Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0106 EAST BAY ROAD - Health
106 East Bay Rd (formerly: 29 Gardiner La) Ost&ville A 141 — 104 — 004 d i a a d 'e 1 k rr 6 n—! #>!uLad 6!a aia!dwop qcr meQ t4 Fuedwoo #uolleoyllJeO eJnteuB-S Jepua 6uls- - JGIIPC I --12t/pelmo } ;seq 04;o;eiemooe pue a3eldwoo s!yodel 14;pue'suol;elnBeJ pue selru elgeogdde 6y3 of SulpJoaoe'uolslaJedns 3osJlp Aw Jepun peJelle Jo pellup sem Item 9141 1N3I RYIS 8Ii3TUM Tam Ift S11rHIM='9L YD $ ! ' (wd8)elea hl)SJ8 4ideQ painseaW (SJ9 4) (ww) (SJ4) 1 (see;;; "up) SJ4 Bwmold opens WC A,anooea JSAONZI of awil lanes Bwdwnd pedwnd auJl1 (Wd'J)PIeiA � a3eQ 13A31 W&VM V& vivo I=113M'U I❑ A O naM Sm woJ;ue>lel eldwes #clin d3a Io)sumviedwel (AePlZ31) (d,31 J4/(119) L Li i JeleNi A3M!9Ml!(3 A3!MpnPuOO uJawaOeld !se4oleg! (too)Jelem IUOwM z IOU low 340W l.IIPQMW of wad uolleuuo� Ieuuogi letwe41 ;o Po41aW ::# Sc:3 )uo doo7 usdO:WO)NOIIVIWOdN11VIW3KLOW'U NOW NBLIM I TM JV9flNNv'1616 Apecleo • 4 yidep N❑A❑�+❑1❑S❑3❑INQA❑N❑A❑ dwnd eMe3ul dwnd leu!woN I N❑A❑V❑1❑8❑d❑N❑A❑N❑AQ JemodOWOH ❑❑❑ uo!iduosep ❑A❑V❑1❑S❑d❑NQAQNQA❑ dwnd ❑A❑V❑1❑SQd❑NQA❑N❑A❑ (318V'IIVAVdi)dNndM3WffABd'06 ❑A❑V❑1❑S❑d❑N❑A❑N❑A❑ ❑A❑V❑1❑S❑d❑IN❑A❑N❑A❑ . ! ❑A❑V❑1❑SQd❑N❑A❑N ❑A❑ ' i N❑A❑V❑1 CIS❑d❑N❑A❑N❑A❑ I (WoolPIeIA of wad i W W Bulwe3S pinld Jo Ilup sd140 r W44S 3uewwoo SPOO of � woJd 83NOZ ONRIV38-2131.VM'6 ..lsna uonippb' ' mols ee,el j Iwp ul LIF ❑ al4lsiIA i Jo ssoi Jo ised ww3 I doJ4 eJu� A9010H111 WOO2iGas OO'1 T13M'9 Jl 1177= i V❑ 1Q S❑ d❑ N❑ A IT Ielowelc ezlS IOIS odA.L 01 wad V❑ 1❑ I S❑ d❑ N❑ A❑ N33llOS'S V❑ 10 S❑ d❑ N❑ A❑ V❑ 1❑ S❑ d❑ N❑ A❑ d❑ 1❑ S❑ N❑ A❑ alewe!(3 sseu)o!U1 edRl of wad V❑ -1❑ S❑ d❑ i N❑ A❑ i ! ONISVO'l V❑ 1❑,S-}] d❑ A❑ muloJpee / yldeQ V❑ 1❑�D :1❑ A❑ O Q O3 43def, IIeM le;ol OWN IIuO (u) Wpmlj;o Mol1 wa1S luewwo� ,olop ep0� of woJj u ui oiilPPd IlJQ 1e91 eoe}Jng N❑ Pe3oe;ulsla ,o sral ,o W3 doJ eJ�3 � AD010H111 NSGNf18a3A0 00 113M'9 A luewe0ue4u3 ; N pedolene l J ❑ , ❑ aJnloeJ� ❑ O VoJpeg uepJngJenO ® ® a T NOLLVIWOJNI 113M lrfwWO 9F OON13W ONMPA'1 WAL TMM-9 03IWOMM AK 'L ponssl eiep C'C3" CY3 JegwnN AuLed peJlnbea;oN se Peu!elgo 3!u1Jed 16131eeH;o PJeog a;e3S umol/A3!0 #io1 sJossassy deyy sJossesW ssaJPPH Bu!!!eW If/) umO11A1I3 r-1 uJJld 6uuaeuiBu3 uollduosso 4odadNOlSlnlpgnS -7-n C1 =`_ � JeumO AvedOJd❑ u011e001118 le eseippd o 'er aT �—, rtti ISOM 41JON (PeJlnboV)SdJ NOLLVO011131Y1'� ';euuo)aej ep/&W►Dep 'Seep ep u/ cun;ep pSSJM ur eq;snu!sa;eurP000 Sdq :a;ON s .µ ld0d3d 773M IV83NBD i uop0e3014d ownosed;o nosing l i uollaeiojd le3uowuaulnu3/o Wauajodep samwenow ENVIROTECH LABORATORIES, INC. MA CERT. NO.:M-MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 - ° P� IND Client Name: Jenkins&Son Well Drilling Location: w Address: PO Box 5 p';,Q(1 ,(Zp So.Orleans. MA Osterville,MA ! 02662 Lab Number: DW-190468 Collected By: HJ Date Received: 03/04/19 Sample Type: Irrigation Well Well Specs: 41' Location Source,; Date Col/ected -Time Clleeted .. Comments: -r A 03/04119 8:00 Analysis Requested Units Recommended Limits Analysis Result Method/ Date Analyzed Analyzed By Total Coliform CFU/100mL 0 0 SM9222B 03/04/2019 MC pH pH units 6.5-8.5 6.48 SM 4500-H-B 03/04/2019, RL Nitrite-N mg/L 1.00 <0.006 EPA 300.0 03/04/2019 RL Nitrate-N mg/L 10.0 6.00 EPA 300.0 03/04/2019 RL Total Iron mg/L 0.3 0.06 EPA 200.7 03/05/2019 MC Manganese mg/L 0.05, 0.007 EPA 200.7 03/05/2019 MC Calcium mg/L N/A 12 EPA 200.7 03/05/2019 MC Sodium Absorption Ratio 5.0 2.7 Calculation 03/05/2019 MC Electrical Conductivity Millimhos 0.25-0.75 0.17 Calculation 03/04/2019 RL TDS Irrigation mg/L 175-525 106 Calculation 03/04/2019 RL Sodium Irrigation mg/L 1000 15 EPA 200.7 03/05/2019 MC Speck Conductance Irrigation umhos/cm NA 166 EPA 120.1 03/04/2019 RL Magnesium mg/L N/A 2.4 EPA 200.7 03/05/2019 MC Comments: pH is below recommended limit and may have corrosive characteristics. Nitrate level should be monitored periodically. All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results. We certify that the following results are true and accurate to the best of our knowledge. Water meets EPA standards and is suitable for drinking for parameters tested. f Date 3/712019 Ronald J.Saari Laboratory Director BRL=Below Reportable Limits *See Attached Page 1 of 1 cCertification is not available for this anal}ate for potable crater samples.. CK. ,Q #VUU*d Ow ololdwoo qor elea _ RuedwoC #uo!leol�llleo a;nleu6!g Japua 6u!s!aedng — S � 1 RM �wo l o vw ;soq 94;o;elemooe pue aleldwoo s!3JodeJ :!4;pue'suo!leln6eJ pue sellu elge0!ldde s4l of 6u!pJo=e'uo!slAJedns peep Aw Jepun poJalle Jo pellup som llenn s!yl 1NSMY19 SM311RlO TOM '8L UN3ppOo'4 L r (wd6)ales (u)SOS 41doo pounseeyy (Sv8 g) (ulw) U) + (SOS w I'M) sJ4 BulM01:1 o!lelS also kGA009u Jen0oaa o;aWil lanes 8uidwnd pedwnd aw!l (Wd'J)0191A I aleo I❑ A❑IIaM sI4;W04 Min aldwes #oln d3a j I li 1.)amleJodwal (Aep/yll) (d,31 J4/f119) Li Li ! , Jelem /4!nlsr !Q Apilonpuoo luawaoeld !sayole8l (1e6)JeleM 'l4ftM ie1�a3eW of urad Z leualeW ;46�aM u0i;ewjo� leUmQ4.L IBWJe41 10 P0410A l /uo d0o7 uedO IdO)NOLLVWAWNI WWV3HL03lR'LL WJVd�1311a/'f113S-?JM1fiNN1/'Lf. Apedwo >l 4ldea NQA❑VQ1❑S❑AQINQAI]N13A❑ dwnd I mlelul dwnd leu!woN N0A0M❑1139❑dpN❑AQN❑A❑ JeModesJOH uoad!Josep ❑A❑V❑113 S❑d DIN ElQ A N CA C3 �+ dwnd N❑A❑dC31❑S❑d❑N❑A❑N❑A❑ j (3"UMIVAVd1)dNfWMBWNMdZ 0A❑V❑1Q90d❑N❑A0N❑A❑ I t ❑AQM❑10S❑d❑IN❑A❑N❑A❑ l 13A❑V❑1❑S❑d❑N❑AQN❑A❑ i I / / N❑A❑VQ1❑S❑AQN❑AQN❑A❑ (WCIDI P191A i of wad . , Buiulels ptnld;o p sd'40 welS luewwoo ' opoo o + U10 JA 93NM ONRW--WVUVM*6 lsna uoalppv ' mols 96Jel pup ul I elq!S!A i Jo ss07 Jo lse j eJM I dao eJyx3 AaJO1OM111 HoO?J039 001 T13M'9 ,i O �i V❑ 1❑ S❑ d❑ N❑ A❑L lalawelo ` aZls lolS adAl of ; woJ:i M❑ 1❑ S❑ d❑ N❑ A❑ i N33tJOS'S V❑ 1❑ S❑ d Q N❑ A❑ y❑ 10 S❑ dQ N❑ A❑ ' q p � � y❑ 1❑ S❑ d❑ NQ A❑ . alawe.0 sseu>Io!41 addl of wad v❑ 1❑ S❑ d❑ i N❑ A❑ IDNIM'L V❑ 10/8'Q d❑ `_M-® A i 1-1-� Q llooJpeg 43dea V❑ 1 ❑ d❑ .WM A❑ ;5w Qe 0 014idaa 1� Hem lelol , _ (u) M ua;!PPJO v a3 mols 0 9 JQ I luawwo� I ioloo 8p0o of woJ,.4 1 L1 J e lees a0e}ding ! N❑� paaoe;u!s!a Jo sso� � '�1� ui dojo . ADO'1OH111 N3(r:If19>:13A0 I=113M'8 A❑ lueweaueyu3 N ram, pedolanao ❑ ❑ Z� a ❑ a aJnpeJd ICJ Moapog I uepJngJeno NOLLVrR10dM TMMR lVN0LLIOm'8 QOH13N ONrrMW Y MAL113M't 03W&VAM)RK All't ponssl alga F(:�0—1 Cn JequJnN 1!uuad peJ!nbell loN C se peu!Mgo l!uJled ylleeH;o pJeog stets= Se? uMol/f4!o #101 wossassy deal sy s;osses sseJPpy 6u!l!eW 1,5 uMol/A!o r5= - ;, uuid 6uueeu16u3 C uo!ldu0sea dl;adoJdluo!s!A!pgnS 7-77,41 JeuMo Avod0Jd Cl uo!leool llom le sseJppy t-77 lsom 't ' ' 41JON (PaJlnbea)SdV NOI1VoO'1113M 3 rrj�euuoj eej ep/ewIoep seas ep u.1 ulniep fgSJM u;eq Ism se;eutpl000 Sdo :SION �r LdOd3M 773M 7VW3N39 uogae;ad ownmoly{o neamg 'i u0llae30Jd/ertu0WU0ihu3 fo luouwadeo su myoessex ENVIROTECH LABORATORIES;INC. MA CERT. NO.:M-MA 063 ` 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 (508)888-6460 1-800-339-6460 FAX(508)888-6446 Jenkins&Son Well Drilling � Client Name: g Location : (�(�1(,l•�l n 0 Address: PO Box 5 486 Winno Ave So.Orleans MA Osterville,MA 02662 Lab Number: DW-190469- Collected By: DJ Date Received: 03/04/19 Sample Type: Irrigation well Well Specs: 37' Location Source Date Collected" Time Collected Ci�►riments A ` ' _�'03/04/19 800_. . Analysis Requested Units Recommended Limits Annlvsis Result I Method Date Analyzed Analyzed By Total Coliform CFU/100mL 0 0 SM9222B 03/04/2019 MC pH pH units 6.5-8.5 6.39 SM 4500-H-B 03/04/2019 RL Nitrite-N mg/L 1.00 <0.006 EPA 300.0 03/04/2019 RL Nitrate-N mg/L 10.0 4.63 EPA 300.0 03/04/2019 RL Total Iron mg/L 0.3 0.04 EPA 200.7 . 03/05/2019 MC Manganese mg/L 0.05 0.009 EPA 200.7 03/05/2019 MC Calcium mg/L N/A 5.5 EPA 200.7 03/05/2019 MC Sodium Absorption Ratio 5.0 3.7 Calculation 03/05/2019 MC Electrical Conductivity Millimhos 0.25-0.75 0.16 Calculation. 03/04/2019 RL TDS Irrigation mg/L 175-525 106 Calculation 63/04/2019 RL Sodium Irrigation mg/L 1000 18 EPA 200.7 03/05/2019 MC Specific Conductance Irrigation umhos/cm NA 165 EPA 120.1 M/04/2019 RL Magnesium mg/L N/A 5.1 EPA 200.7 03/05/2019 MC Comments: pH is below recommended limit and may have corrosive characteristics. All samples were analyzed within the established guidelines of US EPA approved methods with all requirements met, unless otherwise noted at the end of a given sample's analytical results. We certify that the following results are true and accurate to the best of our knowledge. Water meets EPA standards and is suitable for drinking for parameters tested. ! Date 3/7/2019 . Ronald A Saari Laboratory Director BRL=Beloit?Reportable Limits *See.4itached Page 1 of 1 OCertifrcation is not available for this analyte for potable water samples.. i TOWN OF ARNSTAELE ' J �+ LOCATION e4 SEWAGE# '-VILLAGE le ASSESSOR'S MAP&PARCELJ4/J-��i/ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY o?L��/ LEACHING FACILITY.(type) /,0a /t < (size) i l d�Xyz NO.OF BEDROOMS OWNER ,e PERMIT DATE: COMPLIANCE DATE: 314�b G 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 a ist within 300 feet of leaching facility) / Feet FURNISHED BY ���C O;) YV.) ��L !� 1% No. Fee �f T E COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for -Misposal �&pstrm Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System 21ndividual Components Location Address or Lot No. L�L Owner's Name,Address,and Tel.No. PAIv Rea Assessor's Map/Parcel A% 2d�T �S iY LLC Installer's Name,Address,and Tel.No. igner's Name,Address,and Yel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of epairs or Alterations(Answer when applicable) n&j /IKP On� JC Date last inspected: Agreement: The undersigned agrees to ensure the cons I ction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the E iro ent de and not to place the system in operation until a Certificate of Compliance has been issued by this Boapd-of H ItP 4 i� Date t1Application Approved bI/P Date i ed Application Disapproved by Date for the following reasons Permit No. Date Issued ..:r' f� .. .��''• `tfi-.` - :.�'- q� � 'C. ,.st...�„ov'nst��'�.a...'�... •r.-.�µ,,'s�--:':1�•-d���n�-rr,e'''�";�,•-..,�'..'I�r��{.e�'r+'�r�".p..rngi?s`,�.�,''���ti:1bPt,...m �. V9. - Nw .tt Fee T E COMMONWEALTH OF MASSACHUSETTS Entered in computer: r Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS. N.. k ftpfication for Misposal A�pstem Construction Permit 1' Application for a Permit to Construct( ) Repair( Upgrade ) Abandon( ) ElComplete System Eg I'ndividual Components Location Address or Lot No. / Nk ' Owner's Name,Address,and Tel.No. r` Assessor's Map/Parcel ���, ,Q 2J kA Installer's Name,Address,and Tel.No. , fe igner's Name,Address,and el.No. our Cn Type.of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 9 Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil l Nature of Repairs or Alterations(Answer when applicable) lY-a 0 WiR Igp "n ��a54rijc-T�jce p r' F 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 Endiro .ental-code and not to place the system in operation until a Certificate of" h Compliance has been issued by this Bo`ard7of H alt igned j , �� t`f �0 Date .Application Approved b //! r� ,1 ///� ,� Date I 2 - V , Application Disapproved by -�' U Date for the following reasons y?� Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS. Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by O t� ..at- o - . - �,-� - - - -� _ �� -- - --has been coW-ni Eq/8,00 with the provisions of Title 5 and the for Disposal System Construction Permit N Installer 1 � l� '� � Ca • Designer , #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system Nslll o Date J/Q / Inspector \ - - -- - - --- - ---- -- --------- --------------- ---------- l _ O - - - - No. / ' Fee a THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Re air(` ) U grade ) andon System located at ` 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:Constrli" �7�n st o- mpleted within three years of the date of this permit. Date roved b A PP Y � - `c Town of Barnstable pFIKE Inspectional Services STAB Public Health Division KAU Thomas McKean, Director Alfo '�' 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 6/14/19 Sewage Permit# 2018-259 Assessor's Map\Parcel 141-104-004 Designer: Sean M.Riley,Coastal Engineering Co.,Inc. Installer: Robert B.Our Co.;Inc. Address: 260 Cranberry Highway Address: 24 Great Western Road,P.O.Box 1539 Orleans,MA 02653 Harwich,MA 02645 On 8/16/18 Robert B.Our Co.,Inc. was issued a permit to install a (date) (installer) septic system at Lot 3- 106 East Bay Road,Osterville based on a design drawn by (address) Coastal Engineering Co.,Inc. dated 8/2/2018 (designer) Y x I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out- (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with s of the INA approval letters (if applicable) tHOFMgssgc Certification is for the sewer connection moo'' SE AN M. tiP �� of an accessory building (Yoga Studio) c RILEY CIVIL (Installer's Signature) into the septic tank of an existing No. 46715 N ` sewage disposal system serving 106 'Opo�q�cr Tea``�a``�� East Bay single family dwelling FSS/oNAL (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. WoUeptAHEALTHISEWER connecASEPTICOesigner Certification Form Rev&14-I3.DOC VIAl10 141, 10L1--()0V �L ^ / No. Fee Z ' BOARD OF HEALTH 0 TOWN OF BARNSTABLE `��f pp Yication for Yell Cow6tructiou Permit App"ll.ba io s hereby made fora permit to Construct( ,,// Alter or Repair( an individual well at: C. Location-Address Assessors Map and PAW O er Address Installer-Driller Adress „ n 0-�/CIJ_(0 a Type of Building Ain, Dwelling Other-Type of Building No. of Persons Type of Well (2fZ(capmr3k) Lo*Ft L- Capacity Yl Purpose of Well —�l���UGc (,c� Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate C/olilia has b n issued by the Board of Health. Signed Date 1( 1 Application Approved B Date Application Disapproved for the following reasons: p�- l Date �Permit No. �� �/ © Issued O I I I Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individukl we C str�cted( Altered( ), or Repaired( ) by err Qarl ler at has been installed in accordance with the pr i ions of the Town of Barnstable Board of Health Private Well rote io Regulation as described in the application for Well Construction Permit No.�/&-0t`�'"S Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector ._d>. t / 141 � Q n No. ()^Vp2.j Fee BOARD OF HEALTH / -7/o TOWN .OF BARNSTABLE �k' i4ZIPPItr` ation,, jfor Yell Con5tructiou Permit � ion s hereby made for aper-mit to �C/•o�nstruct(t�,'l� Aslter( ) o�r Repair O an individual well at: , y 4�u���yfwbter .r..+n...scv+ � [ J � I�..-y v V(y� � r Ic.�l u �l".� � 1/�•Lt oCJ� ` Location-Address Assessors Map and Pat— O er Address Installer-Driller Xddress (Vint v-� /lIJ _�a Type of Building �H Dwelling Y Other-Type of Building No. of Persons Type of Well 2(Z(<hPT(n►J (. ),Fk Ll—J Capacity LYYI Purpose of Well � v�/��L(� Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certifi atedf C lianee has b n issued by the Board of Health. Signed Sib Date Application Approved B ( 1, Date.` Application Disapproved for the following reasons: (� Date Permit No. �1 .1� + --� Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed(fit.. Altered( ), or Repaired( by V V�J� , ( '� t �1~, 42 Iler i at kl sa-gV- i�gA has been installed in accordance with the pr vi ions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. --C2)r-S Dated Ll THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE Yell Cougtructtou Permit No\!. C,�,� """ 0-;15 , Fee Permission is hereby granted to Installer to Construct Vy, Alter( ), or Repair )n an individual well at: Street as shown on the application for a Well Construction Permit No. �6 �c Dated / (� Date )P4 Approved By --~ � - GENERAL coNmACrCOASTAL �� i .� analxMnp ca i 1 ANDSCAPE ARCHITECT _� ®.�®. yr� _ *R J`,mimxuc CMENgER.NE J, / @t REFERENCES' . \ / .\�_ a / ( ` Rm- P®�;"�� .., b� 41�c" ••�,Sa4 � moo. -� 1 .. t _ I / E IT kc �....� ---------- ------ ...___ _ O x a Uo g.a.a m a z a .. ._ Paann POND _ ,I w ¢ a PROPOSED _ (wu1 cn U) a w 3 ]=XISRNG SEPTIC SYSTEM NOTES: \ PLANASNMD IRRIGATION WELL NOTES: """"'"` ON-SITE DRAINAGE NOTE ARCHITECT NOTE.' $ INTERCONNECRVE ROUTES SYSTEM 7 AUDIO SUAL .�� ��....4• °"m'°"°m°'"'"""'� SCOPE OF DEMOURON N07E5: �� �IIF • �� DRAINAGE&SEP77C DETAILS: SITE&LANDSCAPE NOTEMA"1_1kr.Ml : . . .m wa •®'°"�.,,:imm .w'�"°��ow"a z .wcnno°Neveu.s "°0 00�"`• ,m® � ,mm,��N.9-2 ISSUED FOR IRRIGATION WELL PERMIT 08-01-2018 9 g COW Cr Town of Barnstable Office:508-862-4644 Regulatory Services Department Fax:508-790-6304 Public Health Division MAS& Thomas A.McKean,CHO 474• 200 Main Street, Hyannis, MA 02601 Payment Receipt Well Payment received: $45.00 (Check) on 8/6/2018 Permit number: W2018-025 Check number: 27105 Check amount: $226.25 Name on check: Paul Jenkins&Sons, Inc. PO Box 5. �So.Orleans, MA I Business: Paul Jenkins&Sons Owner: ASSEMBLY REQUIRED LLC 1Address: 106 EAST BAY ROAD, Osterville Note: Well Permit(5th of 5 within grouping of parcels) +Service Fee $1.25 it aa✓ x K ' , . A New Parcel Lines .,Y'4� �r{•f�'t 0{ .�r Tx�Ey.,',nTP *. m y ' •' ti ` �• Win. ' � • .. r r ,q s L +it« .v � t r � rod , c 4 " f ..a �� _ i., � �,,.� �y;'s#!yj^ .1=a�r gcy,?�tE 1r{w � "�`.,,� • � ,+�.�,,y � �� w'� ,r.� •X � +Ty a.. , • 1 � w _ I Al 0. Y T. ('Mid'. Y�y 4. a « ±/mot•-' • �Ivc ''°� e" AM Ae AL ti �- s�« a 'a �d e`�..+:L .9." � ).��'' '� ay ��� t'I.'r. f� � �'e`' »z' x`sa•.'� s" �'�� s,e a.. r• ".,'�: . A F , r a " + rP ♦, t rt ' Vat r.r . Si t. �R '"s a y 7t it , _ - 1 k Town of Barnstable P# I OFIME T 'l gyp` Department of Regulatory Services &UMSTABLE, : Public Health Division -Date 7& MASS. 03q. � 200 Main Street,Hyannis MA 02601 �Ar AlEO MA't A Date Scheduled Time Time l l Fee Pd. ' I Soil Suitability Assessment for Se age Disposal tot p l Performed By: � `t1'�� ��'Q��� " � Witnessed By: LOCATION & GENERAL INFORMATION. Location Address (�(p y��/ Owner's Name�L �' Address 413$K�2 mki8 a Lpu�il Assessor's Map/Parcel: 1� / b l Engineer's Name NEW CONSTRUCTION X REPAIR Telephone# t-5 pS Land Use 1l�5%P V V-rTN(,L Slopes(%) U -3 Surface Stones Distances from: Open Water Body ,D ft Possible Wet Area o 6 4- ft Drinking Water Well Z66`t ft Drainage Way `Ob 'T ft Property Line ��k ft Other ft SKETCH:(Street name,dimensions of lot,.exact locations of test holes&perc tests,locate wetlands in proximity to holes) I� A \ fV AV RN ggc Parent material(geologic) o V`(W Depth to Bedrock a -T Depth to Groundwater: Standing Water in Hole: tS0 Weeping from Pit Face Estimated Seasonal High Groundwater ILI1(,= C A�,T_�, DE ERMINATION FOR SEASONAL HIGH WATER TABLE, Method Used: F Depth Observed standing in obs.hole: t-A 6>1C in. Depth to soil mottles:.. in. Depth to weeping from side of obs.hole: 0*1re, in. Groundwater Adjustment Z 6 ft. Index Well#p!\10•).`1 Reading Date: 2e r1 Index Well level 4L'1 i7 Adj.factor 46S- Adi.Groundwater Level 51,-__V. (. 77 NWID PERCOLATION TEST Date�P'Tlme Observation q Hole# Time at 9" �' 1 f 1 / AI�Tz�tL Depth of Pere o Time at 6" I Ci mw. 4 `U-3 Start Pre-soak Time 4'010 D :°° • <2 J End Pre-soak 5 00 S'0 d Rate Min./Inch < L {Z Site Suitability Assessment: Site Passed�_ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# .. ... Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. p Consistency,%Graven f1l o DEEP OBSERVATLON HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) 33 N� o DEEP,OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) o� z ZAMA DEEP OBSERVATION HOLE LOG Bole#' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel D� 13Z � 0 ,ice �o . �3z A � Iv � (,P q Flood Insurance Rate Mal):- Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No k Yes Depth of Naturally Occurrinz 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? 1F If not,what is the depth of naturally occurring pervious material? Certification WV` I certify that on nA J (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required ing,e e and ex ce described in 310 CMR 15.017.^ Signature Date Q:\S EPTIC\PERCFORM.DOC -0MMi)NV.EAIJTH OFF-KLgSSACHUSETTS _ x EXECUTIVE OFFICE OF �NVIRO,NMENTAL AFFAIRS 1 � DtPARTNIE2,TT-,OF ENVIRONMENTAL P, TEGTIOIV 15�: r '. TITLE 5' F'FICIA I3'aSPECTIOi FORM=?°dflT FOROIUi`tTARY ASSESSMENTS SUBSURFACE=SE—WAG-E DISPOSAL SYSTEM FORM• PART A t CERTIFICATION 06 Property:Address: �/(� Owner's-tame: Y� Owner's:Address: ' Date 6f Inspection.: 71.E [�, 44 Name'of Inspect o (plea e'printj U¢°J,,2vr1gJd Company Name Mailing Address: , Telephone Number: ✓-'`7'7/- CERTIFIC TI.ON 8TATEMEN T -l.certify that I Ei ave personally inspected the sewage.disposal sysiem•at this addressand'that the information reported wbelow=is true,accurate and.complete as of.the time of the inspection.The'inspection was performed based on my :training and exberience.in the proper function and maintenance of on',site sewage.disposal systems;.I am a D.EP t�-approved system inspector pursuant to Section 15:3d0 of Title 5-310 CMR 15:0'00) The system: Yr Passes i Conditionally-Passes -,, deeds Further Evaluation.by the Local Approving Authority e t a 15 { Inspector's Siatur :. -- Date J�0 The system inspector shall subinit a copy o.f this inspection report to the Approving Authority(Board-of Health or DEP):within'30 days of completing this.inspection. lfthe'.system:is.a shared system or has a design flow of 10,000. gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sentto,the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments , ****This report only'describes conditions at the time of'inspeeti'on and uh der.the ca.nditions of use at'that time:,This inspection does not address`how th;esystern will perform in the future under the same or different conditions of use. title..5-Inspection Form 6/15%2000 page 1 h , Page:2.of I 1 s OFFICIAL I •' _ INSPECTION. ..FORIVI�. 3V.OT FOR V�'I..UN"I'AR�c:ASSESSMENTS;. SU SUR 'ACE EW-A.GE:DISPOSAL SYSTEM INSPECTION FORM . PART A. CERTIFICATION(continued) r` ontui ed Property Address:�Q Own:er:. Date of In pec.ton C • Iri ectso ., •sp n'Summary: .Check A,B',C,D or E JAL.WAYS complete.aI1 of Sesrion 3) A. System Passes: I have not found an F t y information which.ind'c indicates that an.. ol'the a',/ failure criteria described 4in 3 10;CMR 15.303 or.in310 CMR 1.5304 exist.Any failure criteria.notevaluated are indicated below Comments: B. ., System Conditionally Passes: One or more system components.as described in the"Conditional`Pass"section needto,be-replaced or. repaired.The system, upon completion of the replacement or repair;.as approved by the Board of`Health,v�ill pass. Answer yes,no or not determined(Y,N;ND)-in the for.the following statements, if"not determined.' explain.. The septic;tank is metal and'over.2.0 years.. I& or.the septic tank(whether metal or not)--is structurally unsound, exhibits substantial mfiltratiort or exfiltration or.iank failure is imminent:System will pass inspection if the existing tank is replaced with�a.complying septic-tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20.years old is available:'. ND explain: Observation of sewage..backup-or break out..or high static water level iij the distribution box.due.to broken or.. obstructed'pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval'.of Board-of Health): broken pipe(s)'.are replaced. obstruction is-removed distribution,box is:leveled or rep laced 1 ed ND explain: The system required pumping.more thanA times:a year due to broken or obstructed pipe(s).The-system will ass inspection p p ion if(with.approval-of the Board of Health): broken pipe(s),are replaced obstruction his remo.ved . ND explain: Pace' 34 of 1 1 OFFZCML INSPECTION FORM -.3'V.OT FOR YOLUNTARYASSESSMENTS SITBSURF ACE SE�IAGE DISPOSAL SYSTEMS INSPECTION FbRNI PARTA. CERTIFICATION•(continued) `Property Address: YO , " -Owner - IDate-oflnspection: 07:` C. Fnrther.Evaluntion is Required by the Board of Health: Conditions exist which require further evaluation by-''tire Board of Health in order:to determine if the system . is failing to'protect public health..safety or the environment 1. System will pass unless Board of:Health determines in accordance'with 310 CMR 15-.303(1)(b) that the ..system is not functioninc in a'manrrer-which will.proteet:publichealth,safety and-th : environment: Cesspool or privy is within 50,feet of a surface water Cesspool or pnVy is within'SO feet of a borderins vegetated"wetland'.or'a'salt°rnarsh� Z: System`will fail unless the Board of Health{an d''Publfc.,Wa ter.Suppl.ier„if an determines that the system isTunctiohing in 2 manner that.protects the public health,..safety.andenvironment: _ The system-has a septic tank andsoilnabsorpti on-system (SAS)and'the SASiis.withid.100`feet of a. surface water sunply.ortributary to a surface water-supply' _The system has a septic tank and 5AS and the`SAS is within a Zohd.I of a.public�water supply. The system has a septic tank ap_d.SASand-the:SAS i's.Within150-fe-et of•aprivate•water supplywell. The system.has a septic tank:and SAS and the.SAS is.less than 100'feet but'50 feet or more from a private water supply well**.Method used to determine,distance "This system.passes ifthe well water analysis,'perform.ed at a7DEP cerfi.fied laboratory,dr:coliform bacteria and volatile organic'compounds indicates that the well is.free.from.polfdtion from that facilin,:and , the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triagered. :A Dopy of the analysis:must be.attached to this forrrt. i 3. -Other: A Page 4 of 1 I O.FFIC AL I tSPEC:TIOiY.:FORM—.NOT F:OR VOLU d AR .ASSESSNIENTS SUBSU,'RFACE•SE'WAGE�-DISPP08A�'.S STEM-INSPECT10N.FGRM PART A .. CERTIFICATION(continued): Property.Address: Owner: i' Date of Inspection-17 :. D. System Failure-.Criteria applicable,to altsystemsc You must indicate"yes" or"no"to each.of the•fallowing for all inspections. Yes .No — Backup of..sew,aget into:facility:or system component due to overloaded, or:clogged SAS or.cesspool Discharge or Bonding'of effluent to the.surface ofthe ground or surface waters due to an overloaded or clogged SAS-or cesspool Static liquid l;evel:in the.distribution box above..outlet.invertdue to an..overloaded,or.clogged SAS.or cesspool Liquid-depth in cesspool is•less.than 6 below invert or available volume is.less than %day flow Required pumping:more.-than 4-times in.the-last year NOT due to clogged or obstructed pipe(s).Number. ' f of times puinped Any portion of the:SAS,:cesspool or privy is..below high ground water elevation. Any.portion,o f cesspool•.or privy, is. .100-feet of a.surface.wafer supply or tributary-to:a.surface water supplya .Any portion of a cesspool.or,privy:is within,a Zone 1 of a:puolic well. _ Any portion of'a:cesspool.or privy is withim50 feet of a:private water supply well. - Any portion of.a cesspool or privy is:less than 1.00 feetbut greater than SO feet from a private water supply well with no acceptable-water quality-analysis::(This system passes if the well water analysis, performed a::t:.a DEP certified laboratory;for colifor-m.ba.cteria and::volatile organic-cornpounds indicates that the..well is free from.pollution from that.facility and the.:presen_ce of ammonia nitrogen and;:nitr•.a:te nitroben.is equal:to,or.less than S ppm,.provided that no other failure criteria are triggered::A.copy of.the analysis:must be:attached to;this forrn.l J (Yes/No)The system fails.I'have determined that one or more of the above failure criteria exist as. described' JIO.CMR i5.303,therefore,the:system fails.The.system"owner. should contact the Board of Health to determine what:will be necessary to correcti the:failure. ' E. Large:Systems: To be considered a•large;system the system must serve:a facility-with a design flow of 10,000:gpd to 1.5,000 a. • 5 P d. You must indicate either"yes" or"no"to each of the following: (The following criteria.apply to large systems:in addition to the criteria above) yes no — _ the system is within 400 feet of a.surface drinking water supply _ the system is within 200•.feet.of a-tributary-to a surface drinking water sup ly — the system-is located-in a nitrogen sensitive area(Interim Wellhead Protection Area—iwFA) or a mapped Zone II of a public water supply well.• If.you have.answered".yes"to any question in.Section the system is considereda signifcant.threat.or answered- "yes"•in Section D'above the Iarge system has failed.The owner or operator of any large system considered a significant threat,under Section E or failed under Section D shall upgrade the system.in accordance with.310 CMR 15.304.The system owner,should contact.the appropriate regional office of the Department. Pa,e•S of 1.1 y. OFF CJ<AL i 1SP :C C� d: 'fJRiN eNO T FORV ITNTART'AS'SESSi�IEN:I'S ST-BS TRFAC "SEA_ E;I}TSP'0&kt'SySTEMJN.SPECTTON F O�Y1 PART'B. CHECKLIST # Property-Add ress: � � Owner: F. J. Date of lns ection: Check if the following haye.been done..You Trust indicate"yes"or"no".as.to each of the following: Yes. No —J�- Pumping:inforrnation was.provided byfhe owner, occupant, orBoard:ofHealth; : V Were anv of the system components pumped out in the.previous two weeks — Has the'system."received normal flows in the previous Ftwo-week period I/ Have lame volumes of water been initroduced to the system recently or•as.part of this inspection?. ^ LI Were as built plans ofthe system obtained and examined?(If theywere•not available note as N/A) i/ Was the facility, or,dwelling inspected for signs:of sewaae backup Was the site inspected for signs of brdak out? - Were all system con ponents, excluding the SAS,located on site?. i Were the septic tank.manholes uncovered; opened, and,the interior-of the tank inspected for the condition of the bafrges ortees, material:of construction, dimensions, denth•of liquid,.depth of.sludaelancl depth of scum? . Was the facility owner(and occupants if different from owner)'provided with information.on the proper maintenance of subsurface sewage disposal systems.? F, The size and location of the Soil Absorption System•(SAS) on the site has been"determined based on: Yes no y Existing information: For,example, a plan at the Board of Health. Determined in the fleld(if any of the failure criteria related to Part C is atissue f approximation of distance is unacceptable) [310 CMR I5.302(3)(b)] r 5 II i . Page 6 of 11. . O'F`FIC.IAL INS'E.GTION FQ.RM I TOT 'FOIE VQI,.Ul �.�RY ASSESSMENTS S:IIBSIJRI�'AGE S.EtiVAGE;DISP:OSAL SYSTEi�✓Y I1�SPCIIOI�t FORD PA'R:TC SYSTEM I1NIFOI ATI0i'i Property Addressc Owner: ^ Date-of Inspection: FLOW CONDITIONS RESIDENTIAL ✓ Number of bedrooms,(design):-.- Number..of bedrooms(actual).,. DESIGN flow.based on°310`CMR 15.203 (for example: I1:0 gpd x#of bedrooms): Number.of current resid'ents:. Does residence have a -arbaoe grinder(yes or no):. ' Vw Is laundry on.aseparate:sewage system}(y s or no yesseparate inspection required] Laundry system inspected(yes.or no); 0 Seasonatuse:(yes orno):. 8 Water meter readings,.ifava'lable Oast 2 years.usage:(gpd)): �` /(J�'® Q � q�a Sump.pump(yes or no): Last date of occupancy: COMMERCIAL./INDFTSTRIAL. /VU / Type of,establi`shment:. Design flow(based on 110 CM .15.203): apd Basis ofdesip flow(seats/persons/sq.#l,etc.):. Grease trap present(yes.or.no); Industrial.waste holding tank present(yes or no).— Non-sanitary waste discharged to the.Title 5 system(yes or no):- Water meter readings; if available: Last date of occupancy/use: OTHER(describe): GENERAL INFOR1kSATIOI't Pumping Records Source-of information; Was system pumped as part ofthe.' spection(yes r no): �d If yes,.volume pumped:' gallons—How was quantity pumped determined? Reason.for pumping: TYP OF SYSTEM. Septic iank,distribution box,,soil absorption.system _Single cesspool —Overflow cesspool _Privy _ Shared'system(yes.or no)(if yes, attach previous inspection re.'cords,,if any) 'Innovative/Alternative technology:Attach a copy of the,cur:ent operation and maintenance contract(to be obtained from system'owner) —Tight tank, _A.ttach.a copyof the DER approval _.Other.(describe): roximate aQe.of aIlrcompo nts,date installed if own)and source of information: . Were sewage adorn;detected when'.arriving at the.site(.yes or noo):./�& Page 7 of I y* n, OFFICIAL INSPE;C'TION FORA-NOT FOR-VOLUNTARY ASSESSMENTS SUBSL>I R1 CE SEWAGE I) OSAL.SYSTE ,-INSPECTION FORM: s - PART .0 'S 'EM: NFO_RNLATI`0N(continued)*. Property Address: i Owner:d' y'l^,z2 A-4,1�7 A Pot h'— BTJ.ItDJNG SEWER(locate on site plan) v y Depth below ade: r Materials of construction: cast iron 40 PVC other(explain): Distance-from private water supply well or'suction Iine.:. .. Comments(on-condition'off joints,venting,:evidence ofIeakaQe, etc:) SEPTIC TA.K:_(Locate'on site plan) Depth below grade: Material of-construction:. 115.1crete metal fiberglass :'..:.polyethylere _other(exp lain) If tank is metal list age: s' aae:confirmed by a Certificate of Compliance(yes`or no)" (attach..a copy of certificate) i Dimensions, Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle:. j Scum thicltness: / Distance(from top of scum:to top:of outlet tee or baffle-. r� Distance from bottom of scum to'bottom,of outlet tee pr baffle: . _'.. How were dimensions.determined: Comments (on pumping recommen ations, ',let and outlet tee-or baffle condition, structural-integrity, liquid levels a related to outlet invert, evide e of leakage, etc.): 0 I " i I-e 4 (locate on`site.plan} GREASE TRAP�L(� Depth below-grade:_ T Material.of construction:._concrete. metal_fiberglass polyethylene'_other _ (explain): — Dimensions: Scum thickness: k Distance from top of scum to.top of outlet tee orbaffle: Distance from bottom of scurn'to bottom'of outlei tee or-baffle: . Date of la r: Comments (on.-pumping recommendations. inlet and outlet tee or baffle condition,,structural integrity,•liquid levels_ as related to outlet invert,-evidence of leakage, etc;): >_, Page 8 of 1.1 OFFICIAL.INSPECT101N-TORM- NO'I FORNOLU1 FITARY.ASSESSMENTS SUBSUR-FACE•SE'4-AGE DISPOSAL�YST EM INSPECTION FORM PART C. S.YSTEKINFOR- ATION(continued).. Property Address: �C � 7 Owner:* -,,�VpA A a109 9a 'to 101 Date of Ins ection: TIGHT or HOLDING TANK: �AIL.(tank must be pumped at time o:ins ec 'oa)(1ocat.e o nsite plan ), Depth below grade-- Material of construction: concrete metal fiber.;Iass, polyethylene other(explain):. Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present.(yes•or no):. Alarm level• Alarm in working order(yes'or no): Date of last pumpins: Corn meats:(condition of alarm and iloat•switches,etc.):` DISTRIBUTION BOX: t/ (if present must.be opened)(Iocate on site.plan) Depth of liquid level above outlet invert: X,x/ Comments(note if box is:Jevel and distribution to.outlets.AKal,.any evidence of solids carryover, any evidence of. akac,e.into;or out o`b.ox; etc. : q ii PUMP CHA)IB'ER::"(locate on siteplan): Pumps in working:older(yes or no): Alarms in working:order(yes or no):. Comments(note:condition of pump chamber, condition of pumps and appurtenances, etc.): Page 9 of I 1 OFFICIAL INSPECTION FORS.-NOT FOR VOLUNTARY AS SESSMENTS .SSMENTS _ SUBSURFACE SE -A E D7SPOSAL`SYS.TEM INSPECTI0�1 FOR?YI SYSTEM INFO'RIYIATIQN(continued) ' . Property Address, P Owner: ,M fl A li� Date of In pection: SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, excavation.�not required) If SAS'not located explain why: g • Type leaching:pits,number: a leaching`charnbers number: , �> :leaching.galleries, number: " aching trenches,number; Ientrth: o. leachin fields :number dime V nsions:r�� [,6Z1r• 5'� -G X. : overflow cesspool; number: - .innova6've/alternative system'. Type/name of technology Comments (note condition of soiI;.signs of hydraulic failure,level of ponding, damp soil;'condition of vegetation; etc. r 4../ f , CESSPOOLS: (cesspool must be pumped as part-of inspection)(loeate on site plan) Number and configuration: Depth'—top of liquid to inlet invert: Y Depth of solids layer: ' Depth of scum layer: Dimensions'of cesspool: . Materials of construction:. Indication of.groundwater inflow..(yes or no): Comments (note condition of soil; signs of hydraulic failure;level of.ponding,condition of vegetation,-etc.): PRIVY� (locate on site nlan) , Materials ofconstruction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic failure,,Ievel.of.pondirig, condition of veQetation,,etc,): 9 Page 1,0'of 11,. OFFICIAL I3 SPE•CTIO:?I-EOR.M:=_.OT jFOR-V-0 ,II ^iTARY A$SES$N1ENT.S . SUBSURFACE.SEWAGY.DISPOSAL SYSTEM-I tSPECTION FORM PART C• SYSTE11JNFORMATI.ON(continued), Property Address;. ,Q ✓ C "Gl Owner: Date of Zns eetion.:. � 07. SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the;sewage disposal system including ties to at least two peiinanent reference landmarks or benchmarks.Locate all'wells within.1 OQ feet:locate Where public water supply enters the building. Tj , ,.4.i o. gip` t Page, 1 I of 1 1 OFFICIAL INSPECTION FOR-vI —NOT FOR'VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTIOiY FORM PART-C ;- -SYSTEM JNI FORMATION(continued) Property Add ress:• Owner• , , ,Q, 12L . Date of In section SITE EXAM Slope Surface water Check"cellar Shallow wells Estimated".depth"to"'gr ound water feet Please.indicate (check):all methods�used to determine the high around water elevation f Obtained from•.system design plans on record-If checked,date of design plan reviewed: Observed.site.(abuttina'property/observation hole within 150 feet of SAS),, Checked with local Board of Health-explain: Checked with.local, excavators,"instatiers-(attach documentation) /Accessed USES"database-explain: You must describe how you established the high ground'wa.ter elevation: =� y - 5 ., 11 Permit Number: Date: Completed by: r s HIGH GROUND-WATER-LEVEL COMPUTATION Site Location: /zov Lot No. Owner: ! Address: ' Contractor: Gcz Address: s� i9 YY Notes: /�5,v"r's'•/ 1�5 STEP 1 Measure depth to water table sAleZ f� to nearest 1/10 ft. .......: !.... ......... .Date e month/day/Year STEP 2 Using Water-Level Range Zone, A and Index Well Map locate site and determine: . OAppropriate index well .....:. ............. OB Water-level range zone ......::....................... :..' STEP 3 Using monthly-report"Current ; Water Resources Conditions ° r t determine current depth to water level for index well ... month/year , STEP 4 Using Table of Water-level Adjustments , for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) determine water-level adjustment .....: r..:...... ........: ... ..... ... ..... ......... ......... .:..... 7_0 STEP 5 Estimate depth to high water. by subtracting the water level adjustment (STEP 4) from measured depth to water �y level at site(STEP 1) : . ......... ......... .......:. ..:....: Ca..... ................................. . ... ... ... .. , s. figure'13. Reproducible computation form.. • 15 � 4 e Cis 11 I v; \ k - Town of Barnstable �pFtHE TQ� F ti Barnstable Board of Health O-A America City, I* RARNSTABLE, • - v hAss. 200 Main Street,Hyannis MA 02601 Aom DO 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi December 14, 2007 Mr. Stephen Wilson, P.E. Baxter Nye Engineering 78 North Street Hyannis, MA 02601 RE: 106 East Bay Road, Osterville A = 141-104-004 Dear Mr. Wilson, You are granted variances on behalf of your clients, Niraj and Jill Shah, to construct an onsite sewage disposal system at 106 East Bay Road, 0sterville, Massachusetts. The variances granted are as follows: 310 CMR 15.211: The leaching field will be located 9.5 feet away from a slab foundation, in lieu of the ten (10) feet minimum setback required. The variance is granted with the condition that floor plans of existing home and the proposed addition shall be submitted: Sinc r ly your m Waytrm-r Miller, M.D. Chaan Q:\WPFILES\Wilson 106 East Bay Ost Nov 2007.doc, e, ri ttiF tp� } DATE: 4/h 7— FEE: + BARNSTABLE, NA 14 A REC. BY 7� Town of Barnstable SCHED. DATE: Q'7 Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 106 1&sf- TbAl Qaad . incke..' l (— Assessor's Map and Parcel Number: 1y I 1pcl 10y-00 M Size of Lot: 8S� ZOO 3.W t Wetlands Within 300 Ft. Yes X Business Name: No Subdivision Name: APPLICANT'S NAME: -Z-01 Shtl. Phone Did the owner of the property authorize you to represent him or her? Yes -X _ No PROPERTY OWNER'S NAME CONTACT PERSON Name: Name:TA, LAAscn P.E 161 Wes} 0c*4Vcft 9t , AtoMZ t3ax►st- "Jl- £r 'r.r Svrvc�lr* Address: jScmh j, pylsss G2J/g' Address: W r-,1drjA %t/ M4�MA/S. v1Aat oZGo/ Phone: Phone: Saar•771—7So 2 13 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 310crnt?1S.2.Il (A) rfli tnrn�yn AAC9,+&wa OS 3 a bal "4* Cy141Ns« NATURE OF WORK: House Addition X0000❑ House Renovation ❑ Repair of Failed Septic System 1❑ �- 9 'A Checklist (to be completed by office staff-person receiving variance request application) I t Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form f - _ Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request ti Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's xpense (f0itle W and/or local sewage regulation variances only) F r _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trip variance renewals[same owner/leasee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Paul J:Canniff,D.M.D. REASON FOR DISAPPROVAL C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK1\VARIREQ.D0C v. Town of Barnstable Geographic 141065 141083 141084 164014Information System November 1,2007 t 14105N. . .� � 141115 7 r141056 � PIZ41042 #34 #40 #25 141130 #10 #538 #15 98003 #459 141098001 #34 h #33 141062 141063 !!! 1141058 #602 #572 #523 164015 141041 #24 064' 4#461 141061, #584 :.;r... #27 ��� #612 �.: 141060 r 141040 ;164012 1410390 #19 #622 n V141100 141098002 #52 11 #547 #47 1410593 141039002 1><L ( �j. s48 ��' 141104002 #11 #1402 141105001 i: ::•::" 3 • 00 #633 :c::>:;..•.•.;;::; ;:.{. 4141103" #701 » #28' Qj #,g a .. ..: , 141099 141105 ,,J:::`:;'';f;f: .:;:;:.::.':: : .:.:' _ #531 141097 .. 14 F9 04505 ': #67 4t1'ssOlQ©1::::<::i':';'':.`.:. ;;,.i :', .': ;:';:;::•..:�f4:; ' `.-.14]a.1 O.i.i':: 1t�300C 141009002 14 #34 141106 ::...... . .... :. 141008 1 #42 #50 Q, Q' A A 141110 6 9 #53` 40 8 4 141109 #41 >: : #.]00 i ``'':•:: ' ' 141131 #146 ...... ..::.........:.::::..•,.:.:.:..r..•,.:;:. .. ,arc.,. ,.;,;..,.,,:-`..-:�- a, 141111 ;. #37 ty Q v141108 140143 #77 v • 14016? 1F " #120 140164 1 37 #134 010145102�feet 40162 14U1 140165 #150 6 140169001 140169003 99 #121 7 Via, #156 #188 �#206 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:141 Parcel:104004 Board of Health - boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on thin map Abutter List Type-Direct abutters(no set distance)and the properties located are only graphic representations of Assessor's tax parcels. They are not true property across the street. Abutters "` boundaries and do not represent accurate relationships to physical features on the map ,'fr such as building locations. Buffer AbutterReport Page 1 of 1 Board ofHealth Abutter List for Map & Parcel(s): '141104004" Direct abutters (no set distance) and the properties located across the street. Total Count: 7 Close Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing CityStateZip 141104001 RIBATT, GREGG S & 29 HILL TOP RD ' CHESTNUT HILL, POLLY BOSS MA 02647 j YELLURKAR, OSTERVILLE, MA 141104003 DEVDUTT&SUJATA 25 GARDINER LN 02655 141104004 MECLEY, MICHAEL A %SHAH, NIRAH S& 161 W NEWTON ST BOSTON, MA &JILL P JILL M APT 2 02118 141104005 COLLINS, MICHAEL COLLINS, MARYELLEN 95 BEACON ST-APT BOSTON, MA F& F 12 02108 141107 BARNSTABLE LAND P O BOX 224 COTUIT, MA TRUSTINC 02635 CURRAN, 2655 0 141123001 FREDERICK J & PO BOX 60 ILLE, MA AURORA 2655 141123002 MCARTHUR,JOHN H 140 OLD WAYLAND, MA &NETILIA CONNECTICUT PATH 01778 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 11/1/2007. http://www.town.bamstable.ma.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 11/1/2007 ABUTTOR NOTIFICATION LETTER Date: November 2nd, 2007 Re: Variance Request As an abutter please be advised that a Variance Request has been filed with the Barnstable Board of Health. Additional details are below: Applicant: Niraj Shah Address: Apt 2; 161 West Newton Street Boston, Massachusetts 02118 Project Location: 106 East Bay Road, Osterville Assessor's Map & Parcel: Map 141; Parcel 104-004 Variance Requested: To allow a leach field to be 4' off a slab foundation in lieu of 10' Applicant's Agent: Stephen A. Wilson, P.E. Baxter Nye Surveying &Engineering 78 North Street Hyannis, Massachusetts 02601 Public Hearing: Town Council Hearing Room Town Hall, 2ndFloor 367 Main Street Hyannis, Massachusetts 02601 November 131h, 2007; at 3:00 pm Note: Plans and application describing the proposed activity are on file with the Conservation Commission. #2007-032 ShahEastBayVarianceAbuttor.doc w tAAT P" 4-6. 70. dr AT" jl)m4 AT ?a3 . -72 z 14 7- f ���.c.- �f v N►r s � COMMONWEALTH OF MASSACHUSETTS :r EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TOAP PARCEL 104- 0 L0 TITLE 5 OFFICIAL INSPECTION FORM—.NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTiFICA.T IO N Property Address: f0 0 Gi4L 029 XIA Owner's Name: I Owner's Address: Date of Inspection: Mu n CD , Name of Inspector: (please print) Nr�6�Gc * ` ` Company Name: Mailing Address: (� 70 ; Telephone'Number: (�g `7 Z = CERTIFICATION STATEMENT i I certify that I have personally inspected the sewage disposal system at this address and that tht informWn repgrted below is true, accurate and complete as of the time of the inspection. The inspection was perfo med based on nay ` training and experience in the proper function and maintenance of on site sewage disposal systems: I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system.: i! Passes Conditionally Passes Needs Further Evaluation by the Local Approving.Authority Fails Inspector's Signature: Date:_:S?�Mwl The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address! Rnn.4 eyiu Q t Owner Date of Ins ection: / U Inspection.Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure:.criteria described il0,CMR. ,.. .._ 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes:.' One or more system components as.described in the"Conditional Pass"section need to be replaced.or repaired.The system,upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain: The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfltration or tank failure is imminent. System will pass inspection if the existing tank.is replaced with a.complying septic tank as'approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level,in the distri tion box due to broken or obstructed pipe(s)or due_to a broken,settled or uneven distribution box. System will pas inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced . ND explain: The system.required pumping more than 4 times a year due to broken or.obstruct . pipe(s).The system will pass inspection if(with approval of the Board of Health):. broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of]'l OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGEDISPOSAL SYSTEM-INSPECTION FORM PART A CERTIFICATION(continued) Property Address:'D(O 8&".4.fl 0-64W Giq .0-9 &AO&, [q Owner: Date of Inspection: / C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing-to protect public health safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a.surface water _ Cesspool or pries is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water,supply well. _ The system has a septic tank and SAS and the SAS is less than 100.feet but 50 feet or more from a private water supply well". Method used to determine distance "This'system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is.free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A-copy of the analysis must be attached to.this,form. 3. Other: Page 4 of I] IF OFFICIAL.INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: ; J cl..ko,. a9 Owner: Date of Inspection: �jSL D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to.each of the following for all inspections: Yes N Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in.the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number.' l of times pumped V Any portion of the SAS, cesspool or privy is below high ground water elevation, s/ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface J water supply. V Any portion of a cesspool or privy is within a Zone I of a public well. . Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well-with no acceptable water quality analysis: [This system passes if the well water analysis, performed at a.DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that.the well is.free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a.large:system the system must serve a facility with a design flow of 10,000 gpd to.15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a.public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304..The system owner should contact the appropriate regional office of the Department. 4 Page 5 of I] OFFICIAL INSPECTION FORIM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address:Ub � �' L c� � G3 2'l' EIVED Owner: APR 1 2004 Date of I spection: � �.�� ,�)+ �� r TAWN QF SARNSTA BLF � MEACTH i� p'1' Check if the following have been done. You must indicate"yes"or"no"as to each of the foliowtna Yes -o . Pumping:information was provided by the owner, occupant, or Board of Health _LzWere.any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? _L�Have large.volumes of water been introduced to the system recently or as part of this inspection? Were as built-plans of the system obtained and examined?(If they were not available note as N/A) Was the facility.or dwelling inspected for signs of sewage back up? L/ _ Was the site inspected for signs of break out? y Were all system components,excluding the SAS, located on site Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition ofihe baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was.the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ? i The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes no Existing information. For example, a plan.at the Board of Health. _ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is nacceptable) [310 CMR 15.302(3)(b)] 5 Page 6 of l 1 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PARS, C SYSTEM INFORMATION ,-� Property Address:Owner: ^t Date of In pection: I�Z FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design : . Number of bedrooms(actual): DESIGN flow based on 3 i 0 C 203 (far xample: 110 gpd x#of bedrooms): Number of current residents Does residence.have a garbage grinder(yes or no): Is laundry on a separate sewage system (yes — [.i es or no): f yes separate inspection required] Laundry system inspected(y s or no):,N Seasonal use: (yes or no): Water meter readings, if available(last 2 years usage(gpd)):Q Sump pump(yes orno . Last date of occupan , COMMERCIAL/INDUSTRIAV?Q' - Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design.flow('seats/persons/sgft,efc.): Grease trap present(yes or no):_ r Industrial waste holding tank present(yes or no): Non-sanitary waste°discharged to the Title 5 system(yes or.no):= - Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes o):_� If.yes, volume pumped:. gallons--How was quantity pumped determined? Reason'for-pumping:. _.. TYPE OF SYSTEM OF tank; distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes, attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy'of the DEP.approval _ _Other(describe): Appro tmate age of all components,date installed(if known) and source of information: Were sewage odors detected when arriving.at the site.(yes or no): 6 , Page 7 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY:ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) _ Property Address: Owner: Date of Ins ection: BUILDING SEWER(locate on site plan)j2�0- Depth below grade: Materials of construction:_cast iron _40 PVC—other(explain): t »:` Distance from private water supply well or suction liner Comments(on condition of joints,venting, evidence of leakage, etc.): SEPTIC TANK: (locate on site plan) Depth below tirade: Material of construction: ncrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance,(yes or no):_(attach a copy of certificate) Dimensions: lc�.�'J Sludge depth: ( Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: . Distance from bottom of scum to bPations,gnlet m f outlet tee or baffle: r How were dimensions determined: c��Ca�e4 Comments(on pumping recommen and outlet tee or baffle condition, structural integrity, liquid levels as elated to outlet invert, evidence of leakage,etc.) v V !r a � GREASE TRAP, (l�ocate on site plan) "e Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to,top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffler Date of last pumping:. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued). Property Address: ( pka . Owner• Date of Ins ection: TIGHT or HOLDING TANK:Qf/g(tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene- other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present.(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert:distribution Commentsa note if box is level and( A�outle equal, any evidee nce of solids carryover,any evidence of eakage into or out of box, etc.): PUMP CHAMBERXI,4—(locate on site plan) Pumps in working.order(yes or no): Alarms in working order(yes or no): Comments(note.condition of pump chamber,condition of pumps and appurtenances,etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAG]f DISPOSAL SYS'TEMINSPEC 'I'ON FORM PART. C_ SYSTEM'INFORMATIOi'(continued). P Address: t- roperty ( G��Cc+ 'cZ.� ex—4 Owner: _ Date of Ins ectiom SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: leaching galleries,number: � -aching trenches,number, length: ✓ leaching fields,number, dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology:. Comments (note condition of soil, signs of hydraulic failure Ievel-of ponding, damp soil, condition of ve etatioh tc�) Q 0 'Wx L k ' � �� CESSPOOLS:&`LL(cesspool must be pumped as pa-t of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids laver: Depth of scum laver: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.): PRIVY:/j(Q(—(locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.):, 9 Page 10 of I 1 OFFICIAL, INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:. bo"I % C( C)9 a �� Owner: .Date of Inspection: --, Ix-ov SKETCH OF SEWAGE DISPOSAL.SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within I00 feet. Locate where public water supply enters the building. �6% 074 0 2a a3 ' a)x ��`C x 37 7 !, 10 s i Page I 1 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION(continued) p .Property Address: �C/� �� .� JrLel�i®w�ce/�: Owner: / Date of In ection: /.- SITE EXAM Slope Surface water Check cellar t r L Shallow wells Estimated depth to ground water_—feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) . Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: 141071 11 Permit Number: Date:. Completed by: � � 411/ HIGH GROUND-W47ER LEVEL COMPUTATION Lot No. Site Location: — Owner: f�IIGrG� MileY Address: Contractor: 9 Address `7 - `G� J` i� i✓�/��S Notes: STEP 1 Measure depth to water table / �— to nearest 1/10 ft. .........................................:............................ ........ .Date 0, 549 month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate. site and determine: 1J OAppropriate index well............................. '.. ....:.... BJ Water-level.range zone ....................:................................ STEP 3 Usingmonthly report"Current Water Resources Conditions" determine current depth to water level for index well .......................... . 'month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) Z, determine water-level adjustment ..............:.:......................................................................... STEP 5 Estimate depth to high water by subtracting'the water level adjustment (STEP 4) from measured depth to water h level at site (STEP 1) .................... �l li Figure 11--Reproducible computation form. 15 � � ``�. . ::: �:, . F.-u....,.,, � i�y . - .j 1' � � { � � it i � - li ii i ,, _ 1 i I • � � ` � g --•� a ` � �Ai �# � t i S � j 1� { . �,� { . "` .. k ,\t � A' S • - - � ; �q t j f t� t } h �� i S 1 S �' . 13- . �_�.4 •-�.+. �:. � ` �� �� • 4.?. .. L j T � . _ � - ! €. � i �� iS s 3 . �� i ��-�,:,--emu . � 1`� c,. �yj - ;�,� ` \ 2 • �*�, z�--------�-- � . � sue . � . . �� � � � --� , , N E 1 r - oy 2A ST LOCATION L/6 :e ® SEWAGE # VILLAGE O&cyi r- ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. / Crud 0V 42C-- SEPTIC TANK CAPACITY -ZOO b - 10 LEACHING FACILITY: (type) cJ ,?e (size) NO.OF BEDROOMS B DE OR OWNER �ecC6CA C/�X,6:4 PE DATE: 7 -10,- COMPLIANCE DATE: l e!:, to - 47 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands°exist within 300 feet of leaching facility) Feet Furnished by .sue r. e " sb "17 b g s �U a' `� Z . ', ; S7 No. / ,- 5 3 Fee r Entered in computer: t THE COMMONWEALTH OF MASSACHUSETTS v ACZI Yes vp�� LIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS VV Q � Application for Migogar *pgtem Construction Permit ` Application for a Permit to Constrict )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 6AiLD1 w2.. L. Owner's Name,Address and Tel.No. -D& MieN4� 0 J1� •vlt�Gc.f=y Assessor's Map/Parcel (7S`��Jt 3¢-S &AVA10 ST_ AP 141 pti— i m-4- Installer' Name,Ad ress,and Tel.No. L0$ 29 Designer's Name,Address and Tel.No. er s-T. i.uye3 01,,� 5n PD,Bv"7 7Dly� urlS Type of Building: Dwelling No.of Bedrooms Lot Size G �. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 77D gallons per day. Calculated daily flow 710 gallons. Plan Date SGJT 1-7 1 4zl4d Number of sheets ( Revision Date (FiNiSti 440.) Title SM, PAW OT' 3 nJ `Q2 Apt1664AS-L. ML-e�!�% Size of Septic Tank 2000 6A-L_ Type of S.A.S. Li-Ac4 Description of Soil 0r 2' Lam-) _,�/woiL- LA l' ) MmIONA �Xkr" �C (,'12 �lfJt(1'N0 �Gz� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is ed by.this Board of Health. Signed Date Application Approved by Date � �Y Application Disapproved for the following reasons Permit No. Date Issued No. J _.� Fee- ' ' . THE_COMMONWEALTH OF'MASSACHUSETTS" t Entered in computer. Yes UBLIC HEALTH DIVISION.- TOWN,OF BARNSTABLES MASSACHUSETTS 21 lication-for 015 ogaY ztem Conotruction Permit Application fora Permits o Con�str ct V)Repair( )Upgrade(' )Abandon( ` ). _O Complete System O Individual Components y Location Address or Lot No. Owner's Name,Address and Tel.N.o. Assessor's Map/Parcel. OZ "Tr �'� a� Installer's�Name,Address,and Tel.No. L1d8 8r 13 XG Designer's Name,Address and Tel.No. - } irscrE�-�cJ/G � �t '(.O'Cl�NS�, 6o �:NY5 IW� w_ l PD,6'U-1 -2oY Ah� SrNS PJ!L-,f�1/�► 5 ¢ .l o r 93 Type of Building: Dwelling No.of Bedrooms -7 i of Size 7,7 5 A e- .s�U. Garbage Grinder( ) `k fit. Other Type of Building No. of Persons Showers( ) Cafeteria( ) O - therFtx- tures -.-Design Flow"- D gallons per day. Calculated daily flow _710 gallons. ' Plan''Date-F" S 't t"1:_I Number of sheets l Revision'Date '� ro 91 (Fik jSb� �Aa�s� Title SnC kle+1 Lr ter �i �v5 rr:r ai~�BA JSTAB[.� Aft su M Size of}Septic Tank _2ova 6A L- Type of S.A.S. L r= q Description of Soil ()-2` �Aio .4 �VI550t_ CA 4-5) '2 MezIcJnA SA u� (C��(�'!Z �iu1=(AMA �Gz) Nature of Repairs or Alterations(Answer when applicable). . Date last inspected: z ; Agreement: f F [ The undersigned agrees to ensure the constructionand maintenance of the afore'described on-site sewage disposal_system in accordance with the provisions of Title 5 of the Environmental.Code and not to place the system in operation until a.Certifi- a-eate of-Corripliance has been is ed bx this Board of Health Signed 4 -�' Date a ._ Application Approved by "Date.' 42 .,..Application_Disapproved for.:the folio tw ng,reasons ... Permit No. � �_. Date Issued ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS r #' certificate of (Compliance THIS IS TO CERRTJFY.that the On-site Sewage Disposal System Constructed(x' )Repaired ( )Upgraded( ) Abandoned( )by O,� .7 p`ep X at 2 �. li t n.r , ,. -�/���—�� .��<�� has, constructed in accordance' , with the provisions of Title 5 and the for Dispo al System Construction Permit No. �' 3 datedE.Z Installer Designer ' The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date I ( r7 Inspector � � t. No. �-/ � 7��— `---1:—:�— —�' —— , — �-----.---Fee. THE COMMONWEALTH OF MASSACHUSMS PUBLIC HEALTH DIVISION - BAR NSTABLES.MASSACHUSETTS i �ig�o�ar �pgten�; �ott�tructior� �errnit Permission is hereby,granted to Construct(Ne)Repair:( )Upgrade(- .)Abandon( ) 1 System located at 2 ,i .are " / C--fir aLi and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her/duty to comply with Title 5 and the following local provisions or special conditions Provided: Constructio mu t be omplet within three years-of the date t sperms Date: } Approved by _ / d i 106 / TOWN OF B STABLE LOCATION 667 ®� c ISAn SEWAGE # ASSESSOR'S MAP& LOT `_ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACrN -Z oo a - !' s LEACHING FACILTIy: (type) ( ize) X / NO.OF BEDROOMS �- B DE :OR OWNER PE DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of LeachingFacility �I Private Water Supply Well and Leaching Facility iLty Feet on site or within 200 feet of leaching facility) (If any wells exist Edge of Wedand and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished..:by Feet N O p � .� 6. .� . 41 1 r r I �! I 1111,11 , I • I'll I'll alo §S CIE it V ..I l' ' u—II IIl1i'I' ll its II u` !ll I'il!II II jil II)l 111 I �ILII ! Illi� o _. lj i'II!!IIII . I I i ! II �i I•-I•�� IIIII ill, �_ I p � \ , � IIII �Ij IIII; I � \ IIL—. _4.-_I�- . ®® I I J !III III \ Cw i ! I I I I Z t i jI I I illjlli' 1 I I ';jl I11 �_ O ILI 0� IIII I i II Z _ l\J1I ®® III ll'I i 11111111 I , I � I i!! IIII I' P. I l I '- I ILIII 1 I I �: i I I II II IIIII l LI I , I...M,. C III ®® Ill 'IiI 111 ill g I II ®® Iljll -{ I II i II �� i ,, 'll lll;ll I I i ll j I'lIIIII IIII IIII �' ' , : I lI}IIi lI, I f 1\ ;IIII z F I f �--�- -1, I ..-- t I• I } ! I �. 1 !L.-1I IIII!1 ! - I IIII g I I I I I 1 lluj A II _ III' ' i ! ! C3 j Ili I I I ! 1 0:;1 i I illi II I \� t I i III ; I i rn Ili;ll � I,I�I I ,III ............ M� III l ,il ►' IIII � Ili � � �� �� � , � : 1 r i 111111111'li', I — I I IfQ I. IIiI III I p� I I l i g II ( IIII III I I II,, l [y. l Il V �it f I C�I I f II II I� I (I I 'l f 1 p,l Ij 1 I'" V l `{1! '1 I � III •I I Ii it ,. U4 UU III IU O III I II!jll; I !I ! ll III II I Ii II II l� tll I � III II,� II ! I ,I � 4 +. II II il ' II III''trlil I' !I I +l II� I � I , I III I111!I;I,II I .I Illlllu i I'lllll;' I l II III IIII ill III \ 'll . 1 t �ll I� ,III II 'I �:II Iit li';'! 1 1.1I L IN, ' !., II.. ..,I I11 I IIIII jl I,il '.. n I !.'. � II I� IN ,'l � I ! I ii ii III ! I � � � � I .•. I I LI ' III I I I I!I i 1 I f. Ili 11 t I •I IIII III ' 1�1.. II I II(1' it I I II' i a I I -L!il II I' I ill''l; l 14._ I l .0 I I jlYll III I ilji!I - I•.. 1 U I I I IIII :, � I ! ,I11i i IIII II 'I,iIII� 'a I'I' ;I ' I I o I I I I ' n I� I C I IIII ll I j Ills;R ,)l L. I I 1 II I IIII i 1'IjI-III! I' llllll '!.i li I I I:Ij ! IIII •�I !IIII` �— I rI il! ' III'; '1,Ir; I I I i I ev III I III IIII` 'I j `� j ' !.I I � i {•"I°, �^y P'T }"a �°I� � -Pia. I I t »�� Sle 9I. sI� el° mlfa i i I I i ' Ir °� o - SJAAN RESIDENCE D rn -- m L,� F l\ L. II L� ti ll i, m � r 106 EAST BAY ROAD III .I ' II . ,I a.l;. T I I { (.. I `:/ Z I m I(. .. \f I.: 9 i!-.1.. !i .I.I� f I! 1 l II II it lI _M OSTERV I LLE . MA /r I `�� O ''",• \ F `�, ? \o II'^ .�.�� r. 17E F Y� \\V i._-.:7 I i i ELEVATIONS F �pp q yy "'. GARAGE EXTENTION SHOWN ON SHEET A4 -7 . e GARAGE -- -- 8 • ------ EX. CONC. - �9 1 . t 30'-O" SEASON TOILET. - __-._ ON n/ mt ti SCREENED NEW PORCH . 'b - MA50NRY dEW WOO- FIREPLACEW/COOKING pON.NEW MAHOHANY D ROOM G_ PATIO' / oEcsT°P54 BACK HALL NEW TILE .77 EX15T'. NEW.WINDOW D, SLI cog J BENCH FRENCH poop ^` �q LCULOSET W/TRANSOM (. / '1 DW goal REF. I I - - -- �--- NEW BOLT-IN 10:_gn CABINET d NEW WINDOW 5HELVING R I 12'-B" - LIVING e ElBEDROOMI EX.WOOD l PdEW CPT � i BATH ? CLOSET 1 EXISTING -� FIREPL E - NEW.-CT EX. VT EXISi.H .DN .I. NEW-� Ll KITCHEN I BUILT-I1'-0. BENC I W12x40 ABOVE FLU H SHELVES I ZV . O Al ER PANTRYS HALL " gEWOOD 11 W � J DN FRONT HALLElll L__j 1 11:11 W12x ABOVE FLU _ q EX. WOOD Q Q PROVIDE NEW W .� .. 56°RAISED \.�/�-/�\/\\J 19'-8 I/2°_ OFFICE OO j SUM ROOM � . a E W00 ❑ O DINING EX. WOOD _-------------------------------- -"----- m1 � EX. WOOD - FLOORING NOTF5: - I. MUD ROOM 6 POWDER ROOM:TERRA GOTTA SUBWAY TILES IN HERRINGBONE PATTERN SHEET 3 OF 6 2. SCREEN PORCH:MAHOGANY OR IFFY. . S. BATH is MRTBLE ACCENTS _ 4. SIDE DECK:TO MATCH EXISTING FRONT DECK - ------ _..--- ------------------- SIDE DECK( � FRONT DECK 20_al EX. WOOD _. FIRST FLOOR PLAN SCALE: 1/4' = 0-0". O - a ❑� 1 - . A JOB: 0716 6 DRAY NEW STEPS : EA501J � � u c� I I I GARAGE EX. CONC. I e -- --- it 77 m I O � 11 I I mIlI \ I.. .e Oit 1 I i . y i ' MASTER A MASTER m BEDROOM I-- - — ----- -- - -- .-..- 777 WEST DECK i EVJ W00 MASTER! N � - j EAST DECK GARAGE FIRST FLOOR PLAN j qI EW W00 - scaLE: va^ = 1:_a„ / ® tj MASTER - -- BATH M RBLE & T LE B P BEDROOM 4 FOLDI G I NEW WOO couN R .. I a.. W 1 - N LINEN... ' NEW pg � BUILT-IN-CABINET ��: i� I, _—_— --• ...I:. _ i W/GLASS DOORS 1 ABOVE, DRAWERS BELOW HALL.2 - BATH 2 ------ --- - BEDIR061A 6 Q EX. WOOD NEW Cl — —— --- BATH 5 _ NEW.CPT NEW CT U O � ------ -- HALL 3 W LoiEW W00. �i I Q > lil Q J I BATH 3 (Q BEDROOM 3 BEDROOM 2 NEW CT Q -—- U1 --- — (� � � ._ Z EW W00 EW W00 a' - —--- -— - - - -.' _ Q --- BEDS-0�M 5 w cn — — —-- -- ,: BATH 4`, -- I I; : SHEET 4'OF 6 -- --_ — — it ---- ---- SECOND. FLOOR PLAN SCALE: 1/4' _ ,.-O:I - B JOB: 0116 A6 DRAWN BY: KW --I_DATE: 10/22/01 =-----ALIGN UNDER FG COLUMNS - 4x4 P.T.P05T GALV.METAL POST ANCHOR° 12'. 50NO TUBE'PIER W/ - :-• 24' BIG FOOD, FOOTING TYP' ----- ————— L---------J � II ®161O.C. n PORCH I CRAWL SPACE - VAPOR BARRIER CREATE I I ' PT 215'e I �;�I 2°CONCRETE DUST CAP ACCESS SCREENED PORCH - I -1 _ TYP.DECK CONSTRUCTION.. W/MAHAGONY DECKINGPT 2.101. n EXISTING C @ ' I FULL BASEMENT L— T I b°x461 CONCRETE WALL_— . I01x161 CONTINUOUS F00TI14G TOW 6°BELOW HOUSE TOF i .:.I . .. .. ....___—.—.6x6 P.T.POST GALV.METAL POST ANCHOR 121."SONO TUBE"PIER W/ — —— 24' 'BIG FOOT'FOOTING TYP.'- "I Q Lu I 1 r �' 1--•l Z .� I 1 w w TO OP S AB` EX15TING `f— L- FULL.BASEMENT ii , 1 . - - EXISTING 1 1 - ADDITION I ;'; I - W w Q GARAGE ' iI GARAGE. II n = Q —J 1 ,. L— 4°CONCRETE FLOOR i I _ Q w t_ n I I = UO) Ll I 1 .CONCRETE WALL- - I (� 10z16 CONTINUOUS FOOTING I I • I O TO 5LAB:. I 1 I ----- —— i SHEET 5 OF G 1 - L------------------------------------------------------ FOUNDATION PLAN SCALE= 114^..= I_O JOB: 0716. DRAWN:BY:'.KW DATE: 10/22/07 . -� .. TYP ROOF 2x10'e 0 16°O.G. RSO F.G. INSUL./ 5/6'PLYWOOD SHEATHING/ - ASPHALT SHINGLES . 12 _____.____HIP ROOF - HIP ROOF BUILD-OVER 7/b' . BUILD-OVER ..___ TYP. EAVE5 11 LVL RIDGE , 1.6 FASCIA/1.4 SECONDM ER j R30 F.G. iNSUL_ CONTINUOUS VENTING SOFFIT \\" Ixb FRIEZE BD. MATCH EXISTING 2x10'a a IG°O.C. JQ 12 2x0's a 16 a 'HURRICA.NE CLIP" - 6:12 IT , / '\ \ 2x1p,s P. Q4 .FA5TENER:i AT ALL \ \ RAFTER/.TOP PLATE 2 6's/P 1616°OC OC /•U/' Ix9 STRAPPING— \ - JUNCTIONS'TYP. � — 1`%`'2-�'��`S\ 12 w� 1/2'GYP.BOARD TYP 12 ! ! .I _ ✓: 2x6 EXT.STUDS®I60 O.C./ _— i y/ \ 6°RI9 F.G. INSUL./ -— -I- )4AL✓;ON TRIM RAFTERS - _ 12// /i/ MASTER BEDROOM \ 1/2 vEPLYWOOD SWEA NGLES21 � - \1 I \rI of `�' �!l —FLOATING DECK a /T'/- C\1 FA� / - RUBBER MEMBRANE `�� / \ \� n .� L_ ROOFING UNDER /// \,\\ -C EXPANDING FOAM WUL S —'--'-"-''--'--- NEW 11 7/0°I-JOISTS.@ 12°0C �—EXISTING 11 7/8°I-JOISTS®Ib°CC NEW�II 7/5° I-JOISTS 0I2°OC <---�_—EXPANDING FOAM WSUL •�? �"� / FX15TING 11 7/5' I-JOISTS - _ /%- MATCH EXISTING — ix3 STR V PING-- W12x30 FLUSH FG COLUMN AND 1/2'GYP.BOARD BEAM NI. r SUN ROOM LIVING °I I SCREENED PORCH I GARAGE oI 3/4°T4r 055 5U5FLCOR I I NAILED b GLUED TO JOIST/• Y PT 2x8 @ Ib°CC NEW 11 7/8"1-JO STS P 160C EXISTING it 7iB"I-JOISTS P Ib°OC - _ --�T- .10 --- - -----'-- -"- ALIGN UNDER FG GOI.UMNS -— - - —— ---- PT 2x10 a®16°a _ 4x4 P.T.POST E 115T -- ---_—_ - GALV.METAL POST ANCHOR CRAWL SPAGr 5 c'Ei.NG TYP LL 24°"'B14 FOOT"FOOTING TYP. I_— b'I'1CIL�VAPOR BARRIER GIRT __— P.T.SILL I R�N`T�EDA4'-0°O.0 12"'SON TUBE°PIER W/ CRETE 5LAS— xi6 CONTINUOUS FOOTING AMP P BELOW GRADE . � 24 O° LLI LLI LLI Q W n SECTION "A-A.. SECTION "B_811 SCALE: 1/4" = I'-O" SCALE: 1/4' = V-O" O . SHEET (6 OF 6 . JOB: 0716 DRAWN BY: KW DATE: t0/22/07 GARAGE EXTENTION SHOWN ON SWEET A4 - a GARAGE _ $ 6311 EX A6 CO 4 � i ------------------ SEASONAL TOILET f 2' REF. \> n 77, ON 7z", POWDER R SCREENED PORCH NEW TI j NEW o MASONRY EW WOO UP Lo - = = FIREPLACE W/ COOKING DN I MAWOWANY DN MUD ROOM _ DECKING t y� STEPS tz'~ �: BACK HALL NEW TILE �` PATIO - ` --_— 17 o _ EXI T. 24210 Q _ SLIDING ; `A = DOOR 30 1/8"x 36 7/8" BENCW � LAUNDRY s r' , X X , CLOSET'" r 3 h goo � O D W REF. goy 29 5/8"x 56 7/8" NEW BULT-IN t8'-4n �~ ' INET SHELVING= -_ NEW WINDOW s �# O � t cr BEDROOM 1 EX.WOOD O NEW CPT BATH 1 CLOSET 1 EX STI NG , ,. ,• FIREPLA E NEW CT EX. VT EXIS . WEARW UN KITCHEN $UILT-EIN, Q BENCH,.., i'—O" / Q E 1 1 Q W12x40 ABOVE FL 75H ELVES IC MA ER BUTLER'S �- _ w ( PANTRY WIN cn I J Q >-- w HALL 1 COO I — A N DOOR EX. WOOD — � f —A r ON (2) 11 7/8" LVL � o > y DN FRONT HALL I Z EX. WOOD ty7 W Q i ABOVE FLUS — — — — — <>O W2x3 - - - - - Q �l i-- ` — — — — — PROVIDE NEW � LLI r 3fo" RAISED 19'-8 1/2" WAINSCOTr n O 0 0 SUNROOM OFFICE O O EX. WOOD E W00 DINING' (3) FWT3II6 f 37 xl8 1/2' EX. WOOD ` 3 (3) I.WW31611S FLOORING NOTES: j 3 "X 83" I. MUD ROOM t POWDER ROOM: TERRA COTTA SUBWAY TILES IN HERRINGBONE PATTERN SN Ef-T 3 OF 6 2. SCREEN PORCW: MAHOGANY OR IPEA � O 3. BATH 1: MRTBLE ACCENTS ❑ ` 4. SIDE DECK: TO MATCH EXISTING FRONT DECK �_ � m N ly OL t m r FRONT DECK is LL ' N LL- Joc N m tN (V N m N �- r EX. WOOD ! / ..�.. S I E DECK 20' O" �= 1 I FLOOR PLAN p EW WOO 0 a a 0 0 a �r_E. 114" 1'-0" 4/1 ❑ ❑ V A JOB: 071(o z A� —,NEW sTEPS DRAWN BY: KW _ ' -- -r•. .... __^'-air^""-'_'_.__. ___. _ _ _ 121-011 — — I I ' fiIi1 i(Ii;� Iit�-'Iii—i - ® -- --_ —=-- n.• ®EX ` J!i vIIIIIII. I III i iII REF. 21-611 e�D wr�4 �tha;.p 'I!\III.III1IfI1I Ijih —} "I r x' - � 24 456 ga / .. 7/8" Z j GARAGE X. It ��am��1�-I Q}(• .+� l.�"J 7xa1 ON DOOR W/ TRANSOM in" FW-50(c8APLR 0"xIwjl q'-o"MASTER 0"3046 30'-011 12'—BEDROOM MASTER Be 1/ x , 7/8 NEW WOO WEST DECK ' j �- ! wQ_ 0 0 �EW MASTER IEAST DECK GARAGE FIRST FLOOR FLAN to W WOO SCALE: 114 —0 q'—011MASTER 3046 BATH 38 1 x 6 7/e" M LE TWAD BEDROOM 4 FOLDING i 8 _000UNR NEW W Lo 6n -6n -7n -7 12 -7 1/2n -?u71 4 toco w LINENto NEW BUILT-IN-CABINEll W/ GLASS DOORSlow ABOVE DRAWERS BELOW HALL 2 BATH 2 2A 2Q BEDROOM 6- WOOF) NEW CT BATH 5 DN [NEW CPT NEW CT HALL 3 2NEW W A (1) z BATH 3 2446 'BEDROOM 2 NEW T . .BEDROOM 3 5/8"x 56 7/8" (4 0EW WO W00 2A w I1.2Q 2QI'IBED M 5 � PT y BATH NEW C z r co SPEET 4— ' O'�� ' ! i \Fi cer�Lt Ii���.i • ,,6 co I , , (4N " '-7 1/2''-4 1/2 0 4'- " 20' 01 4 -0 '-7 I/2 �. S. 14'-0" 301-0" 12'-0" SECOND FLOOR PLAN SCALE: 114" 1'-011 JOB: 0716Bi �. 1� itjseI,Ii A6 DRAWN BY: KW _ DATE: 10/22/07 .t •+� y 1 P • y • �' '. - � *.k s_ ���.r -r + PREVIOUS FILING. SE 3-3097 GENERAL NOTES ORDER OF. l to• "`rit :,�4R?. ORDER OF COCONDRiONNSS RECORDED IAAN ISSUED BUARY 1,10 19997 �' ; �� ..•` � 1.) THE INTENT OF THIS PLAN IS TO DETAIL IXiSTING SITE CONDITIONS AT LOCUS CERTIFICATE OF COMPLIANCE ISSUED MARCH 11 1999 1 a CERTIFICATE OF COMPLIANCE RECORDED APRI. 16. 1999 1) LOCUS AREA S COMPRISED OF : LOT 3 & 'EASEMENT" PLAN BOOK 507 PAGE 2 N DEED BOOK 21,992 PAGE 293-295 • ' F •" .i �'fifr BARNSTABLE ASSESSORS MAP 141 PARCEL 104-004 t * ,�,; N� ' • ,� ; CB/DH FND 17.5 CERTIFICATE OF TITLE: CB/DH FIND HELD 20.1 � NIRAJ S. _ APPLICANT. ET UX 161 WEST NEWTON STREET :� BOSTON, MA 02118 r ..� *~ • * ' • y f]l /R > t t .�fq.y�.4Y'��•L 4 Py,�T . o } ► � � �' �:_ , ,#` .'- 3.) PRIMARY BENCHMARK w• : '• ' •, �r� , w. ; MAGS DISK IN CONCRETE MONUMENT DOWN 3 INCHES CB/DH FND DISTURBED 20.0 AT THE INTERSECTION OF SOUTH COUNTY ROAD AND ' 1500 FT• EAST OF 06TERV iz 52.6 FT. NORTFNW& OF r •= ' i xr , �.. '� ,.�}�;; �` EAST BAY ROAD, IN THE TRIANGULAR GRASS PLOT ABOUT . v z �,� • , '• SOUTH ENDOF POLE BRICK FENCE FOUNDATION 40.3 FT. SOUTH TE,. ' • >` Y� e ,f.: ■ 15, ON FAST BA7ROISIDELEV. =NORT11.17 7ESFTT• NGVD29 STEPS G ^s„r 4 r� • } "~w �' �' CB/DH FND K 17.2 CiE' PROJECT BENCHMARK : SEE PLAN 'r -: NET LOCUS MAP Scale. 1N - 2000' %� 8 4.) ZONING INFORMATION �►. �. ' ZONING DISTRICT : RF-1 D.E.P. File #SE 3.4672 ' a+N PIPE FND OVERLAY DISTRICT : RPOo. AP CURRENT MINIMUM ZONING REQUIREMENTS Order of Conditions Expires October 24, 2010 6.6 2 MIN. LOT AREA - 2 ACRES CATS l p0 dD' CB/DH FND MN. LOT FRONTAGE = 20' ' WIDTH 125' CONSERVATION NOTES: ' 84 16.2 • FRONT YARD = 30' SIDE & REAR YARD = 15' / 15' 1. NO WORK IS TO BE DONE UNTIL FORMS A & B ALONG WITH REQUIRED 3 \ 5.) A TiTLE SEARCH WAS NOT BEEN PERFORMED FOR THIS SITE IF DETERMINED PHOTOGRAPHS ARE SUBMITTED TO CONSERVATION COMMISSION. / \ TO BE NECESSARY A TITLE SEARCH SHALL BE PERFORMED BY OTHERS. 2. LIMIT OF WORK TO BE MAINTAINED IN GOOD REPAIR UNTIL >f 1 719, 6•) THE PROPERLY LINE N VWMN %M IS BASED ON CURRENT AVAILABLE REWORD COMPLETION OF PROJECT. INFORWTION CONSISM OF PUNS AND LIE M / THE EXLS W FEATURE'S SHOWN HEREON WERE OBTAw FROM AN ON THE GROUND naD 3. ALL ROOF LEADERS TO DISCHARGE TO DRYWELLS OR DRIP TRENCHES. URVEY 9 S ? PERFORM IN ENGNEE PERFORMED BY 94M N M It SUbEM ON JUE 25 a ALY 9, .9 7.) COMMUNITY PANEL NUMBER: 250001 0016D x 24,' SPIGOT 3 y„ THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C. B & Al (EL11) 26.1 8.) ENVIRONMENTAL INFORMATION: 2 7 SITE IB NOT WITHIN AN A.C.E.C. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). ftft SITE iS WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE PER ry�, 28�3- 9 FRO MATING HEBWii 006 DS PRO NN c OF G TxTi m 310 CMR 10).' ' 3 T1 SiTE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP MAP OCTOBER 1, 2006 SET - EL = 28.99 (NGVD) TZMFIED VERNAL POOL15 3 3� SITE S MTHN A PRIORITY HABITAT PER NHESP MAP WOW 1. 2006 'PRIORITY HABIIATS OF THE MASSACHUSETTS ENDANGERED SPECIES ACT REGULATIONS 321 CMR10 ,c� y SiTE IS NOT WITHIN A STATE APPROVED ZONE I GROUND WATER RECHARGE N F 28.6 v�� 29.4 PROTECTION AREA / WETLAND DELINEATION BY LEC ENVIRONMENTAL CONSULTANTS INC. GREGG S. RIBATT, ET UX 07-02-07 N/F 3�� a FIELD LOCATM 07-09-07 23.5 DEVDUTT YELLURKAR, ET UX x IRON PIPE FND HELD a 3 9.) Ui1Li1Y INFORMATION SHOWN HEREIN: 2 \ 4. 2 7.1/ r THE CONTRACTOR SHALL CONTACT DIG SAFE(AT 1-888-LxG-SAFE) AND UI1UlY COWANES M LOCATE ALL EXISTING UTIJIES, AT LEAST 72 HOURS PRIOR LO TIE START OF CWTRUCTIM THE L=MN OF OEM UHDERGROLAD NFRASTR CTIM URM COi�DINTS AND LM ARE SHOWN IN APPROXIMATE ---22 SE W 3 WAY ONLY, MAY NOT LE LUTED TO THO SHOWN HEREIN AND HAVE BEEN RESEARCHED BASED ON THE ` AVAIABL.E UMY RM0ROS NOTED HOOK OK THE CONTRACTOR AGREFS M BE FULLY RESPQ\ME FOR `tea ;ti 4 \\`\ \\\ X\\` •'�� LJ 1 (.6 X 2�` 9'3 AWING WALL N/F WRASiRLiCTIM AND UTIliIhS EXAMY I1 MD COCO�DiTIONS���WERS FROM WOR0710K THE PLAN BOOK 507 PAGE 2 ? XIN 29.1 MICHAEL F. COWNS. ET UX CDNiRA = SHALL N07FY THE ENGINEER NMEDATELY FOR POSSIBLE REDESIGN• 85,200 S.F.* i'n 23.5 2 5 DDSTNG SEPTIC SYSTEM INFORMATION OBTAINED FROM A ME 5 INSPECTION PERFORMED 2.0 ACRES t ___ 3 4,3 ON 4/5/07 BY ROBERT BORTOLOTIT, BARNSTABLE NC. X'• 0.811-1 `\\ 22.5 G� 1 ,21 WATER LINE AND APPURTENANT INFORMATION S BASED ON PUN 0-11235-0 PROVIDED VIA IRON PIPE FND HE�,D t, '`� X_22 4G FAX ON JUKE 25, 2007 17.1+ �- --- �' 2,1 ---- -- ELE'CiRIC LINE INFORMATION PER NSTAR ELECTRIC FAX DATED DUNE 21. 2007 WHICH SHOWS `\\ 4 � SERVICE FROM U/P 778/2 TO HOUSE AT LOCUS. Q `+ ; ', 9.8 X 20.5 ` -i ---- -20 GAS LINE INFORMATION PER KEYSPAN ENERGY MAP RECEIVED VIA FAX ON JULY 19, 2007 4P 't ' X 2 - WF24X \ `% + ' \ �, `I ,$ Ni x 20,4 - s , , Ni itit% ` X \IN WF H2 \�`1+`\�` +'`,`,',1,'� 1� ; \\ X 0.2 W •AL x i FLAGSTONE, / 16J \ `.`�\ \` ` ' �" WALK 17.5 \ , \ I --------18 \ , . . . ` . 195 Ak �5\ \ . \ ` 7 173 ` WF \ �0 �i '� \ 18r� �c 4 16.0 \\\ \\`,\ \ \\ ` \ 17. G \` \ \ `\ \ \\\\\ \\\\\\\\ � WO / \5\9:\:�\`: \\ \ STAIRS --� 174 ` \` \` '\` ' ' ~16.,{[ 17.4 Pam" \\ \\ \\ \` `\`\ ♦\\`\\NpNN, 1, ` /X Y f \ \ \\ 17.4 17.4 � , $.Ak ` `�',,\,\1 X 18.9 POOL CONCRETE 17, P X 18.4 N WF #20 ,�N,�, `, , ;`, , -------- EQUIPMENT 1 7.66. /F JOHN H. MCARTHUR. ET UX B.V.W. ASSOCIATED WITH PARKERS POND \ )'s ' ` ' - � - �\ .3 LNG WF #19 \,`,,,,,`+,Nt\,``^ � '/ 17,7 . 1 0 18.A 18.2 , � / 3, ` , '' GATE D-BOX 7.7 + 18,�:" - l It . ',1 X `'+\``�\\\ \\ PROPOSED 17.0 SEPTTIC TANK G CEP 19,2 �AoanoN .A c 17. ��,�\N 1 l6.o / / WF H 8 5.� '`, ',x `\ `\\\ X•17, 17, 4 TE 17. , + \ P a o`► 6 ``� ; ``,\\ \\`.\ 1 �, ��(�� 36 { ;f \. X 18, i ? 20.4 AIL _ �a° � rs�►�i a ,�- - , , It9 Z' 0%0 A CSC 4 Q p 17.6 9.1'o 10 '\ X 19.4111 • ` ` s2 d VARIANCE REQ92 UESTED: ` 18. . 9,1 -17.0'�A,�o '�' .off 310 CMR 15.211 1 TO ALLOW A LEACHING FIELD TO BE 000e •Q \ ` } 7.3 � WF 6 �,7 � N. � `,G � � P �' '� ' NIL FEET AWAY FROM A SLAB FOUNDATION IN LIEU OF • Ak `,` +, '\`\ \ i` ; �8- 1 =-B-X 5 16.6 17.E REQUIRED 10 FEET. / ` ' 1 Q \ 16.4 a `, \`, \ 17.7 1 �, \ `WF #1 \ �` ` �( 16.5 X_ X 16.1 5 > , `\`� / / 1,\6.4 6.1 `\ ,\ X 1713 Qo 7 144\ \ ` 16.3 1 . ;-SS` i - 6 Q\ \ 9 _� (► I 4t IN 15, OJ-QL '` \ i` `IN It 4 SIN �-�� 5.9 k 15, X 7 ' ' !/ l,' `�• , ', `` � \ `. \ 141 - - FREDERICK J. CURRANS, ET UX ? \IN ,gyp\\ \ - i- �./ ` 14,8 64. ` ® - \ IN IN IN IN 4/ .1 '\Z 14 BARNSTABLE LAND TRUST, INC. \` `\\ ;' �`\\ \\\ \ a►`\ t t \ \ WF 11 2 Im 4 `�. '�►`�� t t 11.2 k\ �+i `_-13 / �' gg ( t A'O X 12.7 WF H �? X 08/2 9.9 ` \; \1` EASEMENT t / SEE PLAN BOOK 507 PAGE 2 9.3 � 4 /I off\ 1 I 'X 9, ' 10.8 WF ` ' � 34 `, � x �.6 �� 10 \ 9,0 TBM O � ;� ELm9.05 6.6 8,8/ 9.4 o � / 910 B.V.W. ASSOCIATED WITH _ Y!6 - oo�� 8.6 PERENNIAL STREAM SITE LOCATION: #6 s WF #2 106 EAST BAY ROAD ° // '5 6 4 4,I•' #1 OSTERVILLE, MA 02655 / WF #3 A �® PREPARED FOR ° /WF # HIRAJ S. SHAH, ET UX ` o 8 WETLAND DELINEATION BY LEC ENVIRONMENTAL U/P �77L3/t /,10 / / Ak CONSULTANTS, ONSUL A TS, INC. TITLE LINES OF EASEMENT //�/ FIELD LOCATION: 07-09-07 Wetlands Permit Plan SEE PLAN BOOK 507 PAGE 2 / /9.3 / .4 ° GNL D. H<ENDALL/.PET AL, TRUSTEE BAXTER NYE ENGINEERING & SURVEYING a� 0.�� Registered Professional Engineers and Land Surveyors % '`� oj% 78 North Street- 3rd Floor, Hyannis, Massachusetts 02601 Phone - (508) 771-7502 Fax - (508) 771-7622 � ♦ / a 6 ��H of� 30 0 30 60 /5 15.0 / SCALE IN FEET / 5.5 SCALE: 1" = 30� ,.R'qSiltl►�''' / OfJAL U/P #31/10 LCC8 FIND - 16.2 j `0 d4. TA!s• !�' DATE: 08113107 �� 01 LCCB FND HELD ` 2 SAW 1 9 07 REVISE LEACH FIELD LOCATION 1 SAW 1/1/07 VARIANCE REQUEST WPP NO. BY DATE REMARKS DRAWN BY. MTN1 DESIGN CHECKED DRAWING NUMBER 0: 2007 2007-032 CIVIL PLOT 2007-032WPP.dw 2007-032 SCOPE OF DEMOLITION: - • • � �, END OF DEP TOP ON SITE DRAINAGE NOTE. GENERAL NOTES DESIGN CALCULATIONS FOR EXISTING DWELLING R-43.00, �� OF COASTAL BANK CONTRACTOR SHALL BE RESPONSIBLE FOR DEMOLISHING AND ALL ROOF RUN OFF SHALL BE COLLECTED BY GUTTERS AND L=33:77-, DISPOSING OFF SITE THE FOLLOWING: � � � DOWNSPOUTS AND REROUTED TO DRY WELLS VIA PVC i DESIGN FLOW: 7 BEDROOMS AT 110 GAL. PER DAY PER BEDROOM = 770 GPO (NO INCREASE IN FLOW PROPOSED) FND � � � � L COLLECTOR PIPE. CONTRACTOR TO CONFIRM LOCATION OF SAI 1) GARBAGE GRINDERS ARE NOT ALLOWED WITH THIS DESIGN. 770 GPD X 200% - 1,540 GALLONS - 2,000 GALLON SEPTIC TANK AS SHOWN ON DESIGN PLAN � ♦ ; EXISTING BUILDINGS, PAVEMENT, WALKWAYS, EXISTING DRAINAGE DRYWELLS/COLLECTOR PIPES WITH ENGINEER PRIOR TO `'� COASTAL 2) THE INSTALLER IS RESPONSIBLE FOR ASSURING THAT COMPONENTS OF THE SEWAGE DISPOSAL SYSTEM ARE A 46 'L. x 23 W. x 1 'D. LEACHING FED CAN LEACH: \ \ Fran `� t COMPONENTS NOT BEING UTILIZED, EXISTING SUBSURFACE INSTALLATION AND NOTIFY ENGINEER ANY DISCREPANCIES. � vt = 4s ( 23 ) x .74 = 783 GPD 4 SEWAGE DISPOSAL SYSTEMS (IN ACCORDANCE W/ NOTE 8), `'' _ �� engineering co. DESIGNED WITH SUFFICIENT STRENGTH TO SUSTAIN ALL LOADS TO BE IMPOSED ON THEM. ANY COMPONENT OF � .... THE SYSTEM SUBJECT TO VEHICULAR TRAFFIC MUST COMPLY WITH A MINIMUM STANDARD OF A.A.S.H.T.O. H-20 y I a DELETERIOUS MATERIALS FOUND DURING EXCAVATION, EXISTING �l �1 / 260 Crary H"•Orleans.MA 02653 WHEEL LOADS. ONE ( 1 ) - 46 'L. x 23 'W x i b. LEACHING FIELD Vt = 783 GPD > 77p GPD REQb. r WALLS, FENCES, AND LANDSCAPE FEATURES NOT BEING OOC SE 3-5480 ( 1 ) - 2,000 GAL SEPTIC TANK 508 255 6531 P 508 255 6700 F ONE 3 PRIOR TO SETTING ANY SEWAGE DISPOSAL SYSTEM COMPONENT INSTALLER SHALL VERIFY EXISTING ` �,� UTILIZED OR REPAIRED. LOCUS / EAST BAY ONE ( 1 ) - DISTRIBUTION Box � � ti ti _ ..� APPROVED BY THE BARNSTABLE CONSERVATION � l CONDITIONS, INCLUDING ELEVATIONS OF EXIT INVERTS, AND REPORT ANY DISCREPANCIES TO THE DESIGN COMMISSION UNDER MASS DEP FILE NO. SE#3-•5480. FOR ALL EXISTING WATER ELECTRIC AND GAS SERVICES TO BE CUT, >. 4) ALL ENGINEER. GRAVITY SEWER PIPE SHALL BE 4" DIA. SCH 40 PVC UNLESS OTHERWISE NOTED. THE MINIMUM SLOPE OF y _ / as CAPPED AND ABANDONED. NEW SERVICES CONNECTIONS MORE INFORMATION SEE PROPOSED SITE PLAN BY COASTAL ENGINEERING COMPANY TITLED "C2.1.1 - PLAN SHOWING 4" DIA. SCH 40 PVC SHALL BE 0.01 FT PROPOSED (SEE PLAN) �� ` � �- �,� � PROPOSED SITE IMPROVEMENTS" DATED MAY 17, 2017. Q FT. / � 5) NO PART OF THIS DESIGN SHALL BE ALTERED WITHOUT PRIOR APPROVAL FROM THE DESIGN ENGINEER AND A_ / ESTIMATED HIGH GROUNDWATER CALCULATIONTHE AGENT OF THE LOCAL BOARD OF HEALTH. ALL REQUESTS FOR CHANGES SHALL BE MADE IN WRITING Q / (USGSARIMPIER METHOD) REFERENCES: "°q m PRIOR TO CONSTRUCTION. y SITE & LANDSCAPE NOTE: 6) THE USE OF ALTERNATE MANUFACTURERS FOR SYSTEM COMPONENTS SHALL NOT BE APPROVED IF THE USE INDEX WELL• #MW-29_Zq�; B , OF THEIR EQUIPMENT REQUIRES CHANGES IN DESIGN. \ ASSESSORS 141, PAR 104-001 4i OSIERVILLE, MA 7) THE INSTALLER SHALL ASCERTAIN THE LOCATION OF EXISTING UNDERGROUND UTILITIES PRIOR TO EXCAVATION, DATE OF READING: .ULY 2017 DEPTH TO GROUNDWATER: 7.7 \ #617 MAIN STREET -� _ SITE & LANDSCAPE CONTRACTORS TO USE THE LATEST HAWK DEED BOOK 28210, PAGE 28 KEY MAP AND SHALL PROTECT UTILITIES WITHIN THE WORK AREA DURING CONSTRUCTION. ;= � �y jsi DESIGN LANDSCAPE PLANS FOR ALL DETAILED GRADING AND REFER 8) THE EXISTING SEWAGE DISPOSAL SYSTEM (INCLUDING CESSPOOLS) SHALL BE PUMPED, FILLED WITH SAND, AND GROUNDWATER LEVEL ADJUSTMENT: 20 / � 20 TO THE ARCHITECTURAL/STRUCTURAL DRAWINGS FOR ELEVATIONS NO SCALE ASSESSORS MAP ABANDONED; OR SHALL BE REMOVED WITH SURROUNDING CONTAMINATED SOILS AND BACKFILLED WITH CLEAN ACTUAL GROUNDWATER LEVEL o SITE: EL= 4,7f RELATING TO TOP OF FOUNDATION & FINISHED FLOOR ELEVATIONS. #633 MAIN STREET COARSE SAND. - ; 9) ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING TAPE OR A COMPARABLE MEANS IN ESTIMATED (MAX.) HIGH GROUNDWATER LEVEL: a= s.7 � w FLOOD NOTE. �� �,. � ��..---� DEED BOOK 29423 PAGE 280 ORDER TO LOCATE THEM ONCE BURIED. �� ASSESSORS MAP 141, PAR 104-003 IF APPLICABLE: - - a 1106 EAST BAY ROAD FLOOD ZONE AE (EL 12) AS SHOWN z 10) FILL MATERIAL FOR SYSTEMS CONSTRUCTED IN FILL SHALL BE CLEAN GRANULAR SAND, FREE OF ORGANIC _ '' ✓ ;` "Y DEED BOOK 29865, PAGE 255 ON FEMA FIRM PANEL 125001C0544J o MATTER AND OTHER DELETERIOUS MATERIALS. THE SAND SHALL BE GRADED SUCH THAT NOT MORE THAN 45% ( _ 9NN EFFECTIVE DATE JULY 16, 2014. OF THE SAMPLE, BY WEIGHT, SHALL BE RETAINED ON THE #4 SIEVE. THE FILL SHALL NOT CONTAIN ANY INSPECTION NOTE t �, a3 LOT 3 & LOT 4 SHOWN ON PLAN OF MATERIAL LARGER THAN 2 INCHES. THE MATERIAL THAT PASSES THE #4 SIEVE SHALL MEET THE FOLLOWING \ o oo LAND 1111ED "PLAN SHOWING PROPOSED GRADATION REQUIREMENTS: THE STATE ENVIRONMENTAL CAE, TITLE 5, REQUIRES INSPECTION(S) ' .OF THE SEWAGE DISPOSAL SYSTEM BY THE DESIGN ENGINEER. ` ` '? RE-DIVISION LOTS SHOWN ON P.B. DATUM NOTE A �� chime, 507, PG. 2 & P.B. 563, PG. 44" SIEVE PERCENT INSTALLATION CONTRACTOR MUST NOTIFY THE DESIGN ENGINEER �,� \� �'�, PREPARED FOR SAMILJAN & SHAH, ELEVATIONS SHOWN HEREON ARE • SIZE PASSING PRIOR TO THE START OF INSTALLATION FOR DISCUSSION ON f �¢, r\a �" PREPARED BY COASTAL ENGINEERING BASED ON THE NORTH AMERICAN WATER SUPPLY NOTE. 4 100% REQUIRED INSPECTIONS. / a 9d COMPANY AND DATED DULY 31, 2017. VERTICAL DATUM 1988 (NAVD 1988) 50 107-100� ` P + �� " INSTALL WATER SUPPLY GREATER THAN 10 FROM 100 0%20% �� ti o SITE PLAN OF LOT 3 IN (OSTERVILLE) ANY COMPONENTS OF SEWAGE DISPOSAL SYSTEM. 1200 07o-5% � 1j .� FOR MIqHAEL MECLEY," PREPARED BY WHERE THE WATER SERVICE CROSSES THE EXISTING L T 1 ___/ �, 9 T997 "/ SEWER LINE OR WHERE THE 10' SEPARATION IS NOT LEGEND G IN LANE + `23 ` �. 2, �� BAXTER & NYE INC., DATED MAY 5, / POSSIBLE PROVIDE A SLEEVE OF SCHEDULE 40 PVC _ _._4 ��; \ �9 (LATEST REVISION SHOWN ON PLAN) PIPE OVER THE PROPOSED WATER SERVICES. SLEEVE SHALL EXTEND A MINIMUM OF 10' BEYOND FORCE PROP XIS77N /� ` � I � � � 2 �o�� GA—ITT 2 � MAIN OR SYSTEM COMPONENT (SEE DETAIL). 10 CONTOUR ■ BOUND v't - RLANE] G , NOTE S�14 THE INFORMA11ON HEREON HAS BEEN PREPARED ACCORDING TO r, LIMIT OF WOW/ CATCH BASIN �' v- -' - kv THE REQUIREMENTS OF TITLE 5 OF THE STATE ENVIRONMENTAL SEDIMENTATION BARRIER — �-' 2s ! 1 CODE FOR SUBSURFACE DISPOSAL OF SANITARY SEWAGE AND pRq� MAINS _ EXIST�Nc TREES _ / j �' f I l :.. . -. , �� +17.3�., �� +17.73 WATER SUPPLY LOCAL BOARD OF HEALTH REGULATIONS. — — _ " W - - ( ) TO REMAIN T1fP. W WATER SERVICE A�l / 6fi g515� �` N r (SEE HAWK PLAN) ") SEWER MANHOLE �,2g% ! SCH 40 PVC SLEEVE — G — GAS SERVICE '>>' -- 12 — — tiff \I r fl1` �f / a f O • / p � f I SEAL r / / & a 10'MIN. — E — ELECTRIC SERVICE TELEPHONE MANHOLE I jet 1 ", ti� a, �- fir, ' �Q a jj Al �' •Q �/ .� .— _._ --.. . � s G!, _,.- """ .- � \ � `' P � �f _ • ® /\O F ',�. / ! p / +`4';r � - � l�. �`` �•(t1()F SEWER PIPE MANHOLE '►" �F \�\ !: H' \ i / ' °'• �- �/_ •: L ! �� / y`cP �� PROPOSED SCH. 40 PVC SLEEVE TO ASSESSORS MAP 141, - { W � t1 , I COVER WATER SUPPLY LINE WHERE I 10MIN. a MONITORING WELL 5= - - , :,� PARCEL 123-001 -4 +<, y, , ACK o C L cn a, W _ 21.. t'1 _. r ,, i / WITHIN +1j / '(1 �- J 110 EAST BAY ROAD 46715 _; DISTANCE FROM SEWER�COMPON (> j GAS VALVE 1 bl _ . y y, g N RA o WASHED 4" DIA. PERFORATED - 0.74 / J PATIO �,� )-� / S do JILL M SHAH U' _ _ -F2 0 f16.23 v ;y Ots7� STONE FIELD SCH-40 PVC PIPE WITH w •�- G�� - LOCATION OF EXISTING Fs -r_ SlpNdl CAPPED ENDS (TYP.) WATER VALVE II �_� ��a s� t 2,000 GALLON SEPTIC TANK ,` � a ..., � � / APPROX. \ 100 FROM TOP OF ' Q } �, � � (INLJ? INVERT TO BE VERIFIED .00 AL BANK y:Y� �'` - �F - TAIL W R SLEEVE DE , ,, z -12A - yPROP �� A TE • ., .. , .• HYDRANT ��, - /_ `� ,. PROPOSED --� - ^ � PR OSED -.,'�' �� DURING STRUCTION) .. , 1fD-t2A _ � YD-t2B aEIINOUT � � z. - , -.. TERRACE ® PRosm' 1 j NO SCALE \ .; EITUIMINOUS ELECTRIC METER1��� 1 i4, yvy ,` z 7 u! .. , . .s ... '• � `;1� �A c� �'� COLIC R"o�;�; ;.� � �' �y y1\\. D ° i YOGA STUaO I o, / s� szsa�� 0.3 \y %' (TO REMAIN)+2 _. PULL Box - — g ' y \y , .`� 1ill a . . . . . ,. : ' ... - � , SCH-40 PVC .,. : !'j ► :�,\ #106 / y� GRAVITY LINE (TYP.) CABLE TV BOX yt, 0 Y R n _ , l w W TELEPHONE BOX ` (go) W �.F .. ., ��"� -_ �/ •,,�_ __ E ---�—_:--_�.� -___--�----�--�E _--_ � � _ _ .._. >> rr rr' -\.�/� -.r �,�ial \ ,�i1' •l E ems• ��•�i�.� .a.....� -- _ ��.. � / ..------- D-BOX — — —•—�——-�——. --�--s—. , :-„ t �. G --- - - -- - ---�' r r> LIGIiTPOST � o • .. . • ;.:: • ' .• , .• .. .• .• ,• ,. -, .. .. . . ' �.. l� PROPOSED / r/ / � • 1�^ 1 o i -_ y, ,- � GRAVEL PATH ,.,/ •• •• ..• .. • s �•j' t ..-�.. Jam, -. .j.-.- - , MISC. SIGN _ , �_„- l - LANDSCAPE PLANS) , ' :• C POST --ems \ 5 L _ y. � r ,,- --q.,`\rya `� -.- -®..� .�� i�.` e "� .,� -. ,t / l 1Y /f � C UTILITY POLE > � ., - -- 1 ... ' ' f' +6 3 1 . - •.• � — _ — ►:1 / �rx RIB . GUY POLE ti�■ ` `' _ �. -' _ - _- �►r/ i�; \ _R v n DETAIL OF EXISTING LEACHING FIELD _ _ - - ZEE 000*GUY WIRE �.- PROPOSED RELOCATED - _ ✓ s�c9 E-+ W NOT TO SCALE f _ _.... " - PROPOSED LIMIT / NOTE: CONCRETE PAD FOR -�._ w _ -". TREE GRANITE SCULPTURE - /SEDIMENTATION �, rx d/' ��, N - BARRIER TYP. - - _ ♦ r N H O EXISTING LEACHING FIELD DESIGNED BY OTHERS SHOWN ON n ____ - ( a) t - a W-3 WEILAND FLAG" PLAN ENTITLED, SITE PLAN OF LOT 3 IN (OSTERVILLE) tj:,j X _1 -� -,� �� - , ♦ ~- BARNSTABLE/bEji TOCB � (� E--� BARNSTABLE, MASS. FOR MICHAEL MECLEY," PREPARED BY - - ` - - - - - J' ,f - PROPOSED TOP OF SLAB ON EDGE OF WEIUWD vV -, �, - � BAXTER & NYE INC., DATED 5 6 97 LATEST REVISION DATE). - - -- - - �` r GRADE - EL = 22.29 / / ( ) - .. a ..-�...,� .. •�.. ...•� �. � �•�� DEMOLISHED ALLEN PREVIOUSLY '* � ; _.._ , .� ._'�Y k_r -- _ �£ SEE ARCHITECTURALS -- WF-23 BRICK WALLS TO BE W -13 vxr-14 - _. �` .■ys....._ _ W V ( ) ®_x-- FENCE ,= Wr-25 RECONSTRUCTED INK -� \ _= �- _ _ H h� _ �S_.. OUTLET PIPE FROM PROPOSED YOGA � � 'i��.,� �, � -�- ,,--'. .. -- _ ~PROPOSED r —OHW— OVERHEAD UTILITY LINE ,e� ,._.-_1 _ STUDIO TO BE CONNECTED TO EDGE 03 y -LIMIT OF WORK/ EXISTING SEWER PIPE (SEE PLAN). LAGGED _` `�� SEDIMENTATION W ELEVATION AT CONNEC11ON TO BE _ _?O - CONTOUR VE:T-LAND _- _BARRIER (TYP.) Q FIELD VERIFIED. ` 10 _ — - &"y' -� -4 �7.a 1 EXISTING STONE WALLS C� PROPOSED EXISTING FIRE PIT TO REMAIN . / REPAIRED WHERE NECESSARY p ,. a. 4. `, �_ •/ e EDGE OF �0 O w i FLOW - MINIMUM D'BOX INSIDE APP�RO�, EDGE D �i `V LINE DIMENSIONS 12"x12' 4" DIA. PERFORATED 0 P V L.TL}`'°°D a 0 o DROP:2" min. SCH 40 PVC PIPE 1=103" max. 4" DIA SCH 40 PVC PIPE PARKER POND a SCALE Q 4' DIA SCH 40 PVC PIPE ,.� AS NOTED au 10" 4" DIA SCH 40 PVC PIPE 2"D P (TIDAL) A PIPE OR FLOW DRAWINGFILE 14.34 EXIST. O C18614-CONSTRUCTION.DWG 19.0 14.6t (MIN•) LEVELER INVERT - TO BE � EXIST. EXIST. WASHED STONE . �� .- 12" '� •-22.90'.,, � H THE MINIMUM SLOPE FOR - a DATE 4" DIA SCH 40 PVC PIPE VERIFIED ALL ALL N 50'2759" W 229,58' O 08-02-18 a 2,000 GALLON (H-20) 152.84' N 56'50'58 W E. IS 1/8 PER FT S'-4" LIO. DEPTH COMPACTED BASE - DRAWN BY SEPTIC TANK ASSESSORS MAP 141 O W/SANITARY TEES EXISTING W/ 6" LAYER OF E�MST. PARCEL. 106 MJB/PM7/CPM CRUSHED STONE BOTTOM 0. STONE z 50 EAST BAY ROAD e D'BOX 46' BARNSTABLE D TRUST INC � CHECKED BY ASSESSORS MAP 141 U LINES) EXITING D'BOX MUST REMAIN PARCEL 107 00 a' LEVEL FOR 2'-0" BEFORE PITCHING EXISTING SOIL ABSORPTION SYSTEM (SASS 100 EAST BAY ROAD N 173't 3't • » a DOWN TO L BARNSTABLE LAND TRUST INC iic EACHING FACILITY 46'L x 23'W LEACHING FIELD O 0 EXISTING PLAN 4.1 2,000 GALLON SEPTIC TANK NOTE. ALL. EXISTING ELEVATIONS SHOWN ON PLAN ARE c C2'g 2 APPROXIMATE AND SHALL BE FIELD VERIFIED. 30 15 0 30 90 • • 2 YOGA STUDIO& YOGA STUDIO & FORMAL GARDENS SCHEMATIC FLOW PROFILE FORMAL GARDENS i inch = 30 ft. ISSUED FOR PERMITTING 08-03-2018 W 1 OF 1 SHEETS A ALL INSTALLATIONS MUST CONFORM TO THE MINIMUM REQUIREMENTS OF TITLE 5 o PROJECT NO. w U C18614.00 -' co � cr - o ` : LOCUS . ... _ .,. . .. _-10, . ._.i I,.. _ .... -, , « .- .. . , .... _ . . . . _ .. . .. F` 9S101, EAST ALL COMPCtkNT'S LOCATED IN POTENTIAL „. VEHICLE TRAP"',C AREAS OR BURIED 4 FEET qr BAY COVERS LOCATED TO WITHIN OR GREATER Sr AL_ BE H-20 LOAD CAPACITY. TEST HOLE 12" OF F.G. - O DECEMBER 7,1994 q ACME RECAST BAXTER & NYE INC. ELEV.- $ F • TOP OF FCo- 16 DB3 C tQUALtµ �. F'8333 FOUNDATION PIT 2 ELEV. _ INV. - ICv '� ..� l:?? 77�.. � Ig ,. PIT1ELEV. = 18.0' AM SUB SOIL LOCUS MAP INv. s 2000 GAL. +" DIAMETER T _ LOAM & SUB SOIL LO & rl INV D15T SCfrep+�LEr� = SEPTIC TANK INV. z (cj,4_ BOX 40 P V C P�pE TOP ELEV. (5.5. -4 PERK TEST — — SCALE 1 25,000 15-L _ 6" CR �-1 STONE IN, 15Z 10.00 .INv i5�, vvvvvvvvvvvvvv17v v v _ a: BASEMENT FL EL. MIN. v v v v v v v v v v v v v v v v v i MEDIUM MEDIUM ASSESSORS vvvvvvvvvvvvvvvvvv = SAND SAND MAP 141 PARCELS 123 & 104 BOTTOM ELEV i4-•C) -6 ZONE A.P. p ZONE FINE FINE RESIDENCE F-1 SAND SAND MINIMUMS AREA = 43,560 S.F. FRONTAGE = 20' p T WIDTH = 125' t"n,CL�F1L - EL. = 6.0 H-12 NO WATER -12 NO WATER FRONT SETBACK = 30' EL. = 6.0 EL. = 6.2 SIDE SETBACKS = 15' NO SCALE • REAR SETBACK = 15' • BUILDING HEIGHT = 30' (OR 2.5 STORIES IF LESS) -o N t � G C � 0 tz� T e = 25'54'03., S` A 46 10' SV� t,, L C, LOT 6 a, LOT 4 #A6 �[ - L t7 T 7 _ Z CL -' _C S #A7 - r 1+� i Cj , +� I D C p T AL Z LOT 3 7- \, 54. 155 sq.ft. UPLAND _5.666 Sq.f'_ WE ,►L_ ,� ��, ' "a �_1 sq.ft. 7-5j,cc-es TOTAL AL �- #A Ap- ��, ro PT AL � \Z I rC%AL � � #At l -� o PpOI AL 1 �Yr.SiinO ,1L #Al2� StCne oils y - c _ rs5i0�' ARE v th. VIEW Exv A �G CHANL a 20� G►�- n6 �C. dwdilr•9 gorov N PROP t� S,rsZE*�y `�► i �\ { - osed VIEW prop :a ANNEL w drive . SILT '-EN':E A : I l i - P. c� I TRENCH #A,r, pole y /G C, KEY SILT FENCE INTO \ �pCI 6RC>UNr; 4" TO 6" Ai6 0 C B. �' J LOT 2 i STAKED HAY BALE DETAIL Cr i f 00 #A17 �' r DESIGN DATA �,� ' pole I �- FENCH/VARK = 13.71 go'opP S'!vGLE FAMILY- BEDROOMS AL ,y 1 778./2 /NAI'_ NO ;,APEAGE GRINDER - N�n��PO I �j DAILY FLOW = 110 X 7 = 770 G P.D S O ` SEPTIC TANK = 770 X 200% = 1540G.P.D S�• �� '�'' t' #A18 � USE 20000AL. SEPTIC TANK ems• '�s. ���F 7>. #A19 1P_ // INV ELEV / 2 16 / J� ' 6 _1 - LEACHING FIELD DESIGN --� �e� t C.C. RENOVATIONS INC. ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED WITH CAPPED ENDS BOOK 7386 PAGE 7 #A2 1� = i USE 4 - 4" DISTRIBUTION LINES IN A ^' 'X 46' WASHED STONE FIELD . - � �8" PIPE ALAS SHOWN SYSTEM t5 WITHIN 250' OF A RESOURCE AREA �G- INV ELE�i. = O 4 #A2:: THEREFORE NC' SIDEWALL AREA IS ALLOWED ���•3Q C' �e�ghC�L' "- 770 G.F.D.i.74 = 1040 S.F OF BOTTOM AREA REQUIRED USE 23'X 46'= 1058 S.F. AREA PROVIDED CLASS 1 SOIL PERCOLATION RATE 1" IN _2 MIN. OR LESS �► P° 5'�Q I, S L C.B. FNG liS ERNEST W. DEWITT VIOP� BOOK 3355 PAGE 213 6• SITE PLAN OF LOT 3 I N (OSTERVILLE) HOF BARNSTABLE, MASS. PLAN SULLIVAN FOR WITH CLEAN GRAINIULAREMATIERI AEFILLTTOPBE OSED GRADEDYASEFIOLBLOWS IL NOT ` i� Ct1tL� y MICHAEL MECLEY MORE THAN 15% RETAINED ON No. 4 SIEVE, NOT MORE THAN 90% RETAINED OFF GRAPHIC SCALE ON No. 50 SIEVE, OF FRACTION PASSING No. 4, 10% OR LESS TO PASS No. 100 SIEVE AND 5% OR LESS TO PASS No 200 SIEVE, SOIL TO BE APPROVED L.: e FND 0 40 80 `" ' ' �' SCALE: AS NOTED DATE: SEPT. 17 1996 BY ENGINEER FOR COMPLIANCE PRIOR TO PLACING ON SITE. �,Jj� 2 LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN, AT LEA " HOURS REV. SEPT 20,1996 . PRIOR TO ANY EXCAVATION FOR THIS PROJECT CONTRACTOR SHALL MAKE L C B FND. THE REQUIRED NOTIFICATION TO DIG SAFE (1-800-322-4844) AND APPROPRIATE REV. OCT. 1 ,1 `�6 WATER DISTRICT TO DETERMINE UTILITY LOCATIONS. I inch = 40 ft. r ��� BAXTER & NYE INC. 5 �,-,o OF REGISTERED LAND SUPVEYORS NOTE ELEVATIONS ARE BASED ON N.G.V.D. %;"0v CIVIL ENGINEERS 100 YEAR FLOOD ELEVATION = 11 .0' A. M OSTERVILLE, MASS. WrEm © FOR ALL ASPECTS OF THE SEPTIC SYSTEM THE CONTRACTOR SHALL COMPLY WITH ALL GOVERNING CODES AND REGUL;A TIONS ue�a IN PARTICULAR 310CMR 15.000 THE STATE ENVIP(')NMENTAL ' " OC-E TITLE 5, THE TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS PAR T VIII: ON-SITE SEWAGE DISPOSAL REGULATIONS AND THE BOARD OF HEALTH RECOMMENDATIONS FOR ACCEPTED PRACTICE.