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HomeMy WebLinkAbout0211 MAIN STREET (OST.) - Health 21r1 Main Street Osterville F/R A = 165 091003 6 o � c ' ' a a o ' TOWN OF BARNSTABLE �- LOCATION / , SEWAGE # t � VILLAGE 10 c'� I ASSESSOR If 'S MAP,J.& LO�T' INSTALLER'S NAME&PHONE NO. , irl.tro 1`t, const i L1 f�gOl(.Sl_ SEPTIC TANK CAPACITY• � � ��Ol ou 6�//0� LEACHING FACILITY: (type) d- o (size) bo q.,//0N s NO.OF BEDROOMS BUILDER OR OWNER S e r[ PERMPTDATE: 6r, COMPLIANCE DATE- Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland-and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by WY1 7/ TOWN OF BARNSTABLE LOCATION `f SEWAGE # VILLAGE �� -- - - 05�iO/" &SSOR'S MAP & LOT j �` INSTALLER'S NAME&PHONE NO. A SEPTIC TANK CAPACITY LEACHING FACIL=: (type) (:; `6aO4 Gc,a- ?:size) NO..OF BEDROOMS BUM—DE OR OWNER - f f Za PERMTTDATE: 1'10'03 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ` � _ :. F� l � �3� �� � � 3 �r �� ��i I _ �--� � J �� �7i- . � No. P..��W • t O 3 FEE M COMMON I.TH OF MASSACHUSLTTS i � _ Board of Health, < �( .sue '��`� ,MA. APPLICATION O DISPOSAL SYST I[ CONSTRUCTION PERMIT Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) - U Complete System ❑Individual Components Location 'Zi\ �� Owner's Name Map/Parcel# ,(o c' Address 2 5 Lot# 2 Telephone# C i Q I dS Installer's Name L� Designer's Na>$TipgEN J.DOYLE AND ASSOCIATES Address Address EAST FM MOUTH,MASSACHUSEn S 026M Telephone# 2 g' 3 Telephone# Type of Building Lot Size i sq.ft. wel ing- o.of Bedrooms Garbage grinder ( ) C�Type of Building No.of persons Showers ( ),Cafeteria ( ) Other Fixtures Design Flow (inin. required) gpd Calculated design flow Design flow provided C,-% gpd Plan: Date A 100=1- Number of sheets 1 Revision Date 0'5�—O u' O:5 — Title �► 1 ��ai� of �.1� r-,n Description of Soil(s) `Ati S Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation -t -ed..ty-G DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to ce the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed `� _ Date �b ENO*- Inspections FEE �' Q No WLAL1 OF MASSACIIUSI TT f Board of Health, �+R�s':-Y► "� ;MA. APPLICATION �® DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to'Ccnstruct RepairO Upgrade( Abandon( ❑Complete System ❑Individual Components Location 'Z1� � u Owners Name $ '#Map/Parts# ,(/ rA _3 Addrjss A S Lo# 1 Installer's Name }e � ' -.i.--D�rUff Na !) ISO g WEPHEN J. DOl LE AND_ASSOCIATES Address Address 42 CANTERBURY LANE xFAqT FAI MOU oETTS 02536 Telephone# 2 3 Telephone# 508/540-2534 Type of Building Lot Size 11'3. �i h sq.ft. _�- E, wel iingg o.of Bedrooms Garbage grinder O ; ' Orly-Type of Building No.of persons .Showers ( ),Cafeteria ( a Other Fixtures /O �6 Design flow provided Gg d, Design Flow(inin.required)" �5 gpd Calculated design flow g p � gp Plan: Date 1 y. LfI ,Q4� � r� Number of sheets Revision Date _ 0<—O L- 07 Title �1Go �1�A�A G�`� t.•AJe-�►n w�nn_ �1�d1�(L�� �J�c-iTsLy �` i. Description of Soil(s) f„ Soil Evaluator Form No. ' 1 Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS 6RALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Y - Inspections i - _ �.«.r..�3 *ems,•..« a',3,. '^�".+,+� _ ai -� rg�8•. s s5 'i- .wW, No. G -- 0) ._. / FEE !/t/ COMMONWEALTH OF MASSACIIUSETTS Board of Health, CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System t The undersigned hereby certify,that the Sewage Disposal System Constructed (0/,Repaired O Upgraded ),Abandoned ( has been installed in accordance with the pro 'siops of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. 20 U>- 22 2,:dated 3 Approved Desig jFlow \ (gpd) Installer �,I�{ jI i Designer: Inspector: ✓ 11. - Date: L )�91 /lei The issuance of this permit shall not be construed as a guaranteat the system will function as designed. No. C .'_ FEE COMMONWLAI(,�H OF MASSACHUSETTS Board of Health, r'rC � -' MA. DISPOSAL SYSTEM .CONSTRUCTION PERMIT Permission is hereby granted to; Construct( Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system at ;t 1 VY1ci " `>`�- c�h�e J' ��`Q as described in the application for Disposal System Construction Permit No. 2UU 22. , dated I k Provided: Construction shall be completed within three years of the date of this e.r_ it. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co:Boston,MA Date G 3 Board of Heall, i TOWN OF BARNSTABLE �- 2/ Q/fi r, SEWAGE # LOCATION _ ¢a ASSESSOR'S MAP* LOT —0 1 VILLAGE , 4 INSTALLER'S NAME&PHONE NO. SEPTIC.TANK CAPACITY LEACHING FACILITY: (type) (size) IT NO.OF BEDROOMS BUILDER OR OWNER *• -s eon re COMPLIANCE DATE: PERMIT DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility , Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by Poor - j g 1 7' 3473� A I i SOUfHWBT z��ri` �� I s�----'�"'__g�'--"f�s`e•I ,'`" j ! it /�� \\\\\\ I • � _�-cy,....,,...,�,. "---�.., — �......---�- O ! ,1 \\\\\ 7 54r YANIBY I O RRSf BOOR I T-C _ fill] law to 11 j i \ I ... f{y63/4' /, I ' .1. STAIR LAP NORTHEAST/ t HALL m }, a NORM 5-P O ROOFRDGE m I U-6 vz ® a ——————— nuonr < FMADINO AREA g - /� DD4IIiO \ ROOM I / \ \�� BOOM OFIRST FLOOR O FFM FLOOR i ery I I \A`r VTj w us• {=F V2'/ 5`P II \\ FACE OF BEANt \ Yi' I AWsn 6W sm Awffi +s,. FIRS?FLOOR ------------------ -- ems — �'-B`/-- —��,'- -- \ \ \\ ewffi 2 9 - 9-P `�------ \ ROOM . IDl2t �� \ 2�9• ` ♦ �stt��o'• ♦ i ♦\ \\ � soun+easr ,� \ �6•�m\ i lAW \ IL\ ae yr SOUTH r-5 e i 4 , cmOSS SY z,asa SY. � v 1 Town of Barnstable Board of Health P.O. Box 534,Hyannis MA 026.01 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. December 30, 2003 Mr. Stephen Wilson, P.E. Baxter,Nye, and Holmgren,Inc 812 Main Street Osterville, MA I MA PAW x< Dear Mr. Wilson, You are granted permission, on behalf of your client,Martin Lempres,to construct an onsite sewage disposal system designed to be connected to a dwelling consisting of seven bedrooms proposed to be constructed at 211 Main Street, Osterville, Massachusetts. The septic system shall be constructed in accordance with the submitted plans dated November 21, 2003. Sincer y ours, Wayne Mi Pr, M.D. Chairman BOARD OF HEALTH TOWN OF BARNSTABLE Q:HEALTH/WP//Wi1son7BedsLempres Town of Barnstable Regulatory Services CD Thomas F.Geiler,Director ZE Public Health Division �,- < M i63 ♦ 'n Thomas McKean,Director < Q, w 200 Main Street,Hyannis,MA 02601 ) X M Lnn Office: 508-8624644 Fax: A.$i790-ii4 co cn r- Installer&Designer Certification Form L m Date: q1_?d1dY Sewage Permit# 2603 Z Z2 Assessor' Ma \Parcel /ia3 21-3 Designer: 'P��-a f H o I m!j rti&i Installer: 26y- * 10 t+; Cm n s f-K c-h&n Address: 812 Main .Z rat--!- Address: P.o- G-7- 70 If (�Sbzv��l� .Wlmss a2�55 WVlorsl,ms "Ots F I' 6ss 026 f-fl On 3or+o 1 o Hi Cms S%.v_ ioh was issued a permit to install a (date) (installer) septic system at -2 x0c,,4 ShT.,t . 03jzry i/lc based on a design drawn by (address) Se lam►, iz ' y-:;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. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. IN OF 44S`�� l p� STEPHEN c�G ALLYN ` (Installer's Signature) o, WILSOM , �+ No.30216 �FGISTE������`� r \SS�ONAL E ' 7esigi_q?s.Signature) ...a - . .(Affix De i tampHere) 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:Health/Septic/Designer Certification Form 3-26-04.doc v _ .., Searrh�fo��MaplParcel 165091003 2 � Town of Barristab[e , a� \ r \v ' i y 3 F,or Pa cei u. b er 165091003 � a\�\� Rental Icoperty,(`lIN) Business Name MAIL ADDRESS BELOW ( }� ' alone ofiContnbution�YafN Area Number Contarhmant�Rel{1'!N Phone 617 4393555£ Fue, toraAeWlermi r Gard�On F �, ri/ ,�'• r ' � Dispose fWork � �`� »�" i �' e i�'���y�' Per,C Tes j y eQ Pjermi .r�i GOnStrUCtCOn � E vv� F-IQRPe'rmit 200322 �''� `� =11etuip r �rGo "No S9�ze ofSepticF., Type/Sze of SAS 5 500G CHAMBERS , , 5 BDR ***PERMIT#2003 020 WAS PULLED AND INSPECTED ON 5/20/03*** _-...._ Nor >� �,• mappar� 165091003wner' HINKLE SARAH RprppoC 211 MAIN STREET(OST.) ELEi � Innovatiue/AlternativeCechnologSeptic\system Single orb• = � Clustered,, /'1/A Fy'pe ItAl 4 yp Y� add ry deleterecords? I t _ , No. �o03-0Zo /' Fee /oo-- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC ,HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Mtgogar *pe;tem Congtruction Vertnit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot N:). S o1 W\A 11`4 Owner's Name,Address and Tel.No. �i�i�l� i l.l�i�� ��iLt,p►"'� S Assessor's Map/Parcel 1 Installer's Name,Address,and Tel.No. Designer'$TFy4W4s MeR04Nb ASSOCIATES 42 CANTERBURY LANE RAST FALMOUTH,MASSACHUSETTS 02636 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ' Design Flow 1_ 10 gallons per day. Calculated daily flow gallons. Plan Date 1Z - '3�2 a7t- Number of sheets Revision Date Title Sij! ° M46A ot!f: 1-M-lo. P-titt 'Zli Size of Septic Tank 13:1r0 Type of S.A.S. e:4a►6s�.n �`(tr Description of Soil 15.z-rF. kowz llj, , 1-1>1 Nature of Repairs or Alterations(Answer when applicable) Date last inspected-.- Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions tle 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss d b oard of Health. Signed Date rl- 7 Application Approved by Date ! /D 03 Application Disapproved for the following reasons Permit No. 2-0 0 3 O-LO Date Issued O r r" i No. 2ofu 3-0 Fee /Uv� L' THE COMMONWEALTH OF MASSACHUSETTS Entered in compuier: V f Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Kf 0(pplication forT Digpogar *pgtem Congtructiow Perm it Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components , Location Address or Lot No. •�,�� S J �4�A 1 LV Owner's Name,Address and Tel.No. -Assessor's Map/Parcel L tL1 re S Installer's Name,Address,and Tel.No. Designer's Si RKrNJa%_h1K.AND.ASSOCIATES c 42 CANTERBURY LANE 4 � Q EAST FALMOUTH,MASSACHUSETTS 02636 f 508/540-2534 r Type of Building: r:w.wi Dwelling No.of Bedrooms .3 Lot Size.Size.1 13 116 sq.ft. Garbage Grinder( ) } Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 33 0 gallons per day. Calculated daily flow gallons. Plan Date 1Z - '30 - al— Number of sheets l Revision Date 1 ' Title St r►t? 7L4" o i!E Lea ca t=oR_ `Z I So. VANA.e LA e Size of Septic Tank 15,50 Type of S.A.S. t.Hpwnt'�c�►2. t"�c3�►ac * Description of Soil Cictt �`�� r�eiawl �.�►,� �.o�a Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: ff" The undersigned agrees to ensure the construction and maintenance of the ore described on-site sewage disposal system in accordance with the provisions99f tle 5 of the Environmental Code andFnot to place the system in operation until a Certifi- cate of Compliance has been issued t ' oard of Health. Signed -Date: r Application Approved by __ Date'• I ItU A3 Application Disapproved for the following reasons ~ Permit No. 2O O 3—O'Z•O Date Issued J !U O 3 w y 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 at {1 $ov�`�� N�l�-t��+ S /t!i $ has been constructed ' accordance with the provisions of Title 5 and the'for Disposal System Construction Permit No.'Z.00 3—o'2-6 dated / it) 0 3 Installer Designer The issuance of ft�t shall not be construed as a guarantee that the syste 'fu ctifo ;designed, Date Inspector / ----- ------------------------------------ No. Z 0 03--O 2 Cl Fee t OU....THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ligpogar *pgtem Congtruction Permit Permission is hereby g nted to Construct( ),�Re ( Upgrade )Abndon( ) �r System located at �' � '� ; r � _.V 1�.t j and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:C struction must be completed within three years of the date of this Date: i 14 0 3 Approved by C s TOWN OF BARNSTABLE �- SEWAGE # LOCATION LADE r ASSESSOR'S MAP &LOT-1—( 62LX3 VIL INSTALLER'S NAME 8c PHONE NO. SEPTIC TANK CAPACITY LEACHING FACELITY: (type.) NO".OF BEDROOMS BUII,DE OR OWNER PERMIT DATE: /0-0, COMPLIANCE DATE: ISeparation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 1 Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) exist Edge of Wetland and Leaching Facility(If any Feet Within 300 feet of leaching facility) Furnished by '31 i' I- q,3 FT )7� J • Town of Barnstable Board of Health P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. December 30, 2003 Mr. Stephen Wilson, P.E. Baxter,Nye, and Holmgren, Inc 812 Main Street Osterville, MA �E 2,11 Ma>r.Street� ®steillex � �16S1 f`91�3'� ��' .Dear Mr. Wilson, You are granted permission, on behalf of your client, Martin Lempres,to construct an onsite sewage disposal system designed to be connected to a dwelling consisting of seven bedrooms proposed to be constructed at 211 Main Street, Osterville, Massachusetts. The septic system shall be constructed in accordance with the submitted plans dated November 21, 2003. Sincer iyurs, Wayne Mi r,M.D. Chairman BOARD OF HEALTH TOWN OF BARNSTABLE F Q:HEALTH/WP//Wil son7BedsLempres - t � t , DATE: EARNSMUZ MASS 1 MA'S a REC. BY Tow n of Barnstable S CFiED. DATE: Board of Health 367.Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G_Rask,R.S_ FAX: 508-790-6304 Sumner Kaufman,M.S.P.H_ Ralph A_Murphy,M.D. Request for Approval of Septic System in Excess of Five Bedrooms LOCATION Property Address: Z t( Mg%.A 5+r-ect Assessor's Map and Parcel Number: I(,$ 9 1 — 3 Size of Lot: Z.5'7 Arc t Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: APPLICANT'S NAME: Y11e r+-,r% Phone Did the owner of the property authorize you to represent him or her? Yes �. No PROPERTY OWNER'S NAME CONTACT PERSON Name: Name: S bpkw A« L i Use r f P. tr, l w►. rrcv� Address: 91 Av-vie Id IQcQ t We I I<%I.c„ YYi p Address:pjZ Wl ktn 5j-, , Rs—Cy i Ile Phone: Phone: (508) NZS--2131 e.xt. /3 Checklist(to be completed by office staff-person receiving variance request application) _t/ Four(4)copies of engineered plan submitted(e_g.septic system plans) W Four(4)copies of floor plan submitted(e_g.house plans or restaurant kitchen plans) APPROVED Susan G_Rask,RS. NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy,M.D. COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION _ [RECEIVED � � d q veW FAILED INSPECTION o 5 2002 N OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A �'J CERTIFICATION MAP ®� PARCEL !.:....,..-.- Property Address: 211 MAIN ST OSTERVILLE,MA 02655 Owner's Name: SALLY HINKLE Owner's Address: 33 REVERE ST BOSTON, MA 02114 Date of Inspection: 11/5/02 � Name of Inspector: (please print) JOHN GRACI Company Name: SEPTIC INSPECTIONS U COPY Mailing Address: P.O. BOX 2119 TEATICKET,MA. 02536 Telephone Number: 508-564-6813 FAX 508-564-7270 CERTIFICATION STATEMENT 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 _ Conditional Passes Needs Fur Evaluation by the Local Approving Authority X Fails Inspector's Signature: t' Date: 11/5/02 The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional oil-ice of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments SYSTEM FAILED TITLE V INSPECTION. SINGLE CESSPOOL DOES NOT MEET TOWN OF BARNSTABLE TITLE V REQUIREMENTS. SYSTEM NEEDS TO BE UPGRADED. ****This report only describes conditions at the time of inspection and under the conditions of use sit I11111 lime.'I'Iti.9 inspection does not address how the system will perform in the future under the same or different conditions of use. Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 211 MAIN ST OSTERVILLE,MA 02655 Owner: SALLY HINKLE Date of Inspection: 11/5/02 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: SYSTEM FAILED TITLE V INSPECTION.SINGLE CESSPOOL DOES NOT MEET TOWN OF BARNSTABLE TITLE V REQUIREMENTS.SYSTEM NEEDS TO BE UPGRADED. 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. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. n/a 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. ND explain: n/a n/a 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 . .obstruction is removed _ distribution box is leveled or replaced ND explain: n/a n/a 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 _obstruction is removed ND explain: n/a Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 211 MAIN ST OSTERVILLE,MA 02655 Owner: SALLY HINKLE Date of Inspection: 11/5/02 C. Further Evaluation is Required by the Board of Health: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(I)(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 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 I 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 n/a "This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: n/a Page 4 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 211 MAIN ST OSTERVILLE,MA 02655 Owner: SALLY HINKLE Date of Inspection: 11/5/02 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for alLinspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than %day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X 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. IThis system passes if the well %eater analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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 forma X _ (Yes/No)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 I-lealth 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. You must indicate either"yes"or"no"to each of the following: ("The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply _ X the system is within 200 feet of a tributary to a surface drinking water supply X 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 system1115 failed. The Owner01'OpCI'a101'orally large Systemci)naiilerci) in significant lhl'eal under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. f Page 5 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 211 MAIN ST OSTERVILLE, MA 02655 Owner: SALLY HINKLE Date of Inspection: 11/5/02 Check if the following have been done. You must indicate "yes" or"no"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health _ X Were any of the system components pumped out in the previous two weeks X Has the system received normal flows in the previous two week period ? X Have large volumes of water been introduced to the system recently or as part of this inspection.? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage backup? X _ Was the site inspected for signs of break out'? X _ Were all system components,excluding the SAS, located on site'? X _ Were the septic tank manholes uncovered, opened,and the interior of the tank inspected for the condition of the baffles or tees, material of construction,dimensions depth of liquid,pdepth of sludge and depth of scum ,,. X _ 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 determine d based on: Yes no X Existing information. For example,`a plan at the Board of Health. X _ 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(3)(b)] i� ' I Page 6 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 211 MAIN ST OSTERVILLE, MA 02655 Owner: SALLY HINKLE Date of Inspection: 11/5/02 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): I DESIGN flow based on 310 CMR 15.203 (for example: 1 10 gpd x#of bedrooms): Number of current residents: n/a Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): NO Water meter readings, if available(last 2 years usage(gpd)): n/a Sump pump(yes or no): NO a Last date of occupancy: 8/31/02 COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow(based on 310 CMR 15.203): n/agpd Basis of design flow(seats/persons/sgft,etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: n/a Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: n/agallons--How was quantity pumped determined? n/a Reason for pumping: n/a TYPE OF SYSTEM _Septic tank,distribution box,soil absorption system X Single cesspool 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) Tight tank Attach a copy of the DEP approval Other(describe): n/a _ Approximate age of all components,date installed(if known)and source of information: 1956 IJY OWNER Were sewage odors detected when arriving at the site(yes or no): NO A Page 7 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 211 MAIN ST OSTERVILLE, MA 02655 Owner: SALLY HINKLE Date of Inspection: 11/5/02 BUILDING SEWER(locate on site plan) Depth below grade: 0" Materials of construction:_cast iron =40 PVC other(explain): n/a Distance from private water supply well or suction line: n/a Comments(on condition of joints,venting,evidence of leakage,etc.): TOWN WATER SEPTIC TANK: (locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: n/a Sludge depth: n/a Distance from top of sludge to bottom of outlet tee or baffle: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a How were dimensions determined: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): n/a GREASE TRAP: _(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal—fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): n/a 7 Page 8 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 211 MAIN ST OSTERVILLE,MA 02655 Owner: SALLY HINKLE Date of Inspection: 11/5/02 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a DISTRIBUTION BOX: _(if,present must be opened)(locate on site plan) Depth of liquid level above outlet invert: n/a Continents(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.): n/a PUMP CHAMBER: _(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n/a e Page 9 off 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 211 MAIN ST OSTERVILLE, MA 02655 Owner: SALLY HINKLE Date of Inspection: 11/5/02 SOIL ABSORPTION SYSTEM (SAS): _ (locate on site plan,excavation not required) If SAS not located explain why: n/a Type n/a leaching pits, number: n/a n/a leaching chambers, number: n/a n/a leaching galleries, number: n/a n/a leaching trenches, number, length: n/a n/a leaching fields, number: n/a n/a overflow cesspool, number: n/a n/a innovative/alternative system Type/name of technology: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil, condition of vegetation,etc.): n/a CESSPOOLS: X(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: 1 Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: 4' X 411' Materials of construction: BLOCK Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): CESSPOOL DOES NOT MEET TOWN REQUIREMENTS. SYSTEM NEEDS TO BE UPGRADED. PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a Page 10 of'I I • OFFICIAL INSPECTION FORM — NOT FOIL VOLUNTARY ASSI?SSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SVS'1'14',M INFORMATION (continual) Properly Address: 211 MAIN ST OSTUAIVILLE, MA 02655 Owner: SALLY IIINKLE Dale of Inspection: 1 1/5/02 SKEITCli OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent relercncc landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. c, c�rrv��(P ti= Page 1 1 of l r OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 211 MAIN ST OSTERVILLE MA 02655 Owner: SALLY HINKLE Date of Inspection: 11/5/02 SITE EXAM _Slope _Surface water _Check cellar Shallow wells Estimated depth to ground water 12+feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record 71f checked, date of design plan reviewed:.n/a YES Observed site(abutting property/observation hole within 150`feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators, installers-(attach documentation) .§ NO Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: HAND AUGER- 12+FT. a r c . e a 1 r l t TOWN OF BARNSTABLE 71 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS ASSESSO S MAP NO. PARCEL NO. ADDRESS! t VILLAGE �S ✓� �be, NAME n �c�cal qxr aj-0 CONTACT PERSON SaA4C PHONE NUMBER 6gSo\W 7cf-j , 3 r&J— LOCATION OF TANKS: , CAPACITY: TYPE-.OF- FUEL AGE: TYPE: LEAK OR. CHEMTCAL:` DETECTION SYSTEM' A,�. .r DATE OF PURCHASE OF EACH: 1. ,� 2. 3. 4. 5. DATE OF FIRE DEPARTMENT PERMIT: TESTIN;� CERTIFICATION SUBMITTED: PASSED DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. __--""` � ---� ��� sue. � � .� � .� � ®�� _ , r � - JOSEPH D. HINKLE 33 REVERE STREET BOSTON, MASSACHUSETTS 02114 Is 3v 1"j oa r•J . ��1 ��to I'�''�e .. �PoP S.�J 'Piv doi c' ftj j.'qk-a 4t ou er-e4 cl- /l eer i e. i klwk N G Zit>e4 fftted 4&4.7 I Ga y 1 : l uc j l c Aq4 ttAj a 4a v ,jew"d"L4 Caw Nr GEC �GdrZl� Y 71s Gs-�� �s' Afa r ()O'�- ov�A 0 _ 0 PPnn � � o F.P. 292 f Ji -_1_ \ �\ Department of Public Safety—Division of Fire Prevention \ APPLICATION FOR PERMIT FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD April pril 19119 90 MOW C.82 S.40 M.G.L. 70: HEAD OF FIRE DEPARTMENT DIG SAFE NUMBER i aarnGtable — 90151192 _ uw« ..-• 4/19/90 Stort Dote 1-275 Gallon Tank-� 5,L, as provided in c�)�t��� �NIn accordance with the provisions of Chapter 148. 1 -�O Section 38A Application is hereby made by L.C.R. Tank Service Name o Person,Firm or orpora Ion). 1645 Rt. .28 , Centerville . Address For permission to remove and transport underground stee-1 storage tank(s) from 227 South County Road,' Ost. re a ress city or town Hinckle Res. FDID toy approved Tank Yard!! 013501 - 919�Q _ State clearly type oft inert gas used in tank o inertgas use steel storage tank Name of Person, Firm, Corporation disposing tank J.G. Grant Date issued - r22nc:ka&x 4/19/ 19 90 By: Date of expiration i 5/3L-19 SD®id/due ignatur pp Icant . j i1 c,� 5 ' J 6 C� e-SS vi5 �O(�: - ('(_A S C.,4- r d 3 4 5 ooI LL ra �I 2I NOR(MWW. w! pY D-0 V D �FlRSf FLOOR _ —_—I------------ —_—___—_ I I I ► ���' I I � m _ j m I � Y -------------- I , ---------- ------------------ 1. Do � CH16 Q� x SOURfJ/B? I I C MG I ¢ 4-K Vr-+, m \ \, ,� Dun se > Lm g� STAM HALL I I > wAs WRW=A=Lac \J fUtri FLOORNORTHEAST e — . - I I NOR711 ERN I , -1 I/ ROOF R[DGE uM / cWMT \` --- — �, 1 ®� \ II \ I ERDROOM lt�coa \ P4� I '+ </asar w:• \\\ \ \\ \\\OW LY CEOFStUD _ {� l 9 Pw4 OM FWSF FLOOR ,wj -R ur FE FLOOR Fc FACE OF B64M 4 . �\ FIRST FLOOR —___—_—_—___— C Y{ #2 \ `\\ SCALP-1/4=r-0 rr xY vs \ x, \\ \ .c wR \ `\` � DAM MZVOS \\ \ \ \ SOUTHEAST \\ \ REYISIaIis: • +may' \\ \ \/ / - � . \ \ • WMROOMicmffm \\ \ SECOND ffi; FLOOR PLAN �;. 1N \\ Ilk, DBV=PME[CT ssr ® L21 ------------------_-----_-_------------------------------ V 1I LL====1 — --- I1 --1 I I _ 'LJ KBM ALL DDOM I IUif I �� • 1 I I I I AM W M 0¢�r I I J I ppMM taco I II I I � IIII II I I I E1Q.4MI0 1' I I I W. IWALLS DORM y IIII III m I I aeu� I payer NE9 I I ER I I - � I I IIII I I I I I �@ 1 II \�\ 1 1 '➢11� J I � Vd �R I---------------- I ( IIII__ -- _ qj I /.. aacE j } I I I I I I I I ------------I I E mm�w IT 1 famE RICK TO RR"� I I t I I II (f I I � I I aaxe •..1 I II � � II II II , L — / I I qua I I i i iBD 1 raaal cmu I I I I I III•'—�__---��_'� � roaaue�—� ---------------- _1 l 1 SOGE �--- ? 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I I I---------------- —J o f Eaaecmc cu,a� -----------------i i i i i i ®�`y, ❑ FLOOR & -- BEDROOM KLR2D -- ROOF PLANS o II , , iV-a aimiE i DESIGN PROPOSED i i ( I SET ( i SECOND FLOOR PLAN i I i a ISSUE EXISTING I ------— --- I ; --------'-� i SCALE va•-ra 2l a aia• z-2 za z-r l I`------------------------- — — _--1 ------ i 1 ------ --------------------- FIRST FLOOR PLAN WALE va•,r-E• i ' I cwnam OF FEr R=SHM CBMIM OF MOB LOOM In law 1 � f --------------------------I----------------I---------I i v� " - ————— ' GAME pow R am00 p ICI® cupft u canna®aam 1 I nu UMM AW—IC ruYxooM E] STAIR 1 Y II, - HAIL HAIL ® `---- ® --- vBsr® ! Q BATH EXERCISE - ■. ■ - - 93 - oBOOM .......... UNDRY I ...... " r a: . = WW o; STORAGE N i •. _ _ _ - SHORTY gM. SCALD J/C-P-o DAM 7/17/03 REVISIOW . ' _ BASEMENT FLOOR FURNITURE LAYOUT - CONSTRUCTION _ S6T � . � F2.0 w s • wM F s pill 103 KrrCEMN - - �S / 70 t -- ————— i SGIILVINING AREA IF ♦ '' IMUL —00 O ------ \ READING ROO m ® Li Li DIMING _ 00 IF y • - .. ., - • � FAO - ♦ .... - SCALE 3/S'=1.-0. _ •\ : DAIS 7/17/03 1 � - - - _ STUDY 1 3 - FIRST \\/ FLOOR FURNITURE LAYOUT CONSIYtUCITON /f O F2. 1 ' 1--- ----------=--- ---=---- - --- I # 8 I ' g • I eves'[ � U .. - BEDROOM - < -- — ------------1 I 1 ti DO I .: - - ".I. I • - - 13 DRESSM RM Flow Rm]otao - 1 I P4a11 R Y O e e bM BATH i 1 El -. ..W ® s 1 u I rPMUROM CLOSET W .---------- -------- BEDROOM MI --- GAk • - \ -- -- ♦ \ CLOSL+ \\ /4\ \. - ,1 \\ - DATE:7/17/W ♦\\ M� \\ ♦ \ OBEDROOM 93 SECOND \♦ / \ FLOOR \\ \\O FURNITURE x `\ + � \\\ -'.• ,''�� LAYOUT \\\�� CONSTRucnON .R SET ,� F2. 2 - ° . 7, I LEGEND EXISTING PROPOSED 4000 �. _ '• D.E.P. File #SE 3.4074 � ` A Stake & Tac Set/Found • . .o•. a4• `t Mag Nail Set/Found a G �j- LANE o Concrete Bound ,I . O Gas Gate _ ,M ......�. E ® Electric Meter �✓`. d•,R ��1 „� �/ ` 0 Catch Basin Water Gate �,✓•S'. �.�A . ,k141 R (5 / Ffi K1 4b1 � \ ` , '•, \ � ® Water Meter 4,? 46 ___ ® Telephone Riser Utility Pole 38` \�.40 �; / 2DDx00 Contours 0 • ALL 32 34 44 // Spot Grade • i yw,a t ' X 4h '"p>G• y A r ., `, \3s . \ `.\ 44 ; / ,- ,% ; ( Test Pit IN Concrete f t k i. Iva a , tl II Conc. 29 46 EP Edge of Pavement J 42 BCC Bottom of Concrete Cur b. f O F.F.E. Finish Floor Elevation2s `, t . r 1 J IP Iron Pipe LOCUS MAP `, \ \ �`\ 15, 40 / i , /' ; ; = 2000 ) ZONING DISTRICT: RF-1 2s `\ 11 i 1', '1 3e j I ► t / ;J / / ; OVERLAY DISTRICT AP AQUIFER PROTECTION '`\, \` \� 28 i DESIGN SCHEDULE ELEVATION MINIMUM LOT AREA: 43,560 t ' ' �' 1 , 30 30 MINIMUM FRONTAGE: 20' ; i ; ; � 1, \ , � 1 � `'�----2e / 34 ,` ,� , / FINISHED FLOOR ELEVATION 52.0 __ i t / -T 134 l / ,-' 3B ,40 SEWER INVERT AT FOUNDATION 46.4 MINIMUM WIDTH: 125' 30 -- - __ \ 44 f i \ 1 ' h ' ( ; 3z , a" SEWER INVERT INTO SEPTIC TANK 46.1 FRONT SETBACK = 30 SIDE & REAR SETBACK = 15 ,, \ i I 42 SEWER INVERT OUT OF SEPTIC TANK 45.8 ` / LOCUS PROPERTY IS SHOWN AS: �, // I i I ` / \ \\__, 2.6* ACRES ; ,-' ;-' ,' ,--'' 44 DISTRIBUTION BOX 45.2 SEWER INVERT INTO DIST ASSESSOR'S MAP 165 - PARCEL 91-3 \`,ABANDON 3�.VIDE'VATEP, EASEMENT OR RiyJCp / �I _ \\ `\ ;,- /�� ;- ____-- - SEWER INVERT OUT OF DISTRIBUTION BOX 45.0 ------- _ v1 32 --------- EASEMENT A MINIMUM 0 10' FRdM SEWAGE, Sytt M / / � \ \ ' CERTIFICATE OF TITLE: 167,907 -- -- ---34--'_------ /ST y -- __ _ .�.., COMPI]NENTS AND.,ERI)POSED RUCT �'' ' / / � '` �� \� ��-- _ �'� '� �� SEWER INVERT INTO LEACHING SYSTEM 44.5 -__--__ ------ - , ,�`\ ----- / / , -` BOTTOM OF LEACHING TRENCH 42.5 ♦� �_� -- ___ APPROXIMATE, SEPTIC SYSTEM LOCATION PLAN REFERENCES: \\ `.\ -,----- ,% // _ _-_ ---PER IRS CARD PERMIT # 2003-020 WATER TABLE: NONE OBSERVED AT EL. 36.0 - to ARC! ,,�_ -<.� - - _-40--' - _---- ' -�---------------- THIS ---------------------- NOTE. PLAN DOES NOT REPRESENT A SURVEY BY _ -�� -_-- - _ `` ` . / / 3 __--- _ ----- (S�1•Jlr DA,StM) \ �� - 4z / `PROP_OSED WATER LINE_ -'' / ,/ \ BAXTER, NYE & HOLMGREN, INC �► `,♦\\ N / _,_```- _-.__ __ / i / GRAB DES ` / /V ----------- - '"r i i EpTRY 0 JAI SITE PLAN OF LAND DEPICTING THE PROPOSED LEMPRES RESIDENCE 42 GR a �-� _ '" _ �� �,•,^ ------------------------- IN .,\ » 1 / / PO `S < 0 / Q �< 9 ` �- ---� ._--- w / •• X STING 48 CENTERVILLE MASSACHUSETTES DATED 11/4/2002 \ J ti F rFOw, . Q ie l'F� ��. - v�-- w 40 , \ 44 E` „1 - _ �- - , BARN GENERAL NOTES PREPARED BY: STEPHEN J. DOYLE & ASSOCIATES 1 \ \ 1 4s '° F< SF `\ g�Rq ^�,._ _ - -��C _ _ =_ ,=. ' 42 CANTERBURY LANE, E. FALMOUTH, MA 02536 _._,. ems',.t -• -\t--- -s----- - - - --TES' IT \\ t 321 \ WETLANDS DELINEATION CONDUCTED BY ENSR CONSULTING L.C. PLANS 26700 C AND 26700 G SH. 2 1�14 z8t� 34' '`\ t` ', c��,4p� `� // ;j `�` \,p�. \ ,� \\\, \ • o ( ) 18 30, t ', 1 / \ So, vti .0 jsj/�// R \ I / � , d ',24`, \ 1N ` N \/ // ,/ A9 _ter ,\ 44 \ v 14 ,� '`z0� 'k,zs% 1 't, '� ; 1 .Fcgrj /�yOG o T. ``,/\ \ # �s ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH COMMUNITY PANEL NUMBER 250001 0006 D TB �, \ \ '\\`\ �, \\� J2at VF sr��sF J �', '� TITLE V OF THE STATE SANITARY CODE DATED MARCH 31 1995 THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA 12 ``Is���\22'`\ �\ \`�\ ` ( \ F�c rsr' /' ��rl ` �, � '~`` AS ZONES C & A13 EL. = 11 •� \ \ `` `` \� ` \ ` , 1 ` appaaable) F F O 0 P.kOPOSE SAS. 48a , ( ) `, ,\ \ �, `, �\t; '`, F��'qCF p �o6 one ANY LOCAL RULES APPUCABLE. �14p 10 ,\\ \' `` \' `,,',,',�� \ \ wq sF r < r,SF / '. 80•24 NY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING t11 \ �\ \ \ ` \ \ 1B 2 < qT F,p q k, O PROPOSED 2.000 GAL. VENT, J �� v �`� 4z �' BY DESIGNING ENGINEER >. \ PROPERTY OWNER: e \ - i \ Cj4r�/ Q SEPTIC TANK 48 MARTIN LEMPRES ``` "`` f q k, / 91 ARNOLD ROAD \VII . t WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACK do Fl LING, WELLESLEY, MASS. 02481 ` `� `-- �,,, ,•` �'- /\ ;=- i NOTIFY THE ENGINEER BOARD OF HEALTH AGENT ONIA FOR INSPECTION. 1 SM 10 IN 42 4 '` ` '� \`. FOUNDATION ELEVATION MUST BE CHECKED WHEN COMPLETED. ` SOIL LOGS 46 DATE: 12/19/2 2 �',',` \ \ -- \ �, - _IN P#=P 2003-222 fsF�` ` •� -\ P uirements SM Leaching Area Req THESE ELEVATIONS MUST NOT BE CHANGED WITHOUT WRITTEN •- - `-\_`` �, \. \ sq�d - \ pRK - SOIL EVALUATOR: APPROVAL BY DESIGNING ENGINEER � • •.� - SM `, -- i ; ` ONF i''fd\� •-•�' TMT Of SIL�Ff - _ . 7 BEDROOMS AT 110 GPD/BEDROOM - 770 GPD Stephen J. Doyle, NN \ \ 46 0 ♦`, *� _ \ \ TEST PIT ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" PVC., SCH 40 -- NO GARBAGE GRINDER "-•-- ��`, \ `,; `, ` ' � � ',, '', ' �.,\\ '♦,, � 1` -44-'"- G.S.E. 46.0f ••� - �$• PERC RATE = 2 /1 MIN. / INCH (CLASS 1 ) EXCAVATE AND REPLACE ALL UNSUITABLE MATERIAL SURROUNDING _ \ • • -- \\ \ \ \ \' '\ � ` ' 7V ��\\ \\ 0 A Sand Loam SURROUNDING THE LEACHING FIELD FOR A DISTANCE OF 5, PER V \ 2'- � ••-_ '`may \\ `, \ `\ \\ \ \\ �q�g ^ 42_ ]]►► `d�, LTAR 0.74 GPD/S.F 6" 10 YR 3 3 310 CMR 15.255. MIN. LEACHING AREA OF SAS. . B LOCATION OF UNDERGROUND UTILITIES ARE APPROXIMATE AND \ `` \ 4a' y SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE 'mat .`,\` \` \ \\ \ / / " Sand Loam UTILITY COMPANY PRIOR TO ANY CONSTRUCTION. - , � \ `. `, --� 770 GPD 0.74 GPD S.F - 1040 S.F. MIN. \ \ `, \, \ `\ �.11'`\ `♦ ` \ 7B 14 24 10 YR 5 6 • \a �\\\\\\ . \ e PROPOSED SYSTEM C mm, \%\; \�\\ \;\ �\ `\ '32 34 38 ., SIDEWALL (12'+64')(2')(2) = 304 S.F " Fine Sand 30 '°� _ 120 2.5 YR 6/4 \ \ \ 28 n BOTTOM 12 X 64 768 S.F. r �► `22 z48 TOTAL =1072 S.F. NO WATER ENCOUNTERED ■ • `, `\\ \ , 20 a EL 36.0 210 Main Street 1' 14 \19 RATE- <2 MIN/IN Is Osterville, Massachusetts ' SM \101z � 4 ��s 8 PREPARED FOR • SM 1 54 Martin Lempres .• 4' NOTE: IF AREA OVER SEPTIC SYSTEM IS UNPAVED, MANHOLE COVER & TITLE FRAMES ARE NOT NEEDED. ADJUST CONCRETE COVERS TO 6" BELOW FINISHED GRADE. Septic System Design 4' 12' 4: F.F.E. 52.0 I-... .. ..... .. .. . . .... _ ,fi4,. . ....._ .. .. ...... _ . . . ...,I FINISHED GRADE _ - TYPICAL SYSTEM PROFILE - BAXTER, NYE & HOLMGREN, INC. NOT To SCALE PLAN OF Registered Professional MANHOLE COVER AND FRAME PRECAST LEACHING CHAMBERS Engineers and Land Surveyors (ADJUST TO GRADE) ,,.. 4. VENT No scALE 812 Main Street, stervllle, Massachusetts 02655 ��HOFQ4 PVC' Phone - (508)428-9131 Fax - (508) 428-3750 MANHOLE COVER dr FRAME A p N Gn n FINISHED GRADE OVER TANK 48.Ot -�- FIE_-:- FINISHED GRADE OVER D. BOX = 48.o.* MANHOLE FRAME AND m FINISHED GRADE OVER LEACHING TRENCH = 48.01 4' LAM COVER TO GRADE r; 314" Jim 30 0 30 60 3 min. FIRST 2' (YO BE LEVEL) (IF UNDER PAVEMENT) WASHED STONE o. ��� _._ ' ) L ( SCALE IN FEET ass! ` •: 4" SCH. 40 PVC 4" SCH. 40 PVC then O 2.OX A x" TYPICAL O 2.07E p 2" mi 9" (min) Cover ©P! L O 2.076 10` CI TES INSTALL - 6` SUMP 4" SCH. 40 PVC " BAfFIE - 36 (max) Cover PEAS I GASL 3 • wr. :... :; CONNECTION r. �--� CONCRETE LEACHING CHAMBERS :�:`�;�_��,v; SCALE:1 =30 DATE: 11121103 » rri>`+•a►•C':•2 e:t:^. ;tom ' ...;,{-% ti"• 1•.+ "•.; •••:•1t''}Yz''•�•�:2 ..+ i •Z t is' 'T•i�=•'� s" CRusHm 4 DIA. PVC ��.. _-, r..•. FFECTIVE _ r .� .� >..- PROPOSED SYSTEM WAS REVIEWED BY BOARD OF HEALTH REINFORCED CONCR r t:• ;:,.Z'� J.��.t 4.t...w r..:�: {.ri�;ti .,r�d> '. » *<:;, _ 60 CR ►. f Y �•;�,:;��: �.:x� Y .1 K• .•r3t wa- r REV. DATE: REMARKS 0 0 0 0 0 o DEPTH 12 + �__ x<,•• r.-j - AND APPROVED ON: `yi•.„L.xJ•�-s. y. 7�. :-`�:.•a»•�-e•. !'. -tz.`��..:.'j'-�• :. • .� . . `•- _ .1 - '•i.• •t 4' 4' 4' 12 2# C SHIPS 1 EL 42.5 DRAWING NUMBER 5' MIN \_14� STONE CONCRETE LEACHING CHAMBER DETAIL 2,000 GALLON SEPTIC TANK DISTRIBUTION BOX LEACHING CHAMBER No Groundwater Observed O Elev. 36.0 (H 20 LOADING) 0: 03 03-100 surve worksht 03-100s .dW H-20 H-20 H-20 NO SCALE JOB # 2003-100 0 Pill h� t: La - Sla b ill/117UMr7M77/7111(1! Lo -nn/Gra de El 46.5' d � F��e,Will No Basement G��rC ' I'in/Grade El. 46' 1,2.83' A A oa ruo ^. 5 INV EL 44.25' ow' '34 •��' ey a 24 n NOIN6 Ra �r si El. 45.62 f S8n ` CEM Sto ttOtS " ,9 olent 1 4 t kntsrae � m � ,rd` att ,- 4" Arumber of Trenches -- 1 6 s4 f A'umber of O'hambers - 2 �` s-----� , „ ro`aria 14" INV EL 8.5' � Breakout El. 43.83' INV EL !x� 44.0' rr9a Level 4e' Gas •� a NV EL a°° °Q El. 41.D' PROPOSED LEACH TRENCH - END VIE�Y N.T.S. � , 44.25 `� �G I1NV EL sP , INV EL43 6 .� Ao e o e ®®.� °.,43.8' 430 s'4' - 1 J ' lPeshad stone �_ LAIVE � ,LLE • / / s, - Bay El 4a 0 4 4 IS 4 HOLE IIISTRIBUTIDN BOX '25 f -E� c zs Wt, / •``r.• •;`' ... F/••...•_l•-. � ��.1. _?a K rt� M1�ItINA'��.., �K ^�,`t s.5 PQ�.OMEYEfd PROPOSED LEACH TRENCH •.•.•••• Y • 1500 GALLON SEPTIC TANK —� �•:.::::-:�,-v ,�.:.::•:.;:'�- High Adjusted Ground Na ter = <El 8.0' El. 36.0' 38 \ : :':'::::"> ,'::':':::::': NOTE 34 40 (wetland) 32\ `3s \` ,' 44 , , WETLAND DELLVEATION BY ENSR CONSULTING 30 ZONING DISTRICT, RF-1 1500 GALLON REINFORCED CONCRETE SEPTIC TANK T 28 \ ` ` ` ' ' ' ' ' - \ BUILIIWG SETBACKS PRECAST REINFORCED CONCRETE DISTRIBUTION BOX a r : �: t'; 42 I r , ✓ ✓ \ t t ; Minimum Construction Materials Per 310CMR 15.2,26(2) Install on a level base `\ t r r I + +`� u t t t r ' 26 \ \ t I �t...:•::•:•:• i � , � � � it FRONT 30 Tees shall be constructed of Schedule 40 PVC and shall extend a Minimum wall thickness = 2" �` \ ` \ \ t ` r t::;::::: t t t t \ t t , r r r , , SIDE 15 , minimum of 6" above the flow line of the septic tank and be on = " \ ` \ \ \ \ \ \ \ �; ::::;' t 40 + ( J / , r r J , , REAR 15 P Minimum inside dimension 12 \ \ �:.:•:.:� t J J I I � w� , the centerline of, the `septic tank located directly under the Outlet inverts shall be equal to each other and at 2 minimum \ \ \ \ \ *� � t ( / , J J i r J '� I 0TTRLAY DISTRICT AP clean--out manhole. below inlet invert. 28 \ \ \ . ....., I 138 + ( J r t J J , I , I , \ \ \ t �..,...�.� t1 I / N , ASSESSORS HAP 165 PARCEL 91-3 The inlet pipe elevation shall be no less than 2 nor more than 3" The distribution lines from the distribution box shall all have �\ ` t t �.t.::t'' t t a above the invert elevation of the outlet pipe. equalinverts as determined by flooding the distribution box to 28` 36 I Septic tank shall be .installed level and true to grade on a level, the height of the distribution line invert after all lines have ` t , t t I , ' I 30 30 32 I I Btu' 1 .. \ 1 f �.•/... I 1 I ' 1 1 I � _. - -2B ' 34 � 40 f2 stable base that has been mechanically compacted and on which been sealed in place. ` \ i t t X :: I t 1 34 1 \ , 6 of crushed stone has been placed to ensure stability and Inrert adjustments shall be made by filling with durable and �\ I t I � + + f ��/ f 3e By» 2 to prevent settling, \ \ _ / P nondeformable material permanently fastened to the line or \ SO_ 4 s1 I r.,.4 :.:�... ..+ + - I t Septic tank shall have a minimum cover of 9". reconstructing the .lines until all inverts are of equal elevation. ' fihree 20" manholes with Pea oil removableimpermeable covers \\ I I `�:':':�::';':::: ?: ` \ \ ` \ _ - - _ _ _ of durable material shall be provided with access ports _ , , I I + I ,• : ,••: :•::�. \ \ _ _ _ _ _ _ . ' #4 137 .A P - - - - - - - - being _ 1 placed at the center and over the inlet and outlet tees The outlet tee shall be equipped "with gas baffle, 34 - - - - - - - - - _ ~ 1 .�_~ ` ` - / ,',' , ► I ,'. ;:.J; �: `, • - _ _ - - /� �yo Y o 36 �. 1l i // ` \ ' m� 164' a5 ,ry DesignData: � - � ;. � �. �f. - _ \ y / .._ � ••. � ' .- is . '.Y.'. ':�• . �,;.;: �.� .. , -. ti - <........ , ..... ...... it / ' • t J \ �. i I..�........•fir`-:rrr.._rrr��_rrr_.._...�.�...•..• h'� \ '•r ..^ , .. ` \" , Number of Bedrooms �,• - _ l 44 _ - y O 40 1 - _.�........ ..............�,, - ........ Exjs , 48 t���. .. -r_�t .. /j \ \ 1p 54 i,48 ` \ t t ,. N - \ Barn 3 Bedroom S tem Exis for ExistingDwellingt t _ r c: . �. a 3 Bedroom upgrade Proposed No Garbage Disposal \ t t t 48 � he -, / sZ73- �� 12B t t 34 t t t t I \ \ c R, -r- . •....,SOB \ \ Total Bedrooms - 3 X 110 gpd 330 gpd Required Flow t 24 t t t t I 7•. : ,.� -,. 14 i t t 26t t t i t ! I %_1 ..,\ } _ --. r,. - - - - 1\ I I 200' NO Yletl&I2d �'�F'"se Use: Leach Trench 251 x 12.83 w x 2 Eff/Depth 20 \ \ \ t o '. ...�~ / , ° �nrA, r�� t � [Side: 151 f' Bottom. 3201 471 i2 \ \18 \\2�`\ \ \ \\ \ \\ o ,� ..:: I -�_��- EXIS NG GRAVE 42 ear 311 �' A \ \ \ \ \ \\ \\ \ `\ \ ` .........::: _ _ / Pump and fill existing cesspool S'32 OB'i9' \ \ 471 x 0.74 = 348 gpd Total Design Flout .54 \ \ \ \ \ \ \ \ \ \ \ \ :: :` • .............:: ( + with clean coarse sand. t �5� ` \ N •• r 9.p1 10 \ \ \ \ \ \ \ \ \ \ \ \ \\ .. �:.:::.: .: ► �d- t oil t 80.24 i / 44 t t \ \ 40 Bri \ ` ► \\`\ \\\`\` �`\\\ \ r �� '� -- Existing Steps to Shoreline r + t 1 ` � \ tt\,\\ \ S y / + 44 \ .,, •� � \lit \l1\ � \\\\�.� ✓ ... �• ,,, - - I �'' '' r � \ \ l \ �. •., 1 t \ 48 ISM ,. Shf - - - ' - ' GRAPHIC SCALE 4e \ t tt ,•5M �\ ` \ \ \\ I \ l 1 t t i tt t\\\ \ ' � ' � .:r .' -• ' ao 0 15 so eo 120 \ \ \ 1 \ I 1 1 t \ \ \ ~ --44 Soil Logs � \ \ `\ `\ \ � \ \ \ \ \ � � \ \ \ \ \ ` \ \ - ( IN �I;T ) Test Date.• December 19, ;2002 �! \ � ` \`\\\ `\` \ \ ` \ \ \\ `�\ `� \ \` \ ` \ \ _ -42', � t dig 40 Soil Evaluator.- Stephen Doyle �'••, \ � � � � ' ` \ ` - ' GENERAL CONSTRUCTION NOTES Prepared For- I.1. All the workmanship and materials shall conform to REP Title 5 tlOF 4 21` '38 and the Town of Barnstable rules and regulations for the subsurface �'�'� GisTER •fir -1 '�� ZZ t�1 Main ,S rE'e t Pero Rate.• <2` Min Inch \ \ \ \ s \ \ 32 , i • a ti� i \ \ \ \ disposal of sewage. STEPHEN _ ,, 2. At least one access port over tank tees shall be accessible � DavLE H Ce.n ter�zlle Massachusetts `,*\o\ wi thin 6 of finish grade,e, w1 th an remaining access ports brought ' PP -- El. 46. Q i � \ � � � 22 P' y g pNo.37559 S� \ to within 12 of finish grade. '��' �tss� '`�� Scale: 1" = 30' Date: December 30, 2002 „ \ 18 3. All components of the sanitary system shall be capable of LS 10YR 3 f2 ,� ` . s� ` ` \ 11014 withstandin H-10 loading unless h are under or ;dthi.0 10 ft sut� Prepared By: 8 of drives or parking. H-20 loading shall be used under or within Stephen J Doyle and Associates „ SL 10YR 5/6 •4 6 42 Canterbury Lane, E. Falmouth, MA 02636 B s� 1 10 ft of drives or parking unless noted. Plastic equals may be Telephone: 508/540-2534 24 used in lieu- of all recast units. ` 4. The excavator�ontractor shall verify the location of all site r :L utilities prior to any excavation, and shall be responsible for ,��" °` Moss all ma tters rela ting .to electric easemnn ts. a��� WILLIAM ¢� "C" FINE 5. Sewer pipes shall be 4" Schedule 40 PVC laid at 0. 02 slope. LIEBERMAN 2.5Y 6/4 6. Any masonry units used to bring covers to grade shall be SNo. ?39710 H SAND mortared in place. 9oF•. , , P���Q 7 Finish gra de shall ha vie a minim um slope of 0.02 ft per foo t. ``ss,o 1,20" NO. DATE DESCRIPTION BY El. 36 0' No Water Encountered