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0455 BRIDGE STREET - Health
f 455 BRI_D,GE�STIZEE;T Osterville . i. A = 07,2 - 035..07 i; . f I 6'-�• I I I s - - � w GS� �.. ATM I �� TUB/SHOWER O ® AC THE BATH — — ON FAN -Izrq CLOSET LPEH UNm <it0 5 O • � .g CO S.D. P P-1 FNISHED 3-8 ' I 1 '-71 S.D. 12'-161' ' I I I I I I ;D 04 o I I cR EIG. ROOM BEDROOM 25'-53 M I I I ?REVIOUS 2ND FLR SF 420 SF RENOVATED 2ND FLOOR AND ROOF REIYOYATED 2ND FLR SF 680 SF ADDED SF IN SAME FOOTPRNT 260 SF TO BE INSULATED TO MEET CODE REQUIREMENTS WITH CLOSED CELL SPRAY 'INSULATION MARTI NY DESIGN 51 7•293.4104 RENOVATED 2ND FLR A1 .1 370 , s � Ad ef�Lied DEED RESTRICTION WHEREAS, 1892 Investments LLC of 844 Highland Avenue, Needham MA 02492 is the owner of 455 Bridge Street located at Osterville, MA (hereinafter referred to as 455 Bridge Street) and being shown as Lot 10 on a plan entitled ."Subdivision of Land in Osterville, MA duly recorded in Barnstable County Registry of Deeds in Plan Book 170 Page 117; and WHEREAS, 1892 Investments LLC as the owner of said lot has agreed ' with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on this lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.200, State Environmental Code,Title V Minimum Requirements for the Subsurface,Disposal of, Sanitary Sewage; and WHEREAS,the Town of Barnstable Board of Health as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15,200, State Environmental Code, Title V Minimum Requirements for the Subsurface Disposal of Sanitary , Sewage, and authorizing the issuance of a building permit for the , construction of a single family home on this property, is requiring that this agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable ` Country Registry of Deeds by recording this document. NOW, THEREFORE, 1892 Investments LLC does hereby place the following restriction on his above-referenced land in accordance with this agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: 1. 455 Bridge Street, Osterville, MA may have constructed upon the lot a house containing no more than four (4).bedrooms.' 1892 h Investments LLC agrees that this shall be permanent deed restriction affecting 455 Bridge Street, located in Osterville, MA j and being shown on the plan recorded in Plan Book 170 Page 117. For title of 455 Bridge Street see the following deed: Book 26064 - Page 310. Executed as a sealed instrument, this 9th day of October, 2012'. 1892 Investments, LLC- Charles M. Steele, duly authorized Y COMMONWEALTH OF MASSACHUSETTS Norfolk, SS On this f!!! -•day of October, 2012, before me,the undersigned notary public, personally appeared Charles M. Steele,proved to me through satisfactory evidence of identification,which was ,D�rr'oh� to be the person whose name is signed on the preceding or attached document, and acknowledge_d to me that he signed it voluntarily for its stated purpose. e—� Notary Public, .Y.y- �brm� My commission expires: k - TOWN OF BARNSTABLE OCATION �S� �� �� �� SEWAGE# _Ji&I-' `VILLAGE ASSESSOR'S MAP&PARCEL 0'7J- INSTALLER'S NAME&PHONE NO. 9—"'.�?�-e r I C�ent_�.'® '7"7i SEPTIC TANK CAPACITY �r�sc� L'k i f e Y N� BCC f•�L , LEACHING FACILITY:(type) i (size) 4 1----3a ° v NO.OF BEDROOMS OWNER Oa r q p PERMIT DATE: C•1 j•14--- COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility - Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) , Feet Edge of Wetland and Leaching Facility(If any wetlands exist within o 300 feet of leaching facility) �� •— •7 Feet FURNISHED BYr.?1- 0 .7tyj r ���� e�s { ,� ra �� - _. ��3� �s�" y>G` -- — � 1 s3 � >�'� o o .. Zane c t=G�.�� ' ' G,`��� fi.e +.. ..r—... No. V��/.���,',] f4 _ 6� � Fee /od THE COMMONWE41LTH OF MASSACHUSETTS Entered in computer Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS �Wiration for Misposal �&pstrm Construction Permit Application for a Permit to Construct( ) Repair(k� Upgrade( ) Abandon( ) ❑Complete System 2Individual Components Location Address or Lot No. St' g.j�-- Owner's Name,�o Address,and Tel.No.�ui ply ��qa �� �, u-4- Assessor's Map/Parcel 45, o_ Iktstaller's N e,Address,and T 1.No. Sf>� ��/`y��g Designer's N e,Add°ess,and Tel.No. , �v�oly e�r?S��°ors, one, �arAe•��/ s �y�oeerrvt ` O�?Ca $Gt9 `P O Type of Building: pa Dwelling No.of Bedrooms r-I;ot Size q.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 41yU gpd Plan Date t�-XI a t) Number of sheets Revision Date/ ja Title Size of Septic Tank Type of S.A.S. ,)S -�owe 4,�, AIL 0_JW Description of Soil � -t t WA n AT- Nature of Repairs or Alterations(Answer when applica le) 3,;z - Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Hea Signed Date 'U / Application Approved by Date Application Disapproved by Date for the following reasons Permit No. /pL_J �/� Date Issued `o��6 _ 0 �� �} �p - as r No. �I P� 2 J Fee THE COMMONWEALTH-OF,MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS,. Yes �k` 2pplitation for Dispbsa1-6pstem ConstrUttion Permit Application fora Permit to Construct( ) Repair(o Upgrade j Abandon( ) ❑Complete System OZndividual Components Location Address or Lot No. VTS Owner's Name,Address,and Tel.No. Ul i'y 'a .• /3 qo2 .1r�1J�57�7�?lv}Y � LAC. Assessor's Map/Parcel Of) �IIn""staller's Name,Address,and Tel.No. ,SG$ Designer's Mile,Address;and Tel.No. eUr~a5�i'vc�r'orr, 1yeei'7� Type of Building: 1 Dwelling No.of Bedrooms riot Size �� 7 J 4Cr&--�5q.ft. . Garbage Grinder( ). Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ` Design Flow(min.required) V0 gpd Design flow provided �y U gpd f Plan Date._A, -�a ao'a- Number of sheets Revision Date 17j av /0h//;teJA TitleAn p Type �,� Size of Septic Tank c '� - T e of S.A.S.`y�/�� � 4&, Description of Soil a let Anr 6 01A�U All 44 rail n Nature of Repairs or Alterations(Answer when applica le) p "IL // G . 3 r, Date last inspected: + s 1 Agreement: _ ! The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental)Code and not to place the system in operation until a Certificate of (� Compliance has been issued by this Board of Health-' r ,r Signed /_. _�Z— _ Date Application Approve by - " Date Application Disapproved by 1� Date '< \f for the following reasons r' - Permit No. 1�)16/oZ -5 30 Date Issued 1Q/,/,` C j o/i 6 +4 S. PP�L �,�Sor✓r(� h,yl yr TH,COMMONWEALTH OF MASSACHUSETTS rkrc� �B S�r;P c�o�n Hti,r tf'i�l�w BARNSTABLE,MASSACHUSET TS 1004 ,,- IP, s Certificate of Compliante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(x) Upgraded( ) Abandoned( )by A A // dashzaf:�4;sn at ��<;7 r-y ,S+. nsLo ry ! le has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No--'I/D-. 3 56dated �Q h,5 J1 a Installer(;?7/yn�TTt_ a,1 P'Yl.7 f'7—MI• Designer ,4 _, rK ei%? #bedrooms Approve/design flow �f� gpd The issuance of this permits all not be construed as a guarantee that the syst��e°m will fun do d signed. Date �g �� Inspector 0 No. -an a, " Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS - Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) /Repair( Upgrade( ) / Abandon( ) System located at ��j�/� �7�• X�`/`U/�fl� and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be o/mplet/ within three years of the date of this'permit. Date �V f�I �( �4_�_ Approved1by • a ,r OCT-23-2012 13:15 From:BORTOLOTTI CONST 5084289399. To15087906304 P.1/1 Oct 2312 01:19p Cape and Islands Engineer 608-477-9072 P.1 Town of Barnstable. Regulatory Services 'riaomas F.Geiler,;Director $ . a Public Health Division MAX ���r• Thomas N[cKean,Director x 200 Wis Strosl, Hyannis.MA 02681 . O.f'f'icc: 508.8b?ra6aa °, ",Fux.'545-790-6304 Dater: sewage Fermi[#.201"L-3 Aza' sor's Mag/ParCe1F Installer&Dmiee r Certification Fornn Designer; LEov .F. I/Es, 'Installer: � t7 t'.r� �f1�vG Address: D, Address:. , ^LLB an was issued OLpermill. ixi fall a date (Inswllcr) tic stem at se i0 f 7' Ol r�it� baud on a design drav+n by 1' ' address) � � il �'1O•r �, dated- ICE It- (designer) t/ t certify thokt the septic'system referenced above was installed substantia!!y acc0 . ng 10 the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank, Stripoul (if required) was inspected and the soils were found satisfactory. - 1. certify that the septic system referenced above was. installed with'rnajor changes (i.e., greater than 10, lateral relocation of the SAS or any vertical relocation,of rang admponcnt of the septic system)but in accordance with Stare 8t Local Regulations. 'Plan revision or. certified as-built by designer.to-rollow. Stripout(if requir I ected and the sails, were found sa GLM " 50 � lnsta ler's Signature) $ NARS1l�Ca OK co faeS�gn s i re P..,Ir F HEX $ •r L CC FA . . ' ) Cd RT I Tl✓ 1 1F $ ,)ly T 1 v AS�• B r092-91R I B AD � C X LI ui '>l W K YOU. 2 q',���lonfomglklCeig��orlifusti�nru�mdoc . y , DEED RESTRICTION WHEREAS, 1892 Investments, LLC, of.844 Highland Avenue, Needham MA 02492 is the owner of property located at 455 Bridge Street, Osterville, MA (hereinafter referred to as 455 Bridge Street) and being shown as Lot 10 on a plan entitled "Revision of Lots Nos. 7, 8 &9 at Little Island, Osterville, Mass" duly recorded in Barnstable County Registry of Deeds in Plan Book 170 Page 117; and WHEREAS, 1892 Investments LLC as the owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on this lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.200, State Environmental Code,Title V Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; and WHEREAS,the Town of Barnstable Board of Health as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code,Title V Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that this agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable Country Registry of Deeds by recording this document. NOW,THEREFORE,1892 Investments.LLC does hereby place the following restriction on the above-referenced land in accordance with this agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title:' 1. 455 Bridge Street, Osterville, MA may have constructed upon the lot a house containin&no more than four (4) bedrooms. The existing den shall not be used as a bedroom. 1892 Investments LLC agrees that this shall be permanent deed restriction affecting 455 Bridge Street,located in Osterville, MA and being shown on the plan recorded in Plan Book 170 Page 117. 4 For title of 455 Bridge Street see the following deed: Book 26064 Page 310. Executed as a sealed instrument,this 9th day of October, 2012. 189'2 Investments, LLC ��. A sn'� Charles M. Steele, duly authorized COMMONWEALTH OF MASSACHUSETTS Norfolk, SS On this day of October, 2012,before me,the undersigned notary public, personally appeared Charles M. Steele, proved to me through satisfactory evidence of identification,which wasD�r�bi�a� kvz:� , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. 74,L.6, - Notary Public ` My commission expires: Aw e T 0 W 0 7- F,A R N"ST A S E �-T 2012 7 D I VI 10 �r --r"� O n r-. 1 cn N V N LAUNDRY v m KITCHEN Q GARAGE DINING m ROOM m m UTIL. ri.ns. ROOM CLOS. BAT14 LIVING ROOM DEN cn 0 V 0 FIRS'f F`L,CUOR PLANS N TIOUSE 1-4-0.455 BRIDGE ST. LOCATED IN OSTERVIEEE,MASS. DA TE:OCT.2,20122 NOT TO SCALE CAFE & ISEAN17S ENGINEERINC'r MASHPEJC,MASS. Z Town of Barnstable Barnstable Board of Health j�"a�j 4 9°A n� 200 Main Street,Hyannis MA 02601 i639. �e 2007 Office: 508-862-4644 = Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi November 19, 2012 Mr. Glen Harrington, R.S. 9 Leda Rose Lane Marstons Mills, MA 02648 455 Bridge Street, Osterville A = 072`03 5R E. 7 . ,e 4 Dear Mr. Harrington, x q} You are granted a conditional variance on behalf of your client, Tom Quinn, to. construct an onsite sewage disposal system at 455 Bridge Street, Osterville. The variances granted are as follows: 310 CMR 15..405 f11fh1: To install the soil absorption system four feet above the groundwater table in lieu of the five feet vertical separation.; requirement. Section 360.1 of the Town of Barnstable Code: To install the septic tank 70 k feet away from a bordering vegetative wetlands, in lieu of the. minimum 100 feet separation distance required. Section 360 1 of the Town of Barnstable Code: To install the pump chamber 86 feet away from a bordering vegetative wetlands, in lieu of the: minimum 100 feet separation distance required. Section 360 1 of the Town of Barnstable Code: To install a soil absorption system 78 feet away from a bordering vegetative wetlands;- in,lieu.of the minimum 100 feet separation distance required. This variance�is granted with the following conditions: (1) The ergineering plan shall be revised to show the setbacks and.variances -to the`coastal bank. QAWPFILES\HarringtonQuinn455 BridgeStOst Oct2012.doc (2) No more than four (4) bedrooms are authorized at this property.. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection: (3) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four bedrooms maximum. A. copy of the recorded deed restriction shall. be submitted to the Health Agent prior to obtaining a disposal works construction permit. (4) The septic system shall be installed in strict accordance with the revised engineered plans. - . -(5) The designing registered sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised plans. This variance is granted because the proposed plan appears to meet the maximum feasible design standards contained. within the State Environmental.. Code, Title 5 and local Health Regulations. The registered sanitarian designed the septic system to be located in an area to attempt to maximize setbacks to wetland . Since ly yours,- Wayne Mill r, M.D. Chairman r Q:\WPFILES\HarringtonQuinn455 BridgeStOst Oct20I2.dOC DATE: FEE: MAW • ,�►st ,�, , I- p tN � M. BY Town of Barnstable s®. DATE: I (2 Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-M2.4(A4 Wayne A.Miller,MD. FAX: 508-79"304 Jimichi Sawayanagi Paul J.Canaiff,DAI D. VARIANCE REOIIEST FORM �,OCATION Property Address:_4 Y I3 A,�- S�f-_ ®S*e-&-&- tie- Assessor's Map and Parcel Number. ��T� j Size of Lot: �9 /f C Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: APPLICANT'S NAME: �Cl Vyt h k7 Phone Did the owner of the properly authorize you to represent him or her? Yes ✓ No C PROPERTY OWNER'S NAME CONTACT PERSON . y € Name: &C-ar ti _ Name: ' �p •,a' �" ° ; Address: Address: Phone: Phone: r Ff 2�" _T VARIANCE FROM REGULATION(tom Rog) REASON FOR VARIANCE(May attach if more space needed) '3!t? CA4tt>S''for(1)(14� t 'oGr.o., Ab Ew * -eA co 070-r"e e'r~ Y-- a.�r re 5� fI�if 7 ce—/ .c>�c1 ` dy ii3 yH.. c- do NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate c oarleted sets. _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.&septic system plans) _ Completed seven M page checklist confirming review of engineered septic system plan by submitting engineer or register sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.how plans or restaurant later plans) _ Signed letter stating that the property owe authorized you to n:presem hu lher 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 ownerflessee onlyb outside dining variance renewals[same ownedkasee only],and variances to repair failed sewage disposal systems[only if no expansion to the Wilding pal) _ Variance request submitted at least 15 days prior to meeting date s VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Jumchi Sawaywagi REASON FOR DISAPPROVAL Paul L CannK D.M.D. C:\Users\decollik\AppData\Local\Kicrosoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC i y Excerpt from the Board of Health Meeting—October 9, 2012: , B. Glen Harrington representing 1892 Investments, LLC, owner— 455 Bridge Street, Osterville, Map/Parcel 072-035, 1.79 acre lot, three variances requested to repair failed septic system. APPROVED WITH CONDITIONS. The Board voted to approve the plan submitted with the following conditions: 1) the setback variance to a bordering vegetated wetland is re-worded to read..a setback to coastal bank, 2) record a four-bedroom deed restriction - including a sentence stating the den will not be used as a bedroom - at the Barnstable County Registry of Deeds, and 3) a proper copy of the deed restriction be submitted to the Barnstable. Public Health Division. r a k s l Town of Barnstable pF THE 1p� Board of Health BARNSTABLE, + 200 Main Street - Hyannis MA 02601 P MASS. 039• aIED MAC A d , Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on // Z the Petitioner(s), G AP-Al 4 regarding the property at the petitioner(s)and the Board of Health agree that the Board of Health has until (insert date)to act upon the Petitioners' completed application for a variance. In executing this Agreement, the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. Petitioner(s): Board of Health: , Signature: Signature: etitioner(s)or etition s R p esentative F. r Chairman >Print: C. Print: Wayne•Miller, M.D: Uwe. - ,�f . Date: Date: .. Address of Petitioner(s)or Petitioner's Representative Town of Barnstable Board of Health Public Health Division -200 Main Street Hyannis, MA 02601 Phone: (508) 862-4.644 Fax: (508) 790-630.4 file q:extend.doc TRANS. NO.: CITY/TOWN: APPLICANT: M4-C,L s Ooya-\ ADDRESS: q,�h Cl�S�- �t DESIGN FLOW: Y1D gpd REVIEWED BY: DATE: N/A OK NO GENERAL Legal boundaries denoted 310 CMR 15.220(4)(a)] Street, Lot,tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] ✓ Locus Provided [310 CMR 15.2204(t)] ✓ Plan proper scale?(1"=40' for plot plans, 1"=20'or fewer for components) [310 CMR-15.220(4)] i/ Easements shown [310 CMR 15.220(4)(b)] V System located totally on lot served [310 CMR 15.405(l)(a) for upgrades]-i not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces(driveways,parking areas etc.) ✓ [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR ✓ 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] System Calculations [310 CMR 15.220(4)(f)] daily flow septic tank capacity (required andprovided) ✓ soil absorption system (required andprovided) whether system designed for garbage grinder North arrow [310 CMR 15.220(4)(g)] Existing and ro osed contours [310 CMR 15.220(4)(g)] Location and log of deep observation holes(existing grade el.on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR ✓ 15.220(4)(h)and(i)] Location and date of percolation tests(performed at proper / elevation?) [310 CMR 1.5.220(4)(i)] V Percolation test results match loading rate? [310 CMR 15.242] ✓ Certification statement by,Soil Evaluator[310 CMR 15.220(4)0)] ✓ Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3)and 310 CNM 15.220(4)(n)] Address .��� Sheet 1 of 7 N/A OK NO Location of every water supply,public and private, [310 CMR ✓ 15.220(4)(k)] within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply within 250 feet of the proposed system location in the case VII within 150 feet of the proposed system location in the case of private water supply wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 1.5.211 and any catch basins .V located within 50 ft. [310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located [310 CMR 15.220(4)(m)] if water line cross see 310 CMR 15.211 1 1]) Profile of system showing invert elevations of all system / components and the bottom of the SAS [310 CMR 1.5.220(4)(o)] Stamp of designer[310 CMR 15.220(1)and 310 CMR 15.220(2)] V/ Stamp of Registered Land Surveyor(required if construction ✓ activities within 5 ft. of lot line) [310 CMR 15.220(3)] Test Holes adequate(two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2)or as approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] Test hole adequate to demonstrate four feet of suitable material? [310 CMR 15.103(4)] 4 Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] Benchmark within 50-75'of system [310 CMR 15.220(4)( )] Materials specifications noted? [various sections of 310 CMR 15.000] System components not>36" deep(unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b)] Address5� _ �� Sheet 2 of 7 i N/A OK NO SEPTIC TANK Size OK? [310 CMR 15.223(1)] Inlet tee located ten inches below flow line [310 CMR 15.227(6)] Outlet tee 14" or 14"+5"per foot for increase ft depth [310 CMR 15.227(6)] Outlet tee with gas baffle or approved filter[310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(1)] Separation between inlet and outlet tees(no less than liquid depth) [310 CMR 15.227(2)] L ✓ Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5))or permitted for upgrades under LUA [310 CMR 15.405(l)(k)] ,.Y. Minimum cover 9" (Tanks buried more than 9"must have risers on all openings and on the d-box) [310 CMR 15.2228(1)and 310 CMR 15.232(3)(f)] Three access covers(inlet and outlet must be 20" or greater)- / middle access at least 8" (b 7/07) [310 CMR 15.228(2)] l� Access to within 6 " of grade -one port for systems<1000gpd, two fors stems>1000 gpd [310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > 10 ft from building foundation [310 CMR 1.5.211(1)] Buoyancy calculation Required/Done [310 CMR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211] P , . Multi-Com artment Tanks Required when other than single-family dwelling or flow>1000 d [310 CMR 15.223(1)(b)] First compartment 200%daily flow; Second compartment 100% daily flow [310 CMR 15.224(2)and (3)] "U" pipe through or over baffle,outlet of each compartment with / gas baffle or approved filter[310 CMR 15.224(4)] Address RL Sheet 3 of 7 N/A OK NO ' BUILDING SEWER AND OTHER PIPING Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least 18" below water line(when water and sewer cross, see 310 CMR 15.211(1) 1 Cleanouts required/provided? [310 CMR 15.222(8)] Thrust blocks specified in force mains?310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] ✓ Proper pitch on all runs?(.005 within gravity-distributed trenches ✓ and beds) [310 CMR 15.251(9)and 310 CMR 15.252(2)(c)] Siphonproblem/(leachfield below pump chamber) Endca s or vent manifold specified? Size and orientation of discharge holes specified?(not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8)and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) DISTRIBUTION BOX Stable compacted base [310 CMR 15.221(2)and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided?(when pressure sewer to d-box or steep pitch of gravity sewer) [310 , / CMR 15.323(3)(a)] W Riser if deeper than 9" [310 CMR 15.232(3)(f)] Inside minimum dimension 12" [310 CMR 15.232(2)(b)] V_ Minimum sum 6" [310 CMR15.232 3 (e)] V Watertight cover if<2000gpd);waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] PUMP CHAMBERS Capacity(emergency storage above working--design flow)? [310 CMR 231(2)] Proper setbacks [310 CMR 15.211 (same as septic tanks)] Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE [310 CMR 15.231(5)1 Service components accessible(not too deep with piping, disconnects accessible) Alarm floats-alarm on circuit separate from pumps specified? ✓ Exceeds two units must have two pumps operating in lead-lag / mode. 310 CMR 15.231(6) and(8)] Stable Compacted Base [310 CMR 15.221(2)] Buoyancy calculations needed?Provided? [310 CMR 15.221 8)] Address Sheet 4 of 7 N/A OK NO SOIL ABSORPTION SYSTEMS (SAS) GENERAL Calculations correct? ✓ 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] Required separation to groundwater? [310 CMR 15.212)] Aggregatespecified as double washed [310 CMR 15.247(2)] System Venting required/provided?(system under driveway or >36" deep) [310 CMR 15.241] Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] Breakout requirements met?(No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(l)[4] and ✓ Guidance Document] GALLERIES,PITS,CHAMBERS 310 CMR.15.253 Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] V/ Each structure with one inspection manhole(if>2000 gpd must ✓ be tograde) [310 CMR 15.253(2)] Aggregate I'minimum-4'maximum. [310 CMR 15.253(1)(b)] ✓ 2'sidewall credit maximum [310 CMR 15.253(1)(a)] In bed configuration, inlet every 40 s . ft. [310 CMR 15.253(6)] ✓ TRENCHES 310 CMR 15.251 Width T minimum Y maximum [310 CMR 15.25l(1)(b)] 100 feet-maximum length [310 CMR 15.251(1)(a)] ;/ Minimum separation 2x effective depth or width whichever greater(3x if reserve between trenches) [310 CMR 251(1)(d)] Situated along contours [310 CMR 15.251(2)] ✓ Breakout OK? [310 CMR 15.21](1)[4] and Guidance Document ✓ BED SAS(Maximum size of bed or field 5000 gpd) minimum 2 distribution lines [310 CMR 15.252(2)(a)] ✓ Maximum separation between lines 6' [310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] �✓ Aggregate depth below discharge pipes 6" minimum, 12" maximum. [310 CMR 15.252(2)(g)] Separation between beds 10'minimum. [310 CMR 15.252(2)(f)] Bottom area used in calculations and [310 CMR 15.252(2)(i)] Address = [. Sheet 5 of 7 N/A OK NO DID THE PLAN INVOLVE Pressure Dosed System ? Provided pump and piping calculations as required [310 CMR 15.220(4)(r)] Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2)and I/A Remedial Use Approvals] If used in gravelless system-make sure jet is directed as not to scour soil interface [Guidance Document] Inspections once per year(systems<2000 gpd)or quarterly (>2000 d)good to note on plan [310 CMR 15.254(2)(d)] Construction in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall? [Guidance Document] Impervious barrier installation must be supervised by / designer[310 CMR 15.255(2)(b)] V Retaining wall must be designed by Registered Professional Engineer [310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? [31.0 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2)and / Guidance Document] v At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended [310 CMR 15.255 (2)(e)] V Gravelless System[I/A Approval Letters] Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface Alternative Septic System IVA Approval Letters) Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Any alarms involved on se arate circuits Did the applicant submit an operation and maintenance manual? Has applicant submitted a copy of a maintenance Variances Are the variances listed on the plan? [310 CMR 15.220 (4)( )] RLS Stamp necessary on plan if a component is within five feet of property line 310 CMR 15.412(4)] New construction or increased flow proposed- [Refer to 310 CMR 15.4141 Address45�' 0� �� Sheet 6 of 7 V N/A OK NO Nitrogen Sensitive Areas Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216-also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well.? V [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR ✓ 15.216(1)] Miscellaneous Pumping to septic tank? [310 CMR 15.229] Shared System [310 CMR 15.290] ✓ Address �� �e.l Sheet 7 of 7 Page 1 of 1 Desmarais,Donald From: ape88@comcast.net Y Sent: Monday, August 27, 2012 10:29 PM To: Desmarais, Donald Cc: ciengineering@aol.com Subject: Re: plans Hi Don, Sorry I meant to give you a call on these. The plans are preliminary only. We will , submit the application, variance request forms, final plans after your review with the checklist. If you want is to pay for a second review, no problem. We were getting some serious heat from the owner now that a buyer is involved (actually 2 buyers) so we had to submit something. I know that the manifold detail is wrong going into the chambers. Twill redo that detail. I will double-check all the calculations, too for the pressure distribution. The location of the tanks and SAS should not change, a note for the maintenance of the zabel filter will be on there, along with a note for the manhole over the pump to be at grade. The perforated laterals will be supported by the installation of the end caps of the plastic chambers, then plastic or stainless steel hangers will not be necessary. Please let me know what your comments are and we revise and resubmit. Thanks, i Glen From: "Donald Desmarais" <Donald.Desmarais@town.barnstable.ma.us> To: ape88@comcast.net Sent: Monday, August 27, 2012 3:54:27 PM Subject: plans Glen, Please remind me what these plans are that you had dropped of for 455 Bridge St.? Donald Desmarais RS Health Inspector Town of Barnstable 508-862-4740 Hi 9/5/2012 LAUNDRY KITCHEN GARAGE DINING ROOM UTIL. CLOs. ROOM CLOS. BATH LIVING ROOM DEN FIRST FLOOR PLANS HOUSE 17-40.455 BRIDGE ST. LOCATED IN OSTERVILLE,MASS. DATE:OCT.2,2012 NOT TO SCALE CAPE & ISLANDS ENGINEERING MASHPEE,MASS. BATH ✓ BEDROOM #1 BEDROOM #2 BATH BEDROOM #4 CLOSET CLOSET BEDROOM #3 BATH BATH SECOND FLOOR PLANS HOUSE N0.455 BRIDGE ST. LOCATED IN OSTERVILLE,MASS. DATE:OCT.2,2012 NOT TO SCALE CAPE & ISLANDS ENGINEERING MASHPEE,MASS. r . 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.254: Pressure Dosing and Pressure Distribution (1) Gravity Distribution. (a) Dosing systems employing gravity distribution to the soil absorption system shall be restricted to systems designed to accept less than 2,000 gpd. (b) The dosing chamber and pumps shall be designed in accordance with 310 CMR 15.231. (c) Distribution lines to the soil absorption system shall have a minimum diameter of two inches and shall otherwise be in conformance with the provisions of 310 CMR 15.25 1(Trenches). (d) Septic tank effluent shall be dosed to the'soil absorption system at a rate based on volume and number of doses that prevent the ponding of the effluent in the soil absorption system. ,) (2) Pressure Distribution.: (a) Pressure distribution of septic tank/recirculating sand filter effluent to the soil absorption system shall be required for a system to serve a facility with a design flow of 2,000 gpd or greater,a system that is not designed to discharge by gravity either from the septic tank or to the soil absorption system,a system designed for intermittent discharge of effluent to the soil absorption system,and a system with a multiple soil absorption system,unless otherwise determined in writing by the Department. (b) ' The pumping chamber and pumps shall be designed in accordance with 310 CMR 15.231 (c) The pressure distribution system shall be designed in accordance with Department guidance. (d) Pumps, alarms and other equipment requiring periodic or routine inspection and maintenance shall be operated, inspected and maintained in accordance with the manufacturer's and the designer's specifications and Department guidance. In no instance shall inspection be performed less frequently than once every three months for a system serving a facility with a design flow of 2,000 gallons per day or greater and annually for a system serving a facility with a design flow of less than 2,000 gallons per day. The system owner shall submit the results of such inspections to the local Approving Authority annually ' by January 3 1"of each year for the previous calendar year. 15.255: Construction in Fill (1) Any system where fill is required to replace topsoil,peat or other unsuitable or impervious soil layer above the requisite four feet of naturally occurring pervious material is a system constructed in fill. Any system constructed in fill which extends either wholly or partially above natural grade for the purpose of complying with 310 CMR 15.212(depth to groundwater)is a mounded system. All soil absorption systems constructed in fill shall be sized using the soil class of the underlying naturally occurring pervious material. (2) The finished side slopes of a mounded system shall not be steeper than 3:1 (horizontal:vertical). A minimum 15 foot horizontal separation distance shall be provided between the soil absorption area and the adjacent side slope as measured'from the edge of the top of the two inch layer of. to%inch washed stone aggregate or geotextile fabric cover. The toe of the slope shall be a minimum of five feet from any property line, or a swale or other drainage system directing runoff away from the adjacent property shall be installed.Adjustments to the above horizontal separation may be allowed if a suitable impervious barrier is installed to prevent potential sewage breakout. The impervious barrier shall meet the following requirements: (a) the impervious barrier shall be designed by a Massachusetts Registered Sanitarian or a Massachusetts Registered Professional Engineer. (b) construction of the impervious barrier shall be supervised by the designer. (c) prior to issuance of a Certificate of Compliance, the applicant shall submit to the Approving Authority an as-built plan prepared and certified by the designer that'the impervious barrier has been constructed in accordance with the approved design plan. (d) the elevation of the top of the impervious barrier shall be no lower than the"breakout" elevation,which is the elevation of the top of the two inch layer of. inch to''/Y inch washed stone aggregate cover. (e) the recommended distance from the impervious barrier to the edge of the soil absorption system closest to the barrier should be at least ten feet. r 310 CMR: DEPARTMENT OF ENVIRONMENTAL.PROTECTION 15.220: continued (4) Every plan for a system shall be of suitable scale(one inch=40 feet or fewer for plot plans and one inch=20 feet or fewer for details of system components)and shall include depiction of: (a) the legal boundaries of the facility to be served; (b) the holder and location of any easements appurtenant to or which could impact the system; (c) the location of all dwelling(s)and building(s)existing and proposed on the facility and identification of those to be served by the system; (d) the location of existing or proposed impervious areas,including driveways and parking areas; (e) location and dimensions of the system(including reserve area); (f) system design calculations, including design daily sewage flow, septic tank capacity (required and provided); soil absorption system capacity (required and provided); and whether system is designed for garbage grinder; (g) North arrow and existing and proposed contours; (h) location and log of deep observation hole tests including the date of test,existing grade elevations marked on each test, and the names of the representative of the Approving Authority and soil evaluator; (i) location and results of percolation tests including the date of test and the names of the representative of the Approving Authority and soil evaluator; 0) name and approval date of the Soil Evaluator of record; (k) location of every water supply,public and private, 1. within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply wells, 2. within 250 feet of the proposed system location in the case of tubular public water supply wells,and 3. within 150,feet of the proposed system location in the case of private water supply wells; (1) any surface waters of the Commonwealth,Zone As,rivers,bordering vegetated wetlands, salt marshes, inland or coastal banks, regulatory floodway,velocity zone, surface water supplies,tributaries to surface water supplies,certified vernal pools,private water supplies or suction lines,gravel packed or tubular public water supply wells,and subsurface drains located up to 100 feet beyond the setback distances in 310 CMR 15.211,any Teaching catch basins and dry wells located up to 25 feet beyond the setback distances in 310 CMR 15.211; and the location of any nitrogen sensitive area identified in 310 CMR 15.215 within which any portion of the facility or the proposed system is located as well as any nitrogen sensitive area up to 100 feet beyond any property line of the facility. (m) location of water lines and other subsurface utilities on the facility; (n) observed and adjusted ground-water elevation in the vicinity of the system; (o) a complete profile of the system; (p) a note on the plan listing all variances to the provisions of 310 CMR 15.00O sought in conjunction with the plan; (q) the location and elevation of one benchmark within 50 to 75 feet of the system components which is not subject to dislocation or loss-during construction on the facility; (r) when pressure distribution or dosing is proposed,complete design and specifications of r the distribution system proposed including but not limited to dosing chamber capacity (required and provided),pump curves and specifications,number of dosing cycles and depth`LL per cycle; - (s) when a Recirculating Sand Filter or equivalent alternative technology is required or proposed,a complete plan and specifications for the system,including a hydraulic profile; (t) a locus plan to show the location of the facility including the nearest existing street; (u) the street number and lot number,if any,and the tax map number and lot number,if any, of the facility;and (v) the materials of construction and the specifications of the system. 15.221: General Construction Requirements for All System Components (1) All tanks,including septic tanks,distribution boxes,pump chambers,dosing chambers and grease traps,shall be either: (a) watertight through manufacturer's specification and warranty;or (b) made watertight by the manufacturer,equipment supplier or installer using asphalt or synthetic polymer sealer specified by the concrete or synthetic material manufacturer. L Official Website o 'The Town of Barnstable - Property Lookup Page 1 of 1 Select Language V Assessing Division Property Lookup Results - 2012- 367 Main Street,Hyannis,MA.02601 _ <<BACK TO SEARCH<< € Print Friendly Owner Information-Map/Block/Lot:072 1 035/-Use Code:1010 Owner Owner Name as of 111/12 IRWIN,DANIEL N Map/Block/Lot GIS MAPS 844 HIGHLAND AVENUE 072/035/ NEEDHAM,MA.02494 Property Address Co-Owner Name %1892 INVESTMENTS,LLC 455 BRIDGE STREET Village:Osterville Town Sewer At Address:No — __........ ._..... ........... Assessed Values 2012-Map/Block/Lot:072/035/-Use Code:1010 _ ......... ................... 2012 Appraised Value 2012 Assessed Value Past Comparisons Building Value: $329,300 $329,300 Year Total Assessed Value Extra Features: $45,100 $45,100 + 2011-$2,295,000 Outbuildings: $24,800 $24,800 2010-$2,296,800 !Land Value: $1,905 300 $1.905,300 2009-$2,483,000 2008-$2,576,600 2007-$2,617,300 2012 Totals $2,304,600 $2,304,500 2006-$2,636,400 .. Tax Information 2012•Map/Block/Lot.072/035/ Use Code: 1010 Taxes I C.O.M.M.FD Tax(Residential) $3,295.44 Fiscal Year 2012 TAX RATES HERE Community Preservation Act Tax $582.12 , Town Tax(Residential) $19,403.89 $23,281.45 Sales History-Map/Block/Lot:072 1 035/-Use Code:1010 , ............ _.............. History: Owner: Sale Date Book/Page: Sale Price: IRWIN,DANIEL N 12/18/2008 23321/94 $1 IRWIN,DANIEL N&KATHERINE 10/17/1997 11011/103 $1000000 MILLER,RONALD W&DIANE D 8/15/1990 7250/170 $100 MILLER,RONALD W&DIANE D 11/15/1988 6530/114 $1400000 MINARD,FRANK&LYNNE 4/15/1984 4075/325 - $650000 RICHARDS,ALTHEA R 6/22/1962 1162/574 $0 1892 INVESTMENTS,LLC 2/8/2012 26064/310 $1900000 .... .... ......... Sketches-Map/Block/Lot:072/035/-Use Code.1010 . , 1 2°12_ ' B _ . As Built Ciard&Clickcard#to view:Card#1 1 Constructions Details-Map/Block/Lot:072/035/-Use Code:1010 .. ............. ..... ......... ........ Building Details Land http:/,/www.town.barnstable.ma.us/Assessing/propertydisplayscreen l2.asp?searchparcel=07... 9/5/2012 Official W&site of The Town of Barnstable - Property Lookup Page 1 of 2 .�' Building Details Land Building value $329,300 Bedrooms 4 Bedrooms USE CODE 1010 Total Improvements Value $406,504 Bathrooms 4 Full+1H Lot Size(Acres) 1.79 Model Residential Total Rooms 8 Rooms Appraised Value $1,905,300 - Style Colonial Heat Fuel Oil Assessed Value $1,905,300 Grade Custom Heat Type Hot Water Year Built 1958 AC Type None Effective depreciation 19 Interior Floors Hardwood Stories 2 Sty w/UAT Interior Walls Plastered Living Area sq/ft 3,504 Exterior Walls Wood Shingle, i Gross Areasq/ft 7,140 Roof Structure Gable/Hip i Roof Cover Wood Shingle i i Outbuildings&Extra Features-Map/Block/Lot:072/035/-Use Code:1010 Code http://www.town.bamstable.ma.us/Assessing/propertydisplayscreenl 2.asp?searchparcel=07... 9/5/2012 Map Page 1 of 1 Town of Barnstable Geographic Information System New sear Parcel Viewer I Custom Map Abutters Map Size 1 Zoom Out 011 o n n i fin I P G Map:.072 Parcel: 035 & Location: 455 BRIDGE STREET cotudBay a� ' Owner:' IRWIN,DANIEL N North Bay Location Information p Map&Parcel 072035 \ f Location 455 BRIDGE STREET _ - Acreage 1.79 acres q - 0 Current Owner Cel Mailing Address IRWIN,DANIEL N .bf Eqt gy �y q %1892 INVESTMENTS,LI 844 HIGHLAND AVENUE NEEDHAM,MA 02494 Appraised Value(FY 2012) a" Z. Extra Features $45,100 Out Buildings $24,800 Land - $1,905,300 _ {` Buildings $329,300 All 4 ,��t" ® i E Total Appraised $2,304,500 Ij `•o +�� � Assessed Value(FY 2012) Extra Features $ ,100, a Out Buildings $2424,800 A 4') Land $1,905,300 1� Buildings $329,300_ 0 Total Assessed $2,304,500 Construction Detail. p - Style Colonial . 4 Model Residential Grade Custom q k*sf Bay Stories 2 Sty w/UAT e� Exterior Wall Wood Shingle Roof Structure Gable/Hip Roof Cover Wood Shingle Interior Wall Plastered 0 508 F et g Interior Floor Hardwood Heat Fuel Oil Heat Type Hot Water _ AC TypeNone Set Stale 1"=508 I Aerial Photos I MAP DISCLAIMER Number of 4 Bedrooms Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2.4379[Production] - t http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=072035 9/5/2012 O 0 � N CIl 0 BATH �u BEDROOM #1 �- BEDROOM #2 BATH BEDROOM #4 m CLOSET CLOSET BEDROOM #3 BATH BATH cn 0 V V , O SECOND I,Loc)Fl PL.AI'I"S N I4OUSE No.455 BaIDGE ST. LC)CA.TED IN C)STFaV 1LLE,MASS. Uo.ATE.C)cT.2,2012 NOT TO SCALD; N CAPE & ISLANDS ENCrINFERINCi 1\4ASHPEE,1\4A.SS. Z 203 498 765 US Postal Service Receipt for Certified Mail '; No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to P ce,State, Cod ,• - 02 6J S Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee L Return Receipt Showing to . Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees is M Postmark or Date COLL a r M ' I I Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). I 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 Q) return address of the article,date,detach,and retain the receipt,and mail the article. LO j 3. If you want a return receipt,write the certified mail number and your name and address 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. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. W CO) 5. Enter fees for the services requested in the appropriate spaces on the front of this E II receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6. Save this receipt and present it if you make an inquiry. 102595-97-8-0145 d �t Town of Barnstable Department of Health,Safety,and Environmental Services B"M8fAB1E' Pu MAW blic Health Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Thomas A McKean,RS,CHO FAX: 508-790-6304 Director of Public Health January 6,1998 Mr. Don Irwin 455 Bridge Street, Osterville,MA 02655 ORDER TO COMPLY WITH 310 CMR 15.00,THE STATE ENVIRONMENTAL CODE, TITLE 5. The septic system owned by you located at 455 Bridge Street,Osterville was inspected on September 22, 1997 by Joseph Macomber,Jr. 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: • Liquid depth in flow diffusors was over the top of the invert pipe. • Back up of sewage into system component due to an overloaded or clogged soil absorption system. • Hydraulic failure was evident." You are directed to hire a licensed professional engineer(PE)to design a system that will bring the septic system in compliance with 310 CMR 15.00,The State Environmental Code,Title 5 within twenty-one (21)days of your receipt of this letter. You are also directed to hire a licensed septic system installer to install the system components within forty-five(45)days of your receipt of this order. 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 TH BOARD OF HEALTH Thomas A.McKean,R.S.,C.H.O. Agent of the Board of Health �1HET Town of Barnstable Department of Health, Safety, and Environmental Services `ARN3CAB ' MAW Public Health Division � 1639• � prEo3°' 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health M n DATE: ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL CODE, TITLE 5. _Q / The septic system owned by you located at � R`T &�`(� was inspected on by 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 followin Qr c o 405ZVP�7� �S �r��1�L ���.ve Yo re directed to hire a licensed professional engineer (PE) to design a system that will bring the septic system in compliance with 310 CMR 15.00, The State Environmental Code, Title 5 within twenty-one (21) days of your receipt of this letter. You are also directed to hire a licensed septic system installer to install the system components within forty-five (45) days of your receipt of this order. 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 q%a1thldbC1aVit1e5ed0e o DATE . _ 10/ ` 7 �� i PROPERTY ADDRESS: 455 Bridge STreet cc OC� Osterville,Mass. 1 02655 9`9, S Co On the above date, I Inspected the s-eptic system at the -above address. This system consists of the following: 1 , 1 -1500. gallon septic tank. 2 '#-8 ' x4 ' Flow Diffussors :940-'by Sly Based on my Intkc�ectlon, I certify the following condltlons: 1 . This is a title septic system. ( 78 Code ) 2 . The septic system is in failure. Must be upgraded • to the 95 Code. 3 . The system is presently filled to capacity. - SIGNATURE : zz n Name : J • P . Macomber Jr., i -------.--------------- Company: J , F , MacocOer &- Son _Inc d d r e s s :_vcX-66------.I----.-- __Centervil Le `Mass�_02632 Phone : S ,S-.3338_______ I THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY • OSEPH P. MACOMBER & SON, INC. ' T+nkrC�upool►-L��thfleld� . Pump+d G Init.11lyd Town Sower Connectloni P.O. Box 66 • Centerville, MA 02632.0066 775-3338 775-b-012 I COMMONWEALTH OF MASSACHUSETTS �T EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS UVF DEPARTMENT OF ENVIRONMENTAL PROTECTIO'ONE WINTER STREET, BOSTON. MA 02108 61)-29' 55000 1AILLI-0iF HELD T - GoN error �c ARGEO PAIL CELLUCCI Li Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 455 Bridge Street Osterville Address of owner: Date of Inspection: 9/2 2/9 7 (If different) Name of Inspector: Joseph P. Macomber JR. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: J.P.MAC C)Mhpr & Snri IMC. Mailing Address: BOX 66 C'pnfiprvi 1 le, Mass 02632 Telephone Number: 508-775-3338 CERTIFICATION STATEMENT I cen&y that i have personally nspecied the sewage disposal system at this address and that the information reported Flo•• is u e ac:_ and complete as of the time of inspection. The inspection was performed based on my training and experience in the oro7er i:_nc r a^ maintenance of on-site sewage disposal systems. The system. _ Passes Conditionally Passes _ Needs Further Evaluation By the Local Approving Authonry Fails Inspector's Signature: Date: 1 —1441 "G 7 The System Inspector shall submit a copy of this inspection report to the Approving Authoriry within thirty (30) days of compe(jng rnspect,On If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system ovT"ef snap s,o, the repon to the appropriate regional office of the Depanment of Environmental Protection. The original should be sent to me svne.rn ow and copies sent to (he buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, Or D: A) SYSTEM PASSES: /02 1 have not found any information which indicates that the system violates any of the failure criteria as def,ned r. 310 Any failure criteria not evaluated are indicated below. COMMENTS: B) SYSTEM CONDITIONALLY PASSES: Wd One or more system components as described in the "Conditional Pass" section need to be replaced or repaired Tne completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes,.no. or not determined (Y, N, or NO). Describe basis of determination in all instances. If 'not determined-, explain ,, �0: The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Cer i ,c-�:e Compliance (anached) indicating that the tank was installed within rwenry (20) years prior to the date of tr-e ins:�_:on the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or eowrat�or to failure is imminent. The. system will pass inspection if the existing septic tank is replaced with a conform,ng as approved by (he Board of Health. lr.vi..d 0�/1s/97t ➢.q. 1 of 10 DEP on the Wona Woe Weo. nnp:rn,✓wv.magnet state ma vsioep PnnteO on RecyUeo Paper 71 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Ad'dress:455 Bridge Street Osterville,Mass . 0-ner: Don Irwin Date of Inspection: 9/25/97 B) SYSTEM CONDITIONALLY PASSES tcontrnued) lt`2, Sewage backup or breakout or high static water level observed in the distribution box is due to oro�en o pipe(s) or due to a broken. senled or uneven distribution box. The system will pass inspen,on w ;^ 3 ^ 0•a Board of Health) Describe observations: broken pipe(s) are replaced obstrunion is removed distobt.uon box is levelled or replaced The system required pumping more than four times a year due to broken or obstruned p,pe(s) Tne system, pass mspen.on 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 a Diet ; e public health. safety and the environment. . u SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUN'CTION'INC IN yUNNE�. 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) DE7ERIoINES T.ia1 THE SYSTEM IS FUNCTIONING IN A MANNER, THAT PROTECTS THE PUBLIC HEALTH AND SAFE" AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a s.:nace 13ter s_oo tributary to a surface wale, supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water -elf The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water s.;or. -el �llY1Pi/5 The system has a septic ta-)k and soil absorption system and the SAS is less than 100 feet but 50 ie-et or .Tope !row a private water supply well. unless a well water analysis for coliform baneria and volatile organic compot-ncs nc,_at- :-•a the well is (fee from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen Is c:_a :D less than S ppm. Method used to determine distance /%Ii (approximation not valid). 3) OTHER UP -- tr•�1 r•d 0•/JS/)7) ➢•0• 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A • CERTIFICATION (continued) Property Address: 455 Bridge Street Osterville`Ma Owner: Don Irwin Date of Inspection: 9/25/97 D) SYSTEM FAILS: You must indicate e: el "Yes' or "No" as to each of the following. 'p 5 1 have determined that the system violates one or more of the following failure criteria as dehnec n l 10 C ••.2 e o T`— for this determination is identified below. The Board of Health should be contaaed to determine what well Ge neces o' the failure. Yes NO Backup of sew-age into facility or system component due to an overloaded or clogged SAS or cesscool Discharge or ponding of effluent to the surface of the ground or surface waters due to an ovedoacec or c oe3r> > cesspool. Static liquid level in the distribution box above outlet inven due to an overloaded or cloggec 5^S or cessD c: - yY 0,.w C2�1�L4t />" Gt/,4 `✓;r J L 6)te1- /v4x,;, eT idyv - Liquid depth in-rrypGes is less than 6" below inven or available volume is less than Ii? day f;or Required pumping more than a t,mes in the last year NOT due to clogged or obstructed ploe!st Number of times pumped _ X1 Any pon,on of the Soil Absorption System, cesspool or privy is below the high grouno�a'.er ele a 'o Any portion of a cesspool or privy is within 100 feet of a surface water supply or tr,butan to a sunace -= e s_.c.• Any ponion 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 ponion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water suo�,i, -el . acceptable water quarry analysis If the well has been analyzed to be acceptable, anach cony of Hell a,e! a-.a :sus coliform bacteria. volatile organic compounds, ammonia nitrogen and nitrate nitrogen E) LARGE SYSTEM FAILS: You must indicate ether 'Yes" or "No" a$ to each of the following: The following criteria apply to large systems in addition to the criteria above. /1/e) The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system s a s g :• :C= public health and safety and the environment because one or more of the following conditions exist Yes No the system is within 400 feet of a surface drinking water supply 60- the system is within 100 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area • IIJPAI or a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwate trea:^en,. rKuirements of J 1 a CMR 5.00 and 6.00. Please consult the local regional office of the Department for funher niorma;,c�. tr.�r..d Os/JS/971 D.q. ) of 10 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 455 Bridge Street Osterville Ma Owner: Don Irwin Date of Inspection: 9/25/97 Check f the following have been done: You must indicate either "Yes" or "No" as to each of the following Yes No Pumping information was provided by the owner, occupant, or Board of Health None of the system components have been pumped for at least two weeks and the system has been recei ,ng norma! flow rates during that period. Large volumes of water have not been introduced into the system recen;i% o as pan of this inspection. _ As built plans have been obtained and examined. Note if they are not available with N/A The facility, or dwelling was inspected for signs of sewage back-up. _ jZ/ The system does not receive non sanitary or industrial waste flow. _ The.site was inspected for signs of breakout. _ All system components,j4Acluding the Soil Absorption System, have been located on the site The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for cond,;,on o! baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum The size and location of the Soil Absorption System on the site has been determined based on. - The factlrty owner (and occupants, if different from owner) were provided with information on (he proper rna-men;n_e Sub-Surface Disposal System _ Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Pan C is at issue, approximation of distance is unacceptable) 115.302(3)(b)) (r.v1..d D.g. 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Properly Address: 455 Bridge Street Osterville Ma Owner: Don Irwin Date 0f Inspe"'on: 9/25/97 FLOW CONDITIONS RESIDENTIAL: �/ Design now: '/� R. d./bedroom for S.A.S. Number of bedrooms:Y Number of current residents: Garbage grinder (yes or no):!'V--' Laundry connected to sysle (yes or no):ZjK3 A Seasonal use (yes or no):A-S 9/ water meter readings, if available (last two (2) year usage (gpd): Sump Pump (yes or no):_vz Last date of occupancy ayk- COMMERCIAUINDUSTRIAL: Type of establishment Design slow: X4 gallons/day Grease trap present: (yes or no)_A* industrial Waste Holding Tank present: (yes or no) Non-sanitary waste discharged to the Title 5 system: (yes or no)-o Water meter readings, if available: I/X ti Last date of occupancy: OTHER: (Describe) Last date of occupancy GENERAL INFORMATION PUMPING RECORDS and sou ce f formation: System pumped as pan of inspection: (yes or no) If yes, volume pumped: gallons Reason for pumping TYPE Of,SYSTEM _� Septic tank/dj-�n—box/soll absorption system ILO Single cesspool A&- Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) I/AT Lhnology etc. Copy of up to date contraal Chher ROXIMATE AGE of all components, date ns`I (if known) and source of information: Sewage odors detected when arriving at the site: (yes or no) _ 5 of 10 ASSESSOR'S MAP NO. PARCEL l0 AT/:ION / SEWAGE PE L I VILLAGE I N S T A L R'Sr NAM AD RESS ✓ �6 r B U I L D R OR OWNER / h l ` ems DATE PERMIT ISSUED DATE ; COMPLIANCE ISSUED l Sri pe I 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 455 Bridge Street Osterville Ma O"ne" . Don Irwin Date of Inspection: 9/25/97 BUILDING SEWER: ,locale on site plan) Depth Belo- grade '// Malenal of construction cast iron !�40 PVC _ other (explain) Distance from private water supply Well or suction line r� D'drneter CQ:ments (condition of joints enting ev ence of leaks a etc.) SEPTIC TANK:/e/ ") •loCdie on site plan! /r Depth Delow grade. /y / ,Aatenal of construn-on. concrete _metal Fiberglass _Polyethylene _other(explain) u tank is metal, list age A.-, Is age confirmed by Cenifficate of Compliance V/Wes/No) D,mens,ons ,f'A W !l/h Ak! Sluage deptn Distance from top ofiludge to bonom of outlet tee or baffle. Scum thickness e— Distance from top of scum to top of outlet tee or baffle:15ttN Distance lrom Donom of scum to bonom of outlet to or baffle // r,ow d,rnens-ons were determined Comments uecommenaal,on for pumping, c0nditjK of inlet and outlet tees or baffles, depth f liquid level in relation to outlet rover. sti;c.'a ,ntegril. evidence of leakage, etc 1 /�/U 6A,r ts; GREASE TRAP: Y ;locale on site plan) Deoth below grade ld!ff¢ -Hateful of consvun,orv&gconcrete,&metal42 FiberglassA4*Polyethylene4Vo4other(explain) Dimens,ons: AIAI Scum thickness._ Distance from top of scum to top of outlet tee or baffle:�0 Distance from bonom of scum to bonom of outlet tee or baffle: WO Date of last pumping Comments Irecommendatlon for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert s:r_Ct 3 ntegrwy. evidence of leakage, etc 1 l 'Vd7 5&-eJ r Ir.�r..0 0�/15/97) ➢.9. 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 455 Bridge street Osterville Ma Owner: Don Irwin Date of Inspection: 9/25/97 TIGHT OR HOLDING TANK:Q//&dTank must be pumped prior to, or at time, of Inspection) (locate on site plan) Depth below grader Material of con struaioryflro concreie4,Wmetal-V4FibergIass4/APoIyethylene�!/-15bther(explain) Dimensions: XIA Capacity: gallons - - Design flow. AI gallons day Alarm level'- _ Alarm in working order Yes,VW No Date of previous pumping W/� Comments (condition of mle( tee, condition of alarm and float switches, etc 1 DISTRIBUTION BOX:/ '-jV/el (locate on site plan) Depth o; liquid level above outlet inven Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc l PUMP CHAMBER:t--�— - (locate on site plan) Pumps n +orking order (Yes or No) /V1' Alarms n working order (Yes or NO) Comments- (note condition of pump chamber, condition of pumps and appunenances, etc.) - T 01/25/97) P.g. 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Properly Address: 455 Bridge Street Osterville ` Owner: Don Irwin Date of Inspection: 9/25/97 SOIL ABSORPTION SYSTEM (SAS): ;locate on site plan, if possible. excavation not required. but may be approximated by non- if not determined to be present, explain: T Y pe leaching pits, number:, 3 ,y,)_ �u e,Barg leaching chambers, numb, P'flU leaching galleries, number: D leaching.trenches, number,length:-�-- leaching fields, number, dim ons: /J overflow cesspool, number�_l/ Alternative system: Name of Technology: Comments (note con tion of soil, igns of hydraul c fai re, evel of ponding co i on of veg Cation, etc.) G r lll�/fll�'le LUw/ev CESSPOOLS: (locate on site plan) Number and configuration: Depth-cop of liquid to inlet invert: Depth of solids layer. Depth of scum layer: Dimensions of cesspool. Materials of construction: indication of groundwater: d� inflow (cesspool must be pumped as part of inspection) z1zS'� Comments: (note condition of soil. signs of hydraulic failure, level of ponding, condition of vegetation, etc.) 1 el- PRIVY: ,ljt% (locate on site plan) Materials of constru on: Dimensions: Depth of solids:/lIx Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) lr•v1••d Ot/)S/97) ➢•g• 8 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ^' SYSTEM INFORMATION (continued) Propeny Address: 455 Bridge Street Osterville Ma O»ner Don Irwin Date o1 inspect on: 9/25/97 SKETCH OF SEWAGE DISPOSAL SYSTEM: jnUude ties to at least rwo permanent references landmarks or benchmarks locate all wells within 100' (locale where public water supply comes into house) \ �v f t �C r i (r•vt.•e 0�/75/)yl F•y• 9 of 10 r SUBSURFACE SE%YACE DISP• : SYSTEM INSPECTION FORM 1 11 SYSTEM INFOI. :ION (continued) Properly Address: 455 Bridge street Osterville Ma owner . Don Irwin Date of Inspection: 9/2 5/9 7 Depth to C(oundwaler/ip Feet Please indicate all the methods used to determine High Croundwa:M HEI.alion: Obtamecl from Design Plans on record YO t,$ervat,on of S,te lnbuning property, observation hole, basemersh s lmp etc.) 4 ' Determine it from local conditions Check with local Board of health _ heck FEMA Maps Check pumping records heck local excavators, installers use USCS Data Desc,oe - yovr own words how you established the High CrouncF^'Jief Elevation. Must be completed) Used Cape Cod Commission Map September 1995 Water Table Contours And Public Water Supply Wellhead Protection Areas Ir•vi••G 0�/S S/9�) Y•5• 00 30 ,• r..-r•.—ntrr—rr"rr.—rtr.r rr+r+�++rrr-r.rr.+:•.�.'+-rv.r:�+.�*nr*n rrs�ttr.v�nur.rrrt mv+rr-c�+r=rn-rr�-„---,— • — I TOWN OF Rarnstahl P BOARD OF HEALTH SUBSURFACF SFKAGF DISPOSAL SYSTEM INSPECTION FORM - PART D C H TIFICATION � F.•.•�••• � .-�,tl..��T.'r11'tf:TT1r.VT.T'1T•.T•.1'-ttrr+r-.rrm.r�-.+rnssts�rrr'evmnar'w'nt's TRflTi}/"TTZT4�TTrt+�.:-r•�.� �.�. .-. A —TYPE OR PRINT CI.EARLY— PROPERTY INSPECTED STREET ADDRESS 455 Bridge Street Osterville,Mass. 02655 ASSESSORS MAP , BLOCK AND PARCEL # OWNER' s NAME Don Irwin PART D - CERRTIFICATION NAME OF INSPECTOR Joseph P. Macomber Jr . COMPANY NAME Joseph P. Macomber & 'ion , Inc . COMPANY ADDRESS Box 66 Centerville , Ma. 02632-0066 Streit Town or City Stat. 1 1 P COMPANY TELEPHONE (508 775 -3338 FAX ( 508 ) 790 -1 578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposa-1 system at this address and that the information reported is true , accurate , and complete as of the time ofeinspection , The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems , Check one : Sys teui PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or Lhe environment as defined in 310 CMR 15t303 , Any fail(ire criteria not evaluated are as stated in the FAILURE CRITERIA section of this form , System FAILEL)* \ The inspection which I have con acted has found that the system fails to Protect the 'public health and the environment in accordance with 'Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signatur, V Date One copy of this certification must be provided to the OWNER , the BUYER ( where applicable ) and the BOARD OF IIEAL1'1I , • If the inspection FAILED , the owner orsoperator shall upgrade the eyatem within one year of the date of the inspection , unless allowed or required otherwise as provided in 310 CMR 16 , 305 . partd . doc w ti THE COMMONWEALTH OF MA.SSACHUSETTS DEPARTNWNT OF ENVIRONAENTAL PROTECTION BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualificatign.s as required and is hereby authorized to use the title i CERTEMi D TITLE S SYSTEM INSPECTOR as provided in 310 CMR 15 .340 and Section 13 of Chapter 21 A of the General Laws_ Issued by The Department of Environment-il Protection. JAM a. 1"5 *Act1ngD,r,ccto,?,tffic c (on WVc, Pollution Control I• ASSESSOR'S MAP NO. PARCEL L0" AT ION SEWAGE PERM� NO. l YI ' LACE `7Z -•d3� IN. STA lER'SA NAM i AD RESS ` 1 � e U l l D R OR OWN ER 1 : ZZ Ile . DATE PERMIT ISSUED r DATE COMPLIANCE ISSUED /Al � J � / \��' CC� ' J� � � , / � _ _ � �k �� ��' � ti y /Iji Fx ... O.......... THE COMMONWEALTH OF MASSACHUSETTS AR® ® H A TI-1 T M Applirition for D"aspnii al Works Tonstrurti ramit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: ........ .-:- . .. � ............... _--. .._...-- .... ..........-----.-- Location- ddre s No. A ress -/O.Al w fir ' ' aY1 ,�. tl�. :._.... � ._.., .� ,t',r ...� - Installer Address Type of Building Size Lot............................Sq. feet U Dwelling=No. of Bedrooms.............i...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................. No. of persons............................ Showers ( ) — Cafeteria ( ) ----------- Design Flow.......................................Other fixtures _--::_gallons per person per day. Total daily flow............................................gallons. W / WSeptic Tank—Liquid capacity/Sv_.gallons Length...le...... Width....• ........- Diameter---------------- Depth................ x Disposal Trench—N ..................... Width.................... Total Length............/...... Total leaching area....................sq. ft. Seepage Pit No..... .............. Diameter.Y(?...... Depth below inlet...../............ Total leaching area..................sq. ft. Z Other Distribution ox ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1....Z.....minutes per inch Depth of Test Pit.................... Depth to ground water......................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.--.................---. Description of Soil...._... _ .. .... ._. x C �` -- $it,l ------ ----•- • -- . • ---•-- W ••--••--••••......----- --------------------------•••-•••----------•-----............. ------------ - - --------------- ....... -------- UNature of Repairs or Alterations—Answer when applicable.-.................................:......................................... . ............ -----------------------------------•-----------------------------------------------=---------------------------------------------------------------------------------------------.............._....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage,Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersign further agrees not to place the system in operation until a Certificate of Compliance has n issued y th oard he Signed. ..... ... . . . ...... •----•--••- --•• `.... ... ' �® 0 ,(� e Application Approved By........ ------------......-• .••• ............©........ . ..........T' Da -- Application.Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ....................................... Date jo�_ Permit No. .. ... ..... Issued .. Date CY --/V , No.Lff.......�...::•-� FE�..�.. 0.......... THE COMMONWEALTH OF MASSACHUSETTS B ARD Of HEALTH ...............�._�..._. 1.... .......OF...... .I t�J �/.,.,1................................... Appliratiou for Disposal Works Tonstrur�n thrutit Application is hereby made for a Permit to Construct ( ) .or Repair (L,f an Individual Sewage Disposal System at L Location- ddre s _ •,,.. or Lop No. `( .__ .._ ...._...._ ®j .. y.. .. ................... :__........ ..... O er' / A ress� Installer Addres Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............ .......................Expansion Attic ( ) Garbage Grinder/- ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures ------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid capacityTOU...gallons Length..,/�- "... Width Diameter________________ Dept h xDisposal Trench—. o..................... Width.................... Total Length......_.....i....... Total leaching area....................sq. ft. Seepage Pit No.................... Diameter.VYe..__..._ Depth below inlet..../................ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by................................................................-•--••... Date........................................ Test Pit No. 1----2.......minutes per inch Depth of Test Pit.................... Depth to ground water_--__----__-____---__--- GZ, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-.-___-.___-__--.__---. ax - .- .......... _ ----• ----------•--- ---......._........-------------•---------•---...---------------- OD -- -Description tion of Soil-- - --. - .- .....--•---•--------------•---- -•-------- ---- ------------------------ -- ------------------------— ........ -----. --------------*7----------------------------------------------4----- U Nature of Repairs or Alterations—Answer when applicable.._________________________________________________________________ ________ - ---------- cr Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT11, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has+been issued 7th board h tt Signed ................ Application Approved By... ..... ............... -y-.. .... Application Disapproved for the following reasons-------------------------------------------------------------------------------------------a--------•-.•--•- ..•--•-•--------------------------- .--.--... .....--.-_.._..._.._._._____.........------...-•--•----.----•-•.---•-•-----•--•-----___----_-____---•----------------------------- / �� Date PermitNo. !-• ... .. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH r l + � r! .....roa)../V......OF... ..+ �.lf��: .J...%.:�. .?.tee;.............. �rr�ifirtt�r �af� �n3��rli��rr TH S TO IFY,.�That the,Individu I Sewage Disposal System constructed ( ) or b Repaired ( ) y........ 1 •• = 7��.. ./_- f.1,��------------- ----•,----------------•------•---...........•.....---•-------------•-•-------- at -� �� � �.9 ...... �'-f----. /-�=` l��.n<'-V..'.....:=-_---------------------------------------- ----------------- has been installed in accordance with the provisions of TT", 5 o e State Sanitary Code s desc{ e n the application for Disposal Works Construction Permit No. L .... dated......ZiRD _ l . T7.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GAPITEE THAT THE SYSTEM WILL FUNCTION. SATISFACTORY. DATE__...._..--•................/.... .._.__ __... .� .o-•-•------.....--•--..._... Inspector............... ----�................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD -OF HEALT,H� 'Tx" .................... ....... .......:x................6... ,� OF No.t.l.�.-•---•- FEE... MopoiAiMorks ,Tong,4, ion ramit Permission is hereby grante ...1 _ . } =, _.:.;Y- �!1..'�_' :_/_l`?.f'1�_4 :�.......................... to Constr c ) R air ( ) an I dividu 1 S 'age ]�spos� System Street ( 1 / <-. as shown o/th tion for Disposal Works Construction ' rfnit No.,_i.,y___` c'_1�ated_._.__ .._ 1� _� ......i .` IBoard oealthDATE-------- -------....................................... ((/f FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - 5 ASSESSOR'S MAP NO. PARCEL LO AT/ ION ! SEWAGE PERM NO. VILLAGE IN. ST A LJLER'S NAME 6 AD RESS i B UtLD R OR OWNER l * le r 1 DATE PERMIT ISSUED „ DATE COMPLIANCE ISSUED l Excerpt from Board of Health Meeting Results on 9/18/12: A. Glen Harrington representing 1892 Investments, LLC, owner—'455 Bridge Street, Osterville, Map/Parcel 072-035, 1.79 acre lot, two `-variances requested to repair failed septic system. CONTINUED TO OCTOBER 9, 2012. Due to so many environmental variances, the Board expressed concern of approving more than the 4 bedrooms without an I/A system. The Board voted to Continue to the October 9, 2012 meeting andf submit a , revised plan to include the additional variance being requested, along with including lines on the plan to show the 100 feet to water, and check with the owner on their choice of whether to change plan to a 4 bedroom or change to 5 bedroom with an I/A system. 1 Own Ol Barnstable Department of Health,Safety,and Environmental Services Public Health Division Date dm 367 Main Street,Hyannis MA 02601 - I a urrsrANM I /°UK Date Scheduled �' Time 6 n Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: �E�rZ i) v�wv 7G Witnessed By: y tia w�.Gc LOCATION& GENERAL:INPORMATION. Location Address 4 SS Owner's Namep,&1 c1, L i Tl_L 1 S ti' Address L_L E �+ �t- / � Engineer's Name vc��t-- ` 'L%V�ktJ� Assessor's Map/Parcel: •- ?.Z./.3 � , . NEW CONSTRUCTION REPAIR _— Telephone A bOS 'A2-�' �J 4 Lend Use t �! /�t.•• Slopes(%) f-6kr Surface Stones 1,�INZ _. 1�c ft Possible Wet Area ft Drinking Water Well �_ft Distances.from: Open Water Body \ ' ft Property Line �' ft Other �ALT��� ' Drainage Way SKETCH:(Street name,dimensions of lot,exact locations of test holes dt perc tests,locate wetlands in proximity to holes) E3 v 7. 043. 341 _ \� ot .00 AC 3 h. ' 3.'g _ teriel(geologic) ODT VOA5 b, r L^"to Depth to Bedrock Parent ma Depth to Groundwater: Standing Water in Hole: 4,11 Weeping from Pit Face fu Estimated Seasonal High Groundwater: ,._ lmt? = -FO�GN,�N �n G WAnE IR TAB Method Used: `1 �e oT Depth to soil mottles: Depth Observed standing in obs.hole: In. Groundwater Adjustment o rt ft. Depth to weeping from side�1of o/�bs.hole: i''��` �_ Ad}.factor_7 Adj.Groundwater Level C I— Index Well N M iv _ -Reading Date:4 Index Well level PERCOLATION TEST Date .'.. dtitnt!,1 O mow. Observatio� GckLL.0'LA'S t t fi5 'C� .�� Time at 9" Hole N l/ ► wl.JJ Depth of Perc i _ Time at 6" Start Pre-soak Time® Time(9"-6") _ End Pre-soak 1r61�6vQ Rate Min./inch Site Suitability Assessment: to Passed AO_ Site Failed: _ 'Additional Testing Needed(YR� _ Observation Hole Data To Be Completed on Back—� Original: Public Health Division •• Copy: Applicant f DEEP OBSERVATION 1I0W; LOG 11010# A Depth frnm Soil Ilorizon Soil Texture Soil Color Soil slur Surface(In.) (USDA) (Munsell) Mollling (Structure,Stones,rioulderes. • Al i��S o ioye % �oUt Z! 37M- - C; Mew iove4 moo ' Cz VC: -7—\ tG DE,LP OBSERVATION MOLE LOG IIo1e#(Z Depth from Soil I lorizon Soil Texture Soil Color Soil &her Surface(In.) (USDA) (Munsell) Willing (Structure,Stones,noulderes. 0-7 A, tl A 5"0 �.S Ye &XR,"i& I v ?_ 13 5A�0 I0 Y e 51� J C, tM.S�D lolfe ,o fi a :z�Ve 41Z DEEP OBSERVATION IIOLC LOO .'.. Depth from Soil Horizon Soil Texhire Soil Color Soil Other Surface(in.) (USDA) (Munsell) Willing (Structure,Stones,Doulderes. Consistency.% llCCI' OBSERVATION 11OLE-LOG +� Ilole# . Ocplh from Soil I lorizon Sail Texture Soil Color Soil Other Surfnce(in)• s (USDA) (Munsell) Willing, (Stricture,Stones,noulderes. Flood Insurance Rate Man: Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100year flood boundary No_ ell;, �- ZoKA ef Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the'soil absorption system? L CP '�-A;i i:l-CS_ -1 wti.0 i If not,what Is the depth of naturally occurring pervious material? + "A` 2 �' N�—)-A- 9— l6 C APP c M 0 Fi r✓� certincation I certify that on t 9 95 (date)I have passed the?sollv; uator examination approved by t e Department of Environmental Protection and that the above nnalysis was performed by me consistent with the required training, ._ 'gee anal experience rl,,srriherl in l in C'M12 15 017 SYSTEM PROFILE NOTE:RELOCATE DRVIEWAY AREA OVER THE SAS. TOP OFNOT TO SCALE NO VEHICULAR TRAFFIC ALLOWED FOUNDATION [4]VERTICALS INTO CUTOUTS FINISH GRADE.3 FINISH GRADE OVER TRENCHES 8.1 4"PVC HORIZONTAL& EL. 9 EL. 8.7 FOR VENTING �o•- �- ' FINISH GRADE OVER $� �L�R cnxnov ,.•�, .a FINISH GRADE OVER SEPTIC TANK EL.8.5 ta:z"CAP PUMP CHAMBER EL.8.0 „ Provide 4 dia.observation port LANDSCAPE HAND HOLE C.I.FRAME to within 6"of grade OR IRRIGATION BOX - =• d ° GRADE ROW LENGTH =40'-0" -° Af -OF FINISH GRAD A &COVER FRAME 30X TROL A�&COVER AT C 1/4"HOLE o ,. g- 2„DIAM. ARC 36 LENGTH = 5'-0" ` ='1 " MIN.SLOPE 1% , - >a ,°'':;'0 ; ' fo,1',0; '_''f'' ;b'.,' ti 2°MANIFOL /2"L � 11 LATERAL 3"MIN. % PVC SCHDA0 z '. TOP EL.7.07 LEVEL 3 0 ., . : 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ALARM = 6" MIN.SLOPE 1% D= STONE r MIN - WEEP HOLE tz'"+ I WITH GEO EXTILEOFABRIC FOR BACK DRAINAGE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6.90 - _off f o• J, 13"MIN. .. 14" -% 13"MIN. z 6.75 MI :o- o CHECK BO TTOM EL 6 4 5.90 12 36 12 ;- a PUMP a_ VALVE , PVC OR CAST IRON TEE J., PVC TEE MALFUNCTIO ` ' GAS INSTALL ZABEL A1800 EFFLUENT =y NOTE: EXCAVATE TO =C= STRATUM IN ORDER TO NO BAFFL)� a r TEE FILTER[OR EQUAL] ------- ------- -- --- ----- --=c= ---_--- 16: REMOVE ALL =A= & =B= IMPERVIOUS MATERIAL _ _ TE AL EXISTING ANNUAL MAINTENANCE TO BE 4' _. �� PROVIDED WITHIN 5 OF THE SAS. REPLACE WITH CLEAN„ 1/4 HOLE LOCATIONS 1500 GALLON A _ r =B= ,A CLAY-FREE SAND ' PRECAST CONCRETE a :< PRECAST CONCRETE lo" a ./• :y [3 10 CMR 15.255] , so. �.➢ �6. H-10 REINFORCED o -._ ti�,%�/ ���, ,, ,� H-20 REINFORCED ' �' �{ �}�;/ � =A= GROUNDWATER EL.2.4 1, 6 de • :�a. ,.'a ` ,..r '1 ten, '�'11, ', ,/ r...l, , - (\ ,. U '� 1 ' / '1 '^ •, , /6{yr VV d•" " ARC 36 LOW PROFILE SEPTIC TANK.... •" •/• EOUP 1000 GALLON PUMP CHAMBER WITH PRESSURE D/S TR18 UT1©N WATERPROOFED BY ,�,NUFACTURER BOUYANCY: DISPLACEMENT 52 CF. 3,234 LBS. 1500 GAL. TANK >12,000 LBS. o�,/'/ BOUYANCY: DISPLACEMENT = t6 CF. = 4,750 LBS. 1000 GAL. TANK>10S00 LBS. , 1 , . , /•/• $ , LEVEL BASE 0 INSTALL ON COMPACTED LEVEL I.PUMP TO BE INSTALLED IN S RICT.CONFORMANCE WITH MANUFACTURER'S SP1 Ci CATIONS .••.• • 2.PUMP CONTROLS SHALL BE MOISTURE PROOF - / 3.CONTROL SEQUENCE: - PK NL, / A.PUMP OFF / B.PUMP ON 16 DEPTH OF EFFLUENT 110 GAL.) _70, / STONE C.ALARM ON AT PUMP MALFIIt�iCTION ..�•�' :7.3' / COBBLE LEVEL • • - PK / APRON D.ALARM ON AT HIGH WATEE:' .. - EL7 2 4.ALARM CIRCUIT SHALL BE SEPARATE FROM THE / COBBLE EOP oee ____- - PUMP POWER CIRCUIT UGELEC cry �$ / EOP 0 L= b --'- -- L 5.PUMP CHAMBER SHALL BE EQUIPPED WITH .- mGE S j / _ °l0'S5' = 0.00' � B i- RISERS AND A MANHOLE COVET WITHIN 6 ' OP OP OF GRADE PRESSURE DISTRIBUTION CALLS & SPECS / PAVED ��- 6.BARNES SE411 PUMPS .4 HP 115V[OR EQUIVALENT] sRe s „ AREA ELs 6 7.THE FORCE MAIN SHALL BE 2"DIAM.SCH 40 PVC �, (PER oils GUIDANCE Doctrn>EIvT) EOP 7 / 4 VENT EOP , ;y DEAD PINES WITH THRUST BLOCKS INSTALLED AS NECESSARY , ' 1 -� 4 1.LATERAL PIPE LENGTHS:4 CC 40' EOP ? I J ' I'2.LATERAL PIPE DIAMETER: 1.5" REMOVED � '� _ �" 3 RQVIDE 1/4 INCH DIAMETER HOLE AT TOP END OF LATERAL TO VENT AIR(SEE DETAIL) EL:6.6' L:6.6' S / F1:7.5' _ EOP IQELEC 12�.�9 ' C< „" /- - �`�,� EOP f_ / WIN3I'IWH' i = 4 V - - = ERFORATIONS PER LATERAL;PERFORATION DIAMETER 1/ " ip 1 B E7��ST� / �` NOTE: EXCAVATE TO -C- STRATUM 1N ORDER TO i;"� ORATIONS IN LATERALS To BE 3'APART 2 PER CHAMBER. • ., v S EL7.P 117 M S r' S; _ - S EL:7.3' REMOVE ALL =A=& =6= IMPERVIOUS MATERIAL .PERFORATION DISCHARGE RATE=1.17 GPM. `er' `l% ' - Eo°/ . , WITHIN 5'OF THE SAS. REPLACE�'VIfH CLEAN EOP / 0 i - 8.T i / / 7.LATERAL DISCHARGE RATE=17 PERFORATIONS X 1.17 GPM/PERF.=20 GPM. 0 f� �..r E . .6' ~ CLAY-FREE SAND 8.TOTAL DISCHARGE RATE=68 PERFS X 1.17 GPM=80 GPM. _-- F i EL:7.4' #2 `� � 9.LATERALSPACING=34" EL: 51.+ L:3.2' 100 / y ' .' .'' i- 'l .1� EOD #1® ....-..... . _... 0�9 / \ 10.MANIFOLD LENGTH&DIAMETER(FROM TABLE 1)=5'4'(MAX LENGTH=6'FOR 3'LATERAL SPACING WITH 2"DIAMETER MANIFOLD) -- ' K V 1�L:3.2' - '' SNt Q� EL:3. ' 86, ' $' (D, '' '� -' 11.SLOPE MANIFOLD BACK TOWARDS FORCE MAIN TO DRAIN INTO PUMP CHAMBER TO PREVENT FREEZING. EL29' V-117 y h -- i-�QG� •% _ EL:8.0' , ' SM EL: B' �.. SM , ) , ` �\ '� . t.DOSE VO!tUME=440 GPD%4 DOSES PER DAY FOR CLASS I SOIL=110 GALS. o� ANNUAL INSPECTION REQUIRED 31 OCMR 15.254[2][d] , �'' EL4.T O EL8.6 16� r'� - / EL:7. �+ i V-116 CCATv / o OBSERVATION PIT NOTE xEACH 40'LATERAL SHALL HA 17 PERFORATIONS,TWO PER CHAMBER. 7 CS C7 SM2 8' �Y,�S��j,1�0� I _I_ 11 THE PERFORATIONS SHALL BE SPACED T APART FACING UPWARD AT 11&I O'CLOCK POSITIONS,STAGGARED DOWN THE LATERAL. ,(� THE LATERALS SHALL BE SLOPED BACK TO THE MANIFOLD TO DRAIN. / /. L8.1' Ul'4 9� EL .1' ,. 4C�� LAWN �G.HARRINGTON, SOIL EVALUATOR P-'[3878 NOTE:,,-EACH ACH LATERAL SHALL HAVE A SWEEP WITH CLEANOUT AT THE DISTAL END LOCATED IN A LANDSCAPE HAND HOLE OR IRRIGATION BOX EL:8.5' E / 7.8' 115 ,. - E pl` EL:77 PERCOLATION RATE: < 2 MINJIN AT GRADE. a HL7s ,. - HL:7.9' S'L �11� OD _ ._--•- •-•-•- WITNESSED BY: D.DESMARAIS DESIGN DATA L:2.8 J ; , EL8.9' + 1_• /• `��: �•�,� GENERAL NOTES: BARNSTABLE BOARD OF HEALTH � � - " .' L:a. /• •�., 1. ELEVATION6 SHOWN ARE BASED ON NGVD' DATE: DUNE 22,2012 EL:7.9' LA ,' kgEE :7.5' 7.9' EL:7.8' � �-, ' I 2. ALL PIPES 14 THE SYSTEM MUST BE CAST IRON E EOD NUMBER OF BEDROOMS 4 EL:4.4' L:e.7 - �% ; oD ,/RL-8 0' ' OD =,t 0' GARBAGE DISPOSAL ��_ OR SCHE ,_E 40 PVC. .NO v-„5 ,� L. Tv 7- 6.r ,/ �. >� -i 3. HEALTH AGENT/CAPE & ISLANDS ENGINEERING L /EL7..r o O TEST PIT#1 EL. „ T ?ST PIT#2 EL.7.9 DAILY FLOW 440 GPD. EL:e. � 1:LECTMER �� I 7_T MUST BE NOTIFIED WHEN CONSTRUCTION IS 0 SEPTIC TANK REQUIRED 1500 GAL. J EL:8.8' , �:'' p COMPLETE PRIOR TO BACKFILLING. =A= LOAMY SAND =A= LOAMY SAND T APPROVED 10 YR 3/2 10 YR 3/2 SEPTIC TANK PROVIDED 1500 GAL. 4. ANY CHANCES IN THIS PLAN MUST BE HSE , IS to.� BY CAPE hLANDS ENGINEERING AND THE BOARD 6" 4 i sEs� HSE 1STFL - ` y" � - LEACHING REQUIRED 440 GPD. 1 EL 3° EL:7.8' \ E07.T EL: 3 103 102 - OF HEALTI-1 I sM ; EOD Eo =Bw LOAMY SAND =Bw= LOAMY SAND = _ / . _ EL8.a 4 BDRMS. 440 GPD 595 SF/4 73 S FT LF 126 LIN FT. 1 114 L:7.r EL:7.a' -ELs.a' 5. MATERIALSAND INSTALLATION SHALL BE IN 10YR 5/8 10YR 5/8 Q- 1 R Eoo COMPLIANE WITH THE STATE SANITARY CODE OFCBAWERSREQD. SALT E es' AC -. EL r' [TITLE V]'AN� LOCAL APPLICABLE RULES AND 241125' L:6 0' ' EL1o.3' .., CO } 104 - EL: . REGULATIC)hlS.:- _ _ _ _ 4 ROWS OF40LF. =160LIN.FT. =40'X11.33' MARS1� , �1sTFL _ --- 101 R` C1 MEDIUM SAND G MEDIUM SAND. . , M RECORD PLANS AND IS-&.NORTH A. ,. !U1S FROM. K `t /� '� P f E . 1 / Pi11 NO TNT iv�LD FOR SOLAR ENERGY PURPOSES. • - • t L.4.6 �.� HSE a✓� EL.7.4 i / EL0.8' E, , 1 Otis / / •/ EOG •rv, , GROUNDWATER , 1,a Ls.9 S / / / EOG .�� `'7. WATER SJ P,LY. MUNICIPAL WATER SYSTEM. 63 -- -- EL.2.4 66" _ GROUNDWATER EL.2.4 111 EL:es' sE / -- 7s 105 �E :�y / ---ROUND--- ---- --- - ---- 1 �G 11 SPIKE // EL:8.3' ,� / \4% 4.8' 8. FLOOD ZO4E V17, ------ WEEPING WEEPING �'' py/• ,� '�:a. 96" 98" 310 CMR.15.405 [1] [h] LOCAL UPGRADE APPROVAL 2.2 E10 ELa.e' =C2 PEAT/ORGANIC = ? p 16 ,_ s.a' CAP' ,� EL 5' ��� •. _ G EAT/ORGANIC MAXIMUM FEASIBILITY COMPLIANCE i ELM' ,/ ,�E / � ��� EL:a. ' �:5.5' 6/5 B 6/5 B V DROP TO GROUNDWATER TO PROVIDE _._ 1SM 113 'EL H 16 LA 107 EL:7.9' _. 7 / 0-�• ti4�' EL:1.4' :, ,' DH „ 4' SEPARATION TO ESTIMATED HIGH GROUNDWATER TABLE L Iv 111 5:r SPIKE .�� •00 . - EOG EXISTING DOCK 120 120 j 10 \ �'�` •�•' ,- EL I. LICENSE#4339 t� EL .2' 0�� •� �� EL:1.2' CIL EL:1.5' Soil Evaluation Certification I ' ' LOCAL BOARD OF HEALTH 360-1: i I -- 108 " CNR 1 ' 112 ` 109 �EL:7.1' _ �a'r• EL:4�' '- EL:3.4' EOG 1 `. „ ' T EL:1.5' ' 1 'H 7.r �.� ��. L�' EL:0.8' cNR 3�i I certify that on October, 1995, I have passed the soil evaluator SEPTIC TANK, PUMP CHAMBER AND SAS <100 TO BVW& �I! EOG o • COASTAL BANK v„ / •. EL:4.4' EL:o.s' / j examination approved by the DEP and that the analysis was performed by 1 ' �4j•/ WO@PWLL EOG �' --- / 1 . me consistent with the required training, ee a d experience described 1 E .,arty EL4.3' v-109 ---,V�1 / EOG VwLL in 310 CMR 15.017. V-112 _ EL:3.6' EL.3.1' ... / 1 EL:'I.0 .a.: . / IEL3.3' i�1.3 EL:2 EOG \ / 1 GLE H GTON,RS. SM EL:3.9 _, �- EL:1.4' EOG SEPTIC SYSTEM REPLACEMENT EL:3.6 ALT MARSH // EOG EOG '� E0 LEGEND 1 / SM-1 I / L:1.6' / ' 1 r-EL1.3 EOG- -' 52 PROPOSED CONTOUR o PROPOSED SEWAGE DISPOSAL SYSTEM w 1 U a••1 La.,1 STK / c �• EOG STK EXISTING CONTOUR it ti i�•• p PREPARED FOR i / N� 455 --- 52--- p v.° h i ✓ + ' g rRL gotjg F I THOMAS QUINN N � EL:,.4' OBSERVATION PIT u aceEL:3.T EOG1 EOG °SM I AUSS o HSE.NO. 455 BRIDGE ST. i 1 79 N OSTERVILLE,MASS. �L-.�s'____,.-' � ❑ DISTRIBUTION BOX • U; w SM EL 3 9' I EL 1 5' GwL SM 'EOG I o o o SEPTIC TANK o � PLAN NO. SCALE: AS NOTED o I N4� oE r' FILE N0. 327BA DATE: JULY 31,2012 I SOIL ABSORPTION SYSTEM N N �_ R ,� SEPTIC FILE NO. 76 PCS FILE:455bridge j PLOT PLAN I -L RESERVE � w L~1 , }IA 31 0 i l _ F 1 EL RESERVE AREA ¢ p �70 /�' SCALE: 1 - 20 EL,.r EOG o 0 0 CAPE & ISLANDS ENGINEERING EOG 26 PIPE INVERT ELEVATION 072 35 #455 Cn V) � � .'' 800 FALMOUTH ROAD, SUITE 301C MAP SEC PCL LOT HSE � �, TA MASHPEE,MA 02649 (508)477-7272 SYSTEM PROFILE NOTE: RELOCATE DRVIEWAY AREA OVER THE SAS. TOP OF NOT TO SCALE NO VEHICULAR TRAFFIC ALLOWED FOUNDATION 4"PVC HORIZONTAL& FINISH GRADE FINISH GRADE FOR VENTING EL. 9.3 [4]VERTICALS INTO CUTOUTS FINISH GRADE OVER OVER TRENCHES 8.1 CARBoN d FINISH GRADE OVER F((1,S It SEPTIC TANK EL.8.5 Provide 4"dia.observation port LANDSCAPE HAND HOLF. PUMP CHAMBER EL.8.0 l-1 CAP RISERS TO 6" C.[.FRAME g' OR IRRIGATION BOX to within 6' of lade � L ° I o o &COVER AT \a ; -:o-o, o • � ' A; A� •° C.I.FRAME CONTROL a OF FINISH GRAD �( ROW LENGTH = 40'-0" 1/4" HOLE • _ o y &COVER BOX A GRADE -.-�-, - � •r ';:,v•,G ' ,' ,o '' I •� •� 2 DIAM. ARC 36 LENGTH = 5'-0" - _ o \p,_ `s''"9i ,'.r �O'., ' .r'r h'or. ' p'• ''4 `•o. r•� 0 � /� n MiN.S]:.OPE 1°/1 :, 'r ;�'.,'' ,.,� ;�,rp' �,''� 9;°;'10 ., 'r'' o'.,' �•� 2"MANIFOL �11 _ PVC SCHD.40 TOP EL. 7.07 - �.�;� 3' MIN. ,''- °, 1-1/� LATERAL S °® LEVEL ' ° > _" 13" 6" O MIN.SLOPE 1% ALARM z^+ I \3/4".1I r, CRUSHED STONE o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ,, I-���' ° M.1N. 0 WEEP HOLE WITH GEOTEXTILF,FABRIC o_. = �•�0 G 'o_ o FOR BACK DRAINAGE o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 _` �,: l 13" MIN. 14" 13"MIN. cn 6.15 MIN 5,58 Z 6.75 BOTTOM EL.6.4 p °' S.9O �O CHECK J PVC OR CAST IRON TEE ¢ PUMP VALVE 12" 36" 12" - o °< GAS BAFFL PVC TEE c7 MAL.FUNCI'10 INSTALL ZABEL A1800 EFFLUENT _ _ _ _� e NOTE` EXCAVATE TO C STRATUM IN ORDER TO W TEE FILTER[OR EQUAL] \0 =C= - \Q EXISTING w ANNUAL MAINTENANCE t'OBE -- ---- ----- ------- ---- --------------- ------- REMOVE ALL =A= & =B= IMPERVIOUS MATERIAL a ��� PROVIDED 6 11 - WITHIN 5' OF THE SAS. REPLACE WITH CLEAN, 4' 1/4"HOLE LOCATIONS '"= 1500 GALLON Q �,° =B= a CLAY-FREE SAND ° PRECAST CONCRETE °` G -R PRECAST CONCRETE 10" 1 [310 CMR 15.255 ;f H-10 REINFORCED H-20 REINFORCED =A_ GROUNDWATEREL.2.4 o a• r p r _':1 •* •r� .,. ,, •rr ,�- ( r , u . , ' r- r •r.- .,.r ,V.S / 4.7, r',. c. r. 01. `\•"�, .r'r or, .'� �I, •,'r® , ,,0\ 1,0 �1 O /:•Eo•I \r. IG r.,, I w� �' -,'^or' ®' /d'4r SEPTIC TANK EoUP ARC 36 LOW PROFILE ,•'' 1000 GALLON PUMP CHAMBER WITH PRESSURE DISTRIBUTION WATERPROOFED BY MANUFACTURER BOUYANCY: DISPLACEMENT = 52 CF. = 3,234 LBS. 1500 GAL. TANK >12,000 LBS. o�,/•/ BOUYANCY: DISPLACEMENT = 76 CF. = 4,750 LBS. 1000 GAL. TANK >10,000 LBS. F ,- , ' , , /• 1p0 /'/• 5Q INSTALL ON COMPACTED LEVEL BASE 33.1' ti���/ /• // ].PUMP TO BE INSTALLED IN STRICT CONFORMANCE � / WITH MANUFACTURER'S SPECIFICATIONS .r•--•"''_•L •'''• 2.PUMP CONTROLS SHALL BE MOISTURE PROOF / 3.CONTROL SEQUENCE: - - PK NL. / A.PUMP OFF EL.7.31 / B.PUMP ON 16" DEPTH OF EFFLUENT(1.10 GAL.) - // COBBLESTONE C.ALARM ON AT PUMP MALFUNCTION � - .3' D.ALARM ON AT HIGH WATER LEVEL Uq - PK // APRON COBBLE 7.2' 4.ALARM CIRCUIT SHALL BE SEPARATE FROM THE .9' / 0 B __ ____ - EOP PUMP POWER CIRCUIT' ° UGELEC $ TO' � EOP L ' - - - c 5.PUMP CHAMBER SHALL BE EQUIPPED WITH GE ST• / o _ „ _ )0.00' RISERS AND A MANHOLE COVER WITHIN 6" Bi�yy' // �=08 10'ti5 EOP Op _ ! -- OF GRADE PRESSURE DISTRIBUTION CALLS & SPECS 7 a' PAVED 4�, 6.BARNES SE411 PUMPS .4 HP 115V[OR EQUIVALENT] E.T / BRB AREA TTHE FORCE MAIN SHALL BE 2"DIAM.SCH 40 PVC (PER OTIS GUIDANCE DOCUMENT) EOP EOP h. H DEAD PINES WITH THRUST'BLOCKS INSTALLED AS NECESSARY /► �► I.LATERAL PIPE LENGTHS:41a 40' �g�44'30"w EOP REMOVED 2.LATERAL PIPE DIAMETER 1.5" .6' S 4� %a 6 6' r 3.PROVIDE 1/4 INCH DIAMETER HOLE AT TOP END OF LATERAL TO VENT AIR(SEE DETAIL) EOP �ELEC ���.09' / �f�NIMPINE- - 4. 16 PERFORATIONS PER LATERAL;PERFORATION DIAMETER= 1/4" 118 / ' -' � ""'--_-- ,, , � EX 7 3' / _ _ - _ 5.PERFORATIONS IN LATERALS TO BE 3'APART,2 PER CHAMBER. 7.1' 117 �' - RMOV SASP`� - `' S S `- NOTE: EXCAVATE TO -C- STRATUM IN ORDER TO S,.__! J _ _ REMOVE ALL A & -B IMPERVIOUS MATERIAL 6.PERFORATION DISCHARGE RATE:= 1.17 GPM. EOP .. ' ' E%/ WITHIN 5' OF THE SAS. REPLACE WITH CLEAN, 7.LATERAL DISCHARGE RATE_]7 PERFORATIONS X 1.17 C3PM�'PERF.=20 GPM. '� CLAY-FREE SAND 8.TOTAL DISCHARGE RATE=68 PERFS X 1.17 GPM=80 GPM. 4 10��' ,tea Y \ , ��„ ' 'rr'g1`1� A.04 \ / E� #2 --- 9.LATERAL SPACING=34" - 4 5' 4111117 V-112 SM ? r r r �,^� 10.MANIFOLD LENGTH&DIAMETER(FROM TABLE 2)=5'-4"(MAX LENGTH=6'FOR 3'LATERAL SPACING WITH 2"DIAMETER MANIFOLD) 2 g' SM 3.0',, 3,3 V-117 86, ! b 0D I , r r�Ci� % 8.0' 11.SLOPE MANIFOLD BACK TOWARDS FORCE MAIN TO DRAIN INTO PUMP CHAMBER.TO PREVENT FREEZING. SM , 6 '' 0 rrr %'' / 12.DOSE VOLUME=440 GPD/4 DOSES PER DAY FOR CLASS I SOIL=110 GALS. 13.ANNUAL INSPECTION REQUIRED 310CMR 15.254[2] [d] 1 2 8 O �� ` 8,( // OBSERVATION PIT NOTE:EACH 40'LATERAL SHALL HAVE 17 PERFORATIONS,TWO PER CHAMBER. ls�t ti0� / SM �X �hti 4 THE PERFORATIONS SHALL BE SPACED 3'APART FACING UPWARD AT 11& 1 O'CLOCK POSITIONS,STAGGARED DOWN THE LATERAL. °� !/ 1 4� � LA LAWN 81 THE LATERALS SHALL BE SLOPED BACK TO THE MANIFOLD TO DRAIN. &HARRINGTON, SOIL EVALUATOR 8 0' P-13678 NOTE:EACH LATERAL SHALL,HAVE A SWEEP WITH CLEANOUT AT THE DISTAL END LOCATED IN A LANDSCAPE HAND HOLE OR IRRIGATION BOX 115 f'' =� ' 6.5' EO 0�� 7.0o PERCOLATION RATE: < 2 MINAN ' 7 9 I' �, AT GRADE. DESIGN DATA ,,- $g. 7.9' S •-•-•-•-'- WITNESSED BY: D.DESMARAIS `J� ` GENERAL NOTES: 1 M-, ,.. - • 8y' ., -- R� •/' jo\° ., BARNSTABLE BOARD OF HEALTH :r �/ ,-'' 2' /' \-�Lil �, 1. ELEVATIONS SHOWN ARE BASED ON NGVD 1 /�'9' LAWN , -- , 78, �� �- DATE. JUNE 22,2012 fi �• = r �? 2. ALL PIPES IN THE SYSTEM MUST BE CAST IRON MS 1 �.' g r 7 -�" s.o' EOD ,/' 9 ' '`%. NUMBER OF BEDROOMS 4 I i 4.4' 9' �6.® '�,s ' oO oo L , OR SCHEDULE 40 PVC. 1 ` 9.0' rv ` t T 7.7' ,•�• > -'- "��.� 0 3. HEALTH AGENT/CAPE & ISLANDS ENGINEERING GARBAGE DISPOSAL Nam_ _ MUST BE NOTIFIED WHEN CONSTRUCTION IS o TEST PIT#1 EL.7.6 �„ TEST PIT#2 EL.7.9 DAILY FLOW 440 GPD. 1 I 1 8.6' -1 ELECT UNBER �` T " COMPLETE PRIOR TO BACKFILLING. =A= LOAMY SAND =A= LOAMY SAND SEPTIC TANK REQUIRED 150Q GAL. 1 6' 87 10.3' 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED 10 YR 3/2 10 YR 3/2 SEPTIC TANK PROVIDED 1500 GAL. \ BY CAPE & ISLANDS ENGINEERING AND THE BOARD 6" 411 LEACHING REQUIRED 440 GPD. �3.9' SE 1 SM �` 7O \ EO 7„!' 103 102 -, EOO OF HEALTH. 114 ea' 77 Eo° I- 5. MATERIALS AND INSTALLATION SHALL BE IN =6w= LOAMY SAND =Bw= LOAMY SAND 4.BDRMS. =440 GPD. =S95 SF./4.73 SQ.FT./LF. = 126LIN.FT. SALT ; 8 C R EOo 6a' COMPLIANCE WITH THE STATE SANITARY CODE 10YR 5/8 10YR 5/8 OF CHAMBERSREQ'D. 1 ` Cps x . - 61 [TITLE V] AND LOCAL APPLICABLE RULES AND " ----•-•-• 4 25 4 ROWS OF 40 LF. = 160 LIN.FT. =40'X 11.33' MARSH 1sTFL 7s'R 104 / °�-------``` 101 REGULATIONS. =C1= MEDIUM SAND =C1= MEDIUM SAND i 1 N�10 , 54,_1 ��� /� ,• .ti 411a� 6. NORTH ARROW IS FROM RECORD PLANS AND IS 2.5Y 6/4 2.5Y 6/4 1 8' Spr�� / HSE / '� �� 74' �P/,i' 0.8' EOG `�� NOT INTENDED FOR SOLAR ENERGY PURPOSES. 1 -114 89' S / �° ,• / EOG 7. WATER SUPPLY: MUNICIPAL WATER SYSTEM. GROUNDWATER GROUNDWATER_ 1 ------------------- " i �G 111 11 SPIKE kSE r 6 3' ° 105 yp, 5 ',•,.' / � �� , , 8. FLOOD ZONE V17 63" WEEPING EL.2.4 66 ------WEEPING ---- EL.2.4 310 CMR.15.405 [1] [h] LOCAL UPGRADE APPROVAL 1 ol z' °o `16" 981, MAXIMUM FEASIBILITY COMPLIANCE L / V DROP TO GROUNDWATER TO PROVIDE 16 4' C�/�7.'-/ 5. E ```� _' 4.8' =C2= PEAT/ORGANIC =C2= PEAT/ORGANIC 4' SEPARATION TO ESTIMATED HIGH GROUNDWATER 1 / 1.4' ,' t 6/5 B 6/5 B 'SM 113 1v1, -` \ T H 16 107 7.9' 7 •'• Q�-/� ' yam' 1'` OH TABLE SPIKE �� �• EOG EXISTING DOCK 1 . 120" 120" i v 10 �---R�.�1 - 15' LICENSE#4339 \ IIf; 1 I 7. /•' .-*' �r EOG C/L 15' LOCAL BOARD OF HEALTH 360-1: 109 108 / 4 2'r- 3.4' CNR Soil Evaluation Certification ' � 7.1' .01 -��-'fos / 15 I certify that on October 1995 I have passed the soil evaluator SEPTIC TANK, PUMP CHAMBER AND SAS <100' TO BVW 112 \ 7 - .�•'•• --'' % EOG CNR 3� > _ / I examination approved by the DEP and that the analysis was performed by 1 V-113� °� / 4.4' 0.E' 0 1 • EDG • V W0�®WALL EOG . 1 °`• -�=-'•- / ,` me consistent with the required training, expertise and experience described 4.4'- - 11 `• 4 3' V 109 - - - „r Q-108 - -' Of.0 ALL in 310 CMR :[5.017. 1 V112 .. EOG 3.1' ` t 0", sM 3 9' .3z' z.a' I EOG ' EOG �- i GLEN ARRINGTON,RS. 36' SALT MARSH I // Eon EOG`---_ 1.3' LEGEND SEPTIC SYSTEM REPLACEMENT SM-1 � ; I EOG r-' � 52 PROPOSED CONTOUR 3.6' Eon ---' 21. PROPOSED SEWAGE DISPOSAL SYSTEM j STK 1 / �; ' // N�.45 S ___ 52___ . EXISTING CONTOUR sue` ' �,_ PREPARED FOR HCLTSE C {�RL S N 1a' OBSERVATION PIT -"B08 °,_� THOMAS QUINN 1 G• `o �� 5 N t:'I11 3.T EOG EOG �0 gSM I I 1 .79 ACFXS HSE.NO. 455 BRIDGE ST. sM------ I ❑ DISTRIBUTION BOX ��000 OSTERVILLE,MASS. 3.9' I 1.5' SM ` OG I 1 0 0 o SEPTIC TANK PLAN NO. SCALE: AS NOTED I `V ���°��Assq FILE NO. 327BA DATE: JULY 31,2012 I SOIL ABSORPTION SYSTEM LE�t �yG 8lI� tip . SEPTIC FILE NO. 76 PCS FILE:455bridge PLOT PLAN I + C� W HARRINGTON I _ 1 4' RESERVE RESERVE AREA ¢ EOG CAPE & ISLANDS ENGINEERING SCALE: 1" = 20' 1.2' z z z lVo,1U70 0 EOG 26 PIPE INVERT ELEVATION 072 35 #455 0 0 0 1S' G1STE\ 800 FALMOUTH ROAD, SUITE 301C > A. MASHPEE,MA 02649 (508) 477-7272 MAP SEC PCL LOT HSE