Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0122 FALLING LEAF LANE - Health
122 ,Falling Leaf Lane , ,.,. - - Osterville 2 Bed A = 144 003010 I �I I r r v ° TOWN OF BARNSTABLE ION A U L SSE#Tiq VILLAGE Zf d AQ- ASSESSOR'S &PARCEL �S NAME&PHONE NO. t�< rlf C.ck'ACOAnkil n-)j SEPTIC TANK CAPACITY (,dnnC LEACHING FACILITY:( e) 4`'el (size) Ja VO NO.OF BEDROOMS OWNER oe-s PERMIT DATE: C DAT0 �SP 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 ffffffffff r, r frr � riff / r \ \ 4 \ \ \ l \ L� r 4 L \ \ \ \ \ \ \ 4 4 ♦ .. \ L \ \ L L L L L L L L L \ \ \ ♦. L L + f f ! f J ? f f J 17 34 ,. 2 21 • � �x "v., Back Yard I i. t Commonwealth of Massachusetts .�. : Title 5 Official Inspection .Form t Subsurface Sewage Disposal System Form- Not for Voluntary Assessments t 122 Falling Leaf Lane Property,Address +' Bresler Owner Owner's Name _. _ . _ �....... information is MA ' . 02655 May 14, 2012 ` required for Osteryllle, r _ _ every page. CitylTown` _ State Zip'Code•k - = Date of Inspection Inspection'results must be submitted on this form. Inspection_forms may not be altered in any way. Please see completeness checklist at the end of the form.. Important: A. General'.Information I When filling out - _ forms on the f = computer,use h. only the tab key 1. Inspector: _ to move your 'Patrick M. O'Connell - - cursor-do not Name of Inspector use the return , key. Septic Inspection Services Co. Company.Namie � "` f � 1'89 Cam mett Road Company Address Mar stons Mills MA 02648 City/Town State Zip Code 508-428-1779 SI 12855 Telephone Number Y- - License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information,reported below is true, accurate and-complete;as,ofthe 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�tox. ection 1.5,340 off - Title 5(310 CMR 15.000). The system:. ® Passes ❑ Conditionally.Passes, ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority ZJ May 14 2012 Job#j12-75 Inspector's Sig Na Date - - 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 oner 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 - r the same or different conditions of use. . t5ins•11/10 Title 5 Official in pectic, urface Sewage Disposal System•Page 1 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form : Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 122 Falling Leaf Lane e Property Address t Bresler " f 1'. Owner Owner's Name information is Osterville MA ~. 02655 May 14, 2012 required for Y every page. City/Town State "Zip Code Date of Inspection B. Certification (cont.) - Inspection Summary: Check A,B,C,D or.E/always complete all of Section D. A) System Passes: ` ® I have not found any information which,indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR'15,304 exist. Any failure criteria,not evaluated are indicated below. Comments: Tank was not in need of pumping at time of inspection, leaching field showed no signs of surcharge. r or saturation. • L 1 , B) System Conditionally Passes: ' ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or=repair, as approved by, the Board of Health, will pass. Check the box for"yes", "rib" or"not,determined" (Y,-N; ND) for the following statements. If'fnot• determined,"-please explain. - The septic,tank is metal and over 20 years old*or the septic,tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a compiying'septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ' -❑.Y ❑ N ❑ ND (Explain below): ` 15ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 F Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for.Voluntary Assessments 122 Falling Leaf Lane Property Address Bresler - Owner Owner's Name information is Osterville MA 02655 May 14, 2012 required for every page. City/Town State Zip Code Date of Inspection B. Certification cont. 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 pass inspection if(with approval,of Board of Health): ❑ broken pipe(s) are replaced - r ❑ 'Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is,leveled or replaced' ❑ Y ❑ •N ❑ ND (Explain below): i r ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass'inspection if(with'approval of the Board of Health):, Elbroken pipe(s) are replaced ❑ .Y ❑-N ❑ ND (Explain below): s. ❑ obstruction is removed ❑ Y .'❑ ,N ❑ ND (Explain below): x . i C) Further Evaluation is Required by'the Board of Health: ❑.Conditions exist which require-further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. -1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public`health, safety and the environment: - Cesspool or privy is within 50 feet of a surface water ` ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 15ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 = A f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 122 Falling.t_eaf Lane Property Address Bresler Owner Owner's Name information is required for Osterville MA 02655 y Ma 14, 2012, every page, City/Town State Zip Code Date of Inspection B..Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier,'if any) determines that the system is functioning in a manner that protects the public health, safety and environment: . ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The sys em has.a septic.tank and SAS-'andjhe,SA-S is�within,a Zone 1-o,a public water, supply. . ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. -:Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for 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 must be attached to this form. k _tip � L 3. Other: ^ r r r D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: ' Yes No El ® Backup.of sewage into'facility or system component due to overloaded or clogged SAS or cesspool 0 ® Discharge or ponding of effluent to the surface of the ground.or surface waters due to an overloaded or clogged SAS or cesspool r lO ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ - ® Liquid depth in cesspool is less than 6" below invert or available volume is less than day flow t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 122 Falling Leaf Lane, G7M • Property Address Bresler Owner Owner's Name information is required for Osterville MA 02655,- May 14, 2012 every page. City/Town . :State _Zip Code Date of Inspection' B. Certification`(cont.) - Yes ' —'No a t ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ®' 'Any portion of the,SAS, cesspool or privy is below high ground water elevation. El -Any portion of cesspool or privy is-within,1 v0,feet of a surface water s tppiy or ®` tributary to a surface water supply:' ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool.or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100'feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory, for 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.) ® The system is a cesspool serving a facility with a design flow of 2000gpd7 10;000gpd ; ❑' ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15,303, therefore thesystem fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure: E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. 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 _.. ❑ ❑ the system_is within 400 feet of a surface.drinking water supply ❑ ❑ the system is within 200 feet of.a tributary to a surface drinking water supply ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection El Area—IWPA) or a mapped Zone II of a public water supply well a If you have answered"yes"to any question in Section E'the system is considered a significant threat, or answered"yes in Section D above the large system has failed. The owner or operator.of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310.CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-11/10 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 5 of 17 , Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary.Assessments ' M 122 Falling Leaf.Lane Property Address Bresler Owner Owner's Name information is Osterville MA 02655 ,required for May 14, 2012 • every page. CitylTown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no"as to each of.tlie following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ® Were any of the system components pumped out'in the previous two weeks? ® _❑ Has the system received normal flows in the previous two week period? ® Have large volumes of water been introduced to the system recently or as part of this inspection? x ® Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? ® ❑ ,Was the site inspected for.signs of break out?: - ® ❑ Were all system components, excluding,the,SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles,or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was thefacility 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 bee6'determined based on: , ® ❑ Existing information. For example, a plan at the Board of Health. ® Determined in the field (if any of the failure criteria related to Part C.is at issue Ell approximation of distance is unacceptable) [310 CMR 15.302(5)]. D.,System Information Residential Flow Conditions:%` ; Number of bedrooms (design): 2• Number of bedrooms (actual):" 2 J DESIGN flow:based on'310 CMR 15.203 (for example: 110 gpd x#'of�bedrooms)' 220 t5ins•11/10 r Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 ~ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for voluntary Assessments 122 Falling Leaf Lane' E ` Property Address Bresler Owner Owner's Name information is' required for Osterville Y. MA 02655 May 14, 2012 . -'every page. City/Town State Zip Code + Date of Inspection D. System information r° Description: f . t Number of current residents: Does residence have a garbage grinder?' ❑ Yes ❑ -No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ yes ❑ No Seasonal use? ' w ❑ Yes ® No " Water meter readings, if available last 2 ears usage d ' N/A Irrigation 9 ( Y 9 (9p )) _ system. Detail: ry Sump pump? ❑ Yes ® No Last date of occupancy: $ Currently Occupied. Commercial/Industrial Flow Conditions: Type of Establishment: _ Design#low (based on 310 CMR 15.203): Gallons per day(9Pd) r Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? 4 ❑ 'Yes ❑ No' •' Industrial waste holding tank-present? . ❑ Yes ❑ No .:Non-sanitary waste discharged to the Title 5 system?`' ❑ Yes ❑ No Water meter readings, if available: 15ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 r Commonwealth of Massachusetts + Title 5 Official inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 122 Falling Leaf Lane Property Address y F r Bresler Owner Owner's Name information is Osterville MA 02655 May 14, 2012 ' required.for y every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) t' Last date of occupancy/use:- Date �. - Other(describe below):+ r ` General information Pumping Records: - • ' Source of information: y Unknown Was system pumped as part of the inspection? ❑',Yes' ® No If yes,volume pumped gallons How was quantity,pumped determined? Reason for pumping: Type of System: ® x - Septic tank, distribution box, soil absorption `system ❑ Single cesspool Overflow cesspool , ❑ Privy , ❑ Shared system (yes or no) (ifyes,•attach previous•inspection records, if any) ` ❑ Innovative/Alternative tech nology.•Attach a Icopy of the current operation and maintenance contract (to be obtained from 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.4 ❑ Other(describe): 15ins•11/10 Title 5 Official Inspecticn Form:Subsurface Sewage Disposal System•Page 8 of 17 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 122 Falling Leaf Lane Property Address , Bresler Owner Owner's Name, information is Osterville MA 02655_ May 14, 2012 required for Y every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) y �a Approximate age of all components, date installed (if known) and source of information: Compliance date: 3/20/00 Were,sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grader" 8 • feet Material of construction: , ❑ cast-iron ED 40 PVC ❑ other(explain): 4, Distance from private water supply well or suction line: feet, Comments (on condition of joints, venting, evidence of leakage,`etc.): x v Septic Tank(locate on site plan): Depth below grade:" feet Material of construction: . 0 concrete ❑ metal D .fiberglass ❑ polyeihylene ❑ other(explain) } If iank is metal, fist age: years ?. is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ VNo ,Dimensions: - , 10.5' long x5.8'wide- 1500 gal. -Sludge depth: 15ins•11/10 ` Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for.Voluntary Assessments 122 Falling Leaf Lane Property Address Bresler Owner Owner's Name , information is Osterville MA 02655 May 14, 2012 - required for t y every page. City/Town t State Zip Code Date of Inspection D. System Information (cont.) R . Septic Tank (cont.) d Distance from top of sludge to bottom of outlet tee or baffle 30" Scum thickness', 3 Distance from top of scum to top of outlet tee'or baffle` 6 Distance from bottom bf scum to bottom of outlet tee or baffle 10" How were dimensions determined? Measured ` Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.) Liquid level was found at bottom of-outlet invert and tees were intact and clear. Recommend pumping in 12-18 months. Grease Trap (locate on site plan): } ` Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: . Scum thickness r Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle T Date of last pumping: Date t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection. Form Subsurface Sewage Disposal System Form -.Not for Voluntary Assessments 122 Falling Leaf Lane Property Address t ; Bresler Owner Owner's Name information is y ,Osterville x MA 02655 May 14 2012 required for • every page. City/Town State' Zip Code Date of Inspection D. System Information (cont.) = Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,- liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan):' Depth below grade: 1 Material of construction: " ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day , Alarm present: - ❑ Yes ❑ No « Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: 4 pate Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract (required). 1s copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 official Inspection' Form r : Subsurface Sewage Disposal,System Form - Not for Voluntary Assessments { 122_Falling Leaf Lane Property Address Bresler - .- Owner Owner's Name information is Cisteryille - MA 02655 May 14, 2012 required for y every page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): ' Depth of liquid level above outlet invert 0 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.). ' No solids or.high stains present, liquid level was at bottom of outlet pipes. Pump Chamber(locate on site,plan)., Pumps in working order: ' ❑ Yes ❑ No Alarms in working order: ` ❑: Yes .❑ No Comments (note condition*of pump'chamber, condition of pumps and appurtenances, etc.)° ,. { Soil Absorption System (SAS) (locate on site plan, excavation not required):- r If SAS not located, explain why: r - t5ins•11110 4 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 e Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 122 Falling Leaf Lane Property Address _ Bresler Owner Owner's Name information is y required for Osterville MA 02655 -Ma 14, 2012- every page. Cityrrown . 4. State Zip Code Date of Inspection D. System Information (cont.) Type: s. . t.. ❑ leaching pits number. ❑ leaching'chambers number. ❑ leaching galleries number: ❑ ,,, leaching trenches number, length: One,12 x 40 ® leaching fields number, dimensions: field. ❑ overflow cesspool number: innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): t Area of leaching field was probed with no signs of saturation or hydraulic failure found. ' Cesspools (cesspool must be;pumped as parf of inspection) (locate on site plan): Number and configuration Depth-top of liquid'to inlet invert Depth of solids layer Depth of scum layer r Dimensions of cesspool t Materials of construction Indication of groundwater inflow ❑ Yes ❑ N4o t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form, Subsurface Sewage Disposal'System Form - Not for Voluntary Assessments wM 122 Falling Leaf Lane Property Address N' Bresler Owner Owner's Name requir atifor Osterville MA 02655 May 14, 2012 required for y r every page. City[Town State Zip Code Date of Inspection D: System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, ;level of,ponding, condition of vegetation, etc.): q Privy (locate on site plan):, { Materials of construction: Dimensions y Depth of solids r s • Comments (note condition-of soil, signs of hydraulic failure, level of ponding, condition:ofvegetation, etc.): a t } .. • � .. ' r � .. a .• • r x •R •I a • 4• • ` c • ! t y 15ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachus' etts Title 5 Official Inspection-,Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 122 Falling Leaf Lane ----------- ...............------- Property Address Bresler ........... Owner Owner's Name information is required for Osterville .......... MA 02655 May 14, 2012 every page. Cityrrown State Zip Code Date of Inspection D.,System Information (cont.) Sketch Of Sewage Disposal System, Provide a view of th6 sewage disposal system, including ties to, at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public,water supply enters the building. Check one of the boxes below: hand-sketch in the area below El drawing attached separately N 17 34 2 21 ..... ..... . ........ ...... ........ ... .... ........ ... Back Yard- ... ........ ... .... ........ ..... I....... ........ ........ . .... ........ .... ........ ... .... ........ .... ........ ... .... ........ .... Z 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -'Not for Voluntary Assessments • 122 Falling Leaf Lane > Property Address r Bresler . ,. Owner Owner's Name information is required for Osterville MA „- . 02655 May'14, 2012 • ' , every page. Cityrrown State Zip Code Date of Inspection . D. System Information (cont.) '. Site Exam: ® Check Slope _ ® Surface water ® Check cellar ® Shallow wells ' 10+ } Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: •Date. r ® Observed site (abutting property/observation hole within 150 feet of SAS) El 'Checked with local Board of Health -explain: ,. El Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database explain: You must describe how you established the-high ground water elevation: Low area of adjacent properties with no surface water are considerably lower than SAS. r Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 6 r' i ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary'Assessments °M 122 Falling Leaf Lane Property Address F, Bresler Owner, Owner's Name information is Osteryllle MA 02655 May 14, 2012 required for - Y every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ' ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed - ® System,Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal:System either drawn on page 15 or attached in separate file > a 1 , i • t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 ( , TOWN OF RNSTABLE (P 1065 C L6.-_ATIO. D SEWAGE # VI,)',LAGE ASSESSOR'S MAP & LOT ]X _o INSTALLER'S NAME&PHONE NO. �-o SEPTIC TANK CAPACITY i LEACHING FACILITY: (type-) 1 (size) &:Xq 0 it NO. OF BEDROOMS Z BUILDER OR OWNE n �• PERMIT DATE: D _COMPLIANCE DATE: �O Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist --'on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(1f any wetlands exist within 300 feet of leaching facility) Feet Furnished by,,, � g � �* A. YY •'�R.. 8� � /� 1 � � Iz 14 3 � L ; � �.�, �.�a ,�� . � q-y A � v o `,! �.,. r /8 No. t ~ � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Mopozar *pztem Com5truction Permit Application for a Permit to Construct Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or LotNo. /.() /O�wneer's Name,Address and Tel.No. A or a l � D�Tvwi/(� o:s*4-v1c_. �✓L[8�� �Q p MI e Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �S ,J�-bCMe Type of Building: Dwelling t/No.of Bedrooms f! ► Lot-Size IS�D sq.ft. Garbage Grinder(100 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 330 gallons. Plan Date 10"30 —9 6 Number of sheets / Revision Date /—7—129 Title Ae*-"ed PIOL /dam, 0S9 ,jjY'fi, /" = SAD Size of Septic Tank ISO® fin/ Type of S.A.S. /o2'Xf!(y' o(eev/t "iP_/d Description of Soilj'S' jr&t. *S"So i — I..7 /0/ _Afieei a-m Nature of Repairs or Alterations(AQ9wer when applicable) Date last inspected: 1 G ENG N .C FY l 9,ASE -,Agreement: TH T ACC O ANC l ST��t�. The undersigned agrees to ensure the construction and maintenance of the afore escri a on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been irue 7tisy and of ealth. Signed Date Application Approved by Date � !` Application Disapproved for the following reasons Permit No. Date Issued ---------------------------- ——————————— 3; b;� ` No. 1 / f �O Y Fee THE.COMMONWEALTH OF MASSA,CHUSETTS Entered in computer: Yes - PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Z[pplication for Migoar *pgtem Con.5truction Permit Application for a Permit to Construct(>6 Repair( )Upgrade( )Abandon( ) 6�Complete System ❑Individual Components Location Address or Lot No. � Owner's Name,Address and Tel.No. r��g�� � o� g%4,;// os )/tt: / er rs �, Assessor's�1ap/Pazcel , 1w -3-/Q vte. Ply �ta� S� Qs9 ur//e Installer's Name,Address,and Tel.No. Designer's Name,Address (and t/Tel.No. 4-14 Type of Building: V� Dwelling t/'No.of Bedroomst. Lot Size /S,00 0 sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow SS gaons,per day. Calculated daily flow 330 gallons. Plan Date /0—30 —94 Numler:of sheets / Revision Date 1k "7 Title A04Aee! Pbf ^44 —'OS �i�/ /" = y0 Size of Septic Tank /SOO Coal '" Type of S.A.S. ` l a 'X:M' le--Q e,4 -r/e% Description of/Soil 0 1 —/,S ' �071.t vt *S&6 50) — 1,3 40 —/0 IAJ �. Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: - The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is ue t is d of ealth. Signed Date y Proved by AP Date/.� Application Disapproved for the following reasons Permit No. Date Issued --.----------- ——— ———— _ .- -- — -------- THE COMMONWEALTH OF MASSACHU " • BARNSTABLE, MASSACHUSETT Certificate of Compliance THIS IS TO CE th the On-site S wage�Dispo 1 ste C s ru ee ( Re ired )U gr d ) Abandoned( )by at / .� has een constructed in actor nce s with the provisions of Title 5 and the for Disposal System Construction Permit No. dated — ';- F Installer Designer + _ The issuance of this a 't sha not be construed as a guarantee that the sy fu otio S Sig Date Inspector o I -------------------- — ---------- ----- } .0% No. ff � / _ Fee THE COMMONWEALTH OF MASSACHU � PUBLIC HEALTH DIVISION - BARNSTABLE s MA S SETT, Migogal *pgtem Construction er tt� Permission is hereby granted to Construct(1>4)Repair( )Upgrade( )Abandon( ) System located at A04 /0 L P Q and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction nfust be c pleted within three years of the date of t ermit. ' Date: t Approved by / DAaI- F1.ow - 3 x 110 =3a4 I st�nc T7�N� . �3v �c 200/sG GD I t---�r�•.[7_� �_` -_ u5� 1 700 GAL. , U;AGWW, '5.(�-M- �E��b�; ,4rTU GA-MCt-I AtzEA _D• I I `7 t0 n3 ' a I zPP L1GATtoN A¢6A vsi5l6.N 1 ty IMEWALL V, TOM ACMA = �Z)`�o ` d - l rorAi,. ,fie, = I OSS WILUA C. Of � N Y E ' • ` � � I�I A►2(.I 1 �3.fo - .„ p No. 19334 O N G� • 4- �zeV� FQJST���o 1.-1�1JC Sul �uNG 4.0 T9- 241S • �' old-,c- 1 � ..—�� -�� '� ;�v 21,E �qs P pt T ZIF _ Izb 1..4. 1N� OFtLC— Q fJ�o1C„f'J �'}""�' '�15,,.ILLCSF" Lomas Ll.. ..FlU-'..,L,> •' IJ WA a Q l�I� CE�TI RG� PLOT FLA p G►-13 : lZ �1� �l/ W n,5N r1" sTv UC 4-v ybTE 1 (o •3a ctf I GsZT1 l=Y '1-14AT Ty-I E � �' 'tss� �I;�'.�r.f � �LA.� 2�Eti1f 1✓ I} oN CCMPL-qe w ITN T�41r SI DELI tiI Alto �T- �� nL g�aw A: z Z �gAGK_ zW IzF-M& T OF 7146 TO rVN of. MAP -l y y Pal.- 3- l C� $1►tL1�SjA'fi�A�� t 5 Nt�l I.LtiG1,T� W l T"t l I N A NyE I NG SpEu AL Ftxc v HAZAZ t> ZONE. �AIJD 4U>zV5YCM6 • bdJGI r.lb��-S V=OAABV IL.Dt 6NOtXD NQT' a E APnuca II>SED TO 91,TA5LJsy PRopE�TY L►►JES, ter/ STEPHEN y\ r HLLYN The dwellin shall be limited to 2 bedrooms unless the septic system is modified to ! WILSON No.30216 1 include enhanced nutrient removal as approved by the Board of Health in which case a - ✓%y<i 9 � dwelling`served by a modified system may be permitted to have not more than 3 bedrooms. REVISED:" V' WJWAM C. C NvE CA . 193 i fl ��� e., �t— D�-.yip sI FA,t t IL.(2 g» gyp GA¢i3ALG l�Is.1��2. I Vf ` u5� 150o GAL• ' D 5T -.• L5� GkL ► - QrrU GA-MOW AMA VG0 1;0. ( \ J I �j�''P rjc- to Ir}4.4 ,tomuc�.-nvN AVZA D�516 pu-� I'�vL"a l to t;DrroM AZ.4 ' AO at � — -r� (� p t5;txw 5� \ 1N o, q r:v CBSE'eel OTCILUA C. N Y E MA2(N 13.ro ,Q No. 19334 O t �f,i-.---I(�1Gm. •1-. ._ suRtiti~ r zz. • 'jli9r 1-�aC.E- 1 r �i�� —'�'� i I�tv '�,1A L�::�—�L "7� �4S TvP = �I-�- wv • ' l5� �.� 3 < . 3► �� ` "�tEl OF'ED P>?OFI� 4L - P1 Cb50 r / PLOT PLAIJD nRGCEO 31A- +v I`/-z. 1-0,fAT lost : 01 1. k p 61-13 CL VWts,5NBEND $TvUc ScaLt 4'c> DAM to •3cAlt I L>Z11 rly T14AT 'M4 i+ •S; /t J 11�.1,1 [Z NCB ow CcAjpt-yS W ITA -�E sME-uKl= A► It' L �p FL P� Z �}� z;6jBA V- ZWvIZF-AA N r e)F 1-}(6 TO W14 of. MAP 14 y PAIL 3 16 'B X4ZNsTMLr--A 1V l 5 P I.4�V-ATt-J w I T1-t I hI BA Q— Nye v h1G S?E�AL F vc HAZ D ZAZ. ONE. �..X1JD ' LgVEYCM6 • GlJG 1 E.1 ?�S 1� tQ C. Pis 0 )rEZVILl� : Mass. o��ers Bonn $VIC.D1 s�bc Nvr E�>+ QPPucaNT: (�S1V1l,Le L,SED TU &6TA5U'6%4 PW0PEQTy' L1Off'5. OF bags\ y�v STEPHEN Cy� / ALLYN The dwelling shall be limited to 2 bedrooms unless the septic system is modified to Ji 1 WILSON J No.3,�216 v'i A� OZ include enhanced nutrient removal as approved by the Board of Health in which case a U/STERN , dwelling served by a modified system maybe permitted to have not more than 3 '` �y�� �� bedrooms. REVISED:. NYE u . 163 j i TOWN OF STABLE LOCATION-- — SEWAGE # 78 `/ VILLAGE ,i ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 165 C-6J SEPTIC TANK CAPACITY L � 1 LEACHING FACILITY: (iype) i!� (size) X y 0 NO. OF BEDROOMS Z i BUILDER OR OWNER n PERMTTDATE: © COMPLIANCE DATE: i Wgol�o Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet I Private Water Supply Well and Leaching Facility (If any wells exist 'on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist i within 300 feet of leaching facility) Feet i . Furnished by.' v 0j Q I ,�z : � g 4� No. U ~/U Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes ' PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE,MASSACHUSETTS Application for Migogai bp$tem con!5trurtion permit Application for a Permit to Construct(>)Repair( )Upgrade( )Abandon.( ) li(Complete System ❑Individual Components - Location Address or Lot No. /C Owner's Name,Address and Tel.No. Ih �Ce�.� osa.:ll� 4s5vz.;/lr !�: G�l�c•�cs �vua`� y, rtx9�e7- Assessor ap/Parcel - /Uq -3-/o ` WI jN Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. b Type of Building: Dwelling ;,-`No.of Bedrooms t Lot Size/S,QQ D sq.ft. Garbage Grinder Win Other Type of Building - No.of Persons Showers( ) Cafeteria Other Fixtures Design Flow $S gallons per day. Calculated daily flow �33Q gallons. c Plan Date /0-30 -96 Number of p Js�h���eets / Revision Date Title 0 e t-'Lr�i ed PI&fakk t — Qs,IT 1 /lc /, = s/d Size of Septic Tank /50 0, Gn/ 7 Type of S.A.S. J v'2'x 0' .,Ed oft FJr/ Description of Soil B ' —/,.S' Sd! S Nature of Repairs or Alterations(Answer when applicable)' ' ` G ENG Date last inspected: dit i1 C FV I Agreement: ACCO . AN of The undersigned agrees to ensure the construction and maintenance of the afore escribe on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is ue lit tis and of ealth. Signed / Date Application Approved by Date "r < Application Disapproved for the following reasons Permit No. Date Issued ' —————————————————————-———THE COMMONWEALTH OF MASS ACHUS T - BARNSTABLE, MASSACHUSETT Certificate of Compliance THIS IS TO CE th the On-site S pispo ste�C s ed( Re ired )U gar ded; ) Abandoned( )by 1 �: /�l wa alt`� at /0 .� <W f f has been constructed in accorddnce with the provisions of Title 5 and the for Disposal System Construction Permit No. _ dated Installer Designer / The issuance of this pe sh not be construed as a guarantee that the sy tIl upctigrl�/j�s stgn/5 lI, �1 Date \eI'%� J Inspector �;`!I I�f1,��l/ No. ? ° / �--- -- —'- -----------.�—=Fee / l THE COMMONWEALTH OF MASSACHUS T� \ rc PUBLIC.HEALTH DIVISION-BARNSTABLE,MA ,S, �H" Sty ETT.S . N� iooal *pgtem con!Aruction er '`it .1 Permission is hereby granted to Construct(7L)Repair( )/Upgrade( )A,,bjandon( ) s System located at er /0. �1-djl o `" f �d�«.. oSy �,/IlP and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. c Provided:Construction must be mp letgd within three years of the date of this permit Date: zl, l/ 1 jJ Approved by } r l3FC 1.07S' PC; 161 7 S 2 0 QUITCLAIM DEED . QGalle M McShane of P. O.Box 429,Osterville,Massachusetts' i for THREE HUNDRED FORTY TWO THOUSAND THREE_ HUNDRED THIRTY f ONE AND 001100($342,331.00)Dollars paid grants to SHULAMIT BRESLER AND ALEXANDER BRESLER,Husband and Wife as Tenants by the Entirety of 3340 Grenway Road, Ohio,33122 ' with QUITCLAIKCOVENANTS. The land together with any improvem County thereon in Barnstable,Barnstable Count , Massachusetts shown as LOT_10 on a plan entitled `Plan of Land in Barnstable (Osterville),Mass.' recorded with Barnstable County Registry of Deeds in Plan Book 388, Page 22. Subject to and with the benefit of all rights,reservations,easements and restrictions of b R record insofar as the same are;iwforce and applicable. :w \ Said Lot is subject to a restriction, imposed by the Town of Barnstable Board of Health to further the public interest,which restriction limits the number of bedrooms permitted �- in a dwelling to be constructed thereon to two(2)bedrooms,unless an enhanced nutrient removal system,approved by the Board of Health,is installed to service such dwelling. For title see Deed recorded in Book 12350,Page 110. Executed as a sealed instrument this /V"day of June,2000 Gail McShane k REC3 OF S COMMONWEALTH OF MASSACHUSETTS FEG # 'a DARNSTA Barnstable,ss. June 92000 t1b 161M IDIO 11 � tll DO= 042M Then personally appeared the above-named Gaile M. McShane andFEE : 1171.35 acknowledged the foregoing instrument to be her free act and deed,before me USN t-1171.35 _ Notary Public `— `�•`c " o " "' My Commission Expires: z rw CO as ! o � w i r` r� Na G �► w t b i Lro tr,a � .--r C _ BARNSTABLE REGISTRY OF DEEDS ! ¢ wc�. ! aei OC LJ .1 A �' ,�... W Fir Town of Barnstable eaxxsTnscE, Board of Health rED MA'S A , 367 Main Street,Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790 6304 Brian R.Grady,R.S. ' Ralph A.Murphy,M.D. Decision of the Board of Health Regarding Lots 1 Through 14 and Lots 16 Through 25 Falling Leaf Lane, Osterville, Shown.on Subdivision Plan dated February 11, 1984, revised April 23, 1984 and'Identified as Parcels 3.001 Through 3.014 on Assessor's:Map 144, and Parcels 3.016 Through 3.025 on Assessor's Map 144. PROCEDURAL HISTORY On November 18, 1996, the Board of Health, agent, Thomas McKean, R.S., C.H.O., _ received twenty-four(24) disposal system permit applications alongwith two checks totaling $2,400.00 from Peter Sullivan, P.E., of Baxter and Nye Incorporated, who.was representing O.R.E. Associates Incorporated and Osterville Highlands Trust pertaining to'proposed construction along Falling Leaf Lane, Osterville. The lots are located off of Acorn Drive, Osterville Massachusetts, and are identified as parcels 3.001 through parcels 3.014 on Assessors Map 144,,and parcels 3.016 through 3.025 on Assessor's Map 144.' The disposal system construction applications indicated that parcels 2, 4, 6, 8, 10, 12, 14.1. 16,.18, 20, 22, and 24.(all the even numbered lots) were owned by'Osterville Highlands Trust. The remaining applications 1 A - 4 . indicated that parcels 1, 3, 5, 7, 9, 11, 13, 17, 19,.21, 23, and-25 (all the odd numbered lots) were owned by O.R.E. Associates. On or about November 21, 1996, Mr. McKean disapproved all twenty-four disposal . construction permit applications due to the fact that the plans lacked maximum feasible compliance with the State Environmental Code, Title 5. He also returned the checks totaling $2,400.00 to Peter Sullivan; P.E., of Baxter and Nye, Incorporated, and invited him to attend a Board of Health hear- scheduled on'.Tuesday December 17, 1996 in order to provide Mr. Sullivan the opportunity show why he, and the'owners of the parcels, believed it would be feasible to construct septic systems on these 24 lots which would meet the provisions of Title 5, the State Environmental Code. 4 a During the first hearing which was heldon December 17, 1996, the applicant requested a .1 continuance. Then the Board members,voted to continue this matter to the February 4, 1997 \�. public meeting. On February 4,1997, the applicant again requested a continuance; then,the Board members voted to continue this matter to the March 4, 1997 public meeting. Continuation hearings were also held on the following dates during 1997: June 17th, July 1st, and August 19th. Many documents were submitted'into the record by both the applicants) and the Board of Health. The Board members rendered a decision on September 3, 1997 during a special public paring. m. 2 FINDINGS OF THE BOARD OF HEALTH After discussion and based upon the jevidence, submitted, the Board of Health made the following findings: I. All 25 lots in the subdivision fall within a.DEP approved Zone Il-of a public water supply: the Centerville-Osterville-Marstons Mills Water district wells CO# 10, CO AR #3,4, and CO MC#2. The Zone II for these wells was approved by DEP May 3, 1994. Further, these wells are showing nitrate levels in the range of 1-3 mg/L; these levels clearly exceed background nitrate levels (generally <0.5 mg/L) and are indicative that nitrogen from human sources is reaching these wells. Septic systems are known to be the largest source of nitrogen to groundwater on Cape Cod. r 2. All lots in the subdivision.are within a DEP-defined nitrogen sensitive area'as defined in 310 CMR 15.215(1). 3. Further, the majority of lots in the subdivision (lots 1-10 and 16-25) fall within the town of Barnstable defined WP zone, the five year time of travel contribution,zone to a public water supply. 4. Septic system effluent is a known source of nitrate and other possible contaminants to the public water supply. 5. Increasing density of housing is associated with increased levels of nitrate and other y contaminants in groundwater. 6. In recognition of 4 and 5 above, DEP has determined per'31O.CMR 15.214(l),' that no system serving new construction in a nitrogen sensitive area designated in 310 CMR 15.215 shall p c 3 be designed to receive or shall receive more than 440 gallons of design flow per day per acre except as set forth at 310 CMR 15.216 (aggregate flows) or 15.217 (enhanced nitrogen removal). 7. All lots in the subdivision are less'than an acre in size. Further, all lots, except lots 23 and 21, are less than one-half acre (20,000 sf). Under the nitrogen loading requirements of 310 CMR 15.214, the half-acre lots would be entitled to a 220 design flow, the lots less than one-half acre would be entitled to a 110 gpd design flow. 8. Under the Title 5 transition rules, 310 CMR 15.005, the owner of a lot on which construction of a septic system in,full compliance with 310 CMR 15.000 is not feasible.is entitled to construct a system with a cumulative design flow of up to 330 gpd provided that the system is constructed in compliance with 310 CMR 15.000 to the maximum extent feasible as determined by the local approving authority pursuant to 310 CMR 15.404 and 15.405. 9. 310 CMR 15.404 (maximum feasible compliance) states that'a non-conforming system may be brought into compliance through the installation of an alternative system (i.e. a nitrogen removal system withassociated design flow credit may be used to bring a system into compliance with the requirements of 310 CM 15.214). 10. The Board is in receipt of a letter from DEP to William Nye(one of the applicants)dated February 4, 1997 stating that "the department interprets compliance with the requirements of 310 CMR 15.005 (3)(a) through (c) to require, pursuant to 310 CMR 15.005(c), a considered assessment by the proponent of approved nitrogen removal technologies when site limitations prevent attainment of the 440 gallon per acre design flow standard set for new construction under 310 CMR 15.215(1)..." 4 15. The applicant may choose in the future to present to thisUard an aggregate nitrogen loading which complies with,310 CMR 15.216; this plan, if approved by the board, will negate the restrictions in 14 above. ' T ACTION TAKEN BY BOARD OF HEALTH Based upon the Board's unanimous approval of the proposed findings, the Board of Health voted'to take the following action regarding the pending twenty-four applications for.disposal system construction permits submitted by the applicants, Osterville Highland Trust, John Alger, Trustee and ORE Associates, Inc.: A) Disposal System Construction Permits shall issue to ORE Associates,Inc. for lots 3, 5, 7, 9, 11, 13, 17, 19, 21, 25 and to Osterville Highland Trust, John Alger, Trustee for lots 2, 4, 6, . f , 8, 10, 14, 16, .18, 20, 24, as designed, said issuance subject to compliance with the following conditions: V . 1. All dwellings shall be limited to 2 bedrooms unless the systems) is modified to include enhanced nutrient removal as approved by the Board of Health in which case a dwelling y be permitted to have not more than 3 bedrooms. seared by a modified system may 2. Each plan shall be modified by the applicants to include a notation containing the full text of the language recited in paragraph (A)(1) above. 3. Deed restrictions,approved as to form by the Town Attorney, limiting the use of the ellings to two bedrooms on each,of the above-referenced lots shall be recorded at the stable Registry of Deeds. A copy of the recorded deed restriction for the particular lot for which a Disposal System Construction Permit is sought shall be provided to the Barnstable Board of Health prior to the issuance of a Disposal System Construction Permit. (B) Disposal System Construction Permits shall issue to'ORE Associates, Inc. for lots I and 23 and to Osterville Highland Trust, John Alger, Trustee for lots 12 and 22, as designed, subject to compliance with the following conditions: 1. All dwellings shall be limited to not more than 3 bedrooms and said system(s) must be modified to include enhanced nutrient removal as approved by the Board of Health. 2. Each plan"shall be modified by the applicants to include a notation containing the full text of the language recited in paragraph (13)(1) above. (C) No permit shall issue for lot 15 which has been designated; pursuant to the initial subdivision approval by the Planning Board, as a lot reserved for drainage. (D) The issuance of the permits, as restricted, shall not prejudice or otherwise limit the right of both applicants, jointly or severally, to file with the Board of Health and the DEP a plan pursuant to the provisions of 310 CMR 1.5:216(2), nor shall the rmere filing of such a plan obligate the Board ,of Health to approve same. VOTE: IN FAVOR OF DECISION : RASK, GRADY, MURPHY 4 OPPOSED: NONE Dated: October 7, 1997 Susan Rask, Chair Barnstable Board of Health l