENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A. a CERTIFICATION (continued) Property Address* ,�_,%�:�'1� �✓ � OwnerSs.l Date of Inspection .9 Inspection Summary Check A,B,C,D or E./ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR'15.304 exist. Any failure criteria.not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Condition al.Pass" section need to be replaced or repaired.The system, upon completion of the replacement or repair;as approved by the Board of Health;'gill pass. Answer yes, no or not determined(Y;N;ND) in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years olds 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 ass inspection if it is structural] sound,.not leaking and if a Certificate of Compliance P P P Y 1 � 1 P indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or. obstructed pipe(s)or due to a broken; settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is leveled.or replaced ND explain: The system required pumping more than:4 times a year due to broken or.obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health).: broken pipe(s),are replaced obstruction is removed ND explain:. Page 3 of I I OFFICIAL INSPECTION FORM -.NOT.FOR VOLUNTARY ASSESSMENTS SUI3SUR;F AC'E SE��AOE' DISPOS:4L;SYSTEM INSPECTION°FORM PART A CERTIFICATION(continued) Pr0pertyAddress: OwnerA1.1 Date.ofinspectionr s ; E�'C +, ^t C. Further.Evaluation is Required by the Board.of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. " 1. System will pass unless Board of.Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will,protect public health,safety and the environment: _ Cesspool or privy is within 50.feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 1 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 sep is tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance **This system.passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria 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: 3 f Page 4 of I 1 OFFICIAL INSPECTION FORPY —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART CERTIFICATION.(continued) Property Address:/64/1 &✓i .;. Owner`:` 2 2 Aq.. ..f�f Date of Inspection"-_ D. System Failure.Criteria applicable to all systems: You must indicate"yes"or"no"to each:of the following for all inspections: Yes N Backup of sewage into facility or system component due to over 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 ld 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: V1 . Any portion of a cesspool:or.privy is within a Zone 1 of a,public well. Any portion of a cesspool or'privy is within 50 feet of a.private water supply well. Any portion of.a cesspool or privyis: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 organiocompounds indicates that the well is free from pollution from that..facility'and.tlie: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.] (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.faci?ity 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 — _ the system is within 400 feet-of a.surface drinking water supply — the system is within 200 feet.of a tributary to a surface drinking water supply — _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well. If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 1'5.304.The system owner should contact the.appropriate regional office of the Department. Page 5 of I OFFICIAL INSPECTION FOR1 NOT FOR'VOLL TART'ASSESSMENTS SUBS:URFCE'SEtiVACE`DISP:OSAL SYSTEM INSPECTION FORNI PART B. CHECKLIST PropertyAddi•ess: J $ p�" 't�-4� � Ad Owner: Date of Inspection: C`lga)* QnQ—Cr� Check if the following have been done.:You must indicate:"yes"or."no"_.as to each-of th.e following: Yes. No Pumping.information was.provided the owner, occupant,or Board ofHealth ,Were anv of the system components pumped out in the previous two-weeks? _�_ Has'the system received normal flows in the previous two week period? Have large volumes of water been introduced_to the system recently or as part of this inspection? Were as built plans of the system obtained and examined? (If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage backup? ' Was the site inspected for signs of break out? L_ 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 thesite has been determined based on: Yes r no Existing information.For example, a plan at the Board of Health. 1z Deterr_ined in the field.(if any ofthe failure criteria related to Part C is at issue approximation. of distance is unacceptabl_z) [310 CMR ,5.302(3)(b)1 j Page 6 of I l OFFICIAL INSPECTION-FORM NOT FOR VOLUNTARY:ASSESSMENTS SUBSURFACE SE�?VAGE'D'ISP,OSAL..SYSTEM IN:SPECTION`FORM PART:C SYSTEM INFORNIATIOiiT Property Address- Owner:, ,_ Date;of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms.(design):,,6 ,. Number of bedrooms(actual),: . DESIGN flow based on'3I0`CMR 15.203 (for example: 110 C'pd x F of bedrooms): Number of current residents: Does residence have a garbage grinder(yes or no): Is laundry on.a separate sewage system(ye or no): .f if ves separate inspection required] Laundry system inspected (yes �L�(j Seasonal use: (yes or no):-A— Water meter readings; if available(last 2 years usage(gpd)): Z 00(2 sV f Sump.pump (yes or no):/V(/ ' > Last date of occu ancv: COMMERCIAL/INDUSTRIAL.A Type of.establishment:. Design flow(based on 10 CNM 15.203): gpd Basis of design flow(seats/persons/sgft,etc.):. Grease trap present(yes orno); Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: s „/c Was system pumped as part of the nspection (yeses no): If yes, volume pumped: gallons —How was quantity,pumped determined? Reason for pumping: TYPFrOF SYSTEM _a, l eptic 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 cur:ent operation and maintenance contract(to be obtained frorn system owner) Tight tank _Attach a copyof the DEP approval —Other(describe): /A,proximate age of all components, date installed4- if known d source of information: 40 Were sewage odors;detected when arriving at the site(yes or no): _ 6 Page 7 of 1 1 OFFICIAL INSPECTION FORM —NOT FOR`VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE,DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property ddress: :� � ,f� � C• ' e Date of Inspection: BUILDING SEWER(locate on site plan) e) J Depth below grade: Materials of construction:_cast iron 40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition`of.joints, venting, evidence of leakage, etc.): SEPTIC TANK: cate on site plan) Depth below grade: Material of construction: &Xconcrete_metal_fiberglass polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) yy _ 'Dimensions: Sludge depth: �-3 Distance from top of sludge to bottom outlet tee or baffle: 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: w . How were dimensions determined. " 1 Comments("on pumping recommenddtions, inlet and outlet tee or baffle condition, structural integrity, liquid levels -as related ttoo o utleetinvertv+�i�dence/®.of leakage, ({�etc.): n.'"�/✓�v .. r <�:C-ry; Y 1 '�a'giy�,i✓" 7 f( ,,�,�` ..7� > J°t .+1'�r Pd ,] ri.9�• p .i +' J.il'/7' .f° ✓�_i•' :r-o GREASE TRAPojft"(locate on site plan)— Depth below"grade: Material of construction:—concrete_metal fiberglass_polyethylene_other (explain):. Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last.pumping: Comments (on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,.evidence of leakage, etc.): ` 7 L Page 8 of I 'OFFICIAL;.INSPECTION FORM-NOT FORYOI:;UNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL, SYSTEM INSPECTION FORM PART C SYSTEM-INFORMATION(continued) Property Address: Own ei;�/ Date of Inspection: U��Aq TIGHT or HOLDING TANK: (tank must"be pumped at time of inspectioii)(loc.ate on.-site plaii) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain)-. Dimensions: Capacity:. gallons Design Flow: gallons/day Alarm present.(yes or no):. Alarm level: Alarm in working order(yes"or no): Date of last pumping: Comments (condition of alarm and float switches, etc.): DISTRIBUTION BOX: present must be opened)(locate on site plan) Depth of liquid level above outlet invert: ` Z �A Comments (note if box is level and distribution to.outlets equal,.any evidence of solids carryover, any evidence of —luka,,e intoor out ofbox, et - , 1 r-o y PUMP CHAMBER/I (locate on site plan): Pumps in working order(yes or no): Alarms in working order(yes or no): Comments (note condition of pump chamber,condition of pumps and appurtenances, etc.): Page 9 of 1 l OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUB SURFACt SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Properf' ddress 3 /f�' �f� `('.�•t`� . Owner.: :, _ ?- ' Date of Inspection: A 1�;+ .� 1 ) C' 3 SOIL ABSORPTION SYSTEM (SAS) locate on site plan,excavation not required) If SAS not located explain w.�Y: TYPe leaching pits,number: leaching chambers;num�er: leaching galleries, number: leaching trenches, number, length: leaching fields,number, dimensions: overflow cesspool, number: inn ovative/alternative system Type/name of technology: . Comments(nndote condition of soil, signs of hydraulic failure, level of ponding, damp soil,-condition-of vegetation; A t £�� d✓ d �( � .` t�.U/ �'�✓ �i� 7 1 1�� 4./I�x�>�"P L us�v 91 �' Ole ��-••✓��'b'-�o? ;: # ,�, - �`' �� ' a�,t� sP� / .aJ 1� a,.� •.ram _ �'t`� :r. CESSPOOLS-, (cesspool;rust be pumped as part of inspection)(locate on site plan) Number and configuration: Depth*—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer:- Dimensions of cesspool: Materials of construction: Indication of.groundwater inflow (yes or-no): . Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,;etc:): PRIVY:/It (locate on site plan) Materials of constniction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): 9 L Page 10 of 1.1 OFFICIAL INSPECTION FORM -.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART,C SYSTEM INFORMATION(continued) Property dress: OWIIer Date of Inspection: 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. IF s\ � f, J.ry p'^„_.r„✓ i. �...F,.� ,Y �. � t b'r��}+ ft a.3`, j l Page 11 of 1 1 OFFICIAL INSPECTIONYOM.4-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C S STEM INFORMATION(continued) Property Address: 06��/a Owner Date oflnspection: SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water` feet Please indicate(check) all methods used to determine the high ground water elevation: Obtained from system design plans on record -If checked;date of design plan reviewed: Observed site (abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with.local excavators, installers- (attach documentation) Accessed USGS database-explain: _ You mast describe how you established the high groundwater elevation: 11 Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: �I .° �'t� s°eG'- ,dot No. Owner:- C Address: Contractor:_ r � G' I `` Address:_ ��. - .t®' �"`✓ ' " Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. .................... ........: .................................... .Date t✓ month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map,locate site and determine OA Appropriate index well ...-.... .. '%!�.. OB Water level range zone STEP 3 . Using montkly-report 'Current Water Resources Conditions determine curre nt depth to � water.Level for<index well ' y month/year STEP 4 Using Table of=Water level Adjustments :for index well-(STEP 2A),°current"depth to waterlevel for index:well (STEP 3), and water-level zone (STEP 2B) determine water-level adjustment :..........................................................................:.............. ar STEP 5 Estimate depth.to high water by subtracting.the water level adfustment (STEP 4) from measured depth to water level at site (STEP 1) ............................... 'J Figure.13.-Reproducible computation form. 15 . _ -- �' �� - �--� . � `_`_--- � ��, �� P� }• ,# �: #� � . . ! . . _, _ _ � �§ ��e ___._ � 3 � �. �� ---� � �: • _ � � . ._ g �' �. �.� . x ' � �� . �� . . � � �� 9 � � �. � �� - _. � �- , . ? K c ^ � I� � ' - r ��. :� � y � No. J Q Fee O THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Mgpo.5al *potem Construction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Addr9ss or,Lot No., OCNq�ts V�-coOwner's Name,Address and Tel.No. COTu, f ass �7 � sr- ,� Col Assessor's Ma /Pazcel P� U 1 N Installer's N ee,,Addresss d Tel.N r Designer's Name,Address and Tel.No. J C"AJ S 0 �'' O Rl �3 G Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 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 f nvironny 1 Code and not to place the system in operation until a Certifi- cate of Compliance has bee i sued b th' o al _ , V d Signe Date J " Application Approved by Date rr—[ !j Application Disapproved for Re fol wing reasons Permit No. Date Issued No.--�� Fee O 6 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 0(ppYication.for.10igpont 6pgtem Congtruction Permit Application for a Permit to Construct( )Repair(k)Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Add ss orJ.ot No. QCt-q,v �11�1� 'to Owner's Name,Address and Tel.No. o ur ,ass 7 cro,o sT7 Assessor's Map/Parcel !s QQ tq cow 11,tj . Installer'T ee,,Address pd Tel.N r Designer's Name,Address and Tel.No. 4 RI 5 l c/G 0�cJ 'j c' Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons i Showers( ) Cafeteria.( ) Other Fixtures i Design Flow gallons per�day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title 1 +, Size of Septic Tank j Type of S.A.S. D Description u Soil y. 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 f t nviron 1 Code and not to place the system in operation until a Certifi- cate of Compliance has beeni sued b h' o al Sigri Date Application Approved by Date 5�-1 Application Disapproved for Re foil wing reasons Permit No. - Date Issued = THE COMMONWEALTH OF MASSACHUSETTS ;: BARNSTABLE, MASSACHUSETTS (Certificate of trompriance RTI�X, h THIS IS TO CE wite Se age D' osal Syste Constructed( )Repaired(k)Upgraded( ) Abandoned( )by at Alv t�J has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of this-permit shall not be construed as a guarantee that the system will function as designed. Date -to Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mi!6paal *pgtem Congtruction Permit Permission is hereby granted to C nstruct( )Repair( pUpgrade )Abandon( ) i System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: / Approved by Q � f i 10/9N1 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 ENGINEERED PLANS) hereby certify hat th application for disposal works ,FSA: construction permit signed by me dated concerning the property located at li �C'�N (/� ^ r/ meets all of the following criteria: There are no wetlands located within 100 feet of the proposed leaching facility There are no private wells within 150 feet of the proposed septic system • There is no increase in now and/or change in use proposed • There are no variances requested or needed. If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the proposed leaching facility will W be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: , A)Top of Ground Elevation(according to the Engineering Division G.I.S.map) B)Observed Groundwater Table Elevation(according to Health Division well map) SI ED: DATE: .5 LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cert Apr 1 1 tin i I _il Z 203 498 886 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use-for International Mail See reverse i St a Nu (� P Pd ZIP Code , a Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered n Retum Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees is 7 Postmark or Date 9X/f co Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service a window or hand it to your rural carrier(no extra charge). ai 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address rn , on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. < 4. If you want delivery restricted to the addressee, or to an authorized agent of the G addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. li 6. Save this receipt and present it if you make an inquiry. 102595-97-e-0145 d PH®NE CAL �XT, J FOR OATS TI , �i3.M. M PHONED OF > ❑F a 7 RET RNED PHONE []MOBILE �' Y R CALL AREA COD NUMBS EXTENSION PLEASE CALL: MESSAGE r WILL CALL AGAIN CAMETO SEE YOU _ A, DN75 WANTS TO s SEE YOU FORM 4003 N ifS { E � r �TME Town of Barnstable Department of Health, Safety, and Environmental Services RAMSTABM "'"SS Health Division s639 ED"" 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKea FAX: 508-775-3344 Director of Public March 26, 1998 Daniel &Katherine Coughlin 10 Otis Place Boston, MA 02108 SECOND ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE,TITLE 5. The septic stem owned b you located �-f6- Ocean View Ave'? Cotuit was inspected P Y YY p on April 27, 1995 by Ronald Cadillac a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Blockage between cesspools On June 1, 1995 the previous owner, Susan Lyons was directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. She was also directed to bring the septic system into compliance within thirty (30) days of receipt of the order letter. However, the Public Health Division has no record of a repair. You are ordered to repair this septic system within(sixty) 60 days. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH �m6niais�c2e!n,R.S., C.H.O. Agent of the Board of Health i fR033 01.1 . 1 l_OC1 002 7 CROSS STREET CTY1 01- TDS-1 200 CT KEY-1 1 1^78 . .:.___T:�.1� - DP -------- PCAJ 1.011 PCS1 oa YR1 n0 PAREPJTI o -OUGHLIN , DANIEL F & M.-Is,P AF-•'FAA 1 07r' A .:fit! 141..,'64 K MT(31 0000 COUGH, IN , KATHERINE F SP1..i SP2) 10 OTIS PLACE UT11 tJT21 .39 SO FT1 27 8 r BOSTON MA 02108 AYl31 1�C�0 E'r'� � 1.`a�5 O�S1 CO!.lST7 _ - w LAND 167500 Ii-1R 1-7600 OTHER 2000 -----LEGAL DESCRIPTION----- TRUE 'wY1:T 2971.00 REA CLASSIFIED #LAINf) 1 1,67 ,500 ASD I ND 1.67500 ASD IMP 1.27600 ASD OT!-! 2000 #-Rl._DG( S )-CARD--1 1 116 ,600 DESCRIPTION T X YR t l,JRR.ENT EXEMPT TAXABLE #OT!- FR FEATURE 1 2 ,000 TAX EXEMPT #BL..DG( S )-CARD-2 1 1.1 ,000 RESIDEf•!T "L 297100 2971..00 297100 #PI._ CRO° S ST OPEN SPACE #RR 0391 0182 1.1.30 0092 COMMERCIAL # R OCEAN`� 'VIEW AVENUE INDUSTRIAL #UP F`(" FXEMPTI0NS SAI._E1 Ci•!.j 97 "'«.Ir.E1 01000 OR"s i 1067931..7 AFC)1 I 'LAST ACTI'VITY106/ 214/97 PCR1 Y AoP�� 6 y- 0 C .fv c� P R033 01.1' . S A L E S H T S T 0 R Y1 rSAL1 ACT rRl KEY 0001 9278, P,,!A,ME QUAL. IN T V/I BOOK pPIt-IE YR Mr) N(DUGHLIN , DAA ,!TEL f= ?Y 1 1 1 11 1067931.71 401000 971 041 Cl r'youf is . susw! A l rA 1 [ l r11 r.9F.PS/0621 ^ 7 ^95,1 ^0 K i r 71 rL YOrlS ; 7O'r';f� V .TR & S(jS sip! 1 r 1 rTE1 rT1 F 69 555/0851 T0000^8 1 ^11 ] r 1 rSETTE Lf' EYE R ,JAMES 1 xf'•!ANC''Y1 r 1 r 1 r 1 r 1.51 5/9341 ^ ^0101 ^001 r i rLYON 7 . .JOHN V JR, M-792 1 [ 1 F. 1 r 1 r 1 ^ ^oo1 ^ooi r i r I r 1 r 1 r 1 r i ^ ^001 ^001 r 1 r 1 r 1 r 1 r 1 r 7 ^ ^001 ^001 r i r 1 1 r 1 r 1 r 1 ^ ^001 ^001 r 1 r l r l r 1 r 1 r 1 ^ ^001 ^001 r 1 r i [' 1 r 1 r 1 r 1 ^ ^001 ^001 r l r 1 r 1 r 1 r l r 1 ^ ^001 ^001 r 1 r 1 r' l r 1 r i r 1 ^ ^001 -001 r l r 1r l r i r 1 �: 1 ^ ^01 ^001r r 1 r 1 r 1 r 1 r 1 ^ ^001 ^001 r 1 r 1 r 1 r 1 r 1 r 1 ^ ^001 -001 r 1 r 1 r 1 r i r 7 r 1 ^ ^001 ^001 r i r 1 r1 r1 r ] r 1 ^ ^001 ^00i r 1 r 1 r 1 C 1 r 1 r i ^ ^001 ^001 r 1 r '1 r 1 r 1 r 1 r 1 ^ ^00,1 ^00�1 r 1 r 1 1 r 1 r 1 1 ^ ^001 ^001 r i r 1 1 r 7 r 1 c ^ -oo] -ool r XMT r l Icy - oma- 2- tatf 1�6,7/c75- C14(Le—I a /D- /?7 f�G5eT) . �a r _ Z 348 651100b Receipt for Certified Mail e No Insurance Coverage Provided mo s� Do not use for International Mail ee Reverse) M S3nt to in s Stree P.O.,S 6 a C Postage $ "7 00 M �-f-- E Certified Fee O fl Special Delivery Fee W a Fi`el�Sfn'�f9`€i<,'erfSt'SfSoWti'c,� 1 � ' to Whom&Date Delivered t Return Recei owing to m, Date,and dress ddr�s TOTAL &Fees WeV •jn vplis Postm.r o Dalg do Q, ry�d� STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and,present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return rn address of the article, date,detach and retain the receipt,and mail the article. rn t 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3611,and attach it to the front of the article by means of the gummed Co ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. C i M 4. If you want delivery,restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the article. o 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If LL return receipt is requested,check the applicable blocks in item 1 of Form 3611. a 6. Save this receipt and present it if you make inquiry. 105603-93-13-0218 SENDER: 1 also wish to receive the V ■Complete items 1 and/or 2 for additional services. rn ■Complete items 3,4a,and 4b. following services(for an y ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. di ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address •2 permit. d ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery (1) ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. 0 3.Article Add essed to: 4a.Article Number d 1 � OJ:: o� E ! 4b. rce'T �J YP d NA? 04Ciegistered V Certified to s P Express Mail pIlnsured S ❑ Retum.Receipt for>:Metchandise []COD o a 7.Dh O Delivery ZC 4J o m 5.Received B . Print Nam ) 8.A'd .,lessee',s.2 dr 6ss(Only if requested W and fee-is t 6.Signature: (Addressee or gent) } X I i{ til i i i f Is tf Ali i N PS Form 3811, December 1994 Domestic Return Receipt tv UNITED STATES POSTAL SERVICES `n'► Rosfige&"Fees-Paid" • Print your name, address, and ZIP Code in this box I � II I , Health Department <I E Town of Barnstable _ P.O.Box 534 tennis,Massachusetts OW Fax(508)775-3344 Phw(5M)M60 iii l�llii??It lillliii!!?ii?II113ti?�.:�ii?lli?Oi?l,i i.11?!1i?I?ili i� . ,.� Town of Barnstable = Department of Health, Safety, and Environmental Services • a�vsresLe. 039. �� Health Division ti � 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A McKean FAX: 508-775-3344 Director of Public Heahh October 5, 1995 Susan Lyons 164 Ocean View Ave. Cotuit, MA 02635 SECOND ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 164 Ocean View Ave., Cotuit was inspected on April 27, 1995 by Ronald Cadillac a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Blockage between cesspools On June 1, 1995 you were directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. You were also directed to bring the septic system into compliance within thirty (30) days of receipt of this order letter. However, the Public Health Division has no record of a repair. Please contact me at 790-6265 within seven (7) days of your receipt of this letter. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH s McKean, R.S., C.H.O. Agent of the Board of Health y9' SENDER: I also wish to receive the rn • Complete items 1 and/or 2 for additional services. • Complete items 3,and 4a&b. following Services (for an extra v ` • Print your name and address on the reverse of this form so that we can fee): > d return this card to you. • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address y does not permit. L • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery C " • The Return Receipt will show to whom the article was delivered and the date rj c delivered. I Consult postmaster for fee. CD -0 3. Article Addressed to: 4a. r 'cle Number � � 4b. Service Type � c l/ El Registered ❑ Insured cm 0 Certified ❑ COD 5 y Return Receipt for 3 ¢ �� tress Mail ❑ P �\ Merchandise 7. tf Delivery 5. Signature (Addressee) A see Address (Only if requested x 8 e is paid)LU 6. Sig atu ( gent) d HPS Form 3811, December 991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT j UNITED STATES POSTAL SERV p M Official Business U !POS PAYM� OF "$300 Print your name, address and ZIP Code here Town Of B81fl8t9bls ]` '� P.O.EIM W4 tyarmts,Massachusetts f02601 P 411 e21 328 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL ( ee Reverse) dSent to N m Street and No. m a P.O.,State and ZIP Code t� N Postage Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered in - rn Return Receipt showing to whom, Date,and Address of Delivery m TOTAL Postage and Fees $ Postmark or Dateco M E 0 U. U) a STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) I 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address on a returle receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. *U.S.G.Ro.1989-234-555 ri Al c Town of Barnstable URMAe = Department of Health, Safety, and Environmental Services NAM e79. Health Division �� 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public HeaM June 1, 1995 TO: Susan Lyons 164 Ocean View Ave. .Cotuit, MA 02635 ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE,TITLE 5. The septic system owned by you located at 164 Ocean View Ave., Cotuit was inspected on April 27, 1995 by Ronald Cadillac a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: • Blockage between cesspools You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. You are also directed to bring the septic system into compliance within thirty (30) days of receipt of this order letter. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the CommonvYeal h. PER ORDER OF THE OARD OF HEALTH � C Thomas A. McKean, R.S., C.H. IVA Agent of the Board of Health > ASSESSORS MAP NO: PARCH.�10: II [Installer letter] TO: US _ �—u�0�`� (Date) o Lf V l e-5 �L ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at j bq QT-en y, w,4 ve Cclv,4-- was inspected on Pfol 77 I495 by Po,na I A CCU,t(q e a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: �Wa You are directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hall, 367 main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. You are also directed to bring the septic system into compliance within thirty (30) days of receipt of this order letter. You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any,court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. . Agent of the Board of Health Town of Barnstable r - Town of Barnstable Department of Health, Safety, and Environmental Services BARN"ABM Health Division ._ 367 Main Street,Hyannis MA 02601 Installer ,ee- - 90-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public Health TO: ��n A- C c.t0 (Date)' A ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL t . CODE, TITLE 5. The septic system owned by you located at e( Oce.-el I/Je-J Aven rc e, and, Road, Street in the village of i f- was inspected on (7( 2 r by P+alA Cad►,Ugc a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5 (310 CMR 15.00)due to the following: C-�—,$pac> You are directed to hire a licensed Town of Barnstable septic system installer to°sketch WC11 proposed system that will bring the septic system into compliance with 310 CMR 15.00, The State Envir e lt�l oo e,Tit e S�ithit�-(-� rteen days of receipt of this notice. C-X%U-St,&. The septic system must be brought into compliance within thirty (30), sixty (60), ninety (90) days of your receipt of this letter. You are also directed to maintain the system by hiring a licensed septage hauler to pump the septic system to prevent discharge of sewage or effluent into the buildings, onto the surface of the ground, or in to surface waters. Any person aggrieved by any order issued by the local approval authority may appeal to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Town of Barnstable title 5(1) E �l(�S �v��Zs 6 G�, "' E Isr � z��' 1 C�Po° � . � � �. f ASSESSORS MAP NO: PARCELNO: DATE:_AL2Z1a1; --- PROPERTY ADDRESS:_1-6i4Oct- Wig______ -_ Cotuit,Mass.___________ MAY 1 1995 W-WN DDT. On the above date, I inspected the septic system at the above address. This system consists of the following: A. 3-6 'x8 ' block cesspools. B. 1 short grease trap. Based on my inspection, I certify the following conditions: A. This is" not a title five septic system. B. The first two cesspools need to be pumped. C. . The third cesspool is not functioning. D. The system' is in failure. .E. Liquid is not going to #3 cesspool. SIGNATURE: Name: J_P_Macomber_Jr_•_______ Company: J�P,.Na-cQmher.._&_ Son Inc. Address:__Rox -6L_____________ __Centeryillg� ._D2632 ---508_7_75_ 338 -- Phon .. THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tanks-Cesspools-Leachfields Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 775-3338 775-6412 + RONALD J. CADILLAC, PLS, RS Land Surveyor & Sanitarian page Box 258, W. Yarmouth, MA 02673 (508) 775-9700 SUBSURFACE SENVAGE DISPOSAL SYSTEM INSPECTION FORM Address of property �� 066A xi y/6w I_q,11 Co TO i I Owner's name (and/or resident) Date of Inspection7�e�s PART A CHECKLIST Check if the following have been done: V Pumping information was requested of the owner, occupant, and Board of Health None of the system components have been pumped for at least 30 days 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. ry r rn 0- As built plans have been obtained. TYVMA1>WNFn- V The facility or dwelling was inspected for signs.of sewage back-up. V The site was inspected for signs of breakout. >� All system components, excluding the SAS, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic, tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. v The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. A-t/a-eked page 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM NSPECTION FORM / PART B SYSTEM INFORMATIO FLOW CONDITIONS. , If residential number of bedrooms number of current residents �.1�5 garbage grinder, yes or no laundry connected to system, yes or no seasonal use, yes or no If nonresidential, calculated flow: Water meter readings, if available: � �/k" ( `W 71/ l r 0� � - )DDT DU _ Last date of occupancy 0 Cc u i'pc,Eco GENERAL INFORMATION (.,F ,nping :records and source of information: bw x)L f2- R Ef'O'Lzs PL"'"pe'cQ 2 y P.QiS try a No System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: Type of system Septic tank/distribution box/soil absorption system Single cesspool _ Overflow cesspool Privy _ Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) Approximate age of all components..Date installed, if known. Source information:.f 00 Sewage odors detected when arriving at the site, yes Of no page 3 SUBSURFACE SENVAGE DISPOSAL SYSTEAZ INSPECTION FOR1M �^ PART B SYSTEM INTORMATION continued SEPTIC TANK: (locate on site plan) � �C� 6� A_Re)u5 o v7 47o w depth below grade:`_ �yj e�`� �� /ac,4o�?-c material of construction: 4concrete _metal _FRP _other(explain) 8rt rk Af 70,0 Nb /" dimensions: G X CSSpo�[� 4. 3 sludge depth 2— distance from top of sludge to bottom of outlet tee or baffle 01-3 ±/V/�/' scum thickness distance from top of scum to top of outlet tee or baffle ��iho 8 f, P distance from bottom of scum to bottom of outlet tee or baffle Comments: U (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc.) s �e SS CZ915rAl Ov�.TOY - D l u 1,0 Jj �v i��sC 7`rv� ✓.v�7' C� DISTRIBUTION BOX:_120 (locate on site plan) depth of liquid lev 1 above outlet invert Comments: (note if level and distribu on is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for re ai s P etc.) � i • i Page 4 PUMP CHAMBER: 1Ud ate on site plan) pumps in working rder, yes or no Comments: (note condition of pump hamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc.) SOIL ABSORPTION SY TEM (SAS): 'I G 5 2 o vE'r--{(�w (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) 2Nn Ce-vO Pv-of bo7`. 7 ' If not determined to be present, explain: Type leaching pits and number leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields,_number, dimensions overflow cesspool, number 2- Comments: 7 (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,//etc.) /I S uy vie A //iJli'1=1� C�A%C5 c c ��e vw, - i { s t f Page 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B. SYSTEM INFORMATION continued CESSPOOLS: (locate on site plan) number and configuration d AS depth-top of liquid to inlet invert depth of solids layer depth of scum layer 190AJF i,) v,v1Y.s 2 t3 dimensions of cesspool ZA l c'f — 6° 31 3 - e k&' � materials of construction 1b/oc12 31"1- black indication of groundwater inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc.) PRIVY: (locate on site plan) materials of construction dimensions depth of solids i Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations maintenance or repairs,etc.) 1 , r I page 6 SUBSURFACE SER'AGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORr1ATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks _ ,4yfi locate all wells within 100' 1%, 1 - t 4v'�, h o J�� / Cl v-e AS E Try L/" I"r Z G� p"�. Io` _ 3 bo DEPTH TO GROUNDWATER /.S , depth to groundwater / olh4-i Zourza v,,i T. 43 method of determination or approximation: ,9-&Ply Le 30 — �o' � ho htz,,.,., e;j� PA-11T 3 = zo cc., 6�T/m4tl A7 ¢/bG ZD i4 /G ' k L ` Page 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not) /Ua Backup of sewage into facility? Ab Discharge or ponding of effluent to the surface of the ground or surface waters? OA Static liquid level in the distribution box above outlet invert? ? Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? ZN D C?.o4�0©� I��k C +c, :�rd �� Yv► . mot 1 N U,�ST16A7� Nu Pumped 4 times or more in the last year? number of times pumped _ Nn. Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of.the SAS, cesspool or privy: No below the high groundwater elevation? ho within 50 feet of a surface water? v within 100 feet of a surface water supply or tributary to a surface water supply?. QUO within a Zone I of a public well? BUD within 50 feet of a bordering vegetated wetland or salt marsh? do within 50 feet of a private water supply well? _ private water supply well with no acceptable �0 less than 100 feet but greater than 50 feet from a p pp y water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. 1 r page 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART D CERTIFICATION Name of Inspector Ronald J. Cadillac Inspector Number Registered Sanitarian No. 1060 Company Name Ronald J. Cadillac, PLS, RS Company Address Box 258, W. Yarmouth, MA 02673 (508) 775-9700 Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. Check one: I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15.303.. Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. I have determined that the system fails to protect public health and the Mu EST I GA TC environment as defined in 310 CMR 15.303. The basis for this determination is b\0 G Lft,e— iSfi provided in the FAILURE CRITERIA section of this form. 4, se4" cem podou Inspector's Signatureco��C-(- V Date �1 ZZ I ce Original to system owner Copies to: Buyer (if applicable) 'proving authority OCT 19 '95 13:01 U.S.P.508-668-9802 P.2 October 19. 1995 Kr. Thous A. McKean Town of Barnstable Health Division 367 Main Street Hyannis, MA 02601 RE: 164 ocean View Avenue, Catuit; MA 02635 Dear Mr. McKean, As requested by you, during our phone conversations this marring. I am requesting a twenty-four month continuance an repairing the septic system (blockage between cesspoQlal located at the above mentioned address on behalf of Susan Evan_ Thank you for your attention in dealing with this matter_ Sincerely. I;xandra H. Floren FIVE MAIN erR EET Co=,"MC9H US EM 02635 (NO)428.3100 FAX(Sod 42"541 OCT 19 '95 13'01 U.S.P.508-668-9802 P.3 Town of Barnstable r � Department of Health, Safety,and Environmental Services MAM Health.Division 367 Main Street,Hyannis MA 02601 of ux, 503.790.6265 T'hmas A.McKean FAX: 308-775.3344 oirecWr of PAlic•Health October 5, 1995 Susan Lyons 164 Ocean View Ave. Cotuit, MA 02635 SECOND ORDER TO COMPLY WITH 310 . CMR 15.00, THE STATE ENVIRONMENTAL CODE,TITLE S. The septic system owned by you located at 164 Ocean View Ave., Cotuit was inspected on April 27, 1995 by Ronald Cadillac a Massachusetts licensed septic inspector. The inspection of your septic system showed that your system has failed under the guidelines of 1995 TITLE 5(310 CMR 15.00)due to the following: • Blockage between cesspools On June 1, 1995 you were directed to hire a licensed Town of Barnstable septic system installer to submit a sketch diagram of a proposed system to the Town of Barnstable Health Division Office (Town Hail, 367 Main Street, Hyannis) that will bring the septic system into compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of receipt of this notice. You were also directed to bring the septic system into compliance within thirty (30) days of receipt of this order letter. However, the Public Health Division has no record of a repair. Please contact me at 790-6265 within seven(7)days of your receipt of this letter. Any person aggrieved by any, order issued by the local approval authority may appear to any court of competent jurisdiction as provided for by the laws of the Commonwealth. PER ORDER OF THE BOARD OF HEALTH s . McKean, RS., C.H.O. Agent of the Board of Health i REt�i�p N . . FEB � 8 1997 , BORTOLOTTI CONSTRUCTION, INC. ♦`r EFlt) 765 WAKEBY ROAD,MARSTONS MILLS,MA 02648 508-771-9399 508-428-8926 FAX: 508-428-9399 V Ol SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM 6 PART A CERTIFICATION Property Address: O Date of Inspection: Inspector's Name: er's Name and Address: CERTIFICATION TAT M NT• I certify that I have personally inspected the sewage disposal system at this address and that the informs- don reported below is true,accurate and complete as of the time of inspection. The inspection was per- formed based on my training and experience in the proper function and maintenance of on-site sewage disposal-Vstems. The System: Passes Conditionally Passes Needs Further aluatio By the Local Aproving Authority Fails Inspector's Signature: Date:_ /�/P� The System Inspector shall sub t a copy of this inspection report to.the Approving authority within thir- ty(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)SYST 1Z PASSES: % I have not found any information which indicates that the syseen►violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B)SYSTEM CONDITIONALLY PASSES; One or more system components need to be replaced or repaired. The system, upon comple- (ion of the replacement or repair, passes inspection. Indicate yes,nor,or not determined(Y,N,OR ND). Describe basis of determination in all instances. ff not determined",explain why not. The septic tank is metal,cracked,structurally unsound, shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing sep- tic tank is replaced with a conforming septic tank as approved by The Board of Health. Sewage backkup 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): - - 1 - EdM ,�,� 1 r I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is levelled or replaced The System required pumping more than four 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 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 HEALTH 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 PROTECT 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. The system has a septic tank and soil absorption system and is with a Zone I 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 free 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: I 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 overloaded or clogged SAS or cesspool. Discharge or ponding of efluent 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 in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped -2- .r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(contimied) 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. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 Feet of a private water supply well. Any portion of a cesspool or privy is less than 100 Feet but greater than 50 Feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for col ifonn bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E)LARGE SYSTEM FAILS: The following criteria apply to a large system in addition to the criteria above: The design flow of a system is 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: ' The system is within 400 Feet of a surface drinking water supply The system is within 200 Feet of a tributary to a surface drinking water supply The system is located in a nitrogen sensitive area Interim Wellhead Protection Area (IWPA)or a mapped Zone 11 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 314 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 I) r r -CII ECKLIST. Check if the following have been done: ✓Pumping information was requested of the owner,occupant,and Board of Health. _None 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. —k"-As-built plans have been obtained and examined. Note if they are not available with N/A. _LZThe facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. 'The site was inspected for signs of breakout. _ All system components,excluding 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- ed for condition of baffles or tees,material of construction,dimensions,depth of liquid, Zdepth of sludge,depth of scum. The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. -3- e\fM1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) if different from owner were provided with information on The facility owner(and occupants, ) the proper maintenance of Subsurface Disposal System SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION FLOW CONDITIONS RESM 'NTIALe / Design Flow: VV-.gallons Number of Bedrooms: Number of Current Residents: Garbage Grinder: &S Laundry Connected'ro System: Seasonal Use: U Water Meter Readings, if mailable: Last Date of Occupancy: (� COMMERCIAUINDUSTRL&L:A)d Type of Establishment: Design Flow: gallons/day Grease Trap Present: (yes or no) Industrial Waste Holding Tank Present: Non-Sanitftry Waste Discharged To The Title V System: Water Meter Readings, If Available: Last Date of Occupancy: OTHER: Describe) Last Date of Occupancy: GENE INFORMATION PUMPING RECORDS and source of information: / yi,t�a :��,. %y� A System Pumped as part of inspection: If yes,volume pumped: gallons Reason for pumping: TYPE OF SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If yes ttach previous inspection records, if any) Other(explain): T y /�V'Vuz APPROXIMATE AGE of all components,date installed(if known)a d source of information: Sewage odors detected when arriving at the site:�d)O -4- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK: Depth below grade: Material of Construction: concrete metal FRP Other (explain) — Dimisions: 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 bade: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc:) GREASE TRAP: Depth Below Grade: Material of Construction: concrete metal FRP Other (explain) — — — — Dimensions: 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,depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) TIGHT OR HOLDING TANK:: Depth Below Grade: Material of Construction:__concrete—tnetal_FRP Other(explain) Dimensions: Capacity: gallons Design Flow: gallons/day Alarm.l:evel: F. Comments: (condition of inlet tee,condition of alarm and Moat swi(ches,etc.) " DISTRH3UTION BOX:: Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) PUMP CHAMBER: Pump is in working order: Comments: (note condition of pump chamber, condition of pumps and appurtenances,etc.) -5- SUBSURFACE 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 approximated by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits,number:Leaching chambers, number: Leaching galleries,number: Leaching trenches, number,length: Leaching fields,number,dimensions: Overflow cesspool,number: Co nts: (note condition of soil, signs of hydraulic failure level of ponding, c dition of vege tion, /i CESSPOOLS: Number and configuration: S,Y S, Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of Cesspool: Materials of construction: " ' '' Indication of groundwater: Inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soilk, signs of hydr ulic fail e, level of ponding,condition of vegetation, etc.0.0,a a. '5"/.ZD,�`5'CcJ ic.� ! (D I►.1��''�[5.G/iC.� Y - ` PRIVY: Materials of construction: Dimensions: Depth of Solids: Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) -6- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references,landmarks or benchmarks. Locate all wells within 100 Feet. 1� � DEPTH TO GROUNDWATERy d �; Depth to groundwater: Meth of Determination or A proms' natio 11 n: -7 ,z r _ i+. .. ,.:-.n. rV xV:f ad.y1.. r•.4.: K. ML.r C 1 41, .. r...:..,.. .,.s :..r,«.,..• .. �: ,. ,,..k',. .,...:.N` �: `Y,. x,,,..5 ,: Y„. .. }t Z�. -!;+'�, .1. e 'r. 0 -`".�? - _, ..r. ... .. - _ .,,.:m ..N..:.-.ti\.:>.e:_""u4bdi:�e,.. „�dd1�v65•.rodl.J.KL.titui: 'M,A+:,M.k•^re.v:.iw!AW5>�N'IY�,U'krp,V �",. - _,, .. 3Y.^.ars..,hpA:..uilri+.•Mr,:.il.ia�v+i"5.�.+:,a e,M4,M.•.,., wiw:i0.,r,..rwtkY.-..w L✓.w _ r.wzMA... v ••�IA•'lL,a.YL,.'A'f:.+�.:a�` .I(..A'. ..�(Ai ✓vs,a�: p .. .• '-.p.a'�.!:M1•y.w"r"V.nu Yi+'+,:w:i ..a-v'.'b,:'.Mrv",Yi.R"^'xY.una!a ,.W,.w+:w..MlNre t4Y.b'. ,. ,. ....,. .. .. _ .,.. • n • .. ,... r ,.. ._,. - wv •-ram. +•.- ++'Mwv" ,',...,•y» 'rr.�w,�,,,i+ t•rnww+•-gw•:.�,.a^r-...«w. r- �•v«....-, _ _ ^rrw,.--,..«•w.. S. - i gee_ ! ...•„ti ^ - ` •.� w �/y J t ��`;' , a•'':1s. "'�_ {r is vr+•.,.,,�,•Y '.. « - Ce k / ,� .t // ..'•' "'* NC3 .may `J. �'+. f3'^�.A, .,t r � � - y.•`" ' +s. 1 4e .�� `.�`F-"'y^yg,•1' :I ��j'� � �_� - ,..'�i S,/�, 1- '} , i /� �� . " w...". �s,..,, -•° ,,,E pUb//C, 1 \ of Ica /Ot0 • 4 �aC -iIti- YYY444 2 t i Opc 'Jo• ham'............ _ S - Brick �DJ 4y-q""CA_V- 1 Lawn O Patio F d swtk sjet.e, �'�' r�5• _ U by eow cad 1J.7' Cagy To Bo Romowd \S \ PROPOSED SEP77C SYSTEM y `_'....... Lawn (SEE SHEET 2 OF 2) `Parcel Area Y / 1164 ; 16,879fSF � O 1st w f / garage `�'°t '1h1t 1-1/2 Sty w/f O w Dw elling n .t11 , •�+n ce� 9 C81DH Z I Fnd 'Conn B'bF Q / 4 \ s � S� 2 o h ♦'� �+ �� J1.2' Q' h � a F 1 / O eb TO � 1 sty o tsc t� C o age t t _ �..' CI)• -.L.ad,ns ` ZONE: - 1 �• COtLilt z'\• RF / cOe M. Area (min.) 87,120 SF (RPOD) ) 56' Laren —___ �,� / / Frontage (min) 150' ?,� � 3.9 BI Setbacks \ t TS Front 30' •e v Side 15' so�i� sa/ Rear 15' C ts,,.,d°'''' Y DISTRICT: AP — Aquifer Protection District r Qjq Ap- art , S+ I a 2 .ram/v.� is FLOOD ZONE: , � �' Find i .• � Zone C Community Pone/ No. 'y`" - / \• 1250001 0018 D July 2, 1992 F LocationMap maim PREPARED F PREPARED Rr, nTie Site Plan 1.) 7m Property line information shorn was btillmCam,,,. Ex C�SUN P Im�vement$ N S + yam 1 2000'f comP+led tram oroioWe rxord information. J. Robert Casey, Trustee 1) The topographic inlormatk» was obtained Bonnybrook Cross Street Realty Trust a:%+�"�oaess art•.+a a¢ A 5om+•-A»a�a�p R. ta�►.�+w./�.aao-s.e� 164Oce�anViewAvenue a ASSESSORS REF.: from an «� the ground surrey Performed an 1 Commonwealth Avenue t Boston, Massachusetts �"� " ., or between 14/uN and T9/JUN/Otx Bamstcable (ca wo Mass. Map 033, Parcel 011 a) The datum used a ALGV17. 2 11 Rred °rote� �''�110t o I moon sea level datum. t" c-rW Ps opw t>re ANk DATE: August 1$ 2008 scmz* 1 20' ROOM W66 pw+w I C369 I t tk .�lia.�4..:... 1-.G"''. ws.la;.<._.,,,,,-;.,.;..k.1:.....,..e.,.is.,.....,...w:..-.........fx',r . .' .,..... _ :._. ... ... . �t.. -•-:..i......•..-...,.d-.i;.. 8 .; r � .-••weRn.. ,. J. ti-r>, r-- - :;�"s«'. �°ts�(pp.) ,.'i"R'* e+pa� ..,r,,..p.�.-. ,..,.,�� -.�,.,.-._.. -' - - ,l—P .... ....�(Sm Hoe t 1) •.-,+M wwr... - ... My,,..,� ..snr. y .P PiIOQ e -f Al•J<1at r tAr,ur 2000 Gdlaa Y +w 3w e+ - Tao t;<31.30 Pm so— Septic Teak Pemr 3, - n-,hk wa*ed FtowEquililas - R""� 1EACH[NG than AsRerryiledc CHAMBER -_.yyr:,...t[ aerr.,.E,F'-,M„•as„n:., ti-_ Bat E-2" _.,. Bed lv �B.'.�r�.&Baffles ,,..;«.>.:�..,.....,.' �•.to a Ftr.7ttre S ttHaau�,ea aema a 3 R ce ._ toLta•sr! (Se-eN&es8&9) 7b. dushantiwities� t.�y �.r6e Omei Peitmelsdmo �. 4...?.+.+•s.r- CROSS SECTION OF CHAMBER DEVELOPED PROFELE OF PROPOSED SEPTIC SYSTEM ottotlrmwATex A EL s3 NOT TO SCALE NOT TO SC`A I c PER T.O.B.OROUNmwAMR MAP SEPTIC NOTES 1.Location of Utilities Shown on This Plan Are Appmx.At Least 72 Hours DESIGN DATA Prior to Any Excavation For This Project the Contractor Shall Make the Required Notification to Dig Safe(14MM-344-7233). Daily Flow=Single Family Dwelling PERC TEST:11,372 2.The Contractor is Required to Secure Appropriate Permits From Town 17 Rooms PERroaMED°r.301HN OIMU�R.I.T.,SVLSYAN ENGINEIRLlD Agencies For Construction Defined by This Plan. No Garbage Grinder %�O"D0�""D AVOUST .2006 "'°'°"'e�r"°`a AIIODS'22,20a6 3.The Proposed Water Line Shall be Constructed in Coordination With Septic Tank:880 GPD x 200%=1760 GPD TEST HOLE- TEST HOLE-2 TEST HOLE-3 n..w gw >ti3.a TEST HOLE-4 w COMM Water,and Shall be in Accordance With 248 CMR 1.00-7.00 Use 2000 Gallon Septic Tank PILL-LOAM FILL.LOAN[ FILL-ROAD SWAM FILL`ROAD SMACK t&310 CMR 15.00.The Water Line Shall be Sleeved Whem Required 4.Install Risers to Within 6"of Finished Grade(8 Required). LEACHING AREA D LAYER wBR3R °LAYER IOYR W a LAYER faBR W R LAYER IUYRSR r�.owL��owx Ynsowc�IYtORN Y6LLOw198 efulam Ytui.owtm IIIWwN 5.All Structures Buried More Than Three(3)Feet or Subject It AND 31 880 GPD/0.74=1189 SF Required (S LAYERAMT SAND 34 C7 L LOAMY lAv x CI IA MY SAM C2 LA 311 MY SAY SAt to Vehicular Traffic Must be H-20 Loading.It is the Engineers LOBT OLWt RRORTI LIGHT cuv°II1ow LOHrouvankaw LGHr oLYa RRORRI Recommendation that all Components Always be H-20. Sidewall=2(22.5'+42')2'=258 SF Q LAYOl3JY6M C2 LAYIOl3JYe- ]a- FAlC-n4f ]oJ ST M]M. AM pKRC 309 Bottom Area=22.5'X 47=945 SF L�Tv2LLC1wI3°BROWN IJa74t'YAJA)W=BROWN a L oAA)NS n+6M3tt 23 OAL.oMs IN a Met 6.Septic System to be Installed in Accordance With 310 CMR 15.00 A& ].1203 SF Total Provided M BAND Mm.SAND LESS uTHAN 2 u� J LESS� L2 MIN �n+ 1 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable LOBr TAi.Ow®BROWN L YQ � OUT YELLIM3°Dam" Board of Health Regulations. t . I is bum.SAND .J I M®.SAND .J `� LEACHING CHAMBER DESIGN MOORWlmWA31aI2MCODl[!R>a woo°oala.�.A s2lcovnlsera Nookou"D VA37 o OUNTEum RGOROVIDWA2SRKN=V 1a>D 7.All Piping to be Sch.40 PVC. 8.Inlet Tees Shall Extend a Minimum of 10" All Pipes to be Schedule 40. Use Below the Flow Line. 10-500 Gal.Leaching Chambers in 9.An Outlet Tee with Gas Beffle Shall Extend 14"Below the Flow Line. Washed Stone Fields as Shown. 10.Existing Septic System to be Removed 11.Location and Elevation of Inverts from Existing Buildings to be Confirmed Prior to Construction. v� ` ULI A '{ PMTAM fair PREPARED er. il$e .29733 Site Plan . ' &dWm E1 tttg,�, CapeSury Proposed Improvemets n N .F J. Robert Casey, Trustee Po a"aaw POP Ryod Bonnybrook Cross Street Realty Trust a+..+►• w 026W o■r.rwu MA cress o .• '� 51 Commonwealth Avenue (30*Q*-J3»aor4.-mw a. CAW a"-,w r3rr 4m-. R- 164 Ocean View Avenue N t Boston, Massachusetts Bamstable (cOtL,v Mass. 0 - Oral[,qp FierQ Wt+flt� u `amp:Ps °FeC/Wo- Dole August t$ 200fi � As Noted 96/66 Draoiq 0 C i i S/fie / ;? / CB / O / FndStan 'vpvb7i of PQ 4, / c,� RELOCA TED �'3x' i �SxB l 35�� • YY S.A.S. / /a +`4 � Parcel Area 16,879- -SF h RELOCATED Brick / I Lawn / l_ _ Patio ��H EXISTCJ BS. REZOCA7aED Il i R_ 5' EXIS71NG SEP71C TANK _ >3• /O / ff PROPOSED / J TO REMAIN / L T = (SEWAGE 12006-421 ME 7 Lawn Gar W r T r `` /o• 0 _I p,u CB/b FndH 4,�, h _ ^. / ro O Cb 7 ai W, 9-46 Lawn ZONE:r _ . YL�iltti �s F`! x o RF e / . •4or Area (min.) 87,120 SF (RPOD) �,!b 825��" �3 / Lawn o / L Frontage (min) 150' L 9 Setbacks: _ / °• °ate ;;v9 �y H� �' W i Front 30' s oo Q, , .-. Side 15' AfA o�iis,sai _, . . / Rear 15' OF )'S r OVERLAY DISTRICT: �� PETER 4cyGN • SULLIVAN AP Aquifer Protection District -. CIVIL No.29733 ce/DH ' o FLOOD ZONE. A'P �FG/$TERF'O .Find _ �} Zone C SION - Community Panel No. r ��1) �./ - add Portion of Cara"to Remote Shea! I Of 2 ant 7E I 250001 0018 t7 �;.Qi r.. t ,f �. �' _ Add 8om Reboots D—Bev A SAS pa7E: /0 9AD July 2, 1992 Rttirsiatt I ads College addttiwi a•ae--B,wt ric tee: I &1010 11mir. if Location MapWES Pia�aRtV� P+raEPaRm Sri 7►>� 1.) The property fine information shown was Spe Plan i►ed from available record information. SuUtmEtghemftInc. CapeSury Proposed improvements nl Cornp J Robert Casey. Trustee 7 Porker Reed 1"=2000't Bonn rook Cross Street Realty Trust 0st"IM MA A265 UNt r ft w C9655 is¢ �/1@W AV@nU@ At 2.) The topographic information was obtained pb 7sneD�Is u.s u (� cmel m from on on the ground survey performed on 51 Commonwealth Avenue ASSESSORS REF.: or between 14/R/N and 19/AJN/06. Boston, Nlossachusetts �Oee'°'n Barnstable (�t�it, Mass. Omit JGD FL#WRC o Map 033, Parcel 011 3) The durum used is N.&✓D. 29, o fixed �,� „�� oa7E S�atE H mean sea level datum ' �'� August T$ 2006 i' = 20' Review SM66 0 9 f f:J69 1 r' FA EL M3 - PA H-30 Pin"(rode srdm '�iff(ryll.1 �!r��f-li= (iljl(� !(jl1-v NEk iil. fl�!1 �� li Y Mn cagnewFA FMW BABN Fabric AIMM Edz r 4 U°' '� ft 20 f3ellon 7tnH.3L30 00 Pamc 8 Septic4mk ,. N� 3' -� Daulk weted H-20 How6gid15iaas =c RelocemadME LEA(9nNG t7: sum f As t'�" sot CHAMBFdt � � chambers a kat". -riz, I H Zp s . >3a Tor,.m3o 1das PmTftle$ 101rm,-sm (sae Nb6as$�9) _ Aa CkAerPkatoc(die 7be coke Pnevecd-me ssdem CROSS SECTION OF CHAMBER DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM a 23 NOT TO SCALE Mr To scar PM T.o.a(a GUXWAMRMAP SEPTIC NOTES L Location of utilities Shown on This Plan Are Approx At Least 72 Hours DESIGN DATA Prior to Any Excavation For This Project the Contractor Shall Make the Required Notification to Dig Safe(1-888-344-7233). Daily Flow=Single Family Dwelling PERC TEST:11,372 2.The Contractor is Requited to Secure Appropriate Permits From Town 17 Rooms PSBPmq®Sr.JGWK a MMKLT.-SUUMA.( :ro Agencies For Construction Defined by This Plan. No Garbage Grinder Br WHAW 08a1(ABAM Bs ArniB�sr;2aoo 3.The Proposed Water Line Shall be Constructed in Coordination With Septic Tank:880 GPD x 200%=1760 GPD TEST HOLE-t ffi W TEST ROLE-2 ffi w TEST HOLE-3 TEST HOLE-4 COMM Water,and Shall be in Accordance With 248 CMR 1.00-7.00 Use 2000 Gallon Septic Tank PILL-Lwee Pei-aoAB SWAM PIIL-ROAD sDAFAM &310 CMR 15.00.The Water Line Shall be Sleeved Where Required 4.Install Rigs to Within 6"of Finished,Grade(9 Required). LEACHING AREA �„M Big a'�L�1O1°"'6BBaW B �,r Ez o�'Now 5.Alt Structures Buried More Than Three(3)Fedor Subject BATID MAW SAM TMUMN to Vehicular Traffic'Must be H-20 Loading.It is the Engineers 880 GPD/0.74=1189 SF Required a LAvr�2sxs6 ea 2Ax�ssr3a c rOLM O G L OLMERO 711iY[�iVBB➢OP6V taosrouvBBBoax uemreBavH�r 71®iQ1VBBRDWN SAM Recommendation that all Components Always be H-20. SidewaU=2'(170.T)=341.4 SF Q u�„y&4 PAM SAM Q,AVMZr6„SAM "S �.aar 3U SAM Pm.ms, ,as Bottom Area=8482 SF ueearxn.(.aasMERO a LNOWTULOVAMMMM 23 GALLOM V63M n oAI1AMIN6E(QL 6.Septic System to be Installed in Accordance With 310 CMR 15.00& >®aMID Im.SAM LBa91HAA2 MX2KZ A i ffi! M6x2:mtB� 2 1189.E SF Total Provided c2LAVRRI"64 es LAYM2.46N 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable LT[B3rY8TlOWt�ffib7WN (a(Brr�ow(seBaerwB Board of Health Regulations. i 2. UM.SAM Mm.SRO Me T.All Piping to be Sch.40 PVC. LEACHING CHAMBER DESIGN BG O�OQ•aIDWADaBF1e90WRE8ID If0(fl<ODIiDWA7b88i001Ae1f8FD M�mSWA7=BNCOIII�HI xo BBOIIla3WAMRS=UNTMM &.Inlet Tees Shall Extend a Minimum of 10" All Pipes to be Schedule 40. Use Below the Flow Line. 8-500 Gal.Leaching Chambers in 9:An Outlet Tee with Gas Beffle Shall Extend 14"Below the Flow Line. Washed Stone Fields as Shown �PN,SH OF , a� ss Add PETER 9�yG REN90M Add Cot AdMion Relocate As-ec�� S.A.S. Septic t 1 au)WAM 11�9 o SULLIVAN PRE NXE, .Stt9 Plan PIlEPARI:D FDIQ: N�9733 y �7ARID ,h= CapeSury Proposed Improvements CM J. Robert tCasey, TrusteeSTE Bonnybrook Cross Street Realty Trust A 02M osteenals MA�� '�F51 Commonwealth Avenue ��b ��-A" ,� 1 f�Ol°Sn View Avenue (V ®N EN ^ Boston, Massachusetts Bamstable(o twt) . Maw. uatt an attx^ertLme cO1"P"Ps CMo.r aw/w Dow- August 1$ 2006 se de As Noted 6i 981669 df C369_ 1 i P.Q.II..3i3 - PA FL.34.5 Fmis6 QwBe - .,3.'•�;�0fEEt'�l�i�.n=�Jlft na�(II r . yy _ Caqsladl8l FOW BURN AtID✓t7R _ 2000(alum =al D-Bax `"�� '.--�. '+ T P BL 3L30 MOM awfy,K''� } _ ,f'�- 3' , ' .. Double WatOeA V ;=c .f :5 .. ..,,., .. store H 20 Ftow Rol LfiACrmdC} Eq'°lliaas ocebert ., �: , '' r � CrrAMBER l t:agaiterl ��. .. -2 � fi C6mmbas 1�t aLs Cr . CA tv Badding,"1"s, Baffin ffl3uwumeaartemeteRRyra:e_.,...,.1 . EL2&M s,rp law as Par Yf11a5 ARUaaitdrk8mkwitaa4d p la tfim.-Shb C Nbtesa&9) The oarrP"bictird-me styaEm TM - - - DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM CROSS SECTION OF CHAMBER NOT 10 SCALE TMAL GROO ta)1YA7 IN" NOT TO SCALE l II f SEPTIC NOTES I.Looation off Utilities Shown on.This Plan Are Axwx.At least 72 Homs Prior to Any Excavation For This Project the Cemhafctor Shall Make DESIGN DATA y . the Requited Notification to Dig Safe(1-888-344-7233). Daily Flow=Single Family Dwelling + PERC TEST:11,372 . 2.The Contractor is Required to Secure Apiptopriate Permits From Town 17 Roams E sY��one.g,r..SULINAVINGDOEMNO Agencies For Coasductioa Defined by This Plat No Garbage Grinder wr BYn�uruns�uua e s-.n�.,�>s +ors eoaosr2,2M 3.The Proposed Water line Shall be Constructed in Coordination With Septic Tank-880 GPD x 200%=1760 GPD TEST HOLE-1 yy 3U TEST HOLE-2 TEST HOLE-3 EL-3" 'TEST HOLE-4 yy 30 COMM Wafter,and Shall be in Accordance With 248 CMR 1.00-7.00 Use 2000 Gallon Septic Tank SIM-ROAD S=FAM Z"-PAMD 3a8FAM &310 CMR 15.00.The Water line Shall be Sleeved Where Required r jTMT iiat sm Ir up 4.Install Rigs to Within 6 of Finished,Gmde(8 Required). IiEA\.I211\G 1�lItEA i auz�ioxasts sureaieaws sux�m�vs s L01FEATER ornsa x . YEfdAGlS'8IDK1tHl' YEftA'WI�HROWN YBIJl.OiYL77�tOa@7 4HI.ON798HW7Pa7 5.All Structures Buried More Than Three(3)Feet or Subject SA11D LOAMY SAW 880 GPD/0.74=1189 SF Required y CI uxaeu,r34 cr uT�:srsa a uTMzsYse a uxMus34 to Vehicular Traffic Must be H-20 Loading.It is&a Eaginects LIORTOM MMM ru�Y�vs L1OUra1jW =MTOLIWEROW Recommendation that all Components Always be H 20. Sidewall=2'(170.T)=341.4 SF '®$"`� d LlYtaLMW t2 MW.S2.sYsrt 31' PIi8.SAM ]ai T. PFJt.SAIM 309 Bottom Area=8482 SF LIOW Yffi]AN7�ffiOWN LJOWYL7]AWL'KanOW 25 NNMbansnNGNM 23 OhLN.oasn 6MK 6.Septic System to be Installed in Accordance With 310 CMR 15.00& MFU SA ro tin.&AM � Laa3IV"2 MKWar LR=1WAN2UXR4= 1189.E SF Total Provided 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable Ltaar CLIOWM LNaffr uY ENUM Board of Health Regul �. , ,®suNro ,®.sntro LEACI�TG CI�[AMBEIZ DESIGN: X°a ,�� a ��am„� N�ar,��aa� �a ,�a�,� 7.All Piping to be 5ch.40 PVC. . - 8.Inlet Tees Shall Extend a Minimum of 10" All Pipes to be Schedule 40. Use Below the Flow Line. 8-500 Gal.Leaching Chambers in 9_An Outlet Tee with Gas Beffie Shall Extend 14"Below the Flow Line. Washed Stone Fields as Shown. r' EA.LTH p,c S And barn ar R.+acota D—Sur d;saS tE t0/t9/8 �# p s9 i,t REWSM Add cat Add an d As—BuRt tic ant /tad tE 11 SU��vR �� PREPARED Far t' PFEPARED er• Hite $Ire Plan C/V�<qH ,. , me CapeSU" Proposed'MProvem®n& N o Ho 2 en J. Robert `Posey, Trustee Po ssv > t�wker Rand At 97 7� ua 0Xtarvala NA 02635 0 P 3 oatar ata oases k 3 n ran Cross Street t Trust 0 8 yb Realty rus TER�p 51 Commonwealth Avenue ^73", '� 164 Ocean Yew Avenue Cy Boston, Massachusetts Bamstable (Cotuit) Mass. NG\N Dadt Jav r eld WfKAW Qww.Ps cankm: ww/wft Data August is 2006 scow As Noted 981669 Sfoye - / � I Fnd ' e \ r y U 7C ilfd9'of S/q�e , r RELOCATED �\3i#' Tixg Arta / • Joao �/ S.A.S. Parcel Area 16,879-�'SF o 1141 RELOCATED Brick cBd N / Lawn / Patio F ' �9p 7— EXiS17NG S ALS- & D-BQ� 15 7O BE RELt7CATED EYJS71NG SEPTIC TANK /p / 8� PROPOSED /� � � / TO REMAIN SEWER T (SEWAGE J2006-421A LINE f 1y f / w/Of9� O - / :: is / ....-.ta-Rom•-,..-...-- � Find A Lawn ' ` * Qg ' its i ��o (b/ C t k%f �? f ryi a� i �\ «� aFtbtlll }ux RF f8 -�,7` Q / '9ow, f �3 f fa Area (min.) 87,120 SF (RPOD) N 1 25G' �� / /�" fowl o/ }�,� _ / Frontage (min) 150'' ?320 S� fy .n� r o- 4 Setbacks: ro / HI e F ` Front 30' s" aoa, b: Side 15' °;�/3>Se✓r f _ $> Rear 15' { - c OF i OVERLAY DISTRICT: �� PETER Y o SULLIVAN m \ f AP — Aquifer Protection District c, tt E CIVIL CA _ No.29733 i ` t810N .� o r FLOOD ZONE. �o �F�i Rio ` Fnd �} O Y • , � � za y,� t : STE c \ Zone C ° fi r -••'`�J 'r �� Community Pone! No. Q Add Plo.tie""r to RWI Sheet t Of 2 Only) TE tO 1 O •✓�''°- 25D001 OD 18 D - A h RebceN O-Bat S.AS - TE: I 9 dd July 2. 1992 REAM MI Add Gottage Addtion d As-Bunt Septit meet t aw I tr LocationMap W&M PREPARED me PIPEPARED B>~ >,>MI s>rre Plan }.) The property line information shown was Satvan Im CapeSury Proposer)improvements 1"--2000'f compiled rrom available record information J. Robert,Casey. Trustee Po 09.� 7 Pod<s Rood N 2.) The topographic informI was obtained Bonnybropk Cross Street Realty Trust 0st"im MA 02M tterab YA 02M Ocean � o from an on the ground survey Performed on 51 Commonwealth Avenue tsaaas-,nu a. tsnN a"�.'tsoa' s'e" pi,. View Avenuer.., ASSESSORS REF.: or between 14/JUN and 19/JIN/06- Boston. Massachusetts � Bamstable (cat-it) Mass. u Map 033, Parcel 011 J.) The datum used is N.G-vD.-29. a fixed worr pp cwr wRc cernv:ns Draw ItrC369c ogre August 1$ 2006 1" = 20' h mean sea level datum- Re.ie.• 9Bt66 /CJ69 t 4 S(gye T i � y ;� �o• `; e Pvb7�c Of 554 00 �Qo� h� O o�—' e• / ,10 .o s� .. , / ! — ! pypg�oo�,,,,��,�� Bride 1 / ov i Lawn .. 0 — Patio _ -- — — y ) Lawn OSED 0. :. EPHCS tM ' ;\ S �..... _.._ (SEE SHEET 2 2 f ( Ol - Parcel Area i lsty w/f - 0 #164 -; 16,879-± garage :' Q 1-1/2 Sty w/f i O Dwelling i '! C.1 Ct3/OH •2• <� Fnd / — Lawn qj Cott cge - .: co J� r+/r _ «. 14t� Land+ngy/ ZONE.- / t r•+, sM. x`z ".�z`�. {pt C., �`r RF --- 1 O J 'Yirq,I 1 ! r , Area (min.) 87,120 SF (RPOD) ) 8�56•zJ - i.• F o / -'- - i r•-�' .�, s✓ �,f{ Lawn r; s Frontage (min) 150' -ru.'" o: ar�o�a e4 '^?F•y BTU Setbacks: H� — .......... , • A " Front 30' o - iP2,. • . e n. ¢g a ''' i YTe Side 15' 0.7/3/Se/�� — ..... s t •tS KL"1 t!e• OVERLAY DISTRICT: PM �� lei a AP - Aquifer Protection District WV "-- + dl j�+e� 1 T/1' l 90..2 .M D' ram_`y./1 �i�.7. VY9 �� , r IL FLOOD ZONE: Fnd t* �iCG.tdG-c 9` 7�5{q`vt i:5 p , �i2 Fnd { Zone C t Community Pane! No. #250001 0018 D July 2, 7992 L- 66'a n IYIt� roofEs ^- vREPARFt7 MeI wrEVAwED 8r, nne �+ _ a 1.) fi TT@ e property the information stiown was t Sltllivan " C Sure Propos d lm V9llf@nfS . _ _ ' 1 2000`.* compied from owAable recoid information. •L Robert.. Casey, Trustee 2.) The topographic information was obtained BoniyCrook.Cross Street_ Realty.TrustVe ° tram on on the'ground survey performed on 51 Car►+monweQlth Avenge �'�' '1°^�"` ,,,'�'` 1 $n �eWAII�d@ V— ASSESSORS REF.: or between 14/•AJN and 19/,1UN/O& Boston, Massachusetts BaIjiStijbie(Cotuit) Mass. Map 033,. Parcel 011 •Z) The datum used is t4Q V.O. 29. o fixed mean sea revel dafem Au 1� __ K_.. _ � gust , 200t; 1 .20• u�> n ' r J: F.O.Q-.34.5 F.O.E_94.5 It Filth Onde Sa Now 4(V0.) n9 Mtx ,'t r. ..:.'_� V Mi. - comq=Ud F01 Filter , Fabric (See Nile I I) ATIDroR Y 2000 GldloB * Tao EL 91.50 -Z '"Y;'=<_. "•"`x "k'h'l sw-1 Vl Septic Tank D-BOX �.^._ 5• - _i Daihle Washed Flow Egtlilias LEACHING see so ."`i' LwchieB J i'.'`".- i Y _:..�:r CHAMBER _ Baddiug,'Ts,&Baffles tf Htwm4ered R®o.e 3 Repltee 4-10' to as Per'Htla 5 w0 Uawih4k 8oik VY&u s d la aria•she (See Notes a&9) Tlx am FvaaerdThe 1 tdH7. �� m 4• 2"Mi.- CROSS SECTION OF CHAMBER DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM GROUNDwATFR Q EL13 NOT TO SCALE PER T.O.B.GROUNDWATER MAW NOT TO SCALE a. SE PTIC NOTES 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours DESIGN DATA Prior to Any Excavation For This Project the Contractor Shall Make the Required Notification to Dig Safe(1-888-344-7233). Daily Flow=Single Family Dwelling PERC TEST:11,372 2.The Contractor is Required to Secure Appropriate Permits From Town 17 Rooms PERFORMED BT:M014 OVEA.E.LT-SMIZV xla4merMPING. Agencies For Construction Defined This Plan. No Garbage Grinder W[1N6958DEYDOHAID w ;�a-n°at'arBGwsrA�a 8 b5 3.The Proposed Water Line Shall be Constructed in Coordination With Septic Tank:880 GPD x 200%=1760 GPD TEST HOLE-1 E1_su TEST HOLE-2 EL 5U TEST HOLE-3 TEST HOLE-4 son COMM Water,and Shall be in Accordance With 248 CMR 1.00-7.00 Use 2000 Gallon Septic Tank FnL-LID" Fai.-U" FILL-[LOAD SURFACE FILL-RGAD SO F- &310 CMR 15.00.The Water Line Shall be Sleeved Where Required 4.Install Risers to Within 6"of Finished Grade(8 Required). LEACHING AREA B`A)WIAYERSH 11a Bu'®"°"`5"` BLwT>4t,omse B LOV/19loBRO�e �w15H eRGRw �.t.owlse Braot+rl T1nsoavrsa BRGw3r SnuwTss BROWN I-GANY SAM LOAMY 3AM 5.All Structures Buried More Than Three(3)Feet or Subject a LAYER25Y54 C1 LAYER]JY5% to LAYMI"34 4a LAYER SYS* to Vehicular Traffic Must be H-20 Loading.It is the Engineers 980 GPD/0.74=1189 SF Required I,aIrr OLIVE DRUM LJOBT OLIVE BROWN L Gffr OLIVE BROWN uottT�BRONM SAM Recommendation that all Components Al be H-20. Sidewall=2(22.5'+42�'=258 SF 4z nAYMI"SAM 64 MLAYER�29 AM.SAMe,4 5V MM ssa F�CUST >09 uoBr vn.OW13HBF19W 1.Icffr•�t.GW®BWOVM =+GALwNs nrasmc u CLUXONS IN 6 Mat 6.Septic System to be Installed in Accordance With 310 CMR 15.00& Bottom Area=22.5'X 42'=945 SF Ids SAM IM SAM LAW?a"=rmL� a I>�78"I MR VXX 1 p 1203 SF Total Provided a11AYER21Y44 oLAYMZS•au 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable LIGBErr'ZII.O"®BRDWN uow»uvnsa uLIS laz 11E NW.SAM 4n laz ME.SAM u Board of Health Regulations. LEACHING CHAMBER DESIGN N°° °� °° ROOROGlmWArlRi tKOVNIII>a NOORovtroacArala+cooxl� NGGROOfIDWAlII a14COON118ID 7.All Piping to be Sch.40 PVC. 8.Inlet Tees Shall Extend a Minimum of 10" All Pipes to be Schedule 40. Use Below the Flow Line. 10-500 Gal.Leaching Chambers in 9.An Outlet Tee with Gas Beffle Shall Extend 14"Below the Flow Line. Washed Stone Fields as Shown. 10.Existing Septic System to be Removed 11.Location and Elevation of Inverts from Existing Buildings to be Confirmed Prior to Construction. OF P SUUMAN ""T" m FM FkEPARE�er... nna; CNIL C Sure ,,,,�, S,{de:P/an.. vernents J. Robert Casey, Trustee Si111ivan Po 3.F P•`�" `F IRro1 Bonnybrook Cross Street Realty Trust 51 Commonwealth Avenue �� F'0°?"o-""rift 00-im „� 164 Oet��an View Avenue. Boston,'Massachusetts Bamstable(Cotult) Mass. 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