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HomeMy WebLinkAbout1266 MAIN STREET (OST.) - Health ,,,66 MAINSTREET Ostet`ille i I V - TOWN OF BARNSTABLE LOCATION I ��a4t�.( SEWAGE# '-01 r0,66 VILLAGE LLG_ ASSESSOR'S MAP&PARCEL `II INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1.5��1�L�� •� LEACHING FACILITY.(type) (size)NO.OF BEDROOMS �—1•gyp' OWNER C3t2, PERMIT DATE:s� - •1 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility -f— Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY 34��r�— ! ' W- � ` �� I �. c �` �. p � � � � � \ , � � �f� � � 1 ;'� l \ �- � y L �. i �. No. ' 4/ D6;70 _ V Fee THE CdMMOt+IWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes appliLation for -Mispo8al *pstpm Construttiun VPrmit Application for a Permit to Construct( ) Repair( ) Upgrade%) Abandon( ) ®'Complete System ❑Individual Components Location Address or Lot No. I ZG 6 Yt'1a t S 3, = rv:1�e Owner's Name,Address,and Tel.No. S, 0, Q...M,A,_- , I r"as t Assessor's Map/Parcel VWc.Vo 11cl d }Lj (j3S F,49 lls I&3 • S&"ty4olal J04`TS 6Z5,4 2 Installer's Name,Address and Tel.No. 60j-''771' Designer's Name,Address,and Tel.No.Se 77/.-75oZ for+©10 'hype of Building: Dwelling No.of Bedrooms -j-Lv n, Lot Size 19, V577 sq.ft. Garbage Grinder(--� Other Type of Building No.of Persons Showers() Cafeteria(—) Other Fixtures Design Flow(min.required) PZ O gpd Design flow provided '30 V gpd Plan Date IG-1 C!v 2d 1'7 Number of sheets 3 Revision Date I 2 I - 1-01 1 -7 Title ¢'C` P J4,i(C2.0)" Sepkc 5�ok01 0}ti 1PIC."(Cv.®)° 14�-b-fiu_ (CS.1� Size of Septic Tank Ikon ceL//c,"'s Type of S.A.S. �c�c-_1��.ag G�x cvn errs 21 e f3.8eK Z i l�f, Description of Soils Nature of Repairs or Alterations(Answer when applicable) C�'>Lds h m c, se ph.e Date last inspected: -7- 1'7 V 7 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Signe J Date ` Application Approved by " Date Application Disapproved by Date for the following reasons Permit No... ( fs- D(an Date Issued g T� vv. 4 •f 4. ` Q. No. 'i Fee I-s(� r a •-_ + t. .,r 9 " I Entered in computer: - `TpE C f MMIWEALT"yOF MASSACHUSETT S ` p F�:�i BEE, Yes PUBLIC HEALTH DIVIS,10N -)TOWN-0 i= BARNSTABLE, MASSACHUSETTS 02[ppYitatiOn for Disposal Ap`stent Construction Permit � Application for a Permit to Construct( ) Repair( ) Upgrade(x) Abandon( ,)_ ®'Complete System ❑Individual Components Location Address or Lot No. I Z G 6 Vylc-t `5�,Njctrv%Ile Owner's Name,Address and Tel.No. /1 _a Assessor's Map/Parcel ft, I ®3S F,D 134 ,(03 ,M. w IcG/ 4ArS O Z5"6 2 Installer's Name Address and Tel.No. 'S U9'7 7,1' Designer's Name,Address,and Tel.No.5-0$-77/-7 TO Z R*P+o10+-i CoosAruQ�b1), �C• q3 479 t3o xV s r w a P0. '2&V goys " .1 A 6,3(O(lg 4NN1.5 Y t& 6ZGd/ _ pe of Building: i1 ,- l Dwelling No.of Bedrooms -1-t va Lot Size 8, VS 7 sq.ft. Garbage Grinder P Other Type of Building IT No'of Persons Showers(—) Cafeteria(—) Other Fixtures - Design Flow(min.required) 2-O gpd Design flow provided 3 p gpd g Plan Date 1 d-1 O- ZO 1 '1 Number of sheets Revision Date Z -Z I - 7L0 1 7 Title CC �1�inttC2.0 Schh Iron 1){di hu P14v,[=C540 R-n LiL (C5.1� Size of Septic Tank /5'no c7G. Mons TypeofS.A.S. 21Ix 6.81)C21 h+. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 5 Date last inspected: Z- 0- 17 ' Agreement: ` The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board ofHealt ✓/ Signed -� Date O Application Approved by / c DateIn Application Disapproved by Date I for the following reasons 1� 0 Permit Nq. 14.�5 (��0 n Date Issued bot III r � THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by '(3C A:5,_�l w 4 yuPA S at �T• ���� has been constructed in accordance with the provisions o -itle 5 and the for Disposal System Construction Permit NorD�r �`Uwdated f.­0/19'-! Installer Designer #bedrooms o k _ Approved des i n flow �� gpd The issuance of this permit shall not be construed as a y rantee that the syste�func n s d igned. Date -�-� Inspector ----------------------------------------------------=------------------------------------------------------------------------------------ No.(2)-o Fee )150THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS ]Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) / Repair( �/}� Upgrade( ) / �Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with provisions or special conditions.Title 5 and1the following local . y Provided:Construction must be completed within three years of the date of this permit. Date f/s` Approved by YY\VA" ` Town of Barnstable ,EVE Regulatory Services Thomas F.Geiler,Director &&XNsreats. Public Health Division FJL639- � Thomas McKean,Director .200 Main Street,Hyannis,MA 02601 Office: 508-862A644 Fax: 568-790-6304 Installer&Designer Certification Form Date: (� 6' Sewage Permit#2 b/ — �60 Assessor's Map\Parcel, ads Designer;. 3Installer: 3 Q rf'o to ®vrS/rvaGhi�c Address: 7 I orn" S�-, Q Address: q5, On lT " Z D�' ��GI �"o ° F was issued a permit to install a (date) AA (instiller) septic system at �2'�6 lfar � Oyfzr-vi Ot., A4 based on a design drawn by (address) �hG dated �e��'.fG� ' 7�1� (design r) 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. V 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 s em)but in•accordance with State& Local Regulations. Plan revision or certifie abut by designer to follow. ,> =+�a W j%N O.F MA MATTHEW yGN o E DY v rn (Installer's Signature CIVIL No.43163 CI S r E���a�w ss/ONaL E� ier' giiature) (Affix Designer's 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:Heal tWSeptic/Designer Certification Form 3.-26-04.doe N to N N 21'Lx8.83'W LEACHING O CHAMBER N N O 0 i �_----31.3' - - - - - H-20 � DIST. BOX PROPOSED BULKHEAD N O 1500 GALLON H-20 SEPTIC TANK o � � \ i 1 \ H0�\N3 \ EXISTING 2—BR DWELLING I H OF401 s Q og MA wHE WEDD CIVIL Ca C , o No.43183 1266 MAIN ST. L 95.35' N1413034 W - - - - - BAXTER NYE ENGINEERING&SURVEYING Septic System As-Built Plan Registered Professional Engineers and Land Surveyors 1266 Wain Street 78 North Street,3rd Floor,Hyannis,MA 02601 0etervilley AAA I Phone:-(5M)771.7502 Fax-ON)771-7622 e—mail.iafo@baxtet-nyo.com Project# 2.017.05.0 Scale: 1°=20' Dater JUNE 12; 2018 By:&L g a i At 4... �h Town of�Barns' ble ^N"; Board.of Health bJ9 �0 ArF4 MAi A, 200 Main Street, Hyannis1VMA 02601' Orrice: 508.8G2.4.644 taul J.Cmuiil D�t.D. FAX: 508-790-630.1. .: Junichi S m q anagi .: Id A.Gu,i oli;i�1.1'). Dbnai Jagn December 21; 2017 ' Amended/corrected parcel numbers Mr. Matthew Eddy, P.E. Baxter Nye.Engineering and Surveying 78 North Street::: Hyannis, MA: 02601 RE: 1276, 1266, and 1254:Main Street, Osterville, Parcels 055-001, 055, and .056 on .... _:. Assessor's Map 1%:: _ . . Dear.Mr. Eddy, You: are granted permission to utilize nitrogen aggregation in order to construct onsite sewagedisposal systems at :1254, , 1266, and 1276 Main Street Ost osal Y p erville, Massachusetts, on behalf.of:your client Benjamin J. :Losordo:Trustee, (hereinafter the "Owner")with the following conditions: 1276 Main Street Osterville (1) The nitrogen aggregation credit land, identified as a:9,241 square feet area at the easterly section.at Parcel 55-001:_on:Assessor's Map 119, known as.1276 Main Street Osterville, shall be restricted in use. in ,strict accordance with 310 GMR 15.216 of :the State Environmental :Code, Title V. This identified nitrogen aggregation credit land.area must remain pervious. Any impervious structure(s) shall not :be allowed. This .credit land shall not have::any manmade. sources:of nitrogen; :shall not_:receiveany fertilization; and sha not be::used for:keeping;: raising, or breeding animals. (2) The:Owner.shall ex a and record at.the Barnsta County Registry of-Deeds Y a deed restriction,. roved b the Town Attorney,. restricting the nitrogen aggregation credit Ion o-impervious pavement:.nor any impervious:structures constructed; so that.there will be no manmade.sources . of nitro en, inciudin fertilization,_and so that: there::will be no kee in raisin g g p g 9, nor breeding of any animals.. The nitrogen aggregation credit land is identified as a 9,241 square feet land area, at Parcel 55-001 on Assessor's Map 119, known as .1276 Main:_Street, Osterville: Massachusetts..: :A copy: of the recorded .deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. Q:1Vmdd}iVitrogen:Aggre gat ion l line Lots;Losordo Main Street Osterville.201:7.docx r. h - (3) : No more than 110-gallons.of wastewater discharge per day are authorized to:be discharged at 1276 Main Street, Osterville Massachusetts,. identified as Parcel 55-001 on Assessor's Map.119, (4) The:Owner shall execute and.record at the Barnstable County Registry of Deeds, a deed restriction, :approved by the ;Town Attorney, restricting the property at 1276 Main: Street Osterville, :identified as Parcel 55-001 on Assessor's Map 119, to a maximum daily wastewater discharge of.110 gallons per.day. 1266 Main Street Osterville (5) No more than:220 gallons of wastewaterdischarge per dray are authorized.to.be discharged at 1266 Main Street Osterville, identified as Parcel 55 on Assessor's Map 119. :. (6) The Owner shall execute and record at the Barnstable County Registry of:Deeds; a deed restriction, approved by the Town Attorney, .restricting the :property:at 1266 .Main. Street Osterville, identified. as parcel 55 on Assessor's,map 119.,.to a maximum daily wastewater discharge.-of. 220'gallons per :day., A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit.. 1254 Main Street Osterville (7) No more than 260 gallons of wastewater discharge"per day: are authorized to.be . . . discharged:af:1254 Main Street:Osterville, identified as Parcel 56`_.on Assessor's Map 119. (8) The Owner shall:execute and record, at the Barnstable County;Registry of Deeds, a deed restriction; approved b the Town' Attorney, . the : ro ert at y : Y g p 1254 Main Street Osterville, identified as Parcel 56 on.Assessor's Map 1.19, to a . maximum daily wastewater discharge .of. 260 gallons per .day. . .A..copy, of the recorded deed:restriction shall:be submitted to th:":Health:Agent.prior:to obtaining a disposal works construction permit. (9) The septic systerns shall be. installed in substantial conformance with engineered plans which are designed in conformance with the State Environmental Code, Title V and local Health regulations. .. (:10) The designing engineer shall..,supervise the construction of the:.onsite sewage disposal systems and shall: certify in writing:to the" Board of Health that the systems were installed in substantial. compliance with.engineered::plans which are designed in conformance with.the State EnvironmentaL'Code, Title V. and: local Health regulations. p. This permission is:.granted,.without:the necessity of granting variance relief, based upon the :agrees ent that restrictions will be recorded limiting = he maximum -. wastewater discharge quantities on each lot. There:will be no increase in flow overall Q:WP/L-ddj Nitrogen;Aggrcgation'rhreel.ots l.osoido Nl,in Sired Oslen'ille 2017:do." compared to the existing allowable daily wastewater discharges. for these three lots combined. Also restricted nitrogen aggregation credit land, identified as a 9,241 square feet area within.Parcel 55-001 on.Assessor's Map 119 (1276 Main Street), will. remain pervious and will be. restricted,from.any use which would.contribute manmade sources.of_nitrogen to the groundwater in thls:area. .. Sincerely yours;: _ ....... Paull J. Can iff, D:.MD. Chairman r R c ived by­ Bmtor Nye _n F S gine&rii:rtj urveyn,-. Street Osidville 2017Oc :.: Q:WP%eddy Nitrogen:Aggmgalion I hieea.ots Losordo.�lain r ti a) an n F eenjo-m-In J�Lasordo,Trust or s mf -a.Nominee Trust under darr"akjoh � WHEREAStt7tt: i� t. laly �17ri �ls��lki� t� s of R town►v M) �.�.�. P.U.BOXIP37,64indwich MA Q563 .... AMA m Is.Vie owner Of j266 Main: ..L fl r 6 2y___ foonted at i ? e K 3 MA.(herptnafter roforre4 to as__1 ma.10:�x _ a a and being shown on -1 Plan onlitled "Plan of Und on Main Street In Barnsta't�E����teivifla� Mho Pro ort, of_s. t ..._ p Yitrirt �.'t'rt�R_..__. r duly recopied In So rnsfable,Coun(y Rogistry of i eed 3- 5 n NI;gin aok5Page l or on Land Court Plan Number WHEREAS,-_._ rah k►M.t _ .�: as the owner of said 1.00as agreed with the Town of rnstal$a Board of Fieaitf} to o restriction as to the i number of bedrooms.which can ba lnrludrid In any home built'on Bald tot as a prarydl(l9n to obtainl RIsposatvor� oonslructtorw pelt corripiina with.-10 CMIR 15.000 Stalo P nWronmontal Code, T111a V, Mirtlmum i Requfr oments for the Subsurface I)isp l of Sanitary Sewage, e i 'WHEREAS, the Town of Sernstarbte Board of Health, as a pa-conditlon to grarting a dlsat works oonsWcflon perrrIt fair a sotto sysrn l oolpitarr with 310 CMR 16,20 i State ErMranmonted Code,Ito V,MJMMU rn' Roo-imments for ft Subsufface 0tsp l of San.bry Sewage, d autF>orizing t Issuarce of'a buNdtng.pew for the construction of a single fhmpy hms on ►i requ ng lint the i�w�t 1 the t�di floe on the number of bedro m y hots oonst to+d rat ft tot be put on mcord with tt Sari able County Re-glatry of Deeds by r=esng the doG m t, _ .......s_ AMA h 31143 Pg!97 ##12315 NOW, Tl•fi FiMM I,-S. [;1 1 folkA ft resection on hls above-mferencsd land In accordance with Ns agreement with ft Tdvm of Sarnstahle it'd of Health, thick resstii +on$hall 43 run w th the land and bo 41nding upon all successors In Ude 1268 hAsit., Os#ervtiie, MAmay have constructed upon the lot a septic system*no more than 220 gallons per day � I -113..Nwfrroo_ ru - a agrees that this shall be petreannt deed 4 restrWan affecting 1266... Iocatecl on l aia� t tcr�illc��.: . MA. and being shown on the plan wordod In Plan 13eok ; paged A asjd ~ ter on Land Court Ilan I. 'I For ffe of 1266 Main St. see tho tallowin deed; 80ok Page 3r,Laid Court Corliricate of Title Number _ � 1, a sealed or—Ahl—v ��coulacl __ as ad lnstr�rm�€mt .._ . - �faY !1 F l M r �R �Wn:orrs sia�tl_atut-e ,3 µ Owner's slonature p tl Owner's signature a COMMONWEALTH OF M:ASSACHUSETTS s; h JOB rhI 31h 20 Than onall a p or the at ovo-named 1 � s � AP earod j .8an.1a Sin J.Lotardo,fitt� t to.f tie Nonitnes Tr s knaram to erne try be the person who oxoc ted the forograing Instrument and � acicno�rledged, � the me to be his free.act and:deed, hefors me, a i' ....__ fttary ems 4 C'U'���� I; r, 4 s DEED RESTRICTION Benjamin J. Losordo,Trustee of S.B. Nominee Trust under declaration WHEREAS, of trust, dated July 28. 2017. Certificate at Book 30659,Rage 178 of (owner's name) R.O. Box 1637, Sandwich MA 02563 MA. (address) Is the owner of 1266 Main St. (Lot 55-2) located (address) at Osterville , MA(hereinafter referred to as 1266 Main St. and being shown on a plan entitled "Plan of Land on Main Street in Barnstable(Osterville) MA, Property of S. B. Nominee Trust , et al, duly recorded In Barnstable County registry of Deeds in Plan Book 555 _ _ , Page 5 as Lot 55-2 ; Or on Land Court Plan Number WHEREAS, S. B. Nominee Trust as the owner of said lot has (owners name) agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a . pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system In compliance with 310 CMR 15.200, State Environmental Code,Title V, Minimum - Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, C;lUsars%DecoMAPPD&tall.oad MicmaoftlWindo%vslTemporaryrntemetlrikakContenLQutlook12pI01DR&1DEED Restrict sample.Doc M ti 1. ,+F } NOW, THEREFORE, S.B. Nominee Trust does hereby place the (owner's name) following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 1266 Main St., Osterville, MA may have constructed (address) upon the lot a septic system no more than 220 gallons per day S.B. Nominee Trust agrees that this shall be permanent deed (owner's name) restriction affecting 1266 located on Main St., Osterville, MA, and being shown on the plan recorded in Plan Books_ , Paged 5 as bot55-2 Or on band Court Plan For title of 1266 Main St. see the following deed: Book 30659 , Page 18o Or Land Court Certificate of Title Number it Executed a sealed instrument day of Owner's signature Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS Barnstable , ss March 19th , 2018 Then personally appeared the above-named Benjamin J. Losordo, Trustee of S.B. Nominee Trust known to me to be the person who executed the foregoing instrument and acknowledged. the same to be his free act and deed, before me, OAC��A Ar- t - - N otary Pub1�911EE13.CflO1VIN PIlBI1C My commission expires: NOTARYCOMMONWEALTH of MASSACHUSErrs W COMM18810N EXPIRES 211519019 TT (date) C:1Users\DecollikUppDafalLocai\Microsoft\Windows\Temporary TntemetFiles\ContrntOo400k\2PIOIDHRIDEED Restrict sample.DOc RANTABLE REGISTRY OF DEERS John F. Meade, Register Bk 31 153 PS 1 67 �13133 03-23-20]18 & 1 1 = 1 IL P+,M CD �l �E. �Y 11 Release of Restriction The Town of Barnstable Board of Health hereby releases the Deed Restriction recorded at Barnstable Registry of Deeds Book 30978,Page 71 concerning property at 1266 Main Street, Osterville, (Town of Barnstable),Barnstable County,Massachusetts. Wherefore the Town of Barnstable Board of Health caused these presents to be signed by 1 Dmas A AcAg6N , its Health Agent,this 20 day of March,2018. J - Health Agent � . Town of Barnstable S COMMONWEALTH OF MASSACHUSETTS` D 5 County of Barnstable vi is da of arc 2018,before me the undersigned Notary Public,personally appeared proved tq me on the basis of satisfactory evidence of �( identification,which were ,to be the person whose name is signed in the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. Witness my hand and official seal. Notary Public •. My CommissionExpires: �(� ' - ,,, , ,.;, � v BARNSTA®LE REGISTRY OF DEEDS s John F. Meade, Register. E:tti ,tea j97S F`:9 71 64991 C5 cll� r�+ C IA "pprY DEED RESTRICTION tsenjamin J. Losordo, WHEREAS; Trustee . of S.B. Nominee Trust' of (o�4noP5 name)• P.O. Box 1537, Sandwich MIS 02553 under declaration of, trust Dated July 28, 2017, Certificate at Book30659 Page 178 is the owner of 1266 Main St• (Lot 55-2) located (address) at Oste:tville, MA (hereinafter referred to as 1266 Main St. and being shown on a plan entitled" Plan of Land on Main Street in Barnstable(Osterville) MA, Property of S•B,. Nominee Trust et al, duly recorded In Barnstable County Registry of Deeds In Plan Boole 565 , Page 5 as •Lot 5;5-2 and referenced in Deed Book 30659 Page 180,Quitclaim Deed for current Owner. WHEREAS) S.B. Nominee Trust as the owner of said lot has, (oernees name) , . ' . . agreed with the Town of Barnstable Board of Health.to a restriction as to the . number of bedrooms which can`be included_, in any home built on said lot as a '. pre-condition to obtaining a disposal works construction permit In compliance with 3'1 0 CMR 15,000 State Environmental Code, Title V,,Minitnum ' Rpqulrements for the Subsurface Disposal of Sanitary Sewage ,- WHEREAS, the Town of Barnstable.Board of Health, as a pre-condition-to granting a disposai'works construction permit for a septic system In compflance with 310 CMR 15.200, State Environmental`Code, Title V, Minlmum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a•single family home on this property,'Is requiring that the agreement for the'restriction on the number of bedrooms In any house oonstructed on the lot be put.on record with the Barnstable.County Registry of Deeds by recording this document, duar NOW, THEREFORE, S.D. Nominee Trust does hereby place the (owners[tame) following restriction on his above-referenced land In accordance with his �leiitl Yn �arrastab ado# ea## W leh-restflet{am-shMi run with the-land and be binding upon all.successors In title;. ti 1266 Main St. , Osterville,• MA may have constructed .>� (address) upon tho lot a house containing no more than TV10 (2 ) bedrooms. s.B. Nominee Trust agrees that this shall be.permanent deed (ownees name) restriction affecting 1266 located on Main St. , Ostervi.11eMA, and . being showno'n tha plan recorded in.Plan Book 555' , Paged 5 as dot 55-2 Or on Land Curt Plan For title of 12 6 6 Main St. seethe following deed: Book 30659 page 1 So Or Land Court Certificate of Title Number Executed a sealed lnstrume t day of Owner's signature Owner's signature Owner's signature COMMONWEALTH OF MASSACHUS�TtS _aA , ss !Z , 20 7 Than pTrnally appeared the above-named per, d.k ti v t�C�S d 2� V �� known to,me eo be the person who executed the foregoing Instrument and acknowledged the same to be ki:s free act and deed, before me, Notary Public LESUES.CRONIN My comm ssi n okpires; NOTARY PUBLIC � ��U� 07 ® COMMONWEALTH OF MASSACHUSETTS (date) my COMMISSION EXPIRES 211512019 BARNSTABLE REGISTRY OF DEEDS Y. John R Meade, Register I - -11-64991 DEED RESTRICTION nenjamin J. Losorao, WHEREAS; Truste6 _ of S.B. Nominee 'Trust' of (o�vnoPsneme)• P.O. Box 1637, Sandwich MA under declaration of, trust' , Dated July 28, 2017, Certificate at Book30659 Page178 .Is the owner of 1266 Main St. (Lot 55-2) . located (address) at Ostetville, MA (hereinafter referred to as 1266 Main St. - and being shown on a plan entitled" Plan of Land on Main Street in Barnstable(Osterville) MA, Property of S.B.• Nominee Trust et ail dtaiy recorded In Barnstable County Registry of Deeds In Plan Book 565 ,,Page S. as 'Lot .5p-2 and referenced in Deed Book 30659 Page 180, Quitclaim Deed for current Owner. • • ' WHEREAS, S.B. Nominee Trust as the owner of said Iot has (ot Wa name) •`" agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included;=lin any home built on said lot as a '. pre-condition to obtaining a disposal works cottstructlon permit In compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable.Board of Health, as a pre-condition-to granting a disposal'works construction permlt,for a septlo system In compliance . with 310 CMR 15,200, State Envfronmental`Gode, Title V. Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing ' the issuance of a building permit for the construction of a,single family home on this property,'Is requiring that the agreement for the'restriction on the number of tbedrooms In any house constructed on the lot be put.on record with the E3arnstable.County Registry of Deeds by reco(ding this document, , dcc. NOW, THEREFORE, S.B. nominee Truet does hereby place the i following restriction on his above-referenced land in accordance with:his agreernent trait run with the-land and be binding upon all.successors In title 1266 Main St. ,, ostervilie,, MA may have constructed (address) upon the lot a house containing no more than Two (2 ) bedrooms:. S.B. Nom$nee Trust agrees that this shall be.permanent deed. (owner's name) restriction affecting 1266 located on Main St. , ostervi lleMA, ai d being shown on the plan recorded in-Plan Book �555:' Paged 5 as bot 55-2 Or on Land Court Plan For title of 12 6 6: Main St. See the following deed; Book 30659 , Page 180 Or Land Court Certificate of Title Number c Executed a sealer( Instrum t U day of ,�..;Ll . Owner's signature I Owner's signature Owner's signature COMMONWEALTH OF MASSACHUS�TTS , 20 /7- Thon per onaltyappeared1�heab&e-named` ` P-+ d- knoy►rn":td the o by rho person who executed the foregoing inst��umbnt and acknowledged tine same to he. hs s free act and doed, before me; ` - Notary Public IESIJES.CRONIN My comm ssl n e�tpires; NOTARY PUBLIC �U ® COMMONWEALTH OF MASSACHUSETTS (date) . �pY Ct1MMl9$ION SIRE$211512015 BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register L a fabb A�x rn 3f OSJ' S� wr Town of Barnstable SARNSTASL€, ' 39. Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. April 6, 2018 Amended—Wastewater Restriction corrected at#1276 Mr. Matthew Eddy, P.E. Baxter Nye Engineering and Surveying 78 North Street Hyannis, MA 02601 RE 1276, 1266,"antl '1254 Mam Street, Ostervrlle,PPar'cels 055 001,�055,'and056}on Dear Mr. Eddy, You are granted permission to utilize nitrogen aggregation in order to construct onsite sewage disposal systems at 1254, 1266, and 1276 Main Street Osterville, Massachusetts, on behalf of your client Benjamin J. Losordo Trustee, (hereinafter the "Owner") with the following conditions: 1276 Main Street Osterville (1) The nitrogen aggregation credit land, identified as a 9,241 square feet area at the easterly section at Parcel 55-001 on Assessor's Map 119, known as 1276 Main Street Osterville, shall be restricted in use in strict accordance with 310 CMR 15.216 of the State Environmental Code, Title V. This identified nitrogen aggregation credit land area must remain pervious. Any impervious structure(s) shall not be allowed. This credit land shall not have any manmade sources of nitrogen, shall not receive any fertilization, and shall not be used for keeping, raising, or breeding animals. (2) The Owner shall execute and record at the Barnstable County Registry of Deeds a deed restriction, approved by the Town Attorney, restricting the nitrogen aggregation credit land area so that there will be no impervious pavement nor any impervious structures constructed; so that there will be no manmade sources of nitrogen, including fertilization; and so that there will be no keeping, raising, nor breeding of any animals. The nitrogen aggregation credit land is identified as a 9,241 square feet land area, at Parcel 55-001 on Assessor's Map 119, known as 1276 Main Street, Osterville Massachusetts. A copy of the recorded deed Q:\WPFILES\Eddy NitrogenAggregation 3 LotsLosordo 1254-76 Main Street Ost 2017 Rev Apr20l8.docx restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) No more than 118 gallons of wastewater discharge per day are authorized to be discharged at 1276 Main Street, Osterville Massachusetts, identified as Parcel 55-001 on Assessor's Map 119. (4) The Owner shall execute and record at the Barnstable County Registry of Deeds, a deed restriction, approved by the Town Attorney, restricting the property at 1276 Main Street Osterville, identified as Parcel 55-001 on Assessor's Map 119, to a maximum daily wastewater discharge of 118 gallons per day. 1266 Main Street Osterville (5) No more than 220 gallons of wastewater discharge per day are authorized to be discharged at 1266 Main Street Osterville, identified as Parcel 55 on Assessor's Map 119. (6) The Owner shall execute and record at the Barnstable County Registry of Deeds, a deed restriction, approved by the Town Attorney, restricting the property at 1266 Main Street Osterville, identified as parcel 55 on Assessor's map 119, to a maximum daily wastewater discharge of 220 gallons per day. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. 1254 Main Street Osterville (7) No more than 260 gallons of wastewater discharge per day are authorized to be discharged at 1254 Main Street Osterville, identified as Parcel 56 on Assessor's Map 119. (8) The Owner shall execute and record at the Ba-rnstable County Registry of Deeds, a deed restriction, approved by the Town Attorney, restricting the property at 1254 Main Street Osterville, identified as Parcel 56 on Assessor's Map 119, to a maximum daily wastewater discharge of 260 gallons per day. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (9) The septic systems shall be installed in substantial conformance with engineered plans which are designed in conformance with the State Environmental Code, Title V and local Health regulations. (10) The designing engineer shall supervise the construction of the onsite sewage disposal systems and shall certify in writing to the Board of Health that the systems were installed in substantial compliance with engineered plans which are designed in conformance with the State Environmental Code, Title V. and local Health regulations. Q:\WPFILES\Eddy NitrogenAggregation 3 LotsLosordo 1254-76 Main Street Ost 2017 Rev Apr2018.docx f e This permission is granted, without the necessity of granting variance relief, based upon the agreement that restrictions will be recorded limiting the maximum wastewater discharge quantities on each lot. There will be no increase in flow overall compared to the existing allowable daily wastewater discharges for these three lots combined. Also restricted nitrogen aggregation credit land, identified as a 9,241 square feet area within Parcel 55-001 on Assessor's Map 119 (1276 Main Street), will remain pervious and will be restricted from any use which would contribute manmade sources of nitrogen to the groundwater in this area. Sincerely yours, I V Paul J. a -if D.M.D. Chairman Q:\WPFILES\Eddy NitrogenAggregation 3 LotsLosordo 1254-76 Main Street Ost 2017 Rev Apr2018.docx i, ' o Town of Barnstable. P a Department of Regulatory Services .. t ananareeto ! Public Health Division Date: _. MA88. ra�9• `0� 200 Mein Street,Hyannis MA 02601 Date Scheduled Time / Fee'Pd. Soil Suitability Assessment foie'Se a Disposal Perforated By: :'5"fie— l'?a n . pe: " :.' Witnessed By: 3 ...... . .. LOCATION&"GENERAL INFORMATION :Location Address. i26b YKaiw S�'rIQ$ v^tJt(I� Owner's Name D,t_ -�Sew . . .. . .. . .r. . . .. . — Ad e.vt ` Address.1?Q'�t)e' r0$'IC"". 4�wU,t.ti�4 Assessor's Map/Pnrcel:..�.I�. U$ Cngineer's Name ysaax4gor m &�p2 NEW CONSTRUCTION REPAIR Telephone# 756Z . Land Use rant K. Slopes(%) Surface Stones Distances from: Open Water Body it Possible Wet Area ft Drinking Water Well it Drainage Way ft: Property Line R :Other ft: SKETCH:(Street name;dinienslons of lot,exact locations oftest holes&pert tests,locate wetlands in proximity to Boles) .:..:.: .. :.. ..:.' ....:.: pl�<uSG. rt;.�rr-.•F-ie m�•i�ae:.Lt�enQ c�.�!�.t1: .:.: .:.: .::::: ...... ...... . . I Parent materiel{geologic) Lei w� O U Depth to Bedrock " Deplbto Groundwater::Standing Water in Hole: Weeping frontiPifFace Esumated Seasonal High Groundwater " i DETERMINATION FOR SEASONAL HIGH WATER TABLE. Method Used: Depth Observed standing in obs.hole:" in. :Depth to soil mottles: in. Depth to weeping from side ofobs.hole: in. Groundwater Adjustment. 77777-ft. Index Well# Reading Date: Index Well level Adj.factor ;Adj.Groundwater Uvel'_ P D;/ Zd Agl PERCOLATION TEST Date: Time 3 t� Observation Time at 9" u Depth of Perc yg Time at'6" Start Pre-soak Tinte a:. /-0=2/ Time(9"-6") .. -. .. .End Pre-so.ak'. Un4 Ei�a.-•% Soo�4- .. .. .. .. " /0.�/ _. .. .... Rate Min./Inch' >S nw�tv�. ... .. _.-. _.... Site Suitability Assessment: Site.Passed :. Site Failed: Additional TestingNeeded(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- .... _- _.-. ...... ***If percolation test is fo be conducted within 106'of wetland,you mast first notify the Barnstable Conservation Division at least:one(1)week;prior to:beginning, Q:HEALTH/WP/PERCFORM s ... ...... _. _. .. _... _._. DEEP.OBSERVATION. HOLE.LOG . . .. . Hole#. / Depth from Soil Horizon:: Soil Texture Soil Color Soil Other Surface(in.):. :. (USDA).: (Munsell) Mottling (Structure,Stones,Boulders.: ° Gravel) 5`7' Loa.N y Sohd :lei.'e"K 411. y 11Y" t ✓ cap, .San . 16 VA DEEP OBSERVATION HOLE LOG Hole#: Depth from Soil Horizon Soil Texture Soil Color Soil Other Surfnce(inJ (USDA) ) g, :( (Munsell) Mottling' Structure,Stones;,Boulders. `. .::. .. _. - n'stetc %Gr ve O 4f i..4.� ...... I y_ r L C6 Io ye _ rr LacrM 6 /2 - Gr� G f►lcc9c Song. to Y7Z /y Meat: SAHJ 10 YIR 7Iy -' Na a d :. DEEP OBSERVATION:HOLE LOG Hole# Depth from Soil.Horizon Soil Texture. Soil Color Soil ' Other Surface(In.) .(USDA) :. (Munsell). Mottling :(Structure,Stones,Boulders. j. DEEFOBSERVATION HOLE-LOG Hole# _. Depth from Soil Horizon ,' Soil Texture Soil Color Soil Outer Surface(in.) P (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.„o el) :. Flood Insurance Rate Man:: Above 500 year flood boundary:.No_ .Yes Within 500 year boundary No) Yes I Within 100 year flood boundary No X Yes l Depth of Naturally Occurring Pervious Material — Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? -.. Certification I certify that on ri 4 ° (date)I have passed the soil evaluator examination approved by the Department of Env onmental Protection and that the above ahalysis was performed by me consistent with the required training,expertise.and experience described in 310 CMR 15.017. : Date Signature". : ?.. zoi7 o 5 •p :Q:HEALTHMPMERCFORM ) d ® l W- �i' LegendMP Spot Heights(NAVD88) _ Intermediate Contours(NA D8 a� �11900� '"'"�`� — Index Contours:(NAVD88)V n ... r- #128J. I .. ... -. t? Barriers Fenms Guardrails .. Retaining Walls C i Stone Walls t 110�55001 f' rl' Other Walls __.,Hedges i .. . ' �_�i• s t Paths Sidewalks/Walkways ;i 17 Paved. a `< f.r.'•`�~ l ... . .. .... .. .... Unpaved .. .... .. --- ! " Swimming Pools .� • : Ground Swimming Pools Above .... .. D In Ground Swimming Pools 0-1240 Exterior Structures - .. ¢ ... .. ... .. ... .. ,Decks ... .. 0:Patios . �t ' F_iciedorStairways Docks Piers. . ..t i it 'd{ -'� e �•�- -r - - 13 Boardwalks «4, � nks t 4 � •.,� t4 . .^ , ... 11.9 : 5... .. �. ®FuelTanks : 1� 1: 1 - ®.Water Tanks .. .... . '•� #1266 � `� t. - Jetties/Revetments r.. : . s.C �i ' - (]Slone Jetties Revetments .. } .. . ...(.J Concrete Jetties Revetments, . Q:Wood Jetties Revetments , Recreation Facilities: _ hl Sports Areas f Are ... - _ ,r ; ... old d Areas �' / Parcels 119t102 Town Boundary ... Railroad Tracks . .. ; 0 J'B ngs . 1 1 0 6 Painted Lines J. k king . Par Lots ,•. .. y :. .. ..�. Paved: . .. ... A. .. .... i . ... 9 _ t+ * Paveday `x t li a `... lit „v ❑- ❑ 1 .c .. Map printed.on: 8���201']. _ This map is for illustration purposes only.It is not. Parcel lines shownomth%s map are only gr aphtc Town of Biiins able GIS Unit adequate for legal boundary determination or representations ofA.ssessor's tax parcels.They are n Stie t Fi'et regulatory interpretation.This map does notrepresent. not true property boundaries and do not represent 367 Ma e,II,yannis,MA oz6ot p 42 83 an onAhc-ground survey.tt may be generidized,may not "accurate relationships to physicM objects on the map t 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale:: i inch = 42 feet 1U cartograpbic errors or omissions. giS@tow stable. n barnstabl ma.us :' Town of Barnstable P.# 30 fTt+erok , o Department of Regulatory Services / l BARNSTABLE. Public Health Division Date MASS. 1639. � 200 Main Street,Hyannis MA 02601 prEp MAr�' Date Scheduled �.`� Time /C), Fee Pd._ � Soil Suitability Assessment for Se e Disposal Perfornned By:, Witnessed By: LOCATION & GENERAL INFORMATION Location Address_.12-6/a VAaIj&_ tIO54r�ut���. Owner's Name Address PO 04V d".1e.e K1 cV,Jk ttIQ 01(03�., Assessor's Map/Parcel:.__y_�.'j O.U , Engineer's Name BAAirr fl)�Ic NEW CONSTRUCTION _ REPAIR Telephone# 66 b d 77 f- 7502 Land Use Y`G-at rE&. n•4 a( Slopes(%) Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft ram- - Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&,peers tests,'tocate wetlands in proximity to holes) Parent material(geologic) -`(PctG, OQ+Qa,S Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater r DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole:` in. Groundwater Adjustment ft. Index Well#. Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST Date_ 3 /-7 Time!0 Z0 AYh Observation Hole# #I Time at 9" Depth of Pero y19 Time at.6" Start Pre-soak Time a /©,'2/ Time(9"-6") End Pre-soak RateMinJlnch 51M14rl Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:HEALTH/WP/PERCFORM *Z 0/7—1556•03 DEEP OBSERVATION HOLE LOG Hole# / Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.c °°Gravel) 611 to y1? --rI6 t. '- ca DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel a � yu tO / G"- l2'' ,� `�`�My,.S�•�c0 is rR �/6 �-- it 2. VB/1 c c� � O Y 7/y ",� IV ,. B DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,° Gravel) l DEEP`OBStRVATION HOLE LOG Hole,# Depth from Soil Horizon ;" Soil Texture Soil Color SoilOther Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel Flood Insurance Rate Man: Above 500 year flood boundary No_ ' Yes Within 500 year bo ndary No-) Yes — Within 100 year flood boundary No X Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that onAwrill 11(date)I have passed the soil evaluator examination approved by the Department of Env orunental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature !/ Date 2-0/7-05d,'03 Q:H EALTH/W P/PERCFORM Legend 3 Spot Heights(NAVD88) d _ u �� _ _-• Intermediate Contours(NAVD88) r 11900$ - t yl. II } - Index Contours(NAVD88) *12$i' 1 11 I ! �' I ''' Ytti = Barriers -- — Fences y I _ 5 -'. y t 1 I Guardrails Retaining Walls Stone Walls 119055001 / Other Walls #1 276--:- p? r r' .... _II_ .. ��_ .. — Hedges Paths + Sidewalks/Walkways ® Paved } y f __--- - t Unpaved i -J-- _ __—-- Swimming Pools E]Above Ground Swimming Pools 119039 �S _ y I ❑ In Ground Swimming Pools r #1240 Exterior Structures r' 109 Decks it J. p 32 46 0 Patios Exterior Stairways ii II ,l_' ''I toad s+ I i , i`b t ,tr+��,�.... .._ 1 •'S� ,� r . .I i(',. ... Q Docks Piers SI� iv. I ; < # ;h _. 2.•�.-/,� _:�-. ~\:- '`', J 11 Boardwalks Tanks " 119055 13 Fuel Tanks 1i 1 2.bb _ 1' i .. ( •,Y. .. - ®Water Tanks Jetties/Revetments - f ?'', �-::.I •E i }, ,. " �. '. '� .; ;� , - Q Stone Jetties Revetments[J Concrete Jetties Revetments I � '� '• � _ ®Wood Jetties Revetments Recreation Facilities 2, Sports Areas ❑ Golf Areas 35.173- Wooded Areas ? '} t I3 Parcels /� 119002 ' Town Boundary - Railroad Tracks Buildings ` s 119056 t�� Painted Lines 11 14 1 - ,k,r b - ag ti a #125# a� s Parking Lots f R d Paved' -W C} 119009 np u aved ai y Driveways t ,� / Paved - '. .i '�" �• - Unpaved i 'haot �3.�,�` '�' I - _- :A.a��., �.,�,.:ls`�.ti r' �.o wee ❑� .. Map printed on: 8/7/2017 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent' not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi O 42 83 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map _ 508-862-4624 reflect current conditions,and may contain such as building locations. Approx. Scale: 1 inch= 42 feet cartographic errors or omissions. gis@town.barnstable.ma.us Commonwealth of Massachusetts oss— w W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is �= required for every Osterville ✓ MA 02655 7-17-175 page. City/Town State Zip Code 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:When filling out forms A. General. Information � on the computer, ``v�� �,tN OF Mgs'lli, use only the tab �.• '••.`�9���'� key to move your 1. Inspector: cursor-do not JAMES James D.Sears =�; m use the return Name of Inspector key. Co z Capewide Enterprises Company Name s.,�� rb' � 153 Commercial Street '��iF�st I N S Company Address .. Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S 1623 Telephone Number 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 of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site' sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 7-17-17 e�lispector's Signature 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 has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of�1/77 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA 02655 7-17-17 page. CitylTown 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: The system is three old block c. pool's. 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", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. . The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts . - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary-Assessments 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA 02655 7-17-17 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.) ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval.of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: l ❑ 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 t5ins.doc•rev.6/16 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts u W Title 5 Official Inspection Form Subsurface Sewage Disposal System form - Not for Voluntary Assessments M s 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA 02655 7-17-17 page. Cityrrown 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 system has a septic tank and SAS and the SAS is within a Zone 1,of a public water supply. ❑ The system has a septic tank and SAS and the 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. r. 3. Other: w D) System Failure Criteria Applicable to All.Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool El ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool N04 ❑ ❑ 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 '/2 day flow t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts u u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA 02655 7-17-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply.or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ Z 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.] El ® The system is a cesspool serving a facility with a design flow of 2000gpd- 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 the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the 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 Area—IWPA)or a mapped Zone II of a public water supply well. 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 eg onal office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts u Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA 62655 7-17-17 page. Cityrrown 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 the following: Yes No ❑ ® Pumping information was provided by the owner,occupant, or Board of Health El ® 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? ❑ ® 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 manholes uncovered, opened, and the interior inspected for the condition of the tees, material of construction, dimensions,depth of liquid; depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been 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 approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): NA Number of bedrooms(actual): 2 DESIGN flow based on 31.0 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA .02655 7-17-17 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: The system is three old block c. pool's. Number of current residents. 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter.readin s, if available last 2 ears usage d 2015-0 g ( y g (gp )) 2016-2,000 Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ 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: t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts w r Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,. 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is Osterville MA 02655 7-17-17 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NA 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: Septic tank, distribution box, soil absorption system ® NEWcesspool ® Overflow cesspool ❑ Privy ❑, Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained 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. ® Other(describe): P j.T t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.-Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA 02655 7-17-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: NA Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 22"feet Material of construction: ® cast iron ®40 PVC ® other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Pipeing is cast iron - PVC SCH 20 &40- clay. Septic Tank (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is Osterville MA 02655 7-17-17 required for every , page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle.condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet the or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA 02655 7-17-17 page. Cityrrown 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: Material of construction: ❑ concrete ❑ metal ❑ fiberglass El 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: Date Comments (condition of alarm and float switches, etc-.): *Attach copy of current pumping contract(required).Is copy attached? ❑,Yes ❑ No t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 II Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1266 Main Street - - Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA 02655 7-17-17 page. Cityrrown 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 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.): 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.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: a t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 • Commonwealth of Massachusetts 4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA 02655 7-17717. page. Cityrrown State Zip Code ) Date of Inspection D. System Information (cone.) Type: ` 1 ® leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 1 ❑ 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.): Leaching is a blocked c.pool and pit. Over flow# 1 6' deep block pool w/cover at 20"dry over flow. #2 6' Deep pit w/cover at 20"dry.. No sign of over loading. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 1 Depth—top of liquid to inlet invert Dry Depth of solids layer Depth of scum layer Dimensions of cesspool 6' Deep Materials of construction Block Indication of groundwater inflow ❑ Yes ® No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts w r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for.Voluntary Assessments 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osteryille MA 02655 7-17-17 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.): Main block pool 6'deep w/steel cover at 4". Inlet tee w/buo outlet's. Both w/tee's. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): s t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osteryille MA 02655 7-17-17 page. City/Town State Zip Code Date of Inspection D. System Information (coat.) Sketch Of Sewage Disposal System: Provide a view of the 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 ❑ drawing attached separately o� R VAn A U IV 13_ O � /0 V• 3 S O OVf12- :t n ovfIL Few PIT, �w t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA 02655 7-17-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells JV0 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 ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers;- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: „ Auger T.H. 12' no G.W.. 'Bottom of pit at 8'-6" below grade. Bottom of pit at T-T above T.H. Depth. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts 4 W Title 5 Official Inspection Form Subsurface Sewage Disposal System form - Not for Voluntary Assessments �M 1266 Main Street Property Address Matthew Eddy Owner Owner's Name information is required for every Osterville MA 02655 7-17-17 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 t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 17 of 17 -McKenzie, Marybeth From: Stanton, David Sent: Thursday, December 21, 2017 8:09 AM To: Parziale, Jim; O'Connell, Timothy; Desmarais, Donald; McKenzie, Marybeth; Miorandi, Donna Cc: McKean, Thomas Subject: Main Street, Osterville properties (1254, 1266 and 1276) septic plan review Just a heads up for when any of the above properties come in for septic permits. They went before the Board of Health and were approved, however,The septic plans have not been fully reviewed or approved by any of the inspectors due to a short submittal notice and too many issues with the plans submitted prior to the Board of Health hearing. This is not a standard quick sign off saying approved by the Board of Health if they meet the conditions of the Board of Health letter as is done with most cases that have had the plans reviewed by at least one inspector and then other staff members briefly at the staff meeting prior to going to the Board. Thanks, Dave David W. Stanton, IRS Chief Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 Direct phone: (508) 862-4647 Health Dept. phone: (508) 862-4644 Health Dept. fax (508) 790-6304 1 TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS 1& 3j710 ASSESSORS MAP N0. PARCEL NO. ADDRESS; l lU `Y/ VILLAGE CONTACT PERSON PHONE NUMBER LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: LEAK / OR CHEMICAL: DETECTION SYSTEM' h�D &A t all -- DATE OF PURCHASE OF. EACH: 1. 2. 3. 4. DATE {3F FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE. BACK OF THIS CARD., ,,��� .------- -- -- .--�I IACATION , Jeannette Fraser 1266 Main Street Osterville,, MA 02655 Main St. !` Osterville i j BOOK & PAGE — DATE TED AMOUNT STORED 37A13 March 11, 19 no amount 1 J DATE PA ID 1973 - March 21 MAR 2 R 1978 APR 1983 APR 1 61974 MAY 21. 1919 - "Q 01975 Ott 2 6 logo z MAR - 51976 MAR 131981 z—�e MAR 8 1971 APR - 2 1982 fi Ak - fH Of TN ro TOWN OF BARNSTABLE OFFICE OF Mesa S& BOARD OF HEALTH Q 1639 367 MAIN STREET HYANNIS. MASS. 02601 I � J r . February, 1988 Dear Underground Tank Owner: You are now required by the "Health Regulation Regarding Fuel and Chemical Storage Systems" published in the December i . 17 , -1987 issue of the Barnstable Patriot, to register your underground tank with the Board of Health. Please complete the enclosed Registration card. Include any evidence of the date of purchase and installation, a copy of the permit from the Fire Chief, and a sketch map showing the location of such tanks on the property. Upon completion -of the Registration card, you may be issued a brass valve tag by the Board of Health. This valve tag shall be picked up by you or your representative at the Health Department located in the Barnstable Town Hall. The tag shall then be, attached to the filler pipe of the underground tank. Please return completed Registration card to the Health Department as . soon as possible. You are required to comply with this regulation by May 31 , 1988. After .this date, if you do not have an attached valve tag, you will not be able 'uc receive any fuel oil from your supplier. Very Truly Yours, Thomas A. McKean Acting Director of Public Health a 0 �� � � 0 0 30 i� n 9 i w � No .................... Fps. .. . THE COMMONWEALTH OF MASSACHUSETTS BARD QF HEALTH 11 l ©Gcj . . .. . .OF......... ...... ®...! 5. � �. ................. Applira#ion for :41-4 olittl Works Tote union Vrrmft Application is hexi&v made for a Per it to Construct ( ) or Repair ( n Individual Sewage Disposal System at: �h 7 i2 U(P --• P ----- --✓1_0.i.s.�9 d ................... / auop Address � r C) IV teN Owner ess ddr F a � . �� .�.f°r c'+ �"" r�Pv .0�.-.-�..1f'�...'. .. - -........Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms-------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons_--___--___________----_-_- Showers ( ) — Cafeteria ( ) Other fixtures ------------------------------ W Design Flow............................................gallons per person per day. Total daily flow.........................._-----------------gallons. 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 ( ) aPercolation Test Results Performed by-------------------------------------------------------------------------- Date-----•-------------------- -----Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water-..--------------------- I�Lq Test Pit No. 2................minutes per inch Depth of Test Pit---------------->_--- Depth'to ground water--.-.---__---__-__---... a •---------------------------------------------------------•---.........................................•••••---------•••-•..__........---.....---•---'.---- 0 Description of Soil-------------- --------•-----------------------------------•-------•------•-------•--••--•-------------------..--.-.-.--------------------------------------- --------- x W ,C Nature of Re airs or Alterations—Answer when applicable-------- C_O e! d'dP p DC----- ------------•••• ----------------------•---------------------- Agreement: 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 been issu d by the oard of health. Signed _ _ ---------.... A_ /a, Y / '/ Date Application Approved By.................. -------------------------------------------------------------------------------- Date Application Disapproved for the following reasons------------------------------------------------•------------------------------------•-•---•-••--------------.... ----------------------------------------------------•---••.••-'•'--------. Date Permit No.-----.................................................. Issued...I t_ ------T_t---•-................... Date No. .................. FEE...... w!..".......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........OF......... Q .j'l..S.L.�..�.j� _ AVVIira#iun -for Dispoiial Works Tomarur#inn Prrutit . Application is hereby made for a Permit to Construct ( ) or Repair (Al"'an Individual Sewage Disposal System at ---------------------------------------�-,�/-�'� -------- ----------•---------- • II' ati Address. or 'N���4rid- � •-•-�--•---•------•----•t•-- sOwn ._ "` , .------..•.C�- -=- v ' �A Installer . Address d Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms___________________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons.--------------------------- Showers ( ) — Cafeteria ( ) d Other fixtures ----------------------------------------------------------------------------- ---. .. -------------------------------------------------------- WDesign Flow---------------------------_.................gallons per person per day. Total daily flow------------- ;:_.:_____...__._._gallons. WSeptic Tank—Liquid capacity--------------gallons Length---------------- Width................ Diameter---------------- Depth......_--._..- " x Disposal Trench—No.____________________ Width-------------------- Total Length.................... Total leaching area-------------- q. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area-------.----------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by------------------------------------- ------------------------------------ Date---------------------------------------- Test Pit I& I................minutes per inch Depth of..Test Pit_-._-_______________ Depth to ground water..._____----_-----.----- (14 Test Pit No.. 2_.-:__:;.`._.__._minutes per inch Depth of Test Pit____________________ Depth to ground water__.._-______-_--_____... . ..........----------.........................................-----•---••-•---••-•--•------.....-•--......................................................... O Description of Soil----------------------------------------------------------------- - U -------------------------------------------------------------••---------------------------------------------------------=------------------------------------------------------------------------------ W � V Nature of Re airs or Alterations—Answer when applicable._._____.,f_`�_. _t.� r_.____ _��_�._._ ,,��.._.__.�_Ae?_- ------------ -----------------9'0.�.....J.--•------------------------------...--------------...----=--•-------- ---------------------------------------------- - Agreement: 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 been issued by the board of health. 4, Signed f -+/-................................. Date Application Approved By------------------------------------•------= Date Application Disapproved for the following reasons-----------------:.._-------------------------------------------:'-................................................ -----------------------------------=------------------------------•-------------------------------------•-------------------------------------------_._.------------------------------------------------ Date Permit No. -==------------------- Issued..-rt '"• .' i.__........-----•------- Date" .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .:4_1..............OF........h. ` ,.v:.�i. .. .��.....?°.................----.--............. { "IT r#ifirn#,e of "" mphane l THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( y .- 4 r In_ staller Y *- I� --•----- has been installed in accordance with the:yprovtsions of Article XI of The State Sanitary Code as-described in the E; application for Disposal Works.Construction Permit No------_ _ _________________ dated_./!�' :__.......__...!: /'.Y...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE s. SYSTEM WILL FUNCTION SATISFACTORY. DATE.... :---------•---•=---------------•------.._......... Inspector }f r�4s4+f'9r,�'ti...rsy.3.zi�n.P� .�t�.�,.'d�'��'�/^ r-� -'�?"r L�4'�zi""--7t „7.xr.t+"�`h-'i�F �s-4 YY�"ft •c �'.t Via+...r� i:.;,,5�ti. ''r�{.. 1 '-•",, �gl.�i r. Js-�...}.+r:'iFr�.,ri:4.•! 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTHn t' ' 1 ; r .r ........... ..OF...... . ... � .t.1 ` : . . �.. ..... .................... ; No. . ...... --- ,FEE---..- - Permission is hereby granted__ gym°" ? 1 •--•-----------=-=-==---------------•. .___-------•-••---_______-•-------....-•--- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No.-- �'�; Wit-_ t f'`................. `f :r.' 3....... .------... ..r ,, Street as shown on the application for Disposal Works Construction rmit Dated__f&_c__- ._: _ n ..r --•-•_. o th ' DATE- / -••................................•--------- 'FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ' 3 NA ND _ 08 , ----- - - _ pq 41 r"3=aH y \ 4" SCH 40 PVC VENT`. ��r{ _fir.'_ :... WITH ANIMAL SCREEN "NITROGEN AGGRE6ATION_F—j CREDIT LAND ~ %r r r 36 8.83Wx 251 � ' LEACHING CHAMBER " r• ,r _ �{ ST6RMWATER 36 .MANAGEMENT'-. ' FACILITY #1 , / `£ 39 3" ...._. `,` ': 31 £'3 } 36 36 :3t •OX. ,` J i J /� 35 6,• D-a r ��.... 3 ✓.' �. f `' - � RESERV , SAS • • ��*.r K.�...- '=•z,"'_---;:.,i ''. .• gty;37rij t✓yyr't�i„SG �.yty j'' `'+.. _ .3 f } rin.��yQcnGc'.• ocriao;ri.G sa ,c G .[,s2".�we� " `- {(} •.,i '. �.,, ric3T'G it^'',,s 3 k �y,>,ri�r 3 G rinG'` ^ri' } 45 LF 4 SCH•`•. � „�' ''` 1 ``• �- rii°s,}'.G V GQ " f-AGG Gr x'jG 1 (f'U?s9, Gp.zi' ''.; UX, ,40 PVC AT 2% �, .,. .,..... ._.... • €t •.,,. ..,� s£ „4 - �^... .% G s " •' y ,sy ;^^ Gwr,;"%Gt'ri :t' 3 J £ �y � •.. /• , . ^..,,�. : ..... h G••.JG'.Zi"43 'J,.^„G4k t3;� [i"'t3•,G... .ys,A'�:;.t ...... f` • 't ,}�.,~ - s %b „' GGG, 3 G `Jrsa r ";y;.anta ',�^.G•`=.L3•' .! 1 s ``{ /,,„„ ........._...... £'^.. '• __.. �� ,a,..t G,.,a.•&"",y�r��j.%.,ta�c�o�yG�sco.G�n � t k.. 3 w.. its � n r rr - SQ /r Orr 1 r' `1000 GALLON C�' s' ' EASE TRAP __........_._. 1500 ON TW '. >rj f ;� ,3 PF�ABE 2 �3� 31=XISi7NG s� �'/ co COMPA N �, ✓ © .. :, 12 0 �• EP ..% ai STIC TAN ,r 35 CES$POOI.S T . KI' :> } PUM,PED A D OVED M € £ �" 36 ✓. s4 3 � �• ('___� ; '-'� : { 1 • � -. .. �f/ � ram,.- € � .�/ ,^�v p € �`4 { •,�{ I }O ; I € w...,Ej t,£ 3 t 1. { } r''1'' `n. -._, /.✓ ✓ `' :Q �. ' -:x�'i �3 -r i !' r,. Ea t 30 L E E �3` €"" £S._. �..rri , �" fN ••� SERVE $A 1 1C0 LF 4" N CAST IRO _.w'_ f r s 'f {_f. ..�•_.. 37 r/ SANITARY SEWER SAT 2% t x_......r. µ-- -•...._. £ J :4 4 1500;GAL4UM SEP- �T{� { 20;1' } q 36 p `•`' € .t `.�'3 E € E I s _ st f r� i\'.. `'� s sit � r{ 8.83 X 21 m 1 } } } t5 € } / ✓/t emu.. �r r. �a 4.,'i IEts} { O LEACHING s 44 s -r D—BOX CHAMBER000p , m000 fikJTt)RETlEtALj '� O € ''3 't; {s£ I ` ...-^ ,-r__._..-• _ . 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R :STOP _ _ ....-• _ •" 37 •-'� Vic'c, _ � aE, , xy BAXTE R NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors . 78 North Street — 3rd Floor Locus Map Scale: 1 =20001 Hyannis, Massachusetts 02601 Phone — (508) 771—7502 Fax — (508) 771-7622 N/F COUTIT OSTERVILLE www.boxter—nye.com MARSTONS MILLS FIRE DISTRICT _ DEED BK 545 PG 191 �— — S 09'36'34" Mq MA/ PARCEL 119-039 — '� E N`ANO NA083 .. FND •` �P 19.30 S 09'36'34" E NOTES: �J7,0.T MARK: i BENCH GENERAL C DH �f c, S 09'36'34" ELEV.=36.84 .. ` _.... -; i �' 1. THE INTENT OF THIS PLAN IS TO DETAIL EXISTING SITE CONDITIONS AT 1254, 1266, do 1276 MAIN STREET X',:T6.L:x w. ".." • .�' 93.63 .k S 09'36'34" E ,� _X x / µ .•__ �� 2. LOCUS AREA IS COMPRISED OF: w, PER CURRENT ASSESSORS RECORDS STAMP ` �N F G� .:... •." •, �ri• ' � t �- ' "��..."" � OF THE SB NOMINEE TRUST I " _,....... 3 ..__ _i h, , t ! I \; c REDO, TRUSTEE S T A M g \ OWNER. BINJAMIN J. LOSO 7 �j , UA r... K t I ti PL CMAIE .j 5 PAGE 5 \ F � \ RECORD �N BOOK 55 � M _•. y`` r € �.A" � " ASSESSOR'S MAP 119 ;: • X.%2, t4, !: i { ft 3�, �� a ` PARCELS OLfi, 055, do 055-001 jt ,,, , 3. PROJECT BENCHMARK. AS SHOWN ON THIS PLAN. VERTICAL DATUM IS NAVD88. * tlf rOJf7tf ;! 4�. .._... x ....... �... `. '" ' `' ' r1 M ! 4 ZONING INFORMATION r \ " ! #126 'AIN STREET � .___�.. _ , t, w AR ` ....w.._.. � $ t' P ZONING DISTRICT: BA PARCEL 055 •, /18,45 SF ,, " ,3 .` ...."� NONE 2;?* REQUIREMENTS. � CURRENT MINIMUM ZONING ,. 276 MAIN STREET`; TP 2 ,, 4.. _ ..., = CO UL T PARCEL 11 ' MI LOT 7` .. 15f ''SF �` , 33 -'OVERFLOW 1 \\ N zMIN. LOT WIDTHAGENONE � T A20,0 , \376. S E, 4! ? r •,. . ' TP-1;' f'j ', �v'. FRONT YARD LANDSCAPES SETBACK FROM ROAD NONE, LINE 10 FEET _. ". ... N ! y , ... OVERFLOW 2 `'o O �� MAXIMUM BUILDING HEIGHT = 30' OR TWO STORIES, WHICHEVER IS LESSER J 4 ! ! f 1 '' } %' MAXIMUM L':T COVERAGE = 35% OF LOT AREA Nz•: } TP-4 _.f ��� �02 •O N� N/F COU11T OSTERVILLE TP 3 € 1;} " • �' fi` \ � Sc � \ MARSTONS MILLS FIRE DISTRICT OVERLAY DISTRICTS: WP, SEP, ZONE II f / ru ! \ cn DEED BK 545 PG 191 Z PARCEL 119 009 5. A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. THERE MAY x X f -r �, - BE RIGHTS 'Y OTHERS, EASEMENT, TAKINGS, MORTGAGES, RIGHT OF WAYS APPROXIMATE �I / ,,Jl., EXISTING �: pWo `,.;; :�`' TP-1 � ` 'j ; �' ETC. NOT DEPICTED. IF DETERMINED TO BE NECESSARY, A TITLE SEARCH CONSULTANT I o - - } ; N �� I X En ' SHALL BE ,FRFORMD BY OTHERS AD SUPPLIED TO BAXTER NYE BUILDING = 3 x ENGINEERINL do SURVEYING I ; O SEPTIC LINES;& ; ONi y I i I . tJ.:: .p_ LOCATION SHOWN DOG P'—2 j '`' I Z = r �� ,, f I I i ,' r F�J PEN \ 6. THE PROPLT(IY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE RECORD I { i n RMATIO CONSISTING E I FEATURES SHOWN HEREb}V WERE PER FIELD p� INFO CO STING OF PLANS AND DEEDS THE IX STING F-7 MARKINGS I BENCHMAI <: x x T� \ OBTAINED FROM A ON THE GROUND FIELD SURVEY PERFORMED BY CENTERLINE EN15 X , WALL, r —i BAJ('ER NY.. ENGINEL.P.ING do SURVEYING 014 J,,L 2.8, �c AUGUST 1, 2.017, N "R fiAI I N� ELEV.=36.6` �— / Y � •. ��� '. x �%� "` � 7. COMMUNITY PANEL NUMBER: 250001 0544 J, EFFECTIVE DATE DULY 16, 2014 O TP 4 I i ! .r�,. , „ ;- \ \< THE FLOOD +•NSURANCE RATE MAP DEFINES THIS AREA AS ZONE X (UN-SHADED). , I f t� � :.i�,'i i _ '.\. � 9i1� PREPARED FOR : I i rFF 8. ENVIRONMENTAL INFORMATION: TP 2 d 9Z . ; r ::; O PER MASS qS OLIVER AS OF 08/08/17: Benjamin J. Losor o, i f a 4aflo I SITE DOES IvUT APPEAR TO BE WITHIN A AREA OF ESTIMATED HABITAT OF RARE WILDLIFE AS Trustee of the N/F TRANS-CAPE INC. I ; € I I I , i x 1 ; EXISTING 2-BR ' 3 \ / MAPPED ON MASS GIS OLIVER PER NHESP 'ESTIMATED HABITATS OF RARE WILDLIFE' FOR USE WITH C/0 SILVA & SILVA f ,. I , ; ; f , S.B. Nominee Trust s;• t r I DWELLING EXISTING WATER o,., THE MA WETLANDS PROTEC110N ACT REGULATIONS (310 CMR 10). DEED BK 12836 PG 40 { �. �� I� r=�'.,f€ € —3... O I : c., I / LINE SHOWN ;. PARCEL 119-008 £� ti r} I € I 1 I ._. '^. P.O. Box 1637 3 #126g PER DIG-SAFE �, SITE DOES NOT APPEAR TO BE WITHIN A A.C.E.C. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). j ?°; ' , �; £ � {�d `` ' c.p I 3 / + r� . - W, MARKINGS I ci`,. . Sandwich, MA 02563 l,.;' { as EN' wI ._ SITE DOES NOT APPEAR TO CONTAIN A CERTIFIED VERNAL POOL AS MAPPED ON MASS GIS OLIVER D ,.,. EXISTING O GARAGE \ S \ PER NHESP CERTIFIED VERNAL POOLS #1254 SITE DOES NOT APPEAR TO BE WITHIN A PRIORITY HABITAT AS MAPPED ON MASS GIS OLIVER PER I i I t } I } I \\ D ' I - i t I °f \ NHESP 'PRIORITY HABITATS OF RARE SPECIES" FOR SPECIES UNDER THE MASSACHUSETTS �`.. # € i ! i M " o ? �', .X ENDANGERED SPECIES ACT, REGULATIONS (321 CMR 10). P R O J E C T TITLE > I ` 1, i�:- I ! I SLAB .. z„�.t.r 17 _ ''=38' ^ O " """ "" " SITE APPEARS TO BE WITHIN A STATE APPROVED ZONE II GROUNDWATER RECHARGE PROTECTION Proposed Commercial Development 20' FRONT BACK 26 5' `.>,:. -.1 _..�. '% I p p t I AREA O 1. OVERGROWN # 25 MAIN STREET & 12 76 4 • � ` � '^• GRAVEL PARKING- 1254, 1266, ! € q _ 1 4 M T P - :. SITE APPEARS TO BE WITHIN A ZONE OF CONTRIBUTION TO A SALTWATER ESTUARY (BARNSTABLE Main Street + ' 1266 MA PARCEL 119-056 / r B.O.H. REG. 360-45) .. 2') X�%: � 1VVMA N St. � `� �'�. 9 � � � _ Barnstable (Osterville) MA . 4 1 06 SF ".W........ _ 5 35 " " , W „ oN N 165634 � N 1 — ................ �e l fi 34 rY e ^ 4'30°34'" 16 "..,...... Pi ,,y W. I0�S 14'30' .,. .,..... ..".... 5 W -,�_., � AFE _ 34� .....' . No 9. UTILITY INFORMATION SHOWN HEREIN: 19.47 PLAN W W_ .. ..... .._..,.,. WATER M NGS AREA W VJ '` _.... S .. .....EXW 8 AI PAVED AR \�67J—/��—/r�y � _ s� / MARKI W BENCHMARK -' R THE CONTRACTOR SHALL CONTACT DIG SAFE AT 1 888 DIG SAFE AND UTILITY COMPANIES TO x.,` .�� %�1 A8DRAIL _, -- _ --- ,:; -fib — ELEV 38.78 LOCATE THE LOCATION OF ALL EXISTING U11LIT1ES, AT LEAST 72 HOURS PRIOR TO THE START OF `1 fl, fL cc CONSIRUC110N EXISTING UNDERGROUND INFRASTRUCTURE UTILITIES, CONDUITS AND LINES ARE — ,..,, .. EXISTING GAS , ,r SHOWN IN )N APPROXIMATE WAY ONLY, MAY NOT BE LIMY TO THOSE SHOWN HEREIN AND HAVE .., ' BENCHMARK = LINE SHOWN — O MAIN, - STREET ,, sf AGREES TBEEN O BE FULLY RESPONSIBLE RCHED BASED ON THE AFOR ANY AND ALL UTILITY RECORDS NOTED DAMAGES WHICH"MIGHT BE OCCASIONEDTOR BY / HYDRANT STREET SIDE — t PER D1S-SAFE ET-BO c MARKINGS '— — — �' — — THE CONTRACTOR'S FAILURE TO LOCATE SAID INFRASTRUCTURE AND UTILITIES EXACTLY. IF FIELD ELEVATION=35.58 FEE Z CONDITIONS DIFFER FROM PLAN INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER y 4' PL GAS MAIN UP 155/47 LP — — EOp IMMEDIATELY FOR POSSIBLE REDESIGN. _ UP 1:35 48_T Ay- •� �i — cbiV���H C%v--` '� G OH��— vHV 0���� 0� C OHV�SOH�� — �HV� SOURCE IA VIEW FROM NDER HAS BEEN COMBINED WITH OBSERVED EVIDENCE OF UTILITIES EXA TO DEVELOP A VIEW OF THOSE UNDERGROUND UTILITIES. HOWEVER, LACKING EXCAVATION, THE EXACT UP 155/46 TRANS/METER LOCATION (7 UNDERGROUND FEATURES CANNOT BE ACCURATELY, COMPLETELY AND RELIABLY DEPICTED. WHERE ADDITIONAL OR MORE DETAILED INFORMATION IS REQUIRED, THE CLIENT IS ADVISED THAT EXCAVATION MAY BE NECESSARY. © JKL 02/OS/18 PER WATER DEPT COMMENTS / C.D.'s UTILITIES N11ED HEREON AS 'COMPILED' ARE SHOWN BASED ON SOURCE INFORMATION / G�IoN (RECORD PLANS) OBTAINED FROM UTILITY COMPANIES AND/OR MUNICIPALITIES. LOCATIONS OF © JKL 12/21/17 BENCHMARK ADDED AT 1266 MAIN ST. / 'COMPILED" UTILITIES SHOWN ARE TO BE CONSIDERED APPROXIMATE ONLY. Q JKL 11/09/17 PER SITE PLAN REVIEW COMMENTS \ EXISTING SEPTIC SYSTEM INFORMATION SHOWN AS PER FIELD LOCATED MARKINGS PROVIDED BY N O BY DATE D E S C R I P T 10 N CAPEWIDE ENTERPRISES. SHEET TITLE TOWN WATER SERVICE SHOWN ON THIS PLAN FROM WATER DEPARTMENT SKETCH 0-179-N DATED / 07/20/90, AD FIELD LOCATED DIG-SAFE MARKINGS Existing Conditions / GAS SERVICE SHOWN ON PLAN PER NATIONAL GRID MAPPING, AND FIELD LOCATED METER do DIG-SAFE MARKINGS. Plan C 0 • ELECTRIC LINE SHOWN ON THIS PLAN WAS FIELD LOCATED INDICATING OVERHEAD SERVICE FROM 00 UTILITY POLE 155/46-TO #1254 MAIN, do FROM UTILITY POLE 155/47-TO 11266 MAIN ON SHEET NO / 07/28/17. C, / C2mO Ln 0 D ATE : OCTOBER 10, 2017 N 0 20 0 20 40 J a z / SCALE IN FEET (D / SCALE : 1"=20' Ln / DRAWN BY : DF CHECKED BY: MWE JOB N O : 2017-050 FILE : 2017-050 EC.dw 0 SEP'11C 3YSTENI DESIGN HEC)IUNEMENT3 .;�. �� �`,,�' .� SOL Lioas P-z" DATE:08/03/20D SOL Loos P-ZM DATE:08/o9/20v >0g SOL LOGB P- DATE:06W2ovAb 1254 MAN SST BARNSTABLE �86 MAN STD!• BARNSTABLE 127s MAN STREET 13ARNSTABLE F N G I N F F R I N(T & S U R I-Y N(r SOIL EVALUATOR: BOARD OF HEALTH AGENT: SOIL EVALUATOR: BOARD OF HEALTH AGENT: SOIL EVALUATOR: BOARD OF HEALTH AGENT. NITROGEN LOADING LIMITATION: 440 GPD PER 40,000 SF 1254 MAIN ST (TO BE DEED RESTRICTED TO 260 GPD): STEVE WILSON, P.E. DON DESMARAIS STEW WILSON, P.E. DON DESMARAIS STEW WILSON, P.E. DON DESMARAIS TEST PIT 1 TEST PIT 2 TEST PIT 3 TEST PIT 4 TEST PIT 1 TEST PIT 2 TEST PIT 1 TEST PIT 2 TEST PIT 3 TEST PIT 4 1266 - EXISTING 2 BEDROOM HOUSE IS GRANDFATHERED RETAIL: 1200 SF x 50 GPD/1000 SF = 60 GPD 0. G.S.E. = 36.9 " G.S.E. = 37.0 " G.S.E. = 37.0 ` G.S.E. = 37.5 0. G.S.E. = 33.5 " G.S.E. = 35.8 0. G.S.E. = 27.5 " G.S.E. = 33.7 " G.S.E. = 27.0 " G.S.E. = 30.8 (NO CHANGE IN DESIGN FLOW) CAFE. 10 SEATS x 20 GPD/SEAT = 200 GPD BARTER NYE 0 MISC STONE AND BRICK FILL MISC STONE AND BRICK FILL 0 0 0 0 0 0 0 ALLOWED FLOW AS FOLLOWS: SYSTEM TOTAL: 260 GPD 4' CM 36.6) 6. " 4" 35.5 7. 4 .7 1254 MAIN ST = 14,406 SF x 440 = 158.4 GPD 1266 MAIN ST (rO BE DEED RESTRICTED TO 220 WD): ENGINEERING & B ; 1 OYR 4/6 ; LOAMY SAND B ; 1 OYR 5/4 ; LOAMY SAND B ; 10YR 4/4 ; LOAMY SAND B ; 10 YR 4/4 ; LOAMY SAND E ; I OYR 6/1 LOAMY SAND E ; I OYR 6/2 ; LOAMY SAND Ap ; I OYR 5/4 ; LOAMY SAND E ; I OYR 6/2 ; LOAMY SAND Ap ; 1 OYR 5/3 ; LOAMY SAND E ; I OYR 7/2 ; LOAMY SAND 1276 MAIN ST = 20,017 SF x 440 = 220.1 GPD * S U R VE YI N G RESIDENTIAL: 2 BEDROOMS x 110 GPD/BEDROOM = 220 GPD 11" ELEV 36.0 14" ELEV 35.8 12' ELEV 36.0 12` ELEV 36.5 7" ELEV 32.9 6" ELEV 35.3 s' ELEV 27.0 5' ELEV 33.3 7" ELEV 26.4 s" ELEV 30.3 TOTAL COMBINED ALLOWED FLOW = 378.5 GPD *(EXISTING RESIDENTIAL USE GRANDFATHERED AT 220 GPD TOTAL) TOTAL PROPOSED FLOW ON 1254 & 1276 = 370 GPD C ; 10 YR 7/6 ; MED. SAND C ; 10 YR 7/2 ; MED. SAND C ; 10 YR 7/4 ; MED. SAND C ; 10 YR 7/4 ; MED. SAND B ; 10 YR 4/3 ; LOAMY SAN B ; 10 YR 5/6 ; LOAMY SANE B ; 10 YR 5/3 ; LOAMY SAN B ; 10 YR 5/6 ; LOAMY SAN B ; 10 YR 4/3 ; LOAMY SAND B ; 10 YR 5/4 ; LOAMY SAND (PROPOSED FLOW OKAY AS LESS THAN ALLOWED FLOW) 1276 MAIN ST (TO BE DEED RESTRICTED TO 118 GPD): 132" (ELEV 25.9) 132' (ELEV 26.0) 132" (ELEV 26.0 132' (ELEV 26.5) 14" (ELEV 32.3) 12' (ELEV 34.8) 10" (ELEV 26.7) 10" (ELEV 32.9) 11' (ELEV 26.1) 11' (ELEV 29.9) APPLY NITROGEN AGGREGATION TO 1254 AND 1276: RETAIL: 2200 SF x 50 GPD/1000 SF = 110 GPD Registered Professional Engineers C1 ; 10 YR 5/6 ; MED. SAND Cl ; 10 YR 6/4 ; MED. SAND Cl; 10 YR 6/8; MED-FINE C1 ; 10 YR 6/4 ; MED. SAND Cl ; 10 YR 6/6 ; MED-FINE C1 ; 10 YR 6/6 ; MED. SAND 1254 REQUIRES ADDITIONAL CREDIT LAND OF: and Land Surveyors SAND SAND 260 GPD -158.4 GPD = 101.6 GPD IN CREDIT QED SYSTEM - 104 MAIN STREET 66' (ELEV 28.0) 62" (ELEV 30.6) 54' (ELEV 23.0) 60" (ELEV 28.7) 50" ELEV 22.8) 63" (ELEV 25.6) 101.6 GPD x 40000 SF/440 GPD = 9,236 SF PERC RATE _ <5 MIN. / INCH 78 North Street - 3rd Floor C2 ; 10 YR 7/4 ; MEND. SANDC2 ; 10 YR 7/4 ; MEND. SANDC2; 10 YR 6/3; MEND-FINE C2 ; 10 YR 7/4 ; MEND. SANDAPPLY CREDIT LAND RESTRICTION OF 9,236 SF OVER 1276. Hyannis, Massachusetts 02601 C2 ; 10 YR 6/4 ; MEND-FINE C2 ; 10 YR 7/3 ; MEND. SAND SAND SANDLTAR = 0.74 GPD/SF (CLASS 1) 132" (ELEV 22.5) 132' (ELEV 24.8) 132" (ELEV 16.5) STRATIFIED 120' (ELEV 23.7) 126" ELEV 16.5) 126" (ELEV 20.3) ON 1276 THIS LEAVES AREA FOR SEPTIC FLOW OF: MIN. LEACHING AREA OF S.A.S. REQUIRED: Phone - (508) 771-7502 NO WATER TO 132 ELEV 25.9 NO WATER TO 132 ELEV 26.0 NO WATER TO 132 ELEV 26.0 NO WATER TO 132 ELEV 26.5 NO WATER TO 132 ELEV 22.5 . NO WATER TO 132 ELEV 16.5 NO WATER TO 126 ELEV 16.5 NO WATER TO 126 ELEV 20.3 20,017 SF - 9,236 SF = 10,781 SF 260 GPD/0.74 GPD/SF = 352 SF MIN. PERC O 48" (ELEV 32.9) PERC 0 40' (ELEV 33.7) PERC O 48" ((ELEV 29.5) PERC 0 48' (ELEV 23.5) PERC 0 52' (ELEV 26.5) 10,781 SF x 440 GPD/40000 SF = 118.6 GPD PROPOSED SAS: Fax - (508) 771-7622 RATE= <2 MIN/IN RATE= <2 MIN/IN RATE= <2 MIN/IN RATE= <2 MIN/IN RATE= <2 MIN/IN FLOW OF ONLY 110 GPD PROPOSED ON 1276 WHICH IS WWW.boxter-n a com CLASS I SOIL CLASS I SOIL CLASS I SOIL CLASS I SOIL CLASS I SOIL LESS THAN THE ALLOWED 118.6 GPD WITH 2'SOFXSTONE ONES DES,4' OFB TONE TAT ENDS y I CERTIFY THAT ON I HAVE PASSED THE SOIL EVALUATOR EXAMINATION APPROVED BY THE SIDEWALL AREA: (8.83' + 25) x 2 x 2' DEPTH = 135 SF DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE ABOVE ANALYSIS WAS PERFORMED BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE AND EXPERIENCE DESCRIBED IN 310 CMR 15.017 jw6t v,\ �� BOTTOM AREA: (8.83' x 25) = 221 SF TOTAL EFFECTIVE LEACHING AREA = 356 SF SIGNATURE DATE VARIANCES: SYSTEM DESIGN CAPACITY: 356 SF x 0.74 GPD/SF = 263 GPD>260 OK. SEPTIC TANK SIZING: FIRST COMPARTMENT= 260 GPD x 200% = 520 GAL TITLE V SECTION 310 CMR 15.203: SEWAGE SYSTEM FLOW DESIGN CRITERIA SECOND COMPARTMENT= 260 GPD x 100% = 260 GAL 48 HR AND 24 HR = 520 + 260 = 780 GAL MINIMUM SEPTIC COMPONENT SIZEING FOR SYSTEM DESIGN: REQUIRED = 1000 GPD USE 1500 GALLON H-20 TANK, MINIMUM PROVIDED = 260 GPD (ACTUAL SEPTIC DESIGN FLOW FOR BUILDING USED, PER DEP POLICY WITHIN ZONE 2) GREASE TRAP SIZING: 10 SEATS x 15 GPD/SEAT = 150 GALLONS STAMP S T A M P USE 1000 GALLON GREASE TRAP. MINIMUM ALLOWED iN OF Mess S1 9c - MW. MATfHEW yG " civrL CO) , AN PERC SYSTEM - 1266 MAIN STREET o E DY =� Hg083 MIN. INCH 4 No.43183 LTAR = 0.74 GPD/SF (CLASS 1) '� _ _ _ I - - MIN. LEACHING AREA OF S.A.S. REQUIRED: o,�FS r ------- 2 BEDROOMS = 220 GPD DESIGN FLOW, N A s ------ 39-------- __ - ____7 BENCHMARK: 38-----_- - 39 4" SCH 40 PVC VENT CBDH 220 GPD/0.74 GPD/SF = 297.3 SF MIN. 37-`- NITROGEN AGGREGATION _-__---- 38 �ti - WITH ANIMAL SCREEN ELEV.=36.84 C O SULT T tY 36 AREA 9,241 SF 37_-- CREDIT LAND PROPOSED SAS:\ 2 - 8.5'L x 4.83'W LEACHING CHAMBER UNITS -' ___--- � `\ r` ' �'l' \ ---- --- WITH 2' OF STONE ON SIDES, 2' OF STONE AT ENDS �� 8.83 W x 25 L , \ , ' 36/ LEACHING CHAMBER / \ SIDEWALL AREA: (8.83' + 21') x 2 x 2' DEPTH = 119 SF �/ \ �i _____----- _34 -, n� i STORMWATER MANAGEMENT _ 185 SF 39-� ', FACILITY � ' 'i \ BOTTOM EFFECTIVE LEACHINGAREA = 304 SF ------ ---- j \ i 35 \ \ \\ 37 36 - l' log, " \ SYSTEM CAPACITY = 304 SF x 0.74 GPD/SF=225 GPD>220 GPD, ---------- 32- \ \ 3 / 36 . . �.. . . . �.� 6 _------- 31 - 35' D-BOX �\ i \\ \ \\ G) SEPTIC TANK SIZING: 220 GPD x 200% = 440 GALLONS CONSULTANT \ \\\ \\ \ \ 35 \ , e a a� �0 --«oeoeoaod'O" °o '° i \ ° ° ° ° °°°°°°° °�a°�°°°° \ USE 1500 GALLON SEPTIC TANK . MINIMUM ALLOWED 7 . \ \ \ \ \_ O O O O D G 0 0 0 0 0 O• O., `' �' °° G°, °0°0°0°0°0 0 : ` RESERVE \ �\ \ \\ \ \ \ `\_' �` 3 O°0000000 O° OGO0000000,.,°000°O O O O G ------ 29 ° ° G G G G ° ° 1 SAS GARAGE GRINDERS (NOT INCLUDED) = N/A --' \ 36 ° 08$0o0'6'°°0o010ono 000000�0�0�0�0Q0�00000 45 LF 4" SCH �r \ ------- 23- \ � `� ` ` � o 0 0 0 0 0 0 0 0 000 0° ° 1 40 PVC AT 2 _ 3S- 000000000 O G O O G O G O O O Grb 13 \ \ 34_ - 0000 000°oo0 6°0 000 0 0 °o ;, �oAo 0 0 I \\ 32 ' 8_ 1000 GALLON ` 1500 GA ON \ PREPARED FOR . \ CE EXISTING Benjamin J. Losordo G EASE TRAP G� , 35 _- io COMPAR NT O \ V 1 ILI 1 1 NOTES CL7• ' r CESSPOOLS TO BE of SEPTIC TAN 12 LF 4" CAST IRON PUMPED AND REMOVE '`� O N F COUTIT OSTERVILLE i _ NT LINE TO ROOF / 1. CAUTIONS THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE ALL EXISTING UTILITIES, AT LEAST Trustee of the __ r r 35 ` 36 Cy \ MARSTEED MILLS FIRE DISTRICT 72 HOURS (PRIOR TO THE START OF CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE EXACT LOCATION, BOTH HORIZONTALLY AND VERTICALLY, S.B. Nominee Trust I \ E- 1 ! r 34 � � � 'J } R 12 LF 4" CAST IRON DEED BK 545 PG 191 I O O 1 1 ! � � 32 � � --- � KITCHEN SEWER AT % PARCEL 119-009 OF ALL EXISTING UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF EXISTING UNDERGROUND SYSTEMS, INFRASTRUCTURE, UTILITIES, o CONDUITS AND LINES ARE SHOWN IN AN APPROXIMATE WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREIN AND HAVE NOT BEEN INDEPENDENTLY P.O. Box 1637 O p VERIFIED BY THE OWNER, THE ENGINEER, OR ITS REPRESENTATIVE. THE CONTRACTOR AGREES TO BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES p � i �� !� ---' �= WHICH MIGHT BE OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE SAID SYSTEMS, INFRASTRUCTURE AND UTILITIES EXACTLY. IF ELEVATION ��'--= l EN \ INFORMATION DIFFERS FROM PLAN INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY Sandwich MA 02563 I r ! kXSERVE SA Z CROSSINGS, VERIFY IN FIELD THE LOCATION AND INVERTS OF WATER, ELECTRIC, GAS, TELEPHONE & DATA/COMM AND RELOCATE IF CONFLICTING WITH ! - 37 10 LF 4" CAST IR \ PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE CONTRACTOR SHALL PRESERVE ALL UNDERGROUND SYSTEMS, INFRASTRUCTURE AND UTIUTIES / NCHMARK: �I- I p SANITARY SEWER !AT 27. AS REQUIRED. CENTERLINE! END 150Q/ 6AtLtQM i ° RETAINING ,WALL, \ SEPin ELEV. 6. / 36 - \ 2. 12" MINIMUM VERTICAL CLEARANCE SHALL BE MAINTAINED BETWEEN ALL UTILITY CROSSINGS. O 8.83' x 21' \ �., 3. A MINIMUM 10' HORIZONTAL SEPARATION SHALL BE MAINTAINED BETWEEN WATER AND SEWER LINES. WHERE WATER LINES CROSS SEWER LINES, THE PROJECT TITLE LEACHING j - ` ! o SEWER LINE SHALL BE LOCATED WITH A MINIMUM VERTICAL CLEARANCE OF 18" BELOW THE WATER LINE. THE SEWER LINE JOINTS SHALL BE LOCATED • ! r / /' _ `36 D-BOX CHAMBER r < Proposed Commercial Development ti ! / ,--- p i \ EQUIDISTANT AND AS FAR AWAY FROM THE WATER LINE AS POSSIBLE. WHEN IT IS IMPOSSIBLE TO ACHIEVE HORIZONTAL AND/OR VERTICAL SEPARATION P P PHA 2 r / �i ( ® AS STIPULATED ABOVE BOTH THE WATER LINE AND SEWER LINE AT THE (BOSSING LOCATION SHALL BE CONSTRUCTED OF MECHANICAL JOINT _ _ o d `'��s 1254, 1266, & 1276 r O CEMENT-LINED DUCTILE IRON PIPE FOR ONE FULL 20 PIPE LENGTH OR ANTHER EQUIVALENT THAT IS WATERTIGHT AND STRUCTURALLY SOUND. THE Z r \� JOINTS FOR' BOTH PIPES SHALL BE LOCATED AS FAR AWAY FROM THE CROSSING AS POSSIBLE. BOTH PIPES SHOULD BE PRESSURE TESTED TO 150 PSI Main r' � St eet ! ' ' r I �� i r `� --' EN i►�' i �� TO ENSURE THAT THEY ARE WATERTIGHT.N/F TRANS-CAPE INC. r ' W �� ,� i C/O SILVA & SILVA �B�.D�IQ-�200 �� OHO N3 \ Barnstable (Osterville MA DEED BK 12836 PG 40 ! i r II i ' i ' ' i i '_ _ ' I 4. THE ON-SITE WASTEWATER TREATMENT FACILITIES (SEPTIC SYSTEMS) HAVE BEEN DESIGNED. AND SHALL BE CONSTRUCTED, IN ACCORDANCE WITH 310 ` �' PARCEL 119-008 i i ry� I i i r / r I i XISTIN ' i � CMR 15.00-STATE ENVIRONMENTAL CODE TITLE V. ! ! r r I N N , PER DIG SA' PROP�OSD ONE-STORY 5. ALL WATERLINE MATERIALS AND WORKMANSHIP TO CONFORM TO THE RILES, REGULATIONS AND SPECIFICATIONS OF THE C-O-MM WATER SUPPLY r MARKING. DIVISION AS AMENDED TO PRESENT. DIVISION HAS AUTHORITY TO AMEND PLANS. IF ANY CONFLICTS WITH THE CONTRACT DOCUMENT OCCUR THE HIGHER CAFE AND RENTAL EN 'I - ! �•�q_Ism Sip- �� ��\ i SSTANDARD SHALL EPARATE DOCUME PPLY. THE WRITTEN SPECIFICATIONS OF THE WATER DIVISION ARE HEREBY INCLUDED BY REFERENCE AND ATTACHED AS AS ri 14 LI 4r SCH 403 ! - I \ G) 6. VALVE BOXES AND CURB BOXES SHALL BE BUFFALO OR PIONEER AND SHALL BE FURNISHED AND INSTALLED FOR ALL VALVES. THEY SHALL BE PVC SEWER. I MAINTAIN EXISTING� O \ CAST IRON, TAR COATED, SLIDING TYPE ADJUSTABLE VALVE BOXES TOGETHER WITH CAST IRON COVERS. SE ASTER DIVISION REGULATIONS. �� � r E W � \, INV OUT AT 34.8k- a r PROPOS D 7. TYPICAL COVER OVER WATER LINE SHALL BE 5'. IF LESS THAN 4' OF COVER IS PROVIDED, INSULATE WATER LINE AGAINST FREEZING. OVERHEA ELECTRIC, \ T-i- r -y-a---- ' �'- - / TELEPHONE CABLE 8. C-O-MM WATER SUPPLY DIVISION APPROVED WATER SUBCONTRACTOR AND INSPECTOR REQUIRED. COST OF THE INSPECTOR SHALL BE BORN BY THE \ I I ! i i r i r \\ \\-' - ------ ----� V / Z AND DATA(>SERVICES CONTRACTOR/WATER SUBCONTRACTOR. \ r• �� t T , i i \ 20' FRONT SETBACk h - _ PROPOSED O \\ 4' 4 ! ! r 'i r ii \ \\ `�\ _ �,� GAS SERVICE �Qj 9. GAS, ELECTRIC, DATA/COMM IS SHOWN SCHEMATICALLY HEREON. ALL LABOR, WORK, EQUIPMENT AND MATERIALS FOR INSTALLATION OF THESE 37 UTILITIES SHALL BE OWNED AND PERFORMED BY THE CONTRACTOR. UTILITIES SHALL BE INSTALLED WITH A MINIMUM COVER OF 3 FEET U.O.N. OR / i ' ! • '� r / OTHERWISE DIRECTED BY THE CONTROWNG UTILITY COMPANY. CONTRACTOR SHALL COORDINATE ALL FINAL LAYOUTS AND DETAILS WITH APPLICABLE 25 _ _ AAM�1 S' i \\ gr I �, 38 E DIG-SAE UTILITY COMPANY. _ / P - : 6 _ _-_-_/ I \ \ \ PRO SED OMES MARKINGS / ® JKL 03/07/18 PER HEALTH DEPARTMENT COMMENTS - --- - - - WATER ND 1254 MAGI ACCORDANCE WITH DETAIL 2 WHERE A DESIGN BY THE UTILI ___ � / / r \ ______ I -- --._ IL �lC-83 TY COMPANY ---`` 2 '-` \ \ RB STOP A JKL 02/08/18 PER WATER DEPT COMMENTS / C.D.'s W W -- g- w-- - _ __ , II/� I I�\ ---- _ _ / OR MEPEENIGINEERSMARE (PRO DEDUTHOSENS ALL S PERCEDE X-832. 30- - - ',,� `� 3�- ��- -- / r EXw 8" WA MAIN G- --P-EB_DI COMMERCIAL UGH71NG SHALL DIRECT ALL LIGHT SO AS TO KEEP ALL LIGHTING WITHIN SUBJECT LOT. ALL COMMERCIAL LIGHTING SHALL HAVE ® JKL 12/21/17 BENCHMARK ADDED AT 1266 MAIN ST. - - -- -' -------' --' G��j ,-� � 11. ALL - ,3J --- �__- i 3 MARKINGS PAVED AREA UJ �/-" / THE FIXTURE HEIGHT SET AT 20' MAXIMUM HEIGHT ABOVE GRADE. LIGHTING DESIGN SHALL MEET THE REQUIREMENTS OF THE CAPE COD COMMISSION 1 JKL 11 09 17 PER SITE PLAN REVIEW COMMENTS rl A.RDRI - _ 'i-�- WATER GARKATETB-95-001 "EXTERIOR LIGHTING DESIGN". / / �\ \/ EXISTING GAS � CCB ._---� ELEV.=38.78 NO BY DATE DESCRIPTION BENCHMARK ` / , 12. ALL U111UTY CUTS THROUGH EXISTING CONCRETE OR BITUMINOUS CONCRETE PAVED SURFACES SHALL BE SAW CUT. BACK FILLING OF TRENCH SHALL HYDRANT STREET SID �'' `\ LINE SHOWN / KIND. � INCLUDE 12'" IN DEPTH FLOWABLE FILL TO THE BASE COURSE OF THE SURFACE TREATMENT. THE SURFACE TREATMENT SHALL THE BE REPLACED IN SHEET TITLE PER DIG-SAFE STREET U BONNET BOIL MAIN, MARKINGS I = ' \ ELEVATION=35.58 FEE \ O Septic System and \ ,/'\ � � I C�"n �� � �� 13. SITE CONTRACTOR TO OWN ALL EXCAVATION, TRENCHING, & BACKFlWNG FOR ALL UTILITIES AND MISCELLANEOUS WORK INCIDENTAL TO THE SCOPE � ' W 1jo� OF THE PROJECT AND CONTRACT DOCUMENTS. CONTRACTOR SHALL REFER TO MEP AND LANDSCAPE PLANS BY OTHERS FOR ADDITIONAL INFORMATION EX. 4} PL GAS MAIN i i AS APPLICABLE. ■ ■ -< -- - - - -rt - - EOP _ Utility Plan G ��, �1 -______ -_ -' 14. ALL WORK WITHIN THESE PLANS SHALL BE PERFORMED AND PROVIDED BY THE CONTRACTOR IN ACCORDANCE WITH THE CONSTRUCTION DETAILS OH.. �UH::` G ins G .-' .- OH,. - y PROVIDED IN THIS PLAN SET WHETHER OR NOT THE DETAIL NUMBER IS SPECIFICALLY REFERENCED. OH� 15. ALL COVERS, CURB BOXES, GRATES, AND OTHER FINISH SURFACES SHALL BE RESET TO THE NEW FINISH GRADE. SHEET NO / 16. THE FIRST 10 FEET FROM THE BUILDING FACE FOR STORM DRAIN, SEWER AND WATER PIPING SHALL FOLLOW THE PLUMBING CODE. THIS INCLUDES THE FIRST '10 FT OF STORM DRAIN AND SEWER PIPE TO BE CAST IRON MATERIAL. REFER TO PLUMBING PLANS BY OTHERS AS APPLICABLE. C500 18. WHERE UTILITIES CALLED OUT TO BE ABANDONED IN PLACE OR REMOVED AS NEEDED CONTRACTOR SHALL OWN REMOVING PIPE AND/ DATE : OCTOBER 10, 2017 APPURTENANCES AS NEEDED WHERE THEY CONFLICT WITH PROPOSED WORK. / 20 0 20 40 SCALE IN FEET SCALE : 1"=20' DRAWN BY: JKL CHECKED BY: MINE J 0 B N 0: 2017-050 FILE: 2017-050 UT.dwg 1254 MAIN STREET - SEPTIC SYSTEM PRORLE RUN 4" CAST IRON TANK NOTE - ALL MATERIALS SHALL MEET H-20 LOADING REQUIREMENTS. p/�1/�TE R NYE VENT INDEPENDENTLY ON OUTSIDE OF BUILDING OR TIE TO INTERNAL VENTING. (ALL WORK PER PLUMBING (2) 24" FWIMSES AND COVERS AT F.G. SET MANHOLE FRAMES ENGINEERING & & COVERS TOCOVERS SHALL BE WATERTIGHT FINISHED GRADE SURVEYING OP OF FINISH FLOOR=38.5t FINISH GRADE=36.9t RISERS & COVERS SHALL 4" SCH 40 PVC VENT 24"a 4" CI 24'p ADJUST TO GRADE WITH 8' FINISH GRADE=36.9t SET COVER TO FINISH GRADE WITH ANIMAL SCREEN FINISHED GRADE=37.6t VENT 2- 6' C.I. TEE SEWER BRICK WITH 3/4" CEMENT RISER & COVER SHALL BE WATERTIGHT MORTAR WATERPROOFING OUTSIDE , _Z 3' MIN. AIR GAP SET RISER & COVER TO WITHIN 6' a g• Registered Professional Engineers KITCHEN SEWER: (CUT C.I. TEE ) 4 LF 4' SCH TOP OF TANK=35.20 OF FINISH GRADE. RISER & COVER 9 12 LF 4" CAST IRON AT 2% INV IN=34.55 12" 40, OC AT 2.5X 3' MIN. FINISH GRADE-36.2t SHALL BE WATERTIGHT N and Land Surveyors INV OUT=34.80 45 LF, MAX. 4' SCH OVER LEACHING TO GREASE TRAP • D.I.P. PIPE CAULK & TYP, SEAL CONSTRUCTION JOINT 4 SCH PVC IN. " MIN. 40 PVC AT 2% MAXIMUM GRADE SYSTEM = 36.2t SEAL AROUND PIPE 3" WITH BUTYL RUBBER ON ALL _ 78 North Street - 3rd Floor WATERTIGHT-TYP. FOR 4'-0" 3s"mI^ PRECAST STRUCTURES (2) INV IN=34.20 r- - FIRST 2' (TO 2" OF ='�' DOUBLE Massachusetts 02601 INLET & OUTLET LIQUID OLMIN. ;�, P�vC THEE--33.95 BE LEVEL) WASHED PEASTONE ELEV=33.24 9" (min) Cover ENSURE PROPER Hyannis, SANITARY SEWER: (HEIGHTS NOT STANDARD) 24•mI^ LEVEL 5'-0' » » PIPE CONNECTION 10 LF 4" CAST IRON AT 2X �: :� 7 LF, MAX. 4 SCH OR FILTER FABRIC 36 (max) Cover BETWEEN ALL INV OUT=34.40 ANCHOR TEE TO ST. STEEL CLAMP & EXP. BOLT ON LIQUID :� GAS BAFFLE 2- 40 PVC AT 2X CHAMBERS W/4" Phone - (508) 771-7502 TO SEPTIC TANK 5• yV WALL INSIDE OF TANK TYP. BOTH TEES LEVEL �_ ., CONCRETE LEACHING CHAMBERS SCH 40 PVC SLAB 4'-0' � • • :-;". s• SUMP INV OUT=32.88 Fax - (508) 771-7622 INV IN=33.05 l000 GALLON www.boxter-nye.com PRECAST SEPTIC - - SET ON LEVEL CRUSHED REINFORCED CONCRETE BAFFLE ;�BAFfLE 6' CRUSHED r _ _ r•;• r INV IN=32.74 O O t� O O O FOOTING TANK, H-20 LOADING s" STONE BASE • , STONE BASE Y , '-` N W W O O O 0 0 a _ .T;_, o o O o O 0 � BOTTOM OF _ -CHAMBER & STONE 9' LONG .•.•"' :,•.,• •;,:::.,� ;" '' ::s= W UNSUITABLE SOILS, IF ENCOUNTERED BELOW . _ 1 " ELEV=30.74 UNDISTURBED EARTH 5'-3" WIDE 6 CRUSHED STONE GFEAM •�pAp BASE THE REMOVED TON THEE ""C HORIZON" AS REQUIRED SHALL E 5' MIN DOUBLE WASHED STONE 1� � I f 1t1� 15�GALLON TWO`COIIIPAFTTLW SEPTIC TANG DIS I FORM BOX - SEE CONSTRUCTION NOTE #5 HEREON. � No Groundwater Observed ® Elev=25.9 (H-20) SHOREY ST1500-1­12O OR EQUAL NOTES: TO BE INSTALLED ON A LEVEL STABLE BASE SHOREY DB-9 H-20 OR EQUAL WL A8800"M SUM SO LFACHM CRAMSM W20 SEPTIC TANK TO BE INSPECTED & CLEANED ANNUALLY TO BE INSTALLED ON A LEVEL STABLE BASE A. GREASE TRAP WILL BE SET ON A LEVEL STABLE BASE. NOT TO SCALE B. GREASE TRAP WILL CONFORM TO H-20 LOADING SPECIFICATIONS. 100" C. ACCESS COVERS WITH 24" COVERS SHALL BE CONSTRUCTED TO GRADE OVER INLET AND OUTLET PIPES. 4.0' 4.0' H-20 48"( " ) S T A M P S T A M P 20" DIA�D. GREASE TRAP SHALL BE INSPECTED MONTHLY AND SHALL BE CLEANED WHEN �" � �' -: �-: ��: - - � �"� - ��- � �� � ��� -� �� �� � �-� �- ��-• � ��.- - � �-�HOFMgSS THE 3 MONTHS. OF GREASE IS 25% OF THE EFFECTIVE DEPTH OR AT LEAST EVERY 314"-1.5" DOUBLE WASHEQ $TONE .. 9c MATTHEW 8.83' _ 8.5' 4.83' 2 CHAMBERS 3» ® ® ® ® ® ® ® _1_ o� EDDY M .3 � CIVIL, . ® ® ® ® ® ® ® cv a No,43183 25.0' - 102" T PLAN OF SM ABSORMM SYSTM VMTH CONS LTAN 500 GALLON PRECAST LEACHM CHAMEM NOT TO SCALE CONSULTANT SEE SEPTIC SYSTEM AND UTILITY PLAN, SHEET C5.0, FOR SEPTIC SYSTEM DESIGN REQUIREMENTS AND SOIL TEST INFORMATION PREPARED FOR : Benjamin J. Losordo, Trustee of the S.B. Nominee Trust P.O. Box 1637 Sandwich, MA 02563 1266 MAIN STREET - SEPTIC SYSTEM PROFILE NOTE - ALL MATERIALS SHALL MEET H-20 LOADING REQUIREMENTS. PROJECT TITLE Proposed Commercial Development EXISTING DWELLING - 1266 MAIN ST. 1254, 1266, & 1276 EXISTING FINISH FLOOR=38.9t Main Street EXISTING GRADE=37.0t SET AT LEAST ONE MANHOLE FRAME FRAME 4" SCH 40 PVC VENT Barnstable (Osterville), MA & COVER TO WITHIN 6' OF FINISH GRADE SET MANHOLE RISERS & COVERS SHALL BE WATERTIGHT & COVER O GRADE (LOCKABLE) WITH ANIMAL SCREEN RISERS & COVERS SHALL BE WATERTIGHT Z FINISH GRADE=36.3 g FINISH GRADE=36.5 SET RISER & COVER TO WITHIN 6" 7OF FINISH GRADE. RISER & COVER N 11 LF 4 SCH 40 SHALL BE WATERTIGHT SEPTIC CONSTRUCTION NOTES: PVC AT 2% 3' MIN. MAXIMUM GRADE OVER LEACHING SYSTEM = 37.2 3 LF 4 SCH 40 EX. INV OUT=34.8 PVC AT 2% 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE V 6 MINN. JFFILTER -� DOUBLE ENSURE PROPER OF THE STATE SANITARY CODE DATED SEPTEMBER 9, 2016, AS AMENDED INV IN=34.58 10' MIN. -� FIRST 2' (TO BE LEVEL) EI) PEASTONE �_ (min Cover PIPE CONNECTION THROUGH THE DATE OF THIS PLAN, & ANY LOCAL RULES & REGULATIONS PVC • INV OUT=34.33 FABRK: 36 (max Cover BETYVEEN ALL APPLICABLE. z 2• �_ INV 011T=34.10 CHAMBERS W/4" GAS BAFFLE :� CONCRETE LEACHING CHAMBERS SCH 40 PVC EX. SLAB=30.9t INV IN=34.27 6 SUMP 20 LF, MAX. 4" SCH 40 -=• . . _ - UST BE APPROVED IN WRITING BY THE ENGINEER. • 2 ANY CHANGE TO THIS PLAN M 14• T NOT BE CHANGED WITH REINFORCED CONCRETEt. 6' CRUSHED PVC AT 2X 4 DIA C ELEVATION INFORMATION MUST OUT WRITTEN PRIOR = APPROVAL BY THE ENGINEER. STONE BASE ' v INV IN=33.90 0 o O o l� O o r.:,: .• .. ., •• 7"1'. r.:. .. NWW O O O O O BOTTOM OF W o • j o 0 0 0 0 0 0 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFIWNG, NOTIFY THE W -CHAMBER & STONE BOARD OF HEALTH AGENT AND ENGINEER FOR INSPECTION. 6" CRUSHED UNSUITABLE SOILS, IF ENCOUNTERED BELOW ' �» _ W ELEV=31.90 JKL 03/07/18 PER HEALTH DEPARTMENT COMMENTS STONE BASE A THE PEASTONE ELEV (TOP OF'SAS), SHALL BE 5 MIN 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" SCHEDULE 40 PVC. UNLESS REMOVED TO THE "C HORIZON" AS REQUIRED 1 LDOUBLE WASHED STONE OTHERWISE NOTED HEREIN. ® JKL 02/08/18 PER WATER DEPT COMMENTS / C.D.'s AN GALLON OPE�IPAR'i1M SEM TANG W-20) DIS71 MIKM BOX 0+20) - SEE CONSTRUCTION NOTE #5 HEREON. 1 No Groundwater Observed ® Elev=22.5 " " ® JKL 12/21/17 BENCHMARK ADDED AT 1266 MAIN ST. NOT TO SCALE NOT TO SCALE 5. EXCAVATE UNSUITABLE MATERIAL AS NOTED, TO THE C HORIZON , FOR A SM ABSOP�'TION 3Y8'TM(SM) LFACHM CI-WWM W20 MMCNJ HORIZ. DISTANCE OF 5' SURROUNDING THE LEACHING FIELD, AND REPLACE NTH Qj JKL 11/09/17 PER SITE PLAN REVIEW COMMENTS NOT TO SCALE CLEAN SAND PER 310 CMR 15.255 TO THE TOP ELEVATION OF THE SAS. N 01 BY DATE DESCRIPTION 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN LESS THAN 3' OF 100" COVER. SHEET TITLE 2.0 2.0' 4 H-20 8""( ) 7. THE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE GARBAGE GRINDER DISPOSALS. Septic System Design ' � "20 DIA I� _ _1 8. CAUTION: THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-DIG-SAFE) 3 4 -1.5 DOUBLE WASHElY STONE'.. � .2,p►::. AND UTILITY COMPANIES TO LOCATE ALL EXISTING UTILITIES AT LEAST 72 HOURS = " " Profile & Detail s- .-.--:.....- .-. . . . ...-.--- - -- • - - - -. ® ® BEFORE THE START OF CONSTRUCTION THE CONTRACTOR HALL DETERMINE THE ® O ® ® ® NNE EXACT LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF ALL EXISTING 8.83' _ 8.5' 4.83' 2 CHAMBERS 3" ® ® ® ® ® ® ® M UTIUIIES BEFORE THE START OF ANY WORK. THE LOCATION OF EXISTING S : .. .:... ...... r7 NOT SHEET E T N UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE WAY O ® ® ® ® ® ® ® N BE UMITED TO THOSE SHOWN HEREON AND HAVE NOT BEEN INDEPENDENTLY : , VERIFIED BY THE OWNER OR ITS REPRESENTATIVE. THE CONTRACTOR AGREES TO 2•0' ® ® ® ® ® ® ® BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE UTILITIES EXACTLY. C5nl IF ELEVATION INFORMATION DIFFERS FROM PLAN INFORMATION, THE CONTRACTOR 21 0' - 102" SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY D A T E : OCTOBER 10, 2017 CROSSINGS, VERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC, GAS, TELEPHONE & DATA/COMM AND RELOCATE IF CONFUCTING WITH PROPOSED BAH OF SOL "SMTM VM INVERTS PER THE ENGINEERS DIRECTION. THE CONTRACTOR SHALL PRESERVE ALL 500 GALLON PF,rCAST LE4ChNG UNDERGROUND UTIUIIES AS REQUIRED. CFiA NOT TO SCALE 9. THE PROPOSED UTIUTY CONNECTIONS SHOWN HEREON ARE SCHEMATIC. FINAL S C A L E : NOT TO SCALE LAYOUT SHALL BE AS DETERMINED BY THE APPROPRIATE UTILITY COMPANY. DRAWN BY: JKL CHECKED BY: MINE JOB NO: 2017-050 F I L E: 2017-050 PS.dw