HomeMy WebLinkAbout0120 EAST BAY ROAD - Health 219 EAST BAY ROAD
Osterville
A = 140 — 163
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California All-Purpose Acknowledgment
A notary public or other officer completing this certificate verifies only the identity of the individual
who signed the document to which this certificate is attached and not the truthfulness accuracy,or
validity of that document.
State of California
County of Placer
On October 02, 2015 before me, Alex Sandvik, Notary'Public, personally appeared
DEBRA J KIES who proved to me on the basis of satisfactory evidence to be the
person(4 whose name(&) is/afe subscribed to the,within instrument and
acknowledged to me that she executed the � •e same in h
g � ./ � e r/
authorized capacity(ies}, and that by#+&/her/th-&F ��
si nature on the instrument
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the person(•&}, or the entity upon behalf of which the person(&) acted, executed
the instrument. r
I certify under PENALTY OF PERJURY under the,laws of the State of California that
the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
. a
' ALEX SANDVIK
Commission #2097901
z "'m Notary Public-California z
Placer County r
' NI Comm.Expires Jan 29,2019
Signature . .
My Commission Expires:.Jan.�29,2019
0amilyy
C. DeWitt, Trustee of the DeWitt Realty Trust; and not individually
STATE OF CALIFORNIA
County: a , ss. N
On this (per day,of (2t)6Jc.r ;2015,-before me,the undersigned notary
public,personally appeared Lyle C. DeWitt Trustee as aforesaid,personally known to me or
proved to me through satisfactory evidence of identification,'Which was ,
to be the person whose name is signed on the preceding or attached document, and
acknowledged to me that he signed it voluntarily for its stated purpose:
r.
Notary Public
My commission expires:
2895736.1 ._• �,�0 /� �11,, �� .:
CCU ll i Cin Ott-Pu('r
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,
A notary public or other officer completing this
certificate verifies only the identity of the
individual who signed the document to which this
certificate is attached,and not the truthfulness, ,
accuracy,or validity of that document.
STATE OF v )SS
COUNTY OF Clan, )
On Ct,+ 0i'1 Ca 20 t S , before me, t S 1 Notary
Public, personally appeared
who proved to me on the basis of satisfactory evidence to .
be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on
the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
Signature
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o
This area for official notarial seal
lip MARNIE ROSELLINI
Commission# WNW,
'
Notary Public-CalifoTnfa
Alameda County
MY Comm.Ex Tres A r 27,2011i
BARNSTABLE REGISTRY OF DEEDS
John F. Meade, Register
TOWN OF BARNSTABLE
111-OCATION ?a F_'Asi O A SEWAGE#026/5"-353
VILLAGE ('S/c/v��t ASSESSOR'S MAP&PARCEL /y0 —143
INSTALLER'S NAME&PHONE NO. 3. / �OXaLl_s�� s�-yaB 5saq
SEPTIC TANK CAPACITY S_ O 6 . n i ow .C-61/
LEACHING FACILITY:(type) `J o6ftl, CffAKtin�'k (size) 13` Y_411,�
NO.OF BEDROOMS
OWNER
PERMIT DATE: /O- COMPLIANCE DATE: /D 2-
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY
y
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No. Fee
THE COMMONWEALTH OF ASSACW iT Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
01ppYitation for Disposal *pstetn Construction Permit ,
Application for a Permit to Construct( ) Repair([,<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. �j Owner's Name,Address,and Tel.No.
t'iAssessor's Map/Parcel �Q —/( ,, /a " 3& Abi o5 0-c, 1
Installer's Name Address,end Tel.No. --- `✓ Design 's Name,Address,and Tel.No.
5�8.Lta '5Arr`�a�c
6. Os�U`v�`It b3dq �o•Bad Qg[ �„� odG�7
Type of Building:
Dwelling No.of Bedrooms s Lot Size .6.3 r q cnrS sq.ft. Garbage Grinder(Jt/tp y
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) T:5-0 gpd Design flow provided 5��, 8y gpd
Plan Date Av6, Q O, Q O l.5• Number of sheets Revision Date
Title
Size of Septic Tank ����~J 6 Type of S.A.S. S - 6-0 O 6 CHi4M [.2 S
Description of Soil
Nature of Repairs or Alterations(Ans er when applicably (G, boo G v VW C of d' " L ST
5- Soc� 6A�. C� r�w� cR.s - `/ a1 ST6vtL - D%,mh All11KIrr,. TLrAclf Ott—,
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by th' oar�,fflealt
h. ,
Si ed Date —
Application Approved by Date
c � /
Application Disapproved by Date
for the following reasons
Permit No. _ Date Issued
�.J D
No. JF4 Fee
THE COMMONWEALTH OF, AS`SAC` IUSETTS kEEnte d in co-m'puter
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
21pptration for.Misposal *pstent Cons trurtion 3pQrmit
Application for a Permit to Construct( ) Repair Q/1Upgrade( ) Abandon( 0 Complete System ❑Individual Components
Location Address or Lot No. Ei4 5%�6j9 % ---` Owner's Name,
Address,and Tel'No. -C
USTery d1 /� ) zerr)g6(i;I Kc, oL / /9�'
Assessor's Map/Parcel %/�/0 ^/(��/ /.�O /^ _ 64 /W OS Ir-, k _�69Z
/ Installer's Name Address,and Tel.No. 1_-----''� Designer's Name,Address,and Tel.No. S°�'3 a INd
C"IG�C.I�'��c1 i ��S'L/.��
F3'1 �)mi S. Os� C'-v�1�� S'Sa� r�o•'13av, �(Y�I 1•.S Ud63'I
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Type of Building:
Dwelling No.of Bedrooms Lot Size 3_' i i r/r S sq.ft. Garbage Grinder(,l/lp
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) _ }`S'p gpd Design flow provided gpd
Plan X Date AL G. 01 O� Q-0 1 .5- Number of sheets Revision Date
Title /
Size of Septic Tank ��/j 5%i a/ Type of S.A.S. S- O o Grit, C li I 1 J c/�S
Description of Soil
C, ` `CS C C,
� 1 .
1
y Nature of Repairs or Alterations(Answer when applicable) (� \ w O G v vh C cA W b c('
1
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
r'
Compliance has been issued by the_Board of Health.
S ed ICL _ ,/'')^ Date
Application Approved by ;. Date /
- v
Application Disapproved by l Date
for the following reasons ,
K
Permit No. 17'� Date Issued
/ V
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(k< Upgraded( )
0
Abandoned( )by S 9j9 A?l� /,e/f rU ICI S l ,/
at /07 t'fl S( B A,�1R6( - Q S 1 e/ v.( h has been constr c�ed i,n accord `Eel
with the provisions of Title 5 and the for Disposal System Construction Permit No. �aat�d
�p I J- -
Installer``)P Uu Ma,CC.� `, 1 J Designer �C (`r/(i
#bedrooms .� Approved de ign flow1 S�6, t� 8 gpd
The issuance o his perr iit shall not be construed as a guarantee that the system will function as desi ned.
I Inspector / p ,
1V V___
----------- ----------- -------------------------------------------------------------------------------------------------------
No Fee�✓
`— e
E COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *pot Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Aband9n( )
System located at H t IDS/ /�/�% / V �/e
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must fie coda•leted-within three years of the date of this permit.
Date Approved by /
ti.r r — /
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M
Town of Barnstable
.�WE'Owo Regulatory Services
Richard V. Scali, Interim Director
BARNSPABLE. % d
MASS. Public Health Division
�A .i639 �0
Ten 39 Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: � �7 �� Sewage Permit# rj&67 3 Assessor's Map\ParceJOL163
Designer: ; 7 R�CC`(� s L�g j h Installer: r�c�
Address: v;w � / Address: 0Q1) ell
Via, hC—
On /Q /y—/J � :,ce. G cG`1.s l-� was issued a permit to install a
(date) (installer)
septic system at �UM1-U,7 l based on a design drawn by
(address)
Pi S VIAL dated Ic)--7 .
(design
,
I certify that t ptr i�,s ystem 44erenced above was installed substantially according to
the design, which may include minor-approved changes such as lateral relocation of the
distribution box and/or septic tank. Strip out (if required) was inspected and the soils
were found satisfactory.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow. Strip out (if required) was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constru liance with the terms
of the I\A approval letters (if applicable) JA OF
D RR
M
MC
Instal er's Signature) o. 1140
V NM k
signers Signa re) (Affix tamp Here)
PLEASE RETURN TO BARNS LE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NO BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION..
THANK YOU.
QASeptic\Designer Certification Form Rev 8-14-13.doc
I
Town of BArnstabie P#- 79q
Department of Regulatory Services
S ereet�
' Public Health Division d3ate.
,AS& $ y 200 Main Street,Hyannis MA 02601 C4
0
Date Scheduled ( � " Ttme Fee Pd. ,mot
1
rp a
,f oil ,Suitability &s dsm*eat fob- ►sewage Disposal �a
Performed By:� �' e �,e Witnessed By:
" t
LOCATION & GENERAL INFORMATION
Location Address i Owner's Name
lZv F�4 Zo w I YVNF-g
. Address '
� s rlftfS IL G
Assessor's Ma /P rcch 1,63
I Engineer's Name&4
NEW CONSIRU('110N REPAIR �1 ,Telephone# � �"
Land Use 1 ✓ Hopes(To) Y Surface Stones r 4y r
Distances from: rOpen Water Body � ft+\Possible Wee Are Drinking Water Well?�®® ft
� r '
Drainage Way > V-0 ft' Property Line ��� ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes)
4
Parent material(geologic) Depth to Bedrock '
/V1 ) �1,�
Depth to Groundwater Standing Water in Holec l� - Wiping from Pit Face
Estimated Seasonal il-ligh Groundwater
I) TERMIN TION F R SSsE, SONAL HIGH WATER TALE
Method Used: U t �""r��•; �!� ~ln.
Depth db�served standing in obs.hol . ___in. Depth td sa11 tn9ttlas:' ft
i in.. Oroundwntrrr Adjustment `
Depth toiweeping from side of obs.hole: Adj.factor A ,Groundwater L,ev�el
Index Well# Reading Date Index Well level.�,�.M.
PERCOL,ATYON TES'I'
Dale tee. 'Pinfe
Observation ( Time at 97
Hole#
Time at G'
Depth of Pere
/0 6 97 Time(9"-6')
Start Pre-soak Time.@
End Pre-soak
Rate MinAnch
Site Failed; Additional Testing Needed(YIN)
Site Suitability Assessmenh' Site Passed�_ "
Original:.Public I141th Division
Observation Hole Data To Be Completed on Back--
***If percola#(in test is to be conducted within 100' of wetland,you must first notify the
prior to beginning.
Barnstable C4,oservation Division at least one(1)weok
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface from
(USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel
o rlt
2, b ILf 106V
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistenc %Gravel)
'3/)--kP
Zb •2
vl �
o Ye.
DEEP OBSERVATION HOLE LOG Hole# k
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistenc 35 Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from-,-,_ Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency, ra
fc
Flood Insurance Rate Map:
Above 500 year flood boundary No Yes
,—Y
Within 500 year boundary No_ Yes ✓
Within 100 year flood boundary No_ Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the
area proposed for the soil absorption system? v E
If not,what is the depth of naturally occurring pervio s material?
Certification
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of Envi nmental Protection and that the above analysis was performed by me consistent with
the required train' expertise and a perience described in:U0 CMR 15.017.
Signature ��' Date ;
Q:\SEPTICVERCFORM.DOC
Barnstable
Town of Barnstable
Board of Health j e``a�j
BARNSrABM
MASK. 200 Main Street, Hyannis MA 02601
1639 pw, 2007
EO MPl
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
November 30, 2015
Mr. Darren Meyer
P.O. Box 981
E. Sandwich, MA 02537
RE' 120 East Bay Road, Osterville A:= 140=163
Dear Mr. Meyer,
You are granted a conditional variance on behalf of your client, Dewitt Family
Realty Trust, to construct an onsite sewage disposal system at 1.20 East Bay
Road, Osterville. The variances granted are as follows:
t
Section 360-1 of the Town of Barnstable Code: To install the pump chamber
53 feet away from a pond, in lieu of the minimum 100 feet separation
distance required.
These variances are granted with the following conditions: ,
(1) No more than five (5) bedrooms are authorized at this property. Dens,
study rooms, offices, finished attics, sleeping lofts, and similar-type rooms
are considered "bedrooms" according to the MA Department of
Environmental Protection.
(2) The applicant shall record a properly worded deed restriction, signed by
the owner of the property, at the Barnstable County Registry of Deeds
restricting the property to five bedrooms maximum. A copy of the
recorded deed. restriction shall be submitted to the Health Agent prior to
obtaining a disposal works construction permit.
Q:\WPFILES\.MeyerDewittFamilyEastbayRoad2Ol5.doc
(3) The designing registered sanitarian shall revise the plan to include
buoyancy calculations.
(4) The septic system shall be installed in strict accordance with the revised
engineered plans.
(5) The designing registered sanitarian shall supervise the construction of the
onsite sewage disposal system and shall certify in writing to the Board of
g p Y Y 9
Health that the system was installed in substantial compliance with the
revised engineered plans..
These variances are granted because the proposed plan appears to meet the
maximum feasible design standards contained within the State Environmental'
Code, Title 5 and local Health Regulations.
Sincer l yours,
Wayne M ler,,.M.D.
Chairman
I
Q:\WPFILES\MeyerDewittFamilyEastbayRoad2Ol5.doc
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Carl
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DATE:
E. �J
EARNSfABLE : avd,
♦ y"' rtJ4
REC. BY 0 I5
A
Town of Barnstable L SCHED. DATE:
Board ofHealth
200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Wayne A.Miller,M.D. IJI
FAX: 508-790-6304 Junichi Sawayanagi
Paul J.Canniff,D.M.D.
VARIANCE REQUEST FORM
LOCATION Property Address: //3,0 E /,4 c s y 6/q y +t'�/�
ootiio 03 k--(-V j`k-0
Assessor's Map and Parcel Number: 14-0 /163 Size of Lot: On 63 14cred
Wetlands Within 300 Ft. Yes V Business Name:
No
Subdivision Name:
pp��
APPLICANT'S NAME: LJfYieh� f�l���, Q�ons�� Phone �0' 360-33/!
Did the owner of the property authorize you to represent him or her? Yes No
PROPERTY OWNER'S NAME CONTACT PERSON
Name: G&t L ICY 1 d a I I,� JUS Name: e gores Inc- 04,((e �e-1 er
bt.VwtTT t--A-Mir j Rem, t vst' p
Address: - p,A t,ddress: P® y Q t V 1 S,'W,9 01ch Allt
Phone: .� go$ D"(09(c0 Phone: &u% Uo — 331/ 01�37
VARIANCE FROM REGULATION(]List Reg. REASON FOR VARIANCE(May attach if more space needed)
'bAy4-4 SY A— - -at Ru.tl t,li,-tTo
Pia PAP L &3Fr -M 1
yy>�'Sl�/kr l�U IA &4u
�Do JET
NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System
Checklist (to be completed by office staff-person receiving variance request application)
Please submit copies in 4 separate completed sets.
_ Four(4)copies of the completed variance request form
_ Four(4)copies of engineered plan submitted(e.g.septic system plans)
Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian
Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)
Signed letter stating that the property owner authorized you to represent him/her for this request
_ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title
V and/or local sewage regulation variances only)
_ Full menu submitted(for grease trap variance requests only)
Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only],
outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the
building proposed])
Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVED Wayne Miller,Chairman
NOT APPROVED Junichi Sawayanagi
REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D.
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet
Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC
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MEYER & SONS, INC.
PO BOX 981 E.SANDWICH,MA02537 • 508-362-2922
August 20,2015
RE: Septic System Upgrade—Variance Request
120 East Bay Road,Osterville,MA
Dear Abutter:
This letter is to notify you of a hearing before the Barnstable Board of Health scheduled on Tuesday
September 8,2015, at 3 pm in the Barnstable Town Hall Hearing Room to present the proposed septic system
upgrade plan and the variance requested for the above referenced site. The proposed system design has taken
into account requirements set forth in 310 CMR 15.000(Title V)and the Town of Barnstable Board of Health
Regulations.
The following variances are requested:
TOWN OF BARNSTABLE
1) Per Barnstable Board of Health Regulations, 47 foot variance to allow pump chamber to be 53
feet from wetland vs.required 100 feet.
As an abutter of the property in question, state regulations require that you be notified of the hearing a
minimum of ten(10)days prior to the hearing date.
You can review the application at the Barnstable Health Department, 200 Main Street, Hyannis, MA, M-
F, 8:30am—4pm.
If you have any further questions regarding this application, please feel free to contact me at (508) 362-
2922 or attend the hearing on the scheduled date.
Sincerely,
r
Darren M.Meyer
Registered Sanitarian
ARCHITECTURE ENGINEERING SURVEYING
August 18,2015
Re: 120 East Bay Road,Osterville, MA
To Whom it May Concern,
I grant permission to Darren Meyer of Meyer&Sons Inc.to apply as necessary for any and all variances
and approvals through the Town of Barnstable Board of Health and Conservation Commissions for the
purpose of obtaining approval of plans to upgrade/modify the existing on-site sewage system located at
120 East Bay Road, Osterville, MA.
Sincerely,
Gail D. Kendall,Co-Trustee
Dewitt Family Realty Trust
a
ABUTTOR'S LIST FOR
120 EAST BAY ROAD,OSTERVILLE,MA
(MAP 140/PARCEL 163)
MAP 140 PARCEL 160/001 MARY RYAN
137 EAST BAY ROAD 137 EAST BAY ROAD
OSTERVILLE, MA 02655
MAP 140 PARCEL 161 ANTONIA BELLANCA, TRS
121 EAST BAY ROAD ANTONIA BELLANCA FAM. TRUST
121 EAST BAY ROAD
OSTERVILLE, MA 02655
MAP 140 PARCEL 162 DAVID &JANE BRAJCZEWSKI
99 EAST BAY ROAD 99 EAST BAY ROAD
OSTERVILLE, MA 02655
MAP 141 PARCEL 123/001 NIRAJ S. &JILL M . SHAH
110 EAST BAY ROAD 161 WEST NEWTON STREET, APT 2
BOSTON, MA 02118
MAP 140 PARCEL 164 PETER B &JUDITH A CADOU
134 EAST BAY ROAD 134 EAST BAY ROAD
OSTERVILLE, MA 02655
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DEED RESTRICTION}
WHEREAS, Gail D. Kendall, Lyle C. DeWitt and Debra J: Kies, all as�Trustees of the
DeWitt Family Realty Trust(the"Trust"), under Declaration of Trusf dated September,15, 2005'
recorded with the Barnstable County Regisiry of Deeds in Book 20541, Page 144, with a mailing
address of 120 East Bay Road, Osterville,MA 02655 (the "Grantor") is the owner of the
property known as and numbered 120 East Bay Road, Osterville, Barnstable County,
Massachusetts, more particularly described in the Deed recorded with the Barnstable County
Registry of Deeds in Book 27999, Page 189 (the "Property'); "
WHEREAS, Grantor, as the owner of the Property,has agreed with the Town of
Barnstable Board of Health to a restriction as to the number of bedrooms which can be included
in any home existing or built on the Property as a condition of the variance issued for the '
upgrade of the existing septic system on the Property to comply with 310 CMR 15.000 State
Environmental Code, Title 5, Minimum Requirements for the Subsurface Disposal of Sanitary
Sewage (the "Regulations'); . -
WHEREAS, the Town of Barnstable Board of Health, as a coridition to'granting a
variance for upgrading the septic system on the Property to comply with the Regulations, is
requiring that the agreement for the restriction on the number of bedrooms in any house existing
or to be constructed on the Property be put on record with the Barnstable County Registry of
Deeds by recording this,document, t.
NOW, THEREFORE, Grantor does hereby place the following restriction on the Property in
accordance with their agreement with the Town of Barnstable Board of Health, which restriction
shall run with the land and be binding upon all successors in title:
1. Grantor may have a'residence on the Property with no;more than five (5) bedrooms.
2. Grantor agrees that this shall be permanent deed restriction affecting the Property.
Property Address: 120 East Bay Road, Osterville, Massachusetts
For Grantor's title, see Deed recorded with the Barnstable County Registry of Deeds in Book
27999, Page 189.
' . [Signature page follows] U Y
Executed as a sealed instrument day of�C� tJ,� - 2015.
° - Gail D. Kendall, Trustee of the DeWitt
t Family Realty Trust, and not individually
Commonwealth of Massachusetts
Barnstable, ss.
On this CP"61 day of (� 0 -r 2015, before me, the undersigned notary public,
personally appeared the above-named Gail D; Kendall, Trustee as aforesaid, who proved to me
through satisfactory evidence of identification, which was&Y,IG)'1lGQ,W W ,'to
be the person whose name is signed on the preceding or ached document, and acGo� wledged
to me that she signed it voluntarily for,its-stated'p '
ary Public:
Commission"Expires:A/��pf /3, 419L
J
' JAIME E.HOCTOR
W
Notary Public' �pR
Co
TV=wealth of Massachusetts t°
II
Commission Expires
Signature luust 1� G' AFs'+•. �:
�..:.
s con I ue a following page.] _�o
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-2-
TOWN OF BARNSTABLE
L,ICATION ��(� 5`� 'G t2C SEWAGE # �
VILLAGE I 1 - ASSESSOR'S MAP 6z LOT 'cif
INSTALLER'S NAME Cz PHONE NO. �jS' A ao 63
' .a
SEPTIC TANK CAPACITY ( � '
LEACHING FACILITY:(type) : ,r- Ue �! (size) .
NO. OF:BEDROOMS PRIVATE WELL BLIC•`W- R .4
BUILDER OR.OWNER
DATE PERMIT ISSUED:
DATE .COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No =.p
in
- 51� _
d
16-3
THE COMMONWEALTH OF MASSACHUSETTS
.BOARD OF HEALTH
-
Appliration for Disposal Works Tonstrurtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( 4 - Individual Sewage Disposal
System at• ( �,
Locat
ion
_ .».... .14 ..... dress ...... ............------•.. ..... .or Lot No...................._..... »........
�� ...�... er Addre
»
w .... ...--•--._t*_�...�(. . -� C. ................. ..........•--........ ��1ca/LQ�1rcL
04 Installer
Type of Building Size Lot.............................Sq. feet
,., Dwelling—No. of Bedrooms....-3.................................Expansion Attic ( ,) Garbage Grinder ( )
04 Other—Type of,Building ........ No, of persons............................ Showers = Cafeteria
Q Other fixtures . .....------•-•-•••--•-•-----•--•---•---•----- ........-,•-•-----•- -•--••--. ---•-- ( ...........................
-(.->
W Design Flow..... ........................gallons per person Der day. Total dall flow.........._....::......gallon.
WSeptic Tank—Liquid capacitxl�.. allons -Length.. ...... Width.... ..... Diameter................ Depth................. .
x Disposal Trench—No....:............... Width................... Total Length,.................... Total leaching area... ft.
3 Seepage Pit No....../............ Diameter.... �e ....... Depth below inlet.....VK....... Total leaching area.................sq. ft.
Z Other Distribution box ( ) Dosing tank0.4 ( )
Percolation Test Results Performed by .............................................. Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit..................:. Depth to ground water....._.................. „
44 Test Pit No. 2................minutes per inch Depth of,Test Pit.................... Depth to ground water.............-..........
a ......................................----------------------------.........- ....................................................---------------__-_•.
O Description of Soil...............................................=
U ----------------
•------
.... ----------- --- ----- ------•--_----- -----------
-----
...........
-----------------------
------- -
W
U Nature of Repairs or Alter tions—Answer when applicable..-72-l.-Ir"-&P-!-,,........ .......................
Agreement,:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITL 5 of the State Sanitary Code—.The undersigned further agree's not to place the system in
operation until a Certificate of Complia n issued by the boa
S "
Signed..-....••-- .-- ....... ... ....... ..... .........
Date
Application Approved By.......... ..
Date
Application Disapproved for the following reasons:_._._:..................................:................................:____:___.__..`....:..-----.._»_»
......................................................................................................._...----•--------------•----........ - •-•-- --....•----- -----------
Date
-
Permit No..... ;;!:Is--------------»»---- Issued--------'...................................»........»
Date
No.a?:..�..�
THE COMMONWEALTH OF MASSACHUSETTS
-- ., BOA RD OF HEALTH
rC-wr -----....OF \-IQ...
..-----•-------•-....:....
r
Applutttion for Disposal Works T anstrurtion lrrutit
Application is,hereby made for a Permit to Construct ( ) or Repair ( Z-)Individual Sewage Disposal
System at•
Location n�_dddress �e or Lot No.
-------- -2=!(\J c� ..� .__-- ....... .......................... :........ ..........................._....___...
Ow er - Address
M Installer 1.
Addres
Type of Building Size Lot-*.........................Sq. feet
V Dwelling—No. of Bedrooms._.._.3.................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
dOther fixtures ----------------------------------- . ----------••........•••••--••-••-••••-------....-•-••........•-••----•-----•••-••--•----•--
WW Design Flow.:':_.r� - ...............gallons per person per day. Total daily flow---.�.--�.3. .-�D...................gallons.
OG Septic Tank—Liquid capacity��_�gallons Length../_��...... Width..--�....... Diameter................ Depth...._._.._......
Disposal Trench!No..................... Width............___._. Total Length..............0..... Total leaching area..... ..........sq. ft.
3 Seepage'Pit No. ............... Diameter..._ . ..�._.. Depth below inlet..... �........ Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( }
aPercolation Test Results Performed bY........................................................................... Date.............................-..........
Test Pit No. l................minutes per inch Depth of Test Pit.................... Depth to ground water.................-......
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
x ------------........---------------------------------------------------------..................------ ...............................................
ODescription of Soil.................•-----------•---...----..........-•-------------------------•---••---------------------........._..................:----------.....0..................
x
................-..................................................................................... ...........------....
U Nature of Repairs or Alterations-Answer when ......... Q9�-/....................... j
/............n..... 4r--------- . ........ �=-f -.�C�--C
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a'Certificate of Compliance-has-been issued by the bo rd-of-health.:,_`
Signed..��----•-----•----........------- •-------------•-•--•---•--•-----•-----
`)__Ao Date
Application Approved BY .:--�J..... ..t., ,.:,j... ...........•......-D ....
Date
Application Disapproved for the following reasons:...............:..........................................................................................___
....................••--•----.................------...........-----•--........------..........---...--••--....-•--•••---..........•-•••-•..............------•----------•---......._.............----
Date
PermitNo...... .............. --- Issued............................................_........_
Date
THE COMMONWEALTH OF MASSACHUSETTS
;rBOARD OF HEALTH
f�rrtifutttr of f�out�littntr
THIS<FS T=0.CERTIFY, That the<fnilnividual Sewage Disposal System constructed ( ) or Repaired
b1 ,0.-- •!=_:............... '� , �' ------------............----...---•------•-.......---•----•-
Y.................. �...---------•--
Installer
C
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.... ......•...... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................... ..................... - Inspector - s J .----:w- �..:. ...:....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
<--I- 1 4
--?--E nr .......OF.......d ?..��......IA_.GC.... .L,L�P ....
Dispos-al Varko Tonatruction Frrutit
Permission is hereby granted...._._..._- r_2_r !_..: �-* :'....-.....................................
to Construct (,) or Repair ( ) an ndivMual Sewage Disposal S stern
atNo................ eD......... ------------.......................................................
Z Street
as shown on the application for Disposal Works Construction Permit No.9 -27_� __ Dated..........................................
Z Board of Health
DATE...........5_7 .... (- -•-7-•-•..............•-.........-•---
AsBuilt Page 1 of 1
TOWN OF BARNSTABLE
LOCATION 0 V4-5N- (20 SEWAGE #
VILLAGE ��+iz 1� ASSESSOR'S MAP & LOT_ Tom '
INSTALLER'S NAME & PHONE NO. -a 14 0 16
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size) Z-f !Ci
NO. OF BEDROOMS PRIVATE WELL BLIC JV- R
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE .COMPLIANCE ISSUED: . tr �7
VARIANCE GRANTED: Yes No
I
-d-m
0
14X�
http://issgl2/intranet/propdata/prebuilt.aspx?mappar=140163&seq=1 10/3/2011
LEGEND ' - OSTERVILLE
„ PROPOSED CONTOUR
PROPOSED SPOT GRADE p 92 so Eow 5 MAIN STREET o�
—— 98 EXISTING CONTOUR MAP 141
PCL. 123-1
+ 96.52 EXISTING SPOT GRADE LOCUS
MAP 141 I ' p 120 EAST BAY RD
W— EOW 4 EXISTING WATER SERVICE IPCL. 123-1 -
F
! ;r
TEST PIT
/ \
- EAST
BAY
,
GENERAL NOTES.
v`1 ALL CHANGES TO THIS PLAN-MUST BEOAPPROVED:BY THE-LOCAL — \ \\ \ \ IEOW-3
BOARD OF HEALTH AND THE DESIGN ENGINEER. 96 — \ \\ \ \
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
« OF THE STATE ENVIRONMENTAL CODE. TITLE V, AND ANYAPPUCABLE ��\ ,\ \ \ $$ LOCUS MAP
_ f LOCAL RULES AND REGULATIONS. - \- %': r\ .•_ \
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR Tp \\. .`
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE -_ R.- \ - \ `:
LOCUS INFORMATION
TI
DESIGN ENGINEER.
'
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING `:Y - Y 98 \ p1 \ \ '`
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO.THE DESIGN ARE A \ \'\ \ g ` PARCELS D: B AP7 40 PAR. 163
ENGINEER BEFORE CONSTRUCTION CONTINUES. S • ::._ 0.63t AC. i A
5. ALL ELEVATIONS BASED ON ASSUMED DATUM. `- \ O4- p� \ .\ \ \
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF V. /j�/s r / \/p \:' \ OW-2
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF z - �
.HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. UTLITY POLE �' ^: /��/�C A' � \ FLOOD ZONE FOR AFFECTED AREA: "X"
7. WATER SUPPLY PROVIDED BY MUNICIPAL WATER SUPPLY. ` . z _c \ 90 EOW-1 COMMUNITY PANEL: 25001CO544J DATED:07/16/14
U
8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE.RESTORED \ _
TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR.. SEPTIC SYSTEM
9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 10
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION. _
REPAIR PLAN
9a
10:.EOQSTTNG LEACHING TO BE PUMPED. CRUSHED AND FILLED PER TITLE 5. '
11. 48 HOUR NOTICE.FOR ENGINEER CERTIFICATION —
ss
LOCATED A
ATED T•
ROAD
B Y
12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY _ p 36"=,OAK :: — D
-
AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY = c� \
x- i , EXIST. 1.500G
98, , - 120 EAST A _ 0
13. NO PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING _ ..A / \ SEPTIC TANK STER\�//I LLE M A
14. ALL PIPE TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPEC.OTHERWISE): 9 " - / �o ,
`0
15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW `-,Ti "� 6 PEAR ryo `. PREPARED. FOR
FOR THE USE OF A GARBAGE GRINDER /
WIT
:W` 30" OAK `Q,
16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING i�• ,q fQGE FROM
Y
.
17. REMOVE UNSUITABLE SOILS 5 FEET AROUND LEACHING TO EL 96.10 r ,.�` Ly // GR VEL •a� PROP i;000G OF e.V.W
DE T FAMILY REALTY.
OR TOP OF C LAYER AND REPLACE WITH CLEAN MEDIUM SAND PER / O �h Y_'. TRUST
- 9 \ i DR WAY PUMP CHAMBER " '
TITLE 5.
AUGUST 20, 2015 REV: SEPT. 27, 2015
_ 100
EXIST. 1,OOOG
y -
�1x
r.
x� LEACH PIT
.o
SAS
•
Q ..ELECTRIC METE D REN M.
�f
YER
UTLITY POLE ` 1 N �k11 0 v
i
FBENHMARK TAG BOLT ' TOG ROM
h F OF
4
:
100 : "
EL=T03.0 �3 ` MAP 140 8.V- PCL. 164 .W.
f ,
� SANITAR�a�
too
_ 4 30"i MAPLE r7"
PROP 5 FT
A
-
C TCH`BASIN'
SOIL REMOVAL
t
100
MEYER 8c SONS INC.
"SCALE: 1 =30'
3 . . P.O. Box 981
E. SANDWICH , MA 02537
VARIANCE REQUESTS MAXIMUM FEASIBLE COMPLIANCE PH. (508)360-3311
= PFR BARNSTA LE�BOH BEGS_ fox (774)413-9468
1)_A 47.0 Fr. VARIANCE FROM BARNSTABLE BOH REG. TO'ALLOW PUMP CHAMBER TO BE A MIN. OF 53' FROM BWV VS REQUIRED 100 FT. m eyera n d s o n s t i tl e 5@g m a i l-com
. www.meyerandsons.com
SHEET 1 OF 2 J#1697
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
ELEV. TOP a NOTE: MAGNETIC'TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:99.25
FOUNDATION PROVIDE'H20 RISERS WITH RINGS & COVERS OVER WATER TIGHT BOX/PUMP, POWER., FOR A DISTANCE OF 15' AROUND THE
ALL COMPONENTS AND SET TO FINISH GRADE AND FLOAT CONTROL CABLES PERIMETER OF THE S.A.S.
(Existing) LOCATED ON THE EXTERIOR - F.G. EL 100.0 F.G. EL: 100.0 MAX.)
101.4 I• .
F.G.EL: 99.0-96.0
e� EL97.8t EL.97.8t swnwrME 2" OF 3/8" DOUBLE WASHED
F.G.EL: 96.0 3/4" - 1-1/2"
a s STONE OR FILTER FABRIC DOUBLE WASHED STONE
EL = 95.60 INSTALL
INV.=98.70 D-BOX INV.=98.50
..f.::A,.n • - •I• TEE SHALL NOT EXTEND ®®®® 0 ®®®
10'1 PVC BELOW FLOW LINE
®®®®®®®®®®®
14 _ EL.95.30f SCN AD (USE DB-5 (H20) ®®®®®®®®®®®
EL: 94.57 48'LIQUID EL:94.32 2 E MpdN 2 EFF. DEPTH
®®®®®®®®®®®
RC
EXIST. OUTLET: LEVEL cAs BAFI 1 10• ALARM 0 F0 4' 4 X 8.5' 4'
PUMP ON 22'
6' CRUSHED) 16'
EFFECTIVE LENGTH = 42'
STONE(TYP. EL:94.25 PUMP OFF
EXISTING 1.500 GALLON SEPTIC TANK 9' INV. ELEV.= 98.25
INV.=94.50 r
' NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PROPOSED 1,000 GALLON MONOLITHIC PUMP CHAMBER
PIPE INVERTS PRIOR TO CONSTRUCTION.
2) SEPTIC TANK, PUMP CHAMBER AND D-BOX SHALL BE (installolition of pump chamber to be reversed)
- SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED. - ,1.,- SEPTIC
SYSTEM PROFILE'
IN 310 CMR 15.221(2). -
3) INSTALL INLET & OUTLET TEES AS REQUIRED. N.T.S.
SOIL LOGS P#:14789 BREAKOUT
DOSING & STORAGE REQUIREMENTS Elev. TP-1 Depth Elev. TP_2 Depth
9s.so o" 99.70 o" ELEV.= 99.25
DAILY FLOW: - 550 GPD FILL FILL TOP CONC. ELEV.= 99.25 .•
DATE: Aucusr 12, 201 s
DOSING REQUIRED: 4 CYCLES/DAY (SAND) SOIL EVALUATOR: OARREN MEYER, Rs., CSE #1614 97.93 A 20" 98.03 A 20" INV. ELEV.= 98.25 ®®E3
550 = 4 = 137.50 GALLONS/CYCLE 10
LOAMY SAND LOAMY SAND ®aaaa®
WITNESS: DAVID STANTON, BARNSTABLE HEALTH 10YR 3/1 10YR 3/1 ®®BB®®
DISTANCE REQUIRED BETWEEN PUMP 97.35 27' 97.45 27'
ON AND PUMP OFF FLOATS: B B BOTTOM EL.= 96.25 5 FT.eB 4'
PERC RATE <2 MIN/IN. (-C"`HORIZON) VE WIDTH = 13'
137.50 GAL/CYCLE 250 GAL/FT 0.55 FT/CYCLE . (7"). NO GROUNDWATER OBSERVED LOAMY SAND LOAMY SAND,5/8 SEPARATION 5.00 Fj!SQT
STORAGE REQUIRED ABOVE WORKING LEVEL: 550 GALLONS, 96.10 42" 96.20 42"
STORAGE PROVIDED: GROUNDWATER 0 EL. 88.10 PER TOWN - C C � ADJ. GROUNDWATER EL. 91.2 ON SYSTEM (SECTION)
INV.(IN) EL: 94.25 ALARM ON EL: 92.05 =2.20' GROUNDWATER CONTOUR MAPS 10 MEDIUM SAND MEDIUM SAND (500 GALLON LEACH CHAMBER)
STORAGE PROVIDED = 2.20' X 250 GAL/FT = 550.0 GALLONS WELL- MIW-29 ZONE: B PERO ® 94. 2.5Y 6/4 2.5Y 6/4
LEVEL: 8.8 ADJ: 3.1
USE ELEV. 91.20 AS ADJUSTED GROUNDWATER
68.60 132 88.70 132" DESIGN CRITERIA
BUOYANCY CALC U LATI 0 N S 1, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017
1.500 GALLON SEPTIC TANK to conduct soil evaluations and that the above analysis has been performed by me consistent with the NUMBER OF BEDROOMS: EXISTING 5 BEDROOM DWELLING
TANK IS PRE-EXISTING requirements of 310 CMR 15.017. 1 further certify that-I hove passed the Soil EvaL Exam in October, 1999. SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN
GARBAGE GRINDER: NO DAILY FLOW: 110 G.P.D./BR
1.000 GALLON PUMP CHAMBER INSTALL V PVC CONDUIT TO HOUSE FOR WIRING
WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM �-WITH WATERTIGHT CONCRETE RISER DESIGN FLOW: 5X110GPD = 550 G.P.D. (MIN REQ'D)
1112 : 8.5' x 5' x 4 x 62.4 10,608 lb s FLOAT TO GP 2000 HIGH WATER ALARM PANAL ON• WITH SECURED COVER TO GRADE RE LOANING)
CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. NEMA 4 JUNCTION BOX CORROSION RESISTANT SEPTIC TANK: 550 gpd x 200% = 1,100 gpd USE EXIST. 1,000 GAL SEPT. TAN
around cover. 8.5' x 5' x .75 x 120 = 3.825 Ibs & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED PROP. PUMP CHAMBER: USE NEW 1,000 GAL MONOLITHIC PUMP CHAMBER
empty tank 8,000 Ibs HOISTING CABLE 7x19 STAINLESS STEEL BY 1-1/4' PVC CONDUIT. JOINTS TO BE MADE
aroundcover + empty tank > uplift: 1/8- DIAMETER. / 1,760 LB. STRENGTH. WATERTIGHT PROP. DIST. BOX: USE H2O DB-5
3,825 + Bow = t 1,825lbs > 10,608 lbs _ 1 2'BALL VALVE w/ UNIONS SCH. 80 PVC LEACHING AREA REQUIRED: (550)" /0.74 = 743.24 S.F.
..�, , . PC INV.(IN)=94.25
GEORGE FISHER CO. MODEL NO. 560 OR EQUAL
TANK BUOYANCY CHECK O.K. 1 1/4'SCH. 40 DISCHARGE TO VALVE BOX USE FOUR (4) 500 GALLON PRECAST LEACH CHAMBERS
PUMP _DETAIL -ALARM ON EU 92.05 2"SCH. 40 TEE w/ CLEAN-OUT CAP W/ 4' STONE ON ALL SIDES: 42' L x 13' W x 2'D
N.T.S. PUMP ON EL- 41.55 PROVIDE 1/4- WEEP HOLE IN DISCHARGE
PIPE FOR SELF-DRAINING FORCE MAIN BOTTOM AREA: 42 x 13 = 546 SF
PUMP OFF EL 91.00� -
" 16. SIDE AREA: (42 + 13) X 2 X 2 = 220 SF
f 9- 2' BALL CHECK VALVE SCH. 80 PVC TOTAL SQUARE FEET PROVIDED = 766 vs. 743.24 REQ'D
BOTTOM OF UNIT EL: 90.25-1- 100 P.S.I. FLOWMATIC MODEL No. 208S
OF 2' SCH. 40 PVC DISCHARGE PIPE DESIGN FLOW PROVIDED: 0.74(766 S,F.) = 566.84 G.P.D. vs. 550 G.P.D. req'd
Mgss9� CHAMPION CPEE5254 PUMP, 0.5 hp, „sy, SINGLE PHASE PROPOSED SEPTIC SYSTEM UPGRADE PLAN
�y yG PROVIDE 2- WIDE ANGLE FLOATS:
DARREN M. ✓� FLOAT N0.1: PUMP ON/OFF (BARNES 073618 OR EQUAL) NOTES: 120 EAST BAY ROAD, OSTERVILLE, MA
rE R ��, - FLOAT N0.2: ALARM ACTIVATION (BARNES 073612 OR EQUAL) 1.) ALARM TO BE'AUDIO/VISUAL AND ON
1140� PUMP CHAMBER AVAILABLE AS A UNIT THROUGH SEPARATE CIRCUIT FROM PUMP. Prep
ared d for: Dewitt FamilyReatl Trust
SHOREY PRECAST CORP., YARMOUTH MA. (800) 439-0956 2.) ELECTRICAL PERMIT REQUIRED. p Y
Q PUMP & ACCESSORIES AVAILABLE THROUGH J&R SALES AND SERVICE (508) 823-9566 3.) ALARM TO BE LOCATED IN AN EASILY System Design and Site Plan by: SCALE DRAWN DATE:
51 L. ACCESSIBLE EXTERIOR LOCATION. Meyer Sons,Inc.
R\a� / 4.) PUMP TO BE INSTALLED IN STRICT Y N.T.S. DMM 0$�20/15
`OITA
G WI 81
� CONFORMANCE NTH MANUFACTURERS SPECS E4STS4 BOX EASTSANDW/CH,MA02537 REV. DATE: CHECKED SHEET NO.
`'I �\ 5.) PUMP CHAMBER TO BE FACTORY WATER SEALED 508-3622922 DMM 2 of 2
LEGEND OSTERVILLE �
PROPOSED CONTOUR
® PROPOSED SPOT GRADE I l EOW-5
92 10 MAIN STREET o�
—— 98 —— EXISTING CONTOUR I ( / 9O s'0 .
� MAP 141
+ 96.52 EXISTING SPOT GRADE i88 � PCL. 123-1 LOCUS
I MAP 141 I /
W— EXISTING WATER SERVICE PCL. 123-1 i // / EOW-4 0 120 EAST BAY RD
I / ' 9S TEST PIT I % l \\ �o �/qN �
46� EAST
BAY
10
yh �� \ \ \ \ OA-
GENERAL NOTES: N ��' ____ - `\ \\ \\ \\ cllp
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL ' — \\ \\ \\ \\ EOW-3 F,f
BOARD OF HEALTH AND THE DESIGN ENGINEER. 96 \ _
\ \ \
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS _
OF THE STATE ENVIRONMENTAL CODE. TITLE V, AND ANY APPLICABLE \ \\ \\ \\ \\ 88 LOCAL RULES AND REGULATIONS. LOCUS MAP
\i I
3.THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR ———' J I \ \ \ \
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE �\`\ \\ \\ \\ \\ LOCUS INFORMATION
DESIGN ENGINEER.
98
4. ANY CONDITIONS ENCOUNTERED DUNG CONSTRUCTION DIFFERING CONDITIONSRI AREA TITLE REF: BK 27999 PG 189
EENONGINEEER°SE BBEFO BEFORE CCOOWN NSTTRRUUCCTION�cormNUR sarE° TO THE °ESK;rt 0.63t AC. i I \ \\ \\ \� PARCEL 1D: MAP 140 PAR. 163
5. ALL ELEVATIONS BASED ON ASSUMED DATUM. N
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF OW-2
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 0 \ \
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. UTLITY POLE i ���ti C �'�' \� \\ EOW-1 FLOOD ZONE FOR AFFECTED AREA: "X"
7. WATER SUPPLY PROVIDED BY MUNICIPAL WATER SUPPLY. r;
8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED \\ __ gp COMMUNITY PANEL: 25001CO544J DATED:07/16/14
TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. ) _ 92 SEPTIC SYSTEM
9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 100 / \ / / /
THE LOCATION OF ALL UNDERGROUND UTILITIES. PRIOR TO BEGINNING \ i / / _ g¢
CONSTRUCTION. REPAIR PLAN
\ , /.
10. EXISTING LEACHING To BE PUMPED, CRUSHED AND FILLED PER TITLE 5. �\ .�/ //
11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION \ W 96 LOCATED AT:
/
12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY c�\\ 36" OAK 12 0 EAST BAY ROAD
AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY ,t� / / —— 98 EXIST. 1,000G
13. NO PRIVATE WELLS WITHIN 100 Fr. OF PROPOSED LEACHING �0\_ / ./ SEPTIC TANK 14. ALL PIPE TO BE 4- SCH 40 ® 1/8-/FT (UNLESS SPEC. OTHERWISE) 9�� I / / 6" PEAR � 0 S TE R VI L L E MA
15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW O
FOR THE USE OF A GARBAGE GRINDER F2�\ ems. W 30" OAK PREPARED FOR
16. NO WETLANDS WITHIN 100 Fr. OF PROPOSED LEACHING \ ��e /./ / \ O Sp'
17. REMOVE UNSUITABLE SOILS 5 FEET AROUND LEACHING TO EL. 96.10 b� fQE or�M D E W I T T . FAMILY .R E A L T Y
OR TOP OF C LAYER AND REPLACE WITH CLEAN MEDIUM SAND PER GR VEL i Lx PROP. 11000G B.
TITLE 5 DRI WAY' O 41 PUMP CHAMBER '" TRUST
\ s / 1
\ / 100 AUGUST 20, 2015
,p \ EXIST. 1,000G
LEACH PIT
0 G o, ` OF ss9
0
ELECTRIC METE / �� D R N s
UTUTY POLE / rp-
BENCHMARK TAG BOLT I �' �x 2 100 �-E pG oFROV o. 1 0
a #127 EL=103.0- 3 MAP 140 e, w
�. PCL. 164 Rf6/ST
100 { PROP. 5 FT. NIT MR(
�P�
30"I MAPLE SOIL REMOVAL 20 '
CATCH BASIN ® l
'pp MEYER & SONS INC.
SCALE: 1"=30' P.O. BOX 981
1
E. SANDWICH , MA 02537
VARIANCE REQUESTS - MAXIMUM FEASIBLE COMPLIANCE PH. (508)360-3311
PER BARNSTABLE BOH REGS: fax (774)413-9468
1) A 47.0 FT. VARIANCE FROM BARNSTABLE BOH REG. TO ALLOW PUMP CHAMBER TO BE A MIN. OF 53' FROM BWV VS REQUIRED 100 FT. meyerandsonstitle5@)gmail.com
www.meyerandsons.com
I
I SHEET 1 OF 2 J 1697
ELEV. TOP ' NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FOUNDATION A PROVIDE H2O RISERS WITH RINGS & COVERS OVER WATER TIGHT BOX/PUMP, POWER, NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:99.25
ALL COMPONENTS AND SET TO FINISH GRADE AND FLOAT CONTROL CABLES FOR A DISTANCE OF 15' AROUND THE
(Existing) LOCATED ON THE EXTERIOR F.G. EL 100.0 MAX.) PERIMETER OF THE SAS.
F.G. EL 100.0
101.4
F.G.EL: 99.0-96.0
EL.97.8t EL.97.8t
F.G.EL: 96.0 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2"
a e STONE OR FILTER FABRIC DOUBLE WASHED STONE
EL. = 95.60
INSTALL INV.=98.50
INV.=98.70 D-BOX
I TEE SHALL NOT EXTEND E3 E3®® 0 ®®13 3
`+ EL: 94.57 10. 14" EL.95.30t 2 SCH 40 t C (USED 5(io)NE 2' EFF. DEPTH ®®®®®®®®®®®
�t UQUID EL:94.32 10. FORCE MAIN ®®®®®®®®®®®
EXIST. OUTLET: WL GAS BAFFLE 1
PUMP-ON 22" 4' 4 X 8.5' 4'
6" CRUSHE .. .
STONE(TYP.3 EL:94.25 PUMP OFF 1 EFFECTIVE LENGTH = 42'
EXISTING 1.000 GALLON SEPTIC TANK 9.
Am Am INV. ELEV.= 98.25
INV.=94.50
NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PROPOSED 1,000 GALLON MONOLITHIC PUMP CHAMBER
PIPE INVERTS PRIOR TO CONSTRUCTION.
2) SEPTIC TANK, PUMP CHAMBER AND D-BOX SHALL BE (instollolltion of pump chamber to be reversed) I
SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY SEPTIC SYSTEM PROFILE
COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED
IN 310 CMR 15.221(2).
3) INSTALL INLET & OUTLET TEES AS REQUIRED. N.T.S.
DOSING & STORAGE REQUIREMENTS SOIL LOGS P#:14789 Elev. TP-1 Depth Elev. TP-2 Depth
BREAKOUT
DAILY FLOW: 550 GPD
99.60 0" FILL 99.70 0" TOP CONC. ELEV.= 99.25 ELEV.= 99.25
DOSING REQUIRED: 4 CYCLES DAY DATE: AUGUST 12, 2015
FILL
/ (SAND) SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 97.93 A 20" 98.03 A 20" INV. ELEV.= 98.25 � la"13
550 = 4 = 137.50 GALLONS/CYCLE WITNESS: DAVID STANTON, BARNSTABLE HEALTH LOAMY SAND LOAMY SAND ®®®86
DISTANCE REQUIRED BETWEEN PUMP 1oYR 3/1 1GYR 3/1 as®ae
ON AND PUMP OFF FLOATS: 97.35 B 27' 97.45 B 2T BOTTOM EL:= 96.25 ease®
4' S FT.
137.50 GAL/CYCLE_ 250 GAL/FT = 0.55 FT/CYCLE (7") PERC RATE <2 MIN/IN ("C' HORIZON) LOAMY SAND
NO GROUNDWATER OBSERVED 10YR 5/8 LOAMY
R 5/8D SEPARATION 5.00 FT. EFFECTIVE WID
STORAGE REQUIRED ABOVE WORKING LEVEL: 550 GALLONS 96.10 C 42" 96.20 C 42"
STORAGE PROVIDED: GROUNDWATER ® EL 88.10 PER TOWN ADJ. GROUNDWATER EL. 91.20 SOIL ABSORPTION SYSTEM (SECTION
INV.(IN) EL: 94.25 - ALARM ON EL: 92.05 =2.20' GROUNDWATER CONTOUR MAPS PERC ® 94.10 MEDIUM SAND MEDIUM SAND (500 GALLON LEACH CHAMBER)
STORAGE PROVIDED = 2.20' X 250 GAL/FT = 550.0 GALLONS WELL: MIW-29 ZONE: B 2.5Y 6/4 2.5Y 6/4
LEVEL: 8.8 ADJ: 3.1
USE ELEV. 91.20 AS ADJUSTED GROUNDWATER
88.60 132" 88.70 132" DESIGN CRITERIA
• 1, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 NUMBER OF BEDROOMS: EXISTING 5 BEDROOM DWELLING
to conduct soil evaluations and that the above analysis has been performed by me consistent with the
requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN
INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING PROVIDE WATERTIGHT CONCRETE RISERC`lA'r GARBAGE GRINDER: NO DAILY FLOW: 110 G.P.D./BR
WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM WITH SECURED COVER TO GRADE (H20 LOADING) DESIGN FLOW: 5X110GPD = 550 G.P.D. (MIN REQ'D)
FLOAT TO GP 2000 HIGH WATER ALARM PANAL ON
CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. NEMA 4 JUNCTION BOX CORROSION RESISTANT SEPTIC TANK: 550 gpd x 200% = 1,100 gpd USE EXIST. 1,000 GAL SEPT. TAN
& LIQUID-TIGHT CABLE CONNECTORS SUPPORTED PROP. PUMP CHAMBER:' USE NEW 1,000 GAL MONOLITHIC PUMP CHAMBER
HOISTING CABLE 7x19 STAINLESS STEEL BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE
1/8" DIAMETER. / 1,760 LB. STRENGTH- WATERTIGHT PROP. DIST. BOX: USE H2O DB-5
OF �9S 2'BALL VALVE w/UNIONS SCH. 80 PVC
f9Cy PC INV.([ GEORGE FISHER CO. MODEL NO. 560 OR EQUAL LEACHING AREA REQUIRED: (550) /0.74 = 743.24 S.F.
0 1 1/a"SCH. 40 DISCHARGE TO VALVE BOX USE FOUR 4 500 GALLON PRECAST LEACH CHAMBERS
o DAR EN M. ✓�
r^ PUMP D ETA I L ALARM ON EL: 92.05 2"SCH. 40 TEE w/ CLEAN-OUT CAP '
4 STONE N A x 1 W x W/ S O E O ALL SIDES: 42 L 3 2 D
`N / 4 N.T.S. PUMP ON EL• 91.55 PROVIDE 1/4" WEEP HOLE IN DISCHARGE
PUMP OFF EL: 91.00 22" PIPE FOR SELF-DRAINING FORCE MAIN BOTTOM AREA: 42 x 13 = 546 SF
16' SIDE AREA: (42 + 13) X 2 X 2 = 220 SF
9' 1 2" BALL CHECK VALVE SCH. 80 PVC
BOTTOM OF UNIT EL 90.25 100 P.S.I. FLOWMATIC MODEL No. 2085 TOTAL SQUARE FEET PROVIDED = 766 vs. 743.24 REQ'D
' NITAR�a� 2" SCH. 40 PVC DISCHARGE PIPE DESIGN FLOW PROVIDED: 0.74(766 S.F.) = 566.84 G.P.D. vs. 550 G.P.D. req'd
)� CHAMPION CPEE5254 PUMP, 0.5 hp, 115v, SINGLE PHASE
r� J PROVIDE 2- WIDE ANGLE FLOATS, PROPOSED SEPTIC SYSTEM UPGRADE PLAN
FLOAT NO.1: PUMP ON/OFF (BARNES(BARNES0 61 EQUAL) I NOTES-
FLOAT EAST BAY ROAD, OSTERVILLE, MA
FLOAT N0.2: ALARM ACTIVATION (BANES 073612 OR EQUAL) � 1. ALARM TO BE AUDIOVISUAL AND ON
PUMP CHAMBER AVAILABLE AS A UNIT THROUGH SEPARATE CIRCUIT FROM PUMP.
SHOREY PRECAST CORP., YARMOUTH MA. (800) 439-0956 1 2.) ELECTRICAL PERMIT REQUIRED. Prepared for: DeWitt Family Reatly Trust
PUMP & ACCESSORIES AVAILABLE THROUGH J&R SALES AND SERVICE (508) 823-9566 3.) ALARM TO BE LOCATED IN AN EASILY System Design and Site Plan by: SCALE DRAWN DATE:
ACCESSIBLE EXTERIOR LOCATION. Meyer&Sons,Inc. N.T.S. DMM 08/20/15
' 4.) PUMP TO BE INSTALLED IN STRICT PO BOX981
CONFORMANCE PATH MANUFACTURERS SPECS EASTSAIVOMCH,MA02537 REV. DATE: CHECKED SHEET NO.
h' 5.) PUMP CHAMBER TO BE FACTORY WATER SEALED 5083s2-2922 n/a DMM 2 of 2
1