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HomeMy WebLinkAbout0060 GREAT BAY ROAD - Health 60 GREAT BAY ROAD Osterville ' A = 093 — 075 iI 1) 1 No. Fics....... � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH D TOWN OF BARNSTABLE Appliratiou for Uispwi al Works Tonstrnrtiun Famit Application is hereby made for a Permit to Construct (414 Repair ( ) an Individual Sewage Disposal r stem at: 4za --- -•..................•-----------------....--. -___--_--•----------------------- Location Address or LotNo .� O_... ..................... •---------... - - : •••--•-•••----•••-•---•-•----•--..__.... ....................................................... - ....--...- er w ress h N� Installer Address Type of Building Size Lot____________________________Sq. feet No. of Bedrooms______ ________ U Dwelling No. Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Other fixtures ---------------------------------------------- W DesignFlow.............:.............................•gallons per person per day. Total daily flow____..._......._.____.._...._..__......_..._gallons. g P P P Y Y WSeptic Tank—Liquid-capacity............gallons Length............... Width................ Diameter................ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--_----------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY.......................... ...,..... -------___--•-•--.--------•----•-• Date........................................ � Test Pit No. 1________________minutes per inch Depth of Test Pit....._......_......_ Depth to ground water_-___-_--__-_---_------. 1-.4, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+ ------------------------------------- -----------------------------------------------••-•--•-----•--......................................................... O Description of Soil..................... ..._...__.._ _ V --------------------------------------- •----- La%� '� -... - - -----------------•----------------------------------•----------------------------------•--------------------------------•-------..--_ Nature of Repairs or Alterations—Answer when a li le__ ........................................................... U P PP • -----� - Agreement: The undersigned agrees to install the aforedescribed-Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code— he unde igned fu-th grees not to place the system in operation until a Certificate of Compl nce has l iss y lth. 77 Signed ......... .----. ---- ----- ------� Application Approved By ..: ..... ... ... - --- � ce Application Disapproved for the following reasons- ............................................ -------------------------------------------------------------------------------------- --------------------------------------------- ----------- ---------------------------- ---------- ----------- ----- Dace Permit No. �"�' .. Issued .0 WX No. Fitz THE COMMONWEALTH OF MASSACHUSETTS BOARD" OF HEALTH 01' TOWN OF,-BARNSTABLE t. r Appliraftion fnr Di"' aaal Works Tonotrurtion ramit Application is hereby made for a Permit to Construct (tf) or Repair ( ) an Individual Sewage Disposal System at - .. -------------------------------------------------------------------------------------------------- Location-Address or, Lot No. --- _•. .............. ...••----........................... ..... ..................................................................... - •- .... W Ow e� r v V_ Q/N N/ 1�dress ifs A. - s _ , ............................. Installer Address d Type of Building = Size Lot----------------------------Sq. feet Dwelling'�No. of Bedrooms______ _________________________________Expansion Attic ( ) Garbage Grinder ( ) 4 Other—Type of-Building No. of persons.......--------------------- Showers — Cafeteria Pa Other fixtures ---------------------------------------------••-----• _ W Design Flow................:.:..:.:.....:.........:..gallons per`persbri per Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity.............gallons Length................ Width................'Diameter---------------- Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leacling-area....................sq. ft. Seepage Pit No----_-------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Elate........................................ a - ,� Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_-___-_---_-____---_-_-. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ _ •...............••-••---••- :=n_. •••--•........................................................................................................ ' ODescription of Soil --------------------- ---------------------------------------------------•--------------------------------------------------- x •--------•.............•---••-•-•------...--•-•-•-•-•-•-•--•-•••••---•-•-•......-----•----••......-----------•-•--------- ------------------------------------------------.....----••••... U Nature of Repairs or Alterations—Answer when appli�cab.le...�_-.��- _-_-_- .. ........................................................... ' .............;;...................................•-•--•-•-•-••-•-•••-••-......_...------.t &lore a�' .:. /�✓- ..... _...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place.the system-in operation until a Certificate of Compliance has bee iss ed by,thfioar ofililth. Signed ...�.: :..►.._. ............. .... f' �-........ Die �/�•/1 Application Approved By Wy - --..... _...-------/ ---- / =----------- -------------- --------- --------- ... .. Mw Application Disapproved for the following rea ons: ..`---------------------------------------------------------------- ............................. ....................................... �� rE.. . --------...------------------------------------------.-----------......................./.......... ---------------------------------------- �Q Dace Permit No. .- '.-x: ._------............. Issued ........... /� ,/-..--- .----------...... P�te THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cgexttftettie of Conayluxnce ,jmly/ls , CERTIFY That the-Individual Sewage Disposal System constructed (�) or Repaired ( ) by ,. -- ..........1��,G.�1�-- s ........0��, Y ---y---- -- ........................................................., / --.---------.....-------- . ................------...... . -- at�l/� .....................................� 7 rl/�`Y/1,... 1�5a�. / ............ has been installed in accordance wltthe provisions of TITLE 5 of The S t vironmental Code.ds dese-r'bed in the application for Disposal Works Construction Permit No. .:/ .'�:ze ...... dated .... - ` . ------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................3.I"=.3---- -'�------------_--........................................ Inspector ..................... THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH `i C�nn TOWN OF BARNSTABLE No...d..!.�-.�....... FEE........................ G�Qd pAll 0 TV A#i ila�t: rrruti# YgPermission is hereb ranted_... E. !I ..... �Lt..............................•--............................----- �j to Constr !�� Re a'r ( ) Indivii al Sewage D' al S stems at Now .._./?' � � y....lT!!!! ..---•-• -��- -- -•............................ ..... .......... Street 91Q-.� �� � as shown on the application for Disposal Works Construction Permit Noy................... Date.1..____....._._ ...... ....................................Yrl, . ......................................•---...... �B and of Health DATE............. ..--.. .- -." .......................... Board FORM 36508 HOBBS&WARREN.INC..PUBLISHERS 07 s 1� No.+.�. Y...... FEa...... ..'.. .. . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH __`_..�1` c-- OF........ .. v.�- --�----=41.............. ... .......... Appliration -fair Miivwi al Workii Towitrurttoaa Pumit Application is hereby made for a Permit to Construct ( ) or Rep -r ( ) an Individual Sewage Disposal Syst at: a R ---! d 4 L A- -�.Z -------------- --- -- --------=-- ocatiodress or Lot N ......................... OVs -•---Address In Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) per-, Other—Type of Building ___________________________ No. of persons_-_____---_______---______- Showers ( ) — Cafeteria ( ) dOther fixtures .............................._--_----------------------- ------.------•--•-----------...-----••------------------------------ W Design Flow.-------------------------------------------- per person per day. Total daily flow-------------------------------------------- WSeptic Tank—Liquid capacitv,_>..:_____--gallons Length................ Width_.-_-_.___--- Diameter---------------- Depth____-._---_-- xDisposal Trench—No. .................... Width-__-__.-___-_-:_--- Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area-----.--------.---sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by----- ---------- ----------------------------------------------------- Date------------------------------------- .. Test Pit No. 1................minutes per inch Depth of Test Pit-..---._-_-_--_-___- Depth to ground water..---------------------- r4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--_--..._-_-._----__---- P: --------- ----------------- -------------------------------------------------------•--.........---•......................................................... 0 Description of Soil------------------------------------------------------------------------------------------------------------------ ----------------------------- ----------------------- x. U Wx --------------------------------------------------------------------------------------------------------------------- - -•----------- - --------- ------------------------ ~ Natur f Rep- o Alterations—Answer when applicable.-U - --- -- ------------------------------------------------------------------------------------------------------------------ --------------------------------- ---------------- Agreement: , Thee-undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bpen,issued by the board Qf health. Date Application Approved B Date Application Disapproved for the following reasons:---!................................................................................. ......................... --------------------••----------•---------•--•---.....---------..._....-----------•----•-•---------------•-------------•-•-•-----••.....-•------•--•------•----••--------- -----....--•-----------••--. _ Date J Permit No. Issued. / --.....---- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -e..-..�oF........ .... ... .............. ,���slirtttinn �fnr.. ���u�ttl laxk� �nn�t�nr� �� emit r Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal- Syst at. '�+� ;........2---- Rd. ..............L­4­7tdp_�4' g Vr 4AJ_QA.414.L. + ocation-4dress or Lot N . Owner Address W p Ins er Acdress U Type of Building >. Size Lot___________________________Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) a d Other fixtures -' --- Design Flow...................................._t......gallons per person per day.. Total daily flow---,_ i_..__---------.gallon. W Septic 'iTank—Liquid capacity _:%-_gallons Length---------------- Width_ . Diameter___ - -_-_-____ Deptli-" __---- Disposal- Trench—No..___.____ Width Total Length_______ Total leaching area------_____--.. sq tt. Seepage Pit No--------------------- Diameter' Depth be`Ic�w inlet_.___. ____:_.___. Total leac]`iiug area..___-_- stl: Other Distribution box ( ) ;,, D;9sing tank ( ) `< ~' Percolation Test Results Performed b �: __ a Y - - ---- -- --------------- ----'. Date- ------ Test Pit No. 1----------------mmutes per irich4, Depth of ­Test Ptt.................... Depth to eir6t nd water .______- _-:_?. rX, Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water-_.____________-__-_.- W a ODescription of Soil----------------•-..-----............-...............................` :•z;----------------- •------------------------- -------------------------------------- ...................... I-------------------- U Natur . f Rep • s or Alterations—Answer when applicable.- __ ..... , j _ (Gyct/"______.._.. -- - ---- ------------------------------------------------------------------ Agreement: t , The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance` with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bom issued by the board of hea h. Date ' Application Approved B " Application Disapproved for the'f ollowmgrreasonsl = Date =` •------------------•------------------------------- t ppp ik - � �� ��Date ="y, ...... ' Permit No. -• --- ':- Issued ----- - -- = i Date THE COMMONWEALTH OF MASSACHUSETTS a BOARD F HEALTH ...7 a Al": intifirtt r of Tomplittnre .:.w. ,• r T S I TO C RTIFY,�7Ththe ividual Sewage Disposal System constructed ( ) or Repaixedby_--- - •. . ------------- ------------ a ` 1 ns Her f! P- ­Z �*-..._.___ has been installed in accordance with the`'provins of Article XI of The State Sanitary Co as d cribed in the application for Disposal Works Construction Permit No---- _................... dated_._, ,7. 7± ......_._...:.._. THE ISSUANCE OF THIS CERTIFICATE .SHALL NOT BE CONSTRUED AS A UARANTEE THAT THE SYSTEM WILL FUNCTIO SATISFACTORY. - DATIt Inspector------. = i e-----•--•------- ' i - THE COMMONWEALTH OF MASSACHUSETTS BOARD HEAL * - *r4o ................OF*.......W-11511.,­��4;00116 ------ �i� .ttrk , an urtinn err t . _\ Permission is hereby grante ------------- to Construct ,tor epair ( a ' ndivi al S age Disp sa stem at No. - --------------J-• - • - t, ( r% Street l as shown on the application for Disposal Works Construe ion Per i o..... _. :.___ D t � L-- _ ------- •--• -•- - X171�.l oar of H alt:h DATE...... -----.................................- _ - FORM 12 HOBBS & WARREN, INC.. PUBLISHERS TOWN OF BARNSTABLE LOCATION' f�� a"), AV SEWAGE # C',g` VILLAGE ASSESSOR'S MAP & LOT _Q?.�;75�5 INSTALLER'S NAME 6z PHONE NO. 11,04 _ 4 SEPTIC TANK CAPACITY , r00 LEACHING FACILITY:(type) ' rlv (size) 21--1b, NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNERv ro c$ DATE PERMIT ISSUED: �"- RLnNo - DATE COMPLIANCE ISSUED: "3 9 z ik VARIANCE GRANTED: Yes No -7y `P • I' i •+4 CIS. �P` t ' ; P • p 4 ` ` `4 LOCATION : 5EW&C-IE PERMIT MO. 0,75 iWSTQLLER 5 IJWAE ADDRESS - - - - - - 15UILDER 5. 1J:l MF- ADDRESS' - - - - - - - - - -,,�terr- � - - - -- . T R IT ISSUED D A E P E ►� •�-� D A.-T" O P/l 1 &KI CE ISSUED ; E C P L � � 'N r. . r�, ` xt*t.. � --- , ► � i � r, f x.E Al (^ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FO � . Address of property Ga Crtaf /�•:y /7� 1 2 Owner's name Date of Inspection RfC�E`��'ED J .. C E�CRLIST � SEP .2 T 199.5.; � . Check if the following have been done: ^� " T f0fpt V_ Pumping information was requested of the owner,'•'occupa,land `Bo rd of Health. None of the system components 'have been-'pumped for at' least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. - ✓ As built plans have been obtained and .examiried. , Note if they are not /available with N/A. ✓ The facility or dwelling was inspected for signs of sewage back-up. _ The site was inspected for; signs of ,breakout. Q. All system components, . excluding .the SAS, -have been ,located on the site. vf�The septic tank manholes were ' uncovered,• opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,: depth of liquid, depth of- . .` m.r. r sludge, depth of scum. � The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. ✓The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. .<.....n.. ..r.i ^�. _ wn_ I v.. • �+whJ .r rt x."^s T r. ,'4 .. .. •+ T �Yf � vL ` 8 t OL SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS , If residential _V number of bedrooms number of current residents -�- garbage grinder, yes or no' =� laundry connected to system, yes or no , seasonal use, yes or no �9 y3 If nonresidential, calculated flow: �y y y - //4 Water meter readings, if available: A,r}o.•+.1.c Srrjwr �'+ sys�«''' y�Last date of occupancy GENERAL INFORMATION Pumping records and source of information: / si S It 7 P e-n n uZV/9ta� S " 1✓/) System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: Type of system ✓ Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain)_ /0" to SAS Approximate age of all components. Date installed, if known. Source of information: AM Sewage odors detected when arriving at the site, yes or no 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART 8 l ( SYSTEM INFORMATION continued SEPTIC TANK:��on , vy t; (locate on site plan) depth below grade: "' material of construction: ✓ concrete metal FRP other(explain) dimensions: 5 X /� .6 ' nrPc�sf /S�� SpaT/r A—� sludge depth f ­31 ­ distance from top of sludge to bottom of outlet tee or baffle ^-a scum thickness _ 1 distance from .top of scum 'to top of outlet tee or baffle distance .from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc. ) �u.n/� G/HNTrrS Ta be 1i+1 Ciao o/ DISTRIBUTION BOX: (locate on site plan) depth of liquid level •above' outlet invert _... Comments: r (note if level and distribution is equal, evidence of solids carryover, evidence ofleakage into or out of box, recommendation for repairs, etc. ) l7Hd'f/S �J �� ��!/�/ -.QM� inn GiODO�- �n. d 't. •�f Fi/INL/,Ji, ins !1/OT�►J. 74.'S ✓e s zA,-. ftd �A /t rn,1, �•7_ .✓.s """" .PUMP CHAMBER: v.100011 --(locate .on site plan) pumps in working order, yes or no. za , Comments: (note condition of ,pump chamber, condition of pumps andappurtenances, recommendations for maintenance or repairs,etc. ) , /ov wll 17 !n a rrr�j.'/ . .n !.j Os Lo-�!yl "�I J✓1 y, iJ.i rye ri/a/ , l] 10. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART 8 SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) : ✓ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present., explain: Type leaching pits and number ✓leaching chambers and number S-«„�, b. �{�sa►� .„ ��'X a/- f,e71 leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions overflow cesspool , number Comments: (note condition of soil , signs of hydraulic failure, level of pondirig, condition of vegetation, recommendations for m intenance or repairs,etc. ) over 5 A he ✓M L Tip H/� CESSPOOLS (locate on site plan) : � ! numbe configuration depth-top o id to inlet invert depth of solids la depth of scum layer dimensions of cesspool materials of construction indication of groundwate inflow (cesspool must-'bye pumped as part of inspec ') j ommennQ.t condition of soil, signs of hydraulic failure, level, 'of ponding, ondition of vegetation, recommendations for maintenance or repairs,etc. ) PRIVY: (locate on site plan) materia construction dimensions depth of solids Comments: (note condition of..-stoil, signs of aulic failure, - level of ponding, condition of vegetation, recommendations maintenance or repairs,etc. ) I f rs: �. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks- or benchmarks locate all wells within 100' i i_.' • a �yrov. ST 1 DEPTH TO GROUNDWATER. y depth to groundwater method of determination or approximation: - nr:� � e /. S.tt /1�4rt /�afu k t 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined", explain why not) Backup of sewage into facility? AV4 Discharge or ponding of effluent to the surface of the ground or surface waters? N 0 ',Static liquid level in the distribution box above outlet invert? Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? NO Required pumping 4 times or more in the last year? number of times pumped NO Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? ' C �O Is any portion of the SAS, cesspool or privy: below the high groundwater elevation? within 50 feet of a surface water? Z*ey within . 100 feet of a surface water supply or tributary to a surface water supply? within a Zone I of a public well. within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS) ? i✓� within 50 feet of a private water supply well? • ' '� less thanbut�_ 100 feet greater than �50 feet from a private water P supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analys' for coliform bacteria, volatile organic compounds, ammonia nitrogen ' and nitrate nitrogen. �_ f A t A*:� TOWN OF BOARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D CERTIFICATION -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS ASSESSORS MAP, BLOCK AND PARCEL # OWNER' s NAME Ra�e-r 6,'11 PART D - CERTIFICATION NAME OF INSPECTOR. . COMPANY NAME !fig1fa 134G/C47r eeve�c < COMPANY ADDRESS All ✓ 571 / a� 5 tv^5 `/ D.Zl,-47' Street . ,Town or City State ZIP COMPANY TELEPHONE ( jOf ) �j/� - Cj5' S FAX (50* ) 't2a - .2 `//Y CERTIFICATION STATEMENT. I certify that I have personally inspected the sewage ; disposal- system at this address and that the information reported is true , accurate , and complete as of the time of inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one: V System PASSED The inspection which I have conducted has not -found any information which indicates that the system fails. ,to adequately protect public health or the environment as "defined in ,310 CMR 15 : 303 . Any failure criteria not evaluated are as. stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have conducted` has found that the system fails to protect the public health and; the environment' in- accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on .PART C - FAILURE ` CRITERIA of this inspection form. 4 Inspector Signatureoffl.4C G�z�� Datey{- -�- .? One copy of this certification must be provided to the OWNER, the BUYER - (where applicable ) and the BOARD OF REALTH. * If the inspection FAILED, the owner or operator shall upgrade the system . within one year of the date of the inspection, unless allowed or required otherwise as provided in 310 CMR 1.5 . 305 . partd.doc I ` r 4Z, Ap vJar to bq, S003'\., TOWN OF BARNSTABLE CF THE TD OFFICE OF Z DAS39TABL i BOARD OF HEALTH NAM& y V o� i639' � 367 MAIN STREET �— 'EO MAy HYANNIS, MASS.02601 VARIANCE REQUEST FORM All variance requests must be submitted fifteen (15) days prior to the scheduled Board O_of�Health Meeting. NAME OF APPLICANT `)ts�/� I�1/l -/ TEL. ADDRESS OF APPLICA NAME OF OWNER OF Pjj TY SUBDIVISION NAME NAME DATE APPROVED ASSESSORS MAP & PARCEL NUMBER o LOT SIZE Ifs LOCATION OF REQUEST. VARIANCE FROM REGULATION (List Regulation) . T S ` REASON FOR VARIANCE (May attach letter if more space is needed) PLAN - TWO COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE.. REQUEST. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPROVAL n Ann Jane Eshbaugh, Chairman [� 70H@4C�?,. d uFrry;, ',TJ Susan G. Rask Joseph C. Snow, M.D. BOARD OF HEALTH `SEp TOWN OF BARNSTABLE j 3 1990 1 NEW �I NEW RAKE -- r U1 _ /• — -- o.. ...-._..-� ��- - -- �dreH eoFRT c .TYP. IXB/IX3' b \ —__— P Lo ell 01 I 11 A -, , ---- 'c PROPOSED LEST ELEVATION SCALE: 3/16ne1_OII PROPOSED FRONT ELEVATION UGs � cvf— j%-S l2vtJ - YV'4 W-9 ii 9Z SdV fi r—TYP-NEW RAKE OVERHANGS _ OVERHANGS - — I --- - =_� Y / D C R IT I � R T0010 I AI .7 4 I PROPOSED RIGHT ELEVATIONLi --I---- _ =- r J SCALE: 3/16%00" L-- r.._ . .-.I — --------- — -- - - —-- �T - - PROPOSED REAR ELEVATION P. BUILDER JOB ADDRESS DE61GN n �✓� 1 ti�j r�--�C�z ��� --1 y^�,p DATE REVISION DRAWN BY PAGE SCALE C=ULLANE CORP. 60 GREAT BAY ROAD RENOVATION ` ` , ° J+ C)esj��.� OSTERVILLE, MA. - �^ W! ll!vI1R:NdBF OF ORaWING::LGAYE9 FLRCNAE�REBPON9IBLE FOR LOMPLIANCE WITI%ALL. T'.1—T BITE AND REINFORCEMENT OF dLL CONCRETE FOOTINGS 13)ALL FOOTINGS-A-E—EN BELOW FROBTLINE YERIiT DEP IH. 2.T F i.OLAt.BUILDING COCFB dNC ORDINAUC F 4=1,DRAW.— NOT BE NFD R-c0PON816LE M119T BE DETERMINED BY LOCAL BOLL CONDITIONS AND ACCEPTABLE !�J VERIFY BA_EN INE ELE`IEN't0 FOR DESIGN r SIZE pp,Bt:UI�5 '�yBJ 4 ��J�•O Z .FOR SITE CONDITIONS OP.FOQ THE UBE OF THESE DRAWINGS AIRING OCNBTRUGTION. "R=LTILEB OF COnBTRIICiIpN.VERIFY pEBIGN WITH LOCAL ENGINEER. WITH LOCAL ENGINEER AND BUILDING OFfIL140. pFgT pWIPABTABLE lML A3G�d �`-�-��-, � PATIO I. _�1 i L.:,Y� _ _. ... �_— PATIO �.I._ _ _I 1- ---- — —' — — - -- - I --'--1— yL- r- - --- I � I � eTEP 3000 6080 3000 _ --- 3080 6080 3000 '• ____ 3 x (H EA4DER(BJ It - SITTING GREAT AREA gTEpg SITTING _— ROOM cvHEDRAL — t; GREAT AREA - CATHEDRAL r ROOM cATuEDRAL - y 3090 6080 3080 'a. —THEDRAL --TFADER(C) _ 11 "'.CEILING LINE ABOVE I-- '_''.. " - CEILING LINE —TTP. _—.—_—.—_L _ —_—_—_---—_ .- M!BEDROOM �_— ----- ---------------------- KITCHEN - - KITCHEN . I r n / FOYER --- FOYER - L II --------------------- Fo n f- - I 1 ' LAUNDRY I W.!.G, g LAUNDRY i- MECHANICAL + // zo,o 30�\' nEcuawca.. �o,o l; COVERED NEW I PORCH / / - 1 DODR uwr L�, 5 Ex14TING HEADER E%STING HEA FR M/BATH ` I - I i eTEP �. M/BATH NE1U COVERED ENTRY i --- - --- -- ' y 1. BATH BATH + w� r - -- -- BATH ... I -� BATH Y I — A � EXISTING FIRST .___..________ GARAGE GARAGE FLOOR PLAN t ------ --- - ---------1 PROPOSED FIRST s FLOOR PLAN BEDROOM I BEDROOM RMMI 3 P. y' le I lao.+W7S r GUILDER JOB ADDRESS DESIGN \� 7 a DATE REVIVON DRAWN BY PAGE SCALE GULLANE CORP. 60 GREAT BAY ROAD RENOvATION (�cn1"! 'o�1c��f�S� '' � � `��v � � -- $-15-16 « JB 2_oF� va".ro° OSTERvILLE, MA. ' W tl)L-AL OF DRA DES LEAVEtl PtIRCHA9ER REEPONBIBLE FOR E HELD RES WITH ALL !])E%ACT SIZE TER REINFORCEMENT OF ALL CONCRETE FD ACC g (4)ALL FOOTINGg IlRA L E%TEND FOR DESIGN I AI VERIFY DEPTH. '�'. LOCH..BII+L NDI CODES AND CRDIN.ANCEg,.d E TRA I YAT NOT BE HELD RE9PON910LE —A BE DETERMINED U LOCAL BOIL C B5ID NO IT LO ACCEPTABLE l�)WITH L BAL SN IIREE SAND BUILDING FOR DE I l OIZE p-p,ppy y0y ' ' �I FOR SITE GONDITION6 OR FOR THE NgE OF THESE ORdWINGg DI1FtING CON9TRIICTION. PRACTICER OF CONSTRUCTION,VERIFI'DE9KaN WITH LOCAL ENGINEER. WITH LOCAL ENGINEER AND 0111LDING CFFICIALg. EERT By@IygTAea MA OTdw9 ,(5C.`B�yQS4-9rJ-�F __________________. _-----_ 1 - --------------------------- 1 i I .. „id i'� "�s6, r."j -'iY✓„k ry ,MY' ----- I I , I I I I I �'r I I I 11 I I I I 1 I I I I I I I I 111 11 I I 11 I I I I• i t 7 £r hY` ,'•)T' _ �' ----- � ' ^,�I II II II II II II II � _\�11 ,I 11 II II tl II I — p EXISII^,IN(:� EX!STIING; O � / � ,{J II II 11 II II II II I11 I II II II II 'I I -�I '' / � �T�I I I I 11 I I I I �/ I1 1 I I I I I I 11 11 i t .I I • I v 4�• / >. 11 II III I111 I'll II 1 ________________________ �___________ yA 2 CUSTOM - mti RAFTERS a NEW FROST WALL 1 1 -- "\ 1 I 46" BELOW GRADE. -+rt-,a---�-3--ry-15-'--7�--x-_r-i-X.-:--�f'�-r_o..�-. __ _ -_ _-_ _ r�_U1�_�_Y�_ _____ ____ __________ _ ___ I-101/4 . , / 111-3 V211 roL-i0%4 NEW ENTRYL i _- NEW ENTRY - - ----- ---------- - - RAFTER PLAN -- --- -- - 8" CONCRETE FR06T WALL FLAN I _ L --- - __ ---- --- o� I 4'POyI G -AS CRETE Ii / N L APPOVED MPPROOF�J SA _ COMPACTED GRANULAR N-EW(5)GONTINUOUB 31/2 X912 LVL NEW(C)CONTINUCUE 3I 7 X91/: LVL W V2"X912" / j - N /AJ CONi1N0005 3 LVL I �'• *V / / 2Xb /. R• _ ---- r __ FoonNG 5" FROST WALL FOOTING DETAILS PROPOSED REAR ELEVATION .STRUCTURALS HEADERS BUILDER JOB ADDRE55 DESIGN U/L iU�{���(„_.J(�/ ✓�f_�/� DATE RaE V151ON DRJI ABWN BY •�'PAoGF�E vSaC"=ArLoE" �Ip.p�.OI�q /)&Q / a GULLANE CORP. ' (oO GREAT BAY ROAD RENOVATION 4-15-16 -------- OSTER V I LLE, MA, w !11 PJRCHA}E OF DRAW nG9 LEA ES PUROHASL- E FONSIBLE FOR COMPLIANCE WITH ALL 01 EXACT SIZE AND REIN RCEMENT OF ALL CONCRETE FOOTNGS 11, FOOTING.SNALL E ENO BELOW FROSP INE VERIFT'DEPTH. _ ——•-� !- LOCAL B11 LD OES AND ORGINANDES.IB DE.:IGNS M1A�NOT BE HELD RESPONSIBLE MUST BE DETERMINED 13'LOCAL BOIL CONORIONB AND ACCEPTABLE 11 VERIFY 91RU—A,EJ-EI'IENTB FOR DEEIGN.BIIE (50BJ 494-4.534 OI FOR'Blnf CANOtTroNS Oft FOR iH'c USE OF TNEBE DRAWINGS WRING.ONBTaUCTpN. p.—ES OF GONdiRUCTIDN.VERIfY DESIGN WITH LOCAL ENGINEER. WITH LOCAL ENGINEER AND BIIILDiNG OFFlGALB. LL'EHT pARryy)ggLE ryq,OYy,�p9 I 13'_1111 41_pll 41_pll �,'-lpiq 11 11-211 1'40!44.1 1 I 1 51-411 RADIUS d' i 2" 015TOM - - � 03 I -_' RAC ERS a TYP, H2.5A TIES 1/2" CUSTOM BEAMSI _ -- -- 1 2e I 111-4 " 4 CAP� TYP. )�C4 1 - Sk - F i 11 I( I 1 - - _ 4 1'--TYP. SIMPSON ) LSTA12 STRAPS..- tu EXISTING NEW I PORCH PORCH _ I ® I L _ _.J �,� L _ J I CUSTOM I �.S - 1 i 1' U.l> _ I L -t — j rl COLUMN r L r_ _ J (� L.Z r L TYP. ABU44 I I I I I ' (SIMPSON) L =__ J / N ="s IL'—�I L _ J / — (I L _ _ J i IL- -- j RISER . _ TYP. SIMPSON EPS4 i CONNECTOR OR.EQUAL. `-o a e v a• ��_ _ to ,� ,� �� i, of RM--Rt) ENTRY DETAILS SIDE VJE! W SCALE: 3/4"=I'-011 ENTRY DETAILS FRONT VIEW — SCALE: 3/4"=I1-O° BUILDEREO-STERVILLE, JOB ADDRESS DESIGN , �� _� _ -� ^ DATE REVISION DRAWN BY PAGE ` (� �r/�1.f,GULLANE CORP. REAT BAY ROAD RENOVATION 1(�1"VI�,`fL�J c 4-15-1(o a JB «-4oF4 1,=" �� MA. �� ITf ll>PfIRCHASE OF DRAu11NG5 LEAVE9 PURCHASER RESPONSIBLE FOR COMPLIANCE WITH ALL (}i EXACT 84'E ANC REINFORCEMENT OF ALL CONCRETE FOOLINGS f51 OLL FOOTINGS SHALL IXTEND BB_OW FROBiLINE VERIFI'DEPTH. O LOCAL BU­ CODES AND ORDNANCES,JE DE5IGNE MAY NOT BE NELD REEPON BLE —BE DETER%INEC BY'LOCAL BOIL CONDITIONS AND ACCEPTABLE f<J VERIFI"8—ELEMENTS FOR DE GN.812E P.O.BON 1Bg z I FOR 51TE CONOINONS OR FOR THE 115E OF THESE CRAWNGS.DURING CON8TRilCT10N. PRACTICES OF CON57F—TION.VERIFY DESIGN—LOCAL ENGINEER. WT4 LOCAL ENGINEER AND BUILDING OFFICIAL.. !(EST BARNSTABLE!•14.036b9 (5Q8)434-9534 l PLAN VIEW NORTH ELEVATION 30� SCALE 1 / 4 " 1 ' 7j 0 tl SN`JiUCP J p0(4" r �° 10F;E � � Ft PVC, PC CH�mBk I� o' cat a' U ,a o 2Z I ID — j o�`� a ova j iLii ❑ ❑ ' pro -- PIK PTpE T _-_, 1X0 C �E FRS ANK i U ARrA U I R s Rvr bN d r b O 0 6 r � yX LL— Al �\ PROFILE VIEW (N0`r TO ,P L E � ( TON r_ Ak EA I 7Ll tZ1lu A��A i I N07 C �cLi- ovr1:,�' L- GKrt j FR "PKoInT C��r�,n;�..,r 12.i:�::.��d�t��_i. = oUZ CISO) = �. v (TTrTLr~ �� I � I i � � `� ❑ � ❑ c. U, Z. z — I R AKOU-r t_ ,. rAftc c �A T�t� AF-r6R CANSTpC-bICTG �M) ❑ ❑ ❑ ❑ I - I i I � I r T/F6 FLOw L f YP . F � ILI- __. Z '� Iy� Q n o O - L7 Cl L O q C7 L7 a O n i f VC PLFE f¢ PVC. F-r-H- I JM1Z iV T'7 WPITE:k TA&L.F A)a,> ,6 L5 AccDn'10LATC 10AY 6C- �olNi v �rk 1FT-rUr EL� I e s P I certify that this proposed sanitary septic system confqp"s to of tthe viroxntal ions of 3It7 CIt Title V Y�TN1 '►is OF fk i'fAr PESCE am NIL 3M �f ?J e '^Y�t MO. n Brow i E'�` �O �� l 6 A CT 2 � t lvG�-/V C-C Certification of this drawi.np, is riot valid unlessx �, A c-,—, - �- the stamp above is provided in red ink. -��J PLOT PLAN SITE PLAN NOTES SCALE 3 / 3211 11 SCALE 1 " 401 FROR)�!e� 1-" WC (f 3 T-f/V C- -TBM &5"/Cil MAkK - In A-Ssm r::L TO 8 r- /0.0" AT &),TOM /000 GKL I E r- H 0 1 L C,0ktJ ff-k' ��� � $ SePT-rC IANK b wr:=-L-L--r/Ve7 FD 0 0 FLOW br-Fr-tASORS MH VV 01 ROBS C-: DESIGN ' 13 ' 4-1 (Y) "N L4 "ell DESIGN ' A ' X aEAN Fra- C E SS POC-1)L Roe- 4(,o e, Wfz�(- PIPITE Af p ?Jro P�v x E 9!::- IVCW f-�Vrfll C-7 A L 719 bby x d �eFERer\cc Boo/< 2 ?z k- Kra )K,&,r7 Noun MIN y -- w SOIL TEST PIT DESIGN CALCULATIONS q. NOTEQ EA) CON t OkM AtKA:z t4,)U-F�, Tj 6LC F--r �K L14LZ C,Q�T f r:j'--C -K a�C- 5x -r)j& 10on (-,,AL TAA)K Aknmww-� F f0m)r -Fo -1-1-i C k-Am 0117-HOU'r APWovAi- OF r:' t-�)At7,, a ob H 1-:- —10 -PIAT —1H.C- Mal LL H �.ptvyltEkl', ESO F-, 2 iZAGI-f Aki-` act, Fr�:k 8AkjJ'---rA&LL! 80H. -77� 1 n F A fiL, 20 ��%oU.� DS� �U�OK> ) C �Ooo r- Mu��,�,iri�ti - y er;k� . y� ,=� CCA�, -�� rAZ) A�4 A4M Pl=f6 1Qt-:r7j1j .......... -7 I-L4 LC) �26� wlJr koutjbL�vKe):� L e Ise L- T 8AV h� b e5:r6A) rA)cLjAL6-:� Ttv6 OF 4 ��4A-&Ar-76 Llrr;A�-�;;4L swam& /0 JEA sokey,F-/V T pep C:L-4hwf�, lVoTfa� pow M, I certify that this proposed sanitary septic system conforms to the regulatJons of 310 CNR Title V Liu aG q0 AA)L� ��M La� it Y �L�E ft L,k-a ' AA of the State EnviroTinental Code. 1 /- - �r) - P 8 LA /V1 Certification of this drawing is not valid unless the stamp above is provided in red ink. PLAN VIEW NORTH ELEVATION CON G4C SCALE 1 / 411 1 1 CZ., '77 r yT ----------------- N 40 pr f foe q0 . f �- 14 Il -4 PROFILE VIEW k J:ZA D 4.�VV i7v L-]L - E3 77� -J pVr F-rK -O)r,Sk T A&. TA H -T- 7�M7' &f�� if LJ A "Va 1 certify that this proposed sanitary septic system conforms to the regulations of 310 CMR Title V (Ar the State Enviroimiental Code. OF L V kb _1 i:. LL-1 w PESCS 0 Cift No.3M L*w4d kY4 �0 -06 — AL kU�G AND X TL)tl)r k ZA Certification of this draWinF, i9 not valid unless the stampabove is provided in red ink. C!, SITE PLAN PLOT PLAN , SCALE 3 / 32 „ I , NOTES SCALE 1 " 40 ' - - PRo F, C�.rS Tr�� DYror��s GT ' Ti�h i n P v� M fl G 1�' f»y ' r ! K AEOI/I-�: -EA L I/> L AT &)TOM 17 SIT `� H©�:-� Co�N►�R I 90O GAS D D y 0 O o o _ _W _ - _ T JM f�J{�T tz LT1v C H PLOW DriFuso � Vv � v j S'� v � NDrnsr-u r i( / � - M / x -W,, � = P ► , 1 C.IPA ltv8.3G cll� }/ ! � xi f 1 76 f � W . • i f 1--4-1111, (P,,F&T� or- W-et's) If 1 E-T' -..._Q� -- W l0 Vq SOIL TEST PIT DESIGN - CALCULATIONS , JD'y/ ` - - - NOTES R � 1 -TA N—K TTE 0� E , _ , i� GK�rcL . / 60 —rAAUK --- 7�TLE M wzMo�) J /�� G Nf\M67C- Ake= To e� MAL) -T0 -7- r y k-AfJ r r—FH�'1Ur AFf)2oVHr _ 0 - 1-J� ��, rw: h LfA � H AYL ��e ��' jA,ram-; ��A►���-� Qr�r=�:�A� - --r�-� - _ A 0 �lC� —0IVT ,/J=m i L�f&j- y�M lr,p" .ITY = q X I 10A L /may /� Qom- j� %- ( ROTH �^�� I P > / �.k Tom! �.J _�t'�i fV L:::/e�r� N a RO"H �!C t�T� � �E^ L A fiL < 11= � � ��� /7-,A'-`�J Y ��GOV ) �S��U�O�S) �� T=n►ATrrG �P Lc Y i=c..x t SJ fin. 5 SAL - S�� J TH,. F Tiv< @t- cNJFGK6 . -Rr71-� . A _ TO 4 0 X l s _ t�i� €'D(/ D�aZ'�l� E�'J LI L ' � Al'1 AP►pii IN _ �± _ �q � � � K � �R e ;-� �, �,, � �r r r !— i- 1V `of) F a-. ::F :1.i' - G� f s�. �Or Ci t l L 4 ..✓l,/ •ir" ..... C-J/.C./ 1'.� OP tr- /` ' ' ! �J,J/i/ Y� ., r'- �y w .SrX�L- l �f}S�if�C�N► /vT pe:�?r—rjk ri b t�y FLa, kr �. la c f'r. I�� 1141 bL sa1 of t' r_..�r��L . �'O�rF� � ��A�� . . %�u C-PE A\l o� I certify that this proposed sanitary septic system EDWAAD L A �j �a A�v ��z�M �y A l `�- _ T" ' conforms to the regulations of 310 CNR Title V /�R 1 �R / L��A/�),N'I/V(7 Ul`► �rTAt�L 8of the State Envirornnental Code. Yo 0(?,- l 0�7 A Certification of this drawing is not valid finless 'V + the stamp above is provided in red ink. I , ._ �6 Cl t-e 6e- T Fee No. THE COMMONWEALTH OF MASSACHUSETTS Entered incom— p�9 Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application Disposal *pstem Construction Permit Application for a Permit to Construct(_ Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C�+a �c.� �� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel C) 07 0- Installer's Name,Address,and Tel.No. 'NO@t ^r'�c��b0 Designer's Name Address,and Tel.No. ���.we.,� Type of Building: 3' Dwelling No.of Bedrooms t4LA Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil ,ham An Nature of Repairs r Alterations(Answer when applicable) T�,krelz, a. e-CaiYWr �t w r r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenan escribed on-site sewage disposal system in accordance with the provisions of Title 5 of he Environment a and not to place the system in operation until a Certificate of Compliance has been issued by this Bo_ f ealt k Signed Date ®� Application Approved by Date Application.Disapproved by Date for the following reasons Permit No. an Date Issued t G] yea No. f�F� 1 �1 Q. " :..; Fee � ,€ THE-COMMONWEALTH OF MASSACHUSETTS Entered in computer:"_ Yes PUBLIC HEALTH DIVISION - TOWN OF_BARNSTABLE, MASSACHUSETTS , ZWfiratiou Misposal 6pstem Coustrurtiou Permit } Application for a Permit to Construct( Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.Gp Gr �kj Owner's Name,Address,(and Tel.No., Ct Ix Assessor's Map/Parcel 4J •,• Q 7 �/(' t �,N c x - 2-WO Installer's Name,Address,and Tel.No. I-or �.Gi t`t E'C.rp Designer's Name,Ad°dress,and Tel.No. `py c�n�fCat���1, (Q`3 � ' .�a� ?11 M•;i p . { ' C? �Cf.�L 1 i it— 'lope of Building•. - `- ' - Dwelling No.of Bedrooms /_, t Lot Size sq.ft. Garbage Grinder( ) Other -_ Type of Building 0 �: No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) f gpd Design flow provided gpd Plan Date Number of sheets Revision Date j Title N Size of Septic Tank Type of S.A.S. -Description of Soil ; Nature of Repairs or Alterations(Answer when applicable) i.�-r�� "1� 4 !ram , radt car- ' •r q °Ka t' � tit 0-f- �~..��n �- s. } d !-tom r�r .►C. Date last inspected: Agreement: }_ The undersigned agrees to ensure the construction and maintenance oaf theaafore described on-sife sewage disposal system in ' i accordance with the provisions of Title 5 of the Environmental Code an'"�d of to place the system in operation until a Certificate of Compliance has been issued by this BoardOf Healt �. Signed -►.I Date Ai4pplication Approved by - r. it ttzal�:- f a %1 .� R - Date Application Disapproved by / Date for the following reasons Permit No. 4 *;�L� Date Issued .. ^ V THE COMMONWEALTH OF MASSACHUSETTS p6w�/ `` BARNSTABLE,MASSACHUSETTS •} Ilk Certificate of Compliance THIS IS TO CERTIFY,that the On-site See Disposal systems Constructed(�)� Repaired( ) Upgraded( ) Abandoned( )by r G~l.toe rX wag TC it G -` WW �» �.�+C'eA0 has been constructed in>accordance - with the provisions off Title 5 and the forki o al S tenT` onstruction Permit Now .-t4 dated 4F�Installer �i-A�, l D cr - Designer 5UAi,_ h�. #bedrooms Approved design flow / gpd The issuance of this permit sh 11 not b5 construed as a guarantee that the system-will functionaas des ed. Date > c�c� c7 CT Inspector Fee THE COMMONWEALTH OF MASSACHUSETTS �- PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( )� uff Upgrade ) Abandon System located at //?v 1 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with , Title 5 and the following local provisions or special conditions. y Provided:Construction must be completed within three years of the date of this permit. p Date 11 1 f Approved by 1�- yL"`- ,. t ' W , Y' - - TOWN OF BARNSTABLE LOCATION �® it SEWAGE#20A _L�1D VILLAGE ASSESSOR'S MAP&PARCEL 09 3-0 7 r INSTALLER'S NAME&PHONE NO. T` 1CnL� � SEPTIC TANK CAPACITY Q✓ LEACHING FACILITY-(type) (size) NO.OF BEDROOMS _OWNER Inn �Inad/P LG�zc%! . PERMIT DATE: COMPLIANCE DATE: 2� 1 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 FURNISHEZBY \ +/�J y.•" �.. ` � to �-,. � ' ... le ippaa �� j �j.P � ' 67 - ` a 113!a , 34510 PO 123 63098 09"27--2021 A 41 m 4o io DEED RESTRICTION WE, JOHN B. LAZOR TRS and MARISSA.A. LAZOR TRS, as owners of"60 GREAT BAY ROAD Barnstable (Osterville), recorded with the Barnstable County Registry of Deeds in Book 29511, page 75, agree that until such time as technology changes and/or the Barnstable Board of Health changes its regulations or otherwise grants permission, any house built on the premises of 60 GREAT BAY ROAD, Osterville, shown in Barnstable County Registry of Deeds Plan Book 275; Page 27, Lot 2 on the Plan being bounded and described, according to the Plan, shall have no more than Four (4) bedrooms. COMMONWEALTH OF MASSACHUSETTS Barnstable County On this day of September 2021, before me, the undersigned notary public, personally appeared, proved to me through satisfactory evidence of identification,which was: Massachusetts Driver's License, to be the persons whose: names are signed on this document and acknowledged to me that they signed it voluntarily for its stated purpose. JOHN B. LAZOR TRS MARISSA A. LAZOR TRS i ` en under h nd and notarial seal this day of September;2021,. i .. , NOTARY PUBLIC. ' � j D�pp H.�KAAZ My commission Expires: • _ — Notary public CAMMONYY#AtTH OF: SSA04 My Commission Expires May is. 2026. 3ARNS P1t, REGISTRY 0f DEEDS Iohn F. Meade, Register, I McKean, Thomas From: McKean,Thomas on behalf of Health Sent: Friday, March 25, 2022 12:16 PM To: 'eleckstrom'; Duffy, Robert; Health;Tim Meagher Cc: john@joycelandscaping.com'; pneary@rustysinc.com; Mike Hansen; Chuck Rowland; Desmarais, Donald; Stanton, David Subject: RE: 60 Great Bay Rd Osterville Good Morning, Thank you for your email. We are aware that the building sewer installation did not comply with the engineering plan that was originally submitted. Specifically a four-inch building sewer was installed instead of the originally designed two-inch line with a grinder pump . The Health Division would have no objections to the approval of revised engineering plans(if/when submitted) and the installation of a building sewer installation which would comply with 310 CMR 15.000, State Environmental Code,Title V. However,yesterday we were told the four-inch line was not installed (sloped) correctly. Section 310 CMR 15.222 (6) requires a four-inch building sewer to be laid at a slope of not less than 0.01(1/8 inch per foot. The slope of the building sewer did not meet the minimum required slope of not less than 0.01. It is suggested you contact the designing engineer to resolve this violation of Section 310 CMR 15.222(6). Sincerely, Thomas McKean From: eleckstrom [ma i Ito:eleckstrom@meagherinc.com] Sent: Thursday, March 24, 2022 5:19 PM To: Duffy, Robert; Health; Tim Meagher Cc: 'john@joycelandscaping.com'; pneary@rustysinc.com; Mike Hansen; Chuck Rowland Subject: 60 Great Bay Rd Osterville Good afternoon, It seems there has been some back and forth on what is to code and what is allowed for the septic tie in at 60 Great Bay Rd in Osterville#21-1199.from the new garage to the existing septic system.We would just like everyone to be on the same page so we can get this straightened out. Sincerely, Eric Leckstrom Sales Associate - Meagher Construction, Inc. 1 776 Main Street Osterville, MA 02655 Office: 508-428-0458 Cell: 508-776-0863 eleckstrom@meagherinc.com CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! 2 c CONSTRUCTION 776 MAIN ST. OSTERVILLE, MA 02655 508-428-0458 eleckstrom@meagherinc.com Re: 60 Great Bay Rd Septic Tie In March 24, 2022 Permit# 21-1199 To whom it may concern, This letter will serve as clarification/confirmation on the change in parameters for the septic line that was originally proposed as a 2" line with an ejector pump.The installation has been done with a 4" line to be gravity fed to the tank for the new 3 car garage permit#21-1199 and approved by the Board of Health and the Plumbing Inspector with requested changes as noted below. A certificate of Compliance has been requested by the Health Inspector. The plumbing inspector Robert states their jurisdiction is from 10' away from the tank and Don the board of health inspector states their jurisdiction is 10' away from the foundation of the dwelling. We request clarification on if we are good with the 4" sewer drain line once we change over to the cast iron as requested by the plumbing inspector and what else if anything needs to be done to be in compliance with the current codes so we can move forward with this project and get his back on track. Thank you all for your time and help on this matter. Eric Leckstrom Meagher Construction INC v > McKean, Thomas From: eleckstrom <eleckstrom@meagherinc.com> Sent: Thursday, March 24, 2022 5:19 PM To: Duffy, Robert; Health;Tim Meagher Cc: john@joycelandscaping.com'; pneary@rustysinc.com; Mike Hansen; Chuck Rowland Subject: 60 Great Bay Rd Osterville Attachments: Septic Tie In Letter For 60 Great Bay Rd 03-24-22.pdf Good afternoon, It seems there has been some back and forth on what is to code and what is allowed for the septic tie in at 60 Great Bay Rd in Osterville#21-1199 from the new garage to the existing septic system.We would just like everyone to be on the same page so we can get this straightened out. Sincerely, Eric Leckstrom Sales Associate Meagher Construction, Inc. 776 Main Street Osterville, MA 02655 Office: 508-428-0458 Cell: 508-776-0863 eleckstrom@meaRherinc.com CONSTRUCTION CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! i Town of Barnstable Regulatory Services Richard V.Scali,Interim Director RARN3lXB1E Public Health Division ►+ �` Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer_&Designer Certification Form Date: 4/11/2022 Sewage Permit# Assessor's Map\Parcel 093/075 Designer: Sullivan Engineering&Consulting, Inc. Installer• i 711 Man Street/PO Box 659 pp Address: Address: Osterville,MA 02655 6 On �i �� �'� A-P was issued a permit to install a (date) (i staller septic system at 60 Great Bay Road,Osterville based on a design drawn by (address) Sullivan Engineering&Consulting, Inc. dated "L (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. X I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. See Attached Cover Letter I ce i that the system referenced above was construct, ance with the terms o roval le rs applicable) "` Nof R4 A �y . . G R (Ins ller's Signa e) n . 5i 9 ind `Fss►oNaL (Designer's ignature) (Affix Designers Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION.. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-. BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc L 0 Engineering & S U I ivati , Consulting, Inc. (508)428.3344• P.O. Box 659 • 711 Main Street, Osterville, MA 02655 seci@sullivanengin.com • www.sullivanengin.com April 11, 2022 Town of Barnstable Health Department 200 Main Street Hyannis, MA 02601 RE- Garage-Sep&Line Lazor 60 Great Bay Road, OsterviFe MA Dear Health Agent, During installation of the septic connection from the garage to the existing septic tank, an issue with permitting the previously approved sewer ejector came up with the plumbing department. As a solution, a cast iron pipe was laid from die garage to the existing septic tank. After inspecting the pipe and checking the pitch, the pipe is at 1%pitch which meets the requirements of 310 CMR 15.222 (6). Although it is the engineer's recommendation to run the pipe 2%pitch before the septic tank it could not be done unless an ejector pump was used. I trust this meets your present needs. 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JOB ADDRESS DESIGN LAZOR RESIDENCE PROPOSED TPREE CUCMIA U60 GREAT BAY RD. . - :- - - FLOOD ZONE: ZONE: Zone AE 13' & AE 12' RF-1 " .x, b�.���� � ,��� �� ,����. �� • Community Panel No. Area (min.) 43,560 SF4 � #250001 0544 J Frontage (min) 20' w, Wit, July 16, 2014 Width (min) 125' ., Setbacks: Fron t 30' Side 15' r *.,.•, Rear 15' ASSESSORS REF: Map 093, Parcel 075s'� OVERLAY DISTRICT: AP — Aquifer Protection District LOCATION MAP. 1"=2,000±' DIRECTIONS: From Hyannis - Take Route 28 into Osterville; turn left onto Osterville West Barnstable Road and follow to the end, Take a left onto Main Street; Take a right onto Parker Road, At the stop sign take a right onto West Bay Road, Bear left onto Bridge Street, and take a right onto Great Bay Road. #60 is on the right. Existing Pier SE3-2023 North Say AL Proposed AL AUK AL 3'f Pier Extension Salt Marsh Abutters new bulkhead A SE3-5406 to tie into % proposed timber bulkhead / AL 'IL JIL AL .. ............. AL Solt Marsh ,L M2 Beach Gross """'•••• Salt Marsh AE ELEV. 13 Zone AL AL salt Marsh _ffe _..... Remnant c ti ve 7116114�"' i Bulkhead Proposed Bulkhead AE ELEV. 13, AE ELEV. 12 Remnant Bulkhead roposed Rgturn FEMA Zone / Brush o Effective 7/16/14 t , AE ELEV. 12' .................... Edge•of tam•: � O y / Meadow Y m' Existing Trees to be Proposed Preserved or Replaced Lawn / / 57.2 Fill Yard 2'f Stone Return / 84.9 /. n1f David M. & Kathleen C. � Colabro Trustees ! 50 Buffe Flag Pole Proposed David & Kathleen Calabro r Living Trust / / Timber Bulkhead Lot 2 y� Lot Area �I, 50'B&ffer �O l 40,330sff Upland Lawn N / / Patio o Elev. 6.5' / o/ Fill Yard 2 f 0o /Sill 10.0 Sill 8.7 c Proposed , (v Roof Runnoff o�m Leach Pit Olt 2 Sty w1f o° 100__Buffer Dwelling o� g / Pro Sill 10.0 100 Buffer Sewer Ejector Notes: /- Proposed Sewer Ejector Pump to service Proposed room above garage which is not a / Sewer Ejector bedroom and is less than 259 of the See Note n/f design flow of the system. l Helen M Hughes Sewer Ejector pump to be non—grinding / Proposed Garog with less than 60 per gallons minute l flow rate. g p Slab Elev. 6.0 Pump will be capable of passing a 2" l a �c ,� ry diameter solid ^ o ko / i� N Use Liberty 4/10 HP Pump LE 40 or / Pump 2 approved Alternative. nk Chamber / O 30' Setback / Existing Septic Per Tie Cord Grovel Drive Permit 90-38 / Box 1 o L=202.50. R5 .33 SAS CB/DH _9 c. (FND) Edge Of Pave " c a�,V v Great Edge of Pavement Tank Say Utility Pole Utility Pole /�( Eo9e o� � O�M f'ove � n/{ Kevin G & Cynthia J Kett Plan View Scale 1"=20' n/f _ Daniel & Annise Hoog/und i j i i •�NOF1 S S4c Proposed T ti Grade LAN Proposed 0o CIVI Bulkhead GIST Elev. 4.5 FSS►ONAIEN Existing Grade Existing Remnant Bulkhead Section View Scale 1"=51 4Sheet ngG 8" Timber Piles REV.: Add Sewer Ejector Notes 11/18120 REV.: Update Garage Ejector Pump 1111012021 REV.: Update Garage Location & Footprint 911512021 REV.: Update Garage Footprint 10210812021 TITLE: PREPARED BY. PREPARED FOR: NOTES: Site Plan • Engineering QT 1.) The property line information shown was compiled from =Proposed Improvements �X John B. & Marissa A. Lazor Trustees available record information. m j UJVan n John B. & Marisa A Lazor Rev Trust 2.) The topographic information was obtained from an on y At CO.S.1til1g, InC. the ground survey performed on or between March 26, 4 Stevens Circle 2002 and July 30, 2018. VO Great Bay Road (508)428-3344•P.O. Box 659 .711 Main Street, Osterville, MA 02655 Westwood MA 02090 3.) The datum used is NAVD '88, based on RTK GPS Barnstable (osterville) Mass. seci@sullivanengin.com•www.suilivanengin.com bench mark. C) 5 -Section 0 2.5 5 10 2p 4) Water Lines and, other utility locations to be confirmed V Draft: CTR Field: CTR/WHK 20 -Plan view 0 10 20 40 80 prior to construction. i DATE: SCALE. Review: CTR Comp./Review: CTR September 10, 2018 As Noted Project: 38004 Project: Lazor iI ' f � i l-