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0347 EEL RIVER ROAD - Health
347 Eel River Road Osterville E A= 115 —001 i ,a No. C ®V V V Fee THECOMMONWEITH SWUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OFBARNSTABLE, MASSACHUSETTS Yes 01ppYication for Disposal 6pstetn Construction permit Application for a Permit to Construct(1-r— Repair( ) Upgrade( ) Abandon(L)-- [�t omplete System ❑Individual Components Location Address or Lot No. 3417 Eel i2,`ver !2o Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 1 i 3 ora( 39 7 Ee/ le%ver 804IJ I Iler's Name, dress,and Tel.No. -7 71--934y Designer's Name,Address,and Tel.No. Q�✓C�'—� CA I W� "\ SV 11,'1/h 11 L'ns k��ri h P des 5-09 Y2_9-3311 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) `,�B gpd Design flow provided G 7/,7 gpd Plan Date_ !3/7�Z0/ Number of sheets ( Revision Date S122_119 Title .Sih (/,eAjeA4 Size of Septic Tank 2 - Sao (,.4 Type of S.A.S. 7 SOo Gcf[/oA Cj sm gr S Description of Soil Tµ-1— ® [dot F,t Lw�/�� M - F;he 5��d 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 Environme od nd not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt Signed Date Application Approved by / �- Date Application Disapproved by /' Date 3'77 j for the following reasons A.A — c Permit No. azA IC—D-W Date Issued 3�;r-i-;-,„„�A`s:,`.....--^" .�..r.- .ajr:.w•-.-A--v.+:r-A ,�iJ�y. '�'.?'� s.,t ,� '1+. . ._'' n :..;..,. •.. L.w r. ,` _ w'--_ No. ���� V t' '' fV Fee ) + THE 6 MONWE TH10F MA$SA USETTS Entered in computer: PUBLIC HEALTH DIVISION - TQ6 BARNSTABLE, MASSACHUSETTS Yes 11pplILatlon for DI tJOqY` p8teltl Construction permit � r V 1 pplication for a Permit to Construct.(lo)' Repair( ) Upgrade( ) Abandon(4•)-- `Complete System ❑Individual Components Location Address or Lot No. 3Y- Eel ,'w�rt Owner's Name,Address,and Tel.No. Assessor's Map/Pazcel !! ;AC, I _ Installer's Name,Address,and Tel.No. -71 t_. Jqq Designer's Name,Address,and Tel.No. ✓��, l/�i et t=•°a�!lK Rr r."h Type of Building: Dwelling No.of Bedrooms (o Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 12e 3;�Ph�>"g No.of Persons Showers( ) Cafeteria( ) Other Fixtures r, Design Flow(min.required) �( d gpd Design flow provided 7/ ,7 gpd Plan Date 1/7!_ Number of sheets ( Revision Date 2211,51 s 'P Title r _rA, -eAl eA~� S Size of Septic Tank 2 5�<i°` ,((raer 1' Type of S.A.S. ��- i f70 �i�,llch (&.{X f I 4, Description of Soil TPA— a—161' „�1'!� !Ci. ;0 e ✓ &Xf 1-4 Al17191 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 1 accordance with the provisions of Title 5 of the Environmmeen'talICod not to pace the system in operation until a Certificate of Compliance has been issued by this Board of Health,/' • Signed ,,� , _... Date '? �11k1/ Y Applicatio Approved by ` it r ,/.f� f Date Application Disapproved'by m." • '_7 I L Date for the following reasons Permit NO. Date Issued ---:. -- - _ _z: t__}L .__ -- - - • --- ---------- ----•------•---------------- --•--------------- ----_ - �� ` THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS _ {_ f!^'�oc (Certificate of Compliance THIS IS TO CERTIFY,tha the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by 6-I e° -:Q L4 �� I L7,U of S-- C>_14!-�J ` at 3 q 7 Se l?oao has been constructed in accordance \ f with the provisions of Title 5 and the for Disposal System Construction Permit No idated Installer Designer -ic�Alt,prrk Eny_(/✓t(°e^/_'h( ..r #bedrooms Approved design flow gpd The issuance of this permit jshall not be construed as a guarantee that the syste f i fi'o-- ads designed. Date / 6 i l I Inspector - - - -------- -- No. a�� -' Fee ,T"�'^°^` THE COMMONWEALTH OF MASSACHUSETTS J PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit r Permission'is hereby granted to Construct(��" Repair( ) Upgrade( ) Abandon( ) System located at4/ye l�°�'V t and as described in theabove Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date W 1 Approved by nX lrV (4""/ AVie r r � r -25-2019 01:18 From: To:15087906304 Pa9e:1/1 Town of Barnstable Inspectional Services q i Public Health Division Thomas McKean,Director 039. 200 Main Street,Hyannis,MA 02601 OfF7ce: 508-862-0644 Fax: 508-790-6304 Installer&Designer Certifi tion Form Date: Sewage Permit# -101-1 Assessor's MapWarcel—I[IDL ,,A rIA111,Alpr Designer: ? Un'�a� taller: - 6i'1 Address: Address: '[J W1 MA N�ct hvls �ls� M-A On � was issued a permit to install a (dat ) U r (inst er) septic system at O" based on a design drawn by (address)) i uisted Z igaer ,., ✓ I certify that the septic system referenced above was installed substantiall according to the design, which may include minor approved changes such as lateral relocation of the i distribution box and/or septic tank. Stnp out (if required) .was inspected and the soils i were found satisfactory. I certify that the septic system'referenOW 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 thv system referenced above was constructed in th the to rms of e 11A the al letters(if applicable) OF Masi o JOHN N0.48189 (Installer's Signature)- A90 9FC/STER�� �Fss/OVAL E�°1. . esigner s Signature) ( uc Designer's Stamp Here LEASE RETURN BAUSTABLE PUBLIC TH D S N. C TIFI TE OFOMPY.I A WII• IVED B'K NOT E S BARNNUMWu BL A"JuBP li C uIELA—S F TId DA S><AN. THAN OU. . 11m�GeyiSW EAL 171lSEWER coin►cd SEpnC001aW er Cer lnr4Won Form Roy&W 13.DOC i s �(� t �-�, _ _ r Dor_: 1r351r112 07-25-2018 11 :0S BARNSTABLE LAND COURT REGISTRY DEED RESTRICTION WHEREAS,B.F.Saul,I1,Trustee of 347 Eel River Road Realty Trust,of Chevy Chase, s Maryland,is the owner of 347 Eel River Road,Osterville,MA(hereinafter referred to as 347 Eel River Road) and described in a deed duly recorded at Barnstable County. � Land Registration Office as Document No.1340104 and Certificate of Title No. i 215382 as Lot 19 on Land Court Plan 2664-21. U V WHEREAS,B.F.Saul,II,Trustee,as the owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code,Title V Minimum Requirements for the Subsurface. Disposal of Sanitary Sewage. WHEREAS,the Town of Barnstable Board of Health,as a pre-condition to granting a ' disposal works construction permit for a septic system in compliance with 310 CMR a] 15.200,State Environmental Code,Title V Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and authorizing the issuance of a building permit for the construction/renovation of the existing dwelling and accessory structure which presently contains six (6) bedrooms,the Town is requiring that the fl agreement for the restriction on the number of bedrooms in any house constructed M on the lot be put on record with the Barnstable County Registry of Deeds by b�— recording this document. NOW THEREFORE,B. F.Saul, II,Trustee,does hereby place the following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon successors in title:This restriction shall lapse in the event the landowner installs an approved septic system capable of handling flow for the allowance of additional bedrooms or the property is connected to sewer,or if the regulations change allowing additional bedrooms as a matter of right or if the Barnstable Board of Health approves the inclusion of additional bedrooms or other approved relief is granted to the Owner or its successor in interest. 1. 347 Eel River Road presently has a home constructed with six(6)bedrooms. B.F.. Saul,Il,Trustee,agrees that this shall be a deed restriction affecting the building located on 347 Eel River Road,Osterville,MA. For title,see deed recorded as Document No.1340104 and Certificate of Title No. 215382 at the Barnstable County Land Registration Office. Executed as sealed instrument this 2- da 2018. B.F. au ,Il,Trustee of the 347 Eel River Road Realty Trust ffCOMMONWEALTH OF MASSACHUSETTS County o On thivath day of 2018 before me,the undersigned notary public,personally appeare F.Saul,II,as Trustee of the 347 Eel River Road Realty Trust and proved to me through satisfactory evidence of identification,which was [ ] V1 S MaQ V_ &3� .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. Notary Public: 'My Commission Expires: SUSAN 0. KING Notary Public CAUYOMMEALTH OF MMSAMSEITS My Commission Expires Ut February 21, 2025 j BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register t _ Dom= X �a�lsill n7-2S—?n1� II :�aS t?ARNSTABLE LAND COURT REGISTRY rTTustee's Cei t tleate Pursigattt to M.G&Gv. 184, § 35 AN L AN AN AN Name of TruOst': e A River F�altL y Tnisg L FF I A NOT NOT NOT NOT Dated. AN AN AN AN I,B.F. Saul,R,MK� 'thPF�0,%�Rer R9�0fioTru?F,gffib6laration of Trust dated February 8,2018,an abstract ofNNOT which is recorded in the Land Registration Office of the Barnstable Coun�jegistry of D as Docume%�o. 1340221N ertificate of Title No. 215382,hercffEjrGisfol4b�ICIAL OFFICIAL OFFICIAL COPYY COPY COPY COPY (a).I am thelq=nt and solaqTmtee of the TM; NOT AN AN AN AN (b).The DERM&IMull QFZI&$P&fectOffMRQ1&bt bd%HWaiiWd or modified except of record a not been RQF*d as of thON(Yhereof, COPY (c).I have M9��Tp ower an0QW1ority undeVY& terms of 4TTrust to enter into a deed restrictionACth the ToA bf BamstablJ&ard of HeAM pertaining to the property locata'OFX8A Ab RiW�hg#, 'terW-*Aid OYEIICC17AL COPY (d).There arg facts whicMT'stitute conk s precedeTA6(racts by the trustee or which are in any er manner g%Rane to affairsA the Trust. AN OFFICIAL OFFICIAL OFFICIAL OFFICIAL COPY COPY COPY COPY (This section left blank intentionally) INE : DATE: $95.00 FEE*: • BARN3fABLE * I+,y ��• REC.BY: 1659. 1% Town of Barnstable e' SCHED.DATE: Board of Hbalth d f 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul J-Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. Junichi Sawayanagi VARIANCE REQUEST FORM LOCATION Property Address: 5Li r—ed I`woo coa _1 �o, t /�k Assessor's Map and Parcel Number: 1\� �0 Size of Lot: •� �(Q_S Wetlands Within 300 Ft. Yes V Business Name: No Subdivision Name: APPLICANT'S NAME: Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name:�• �LI�I C�(7 F L�LIV� e. YA 'AR% same: Cf lts�( 'L INJ GlY1(��I 11111Vlt1� �'�I wirl") `,,f � > Cc�s u t-I,>19 Address:'Ino, VV 1S(�1y1w Ave,N..��()� Address: 1 ( Ct(lj Q l(�I��, �0��(w l�.f �e-�h-�-scla, �� �vSt q�1 iJ2lo SS Phone: Phone: EMAIL: h(k _ lvemlmg i ffn VARIANCE_ FROM'REGULATION(Intl-Reg.Code fi)'REASON FOR VARIANCE(M attach separate sheet 9 more space needed) tm i T, E 0 6humber CMIL 15, z2.I CI eq+S NATURE OF WORK: House Addition House Renovation LJ Repair of Failed Septic System Checklist (to be completed'6y office staff-person receiving variance request application) Please submit first four on list as 5 collated packets. A. Five(5)copies of the completed variance request form B. Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: health@town.barnstable.ma.us D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. Signed letter stating that the property or business owner authorized you to represent him/her for this request _✓ Applicant must notify abutters 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—Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted*$95.00 for the following variances: 1)New construction, 2) Septic repairs with increase in flows, and 3)New owner/new lessee applying for food, pool or body art variances. Exemptions from Variance Fee: 1) Septic repair without an J increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Donald A.Guadagnoli,M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\QDLJENHC\VARIREQ Rev APR 4- 2018.docx Engineering & T � 1 V 1 Consultin Inca (508)428-3344 P.O Box 659 7 Parker Road,Osterville; MA 02655. Fw? seci@sullivanengi xom �. www.sullivanengin.com q ' M- D mn r May 7, 2018 �" r Board of Health Town of Barnstable 200 Main Street Hyannis, MA 02601 RE. B.F. Saul ff 347Eel River Road, Ostemfle Dear Board, 5 Please find attached the variance request form, engineered plan, seven-page checklist, floor plans, owner authorization letter and abutter notification letter for the above referenced property. The applicant purchased the property in February 2018. According to the assessor's records, the property has been developed since 1921. The current septic system has failed and needs to be replaced. A variance to the Town of Barnstable Chapter 360-1 Location of septic tanks and pump chamber with respect to water bodies. A variance is also required from 310 CMR 15.221(7) Depth of Components. As further required by the regulations,we believe that not allowing the septic improvements as proposed would do manifest injustice to the environment. I trust this meets your present needs. Please feel free to contact me with any questions. Very truly yo Xs, 4 t Chuck Rowland, P.E. Sullivan Engineering&Consulting, Inc. Page 1 of 1 d 1 Town of Barnstable Barnstable Board of Health i639 nA SS. 200 Main Street, Hyannis MA 02601 . 0 a►to1° 2007 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 JunichiSawayanagi Donald A.Guadagnoli,M.D. August 25, 2014 Mr. Chuck Rowland Sullivan Engineering, Inc. PO Box 659 Osterville, MA 02655 RE: 347,Eel River Road, Osterville A= 115-001 Dear Mr. Rowland, You are granted variances on behalf of your client, B.F. Saul II, to construct an onsite sewage disposal system at 347 Eel River Road, Osterville. The variances are granted as follows: Section 360-1 of the Town of Barnstable Code: To install a pump chamber 25 feet away from a coastal bank, in lieu of the minimum on-hundred (100) feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install a septic tank 27 feet away from a coastal bank, in lieu of the minimum on-hundred (100) feet separation distance required. Section 360-1 of the Town of Barnstable Code: To install a second septic tank 78 feet away from a coastal bank, in lieu of the minimum on- hundred (100) feet separation distance required. 310 CMR 15.221(7): To install a septic tank and soil absorption system greater than three feet below finished grade (but less than six feet below grade). These variances are granted with the following conditions: 1. Revised floor plans shall be submitted showing the floor area of each interior room in square footage (excluding hallways, bathrooms and unfinished storage areas). Q:\WPFILES\Rowland347EelRiverRoadVariances2018.docx r � • i ! t 2. No more than six (6) bedrooms maximum 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 I Environmental Protection. 3. The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to six (6) bedrooms maximum. A .copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. 4. The septic system components shall be installed in strict accordance with the engineered plans dated revised May 22, 2018. 5. The designing .engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that .the system was installed in substantial compliance with the revised plans dated May 22, 2018. 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. ncerel our ` YY Q:\WPFILES\Rowland347EeIRiverRoadVariances2Ol8.docx Ate. , { m&of Barnstable 200MaIIA7R _ ( Hy n.ni MA 0260} - { R # 7t&Rivi ,R \Q &qp : Dear I.Adiesand Gentlemen, . Pjeaseacmpt 4 � t %0�aton: u a 6�ni Udr ¥ui# i nc k Consulting, Inc.represent mys .1 F. SaulIII c/oo1 N SaulCoMpapy&Afli|itd Ow / (!) Wisconsin Avenue, 1 ){F#c i c Mb 81,c m J\ %r the'wnv tarn>ub\related to ( designing,improvifig,mv n,u7 %$ r:4oatlli!%#n m ( . ? :p : 347 ( Ex-t River#o& scl- 1 # h 7 anyquestions,ac t this 1!i l r:/babes&+tme at Thankyou, } By Saul# . } � ( Town of Barnstable Geographic Information System May 7, 2018 115002 #333 , " 115013 #308 115022 #379 115030 ?#339 11502 8 34 115029 #374 115014 :.:.114023::;::i r.'.t7•.{:._-'::`:':•r::i;_:fi�, `"::`.`:.i::ii�.t.:�?.;:.j::'' #390 `.•'C'.#355'•`•i>�:t�Z�:':-:,:•:::;Fr:i i f:�:.�f�`�.{'::f:'i::•:'�c':i t•::::;:;_,;;'..:>:,,'. L^ 114066 114005001 #375 #168 114022 114006 #395 #150 114064 0 50 Fe(!t40 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:115 Parcel:001 Board of Health 117-1 boundary determination regulatory interpretation. Enlargements beyond scale of 1"=100'may not meet established Selected Parcel map accuracy standards. The parcel liness on this map Abutter List Type-Direct abutters(no set distance)and the properties located are only graphic representations of Assessor's tax parcels. They are not true property across the street. Abutters boundaries and do not represent accurate relationships to physical features on the map such as building locations. Buffer AbutterReport Page 1 of 1 Board of Health Abutter List for Map & Parcel(s): '115001' Direct abutters (no set distance) and the properties located across the street. Total Count: 4 Al close ......... ......... ......... ......... ......... ...... ..... Map&Parcel Ownerl Ovvner2 Addressl Address 2 Mailing Country Deed CityState2ip 114023 SAUL, B FRANCIS II 7501 WISCONSIN WEST TOWER BETHESDA, MD C115201 &PATRICIA E AVENUE STE 1500 20814 115001 CAPE FLORIDA JEL, %LAWLER, DAVID V 347 EEL RIVER RD 540 MAIN ST HYANNIS, MA C140826 INC TR REALTY TRUST SUITE 8 02601 115028 WALLACE,JOHN J& 344 EEL RIVER PO BOX 156 OSTERVILLE, MA C190414 CATHERINE J ROAD 02655 115030 SMAIL, PETER J& 339 EEL RIVER OSTERVILLE, MA C198302 MARIA G ROAD 02655 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 5/7/2018. http://maps.townofbamstable.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 5/7/2018 r 40ring ,&V U I'M SA 11TC048W04 901RC **** ABUTTER NOTIFICATION LETTER**** RE: Board of Health Public Hearing As a direct abutter of a proposed project,please be advised that a Variance Request has been filed with the Town of Barnstable Board of Health. The specific information is as follows: Applicants: B.F. Saul II Project Location: 347 Eel River Road, Osterville Map 115 Parcel 001 Proposed Project: Proposed installation of a new septic system requiring a variance from the Town of Barnstable Chapter 360-1 Location of septic tanks and pump chamber with respect to water bodies: and State of MA Environmental Code: Title 5 310 CMR 15.211 (7) Depth of Components. Applicant's Agent: Sullivan Engineering& Consulting, Inc. 7 Parker Road, P O Box 659 Osterville, MA 02655 phone: 508-428-3344 Public Hearing: Date: May 22, 2016 Time: 3:00 PM Place: Barnstable Town Hall, 367 Main Street, Hyannis, MA Hearing Room Plans and the application describing the proposed activity are on file at the Board of Health office, 200 Main Street, Hyannis and at Sullivan Engineering& Consulting, Inc.'s office. Please call if you have any questions regarding this notification. Please call the Board of Health on the day of the Public Hearing to confirm the location and time for the hearing. Kam(-4u4 WUJ TOWN OF BARNSTABLE LOCATION-34-7 , L=L SEWAGE# \-Q IV-' �O JILLAGE C99,L'1WLL_Lk ASSESSOR'S MAP&PARCEL � UO INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY -•pp.�Ott T.4N t-Q ��G ��— p?L-. LEACHING FACILITY:(type) '•p s*(�1�}— (size) =4 X NO.OF BEDROOMS � J a� .�i ps=uff 0 1Z OWNER Eel r,vip f/ M• PERMIT DATE: -'- , -p COMPLIANCE DATE: (0b) da 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) N Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) '«4 Feet FURNISHED BY 4Y7 3 Ce( ��� • A? e+ 36 3- S 33- �455 TOWN OF BARNSTABLE LOCATION 00 1 SEWAGE# i �EXEX-F VILLAGE ASSESSOR'S MAP&PARCEL i 14 pv f INSTALLER'S NAME&PHONE NO. L• ��D�t Z1-���j� , SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �1®,1 41�fo tr (7) (size) /1 ',K / NO.OF BEDROOMSI'�c��J OWNER .t✓ v er G1 v PERMIT DATE: ���.-/P COMPLIANCE DATE: a Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility f. 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) 74 Feet FURNISHED BY Y°. n Alla Town of Barnstable P# Department of Regulatory Services snrwernsu. Public Health Division Date � 161 200 Main Street,Hyannis MA 02601 °jE p MIA't Date Scheduled Time /L Fee Pd. Soil Suitability Assessment for Sewage Dis osal Performed B - `U witnessed By: LOCATION&GENERAL INFORMATION Location Address Owner's Name "ail Ee � �ZI�cZ rz� . n��p y� 1(- 1al gzC0� Address C�p 9/An<rAW C �5�C 11(►� I 4io (VI&VI .0, Nam, AM Assessor's Map/Parcel: 1 Engineer's Name NEW CONSTRUCTION REPAIR `' Telephone# C. J q L Land Use �.�i �"� Slopes Surface Stones Distances from: Open Water Body 6 b d ft Possible Wet Area 2 ft Drinking Water Well ft r Drainage Way ft Property Line � ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximJ ty to holes) Ch N13 - x3ar Parent material(geologic) dG� s Depth to Bedrock �® Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater (�S DEWERNIINATION�'OR SEASONALPGH WATER TABLE Method Used: b�O S� c�(i' Oh P" - (nJ 44 4. Depth Observed standing in Ms.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST Date 5 3Time << Observation Hole# Time at 9" Depth of Perc 3 b r Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak �'h Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,ConsigLqRcy,° Gravel 30- 0 � C � Fof/ �/` 3e- f3Z ✓y ,SaAa( ° � 2 DEEP OBSERVATION HOLE LOG Hole# 2J Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consist c ° e Y- krcl Pack (o- 3a`° 13 Boa co Y I? 30 r Lo DEEP OBSERVATION HOLE LOG Hole# Depth from oil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc ° Gravel)_ DEEP OBSERVATION HOLE LOG Hole# Depth from oil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,° Gravel Flood Insurance ate Ma : y] Above 500 year flood boundary No G v Yes Within 500 year boundary ' No_ Yes Within 100 year flood boundary No ,V Yes Depth of Naturall v Occurrin Pervious Material Does at least four et of naturally occurring pen ious material exist in all areas observed throughout the area proposed for ie soil absorption system? S If not,what is the epth of naturally occurring p6rvious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required tra' • ,expertise and ex erience described in 310 CMR 15.01�7 Signature nz Date J' QASEPTICIPERCFO .DOC 4 � r MF Tp� Town of Barnstable Barnstable T Regulatory Services Department ;mdcaC j IARNSTABM F 9� 6'9. ,�� Public Health Division m °MVA�A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7015 1730 0001 4987 6988 February 12, 2018 —Revised Year Date CAPE FLORIDA JEL, INC { 866 ROYAL PALM BLVD VERO BEACH, FL 32960 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 347 Eel River Road, Osterville,was inspected on 01/15/2018 by Robert Paolini, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: s; • Single cesspools are not permissible. The two (2) single cesspools must be removed or abandoned properly, and replaced. The metal septic tank must be replaced. You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOA OF HEALTH Thomas c ean, S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\347 Eel River Road Osterville Revised YEAR date.doc a QA 3,���off . pia i j � .. • Ir r- - ^a . 43 Certified Mail Fee Extra Services&Fees(checkbox,add fee as appropriate) ❑Return Receipt(hardcopy) $rq Q ❑Return Receipt(electronic) $ RP S ar 0 ❑Certified Mail Restricted Delivery $ Here r3 ❑Adu@ Signature Required $_ []Adult Signature Restricted Delivery$ O Postage m $ r-1 Total Postage' - - $ 1_ -CAPE'FLORIDA-JEL_JNC Sent To 866 ROYAL PALM`BLVD ro Street and Apr. VERO BEACH, FL 32960 :.. r r r rrr•� Certified Mail service prgvides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. :associate for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this_ delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides 1 for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. -Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified •Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retaiq. of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a. certain Priority Mail items. LISPS postmark.If you would like a postmark on rn ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for r the following services: I postmarking.If you don't need a postmark on this -Return receipt service,which provides a record -Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply F You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version:For a hardcopy return receipt, x complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTANT Save this mcelpt for your records. PS Forth 3300,Apoi 2015(Reverse)PSN 7530-02-000.9047 I ® Complete items 1',2,and 3. 7B. ig5a, r'e N Print your name and address on the reverse ❑Agent so that we can return the card to you. ❑Addressee o Attach this card to the back of the mailpiece, Received by ftin d ae)r, Date ofPeliv ry or on the front if space permits. _ C AV e-" h C• ' ` jr?j_ 1. F D. Is delivery address different from item 1? ❑Yes R r _ If YES,enter delivery address below: ❑ty�'??F CAPE FLORIDA JEL, INC� 866 ROYAL PALM BLVD V;ERO BEACH, FL 32960 3.II I DIII�I IDI ICI I II II I I I I IIIII I I ID I it I I i III 11❑ dulltSgn Signature Restricted Delivery ❑Reggistered Maid Reice Type 0 Prio'eliy Mail stricted 9590 9402 1933 6123 1781 32PIP ertified Mail® Delivery ❑Certified Mail Restricted Delivery �Retum Receipt for ❑Collect on Delivery 1 Merchandise 2. Article Number_(rransfer_fro_m secmra.._laban -- O Collar.+ pelivery Restricted Delivery ❑Signature Confirmation*"^ it + w' ❑Signature Confirmation 7 015 17 3 0.1.:4 9 8 7 6 9 8,8 .o.W u Restricted o1i,y+ Restricted DeIlGery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACl9NG# First-Class Mail Postage&Fees Paid °USSPS Permit No.G-10 �.1�-+��1 MI 9590 9402 �933 6123 1781 32 United States •Sender:Please print your name,address,and ZIP+4®in this box* N Postal Service — 'Town of_Barnstable f Health Division 200 Main Street I Hyannis,MA 02601 !� I 00200 rr�irlr�rrllr, r�llrfi��lr!!ll`lrrr�ll ��rrllr°rii,l,���,r�rl�i,�r r w Town of Barnstable Barnstable °^ Regulatory Services Department A*AnmdcaQ1" BARN8TA8LE. ' t r MAW 1639. ,, Public Health Division m 200,Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7015 1730 0001 4987 6933 February 12, 2017 CAPE FLORIDA JEL, INC 866 ROYAL PALM BLVD VERO BEACH,FL 32960 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 347 Eel River Road, Osterville,was inspected on 01/15/2018 by Robert Paolini, certified Title V Septic Inspector.for the State of Massachusetts. The inspection of the septic system showed that the system "Fails under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Single cesspools are not permissible. The two (2) single cesspools must be removed or abandoned properly, and replaced. The metal septic tank must be replaced. You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF TH OARD OF HEALTH Th mas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters MailingTailed or Needs Further Evaluation Letters\347 Eel River Road Osterville.doc - Town of Barnstable i Aa GPI�T�FfF f Regulatory Services Department Public Health Division 200 Main Street,Hyannis MA'02601 Office- 508-862-4644 Richard Scali,Director FAX 508-790-6304 Thomas A McKean,CHO Feb 6, 2007 Rev. 5111116 DEADLINES TO'REPAIR FAILED.SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) _ 'An`x"marked in the ❑is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑Discharge or ponding of effluent to the surface of the ground . ❑Pumping more than 4 times during the last year not due to clogged of obstructed pipe, :. ❑Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE(1)YEAR DEADLINE CRITERIA ❑Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑Any portion of the cesspool within a Zone 1 to a public well ❑Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis."(This system passes if the water analysis indicates the well is free fro on . TWO 2 YEAR DEADLINE CRITE r O0 . ❑Any"conditionally passed systems" (broken cover,relocation of a pipe,relocation of a driveway due to H-10 components, etc) o Leaching pit or cesspool with high liquid level,<12"below inlet(per Town Code §360-9.1) a Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER ❑ s` Repair deadline: WSEPTIMI)EADLINES TO REPAIR FAILED SYSTEMS.doc Im �. • Im I� - cp Certified Mail Fee Extra Services&Fees(check box,add fee as appropriate) ❑Return Receipt(hardcopy) $ ❑Return Receipt(electronic) $ �� ( .❑Certified Mail Restricted Delivery $ ere Here"s O ❑Adult Signature Required $ ❑AdultSignatureRestrictedDeliverv$_ p �. O Postage m $ •�PD'��( aTotal Postage and Fees CAPE FLOR I DA J EL, I NC $S - 866 ROYAL PALM BLVD n ent To C3 &ieetandAp£No.,orPo -VERO BEACH, FL 32960` r- i City State,ZIP+4�- � :.. r r� rrr•r Certified Flail service provides the following benefits: •A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the, •A record of delivery(including the recipient's retail associate. ' ' signature)that is retained by the Postal Service- Restricted delivery service,which provides nT for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders. Adult signature service,which requires the _9 ■You ma rohase Certified Mail service with 0- y.P; signee to be at least 21 years of age(not First=Class Mail®,First-Class Package Service®, available at retail). "17 or Priority Mail®service. Adult signature restricted delivery service,which ■Certited Mail service is notavailable for requires the signee to be at least 21 years of age, intamationaimail. and provides delivery to the addressee specified" •Insurance coverage is notavallable for purchase by name,or to the addressee's authorized agents with Certified Mail service.However,the purchase (not available at retail). , of Certified Mail service does not change the •To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a- certain Priority Mail items: USPS postmark.if you would like a postmark on •For an additional fee,and with a proper this Certified Mail receipt,please present your ay endorsement on the mailpiece,you may request e .Certified Mail item at a Post Office''for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion., of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can requests hardcopy return receipt or an, appropriate postage,and deposit the maiipiece. � electronic version.For a hardeopy return receipt, complete PS Form 3811,Domestic Refum Receipt;attach PS Form 3811 to your mailpiece; IMPORTANE Save this receipt for your records. Ps Form 3800,Apol 2015(Reverse)PSN 7530-02-000-9047 \�� �. V� � 3 �� a, �- ,, ® Complete items 1,2,and 3. A. Si 7ture le Print your name and address on the reverse X ent ®Mthat we can return the card to you. ddressee ach this card to the back of the mailpiece, B. Received by d Name) C. D e of D 'very ,,br on the front if space permits. oZ l D. Is delivery address different from item 1?1 ❑Ws I'll If YES,enter delivery address below: ❑No CAPEFLORIDAJEL, INCH I 866 ROYAL PALM BLVD I VERO BEACH, FL 32960 it 3. Service Type ❑Priority Mail Express®I BIII01 ICI DI I II II II I I IIII I II I II III I I I Adult Signature El Registered Mail ❑ ❑ R Adult Signature Restricted Delivery Registered Mail Restricted Certified Mail@ - ,,D elrvery 9590 9402 1933 6123 1785 45 ❑Certified Mail Restricted Delivery &:t1um Receipt for ❑Collect on Delivery // Merchandise 2. Article Number(Transfer from servirP laBpn ^" ^Delivery Restricted Delivery Signature Confirmation T ❑Signature Confirmation ^' # ;,p,,, ail 7 015 =13 3 i 0 0 01 i 4 9 8 7 6 9 3 3 ,$i' iil Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 bomestic Return Receipt � i USPS TRACKING# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 9402 1933 6123 1785 45 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service _l OSTown of Barnstable Health Division 200 Main Street Hyannis,MA 02601 I I I C:C3n'iir onwealan of IsilassaCnuseas - Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M a" 347 Eeel River.Rd, s i vgf�.iy a--loaf i.o. R4 CAPE FLORIDA JEL INC Owner Owner's Name ` information is . 0 terville MA 02655 1/15/174 Ql� l required for every � page. City/Town State Zip Code . Date of In In4mnae4inn raraidtc miiet hp ciihmif_ erl on Chic form_ Incnort nn forms magi not he a1tP_rP_[I in'antr way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms s/ y► �.0?8 on the computer, use only the tab. 1. Inspector: key to move your cursor-do not Robert Paolini use the return key. Name of Inspector Dn1�pr4 9,anlini Cnn4er Cpnrirp ' 17 Playground Lane Company Address Yarmouthport MA 02675 =1I ov€n - aae _ip i--oae 508 362-3555 A S 14454 Telephone um r License Number B. Certification i >v i lily ii�cti i i a ivt!�C€pus=.ctiiy 3i� c iGi ii iti c cti� iia p�j ai yaiGi 1: C U 110 CIUVI3--as- cxi P-4 M lei L'IU information reported below is true, accurate and complete as of the time of the inspection_ The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: - ❑ Passes F1 Cnnditinnaliv passes : R Fails ❑ Needs Further Evaluation by the Local Approving Authority 4 , 1/15117 The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****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. Mm!3•:ins i it:e b i_mic!ai•inspa_nvn Farm:_ubsu,ace uewage U ap*ull:y:,tE/mn•Fage 1 or 1 W f� I� 1 ..,`� Commf2nweann of rwassacnusens Title 5 .Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 347 Eeel River Rd. - CAPE FLORIDA JEL, INC Owner owner's Name information i e required for every Osterville MA 02655 1/15/17 page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) 11 I0jJW LiVI I QU111111CII Y. tr3 IUt�M P%iD,L,LJ VI C 1 ai Miiya UJI I II.JIGLC.CIII VI 0G1-UUI I Lj A) System Passes: ❑ 1 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 inAt-n+cri hclnuu ' Comments: ®j �yai�ate a��se►atia€t�a�e�-,� ����c�o ❑. One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system,.upon completion of the replacement or ,repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not -�GICi I13II ICU, I,JIG-wJC C.+I.JIGitI S- 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 inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. P4 I11VLQI �--p UL LQt IN ka1I1 li MPULAIVII 11 ILID.LI Ut.LUI cliiy Z�VUI It I, !IVL S°=Quit iV QI IU Ii Q%AS!LII KCILU VI Compliance indicating that the tank is less than 20 years old is available. ❑ Y ,. ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 it Coi79monweann of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 347 Eeel River Rd. CAPE FLORIDA JEL, INC Owner Owner's Name " information is required for every Osterville MA 026.55 1/15/17 page. CityTown State Zip Code Date of Inspection B. Certification (cunt.) u f urnp Gnamr)er pulnpsialarms not operational. -ystem will pass wan boam cr a;ealtn approval it. pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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 ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): I-1 rliefrihi o#inn hny io Ip�iclpr!nr rnnl�r.crl . n V i�l At I—I Njn /�vnlnin hQln%njv r I ne system requirea pull 1ping more tnan 4 times a yea;cue to Ir o:en or oosiru�tea pipe(s)- I ne system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety andthe environment: u uesspooi or privy is within 5u feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17' i f Co19 monweal€n of Massachuseus Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 347 Eeel River Rd. CAPE FLORIDA JEL INC Owner Owner's Name . information is required for every Osterville MA 02655 1/15/17 page. Cityrrown State Zip Code Date of Inspection B. Certification (cunt.) e. QYZIGlll 2!'ltll :cal® €llluab ki!U la4ddlu Vi € u al 'sl t_nilu ruuln, Vtle`Gl a-UPPIRUE, 11 ally] determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a'surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: I III0.'ay.7t--.1ll i.Jc10,1CJ li _IlG 7,11 -,VG1lG1 cal-ictlyJl.'3,.i.JCiiUl1-IIUU s2t C1 LJ_F_ L11 ICIA 1MJU1c-S•LUiy, IUi IVUcli coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: t , V; 0yzPlGl11 rcallulU Erl BLUR go- LU M@a 0y Z)LGl@§_-. You must indicate"Yes"or"No"to each of the following for all inspections: Yes No n n Backup of sewage into facility or system component due to overloaded Lor ciugged bAb ur cesspuui ❑ Z Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ❑x Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6" below invert or available volume is less t5ins•3/13 Title 5Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 rJ i i t.ommonvaeann or Massachusetts , - Title 5 Official Inspection Form 5: Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 347 Eeel River Rd. t CAPE FLORIDA JEL, INC Owner Owner's Name information is Osteryille MA 02655 required for every 1/15/17 page. City/Town State Zip Code Date of Inspection B.• Certification (cont.) ❑ 0 Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ❑X Any portion of the SAS, cesspool or privy is below high ground water elevation. n n Any portion of cesspool or privy is within 100 feet of a surface water supply or it luui&ly iU�:! 51.11ldQe dl.t!l SUPPlIf . ❑ 0 Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ 0 Any portion of a cesspool or privy is within 50 feet of a private water supply well. El 0 Anv portion of a cesspool or privv is less than 100 feet but greater than 50 feet frorrl 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] N e4!G.3�.31G1!ti.7ee-E.GS.7kJ;JVI .`3G3 V1114�.-dIE7l.tilty4di:i1 el�GJltj.i§ i14aFs VI-t�ri Ulj.t.1�3- . 10;000gpd. n 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. �sj ��r���yss�eee�. ev��arasee�aee�e�aa�seaea��sy�€ Bee a°e�ay�iceeeeeeer�€�Ge.��ca rA��eeny �,�€€� design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no to each of the following, in addition to the questions in Section D. Yes No Li i_I Ule.?sy-5l.e111 15` 11.11ll.l 14UU left'.:UI L1 SUliL-It:e UllilKillCy. WdLtl i bUpp:y ❑ ❑ 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 ❑ El Area—IWPA)or a mapped Zone II of a public water supply well or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section-D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3113 Title 5 Official Inspection Form:Subsurface sewage Disposal System-Page 5 of 17 Commonwealth o® Maaaacnusetta Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 347 Eeel River Rd. CAPE FLORIDA JEL INC Owner Owner's Name information is required for every psteryille : MA 02655 1/15/17 page. City/Town State Zip Code Date of Inspection C. Checklist !01 IGt,:^.it Lt IC IUIIUWI1 iy 11�_ e VGGt! VVi IG. d kJU llouS5: It IUI%.CILG yG.7 VI ��I IV�, 3b LV r=CXUI I U. Lt tG F€ itUMI Ej. •r - Yes No ❑x ❑ Pumping information was provided by the owner, occupant, or Board of Health r1 n LA/crp�n�i of}hc chic+pm rmm�nnanfa nt tmnarf nl rt in tha nrovirn is fain wocka7 ❑ ❑x Has the system received normal flows in the previous two week-period? ❑ 0 Have large volumes of water been introduced to the system.recently or as part of this inspection? ❑ 2 Were as built plans of the system obtained and examined? (If they were not ❑x ❑ Was the facility or dwelling inspected for signs of sewage back up? ❑x ❑ Was the site inspected for signs of break out? ❑x ❑ Were all system-components, excluding the SAS, located on site? L ' veer a ine septic i, nK trial�nole-s uncovered, i;penec, ano ine i w- rior of ine Lank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth'of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has ' 6JGGt t tAGLC1 t I111 1Gtd IJc7..7CU Vl 1. ' _ x❑ ❑ Existing information. For example, a plan at the Board of Health. ❑ 0 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(5)] System Information Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): 5 DESIGN,flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): f n_==0 I7 1 1 ' GornmonweelTn oT massechuserts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 347 Eeel River Rd. .CAPE FLORIDA JEL INC Owner Owner's Name information is required for every Osterville MA 02655 1/15/17 page. City/Town State Zip Code Date of Inspection D. System Information Number of current residents: Does residence have a garbage grinder? ❑. Yes 0 No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes 0 No information in this report.) 6_aurlary sysierrl irtspeC;WUf LLj res u ixc Seasonal use? 0 Yes ❑ No r Water meter readings, if available last 2 ears usage .d na 9 ( Y 9 (gP. ))� Detail I Sump pump? ❑ Yes 0 No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: ivvy kwcSvci%DiI ,--I V i,iviit i Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.) Grease trap present? ❑ Yes ❑ No anlr InA Iefrial%At ete hnlrlinn t nrceer�f7 rl vac n —_-_ __ IVn Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 ;.:ommonweaitn oli iit{assaciiuse` s - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 347 Eeel River Rd. -CAPE�FLORIDA JEL -INC . Owner Owner's Name information is required for every Osterville MA 02655 1/15/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) J Date Other(describe below): Pumping Records: Source of information: Mine c%tofem ni imnerf no nPr#of fK= imonerfinni I—I V.. n m, If yes, volume pumped: gallons How was quantity pumped determined? • Reason for pumping: ❑ Septic tank, distribution box, soil absorption system 0 Single cesspool n (l�icrfln�u ncconnnl ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and Maintenance contract(to be obtained trorn system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): ------------ ... . w-• - _ --- _.... .. . t5ins•3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of.17 Co nmonweann of wiassscnllsens - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 347 Eeel River Rd. -CAPE-FLORIDA JEL INC Owner Owner's Name " information is required for every Osteryille MA 02655 1/15/17 page. City/Town State Zip Code Date of Inspection D. System Information(font.) r`;Pi yr i111U-iG C;Uv vi Oil i,vi t iiJU(EGi RZ5, ucei:. H swiaiiv a 111 F lvvYl aj cap ii svu G v ii tivi 11:viivi I- Were sewage odors detected when arriving at the site? ❑ Yes 0 No Rnilefinn Couemr/Inr•a}e nn ci+e olon\• Depth below grade: 2 feet Material of construction: ❑ cast iron 0 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feetT Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the building.vents. 2' Depth below grade: ' feet Material of construction: n rnnrrc+o R1 me}ol "n n n}F�cr/cvnhinl ii LCU iR io[Hviai, 11a1,cart. years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 500 . 211 g' Cli ir}nc r}cnth• t5ins•3/13 Title 5 Official Inspection Form:Subsurface.Sewage Disposal System•Page 9 of 17 trommonvvealtn of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 347 Eeel River Rd. CAPE FLORIDA JEL INC Owner Owner's Name information i e required for every Osterville MA 02655 1/15/17 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) r 36 Distance from top.of sludge to bottom of outlet tee or baffle • - .. oil, Scum thickness 4„ nie4innnc from 4nn of eel!m}n 4nn of nI?tle4}cc nr hnff e 811 Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition,.structural integrity, li�..i.J L.....In ..e. —11-4-4 in ...!+In+ Gr,,. 4 nt';-'lnr..n^f L..,L.,.... n+i 1• Beach House has metal tank which is rotted and and needs to be upgrared. P 471 UaZiUa !ICE;J iIL_t-QLG ill?Z510G I.J1;n?1). Depth below grade: feet Material of construction: n rnnnre4e F mc4nl nnl%ie}hLilene n n}her/nvnl�in\ Dimensions: Scum thickness U 16 LdI IL.-J II1i111 LLl,LL!VI -:)WIII LU LUP VI LJUL?CL LCC VI U0111t; Distance from bottom of scum to bottom of outlet iee or baffle Date of last pumping: Date r t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 trommonweann of riassamuseus Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 347 Eeel River Rd. CAPE FLORIDA JEL, INC Owner Owner's Name information is required for every. Osterville MA 02655 1/15/17 page. Cityrrown State_ Zip Code Date of Inspection D. System Information (cont.) Lu!!ll!ful azi `u!1 P ulI liall i j I.:Lul 1111 lui!utSllul lv, HIM:L CII Id uL1um ivv.u! DICHI IV L•1.Fl IMILI ul 1, .il Ui..lul CH I!ILUVe.-1 I1y, liquid levels as related to outlet invert, evidence of leakage, etc.): i®�aii Lei iiviiilaisj i rii' dial It`11lui; v Pull I i6ru I.Lill IC Ul 111.0'PUt-AiUl l j 1,iV�Gl�V:l 61LE,pull). Depth below grade: Material.of construction: l� rnnrre}o I-1 me}�1 I—I fihernhec i-1 ------hvleno i—i n}her/ovnl7inl rti Dimensions: Capacity: .. Design Flow: ` gallons per day • Alarm present: ❑ Yes ❑ No Alarm level:. Alarm in working order. ❑ Yes ❑ No va j ui iaai IJU!lyzi Imo. • Date Comments (condition of alarm and float switches, etc.):, n Attacn copy of current pupping contract(required*). is copy attac:ted-f L i Yes u IN 0 • M t5ins•3113 Title 5 Official Inspection Fond:Subsurface Sewage Disposal System•Page 11 of 17 v;ommonwealtn of I'11assachusettS Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 347 Eeel River Rd. e �vywip nit ai:,00 - CAPE FLORIDA JEL, INC Owner Owner's Name information is required for every Osterville MA 02655 1/15/17: page. City/Town. State Zip Code Date of Inspection D. System Information (cunt.) Depth of liquid level above outlet invert 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.): �S itSo3 lCAf/l 5 ivu aw Vt I b w iiiev I). Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* rnmmenfe /nnfe nnnrlifinn of n!smn rrhomher nnnrfifinn of ni imme nnA onno irfennnr+ce efr V - - - - ------- - - -- ii Astii , V!ciia €i i.'s dlC I_IVt HI raVi ft11 IV Vs i!G€, --y ZP.Cli' i.J cl l..V!V-41IIVl-ICU IJl.70. _ Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: I f t;olr-monweaitn of iiviaiaaaCnusett Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 347 Eeel River Rd. CAPE FLORIDA JEL INC Owner Owners Name information is Osterville MA ' 02655 1/15/17 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) ❑ leaching pits number: ❑ leaching chambers number: I t f l Ic�rhinn n�llcricc rii±mhcr. ❑ leaching trenches 'number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: iJ illtiC)V6.It':I It lflc„UV tip5le it Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): IIIUM U-3 PUII1PU d cap ;jai i U;H I�PUk UU±±j kRjt_C1iz v±±wit; Number and configuration 2 single cesspools Depth—top of liquid to inlet invert rlcn4h of enlirle hvcr Depth of scum layer Dimensions of cesspool 6'x 6' Materials of construction Concrete Block Indication of groundwater inflow ❑x Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 �... uommofiweaith of vinassa-Chuaetis Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 347 Eeel River Rd. CAPE FLORIDA JEL, INC Owner Owner's Name information is required for every Osterville MA 02655 1/15/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.)' LVI€IHIC.11ib V!Viu L•VlzoliluilI Vi Z)VII, wy.1.7 V1 Ilyuldul€L lallut v, IGv-'sl V€ `JV€lull ly, k ulmmulI un vGYtVL _!Ul I, etc.): Main house has single cesspool. Rear cesspool is to close to wetlands. levy kivuaiy WI1 -516a pialq- Materials of construction: Dimensions nan+h of enfiria Comments (note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i I coiYif79oiliiiieann oT i9ifassaiCnteserts Title 5 Official Inspection Form 1>I c..he...sft..n Cou.tine nicnnca) Cvc+Am I:nrm _Nnt fnr Voluntary Assessments' 347 Eeel River Rd. CAPE FLORIDA JEL, INC Owner Owner's Name information is Osterville. MA 02655 1/15/17 rcnl dmd fnr avary ... . page. i = City/Town Waie &iV .vuu D. System Information (cunt.) J tlCt�l1 V'. JGV�:XyC !:='Vh E J LL"S!!!. i li.lVfU a y1GVv VS-ulC 5CVVcaVV U!.7i.iVbd! DY:JIGl 11, 111LtU?d!!!'y UGIg LU at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: --.. 4� - a,- -� 1 17 I i 4 - tits•M3 TTpe 5 WcW kqmft Farm:Sut>9tiAaca' D6P AMD-•Page 15 of 17 uoif monweanh of iWassachuseus Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments W 347-Eeel River Rd. CAPE FLORIDA JEL, INC Owner Owner's Name information is Osterville, MA 02655 required for every - page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist inspection Z3UMMary: A, u, u, u, or L checked ❑x Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ❑x System Information—Estimated depth to high groundwater { s t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 uoiTii ifnf ionwea h oT Massacinusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 347 Eeel River Rd. CAPE FLORIDA JEL INC. Owner Owner's Name information is required for every Osterville MA 02655 1/15/17 page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Check Slope O Surface water , I--I (`hcnlr nallnr ❑ Shallow wells Oil Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: LJ ubia:fleci it iii 5ysieili detilyrl Fiwrls LII It t.Ulu If checked, date of design plan reviewed: Date' ❑ Observed site (abutting property/observation',hole within 150 feet of SAS) n. !`h....l..,.•I...��h L.....1 --------of Unnlih _......L,i:.• As-Built ❑ Checked with local excavators, installers-(attach documentation) . ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS observation well data.USED:Technical bulletin 92-0001'annual ranges of groundwater elevations. 1 t5ins•3l13 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 16 of 17 NE LINE .. A:?C:141':ECTV2AL�DES115N �� f. f , PFABa3}'2B8 xwxF I.iwNtlVaWa0.'�mn 8MSTMYr " OSTPIL E nM E26:6 NOTES: VERIFY DIMENSIONS IN FIELD. a -b• DCGK DECK P // I COVERED DECK I I - it - r: 6xb POST 6 b POST _ O F ' cr � o W Q J BOAT 5TORA6E - Ql/NG w w7. o SECOND 5TCRY BEDROOM " c bx6 P05T 6x P05T BOAT HOUSE o f PLAmoRM CL / @eTLi a Qj ENTRY ." - - KrrCNEN 1 �I SET� orrax�R s!aoveR ' a / O f �,E GSUE O b 36 10 .......... r fEN510N5 .................. OAiE OESCAPfIDN FIRST FLOOR PLAN EXISTING FLOOR PLANS � SECOND FLOOR PLAN SCALE:1/4' = V-0• SCALE:1/4'.= V-0- A2 DATE 12/2Q/17 FqI LINE ARCHITICTL'.RAL DLi'Hi PSCB"EZC"129fi • - vmxFneLrwNCilectus6es9n car B WEST BAY ImPD 6SRINRLE,.02W NOTES: VERIFY DIMENSIONS IN FIELD. ` z-o /B• - a 5TORA6E . ' GUEST BED - tr GUEST BATH - 5TORAC E • ` - i! PECK e _ O DECK - - STORAGE • W _ Lu su�ws € J w 7L��7 i O ..BAD y P - - n§ LAUNDRY LIAM G6 C-L KITCHEN f , m,LT-IN:" , MAIN HOUSE PANTRY a p CAL 'r CL „` ® • SHEDS o BULKHEAD PORCH - x m I - " I - 1s ME WES // FT •. 11 II ' �> ^ ® •. :` .. - 641E LSSUE Fl - 0 - BE4>JS PARLOR € .,.. � , ,� M1- _ . > • WE DESCI—N Fl §y ENTRY EXISTING FLOOR PLAN 4 EnaEcro ncz i EXISTING FIRST FLOOR PLAN X� SCALE:1/a' = 1'-6• • ^ f I�` / � '/yam\ • . DATE: 12/20/17 . FIDE SINE jAR C.N IT E-C T'U'.R At DE_<I 1]-k' 3 vmv En,I rcNMtecwaUesBn con' Sw ST(14Y HCUD :a` • " O.STEI➢1E,k%C2W NOTES', • • VERIFY DIMENSIONS IN FIELD. Jz v W � n LLJ 0 - _r C`') • i i I !I 14'-6/4. 91/6" - I BATH a2r= 0 _J "'l L__ J - - MAIN HOUSE iBM-2 k I �HALL.� .,� • 4 , ' BED a3 SET SSUE DAT[S ISSUE � DN „� PEY15pNS • 5 - j `{ DATE UESCMnCN EXISTING SEU01ND FLOOR PLAN i i EXISTING SECOND FLOOR PLAN X? SCALE:1/4' = 1'-0' • `. X2 e, d { DATE: 1272Q/17 I FINE �I!�IE " - A.'.:N IT ECTU 2 A L 7CSIGN � � � - � � � xxwf tli NUNeLaBatjn cam 8 WST MY FIND W'IBMLLE ()M NOTES: _ y VERIFY DIMENSIONS IN FIELD. °p ` h cooexm vEuc SxS POST 6x6 POST - Q ❑ i O L_L O W < j J W BOAT STORAf E LNMG Lid . _ Li J .. SECOND STORY BEDROOM - co . L�bx6 POST S 6 POST BOAT HOUSE P�TFORM ENTRY r4TCHEN OffDOOR I/ BA7H O - .. SFTSSUEMM O Mff SAE ................ ' -%VGKM K _.._........._ ............ MtE OESQ1F110N FIRST FLOOR PLAN ` EXPNGFLOORPLANS SECOND FLOOR PLAN A2 SCALE:114' = 1•-0' A2 SCALE:1/4' = 1•-0' Ri7.lECTR'102 / l A2 1 Dinning Room Bedroom Bath Kitchen Living Room Laundry Bath Bedroom Garage Un-Heoted Storage Knee Wall Knee Wall " e Bath , ati Bedroom Bath Bath Bedroom Bedroom Bath - ME Floor Plan At Sketch PREPARED BY. SullivaiaEc'o',,OWeuellgnll,',, 347 Eel River Road ^� Barnstable (ostervate) Mass. O 428-M ," „MONO � =► DATE: May 1, 2018 SCALE. N/A r F Legend: ZONE: ` Q g� Light Post ( ) V S� DIRECTIONS: Area (min.) 87,120 SF Ge 90 From Hyannis - Continue down main street Well Fronta e (min) 20' +� ( Width. (min) 125' •� 0 �g A rox. Location of and take the third exit off the rotary onto Q Misc Manhole 0 e5� 6I PP Y Setbacks: s "� 1 Existing Septic to be Scudder Ave. Turn right onto Smith Street Hose Bib ' • '' Front 30' ( 1 I ��j abandoned or removed as and continue straight on Croigville Beach ° Side 15' \e 1 per 310 CMR 15.353 Road. Turn left onto South Main Street into O Water Gate (round) ; s: (( a P Rear 15' �\e \ Osterville. Turn left onto West Bay Road and � '© Gas Gate (round) W/F left onto Eel River Road. F .. Hydrant 9 \� Proposed 1,500 Gallon #347 is on the right. Y � J, • �+ Boat House G00 �5 i Septic Tank & 500 Gallon Thrust Block i y° 0 LCB Land Court Bound r t i PumpChamber � CB/DH - Bound w/Orillhole I Well to be Removed Q Guy FLOOD ZONE:Utility Pole fi011,111, Abandonment Permit to be Yn,- L• I \ I Obtained prior to disposal OHW- Overhead Wires Zones X, 0.2% Chance, \ 1 / 3�. \ works permit. �c C` 5.......... Underground Utility Line AE(EL12), & VE(EL14) ' Timberi /Groin 13' / r1$ � titi 25- Elevation Contour N86�7 ' 11 See Plan Based on Map # ;,.• , 35 W�;z 6 Wide Hedge . '��✓ e-� ..-' �N F � _.._ s µ d _ `V / _ • Deciduous Tree H ge �, Peter rl & Marig G Smail - - /� v 25001C0757J k ,.�g � I i \ -- ----- ------------ - ' P / t � N Fit I Y O ::,)\ -.- ----- -------- -•- - - •_-r- i / �,� �,,.. .....� _we_.'- ! t s a 'F'z.•i,; �.� July 16, 2014 • , "� .., ,., Jr, `'.? � � ��ads .F� �•��,� �. "�«��, r� , . R - x r v I - f 10 _. uz o o . - y TH 1 TH- `- - _ _ _ _._ __ o / ba . ,. I .\ o °•i rn Q, / F '9 ;� r °.__ r; . a Coniferous Tree tone Parkin 1 O ` .. i a y v \ Area LOCATION M/`1P. \ -� --- _ =m 1 _ - �- i OVERLAY DISTRICT. - 1 - _ _ t I r'�, /,.. ` i , \ Scale: 1' 2000' p, l Boat j ... ..... \� t7' \ i r, �,. / t j'+ Cedar Tree AP - Aquifer Protection District i I Storage pr; i ► REF: `' \\ ` / \, vet e 1 ► 1 � f t ASSESSORS REF \\ Existing Wood Boardwalk 1 - Parcel\: O i , i� ? J t \ edge � + J f + .° Map 115 P 1 001 ! Gcm�-apron___"W i H x I 1 /� Holly Tree 2�' I T 1 j • ----Stone S o W JL �� "►� �` + j Finish Grade r ! \ b\ i j met �. = - o< r Groundwater Test\\Hole �_ �' `so- \\ c� j � r f�, dye Gam_ �, l - -- �, Filter / j \, / i ` J j r•.- Fabric I Guest ... \ O E�/ �. ' - �_ J 7 \ = I m i, F,I I ; r I :, i Monitored throu a t j .. / / . , �- - / a o N ;. �' N r 9 r 1 + Suite \�G \.. \ . r "� \ E--- -� CampQ,cted „Fill AND/OR r new moon High Time i l .. so ro¢,osed -- °�4 - 1 2 �w �. Ground Water Elev. 9::.4' ; o� Propos v - �� �.> r., '' + -�„ ��, � � 1/8' j Sepi Outlet ! I - /'� Pea Stone r � t 0 B 8 B�B i - - be de 18-'24 j i - ` 1 a o Cqn firmed or , ., i s. � � Cut G .tr�h -��'-�r z-, y. / i 1 j�� i �j"� ; -p _ N °� I 1 �O. , with 1q _ 3 / f \ / %. j' j / I I Double Washed V 11 , V. �, I f i Awap Qm_Ho _ _ l i \ �� f' j / i / / 8 ° / \ f'� 4 Stone 1 i ali, N. Jlo 00 !` ` ,... I: s!. / f. p 12' G 1 f - Water Line to be o x / + r FLOW DIFFUSOR \ r r / . �; / r , / �, ; CROSS SECTION OF FLO i �� J Proposed d9e' ! \ Sleeved 10 Past Sewer line , \ o r / /•:: e;. I i o, Se tic To i ! J i 12' NOT TO SCALE C \ fry CD e� � / � W O C / a<a J r p 1 Past�.,'b c o\ �o j // / j'.''` "r` ; f f I 12 ,� _ BUOYANCY CALC N PUMP CHAMBER \'. +f 500 gallon Circular pump chamber ; y \1 347 Water Line to e � j• - � � ,� � ::� �, c m VARIANCES REQUESTED: Groundwater Elevation 1.4' 12 Sty w/f\ Sleeved 10' Past �e -line `� PERC TEST: 1 S 65 P ` \ \ �\ / j j /'/ / ,\^ .�.� 9 -Distance from Resource to Pump Chamber. Bottom Chamber Elevation-2.0' \ \ D welling P V 1.4+1.6=3.4 of water above bottom of chamber \ \ zyc1.; TOB Chapter 360-1 Location of Components with �. ,� \ PERFORMED BY:CHARLES ROWLAND PE- SULLIVAN ENGINEERING Respect to water bodies 2 f , i f I \ ry Bottom Area=Pi(r ) r 1 l__. J &CONSULTING INCINC. o j CO O Required:100' z eon 1 \/ ✓/ \o SOIL EVALUATOR NO.13586 Proposed:25' 3.14x2.41 =18.Zsf- �` 1 04 i oft\r WITNESSED BY:DONNALD DESMARAIS,R.S.-TOWN OFBARNSTABLE -Distance from Resource to Sep tic Tank Volume Displaced=Bottom Area x Height / / / /. Pie°�° CIF P MAY3,2018 TOB Chapter 360-1 Location of Components with 18.2sfx3.4=61.9cf / / �� r 0 ,SITE PASSED Respect to water bodies Buoyancy Force=Volume x Density of Water \ '`..... \t�A a off\ Required:100' 61.9 cfx 62.4 bUcf=3,8617b i Precast A rox. Location of \ �5 SITE Proposed:27' Weight of Tank 8,500lb Per WggmsPP �o PLAN TEST HOLE- 1 EL.14.1 TEST HOLE-2 EL. 13.8 -Distance from Resource to Septic Tank Tank Sinks Existing Septic to be \ >\Of \ \ r- t0 P b / , _ ."/ � O ........... ..... .. .... .. ... abandoned or removed as / ''� r r r' , \ F TOB Chapter 360-1 Location of Components with SEPTIC TANK f n r Respect to water bodies per 310 CMR 15.353 -' _ FILL FILL P 1500 gallon H-20 Septic Tank 1 ` Fill.Aro�nd tre,� ao 1 - ZO „ Re uired:100' - 10 (ASPHALT'&.HARDPACK) 10 (ASPHALT&.IIARDPACK) . 13.0 q Groundwater Elevation 1.4 l�of affecti Qree growthr % BwLAYER lOYRS/6 Bw.LAYER 1.OYR.S/6 Proposed:78' Bottom Chamber Elevation-0.6' 13.3 a + ? \ 1 BRQWNISH YELLOW BRO .....Ii YELLOW.. -Depth o f SAS 1.4+0.6=2'of water above bottom of chamber \ \ r \ 310 CMR 15.221 (7) General Construction Requirements LOAMY SAND... LOAMY SAND Bottom Area=l0.Sx5.6=59.4sf i, �� ��, /' ✓ .. ,r 30 ........ ... ` 11.6 30" �11.3 Trees to be removed Re uired:3' - / Partioly Dead !�"dor tree +k,, C LAYER IOYR 7/2 PERC TEST q Volume Displaced=Bottom Area x Height \ Proposed:Less than 6' with Vent & H-20 Loading fC6 be Removed and �/ LIGHTGRAY 25GALLONSGONEIN7MIN. 59.4sfx2.0-118.8cf -Depth of Septic Tank \ re 1 a 6 in 50' b u f r 'rj 132 M-FINE SAND 3 1 PERC RATE<2 MIN/IN(LTAR=0.74) Buoyancy Force=Volume x Density of Water \ \ / P ! 310 CMR 15.221 (7) General Construction Requirements Locate Junction Box `�, ` \ Cedar & Yew NO GROUNDWATER ENCOUNTERED 30" C LAYER 10YR7/2 11.3 118.8cfx62.4bUcf=7,41316 / Required: Outside of Tank / i' o To Be Removed LIGHT GRAY q Weight of Tank=11,480lb / Proposed:4.5'f with H-20 Loading 132' M-FINE SAND 2.8 Per Shorey Precast Cut Sheet Pump Power & Float Control s°� \ ~3� / \��� o(� DESIGN DATA NO GROUNDWATER ENCOUNTERED Tank Sinks Cables Installed In Accordance `��. a e With federal, State & Local �s� \ r \ Pteo10 o CP Single Family Guest Hse F.F. EL 5.8' Bldg. & Elec. Codes Fa�� '�. - X ° \ 4 e'3 -6Bedroom@110GPD 9 9P .. '' �° (,\ �°�° Guest Suite FF b. 11.0' eportment Approved Wiggins 500 Gallon Alarm To Be On Separate � \ � �\ No Garbage Grinder Effluent Tee Filter on Concrete Chamber Service From Pumps `\\ \` F \or\� Two Kitchens the Outlet or Approved Equal 1-112"0 Gal v. Pipe P Total Daily Flow=660 GPD F.G. EL. 6.3-,7.5 F.G. L. ..5.5f Use Two 1500 Gal Septic Tanks 'ILIFor Float Support \, \ \ ep . ` , 4'10 4' O _ \ \ and a 500 Gal Pump Chamber \� LEACHING AREA .. \:, \ 660 GPD/0.74(L TAR)=891.9 SF Required EL. 4.14 1500 Gallon H-20 Pitch Min 43'f at 2q pitch Sidewail=2(12'+64')0.92'=139.8SF Guest House EL. 4.46 Septic Tank EL. 3.89 75rt at 2Sch. 40 4" PVC Min \\ Bottom Area 12'x64' -768$F Guest Suite Approx. EL. 8.5 Waterproof/Seal with 2 Coats EL 3.79 2" PV� Sch. 40 4"0 Sch. 40 PVC \ ( )- D-Bo 24"0 Opening Above Installer To Confirm Prior From Guest P g `. ° \\ Total Provided=907.8 SF(671.7 GPD) of Approved Sealant For Steel Manhole o \ House Y EL. -0.60 o EL. 8.15 To An Work Ground Water Frame & Cover l• ° e 500 Gallon - Elev. 1.4 EL 11.30 LEACHING CHAMBER DESIGN PumpChamber H-20 o Red \ 9 Cedar Trees in 50' buffer to All Pipes to be Schedule 40. Waterroof Seal with 2 ,6\11 \\ be removed and replanted or coats.:;of Approved Sealant G Use 7 Flow Diffusers in a " replaced in 50' buffer. 12'x 64'Double Washed EL. -1.96 y Stone Field as Shown. �" ,a � « 'SYSTEM ",r ,, PUMP CHAMBER PLAN VIEW DETAIL Fi►I Around trees as to DEVELOPED PROFILE OF SYSTEM To Be Installed 0n Not affect tree growth Stable Compacted Base SEPTIC NOTES v, 1.Location of Utilities Shown on This Plan Are A rox.At Least 72 Hours NOT T TO SCALE Charcoal Filtered Vent- Prior TO SCALE pp Prior to Any Excavation For This Project the Contractor Shall Make Main .:Hse F.F.; El. 13.9' Field located vent pipe in the Required Notification to Dig Safe(1-888-344-7233)and contact consultation with londscop 'Sullivan Engineering&Consulting Inc.(508-428-3344). designer or owner to be a Conduit Thru Chamber For 2410 Steel Manhole 2.The Contractor isRequiredto Secure AppropriatePermits From Town F.G. EL. 13f F.G. EL. 13f F.G. EL. 14.f y,; , F.G. EL. 13.9 Max hidden as possible. Power & Float Cables Frame & Cover 9" Min Agencies For Construction Defined by This Plan. Finished 64.0' Grade Cover 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to !I See Note 6 t mt t r. Assure Watertightness. In General,Water Lines Shall be Constructed in ( �') � , Middle House EL. 10.70 Coordination With COMM Water,and Shall be in Accordance 4 of Stone 4"0 Sch. 40 PVC With 248 CAM 1.00-7.00&310 CAM 15.00. End of Hse EL. 10.20 EL 8.60 1500 Gallon Flow Diffusers Installer To Confirm Flow E uilizers From Septic Tank 4.A Minimum of9"ofCover is Required for All Components. Septic Tank q Compartment Drill 1/8"0 Hole 5.All Structures Buried Three Feetor More orSubject Prior To Any Work H-20 Required EL. 8.35 As Required P Galy. Chain For Drain r Top El. 8.10 " See Note 5 ' ` ' ' `"' to Vehicular Traffic to be H-20 Loading.It s the Engineers 12,0' ( 8.15 H-20 ' Inv. 3.79 To D-Box Emergency Storage Recommendation that H-20 Always be Used. Volume 362 Gal. c Min. 2' Cover 6.Install Watertight Risers and Covers to Within 6"ofFinished Grade D-Bp EL. 7.99 a a A A ax Bot. EL. 6.77 Over Both Septic Tank Inlet and Outlet.Install Watertight Risers and EL. 7.69 H-20 Alarm On El. -0,06 � m Cover to Grade Over Pump Chamber,D-Box,and One Leaching Chamber. EL. 3.85 ' Flow Diffuser `u°, ; All covers are to be maximum 18 for concrete or 24 Cast Iron. To Be' 1 ns tall ed On Vent . Cover to Grade stable Com ae ed ase Li Pump On El. -0.26 g 7.Septic System to be Installed in Accordance With 310 CMR 15.00& P . 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable Bedding,"T"s, emve & Replace Pumps Off El. -0.96 6 Board of Health Regulations. Inspection PortI.p :AII Unsuitable Soils '.V...... ithiii 5 o% f .:. EL 1.4 DEVELOPED PROFILE OF SYSTEII/1�a 2"a� Sch. 40 PVC 8.AlIPi in to be Sch. & Boffels The Outer Perimeter :o.. Thy Sys#em: Piping Groundwater o Threaded Pie 9.D Box Shall Have a Minimum Inside Dimension of 12"and a Minimum PROPOSED SAS as Per Title 5 p Per Groundwater Check Valve Sumpof6". 10. The Separation Distance Between the Septic Tank Inlets and t i _ 10' NOT TO SVA'L E Test Hole Top of Con c. El. -1.46 I Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend Bottom El. -1.96 a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" Below the Flow Line,and shall be Equipped with a Gas Baffle. Revision: Add Waterline to Guesthouse & Existing Septic System 51221201 Seaward Septic Tank shall Equipped with a Department roved Revision: Minor Corrections per Health Dept. 15114 2018 Secure Pipe at Top & ePeP PP P �. r / ` Bottom of Chamber Effluent Filter. Notes/Revision: PREPARED FOR: PREPARED BY. Title: 4/10 H.P. Liberty Stable Com acted Base LE40 Series Pump or 0; * *Prior to Ordering Pumps the Contractor " Approved Equal g P 1.) The structures shown were located on the ground ,/ Engines g Must Confirm the Compatibility of the 347Ee�l4�VE/'Rt�c?C7�REc�� T/"L/St P Y by conventional survey methods on or between I'� ` �- a ry ":Existing Electrical Service SuilivanconkItingInc,i Prl j 0 II rovem, enh� 111NOVI17 and 29/MAR/18. 23 West Boy Rd, Suite G (508)428-3344•seciCcDsuilivan en gin.coin Y PO Box 659.7 Parker Road Osterville MA 02655 A.fit37 `3� �/ fiver R 2.) The property line information shown hereon was Osterville MA 02655 (508) 420-3994 / 420-3995fax 1� compiled from available record information. www.sullivanengin.com PUMP CHAMBER SECTION DETAIL B .rt 3.) This plan is not for recording and is not to be 10 0 5 10 20 40 `'� � �{„ (OS;terville) Aofa n used for construction layout or deed description 20 0 10 20 40 80 Field: WHKIASKIRRL Review RRLICTR NOT TO SCALE purposes. Comp.: RRLIWHKICTR Job #: C-329.61Sau1_210037 n n r Date: M271-Ch 7, 2V 18 Scale: 1 =20 Draft: RRL/ASKICTR Drawing #: C329_6g1 ex1