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0110 EAST BAY ROAD - Health
Now 110 East Bay Road Oasterville A= 141-123-001 <°lt.e"�s CERTIFICATE OF ANALYSIS Page: 1 of 1 Barnstable County Health Laboratory (M-MA009) 9dsacHu5�.� Report Prepared For: Report Dated: 5/23/2014 Sally Desmond Desmond Well Drilling Order No.: G1479974 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 1479974-01 Description: Water-Drinking Water Sample#: Sample,Location: 110 East Bay Road,Osterville Collected: 05/21/2014 Collected by: Customer Received: 05/22/2014 Routine_M ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen 4.4 mg/L 0.10 10 EPA 300.0 LAP 5/22/2014 Iron 0.14 mg/L 0.10 0.3 �, SM 3111E LAP" 5/22/2014 I Manganese 0.027 mg/L." 0.025 SM M 11 B LAP 5/22/20.14 pH 6.2 PH AT 25C NA 6.5-8.5 SM 4500-H-B DCB 5/22/2014 Sodium 85 mg/L 2.5 20 SM3111B LAP 5/22/2014 Total Coliform Absent P/A 0 0 SM 9223 RG 5/22/2014 I� Conductance 350 umohs/cm '2.0 SM 25106 DCB 5/22/2014 j Sodium level is above the maxium contaminant level. Those on a.low sodium diet may wish to consult a physician. Attached please find the laboratory certified parameter list. Approved By: (Lab Director) 71 Z ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Massachusetts Department of Environmental)Protection Bureau of Resource Protection , Well Completion Reports Well Driller ' Please specify work performed: Address at well location: New Well. Street Number: Street Name: 110 _ ..� ^EAST-BAY RD 0-!� Please specify well type: Building Lot#: Assessor's Map#: Irrigation - Assessor's Lot#: ZIP Code: Number Of Wells: 02655 CitylTown: Well Location BARNSTABLE In public right-of-way. GPS G Yes 4 No North: West: y .y 41:62675 70.37640 Subdivision/Property/Description: Mailing Address: n click here if same as well location addres Property Owner: Street Number: Street Name: CO HOSTETTER HOMES .110 EAST BAY RD » City/Town: State: Engineering Firm: ABINGTON MASSACHUSETTS ZIP Code: 02655 0 Board of health permit.obtained: r Yes (7)Not.Required g f + Q Permit Number: Date Issued: ;" W2014 013 5/12/2014 Massachusetts Department of Environmental Protection �j Bureau of Resource Protection—Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRILLING METHOD Overburden Bedrock (Auger --Choose Bedrock-- WELL LOG OVERBURDEN LITHOLOGY From To(ft) Code Color Comment Drop in drill Extra fast or slow Loss or addition of ` (ft) stem drill rate fluid 0 20 Medium Sand Brown r YES r� r Fast r Slow r Loss r Addition TRACE SILT 20 27 Fine To Coarse Sand Brown f3 YES r NO tj Fast Slow r Loss Addition 27 35 Imedium Sand 7] Brown YES r NO r Fast 0 Slow r*Loss r Addition WELL LOG BEDROCK LITHOLOGY Visible Extra: From Drop in drill Extra fast or slow -Loss or addition of To(ft) .Code Comment Rust Large. (ft) stem drill rate fluid Staining Chips Choose Code Fr, YES 0 N011 r Fast r Slow r Loss-r Addition Ye FrJ_Ye ADDITIONAL WELL INFORMATION Developed Yes Ca No Disinfected t Yes No ti Total Well Depth 35 Depth to Bedrock Fracture • f Yes G No Surface Seal Type None Enhancement CASING ❑is Casing above ground. From To Type Thickness Diameter _Driveshoe 0 31 Polyvinyl Chloride I ISchedule 40 4 r Ye SCREEN ❑No Scree From To Type Slot Size Diameter. 31 35 Stainless Steel Well Point 0.012 4 WATER-BEARING ZONES ❑DRYWEL From To Yield (gpm) 14 35 12 PERMANENT PUMP(IF AVAILABLE) 3 Wire Variable Speed Pi2 Pump Description Horsepower Submersible Pump Intake Depth(ft) 31 Nominal Pump Capacity(gpm) 15 Massachusetts Department of Environmental Protection Bureau of Resource Protection—Well Driller Program `. Well Completion Reports(Geneml) ANNULAR SEAL/FILTER PACK rWater From"; To; Material 1 )Weight Material 2 Weight Batches Method Of Placement Choose Material IChoose Material --Choose One-- WELL TEST DATA " Time Pumping Time To ' Date:' Method` Yield m Recovery (it (gp ) .:PLm'ped Level (it Recover (HH:MM) BGS): (HH`.M.M)„ 1 BGS) 5/21/2014 Constant Rate Pump 12 1:30 20.5 0:01 14 WATER LEVEL Date-measured Static Depth BGS(ft) i''Flowing Rate(gpm) 5/21/2014 14 12 COMMENTS s WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision,according to the applicable rules and regulations,and this report is complete and accurate to the best of my knowledge. ROBERT Supervising Driller DESMON ' Driller MOORE Registration# 877 Monitoring[M] Signature PATRICK, DESMOND WELL Firm DRILLING INC. Rig Permit# "024 - Date Job Complete 6/12/2014 NOTE:Well Completion Reports must be filed by the registered well driller within 30 days of well completion., No. 1^)(DCl/9 — ` 3 Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01ppYication��_for Yell Cottgtruction Permit Application is hereby made for a p o-4 26nstict M, Alter( ), or Repair( ) an individual well at: i t 0 Q A RA 1 6 e 0*, - I`t I l 1231 o f Loca -Address Assessors Map and parcel -S� �tR ,� Owner Address jorlOYNTa 0163 Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well yn,SGkw0 IN, C- Capacity Purpose of Well ,t(zA Z Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compli ce has been issued by the Board of Health. I Signed I \Application Approved B I D to Date Application Disapproved for the following reasons: c Date Permit No. AIN�)Cl)-Q ) / Issued U �� Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance Y-4?--9-1 C�ff-17o/-) THIS,IS TO CERTIFY,that the individual well Constructedd411"Altered( ), or Repaired( ) by 1 )Dbc-Nogh� AFL( 1�.. QL-L/14 C-.;, Installer at /l O E4g ig C5i+z o cS-,T-k ! L.OF— has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.1�'�/4 0/ 3 Dated 571 / THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. �aCJ/�� _.. O 3 Fee L/ BOARD OF HEALTH TOWN OF BARNSTABLE 2pplicatiou jfor Yell Cou0ructiou Permit Application is hereby made for a permit to Construct(�), Alter( ), or Repair( ) an individual well at: 110 SWRY bqt�NR� , 0�1e;�;11e Iy � � 1'2.3fooi Loca' n-Address Assessors Map and Parcel Owner Address I�2Sw� 01A 02.(,S3 Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well 41"ScwL ,b�C- Capacity Purpose of Well ,c Ogok m Agreement: " The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Boardof Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Compl•Ian ce has been issued by the Board of Health. „ Signed A,•�\ 5 �� Application proved By PP Approved Date Application Disapproved for the following reasons: C J ) Date Permit No. )y O Issued �J )) / Date t-.,.,-�^•.._= _-�..: -_.o.'tea_ r::::a.. _ _ . BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed Altered( ), or Repaired( ) by bbSM0)4,b Installer at //O F--As—1 �`f c44z y1L4,4 has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well.Protection Regulation as described in the application for Well Construction Permit No!��o�-( C/ 3 Dated 5//D �/ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. s Date Inspector BOARD OF HEALTH TOWN OF BARNSTABLE -��--� "`'�� ' Vern Cougtructiou Permit No. � �14 0 Fee Permission is hereby granted to )ESW DOL WELL L�- Q. (L_LJ"G T t ` .-(GR /Gq Installer to Construct �, Alter( ), or Repair( an individual well at: No. //b / o,—A 'B-OY (1, 0 l 2 Street / as shown on the application for a Well Construction Permit No. Dated Date Approv d By _ 4,:�- No. 2O13_ 02S Fee 4�W BOARD OF HEALTH TOWN OF BARNSTABLE Z[ppticatiou ,for Yell Cougtructiou Permit Application is hereby made for a permit to Construct( ), Alter( ), or Repair( ) an individual well at: Location-Address Assessorst Map and Parcel Owner A ress ®S1erdr Il x nstaller- er / Address 0 Type of Building f� Dwelling Other-Type of Building No. of Persons Type of Well y�0 76�1/'�lt� G/oS'��(�DO� Capacity Purpose of Well T/ /p e LAP /7®GCS Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate of Co pliance has en iss y the Board of Health. Signed Date Application Approved By / 1/6& Date Application Disapproved for the following reasons: j Date Permit No. (�A)�'Ot,5 02-S Issued C Date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual we" Cons icted(Altered( ), or Repaired( ) by 2 �C Installer at i i L zS,a C!� � (f t 1(x- has been installed in accordance w' h the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit NOW 01-S Dated 11 I THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector No. 2013 l Q 1 S Fee BOARD OF HEALTH TOWN OF BARNSTABLE ZIppYication jfor Yell Cott0tructtou Permit Z N Application is hereby made for a permit to Construct( ), Alter( );~ ,or Repair O an individual well at: o /y/-1o23 ooi Location-Address Assessors Map and Parcel Owner A d�;s 1' nstaller er / Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well �i'D T�r/H�a/ 141o51-oL/Lo, Capacity Purpose of Well / D f Q /D L Se 40� Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the \well in operation until a Certificate of Co pliance has been iss y the Board of Health. Signed d Date Application Approved By Y _ Date__ . Application Disapproved for the following reasons: Date Permit No. 02 G Issued Date BOARD OF HEALTH TOWN O,.F BARNSTABLE m Certificate of Compliance THIS IS TO CERTIFY,that the individual well, Constructed( Altered( ), or Repaired( ) by D!:�f e IC ", I (� a �(tT 9t4y U Installer at J_ ex I(,,,- has been installed in accordance with the provisions of the Town of Barnstable Board of Health'Private Well Protection Regulation as described in the application for Well Construction Permit No A)7._ p Z 5 Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. I Date Inspector BOARD OF HEALTH TOWN- OF BARNSTABLE -' Yell Cougtructton Permit No`�/� 2n! d Z S Fee �i , U U Permission is hereby granted to De, ek--- ki I I nC S G Lf 3 Installer to Construct-(- ( ), or Repair( an individual well at: No. I S(� �� Ill - C /l Street as shown on the application for a Well Construction Permit No. ILL! Dated Date k ! n / Approved By -`J-- 1 r Message,--j\ Page 1 of 1 McKean, Thomas From: McKean, Thomas on behalf of Health Sent: Friday, September 20, 2013 8:26 AM To: Stanton, David; Desmarais, Donald; Malkus, Karen; McKenzie, Marybeth; Miorandi, Donna; O'Connell, Timothy; Parziale, Jim Subject: FW: UIC registration Barnstable_110 East Bay Road -----Original Message----- From: Cheung,'Eric (DEP) [ma ilto:eric.cheung@state.ma.us] Sent: Thursday, September 19, 2013 8:37 AM To: dskillings@skillingsandsons.com Cc: Cerutti, Joseph (DEP); Health Subject: UIC registration Barnstable_110 East Bay Road Hi Derek, The purpose of this email is to issue you Underground Injection Control (UIC) registration MAS41A020228-5CL for the installation of 16 closed-loop ground source heat pump (GSHP)wells and system start-up at 110 East Bay Road, Barnstable, MA. The wells will be installed by Skillings & Sons, Inc. This UIC approval is conditional upon meeting all of the requirements provided in the MassDEP Guidelines for Ground Source Heat Pump Wells. This approval is for the installation of conventional closed-loop wells using high density polyethylene (HDPE) tubing. If you are proposing the use of Rygan HPGX or Kelix well materials you must inform the MassDEP UIC program of your intent to do so prior to installing the wells. Since MassDEP has not completed a detailed review of this proposed installation, you are advised to contact me if you have any questions regarding the requirements that are detailed in the guidelines. The guidelines may be obtained as the 3rd document in the"Guidance" section on the following MassDEP UIC web page: http://www.mass.gov/eea/agencies/massdep/water/drinking/underground-injection-control.html If you haven't already done so, a copy of the UIC application must be submitted to the local board of health. Please be aware that the issuance of the above UIC registration number only indicates that MassDEP's UIC Program has received the information that we have requested. There may be other local permits, ordinances, or regulations that apply, including but not limited to board of health permits for well installations and building department regulations regarding trenching work. The issuance of a UIC registration number by MassDEP does not supersede the requirements of any other state or local regulatory entity. A copy of this email has been sent to the local board of health. The board of health should be aware that as of Friday, February 19, 2010, MassDEP significantly reduced the level of effort that goes into the review of a closed- loop UIC registration application for a GSHP well. Specifically, MassDEP no longer requires that the applicant submit site plans and proposed well construction details. Therefore, it is up to the applicant to ensure that all applicable set-back distances are met per the MassDEP Guidelines for Ground Source Heat Pump Wells (January 2012). If you have any further questions you can contact Joe Cerutti at Joseph.Cerutti(a)state.ma.us, (617)292-5859, or by fax(617)292-5696. Eric Cheung MassDEP 1 Winter Street, 5th Floor Boston, MA 02108 Eric.Cheung(a-)state.ma.us ph 617 292-5992 fax 617 292-5696 9/25/2013 t No. 1/"O`��X3 ® Fee BOARD OF HEALTH TOWN OF BARNSTABLE 2pplication jf or Yell Cott.4tructiou Permit Application is hereby made for a permit to Construct Qg, Alter( ), or Repair( ) an individual well at: CI &tfr TV , 141 - 12-3 -- 4o t A/1 [Z A Location-Address I `r �,l� �j� t Assessors Map and� `Paarccel�/),/ (d}� /�O�wneerr' F ,,r �'` j� ^l` Address�e,Li� Installer-Driller Address ©rJ&p^( Type of Building ✓ Dwelling Other-Ty-�pe�of"Building p A No. of Persons Type of Well VA4 2 i T l��� Capacity a(7 ��1 its/ Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health P Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Ce ificat o pl nc has been issued by the Board of Health. Signed Date Application Approved By �®P 3 Date Application Disapproved for the following reasons: I ' Date Permit No!�V ,� Issued Date -------------------------------- BOARD OF HEALTH - -� TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well cted(D5, Altered( ), or Repaired( by All =Z&04 � at It V has been installed in accordance with the visions of the Town of Barnstable Board of Health Private Well/Protect' n Regulation as described in the application for Well Construction Permit No.Or)p 3 �--8 1 9 Dated / 3 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH 1 TOWN OF BARNSTABLE lVell Con5truction Permit No. j ory I. C31 Fee 5 Permission is hereby granted to Installer to Construct.}, Alter( ), r Repair O an individual well at: No. Street /l as shown on the application for a Well Construction Permit No. :�la/ Dated & Date �� �T"/�� Approved y �)' .��. tj` ""„ ..- )�, _=t7 �,,. ry� a,�pr�wc�:�-e.'�'y+.w`-.y.�`...,�� �..s<""`- � e .y•- �. 4 Fk� No. (!"0`��-�.'tv f- �' Fee r t BOARD OF HEALTH _ TOWN OF BARNSTA"BQE a 4 01ppYication ,For Yell Cov5ttuction Permit Application is hereby made for a permit to Construct , Alter( ); or Repair( an individual well at: �. Location-Address Assessors Map and Parcel 2 nlI kJ�— S Its uj 11&1-97410 ST,�' � .�-tA- Owner Address Installer-Driller Address �f / Type of Building Dwelling _ Other-Type ^of Building p n No. of Persons Type of Well (CA 2c,9-0 i T � 7"VC- Capacity 2D d-4/—I Purpose of Well 7,A—j 2, � Agreement: The,undersigned agrees to install the afore described individual well in accordance with the provisions of the ' Town of Barnstable Board lo�ificate i to Well Protection Regulation-The undersigned further agrees not to place the well in operation until a Cerf` mplianc has been issued by the Board of Health. Signed 4 13 Date Application Approved By Date Application Disapproved for the following reasons: q Date vV 3 - (� r i Permit No(A) J Issued�`� ��-3 Date BOARD OF HEALTH ` -�r• ��� TOWN OF BARNSTABLE (Certificate of Compliance, THIS IS TO CERTIFY,that the individual well �C,onstructed(�, Altered( ), `4 or Repaired( by - A nc i'e 1�e // y V _L 4 Iftstalfer t' ( I has been installed in accordance with their visions of the Town of Barnstable Board of Health Private Well Prote ct {t9c ' n Regulation as described in the application for Well Construction Permit No. 0-3 —6 t + Dated �n�� 7 J � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector �— {')Y1 BOARD OF HEALTH t: V TOWN OF BARNSTABLE Yell Con6truction Permit .. No. ? = d �� i Fee .�. Permission is hereby granted to Ja441 C t Installer —to Construct'(), Alter( ), or Repair( an individual well at: Street JJ as shown on the application for a Well Construction Permit No. )N\0�/ j Dated Date tU/ ��� Approved By x �, TOWN OF BARNSTABLE LOCATION I OEXS 77A 9 7D SEWAGE# 9 4J�.2,2> VILLAGE 057 '59VI LL F ASSESSOR'S MAP&PARCEL K J`// %-J 0_a©J INSTALLER'S NAME&PHONE NO. Qh Lit)YZ ' Sa - J�asDa SEPTIC TANK CAPACITY y n 0 L D O LEACHING FACILITY.(type) �L.oGt� i7>f"�ySo s (size)f D�J l) � >ct C{7 NO.OF BEDROOMS OWNER $ �J PERMIT DATE: COMPLIANCE DATE: 6q A/ Separation Distance Between e: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 1A, Feet Private Water Supply Well and Leaching Facility(If any wells exist or 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 t 0 ® Al - qG pia= y7 ' 3 h q:, q6, 70 ® A7: gG s ��p, 0) 70 53' No. V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0 lolitatlon for Vsposal 6pstrtn Construction Permit Application for a Permit to Construct(YQ Repair( ) Upgrade( ) Abandon( ) '®'Complete System ❑Individual Components Location Address or Lot No. `l'O tv c_sf. I3o y �Z� Owner's Name,Address and Tel.No. Cs�tzrvAI6 G /i1J,-gj� T// :jam, Assessor's Map/Parcel 1 -? —CIO 115 /J ¢ AkLa1cjq -�r-'f 13c,5Ari a 1 Ilse Installer's Name Address,an Tel.No. Designer's Name,Address,and Tel.No. S� �S-77d•-:756Z gl Type of Building: Dwelling No.of Bedrooms Lot Size a,(L--3 AC_ Wit'. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) SIF5 gpd Design flow provided 4619 gpd Plan Date V/2Q.�A 2 Number of sheets A116 Revision Date Title LAtgq c',hc,,,Js Perm-if Plc.h ^ �a:t;fie-4 kcys.n_ A :Sc/-he SyS 14i.4 Size of Septic Tank '7 c� Type of S.A.S. Lt&r,.q C44-e Iz.a.-X.Za hi Description of Soil lac,,5 c Pl,m, C GP- 130 (owA 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 plac stem in operation until a Certificate of Compliance has been issu*bisd f He Date Application Approved by O DJ. ate ly Application Disapproved by Date for the following reasons 4 Permit No. VC Date Issued i'*t!E` w. �✓� ail.- .�.. J - d jW No. Fee f THE COMMO rl VF LATH OFWASSI, TTS Entered in computer: - y �a FrrRw, n rr r r w :Yes PUBLIC HEALTH DIVISIG -TOWWOFBARNSTABLE MASSACHUSETTS 2ppYuation for t a 19pstem Constraction Permit Application for a Permit to Construct( Repair.( ) Upgrade( ) Abandon( ) []'Complete System ❑Individual Components Location Address or Lot No. 1 to 65E C3�ti i2� , .,. Ow`ner's Name,Address,and Tel.No. Assessors Map/Parcel 1, S Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.S0%&_77/_.75-0Z 1 U e h 1�341R�f ,S i C,g Y j�'/6�C'y- 13,x4, ►mac. c < I R 10erf- t Type of Building: Dwelling No.of Bedrooms y Lot Size / s . __Garbag inder(4 I- Other Type of Building No.of Persons Showers( ) Cafeteria( ) i Other Fixtures Design Flow(min.required) 69,n gpd, Design flow provided n i gpd Plan" Date�� /nor Number of sheets al,.nn Revision Date ` Title c ,r Size of Septic Tank Z Type of S.A.S. 7Z_ x LZ I Descr'iiptionofSoil ��(". �o�I IoG� cep! (���h C P— +�T&,c¢� Nature of Repairs or Alterations(Answer when applicable) e 7 Date last inspected: Agreement: j T The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in �a'ccordanc6vith the provisions of Title 5 of the Environmental Code and not to place s em in operation until-a Certificate of Clmpliancebeen-issed b is Board of He N 190gried Date a Application Approved by /� Al Date - O I Application Disapproved Vk Date ,' 1 for the following reasons - � � 2�' Permit No. - s.- Date Issued ..�• 1 - THE COMMONWEALTH OF MASSACHUSETTS ' BARNSTABLE,MASSACHUSETTS y Certificate of Compliance s f THIS IS TO CERTIF ,that the On-site Sewage Disposal system Constructed(JU Repaired( ) UpgradedLJ ( ) Abandoned( at 0 �! n,�' 1 l has been constr -,ted in accordance {� y )) with the provisions of Title 5 and the for Di§posal System Construction Permit No.�� ted Installer Designer #bedrooms Approved design flow_ j' gpd . j The issuance o th' permidshal not be construed as a guarantee that the system will'rrnbti as designed. /� Date Inspector p j -----No. ----------------�---------------- -----------=-•------- --_------------_--=-----------------•--------------Fee-.��---- i THE COMMONWEALTH OF MASSACHUSETTS i PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS disposal 6pstem Construction Pefmit Permission is hereby granted to Construct( Repair( ) Upgrade(y�) /CAbandon( ) System located at //(; A6 C'�1 ,,� ,ZZ I i 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:Constructi. must de co leted within three years of the date of this permit. Date I I I Approved by If / � j ✓ i No. Lam`' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 011 Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS RppYication for Disposal 6pstem (Construction Permit Application fora ermit to Construct( ) Repair( ) Upgrade q/`Abandon( ) omt lete System ❑Individual Components Location Address or of No.f/O ews'v 3,f y/2,6, Owner's Name Address,and Tel.No. Assessor's Map/Parcel Q p Installer's Name,Address,a el.N_ o. Designer's ame,Address,and Tel.No. 7 7/_TS09- 0 Type of Building: Dwelling No.of Bedrooms Lot S' e 6 3�c sq.ft. Garbage Grinder(� Other Type of Building No of Persons Showers( ) Cafeteria(� Other Fixtures Design Flow(min.required) gpd esign flow provided $'g gpd Plan Date /' �� Numb of she is Q� Revision Date Title g'. Size of Septic Tank om Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when app'cable) [ aw ' n��� � c.m Date last inspected: Agreement: The undersigned agrees to ensure a construction and maintenance of the afore describ d on-site sewage disposal system in accordance with the provisions of Title 5 o the Environmental Code'an to place the system in eration until a Certificate of Compliance has been issued by this Bo He 1 Date / �o/ Application Approved by Date Iz- Application Disapproved pte for the following reasons Permit No. +� 2 0 Date Issued ®/Z THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance T S IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(V< Abandoned( )by as r'In%S ey6!Al/ �[T at 06�,457- R*fLz�D, has been constructed in accordance with the provisions T' and the isposal System Construction Permit No.20 a-Zw dated /0212- Installer Designerz4yrne ,4.o S ' #bedrooms_ Approved design flow 886 gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector { iS .. - _ No. ZIUZ Lam/ Fee Entered in computer: THE COMMON-WEALTH OF MASSACHUSETTS ' We Yes PUBLIC HEALTH DIVISION 'TOWN OFtBARNSTABLE, MASSACHUSETTS IpYiLatio C f0r is osar ?pstem (Construction rrmit ' Application fora ermit to Construct( ) Repair( ) Upgrade( Bandon( ) Complete System ❑Individual Components Location Address o\r\Lot No.//0 9W 5_97-34?k,0, Owner's Name/Address,Iand'Tel.No. 0 C'Lv 5p it(,F_i� Assessor's Map/Parcel j DO - g Installer's Name,Address,and Yel.No. Designer's Name;Address,and Tel.No. 77/-75-pa Type of Building: Dwelling No.of Bedrooms Lot S'ze ,6 3�c sq.ft. Garbage Grinder Other Type of Building No of Persons Showers( ) Cafeteria() Other Fixtures i' Design Flow(min.required) O gpd esign flow provided $gj- gpd A. Plan Date /1 Numb of she is Revision Date y Title r/ S SSE ,L A Size of Septic Tank s Type of S.A.S. lp� �h� usvx5 c�� S�iir Description of Soil 13 T ' I Nature of Repairs or Alterations(Answer when app cable) ,. UtJ F-ro TP ✓ �oUSr — ".Date last inspected: • '�'' Agreement: s The undersigned agrees to ensure a construction and maintenance of the afore describ\ddon-site sewage disposal system'in :accordance with the provisions of Title 5 o the EnvironmtatCode an to place the ystem i eration until a Certificate of Compliance has been issued by this Boat-of He 1 Date a Application Approved by / Date- Application Disapproved a e / t for the following reasons Permit No. Date Issued '.s�f t �, - 1 THE COMMONWEALTH*OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS l Certificate of (tompliance THIS IS TO CERTIF/Y,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(WI-) x Abandoned( )by fro:.)#/r E._- `c' C Yy. rr��tl at US 2/)i C�E has been'constructed in accordance with the�provisions f T 5 and the Disposal System Construction Permit No. 12'ZW dated 6L1,1 00/, - ._� Installer Designer Zaj(r�;;e #bedrooms ./ Approved design flow86 /,'� gpd The issuance of his�e it shall not be construed as a guarantee that the system will1f cti n as designed. / fz ... Date / Inspector - No. LV R_ 7—U Fee 4� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(7 Abandon( ) System located at 110 '- ,may /20 i f yj 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. i Provided:Construction must be completed within three years of the date of this permit. Date �j��q/2x) d' 7 Approved by Town of Barnstable Regulatory Services o� * Richard V. Scali,Interim Director * swxxsrnBi.E, 9� M�: ,�� Public Health Division iOrE039. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: y� Sewage Permit# Z.o l 2- 20 o Assessor's Map\Parcel 1 y l i 2 -00 J Designer: B a* rr, -owe- Installer: I J,i.},r, J!,;. ,ek& Address: ?$ K)erkij Sfv-r,,j Address: 23 ,A,&c1le R_.I, V4t14,►%n1S CG2(0af w1airs6yis Mi1(5 n24F On (,-•/q- 2oya3 L'wa" Surkt was issued a permit to install a (date) (installer) septic system at 11c fq3fbased on a design drawn by addr ss) Bauk•- U yc dated G - 12-Z013 (designer) b� 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 certifythat the septic.system referenced above was installed with major changes i.e. p Y J g ( 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. :he rtify that the syst m referenced above was constructed in compliance with the terms I\A approva etters (if applicable) jH OF O STEPHEN yG, g ALLYN m (Installer's Signature) 0. WN-SON No.30216 y STER�� eslgner's Signature (Affix �61s Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Forin Rev 8-14-13.doc \ \ LS�I ON S E \ / 5 2j sprOuce herbs Terrace F(e�g 0,71 +22'0" 11 ►'e�set ceF(e� +24.0'Terrace Elev. e r ab(es 20'0" oak (es O'Towe Elegy. 2.5'Te ce Elev.M 77' / 0'Terrace Elev. 6'3" � / +1 8O 2' 5e6" 45'10" 4 '6" 4 .2' 18. 18.2' +18.2 Spa Terrace T The Shah Residence 110 East Bay Road,Osterville y: Philip L.Cheney 508-394-1373 Scale: 1/8"= 1'-0" 10/15/2013 Dimensions added 10/23/2013 TRANSMITTAL BAXTER NYE ENGINEERING:& SURVEYING • Registered Professional Engineers and Land:Surveyors : 78 North,Street,311 Floor;Hyannis,MA 02601 :Tel (50.8)771'-7502 Fax:.(508)771 7622. , Date: 01-0349 To:. 'Dave.Stanton;Health Inspector Total No.Pages: : Barnstable Health Dept BN Job No.: 2012-014 200 Main Street,Hyannis _. Subject: 110'East Bay.Road :508=862-4644 Osterville,MA '. Se tic„Permit"`Plan cc: File We:are sending you 2 Attached ❑Under Separate.Cover ❑ Via Fax(No, of pages:including,Transmittal Sheet) ❑First Class.Mail/Registered# • , ❑Overnight ''Pick up Z,7Hand Delivery -:The following documents: ., Prints/Plans: ElSpecifications - [:]"Estimates/Proposal ❑'Change.OrdenEI-Shop�Drawings ❑:Reports/Calculations. ❑.Other - DATE COPIES NO. PAGES; DESCRIPTION.': . 4/4/13 1 1 BN Septic Permit Plan SP1.0'-24"x-36' 4/4/13 1..,., I BN SePtJCL System Plan—Detail Sheet SPT.1 -'24"XL 36" These items are transmitted as checked below ® For Your Use ❑'As-Re quested =`❑Returned For Corrections— FT For Review And Commeni.. ..' ❑For Approval::;. ❑For'-Distribution Remarks: 47 Copy provided for their file IV Matthew W. Eddy, P.E. r�cam, f . Managing Partner r MEP/Ig /Fi1e 0:\2012\2012-01'.4\ADMIMTRANSMITTAL'•S\2012-01.4 Transmittal DS. Plans SP1.0&SP1.1 dtd'-04-04 13-01-02-19.docx:' Note This transmittal:contains". rivilegedinformation.Please contact:the°sender immediately if this transmittal is illegible, incomplete.or not intended%for your use.:-Thank a COMMONWEALTH OF MASSACHUSETTS s EXECU I IVE OFFICE OF ENVIRONMENTAL.AFFAIRS DEPARTMENT. OF.ENVIRONMENTAL PROTECTION r TITLE 5 . OFFICIAL INSPECTION:FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE:SEWAGE DISPOSAL SYSTEM FORM S PART A CERTIFICATION:; Property Address: 170 East Baia Road Ostervtlle MA 02655 Owner's Name: Fred �.Curran 'Owner's Address: Date of Inspection: January 18, 2012 Name of Inspector:(Please Print) James M.Ford Company Name: James M.Ford 5 Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 8624400 CERTIFICATION STATEMENT,, . I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true;.accurate and complete as of the time of the inspection.,The inspection was performed based on my;' � training and experience,in the proper function and maintenance of on site sewage.disposal systems a 3 am a DEP. approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Theaystem:: t N) Passes o ditionallyPasses l ee sTurther.Evaluation by the Local Approving Authority ail f av Inspector' co s Signatures {'r► . Date:' :Jarivary 23, 2012 The system inspector shall sub sit a copy of t is inspection report to the Approving Authority(Board of Health or DEP)within 30 days of comple i, 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 owiler shall submit the report.to the appropriate regioriaroffce of the. DER 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. i Title 5 Inspection Fonp `, 6/15/2000 a. page 1 ��1/ V12J Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A _CERTIFICATION (continued) Property Address: 110 East Bay Road `. Osterville MA Owner: Fred Curran. Date of Inspection: . January 18, 2012 Inspection Summary: Check A,B,C,D or'E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15:304 exist. Any failure criteria not.evaluated'are indicated below.. Comments: 41 B. System Conditionally ally Passes: . On e e ri mo re r oes system em 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 exfiltration or tank failure is imminent. .System will pass in 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 distribution box due to broken or obstructed pipe(s) or due to a broken settled or uneven distribution box. System will pass inspection if,(with approval of Board of Health):. broken pipe(s)are replaced obstruction is removed distribution:.box is leveled or replaced. ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 .. Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 110 East Bo Road Osterville.MA " Owner: Fred Curran Date of Inspection: January 18, 2012 C. Further Evaluation is Required by the'Board of Healthi Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment., 1. System will pass.unless Board of Health determines in-accordance with 310 CMR`15.303 (1)(b) that the system is not functioning in a manner which will protect public health,safety and the environment:` Cesspool or privy is within,50 feet of a_surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland'or.a salt marsh 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'asurface 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 SASjs within50 feet of a private water,supply well. The system has aseptic 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 wellwuter 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 forma . Other: 3 Y f Page 4 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM IN FORM PART A CERTIFICATION (continued) Property Address: 110 East Bav Road' . Osterville.MA Owner: Fred Curran Date of Inspection: January 18, 2'012 g D. System Failure.Criteria applicable to all systems:. You must indicate either"yes"or"no"to each ofthe following,for all inspections: Yes No ✓ 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 town overloaded or clogged,SAS or: cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available.volume is less than%z day flow ✓ Required pumping more than 4 times in the last year NOT due.to clogged or.obstructed pipe(s). :NuImber of times pumped ✓ Any portion of the SAS. cesspool or privy is below high ground.water elevation. ✓ Any portion of cesspool or.privy.is within 100 feet of a surface water supply.or tributary to a'surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a pub lie we11. ✓ 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 r 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.], No (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 systeni`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 S.ection E the system is considered a significantthreat,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 conta ct the ' Y e appropriate riate= pp p regional office of the Department. .. ' 4 Page 5 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY:ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 110 East Bff Road Osterville,MA Owner: Fred Curran Date of Inspection: January 18 2012 , Check if the following have been done: You must indicate"yes"or"no"as to.ea&of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board ofHealth ✓ Were any of the system components pumped out in,the previous two weeks 7: . ✓ Has the system received normal flows in the previous two week period?. ✓ Have large volumes of water been introduced to the system,recently.or as part-of this inspection ✓ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ✓ Was the facility or,dwellinginspected for signs of sewage back up ✓ Was the.site inspected for.signs of break out? _ Were all system components',excluding the SAS,located on site? ✓ _ ' Were the septic.tank manholes uncovered,opened,-and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of"liquid,depth of sludge and depth of scum? ✓ Was the facility owner(and occupants'if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems?" i The size and location of the Soil Absorption System(SAS)on the site has beenAetermined 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 unacceptable) [310 CMR 15.302(3)(b)J . 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE:DISPOSAL SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION Property Address: IIO East Bav Road Osterville.MA . Owner: Fred Curran Date of Inspection: January 18, 2012 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 5 Number of bedrooms.(actual): N/a DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 Number of current residents: 2 Does residence have a garbage.grinder(yes.or no): N/a Is laundry on a separate sewage system.(yes or'no): .N/a [if yes`separate inspection required] Laundry system inspected(yes or no): no Seasonal use(yes or no): no Water meter readings,if available(last 2 yearn usage.(gpd)): Unavailable Sump Pump(yes or no): . No Last date of occupancy: Currently COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sq/ft 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): L GENERAL INFORMATION. + Pumping Records Source.of information: Unavailable Was system pumped as part of the inspectiou-(yes or no): - If yes,volume pumped: gallons--How was quantity pumped determined? ' Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box;soil absorption system Single cesspool Overflow cesspool Privy. Shared system(yes or no). (if yes,attach previous inspection records,if any) Itniovative/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): a Approximate age of all components,date installed(if known)and source of information: Date:ofinstallation 4115198 per as-built card.. Were sewage odors detected when.arriving ai the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION;FORM-NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C , SYSTEM INFORMATION (continued) Property Address: 110 East Bav Road - Osterville:MA Owner: Fred Curran Date of Inspection: January 18. 2012 - BUILDING SEWER(locate on-site plan) , ! Depth below grade: Materials of construction: cast iron _40<PVC other(explain): Distance from private water supply well or suction line: Comments(on condition_of joints,venting,evidence of leakage,etc.): ' SEPTIC - TANK: ✓(2) (locate on site pld,n) Depth below grade: 12" Material of construction: concrete _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: 1500Qal. -Both tanks Sludge depth: 2" . Distance from top of sludge to bottom of.outlet tee or baffle: 30" Scum thickness: 4" ..Distance from top of scum to top of outlet tee or baffle:" 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10 How were dimensions determined: Measui inQ sticlr Continents(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,,liquid levels as related to outlet invert,evidence of leakage,etc.). , The tees were present. The liquid levellwas even with the outlet invert There did not appear to be any suns of leakage GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete '_metal _fiberglass polyethylene _other:` (explain): Dimensions: Scum thickness: Distance from top of scum to top'of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural.integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 110 East Bay Road Osterville.MA Owner: Fred Curran Date of Inspection: January 18° 2012 TIGHT or HOLDING TANK: None {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/days:,- 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:, ✓(2) (if preseMmust be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is level and distribution to,outlets equal,any evidence of solids carryover,any evidence of - - leakage into or out of box,etc.): ' Both ivere normal PUMP CHAMBER: None (locate on site plan) Pumps in working der p g or (Yes or no): Alarms in working order(yes or no) , Comments.(note condition of pump chamber,condition of pumps and appurtenances,fetc): Page 9 of 11 OFFICIAL INSPECTION FORM:-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM.INFORMATION.(continued) Property Address: 110 East Bav Road Osterville,MA ': Owner: Fred Curran Date of Inspection: January 18, 2012 a SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: 5-'500 Qal. charizbe+s with Yof stone per as built leaching galleries,number: leaching 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;level of ponding;damp soil,condition of vegetation;etc.): 77te chambers here dry and clean. There did not appear to be wi .signs of failure.A steel cover was to grade. CESSPOOLS: None (cesspool must be pumped,as part of inspection) (locate on site plan) Number and configuration: Depth top of liquid to inlet invert: Depth of solids layer; Depth of scum layer: " Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or.no): Comments (note condition of soil signs of hydraulic failure,level of ponding;condition of vegetation;etc.): PRIVY: None (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 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 110 East Bay Road Osterville MA Owner: Fred Curran Date of Inspection: January 18, 2012~ SKETCH OF SEWAGE.DISPOSAL SYSTEM Provide a sketch of the sewage disposal systeffi including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet, Locate where public water supply enters the building. Ui F�onT 3 3 3o as �a 3� s as aq - 1.0 .' . r . - Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 110 East Bav Road Osterville,MA ; Owner: Fred Curran. Date of Inspection: -Januarv.18. 2012 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 15+1- 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: TovoQrabhic and water contours ntaps Checked with local excavators,installers-(attach documentation) Accessed USGS'databas,e-explain: You must describe how you established the high ground water elevation.. Using.Barnstable topographic and water contours maps the naps ivere showing ayproxiniately 15'4 to hound water at this site. - This report has beers prepared only for the septicsysterit and conrpoiients described herein. This septic system has been inspected acid passed as of the date of inspection. This report is not a,warranty oi•guarantee that the system will ftuictioli properly in the.fi(ttu-e.'Tliei•e(rave been iio warranties ol* iarantees, either&pressed;written or implied, relating to the septic system, the inspection,ihis report and/or any components of the septic system'which have not been located and inspected. 11 r L town oI 2SaTasraote 4 ]Department of Re ffalatnry SeMdea J/ i ...L Public Malth DMsjoln Dodd f/ 200 Mein Shed. d MA C26o1 Dem Sdmrluhfd ��`�j-. _ Ti.. Foe Pd u Soil Suitability Assessment for Sew . 400sal permrroodAy: �yc �k�.0e'1 _ WluxuedD)~ �� LOCATION&GEMAL INFORMATION IdumimrAddrM Owlw'INanw -Tr11 91nrM Adder tl5 Qcjr Aeeaaror'e M � I�►f, Pe resl 1Z3.oo l E�loeer'INerrre .i3��itr flame . Igw CON'MUCT rw MAIA TNeatrona M IV09-»'t--I C9'L LFW Uee re 11 diM Kat 9r.r m Stem Dlneem item: Cpm Wel&BodY=�Od !t pa.elbk V/atAree'�IOC ff DdW"Wear Wexl 9 Dr dnlpe WRY _R Ropnry ldne - �R t?d m �'CH:(sae!rasmq dimawihM atlo6 mlaot Ihaed®e of[rot bolro&pare maar.kaxto wetlee+b In praximly m hbldel M. 4+ dwM'SaMa.la�. ade�}�la A. t nuuerld(teeldldollacre 1 ou n+9sR Depth to Ddrodc,� Depdr W Qmmrdwwhr.t3dadlrai Waetl'bi lh,h:,,�_ WeaGlnE tlam PnPeoo�. i Datlmap�dseasonslHlshLi�omiawvam ., ANION TOR SEASONAL MGI'IWATER ABLE t` } Mato USOL VePiw 6wr ad uonOho is.ow.hoW in. Deem to xall mules: la y DeA to w"IAj}lam dda btota.halt hL OmandwdW A4jwtmenl�R. If Index WaGl��1i0661n�P��_ lr wrall lend Atp�nr AQI.Omund.N�er l+ryd� PTs,1ICOLATION?9ST Data i4l HMO;t11;am+'etlen � Time at 9" �..- . �L_ '� d T1Rmm6" Ylepm dr1`da 9teralYe-wet;7Yom(r� re �r1 Tinw(P"�°?_� � n Bed pre.xoetC la`.l� Rem Mh,Aoch {2r:a ;w {Zr� �rM 7 . G elte9utumlllryAeearommC 9ltopeued yltepalkd- AdAldm,d,Teulnallooded(YlN) — } [4 prlghw Anhile Hmwm Dlvlaloq 06borvatlon Rote Lt7lteTo 4e CAmplelnd on¢eels — 9 o� ••*jf perGalatton teat is.to be cendncted within 1001 of wetiaud,you mart first notify the � Barnstable Conearvation bivibino nt tenet one.(i.)weac prior to beginning. gtHPh1.'nliWPlPt3l�7'd� �(�0 �o� S b�z'd t70 906L80ST:01 :WOdd ZT:ST 2TOZ-b-ZIdb `DUp 0118 2VATION ROU LOG Dope floor BUI Horhm 89I1Tnoury w Cater Ball Oltmr fi&ri&aella) (UCLA) U—n) Molpina l6aamuee,stonaa,Boattan, -36 to L 6 C woo• oAho "�- DM U1�'�LrRVAMN HOLM LOG Hole#th r"th 0 Ball"ammo BollTd dat0. BOB Color 900 Other °ro SIAM06) (t15bA) (&namelt) Ma1dInS (BWslata,dtpnw e&aldon. � yrp_ trrc 6 3 „tom s 10 del- OAP 0..88ERVAnON LE LOG HVIC#�� Do mm Sou Honor& SDI]Taawro Hall Color Mtnitling (gffao4t0.1Btr (MMA-) (man IIoaldeu. ve fln.) mA) ODSM'VATION HOLMher ;t.Ot: COlO N Still Hprlrm• Ba1lTeaatro dell Color Ball �Bton.,ttnutilmm t �� (LMDA) (MltpuuB} Modllna (Swahiro ewt�oona.) • �, p � v,anZ a t to Abdrs S00 Yoe 0oad leund&ty Na Yva Wldlin 50)y—Wad" HoA YQ _ Within IonYoi�floodb-del'7aa Y.-! L r a °bsmvad tilg tout Lila UoM at ltautt ttmr toot of naturally oo ��mamda)aXM Id all arm mu p pppaapd fbr Iha aa0 nbaatpll0mortam7 s 1f nth y4m to dto dopth of natvrally ncetutit>fi VlaaB mata[ta17 n (dale)I have pog&d the aoll eValuatar axemluatlon approvod by the ed tnadunalstontwlth popattltteltt of 8uvlru tat proterdlon ettd that tho &hove analyala waa pdrfbfm by Ste rogvlred Iteioht , artl90 and oxpmlono&deaarHed lit 310 CMt<15 017' glgdeturo Date OMEAt Wlvn'IPERMTUd - b��'d tb�906L80ST:0i :WMIJ ZT:ST ET08-b- Ida W Apt- IL' •$" J 0 vo` rIlk 14 III Ii 1 rl a d w j , l�o�� $y0`�'� to Oy�P aryL \ ��hl. b.b•d b00906L80ST:Ol :W0Nd 2T:ST 2T02-fi-add � SHAH /44 RESIDENCE J # �v � _ - . . o Y _i7., 2 M, 6LS avrf e. MH BEDROOM /tN/'^•/ Ju1u RESIDENCE Cad 1 . �IR SHOPS RENO WHARTeN yva - Project Directory: Index Of Drawings: LOCATION PLAN: Pn St OPE RENO WHM—N .111LLIVAN ENOINEF,0.1Nf: ARCHITECTURE A re Aireclure En,rroom.o r.l Lou.ulrrur Ifl AlviluN So-:,, +„uJ+Nnnv,lk,I.+,,.mr„��6xsa ] „uurn. _ hAIP4Nt_,f1M0 1 1 S F on .M f2655 s7 d 2095272i SU8428 Si r 11 Ns2<±s,1 Fax � %` rf � COASTAL ENCINEEK1Nf.CO. Al,N In..+ir Ele w.. D.STEA O CHAMBERLMN Cr '/ A],I Imnur El++nwn -�'•�A/ ur rr T 5 /E Frveerrn/] 0,1 MA 04453 a...r�, F."dd f '., .- 9 511N-5i65.111. 20]ai.;1)I TO. 's (:ONC 1—M.LIf.HTINO LLC HAWK I3ESIf.Y LrFArrn M1•nesrFner Sp: +'4 r FNS "/ tom,. p ff fl' Lan ArcrPr Ar..hir.cr <)9 fhh Smn A a M1'y� :Pi �� F ^Y 'r c 1,Ylea+rt!rMA 02541 S^++J+WinGnr(:nnnecn.ut,Wl)< EEE l 4 m 86U 619JJ5N rJ S , SPIN KV '1l1 � SYSTEM SEVEN WIR I uaFl,n,h.l.+JmRr..+naAg f,nnr rNrrnr . 0+r ner¢o Tleel PV -.NETH VNA 1,11—KUCTON.IN'. r. .,,+ Ci] B AUi +l 1kR gyp lAA UiI Y) N).1 2W .ftl- zr l )NI.NAl 1 7. 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TOWN OF BARNSTABLE C, LOCATION /0 5� SEWAGE # VILLAGE ASSESSOR'S MAP & LO INSTALLER'S NAME& ONE NO SEPTIC TANK CAPA . 6? LEACHING FACILITY: (type) J d� (size 5" A2 NO.OF BEDROOMS Q �e ' g �� w, BUILDER OR OWNER E v✓!/� H `i' PERMITDATE:L o COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted'Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) i Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by r _ _ , t� _ - ^ � ' � �� .� ��` � m .-. _ � _ � , � G �� � ' � _ r �' � j .. > '� t I, No. � � '-�---.` Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: j V PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pprtcatton fVepair/") pgtem Construction 3dermtt Applicatiort.for a Permit to Consttu Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. //6 &. eat Owner's Name,Address and Tel.No. Assessor's Map/Parcel �V `� 7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. a y0 rr t Type of Building: —. Dwelling No.of Bedrooms<'`5 Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons ,3 Showers(,4-r-1Eafeteria( ) Other Fixtures Design Flow _�r 57d gallons per day. Calculated daily flow gallons: Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature o epai or Alter lions(Answer when�plicable) �'�"' ��l S �'' �� q14-4 ` ", o a� � Date last inspected: C 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 h EnvironmAntal Code and not to place the system in operation until a Certifi- cate of Compliance has been issu X Signed �?�e( Z__ Date Application Approved by Date —Ly Application Disapproved for the llowin reasons Permit No. '1 Date Issued �"" ?"" •- '-., ..r.7's.,�„-. '_ :.� - -. t .__ - .. , ``�"�„`"ems . ,`t.... .sa��..C^ �LT+A w- /• ." �" Fee ° Entered in computer: THE COII�M NWE TH OF MASSACHUSETTS- Yes PUBLIC HEALTH DIVISION-- WN OF BARNSTABLE, MASSACHUSETTS` J t Z[apticat.ion for o potem Construction Permit Application for a Permit to Construct epair )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name, Address and Tel.No. Assessor's Map/P el ILI4 �r�' lsT cv�" In Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: DwellingNo.of Bedrooms a7 /►L (1 � Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons 7 Showers(-Cafeteria( ) Other Fixtures Design Flow - � gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil ~ Natur_ ti epa' s or lter tions(Answer when a plicable~` ��" z �r" � / ® ��ef /v o Date last inspected: p Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described6on-sitef ewag disposal sgsiem in accordance with the provisions of Title 5 0 ° Environ ntal Code'and not to place the system in operation until a_,Certifi- cate of Compliance has been iss Signed C��%2��✓ ' Date/T/� /�� = Application Approved by ` '' Date y Application Disapproved for the4llowiny reasons i j4\ _ 4 .14 v Permit No. 7 �-7-.g ! , Date Issued J - - - --_ THE COMMONWE/A OF MASSA { BARNSTAB, 4-E SS '�S ' i x l Certificate ofonYY>«ac. ce THIS IS TO CERTIFY, that the On-site Sewage Dispo ai S}sti m�Cons uct d( )Repaired(fit )Upgraded( ) Abandoned( )by ° at has been constructed in kcor,dance with the provisions of Title 5 and the for Disposal System Construction P6MUNg �g•. 1 dated 1 j ? Installer Usighier ��. A l l The issuance of this permit shall not be construed,a a guarantee that the s 9t r�,wilftY function as designed\ Date J`✓ - } tI sn pector ---_ht,_ may`—' �tT�-- --® -- -max_�qy Fee THE COMMONWEALT OF MAS�SACHUS`ETTS PUBLIC HEALTH DIVISION - BARNSTABL Eii MASS`ACHUSETTS igogarp�tem ongtruction Permit sY� , Permission is hereby granted to Construct( )Repair( Upgrade( )Abandon System located at f C) V\ and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: D ° Approved by_� 1019/97 NOTICE; This Form Is To Be Used For the Repair'Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) t hereby certify that the application for disposal works construction permit signed by me dated,Al2,60 - concerning the located at S meets all of the property following criteria: 5 ��v•G • There are no wetlands located within 100 feet of the proposed leaching facility • There are no private wells within 150 feet of the proposed septic system • There Is no increase in flow and/or change in use proposed • There are no variances requested or needed. • if the proposed leaching facility will be located within 250 feet"of any wetlands,the bottom of the proposed leaching facility will ll41 be located less th ourieen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground,Elevation(according to the Engineering Division G.I.S.map) 1__._L B)Observed Groundwater Table Elevation(according to Health Division well map) f �? SIGNED: DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER (Attach a sketch plan of the proposed system Also If the licensed Installer posesses a certified plot plan, this plan should be submitted). q:heaM folder:cent �.n Q � 1k �F i • I 1 TOWN OF BARNSTABLE `}a C n77 LQGATION4 lDl �a 5 , J� /• z� SEWAGE# VZLLAGE ASSESSOR'S MAP& LO '?� >xsAI.LER's NAME a� //iioNE No ��J� SEPTIC TANK CAPA� [�C� LEACHING FACII.TTY: (type) 'J�� Af NO OF BEDROOMS BUIIPER OR OWNER ✓✓6t h P1 It I TDATE:/ — ,v — COMPLIANCE DATE: Separation Distance Betw n the: i Ivlaxijium Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Pci"vate..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 F urni i shed by , . s p , , - s C' 10-08-199? 08:34AM CENT OST FIREDEPT 5087902385 P.03 . nwnc"ila-wouvso w ivu-4i run uoparttneny- Fire Department retains original application and issues duplicate as Permit. APPLICATION and PERMIT Fee: 10.00 - for storage tank removal,and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: 70wnere (please print) Gardner Lane Realty X3�g;arure it yrrprorO&MA110 East Bay Road,'Ostervill,e, MA 02655 Street City Sraro Zip Removal . . 7Co. orindMdual_Enviro—Sa:fieCompany Name Enviro—Safe Corp. Corp. Print MAI Address P.O. Box 304, Sagamore Beach, MA Address Pnnr Met Signature ' lying r p it) Signature(if applying for permit) ,XIFCI Certified Other IFCI Certified = LSP# Other t 110 East Bay Road, Osterville, MA 02655 Tank Location 150 ,G1001 ac�GC..N ii�,;c, l cy Gasoline Tank Capacity(gallons) t Substance Last Stored Tank Dimensions(di am ter x length) Remarks: t • • • � . r Firm transporting waste Enviro-Safe Corp. State Lic.# MA-329 Hazardous waste mani?es--` E.P.A. # Turner Salvage 002 Approved tank disposal yard Tank yard n Lynn, MA Type of inert gas Tank yard address City or Town Centervil 1 e FDID# 01920 Permit# October 6, 1997 October 20, 1997 Date of issue Date of expiration 973905298 Dig safe approval number. Dig Safe Toll Free Tel. Number-800-322-4844 Signature/Title of Officer cranting permit After removal(s) send Form=P-29OR signed by Local Fire Dept. to UST Regulatory Compliance Unit, One Ashburton Place, Room 1310, Boston, MA 02708-1618, C0.909 hn 4-1 nindl TOTAL P.03 I . . a Masnuriusetts � t: i �y t 7 S "&4w.Iint)llcailnn FcrnT— ANf-001 .9R+�'r7 Asbestos Abatement Descrlp(!onr, g�' �t � <„�� �,YFti�sf 1 1. Facility location: _....._.t3..C- C ..................................... . ..:....U10.........- , ........ .......... ... .........ss as,nucnoas -.�—� I.u sectiau o1 his brm and be comoved Gy/ran [��^'c (� n r --h a to eamph lh _. _i !.....!........................................._._.................................__. Fe Dip Mmerdd NaytrMecr,rNbasm?r,,eAnpA"./,IKV.i; mom EnrbenmaNal Prodecnon noff"r'on 2. Is the facility occupied?`7 Yes O No rr1;i mats al]IO CWi I` 1.151btatv)inDdrys 3. Asbestos Contractor:. pain rc(ifeC�on 6 prrjr_i):rd h ldrtrr - v Deporlmerd al Labor and Indadrlea �� (jdL Wc2tianrequieneris 1/Ye. r!�-..AS..1._. _...__..... ........... ._. a115]C IAt 6.12 1� rayiTowr � dqs p•!n rroefcaffon b L fdoffle ' reocieddANr (�1(�.....CVO A9..v ................................................................................... .Ilnq arm+r»rre*daager arrrroei ` Far LYee,rrear or sparJee). 4. On•Srle Project Supervisor/Foreman: 2.SrbmiDiq'rulFam »... ..1. 1 ..-.... '...'...... �........ ...............��..............)�V... .............:..........:... It: apnr al CaAai aeon/ Cemmeavealth or u Yan ►me11, 5. .Project Monitor. asbeslaahe0P.O.N.12 conraa --2. (�►'� Gh (� Cn �.. . lute&.MA02112• AWNpUGraadbn/ Dal 6. Asbestos Analytical lab: C� • L. ktammarbe �i{ Jv S .Ct•. U G..: 1.... la nddyn0 Q e i UsAnyiowe A u a/umearbn/ Q00 I��enA��i x 6 l �� 6 5 �� Hicworkhours Mon.FrL OCR 5at.SunJ I o1 asSdm demdaiaJ T. Project start dale JJ end date_/_J_ pec ( ) rrxYton operallo n sited m NE91AFs t,o a What type of project Is lhls7 (circle one): demu9saa rswl remao oerr(.0ko CFA 5ubpal AO• 9. Describe the asbestos abatement procedures to be used (circle): o vebrp --bs r ru0eods„r does; sa orW Us Od f�::;.::;� oewr(expah) arc;rcllba drpwrodr auora 1. ` 10. Is the job being conducted Indoors O ouldoors 7 i 1 11. Total amount of each type of Asbestos Containing Materials(ACM)to be handled on pipes or ducts(linear R.) 3�y or other surfaces(square R.) �TQ- to be removed,enclosed or encapsulated: :,.. fineadsquare feet boaW.brwdhlny.A, wisubaeeoarirps..._J &0 0nrmal,solid eerevbe(md,tlon...... _J ' wruprhd or k)wod paper pp,Inw1aUon....;3W tasuldh/crrrerrl.................. sprayonlreprooing..................... tvnttp'a)wcwinps.............. _l Wtv,rom Gbrs....................._l 0anslre goad.wag board............. os'w(pkm describe)...................._J 12. Describe the deconlamination system(s)to be used: . -......... .1.1......................................................... _... -......................._............................................... 13. Describe the wntalnerlaallon/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g): .......... .........1. bc:Y.S....�.�_..._.�_ .......................................................................................... 14. For Emergency Asbestos Abatement Operations,the DEP and DLI officials who evaluated the emergency: 1...lo _............__...._.......... ................ ........................................ 16ar d arIOIHf ....._._....:............_..............._.._.»..._.._._.._._.........__._._...»-..._ WedAdhNYM ......................................................................_......................................................»..-.-._�___ Wm d La/ll'►dil ' ................:...................................................1......................:........................................... mrdAdhrC/hs � Kr/ . 45: Do prevailing wage rates apply as per M.G.L.c.149,§26.27,or 27A-F to this projed7 Oyer. 1�10 f - Facility Description 1. Current or prior use of facility: eze.5 LC Y. _........................................._._-..........._......... 2. is the lacifdy owner-occupied residential with 4 units or least C Yes O No ' 3. Facility Owner Q✓_ .... ........ .tCl�4.�':...�............... ............................................ ........................_......._-_ A4= AddfW .............rw ....._.._......_..._....--._ tnpro�n no OD 4. Facility's Owner's On-She Manager. N......l.A....:. .................._.._...... .................... ..................................................................................................... Aditn ......._........._......._............................_.....I._.............................--_....._........................ S. General Contractor. ..........................._.....-...._._..---- ky�e Addnss --._._...----_..........__......_................................. r�NpAorw. f7q/ro�n llo cods . cwuwfor's Wofeea eanp:rnsunf _ Poecy/ ExP.Dab 6. What Is the size of the IacilflyT—Z (sQ It) (/of Iloors) Asbestos Transportation and Disposal 1. Transporter of asbestos-containing waste mile ajai from site to temporary storage the(N necessary)to final disposal site: I'rl t-LP :.. ..... ..BS.0...."sh;r,5t t''t....s±c9—k ....._.._ _ 5................ ................................... C1y/rr�a tboodc rd�p+one ' 2.• Transporter of asbestos•contalning waste material from removaU temporary storage silo to final disposal site: ►_QGn.O..... _'c.wc K ....Guy........:.. -C`i......_t�►.4arin ... 'fi &IM ....................C`I�`.. ...... .6. ..O.V.............a-.��..�:3.`+.�..-.��. Note:Transfer ull/raN nDOOa stations must 3. Refuse transfer station and owner(it applicable): , ccyn&With the solid Wasft 1 ..............__.... Diviskn►eguta• max„_ Ad*W fens 310 CMR 1a.eo ........ ..........................................................................._..._........_._....._..........._._.— CAYAWN 4. Final Disposal Silo: _S t ,emsn._._. A.te _h.e10 CS 4. .t.>G!.......:.........__....._......._........_..-.---_ f i....-C.................................._........................._.....:..___.......... _..._ AMM I .U.I s .:...........:.....P ...... .... ..5q. 5............ ............................................._....._....... certification The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonweafth of Massachusetts Regulations for the Removal.Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15.and that the Information contained in this notification Is true and correct to the best of his/her knowledgAbe -- - �..rn........�� ... .(, �........_ Z .......................I.. ' . ..- . . EIeVAtrm Aunadr (AkNote:(;ontractor musfsignthis 1 ► ► f �..1..7—�37 � 07 form la Dll _....._.__....... ...........f........._._.....___...... rtawvnn Aronmdmp rdgptow nof>rxafion ` a-J gq pufros« ................ ............. _ s. 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Ji.[. .::. .:.:/r .r. :..,:: .,.,:,;,.. - f. s,: . .: .:,. .. yt 'fr' .:f.�. 1 ..:.> 4. .<a ✓--v "/.�'bG d F X .. 6 ...:..F /.:...¢ /.:.:.. ,.,✓' "�. .F' %,,.. ,Nr+k-... ,.jyri '14q` y K'e '¢/,. .i s,../s .k� ;,hFY w, .i n /'' ES D.E.P. FILE SE � 1 . F t. BAXTER NYE GENERAL NOT # 3'• �-a aye'k' r'fi:;/' f.r4. ,t`x w - x R / �. ai , %r 1y,. .. h'."q 't: .t"" z//%q,.` �'/`w a¢ 'v!4''r"t " rltd • r �:, ,N «« i �',�.�? tit >?, , 1 Jfl/ �., ,t' .,,.'::. - K : p:::.:. .. .y....: /..,n r !' b :...:. r.... .8'. -, ! W..,v :."J ::,:.. ..% r[U�. ...�: ORDER OF CONDITIONS IXPIRES 6`5 2015 ` ; ' :: ; ..r,,.4 4 a��.... h: .' ,: , PLAN IS TO SHOW PROPOSED HOUSE AT LOCUS // 1.) THE INTENT OF THISN ; k •_ X . .:,;4 Ar w_x 3,•. Wes'. ,1 . py ,: il�,�'tl ;:b�Y[ x.dry 4 L'4 a, i��Y: ? ' 4.�X s +t i:`. :/ ,y .. ✓ % f, < & I ., ✓.,Ji: '° .7'4 1n Y w,,,c 4N •...<: '�' 1:' X A,. : $%;.:� �.�[;fk )f 1, .:,:N'�':' N ERN dg s <:.e ''•yt "w f4 k,•�[tn7 - "4 r ".:f1. dy .a':..:. 8., ,3...:; .1 /',` ✓'1'!'.'; 2. LOCUS AREA IS COMPRISED OF: iyyR..;; rX# /� sfrla.5: jA" �,.k?;:: c�{.n. r ;, a e1;'3 �r` �.3:: '. " CONSERVATION NOTES: 7 �6 4 - g : �. R �� y, SURVEYING s 1. :. 0 .4 ASSESSORS MAP 141 PARCEL 123/001 g ay .s: R kls ,f3'', s r� .;;, ! J Ff`'7 .. f � .:E�' .$> ., %w.`�,, 'y rf REGISTRY OF DEEDS PLAN BOOK 537 PAGE 69 • 1. NO WORK IS TO BE DONE UNTIL FORMS A do B ALONG WITH REQUIRED ., "`.' �. ,4 .. ,�",, , :f �, x. { PHOTOGRAPHS ARE SUBMRTED TO CONSERVATION COMMISSION. , x , y ; � . : � APPLICANT: Nin' dt Jill Shah 2. LIMIT OF WORK SHALL CONSIST'OF HAYBN.ES AND SILT FENCN Re Istered Professlona( En Ineers x ,. TO BE MAINTAINED IN GOOD REPAIR UNTIL COMPLETION OF PROJECT. r aM g ` � `. �'.'' % g 9 11�West Newton Street � y 8. '.y »y a y G "3n and Land Surve ors Boston, Mo., 02118 3. A COPY OF THE AS-BUILT FOUNDATION PLAN SHALL BE DELNERED TO < � G55 THE CONSERVATION COMMISSION. ff'< T X � *# -. >�� r .yy,' {4�4t;�rJ„ ._ � 'RR x 7W / 1b5�A ? „s°::, . :, ,: �k!6; L, , " /.. 78 North Street — 3rd Floor 4. ALL ROOF LEADERS SHALL DISCHARGE TO DRY WELLS OR DRIP TRENCHES. / '4: X,: rs,y ; :..' f�, .��t/. : ..F „ . . w F ? y., y,, 1Ei: ya. .,•.x'; . : %s < .x q,/ ■ 4x 8 :> •J.x^?"ti" �+,+?i .::",.><4 /•,:..' :>''i HOWN ON THIS PLAN NGVD 3. PROJECT BENCHMARK. ASS / >w;. k . } .,.,' .: ,. « .a, b 4 « �,. .: , . % n ( ) ,f k,t ,;,, s::: a. ;; H annis, Massachusetts 02601 5. A MIi1GA710N PLANTING PLAN SHALL BE PREPARED IN CONSULTATION if. X w .; �f s -. Y �f J y f 4 .Yf 3'/ k f r /r*"*a... �` / 4'Yu ,^,:: ` ,:.2:a #>, X .lyt3: ;. ;e'..:.$ • d v :: ^'�rJ.'9'�h,. ..h .'4 6 ,. ,,. 1 [�# 3y. WITH CONSERVATION COMMISSION STAFF ,,.y <. .a �rX <f�/.•, �«x �€' �4 / u �rn a,: ". ,[ .^twi0 K .;:',yTi" ;¢:�/11 U 1 x .'f :: .. LED .. ..:... M HOUSE DEMOLITION AND REMODELING SHALL BE HAU * rt 4 r �. '. : r 4 +� ', $ 4.) ZONING INFORMATION 6. ALL MATERIALS FRO x14�1x r ' yl.. Phone — t.. . OFF SITE AND DISPOSED OF IN ACCORDANCE WfTH APPLICABLE REGULATIONS. "� r; : " �'S' Y F,. ZONING DISTRICT : RF-1 Residential ( 1 a �., w= ,, ,, f, X Fax (508) 771—7622 ` l $ . Vi m; k • / ♦ Wffiz , f :< 3 t . r CURRENT MINIMUM ZONING REQUIREMENTS. ,�� www.baxter—n e.com ' 0 Y MIN. LOT AREA - 87,120 S.F. k / �,.'/4'%/r # �. �J4 - ' Sy,c £. C"4,.4 5e� A/° , '� / 9ff `G$ "' " '/..` MIN. LOT FRONTAGE - 20 ♦ ?� /::, 4: k ;* , « ' 7 ��" '� S / ♦ ;�% x � -✓,fnN 1 `, ... f«, / : a STAMP S T A M P MIN. LOT WIDTH - 125 .' � b , * r x FRONT YARD = 30' SIDE do REAR YARD = 15' / 15' / \ ,•';v,X[,'i^ �-':' n.'�"',,;y, . r .• 3$ .. x ./y 4s, f r� .. AP AND ZOC SALTWATER ESTUARIES `,.;}# , OVERLAY DISTRICTS. RPOD, ly t { i r S1r f1 ;, z _.. �, y a •,.ti"'•. 5 s,/ ;5,f/.. a ?:'<.s v b.:. Prsy x J Er4 f 3 i "i :*;it i ,/,r fi " cal 4. ,�:'z.. y, > a ,.. �`5 ;.9' 1 r '/'✓/ ' :.R'': -'y f r „,,.,. : c . N,C,/ S;'v.�!z'j,,,,,,,,. : Ll.l y i:! :I ,y FY p y...s s ,�, ,, s ��! SHOWS SEPARATION OF LOT 2 AT PLAN BOOK 507 PAGE 2 '. ,9.M :.::: k, lf5t}, ,t INTO THE UNREGISTERED PORTION LOT 2A AND THE 4g�' REGISTERED a �r. '.- v:. r :' . y� 843 K r :... + y .£" I rx r.z� I53.: ,;w n:..:/ :u! ..94r. PORITON LOT 24 LC.PL 9 ). ? X 5 �a I ..p X ,. t, 5- " 7 £�f f' f 5. A TITLE SEARCH HIS NOT BEEN PERFORMED FOR THIS SITE IF DETERMINED `... TO BE NECESSARY, A TITLE SEARCH SHALL BE PERFORMED BY OTHERS. ✓ 1<,� ' ��F,j ,, ..., ""' t'�11 , I, .� S SCA E. 1 1000' �' LOCU MAP " f Y g !� -'e s f l : llr: { f,>i3 *�'4;`' + "`+;,4 N/F O THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE RECORD „ .,_j t , t }. % 1, % 1/ ✓ .;:,n '. `1' t l, ` ?`i MICHAEL F. COLLINS, C O N S U L T A N T 6 / INFORMATION CONSISTING OF PLANS AND DEEDS. >" 1 l :: 45 t/ t 0 4 �: s' // ,4 ,•,'t's.%,.I 1.. , ;m, ; ET UX. / N/F m THE IXIS1ING FEATURES SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD " �`;3 'Y } `, / //ffyfrjff4 '? =f,; / JOHN J. REMONDI, ET UX. .'.'� -f? }3 { ;.f �:y`/ ,':f. 1'� /J;,i /f,Tt}y i J ` Z SURVEY PERFORMED BY BAXIER NYE ENGINEERING do SURVEYING BETWEEN THE DRIES OF "' 11 MARCH 13-22, 2012. ';} 1 ? <v / ,,1f.. ``�s14.�fa { ".. "s,7.;<n N / �,✓ { \\ .. . . J ♦ 6 '� 7.) COMMUNITY PANEL NUMBER: 250001 0016D .4f , '*t: ,. � / 1f ,�O �p� tl f „� � ' \ r7 t`. ✓ �� <s �'� q ♦ CONSULTANT f / " THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONES C, B, A11 (EL 11) - LOT 2A ONLY t f / •t1.G / 7 °y .f ," ��; %f \ i 0t1 0J� 8.) ENVIRONMENTAL INFORMATION: ,; l t c, / / \ \\ , \ p0 Qv •SITE IS NOT WITHIN AN A.C.EC. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). ., fE�a CNN \ / t`' }\ \ -^`- r f ��GOP : <> ,- - • RARE WILDLIFE PER N :<;.., ry, �, f �% 4/�, ,'. LOT 2A IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF NHESP MAP OCTOBER 1, 2010 'ESTIMATED HABITATS OF RATE WILDLIFE' `' r.. d /� "'" "3 �' f r ■ / 't,.tss;.s'; 4 ',.,,2 s7.1y „_t L .,,i3 P /'•? : �g / Fs' /... /} �� 4 _1 J, ` ,�, FAR USE WITH THE MA WEMNDS PROTECTION ACT REGULATIONS (310 CMR 10). J 1 P R RED F O R • PER NHESP MAP OCT08ER 1 2010 � h Ii ;, / i d \ '`. I r "/ -_ / , / Y- p�� SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL // I ' CERTIFIED VERNAL POOLS. ;�6 ., r / r -, _ ,tit._£ { • ., ,� .�{ ✓�" ✓'' E Jt +1I3. .> t ! y Nir 8c J�II Shah • 1":./�` . 7 ;"F,�JS�'f4 f';4- 7-,t ' �1�`}` i f ✓%a .& i-� �".,...,J tc S ®✓ nf%�',, •p % • A*. r',� J LOT 2A IS NOT WITHIN A PRIORITY HIBfTAT PER NHESP MAP OCIOBER 1, 2010 'PRIORfII' "� �. _ • f.,a'r, �,,,. 3811, ; r/, LY"`h ram'..'►►` f t a / U ! ! v. "'` 'Y ,,'"t)" ` .,,bl�•%� /i7.'r. / a •€ 4 V-. ✓.,,/,,.�__. ,, '-,_ r �1 -1-7 �f. 3J ® J✓•,. °?,-, J `!c `i` •,�:3 x ,/ HABITATS OF RARE SPECIES FOR SPECIES UNDER THE MASSACHUSETTS ENDANGERED �'�:w 17A ,t, r,;h.i ' `r'4C;, •' < 014, r" w �� J r eS tr SPECIES ACT, REGULATIONS (321 CMR10) y,,; "" �!,,! ):! r / /w/ ` ` r�,•, 115 W t Newton S eet ,' r f#oE?kak: t %xCr 5 _,111 / / , \ t\ /f / ! / ." ',,, /ttLO�w,,. r.fs,q!(<w• s 5`'^ ="-.�' ,f $�J':aY. / •� i+ .! ✓y� %:> r \ Pi,Y,.' ft , y, i /''�`,,`•,.. ' ` �•f. 1r'J ,, t / N 5., j'! oston, MA., 0�118 •SITE IS NOT WITHIN A STATE APPROVED ZONE N GROUND WATER RECHARGE PROTECTION h J h1 N,,,, t f.9f 2 • ,,:- +,`"•,'j',3 5 +..,.,.„ t • f� ,�,...,.%" ` f ,{ F/ `".,, J 4 4_ jt �� '�'y rev } \ v.:>,y,,.,,i / / — rK` 3 yr� lu, f-3. r;,: h• 1 +18.2 t ? „ J A$ BUILTf c>'yh , AREA \ ,,ram; ,.: '( :,•, ,,.1 .p t / f ' PROPOSED Y. t<:; < :., �' '� �%;., 'sf i,f . ,LIMIT OF , �' . ? ', „s� „5._,.. J�< :: t N � .. BOARDWALK w HJ's{ ,/,; i, . f h f , ..-/ f,3;,�, .—s,3�;�..,,, r f ....,,I'.:: r ''}: ! :,, / WORKr / •SITE LS WITHIN A ZONE OF CONTRIBUTION TO A SALTWATER ES11lARY BARNSTABLE B.O.H. ✓pp ''4 -,. ` `< N F }kg / / fir, �'.. _ ? , 4 , r •. REG. 360-45 r , ). ; :,? ; """ JILL M. SHAH / /;,,.. t ........,: .!t '.,? s7,7 7• f5 } 4 1 / } f /�.., h 1 ? :` , ;%<_ , r L ? } ✓: f^ ! y,. ,�,...,.,....r �, �h .� / .;tt, 4 j! { i 5 /- f f /•fj , „�/ • SC P.W.S MARCH 2O12. } ,, £ t ,... r, NVF BV WEIUWD DELINEATION BY DONALD HALL, 4 f5N 25 n ._ Wfw. ;` / \ 4 :'f , \t ,,f •,�•:� f a$. ,',s 5 s lP h _K `' \ ",,. s% ,•'t s i.%�i.�.. , t st f r f 3 r:.11 9.1 LmirrY INFORMATION SHOWN_-HEREIN: �;; �; ` } �, I' f;,; ' I • �•' /, -tt •<•t ; ,, ,5 i 24 f N v, f f ,,r \may / � a t/ 18.2 r' '`'i r �J �: i f '/ r,, / # i }!S` % .. :'`, y?s f ..^' \ lsi.., \, f f , ! .3 f. f f j f/ :. +jq....,.�',. •THE CONTRACTOR SHALL CONTACT DIG SAFE AT 1 888-DIG-SAFE AND UTILITY COMPANIES TO LOCATE ,\ , 03 _A ! fir; 4. ».,..t. : , . ..,x ,,i f r f t f, , f , X- f i ; iJ i t 7ff %'G,�,Nf'e ~ OR lO'"THE START OF CONSTRUCTION. THE LOCAIIUN OF< f AT LEAST 72 HOURS PRI t ALL EXISTING U11LI11E ;:t:. .. 4 / r' J i :[ yr` € t t ,,.. r ;:'7 J Z R SHOWN IN AN APPROXIMATE ,H.. ,. , \ „ L f DUITS AND LINES ARE y, \ SER ND 1NFRASIRUCN Ui1LIT1ES CON ._ , � f EXISTING UNDERGROU � , ,. - ::,> f 3 ., � a , f . ,., ,,1 1 f. , a , / n 3 HAVE BEEN`RESE4RCHED BASED OW THE ,'�`. �.. .� : " , / �• .�5 LIMITED TO THOSE.SHOWN HEREIN AND , , , ,. Y MAY.NOT BE .r , �. ..., f ; r r ,,,I� :. < . WAY ONL , .. "� ,. .. , �' � f ? F : / ,,: ,., : t .,. r + // f - ., SDG t� 5 ? t � ✓f I 18.2 r / r BLE FOR , .. .` VENT` ,. f f ✓s '<: f r t '�., , HEREON. THE'COMRACTOR AGREES'TO BE FULLY RESPONSI , .t, y ```t ,.,4... .. �.... .�' r. � AVAILABLE UTILITY RECORDS NOTED _ T . r,, 4t, z"' .. _ 00 0 ,. ;,.. / �r ,.,.,{. f J , , ;' ,�• f 0.67 ' h. .. ..! 4 , , ,, 4 ", {L.) i., { �. tt % r :., r ,.::5 j 3 / �`ff j q,./1 1:: r f f`':f?. �',,,,• ' ,, /' SDG BY THE' TORS FAILURE TO LOCATE SAID . ` ZO n 1 �► ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED CON1TiAC t, FRO NE i �I � > � / / t � ; b: J f y 1✓ iro T , 4 f , t `, 4. °}� /I ''t i ♦ .., } .,.\ O 3 , , r' 3i f{ 1. ., ; s . .. i. ,•Wr 8' �.: 3 o: 4 f INFRASTRUCTURE AND UTILITIES EXACTLY. 1F FIELD CONDfiIONS DIFFERS FTtOM PLAN INFORMA110N, THE ` [ , ` t w COASTA , �: / , t ,� £ 1 r / V #2 CYtB SDG I / a IMMEDIATELY FOR POSSIBLE REDESIGN. - _ W ODNDiACTOR SHALL NOTIFY THE ENGINEER } \ L @qNK '�( _ A ti, �;},' 't x %.,, i s `' `' � �D , 1 ,.,f y,,..: 1/f If }!r i fi? t s t * J f 2 '••w,.. /" ,. b 7 i` ' SDG` 'r } ``t• ,.. / } t,: �f,_ Q f `'^, J i /` i < /✓ '�. ./,' ! 4 i I f / •,,t, I o M /r J TOWN WRIER SERVICE SHOWN ON THIS PLAN FROM C 0 MM WRIER DEPARTMENT SKETCH ` ' , ' ,,. I { £: m w .., ? , " ;:,s5fff',.,:,: € ,,[(' yf .,r e r :` , i:.f3! 2 ..:,'•./ 5,4+ , J/ / f — N 11.1,' j { i {r ' , �. +` y¢ SDG .,.I 0-1740-T DA1ID 9/17/87 AND FIELD LOCATED DIG SAFE MARKINGS IN DRIVEW i a % `.\ ? . -,,, ,✓ 'r1,.. 'h f , ; ? f JA F f —0,96 `h '°" ? h4 ti1 `'"T:. ,.. 0,,s r, F :x''w ..,6f' 1 j Q f 7 E J 3s^ ry i{ 't 1 %f i ,.Try. ,a' "f'<,,:I t ,. / N, r. ;!_ / , �, / :f { % /' 1/F VW 21 ' • PER FIELD SURVEY BY THIS OFFICE, A PROPANE TANK WAS LOCATED NEAR GENERATOR. \ , y,:X - ; f ,, / 4:f ' ..�I€ h tf # -0,56 0,20 , ASSESSORS RECORDS INDICATE THAT HOUSE HEATED BY OIL 18.2 `, ''t• t /` x..s[S �.. 1 ; s r SDG X r .". t,t, ` � * ?` $'g.i "?�:s ,'.t I f` ✓ .,q,� /:'.:^ ;'' f T,/..- y / , /' f / 4,% SDG p1F1, ® ( , fit. -rf., t,4 ' / / F { ? :h'hA•,. J ✓ J J ✓ p .t• `}.., /`•',,' } 0 Y Fr•. f.., , i' }/ 'Eit,h,, f / / !, JDG ", k. , ', ,,,, ,.,,............... t F ELECTRIC LINE SHOWN ON THIS PLAN WAS FIELD LOCATED INDICATING OVERHEAD SERVICE t ' q t ...M f l% '�'``` / 0 { { ,h,5,, f,,••, 4 / / , / 4 ':, •h �'° yg12t} FND''•HEL ` E <..... t t �t?,+: ;� ' { / / / WF/,BVW #20 r f J y f 11'•, f f W i :,,, h y,Ef��y 5 9 / J 'P g //. /,'Y' ?�11€..+1. ' . { "'I� .Y AND >F� w. i 1 1 i 31/-, g / , i:!%f� FROM UTILITY POLE31/10 ON EAST BAY ROAD. - 1 VViIA, �I _ k•. EL, �'"F,.82 �+{'� 7 "".,},• \ J'„,.,_� f ' ,.!• .F,: ✓✓S,N, ? '• r �' i ' a'11 \ r ""^, •,REPLANTtt..t �. f� �yj ]s° f q , , :/ � . ty i , "`t. ``•",, '...t t,(N G V> �'`•,; f 's, ``.,, `- .,, f/ J 3 1:= 6 Lz"%'"%' {rh ".?-,. ",/ .'F J : :r J' .,t, ` \ ,.......) '... •APPROXIMATE LOCATION OF SEPTIC COMPONENTS TAKEN FROM TITLE V INSPECTION REPORT / , , ; J,,?{ ✓ '/ //I / ' T X £/ r / / V ES M. FORD OSTERVILLE MA DAZED J 18 2012. 3 �' SKETCH PREPARED BY FAM / / ".1 1'` f { c h f„ # &41'' : 'i f ff 11 , ;f 1? ,;,'✓,'/'"'/ / lF VW 19 C . • cf / J/ x, , NO INFORMATION SHOWING t,, ```:. J .' ? <1, , .,.. ,... " s .,/'t5:?`ti` r 3 °``. • VERIZON INDICATES THAT THERE IS �' I. W._..,.._ ' S.s; `':+ •J,>^^,: �' 4 \,....,., / / ,Jst?;'• ,k"'","s's ;t• ,,/ % ;r / a'�J / .'� f wF �I`1 `k 4' — ;, , ry' \� \ , f ,....h, ; i J t / / � y/ ! ✓i/ �/" %x... r•. CONDUIT IN LOCUS AREA (EMAIL DATED 3/15/12). # ?' "°9.. `,,�.t 4.. �p iy. �.,:, '",: i °k t i `,., t ,`.. �C 7.;` .fii,a?ti/' £ / (><i /✓ /,.,y// ✓/✓ ✓ . % tl,ia? w,f'. ._'€.. ...y ! '. ` •'h \ ,/ .,., w..,,.,......._.,...,.,.,_ J" ..." s:4 ? i ,3 /✓,y / J/� ,"' J # "' s<�r 3'j t ` +4 •,. k .. .+••,,r,,.' .__ .. .,§,.. f3 ',$:li•'' i l J /r /' ' /' / ;O t s: ` ., I ,„l "' h " 4 }, +fy 3 t. `•:. 1 s,, •.✓ /„ •✓1 ,J,/✓,,r ' ✓ ✓✓/ a✓ f r .., • t ?,} `� �■ 1, t,, y'/. y �`. Jj / q,,<� , , , ,,:/ ' •'•h (v( ;5, ` ....lt },..,,/ f / (�• �,o' yam' / ✓ J �.r , �/�✓ ,Ff / # mow,,,,:,. ,✓ 1. } •` S { •'? ` •it, �'; h :+.3/f%'•,' ��/ / rJr"✓ ✓ !J J✓`J,`,✓ "r/Jr/! 3° % <i .`0�,".�,15 r 4, tb s ) �" — / r"" /�✓ /. �• PROPOSED WATT=F2 ,., GO,, �` i /^. p0p,,OStp LI IT ' ., :.,� SERVICE TO BE 5 I r =' ,✓/ VVF #$ s. h ; i t �., \ ;;,.,�- 4.. , ;. ,/ / ./";•;' 1�VF/BVW.✓ ,✓ cc a ♦ , ; t OTC? WORK g -_ 4 CONNECTED TO _•„ �,/`� J % ;J ,,N' .#A V ' >:t r t / ,< � �' l=XISTINGtVt!ATER :, - "� </ //;//" , py ✓ �/ W •� ,,✓, ,•.,,,'t : i / J 1, {' '`a%,•..: X ';W--- f,,:y' f c-•-r .a, ,.t/ //r..,✓d /' q %' i,•' f. .., ✓/. r may,,, { '"A---i;= /, /.. �„ ,/ " ✓✓ /. /yf �!' ,f ,�, "' /J 1, _ � w /, µ"/'N �AII�jBV� #. 4 / �rf1 " t4 /'N f / ' J 1 'N /- / ��•-a' } 11" ( ✓✓ / N;;' V /S IT / ✓' .'1' w., r / , IF f aY o rj >.•kk1F,/t w M�.,,,� / 7f` :.:?f,s w ,. •,`.�f' / J" 4.;h` ., ,�✓ ✓ — f JJI�J ,/f 3 g ,/ ,h �h• / ��f per- ,...,._.- µ f ✓' f' .'t ` ~ ,i ✓ /BVW r; - . f - �' r wF Bvw 2 r •: "Wf cfV€! o..,``ry w_ ._µ ., w ......... „_ .__,. , ,,w ; ✓ .- h,,r'4 ,_'` 1 `_ . #-� WF/BVW ,#5 � _w,., ..,,�._.. _.,.�.,-�, t6/F BVW 'j 1 /, r ,•, . //h /f�✓ r BVW 1 _... m _ .w_..._. _ / �# 1* ,•k:i,. N ��,> r,. w, _._ ,,.. _.... '--._,.,w _. .. # v � �.:.....w.. # / " WF/SOIL T�1 T,...__.,.__,..; _. .._ WF BVW 1 AREA FOR PROPOSED ' /10 � w . ..n °"' ✓,r t MITIGATION PLANTING ,, /✓ `• �� WF/BVW #9 ," i ' 1<- r, ,,,., \ , ". �� - M • ` / // t N Q h CP DeWITT FAMILY R.T. " �,.....`....,........._ .,. � r1,/' � '/ I � F M f ` . � "�°' S::,,,. -- -_� � N,N S.H E E T■T'I T L E , ": h, Septic Perm .. ,, it P n �4 ,,._.....,,_........�....._,....._.,,._..._.w., �a f� N ,5 % .. N/F r„k " N/F LAWRENCE A. BIANCHI 3 •y N o : N,. PETER B. CADOU, ET UX. SHEET N O o ,w >, /, a / :,, V \ ;t,y/-mob. ,✓ 4`':\ I 5 LCCB FND ✓ a y �', r- ''". �•ems•`', ��, DATE : 06/11/12 a' �h, 4,, 30 0 30 60 �, �r� SCALE IN FEET o : t`tt, LCCB FND HELD SCALE : 1"= 30' o o- ``'ht DRAWN/DESIGN BY: MTM CHECKED BY: SAW � E o � J O B N O: 2012-014 C A D D F I L E : 2012-014WPP.dwg i � 5 O m _ _ _ - cmiffing=Npap BAXTER NYE 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED iN ACCORDANCE WITH TITLE V OF THE STATE SANITARY CODE DATED APRIL 21, ENGINEERING & 2006, AS AMENDED THROUGH THE DATE OF THIS PUN, do ANY LOCAL RULES do REGULATIONS APPLICABLE. TYPICAL SYSTM Ntyf TO BGALF 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY SURVEYING � THE ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFIWNG, Registered Professional Engineers PROPOSED T.O F = 19.69 NOTIFY INSPECTION.ON BOARD OF HEALTH AGENT AND ENGINEER FOR and Land Surveyorspa Z ea�Nr 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE a SCHED 40 78 North Street - 3rd Floor PVC. UNLESS OTHERWISE NOTED HEREIN. " .01 PROPOSED GIW = 11T.Of oafs Slwi BE 11198MM Hyannis, Massachusetts 02601 sEr oar m 6 t3aarw Gtl'AflE A & COVER SWL ICE W►TEIMIT 5. EXCAVATE UNSUITABLE MATERIAL AS NOTED, TO THE 'C FIOIISf HORIZON' , FOR A HORIZ. DISTANCE OF 5' SURROUNDING THE Phone - 5O8 771-7502 LEACHING FIELD, AND REPLACE WITH CLEAN SAND PER 310 CMR ) FN iED TANK 19.Of 15.255 To THE TOP ELEVATION OF THE SAS. !-FrOSII t;ttADE M 18ot Fax - (508) 771-7622 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN WwW.baXter ny�e.Com LESS THAN 3' OF COVER. 3' MK Vw 4' SCH 40 P11C --- - -. Mao MDE OVER L IRE" - »-a-1&0 7. THE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE GARBAGE STAMP STAMP INV OUT OF HOUSE = 1&9 x ' tlMi. '-. :' '-• Cover GRINDER DISPOSA1La. -• -: FTR57 2' (To BE LEVEL) �, (min) Cover WV IN = 16.6 AWL Ol11=16.3 r 8. ; THE CONTRACTOR SHALL. CONTACT DIG SAFE (AT ti PVC TEE (SEE TALIL E) 2• 4 SCH. 40 Pvr: � o MMU RCM ollfii�oR 1--$88-DIG--SAFE) AND UTILITY COMPANIES To LOCATE ALL r , ;.� :,>. •:��,� EXISTING UTILITIES, AT LEAST 72 HOURS BEFORE THE START OF •- GAS BWU �• !! St1MP • 4 DUB PVC1 .N$;N l• `✓ V ., CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE EXAM _ 6' INV IN 16.2 • . . iNV 011T 16.0 T C3 1 Ct o n c� LOCATION, BOTH HORIZONTALLY AND VERTI(:ALLY, OF ALL EXISTING IiEDR( D WNC.REIE -STONE� '' UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF pY-M�r EXISTING UNDERGROUND UTILITIES ARE SHOWN IN IW APPROXIMATE 1 t'= v+'.i:' WAY ONLY MAY NOT BE LIMITED TO THOSE SHOWN HEREON.AND •.`S ma's•.,•:- � :_r:..:-•,., t.�•• f• �,, :� , ::: • •_ 6 (3tU5�D - -- .... .. .... - .,. . , � . . HAVE NOT SEEN INDEPENDENTLY VERIFIED BY THE-OWNER OR ITS STONE BASE UNSWIIABLE SONS,BELOW THE PFASTONE ELEV (TOP T4'- 1)I' EL 13.5 REPRESENTATIVE. THE CONTRACTOR AGREES TO BE FULLY OF SAS), SHALL eE FO MMEp TO THE "C MORROW w MIN Srow RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE - SEE 0MSff t WN N0�1E kl HEIMN. OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE �3N.LOH 8E�'t1C TANG DIB�t�110N BOX ST-2000 OR EQUAL Ho DroundrreEsr Observed o EL S.8 INFORMATIONUTILITIES . THE IF (SHALL NOTIFY THE ENGMi�DIFFERS FROM PLAN CONSULTANT LEsAIClWIQ Ci W �1+OM1 DiOft� IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY;CROSSINGS VERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC, GAS, *-20 TELEPHONE & DATA/COMIM AND RELOCATE 1F CONFLICTING WITH PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE LIQUID DEPTH W SOW TMIK DEPM OF OUTLET TEE BELOW FLOW LINE CONTRACTOR SWILL PRESERVE ALL UNDERGROUND UTILITIES AS REQUIRED. 4FEET 145 CONSULTANT : 5 FEET 19 MICtES 9. THE PROPOSED UTILITY CONNECTIONS SHOWN -HEREON ARE 6 FEET 24 INt3ES SCHEMATIC. FINAL LAYOUT SHALL BE AS DETERMINED BY THE 7 F1EC 29 NCFES APPROPRIATE UTILITY COMPANY. L3 FEET 34 IHCIFS PREPARED FOR : Wly & Jig Shah M Wes# Newton Street Bost(n, MA., 02M r1F P iii, 2' FMONE OR "wfr j! `► r'i~•�:i r fr'y, 3:• ••�.f f r.;c•'C a���✓ °� 1 � !9. ice,�!�fy t ti•;i Y 3 C ' +•.<<<, r y�F w ,w y y• -s• 1= '":��. " 'Y ar+� "� •} °�' .yc �, w�er�,-r,� [+r�yr�• 24 •'- ;�t�M■.� �y ,.e � y.c'S ��'�-:•s_.x.'. ,er s>.•. _ e.w. as '3-.!t; a•' j f w» I:JfF4'/�C DLfI� �,,;E" is ✓.�. _:y,y,•i42�� •,3=y,'�, -a'r:r M1r to _: a �.�r► -2"y. ;{ :,t „• :� ww .. ! acv I;h `r I h -!.r_�_'+!: 4 j.. �i!{ i-=�.dt :: 1�:> yak^r ti:a� ,t,'�`;..,•s:z =+-:••w=:.-.,r t-:A`*-#;.:s� � 1} ;� h+s r:y �,:s•r: '�', :.,.•• , C�,:£. "•- it-'.__. d►!'•N•a=a'w_'.. :�-�,,:.! r, • .�:`-• a•af:-+ i•:: - r 4• 4' 12' s.:...'-' •� .M. ,:'f]�-L'Y 9Cr)ld(. . sue •�- 4, _ DJEEUM NO SME 0 0 4' 12' 4, 4, i 72' F'F� VE AIA 0 (1.200 S.F.) Inc NO SCALE w 80L LM EWE:0�/12 �' Cn BARNSTABLE � a1 SOIL EVALUATOR: BOARD OF HEALTH AGENT: w (,(� STEVE MATSON, P.E. LEACHNUARFADONAID DESMARAIS, R.S. O TEST PIT 1 TEST PIT 2 TEST PIT 3 TEST PIT 4 n. ° ••.• -r•.. �. .r .•.- .-.. _ r _- r r _- • - r. Ra011► B D H 36i- -. - a BEDROOMS w r; - ,• ,• • . -1 F1�lls Rs _ `� �` 4• r�i°°"I";>o �n�emaoa, N.LMOLE G.S.E. 17.Ot G.S.E. i 6.St G.S.E. 18.2t G.S.E 17.3f .;' 0 0 4' 12' GR W {Nor IMMUDDEED) = WA ae3 yes x 4to too Ap; 10YR 3/3 ; SANDY LOAM Alp; IOYR 3/3 ; SANDY LOAM Ap; 1OYR 3/3 ; SANDY LOAM Ap; 1OYR 3/3 ; SANDY LOAM ,- � 3797 GPD PIAC DATE gun p��. 1 AYCRE B� 8, f5. IN rR.H (CLASS 1) Z LM = 0.74 WD/Si.F O AlIft ARM ' 4' M VD/0.74 GM/S.F.. 1190 S.F. MINI. B ; 1OYR 6/6 ; LOAMY SAND B ; IOYR 6/6 ; LOAMY SAND B ; 1OYR 6/6 ; LOAMY SAND B ; 10YR 6/6 ; LOAMY SAND a 1 TL18Q6u1. t 2 SEAS - 4 FLAN( OIFRISOR CIMMDERS WITH 4' SWW ON ALL 36' '�' 43' 48' Q� F F U ALL SIDES AND V BELOW T1i �i C ; 10YR 6/3 ; MED. FINE C ; 10YR 6/3 ; MED. FINE C ; i OYR 6/3 ; MED. FINE C ; 10YR 6/3 ; MED. FINE w SIDENU AW* Or + rx2 = 206 S.F. 1 SAND W/GRAVEL SAND W/GRAVEN. SAND W/GRAVEL SAND W/GRAVEL FWW " @RZi01�t.NU (12' x 4W = 18R.•S�f WK AIRE4- SM S.F. x 2 = 1376 IF 80" 132' 5X GRAVEL 120' 120' ar a NO SCALE 1,37M IF x 0.74 GPD/S.F. = 1,018 GPD W C ; 10YR 6/3 ; MED. SAND SEPTIC TANK SRW M WD x MX- 17M GALLON 2 a � � Q USE 2000 GALLON SEPTIC TAN(! 120' 3¢ 339 >- v, v, m N r O z �E7Ba18�DILE SHEET. TITLE NO WATER OBSERVED NO 'WATER OBSERVED NO WATER OBSERVED NO WATER OBSERVED TOP OF FOLINQATION 19.69 ® EL 7.0 A EL 5.8 ® EL.. 6.2 � EL 7.3 Septic System Plan SEWER INVERT AT HOUSE 16.9 SEWER INVERT INTO SEPTIC TAW 1B.6 Detall Sheet SEWER WVERT OLiT OF SEPiiC TAW 16.3 SEWER INVERT NTO DIST 49UWN BOX 16.2 1 CERTIFY THAT IN ,IDLY 2007, I HAVE PASSED THE SOIL EVAUPAAIUR EXAENPMTION APPROVED BY THE DEPARTMENT OF DWONIIiEi�ffAL SEWER ff#W OUT OF DISTROUT101 x PRO1EC N AND THAT THE ABOVE ANALYSIS VMS PERFORMED BY ME CONSISTENT WITH THE D TRAN+IWG, B�PERTiS'E AND SCE SHEET NO SEWER Ow wo S 15.5 DESCiIM W 310 CUR 15.017. BOTTOM OF SAS. 13.5 NO GROUNDWATER M ELEVATION 5.N1 Spiel SKMTURE DATE DATE : 06/11 12 30 0 30 60 SCALE IN FEET SCALE : 1'= 30' DRAWNIDESIGN BY: MTM CHECKED BY: SAW JOB NO: 2012-014 CADD FILE: 2012-014SP.dwg a\2oi2\2oi2-ol4\a�m\aLoiwiz-0s4sP.dwg,4/4Rol311um AK u.mTm .,.. , ✓ _ ,: .. .:: ,....- t ,:., :.... _.... :... ;_. .,... .<. ... ,. :.,. ., .. r,. is ... .. . :. , : r e i { 250.10' 41 CB FND N72'26'43"E -ROAD M.H.B. FND. o DO> e, CENT. BACK s� " LUGS kr$T ,�lY N72.25'40"E 9S lI 69.12, CB FND .EAST 69.11, ' tCB FND I1t� OFF B� BAY 24-DOWN ar, �cs �w co r p f o; w GB FND LOCUS ."MARLd SCALE 25,000 a_ I:P FND o rn_ ASSESSORS M OI?F o0 PARCEL 123-1 MAP 141 Y m \' I.P. FND ��� OFFE 6 Z ' P � - ysu• ��, � s� 4�-� Z�Z 1 FRED.ERIC _D._MERRICK ' & _. BARBARA. L.-MERRICK AIL LOT 1 PLAN BK. 502 PG. 86 P. FND / OFF o. I HEREBY CERTIFY TO *THE BOSTON SAFE DEPOSIT & TRUST COMPANY r'�. 9 CREEK AS SHOWN ON L.C.C. 9843A I : THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN �0�, I.P. FND ON . LOT 2A, FALL WITHIN FLOOD . ZONE B, A NON-HAZARD AREA, AS SHOWN �" DOFF LEONIDA & M. IRENE ON FIRM COMMUNITY PANEL NO. 250001 - 0016B +(REVISED: "JULY 0,1992). Op �• BORGHI I.P. FND .DO— v'. L.C.C. 9843F SHOWN ON ' OT 2A CONFORM TO THE LOCAL OFF Z oo: LOT 4 THE EXISTING STRUi,Tl�7�LJ - Sri �. ZONING-BY-LAWS IN EFFECT AT THE TIME OF CONSTRUCTION. VERIFICATION �'• CO OF BUILD.fNG LOCATIONS, PROPERTY LfNE DIMENSIONS, FENCES OR LOT N_ W �0CH1AN CONFIGURATION MAY BE ACCOMPLISHED ONLY BY AN ACCURATE INSTRUMENT �`_ EvRGE JAMS ' o, OLD I.P. FND LOT 3 SURVEY WHICH MAY REFLECT DIFFERENT INFORMATfON 'THAN WHAT IS SHOWN HEREON. CB FND S82S2p0 12" Pipe L.C.C. 9843E e THIS CERTIFIED PLOT PLAN IS INTENDED FOR MORTGAGE PURPOSES -dike ,, with p h� #2 N74'19'20"E SHOULD NOT BE 'RECORDED AT THE BARNSTABLE COUNTY REGISTRY OF b DEEDS AND SHOULD NOT BE USED FOR THE .DRAFTING OF DEED OR PLAN °o N CO Al, walk CB FND DESCRIPTIONS. Co ,r Q 3 DATE: 4.2. 1998 Ir, `R Al v' OFF ,�,, ' s,, r c. L.C.B FND. A2 Z o N A Cp XTER & NYE INC. m �- � at,, ate. 812 MAIN STREET O OSTERVILLE, MASS. 02655 GEORGE & DEBORAH JAMGOCHIAN Co cp L.C.C. 9843 D �+ LOT 23 ,�,. O 1 311f( f o SHANNON M. EANOR G. '��` ��,z3a SAYL C 31t� =� 2'�j °_iS€ �5�`t c� FREDERIC D. & BARBARA ° 4L MERRICK LOT 3 1RGINIA B. WELCH ,, ,i 57�35 - TRUSTEE A LOT 3 �8Zy ` c9 MICHAEL A. MECLEY , �' r, A � � gar. `�`� S6`. ,,�,, ��`� 'S�� '�- >� � ,� ' JILL P. MECLEY ^� /,�� �4�, �' air 0 ZO AIL AIL dL ,• _._ . L.C.C.L C C 9843 1 _AIL ` IL zb 22;551 UPLAND 'L AL AL 180,974 WETLAND 4.fi7 ACRES TOTAL existin �' fir. ,ir: ARSH � � 0 t ,y S'al tl L 00 �� `fi PGG� aJ` �1I1c 9ltt LOT ,2�4 F� 4AL ��—AL 87,245 stl:ft. .Uf'LA1D S; 15.99 GF, / { -$5,316-s.4.ft. WETLAND 17,Z56�1 sq-ft. 3.9.6 .:gyres TOTAL O CR ti t>i� BARNSTABLE LAND TRUST F Alk AIL 11CIi AIL MARSH H 1 f MARS �. q �L AIL AIL AL AL OP LOT 1 L.C.C. 16476E rs�iy�, SUSHI PARRISH BIANCHI, TRUSTEE Opp ER NEST W. DES ITT N O�Tcy BOOK 3355 PACE 213 LOT 2 IL 'o 1-6265A PETER B. & JUDITH A. -CADOU 2 61. �` s iL IL v*1 AL L.c:B. FND. Crc` I - L.C_B. FND. VIRGINIA B. WELCH pT n TT D TRUSTEE CERTIFIED PLOT PLAN BOOK 8820 PAGE 226 AL IN P� (OSTERVILLE) ' -RARo. I i.,iC.C. 98�+43A UNES AS DIGITIZED -BARNSTABLE, MAS-S. FROM LC.C. 9843A FOR FRED117'tRUCK CURRAN. SCALE:-1" = 50' DATE: APRIL 1 ,1998 - BAXTER & NYE INC. -REGISTERED LAND SURVEYORS -CIVIL ENGINEERS OSTERVILLE, MASS PLAN REFERENCE: PLAN BOOK 507 PAGE 2, L.C. PLAN 9843 DATED- OCT.31,1.996. #98033 DEED REFERENCE: BOOK 8820 PAGE 226. R,°x7o,,'+�:`'�,^' r.• i��s'F-w •., y 5G!aiL1.•.r�' ..Yt. .,(k '''wq '„.'.".,._r•'7` .. � �� ,r"°F :'f'.„..a' :.x'" ,.'? i h ��k3':Y 7" '<''' k .f �. " `..r':+�{ „s"; '.r' S• RR-, : • `..-. � ,. - yM,lrlCy l,•,..�.t�r�..._. t 11,��n.,�i,. � S �:'v...i t,♦ ♦:..:> •li"�' 4 l,\',a•v •�'' tl__-� ` F BAXTER NYE �" 1 GENERAL NOTES :i D.E.P. FILE #SE 3 5011 �,¢ >.'''.. ` `��+R.�i'�I�!�r.r* j���z'1i1''�• 's !F ,.r va td"a. ..r.r '•�; ,•,.'•.f ' y[r° 3C�..y °, a R ISSUED: 3 21 .- I , , c• A}• , .` ENGINEERING & 1.) THE INTENT OF THIS PLAN IS TO SHOW PROPOSED HOUSE AT LOCUS AMENDED ORDE 2013/ / 4 r �> �'� '1�" s �' sr i 5+`.�y ss •t• �..r'r1y!#1�'� �} a r 7 : ,'x�` •�,, „'N'p�:.35I -�'rf. •�i1.�. • � �. i�j�:t K�� ���� 1�' ��_,�` aa�'` >.. °� ORDER OF CONDITIONS EXPIRES 6/5/2015 "?i�.;..M.+'9••`•„"`L,.,.. • '+•• �. • r „ .1,s s •� 't< .r.fit*\.:.,. v' # w w 2. LOCUS AREA IS COMPRISED OF. .' '"i1 ;�'� z " . , ,� • , ✓r •` �'---1 SURVEYING CONSERVATION NOTES: °� � L •�� • • 't �. 'tlr1. `�=�' � .... ASSESSORS MAP 141 PARCEL 123 001 �,;,. .) + i�W' �s , ``, ° ,• ,. .�' y ....t,. .r ' # r REGISTRY OF DEEDS PLAN BOOK 537 PAGE 69 1. NO WORK IS TO BE DONE UNTIL FORMS A do B ALONG WITH REQUIREDILL. , •`. '., �.;- „� t +5 ".1 v,• PHOTOGRAPHS ARE SUBMITTED TO CONSERVATION COMMISSION. r •i .;. . ,, •• ` ts -Si' Engineers ,•' I • irk,7.,. . . ( al .. .� � ;•(V R� . ,ems i� w • ttm r .<' ,fi. a�3 • LIMIT OF WORK SHALL CONSIST OF HA D ILT FENCING .,•� :.: ., : ` Registered Profession .,� 2. LI YBALES AN I _. 5 r, ., \ N1ra dC J111�'Shah - APPLICANT. ._..r . ...., ,.,, , . TO BE MAINTAINED JN GOOD REPAIR UNTIL' COMP* OF PROJECT ,' ,�. •,ti. `r . . :, i r ' t O n d L O n d Surveyors 115�West Newton Street tom: Boston, Ma., 02118 3. A COPY OF THE AS-BUILT FOUNDATION PLAN SHALL BE DELIVERED TO $ THE CONSERVATION COMMISSION. Zll� 78 North Street - 3rd Floor4. ALL ROOF LEADERS SHALL JDISCHARG!F TO DRY WELLS OR DRIP TRENCHES. �r ...r ,� x� .,. ;� � , �' .. .� ,���. �• ��.��.�� ._, ,. � Hyannis, Massachusetts 02601 3. PROJECT BENCHMARK: AS SHOWN ON THIS PLAN NGVDv / r; .I', Z` 1 a1�bd ,ti :•� •:Y�+� .� �..�., �! xa Y +fir` 5. A MITIGATION PLANTING PLAN SHALL 9E PREPARED IN CONSULTATION f„ti,;� .,, + • •• .: '� � STAFF. .. ;< time �' � ! ` s ti ti.y�•4 . , , x a WITH CONSERVATION COMMISSIONST t POOL ' I ' , �. �,.;, .,. =m. . Phone (508) 771 7502 4.) ZONING INFORMATION 6. ALL MATERIALS FROM HOUSE DEMOLITION AND REMODELING SHALL BE HAULED l � •:� �� .'.,. �- ���� �: PER GIS MAP / w _ , a (� IN ACCORDANCE WITH APPLICABLE REGULATIONS. ( ) •rr` � �. ,% .. •, ,_, 5w # . \A ; ZONING DISTRICT : RF-1 (Residential) OFF SITE AND DISPOSED OF> ACCO !� . „ _ Fax - (508) 771-7622 nw .ai . . •,� ., � �; �� � �� �� r � www.boxter-nye.com RR NT MINIMUM ZONING REQUIREMENTS: CU E MIN. L07 AREA = 87,120 S.F. w «� .v 4:r j Y 4 r MIN. LOT FRONTAGE - 20, '' ,'r .f •., �. q°; o STAMP STAMP \ t ,. .t t MIN. LOT WIDTH =�125' � FRONT YARD S do �. ';�;.�D � ,1�,, ti, , f„� 7 = 30 SIDE REAR YARD = 15� / 15 S ors, � �" ►'# rLy %s.,^ 7y a a OVERLAY DISTRICTS: RP00 AP AND ZOC SALTWATER ESTUARIES ?s 33+ �• " - Y' . . - 1 / `V s ik...1. `�`• `t..c'ri`�+a" ILi.` �1 " ""k''"1 R:" �„",`, ^ p.. , � r r s LLJ ' ; / �' e rya 7 �► w � - ., 1 Y SHOWS SEPARATION OF LOT 2 AT PLAN BOOK 507 PAGE 2 18s -------- INTO ` ' "'� s ` !/,,�•' / ' 1 , Q lr., 'y14r.• 1 '•:.. 1•. • < + �.,'. `it' a a , s t"' "�«. .•;.:, k h THE UNREGISTERED PORTION (LOT 2A) AND THE REGISTERED i w 19.BQ'� R •JLrAy�. ,.,• �. '.'rlw� � K.,..., y».:+a. s.s•,...w�`w�'a... ��'�� PORTION LOT 24 - LC.PL. 9843 K 17.0 5.) A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. IF DETERMINED Asa',%r /' X ' x 17.4 7,3 ?c // O .. LOCUS MAP SCALE: 1 11 - 1 000' TO BE NECESSARY, A TITLE SEARCH SHALL BE PERFORMED BY OTHERS. 1 -7 17.4 N/F 6,) THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE RECORD ; r16.3 ( 17.4 1 .z6 x MICHAEL.F. COLLINS, / O CONSULTANT O INFORMATION CONSISTING OF PLANS AND DEEDS. \. �1 .e � \ 17a.4 ET UX. N/F CO \ �\,79 ` ; 17. 9 n.a 17 6 ' / JOHN J. REMONDI ET UX. \ THE EXISTING FEATURES SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD 8.9 , ' I 17.4 47 a lz ' 18.4 / HOUSE Q \ SURVEY PERFORMED BY BAXTER NYE ENGINEERING do SURVEYING BETWEEN THE DATES OF 17. t , (PER GIS MAP) J MARCH 13-22, 2012. 36 1 17,32 1e 7.2 x ;' r' �? �<v 7.) COMMUNITY PANEL NUMBER: 250001 0016D l b.:, , / '� �p q-I CONSULTANT THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONES C. B, AI I (EL 11) N LOT 24 ONLY 1s.z �' \ 3. S, 7735'46" <v�,`, 'R k- \ AV 8.) ENVIRONMENTAL INFORMATION: ` it 17.03 19:2 1'�\ ` 53 pp SITE IS NOT WITHIN AN A.C.E.C. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). 3 ` 1 . `, _- • z3 3 g5 /�`� I r lavv' edge LOT 2A IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE PER 6.z �"` ' o _ 17s c^ 7a 17.7 1 ��� p 9 PREPARED FOR : NHESP MAP OCTOBER 1, 2010 "ESTIMATED HABffATS OF RAZE WILDLIFE 2 16.3 p 17.18 + �I FOR USE WITH THE MA WETLANDS PROTECTION ACT REGULATIONS (310 CMR 10).' ' op 19 ` �1 z�,a W-L • SITE DOES NOt CONTAIN A CERTIFIED VERNAL POOL PER NHESP MAP OCTOBER 1, 2010 y .19 f ; \ ''CERTIFIED VERNAL POOLS.' 06 GE .� - •. i j _ ` 6 ,-_ - �, O Niraj & Jill Shah pR 1. t ,� / 18 i •LOT 2A IS NOT WITHIN A PRIORITY HABITAT PER NHESP MAP OCTOBER 1, 16.e G Tao `� ` �:.- ! E ch y\ 2010 'PRIORITY 1 7 �OR� A EE 17.e +T.O.F= , a' o . 19.2 's �RPME 17.6 16.1 1 , EL ,8. ' ' --, -, ; ; J 115 West Newton Street HABITATS OF RARE SPECIES FOR SPECIES UNDER THE MASSACHUSETTS ENDANGERED 17.6 9.1 Oa v�\NG 1 ��-- f 1 ..�,r , r ;'r �`'' �- �.., F � � SPECIES ACT, REGULATIONS (321 CMR10). 0 �' \ 1 /. 18.2'+ ' �, ' / 19.7 \ \ ` / , / c�4ry • .,` ,• � ,� ,� �, , - , � Boston MA. 02118 SITE IS NOT WITHIN A STATE APPROVED ZONE It GROUND WATER RECHARGE PROTECTION { i9;2 0 ►� ♦ x E . 18•27 \; + A$4LBUILT,' r `T PROPOSED AREA tat ,ya�'�h• ,�1 JG4c--- +18.2' � LIMIT OFi �� BOARDWALK ``J 17.5 �' '� 1191, WAT , , 1 , , s +h!6sass I i • SITE IS WITHIN A ZONE OF CONTRIBUTION TO A SALTWATER ESTUARY ("STABLE B.O.H. `, ' ,` 98 1 16.8 ,ky ( F, fX/ SH -OFF I '�\ ; ,� ` WORKr/ % REG. 360-45). WF/8 2 �, { ;•.:: , ' J� Gq gGEG 17.7 • WETLAND DELINEATION BY DONALD SCH41L P.W.S., MARCH, 2012. o-�` :::<:;,,:, .;. gyp, ti \ •�� , T' a >, 'L \ 3.3 (MLW) 9.) UTILITY INFORMATION SHOWN HEREIN: N <;: :} :: : �; r '�7.3 + ' ' , r .>. :- + `, � _ . _..:.:•.;.:. � ..... . :�.:,L• `\ T.O.F.= �/ � t t• � . , � F/ ' , #2 3.2 (MLW) ----.-----x 2.16 16.0 ,' ,' r W / 4 )E 2 23 • THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCALE '\� '. \. m a a;+a�y,..:;; • ti ;. a ,G�, 02 / _,,,_ rr ,' ; • �1 1 . , x ALL EXISTING UTILITIES, AT LEAST 72 HOURS PRIOR TO THE START OF CONSTRUCTION. THE LOCATION OF \ `\ .- :` ': '. `� / �� T.O.F.= o o ✓ 1.73 EXISTING UNDERGROUND INFRASTRUCTURE, UTILITIES, CONDUITS AND LINES ARE SHOWN IN AN APPROXIMATE \ �`� \� `' % ` ! ` 7 A ' ' i WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREIN AND HAVE BEEN RESEARCHED BASED ON THE �2` ~'.`.�: .::.. /;' . .* ^;; ,:.: 1ss o h ' + / F VW 23 ' r' -0:25 SDG M , `, `, , >: :^u .':�; \ m�=�o +18.2' ✓ i.: T t , ?'� / x_ x -0.67D.3 ( LWf AVAILABLE UTILITY RECORDS NOTED HEREON. THE CONTRACTOR AGREES TO BE FULLY RESPONSIBLE FOR # '. , '. ;: .....,:..;,'SK,t^h':.,' ::.•r;+.."•.'•' . 0 .VENT •� /�.,� n'•,! , , ' _. r v i � SDCJ ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE CONTRACTORS FAILURE TO LOCATE SAID \ ...,.. . •.. :,...;...: .• _, •:` . ZONE TP R 7 - - '1.9 MLW) .• ..,.. .:.-, _ ......_.,. FROM # w 'INC i 8 , ,STA r , , o WF BVW 22 x osa , . INFRASTRUCTURE AND UTILITIES EXACTLY. IF FIELD CONDITIONS DIFFERS:FROM PLAN INFORMATION, THE \ j A \ + + +I •' �`: - : +, DG\ \ , , ' . \ \ ` i - ,.. r;'' :' `" �.' ° 'COASTAL TE, .412v rl' l / ,' # S / CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. os i \ \ - --SANK r y v _ _ - j; I t ,` / �, ? •� , \ M p• k I I `� / . / ' ; ,/ i , r , , %, SD 0.6 (MLW) C3 Ff 13� \ \ r �:: '�,.. /Iy �►4,�� ✓ , 7 t , lr: i•83 • TOWN WATER SERVICE SHOWN ON THIS PLAN FROM C-O-MM,WATER DEPARTMENT SKETCH a ` _ _ _- / �' 7 � SDG -EXISTING 1.a' At `, `, \ �__ -- ----l\ 0,00 :';. -~ '• 1 I� �/ - L[l ,� ,` i + ` ,' �' BOARDWALK 0-1740-T DATED 9117187 AND FIELD LOCATED DIG-SAFE MARKINGS IN DRIVEWAY. �, i i •,:S_:..•: ✓ ; , ; / 2.8 (M )'. -0.96 e ;1..',t: ?0 a / . . + / / / ✓ / : 1.2 MLW (SE 3-4012) -s---- / N , / , / •h �, f ;'�:;• �,, 'y .••1::. : T.O.F. 19A6 �l / r ( )\� \ F:.' :.•.. Ml I m VVF BVW • PER FIELD SURVEY BY THIS OFFICE, A PROPANE TANK WAS LOCATED NEAR GENERATOR. ` , A '-�, r , : .:;F. ' N• EL 19.72 G , l • , / r #21 -0,56 x 0:20 .25 �� �F, :,`;y,, x,•>. i / ' s7 '� , , , r r 1,38 x SDG 2 ASSESSORS RECORDS INDICATE THAT HOUSE IS HEATED BY OIL 'J 1<:" 18.2+ 18.Q5 I ' / , x DG `� \ `�, `` TRM ® �- A `\�14.1 +.i': ,t •x.T `I:•'"v?ti •C�� TP #'1 `,� r4 � i - LL. I i 1 � ', ,' SD�i • , �� /bN + l� ✓ , I/ , /', , ; WF BVW 20 �0.4 MLW ELECTRIC LINE SHOWN ON THIS PLAN WAS FIELD LOCATED INDICATING OVERHEAD SERVICE ,FND EL '^`>' ';..., , 2_, , FROM UTILITY POLE 131110 ON EAST BAY ROAD. #+12, AND ._:` ; '.;,,.•;.,. '' , , ( / , m ; \ ' % %' // # �- \ x 2.22 ( ) / \� Lam,= 14.82 __} , DRIVE Y A , ..: I \ �\ - (NG�/D) A `,,REPLA T 18.2 • APPROXIMATE LOCATION OF SEPTIC COMPONENTS TAKEN FROM TITLE V INSPECTION REPORT �� A � � .� •#;�,,,,.:�;.�,_, 1 � \ ., , ice. � , y �, SKETCH PREPARED BY FAMES M. FORD, OSTERVILLE, MA., DATED 1/18/2012. 9 '. �' 1 �� , :,* F 5,+ g{}+-----_ Sri. ' f ;, WF VW #19 •� • VERIZON INDICATES THAT THERE IS NO INFORMATION SHOWING z WF © `� ]1,2 ` , 1 \ i ' ' - ' ' ' CONDUIT IN LOCUS AREA EMAIL DATED 3 15 12 . �n F 1 ;,:. - ___-- {/ y L II��1� / , / J Lt�1 c ( / / ) WF 4.6 ♦ , i A \r` �� r ` ' % i�••�r ' / / i 0.Or yJ 4 '_:J r / / / / r / / VW � k y ------ w \ WF #9 U,/P #RS J 0 -, •� +, `,` `, ,\ ' '..>r .w� `, • ���I �\ \ ` '`Q\'q�9t'� i r i' '%�' i//"'err j' i x-T� PROPOSED WAT2\ WF # 3,PROROS D U�IT I ";:" SERVI E TO BE `.� \ • I• -- ,'''; /'11GF/B AlW / U �_ .� ,.._ \ ) Obi WORK .6 I :(::;: •: CONNC,TED TO �,� / ,. / r'r1 €XISIING',WATER �` !/ _ - --- ,_ - ; ,,,; / -, W LIN WF #,7 3.5 vvw( - ,, VyF/S #" .J '':," y ��-•^' ~`�^`~ '�`Y Wr�YaI.V YY ��`y �\ / r Y'' 2 Z -------------------- -� - -, E� W= 4i W F LU BVW 2 wF/B a0. 131TWN o 0BVW #1 G #8 Y > ? P W W o WF,/B VW #1¢ AREA FOR PROPOSED / mm v1 < n v1 WFOLPik,_ -Al. ------- 4 MITIGA71ON PLAN71NG aWF/BMN_#7- -- - a �U/P #778/1 WF/BVW #9 u \ / m rid DeWITT FAMILY R.T. Ole OD It, to in • \ Z SHEET TITLE �\ h0�9 MHW EL. 2 (NGVD) \ ____ Wetlands Permit Plan- \16 " Ct� a2 MHW FROM "TIDAL �� woos FLOOD PROFILES -NEW ENGLAND Proposed House f"�+ P P✓ N OJ COASTLINE" li� '/ Q I PREPARED BY THE N/F1 ° t "Y�3� / U.S. ARMY CORPS OF LAWRENCE A. BIANCHI i M �'"'' �' •oe, o� - � - N/F ENGINEERS; SHEET NO / PETER B. CADOU, ET UX. SEPTEMBER 1988 CICA C2nO ✓ . "� U/P #31/�0 �� � �» CO I ..i , :. : i .,; r I r , I F 'I s.., r f , . +,, . .. n ;, a i' •, r .. 6 1 'i ,+ I u .,�. 1„t.! µ'YE LCCB FND �� ,y j y r: D ATE : 04/30/12 �\ ��•��s��� o ` r 30 0 30 60 J � SCALE IN FEE LCCB FND HELD SCALE : 1"= 30' o ERAWN/DESIGN BY: MTM CHECKED BY : SAW N B N 0 : 2012-014 C A D D FILE : 2012-014WPP.dwg N O N