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HomeMy WebLinkAbout0083 OLD MILL ROAD - Health L83 OLD MILL ROAD, OSTERVILLE A = 1,41049 u . . 14 t��l �6CrC.Fp�� UPC 12143 MOB ""Fo�7c�cN5°s � aAsr�hc�s,aau ` s S 1 P No. D.0!0 ^ ' Fee Mb THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1® PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYication for Tigponl *pgtem Cow9tructiou Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 93 GkI A1-// AW Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Ael Ocit9Err aw;ee Wh g 4 517 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. lJ �p p r-C A, //,o Lon. f6'c�"�i v� (A/ol�rb 't /�SfvL 3 q.57,y,5 zwlls yS ,Vof 77r- 0-7 35- Type of Building: 5-01 a 941 77 to Dwelling No.of Bedrooms ] Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided '%5 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank v 2w w �► Type of S.A.S. 31 e lw, Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date �,�? Application Approved by Date f_ -2 Application Disapproved by: Date for the following reasons Permit No. f-u(U — Date Issued -- --- —_ .`------ ----- __�---------------------® No. 0 V r t) s. Fees .THE CO.MMONWEA K �TH OF MASSACHUSETTS Entered m,computer:y e./ PUBLIC HEALTH DIVISION`FJTOWN OF BARNSTABLE, MASSACHUSETTS `•ves a.< Application for 3Di!gpogat-,pztem Construction Permit �$ Y Application for a Permit to Construct( ) Repair O Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components `v" Location Address or Lot No. 9 3 QJr.+ /A4 Owner's Name,Address,and/Tel.No. OS�trv,'//P �filA �.?G /Fj T*4" W, Lt�"W, Assessor's Map/Parcel '[/ Oc fivfxr �rYe IrLn PM 62 yS Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. C A, //,I Cow 37�i�uG'7ti,o✓� I'v-//-(, 4 Af f,,� / ee- //,. sv 3 59 4f,As 574 7r- o.'l 3 5 Type of Building: 50k a 1?41 '77,:� 2` Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( )'Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided L/5-� t/ gpd Plan Date '-1 Number of sheets Revision Date Title / Size of Septic Tank ��V 2 Type of S.A.S. R (�>"An r , !2.r r Description of Soil N A Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a'Ceitificate of Compliance has been issued by this Board of Health. Signed Date-42 Application Approved by , Date n _ �- r Application Disapproved by: V - Date for the following reasons Permit No. 2-U(t) - f7 7 Date Issued f - 5 •�o 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 C I r at S5 Q/rI �,O:// �u has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. V/o- / 27 dated Installer J,c- 4,_/7`2 Designer We//Pir f/ fSOG- #bedrooms 3 Approved 41sil i o 0 d PP � 3 gP The issuance oft s permit shall not be construed as a guarantee that the system fu t",on as d signed. Date ilia Inspector h�✓, No. Fee THE COMMONWEALTH OF MASSACHUSETTS. 'j PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS Di5po5al *pgtPm Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon System located at R 3 Q/-4 44:// AW Q s7 - c: • and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty l to comply with Title S and the following local provisions or special conditions. Provided: Constructio must be completed within three years of the date of thi Date , hla S /v Approved by Mom! ; (u��'f✓ (u !h E'r� +nPef �T ��r-Ch�'� I �r� f`1 4� �v or U Town of Barnstable , Of1HE r Regulatory Services ti Thomas F. Geiler, Director � MASS. ' Public Health Division 9 as g _ 1639. �0 OTForA Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: '_a 5 /0 Sewage Perm'it# 20/0-If 7 Assessor's Map/Parcel Installer.& Designer Certification Form Designer: G(> ✓ 5'� �3 Installer: J, �`? 7f Co�s7ti'o� Address: �� � f/� Address: p�6ox 33 On 44 110 was issued a permit to install a (date) installer septic system at �3 0/q/ /0 Ad based on'a design drawn by (address) f/P/Pl�rSIo�_ dated (designer) t/ 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. Stripout (if required) was inspected and the, soils were found.satisfactory. 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. Stripout (if required ected and the soils were found satisfactory. N of 4,yss9 &1 . ER N sta er's Signature) No: 1740 Sr.ER�o c s �/'0TARIN `LlW (D ign i ature Affix Desi Here ( p PLEASE RETURN TO B STABLE 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:\office forms\designercertification form.doc f TOWN OF BARNSTABLE LOCATION 1-3 ®/d q.-11 d SEWAGE# VILLAGE '//? ASSESSOR'S MAP&PARCEL Jam. INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 3-5-0;�9 l,.,y�G�,-S (size) NO.OF BEDROOMS f OWNER v L, ,/ PERMIT DATE: / U- O/b COMPLIANCE DATE: 7 C D 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 o�5 410 � S 35 73 / v r qt7 No.. .L... ... Fx$.. ....._.... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratinn for lliipuial Workri Tom1rnrtiun ramit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: ' .....$.... ._..C .l .... ! ------t°©. c.C. � ' - Q-. :.k.3.......................................... Location-Address or Lot No. ......................—.......................................................................... --.......••----------•-•-•.._...---------------------.........------.............................. Owner dress s....' 0-/cK -C-------------- 12-._ z...0.!1S.4fi:--�An--------....0 ..... ��....... Installer� Address U Type of Building Size Lot-----�y� _._Sq. feet Dwelling—No. of Bedrooms.......—3................................Expansion Attic ( ) Garbage Grinder (��"'�-� a Other—Type of Building,lsrrQ__5______._ __:.. No. of persons.......... Showers ( /) — Cafeteria ( ) Other fixtures w Design Flow...............33-0..____..__--..gallons per person per day. Total dgily flow.._.............3 3 U...............gallons.. W Septic Tank—Liquid capacity/`r.....gallons Length_/t?_. _._.. Width,57:4._-.. Diameter________________ Depth.'!�J.Z.11 _. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......f------------ Diameter... _ ------_--- Depth below inlet....... Total leaching area.....A.6.,7...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) - a Percolation Test Results Performed b .-_ __-6. ............ . ....................} __...____ Date......_.._..........._._.._ _.._..._. Test Pit No. 14-...Z.....minutes per inch Depth of Test Pit....... __... Depth to ground water./f/1.�___-s/Rhk Li, Test Pit No. 2................minutes per inch Depth of.Test Pit...:................ Depth to ground water........................ ------------------------- ----------------- ---------------- ----------------•---------- -------------•-- ------ x . Description of Soil........ .......lam...... -- —ZZ., ...sary. w = � --------------------------------------------------------•••---•------ UNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ...-. ... .... //a5 ' -------------- - ------ == ...-.. . �--- Application Approved By ------ -- - ----......... ..--- ---- .... ...... ......... // �.�. ... .............................' -----� Dare --- —� Application Disapproved for the following reasons- -------------.................................. ........................... ------------ --------------------------------- ..................................................... ........ ...................................................... ....................... - e D[a PermitNo. ......... ..----- - ----- ----- -------_--- Issued ..------ --... ..��-------. --- . ---- —v Dace i .r ff #X — No ll�_1� -� 1 •:- , . ...... Fps............._..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Uiipuaal Workii Tonstrnrtion Permit Application is hereby made for a Permit to Construct (�) or Repair ( ) an Individual Sewage Disposal System.3t` d/c/ 6) C, 0t0S_1 Uj6 3 ......... - • - ........................•--.....-•-.-- ------.---••.. ..............._ -• ....- ------.--•.-------•--..................... Location-Address or Lot No. ................•.----............................................................................ ..................._............................................................................. ,.a ......... � 45 Ad dress YrG d P l7 /� Ds�# d 0- s eP 7t v 2ssir ........ . t 7 ........ -.. Installer Address U Type of Building Size Lot......l��s15._Sq. feet I-� Dwelling—No. of Bedroom.....................•....._..._..._..._..Expansion Attic ( ) Garbage Grinder P4 Other—Type of Building !! .. ":``__:_ No. of persons....._..------------ Showers ( 1) — Cafeteria ( ) d Other fiu �`'o �v��r+�.v t�A Ni <_. .. S'`` ' .................... .__._. w Design Flow.....•:-----:----•-�•-•----/�� _gallons per person per.d4�. Total datlx�f�ow--_•-------. ...... ..............gallons. WSeptic Tank—Liquid capacity............gallons Length.A........: Width.._( ..._ Diameter................ Depth.9_`E...7... x Disposal Trench—No. .................... Width.*.--_-----__--••-- Total Length..............,,.... Total leaching area....................sq. ft. 3 Seepage Pit No..------------------- Diameter....4............. Depth below inlet........`"......... Total leaching area.._.f�.7...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) I p yLc' E,c�rl Ps �55� C. d Percolation Test Results Periormed by :� - , Date.......... Test Pit No. 1_.....'�"._..minutes per inch Depth of Test Pit•-______?�`,�..._._ Depth to ground waterAy ___l- f_G A fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ w ��-... -••-•. _...._ Description nof�oil 3`... `� = -- - I4-.Jo J S v 5 5�' .-- /� E..•..... ... = =� ------------------------------------------------------------------- w UNature of Repairs or Alterations—Answer when applicable—............................................................................................. ............................................................;........................................................................................................................................... Agreement: 11 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the-board of health. igned - C �i�5 S' l . Jam;=.ryz 6J �O�.Z Application Approved B `vl /.-.. ... .. ''.' `�- - - _ '� Dace / Application Disapproved for the following reasons- ................................................... '-----------------....... ..._..................... -'--'---'------------'--. .........................................----------------. ............ '- -- .......---............ .... ------------ Date PermitNo. ........... ............. ... ......... Issued ..............�' "; ..... .../................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (9er#ifirtt#P of Compliance THIS ^ T�C�CLR TIFY,0Ttt �n ''vl ual Sewage Disposal System constructed ( ) or Repaired ( ) _by................. . ............"-- --------------------------- VV ✓.� t' yy�!(/✓ ........k4oatns[aller� �" l .................................._..--..--.-...... at -------- -------------- " /1 ' ) has been installed in accordance with the provisions of'TITLE 5 f The Stakeonmental Code a descri.ed i the application for Disposal Works Construction Permit No. ........ .........""._..-............� Udated ........ -- , .. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANI EE THAT Ti r SYSTEM MI.FUKGT,IGN SAyT_-ISF�CTORY. DATE -'-'---' '- ----------------------------- ------------------------------------------------ Inspector ................... e THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 9l TOWN OF BARNSTABLE D No.......- FEE....................... t,} Y g --•-- �......... ---------------------••••-••-•...............---... Permissio s hereb ranted..__ f'_ ._ . ._._____�...-_.__._.. at Nonstr.r ------) or"•••ai � !Al_L_•n wldu�� euc�a6 Di� .. .j! ,J Street _ '/ as shown on the app ication for Disposal Works Constructio iPermit'No �..� . Dated----- .n_ __ •���.... Board of Health DATE---------- r. a.- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS r. a a i ' Q v S a • m CC TOWN OF BARNSTABLE /d1;// gym[ L�ATIOTI [ SEWAGE # VILLAGE d S-, 1-17 ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. i SEPTIC TANK CAPACITY f / LEACHING FACILITY: (type) ! "' C'eISMo� 1 (size) S-- NO.OF BEDROOMS ft C2 ay cev �' 6.e,,CvrsL 0 •'fA�� BUII.DER OR PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet leaching facility) Feet Furnished by e j z-, � �' —-- .._ _ - �� J� �►�,� , 1 �b �� i �� ' +' i� � � 1 � � `! .:. 1 I � ' � s . f � ��� Si N��,�C�,�S��ao�� ; . �� :. � . t . .� �' ��, �, . ti TOWN OF BARNSTABLE LOCATION ) Old yI. .,Rd SEWAGE#. 9 0/19-/k-1 VILLAGE OS-2W V,'11e ASSESSOR'S MAP&PARCEL L '/ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ®4 a -�oH,egri kv,r 17 f LEACHING FACILITY:(type) 3'j 0�?, 4�si6ioS (size) NO. OF BEDROOMS V OWNERTO�Pq PERMIT DATE: U-04 COMPLIANCE DATE: -7 It O 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 (r S Doti Sao 5 3 a . 41--0 f; �� � 73 ' I (i1V11 (11 (lbill'IiSlitl)It:, .: _,Department of Health,Safety;and Environmental Services Public Health Division,'° Date 367 Main Strcet,Ilyannis MA 02601 ?Y KAM Date Scheduled JAY — Time Fee Pd Oil Suitabilit Assessment for Sewa e Dis osal - Witnessed B - ffiJ " V Performed By: y / 7 LOCATION & GENERAL'INFORMAT. N Location Address �e.,n Owner's Name C l ��+ Address e7 tea' Assessor's Map/Parcel:,,/�i'�/ e��{ Engineer's Name NEW CONSTRUCTION REPAIR v Telephone`# Land Use .Y� � ►` �. Slopes(%) Surface Stones Distances from: -Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way -ft Property Line c_ 11'.•Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 7. F4 'f � -J' GwM/ S� Depth to Bedrock a dJ Parent material(geologic) � G(��..�_ � p - Depth to Groundwater, Standing Water in Hole: !A� �' Weeping from Pit Face �{ t Estimated Seasonal High Groundwater :- - .�E"I'EIYi1�I1tiA'�Tit��v �'a �SEASOi�AL"t�i�i�'WATER'TkBLE , , ; 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 R. Index Well#_ Reading Date:_ Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION:TEST Dat;2 " ,;I Tline Observation Hole# * p Time at 9 Depth of Perc 4 ? Time at 6" " Start Pre-soak,Time @ Time(9' 6") - End Pre-soak Rate Min./Inch zr Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back Copy: Applicant DEEP OBSERVATION HOLE LOG Hole# . Depth from Soil I lorizon Soil Texture Soil Color Soil Cher Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones,Boulderes. e L WA P 4, 2 LEY 7/ye lie >DEEP.:OBSERVATION HOLE LOG Hole# Depth from I Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Murselll' Mottling (Structme,Stones,Boulderes. Consistency.e Graveli t s� t `� . EG➢� ,1 DEEPOBSERVATION HOLE LOG Hole# Dcpth from Soil Ilorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulderes. e I a DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % 0-`i 0 3( file Flood Insurance Rate Maw - - Above 500 year flood boundary No_ Yes Within 500 year boundary No—X Yes Within 100 year flood boundary No Yes 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 61 (date)I have passed the soil evaluator examination approved by the Department of En iro mental Protection and that the above analysis was performed by me consistent with, the required ' ing,expe ise and experience described in 310 CMR 15.017. Signature �' " , Date d-z 17/0- r tts 15 'WO 04:04HM P.2 i UTILITY ACCESS AREA �ROPOSED STORAGE AREA I ' i i i 1 2, i I I ' h i NEW SPIRAL.STAIRCASE AS MANUFACTURED i BY CUSTOM IRON SPIRAL STAIRS —NEW 2x8 JOIST i i 3 NEW 2x8 JOIST EXISTING UTILITY CLOSET i 2-NEW 2x8 J0157 REPLACE EXISTING 8 FOOT GARAGE DOOR WITH B FOOT GLASS SLIDING DOOR REMODEL OF GARAGE SPACE John and Amy WendeU 83 Old Mill Street Osterville,MA Scale:l"e=4' Date:February 15, 2000 r BIB 12887 P'G324 15962 03-- 1 7—2000 e 1 1 = 2 DEED RESTRICTION WHEREAS, John Wendell of 14 Colt Rd_, Franklin, MA 02038 is the owner of 83 Old Mill Rd. located at Bakstable, MA LOCu-S. (hereinafter referred to as Barnstable, MA). WHEREAS, John Wendell as the owner of said lot has 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 variance from the 310 CMR 15.214 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and to obtaining a building permit for this lot; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to authorizing the issuance.of a building permit for the construction of a finished room on this lot is requiring that the agreement for the restriction on the number of bedrooms in the "cottage" on the lot be put on record with the Barnstable. County Registry of Deeds by recording this document, NOW, THEREFORE, John Wendell does hereby place the following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 83 Old Mill Road * may have constructed within the "cottage" containing no more than one ( 1 ) bedroom. John Wendell agrees that this shall be permanent deed restriction affecting cottage located on 83 Old Mill Rd., Osterville, MA, and being shown on the plan recorded in Plan Book , Paged . For title of John Wendell see the following deed: Book 9644 , Page 249 Executed as a sealed instrument this 17 0 day of. deedr i TIT, ROW * This restriction shall apply to the building in the rear of the main house noted on MAP ID 141/049 as the cottage. This cottage will remain a one bedroom cottage until time that the cesspool is upgraded to comply within Massachusetts Environmental code (Title V) and Minimum Requirements for the Subsurface Disposal of Sanitary Sewage (date) �.r 5 o v`�. � emu- v�2 a�v a u� V�w•� (/�e►�d e 1 c� K.r.L Ac lLl c�w 1�dt�{A yCO W;,A, ssc�. lix��.rc 5 g Zanmission r:XPIM At W 31,2= SCO TTgeCF _ JpHNF� $ �Esr END �Q srFq deems BARNSTABLE REGISTRY OF DEEDS C.er TOWN OF BARNSTABLE Lam'' 1 QN QI �// 'Ci"L SEWAGE # VILLAGE 0 S ASSESSOR'S MAP & LOT I u ( ' q INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /^ LEACHING FACILITY: (type) (size) I C+ NO.OF BEDROOMS �!_ C°'�" Cd g. t'd'� C Z <c ��C.BUILDER OR OR PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet 9f leaching facility) Feet Furnished by Uri 0 r 1� J V Q 2 • c.� v E Official Website of The Town of l3arnstable - Property Lookup Page 1 of 5 Select Language Assessing Division Property Lookup Results - 2013 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< Print Fri Owner Information - Map/Block/Lot: 141 1 049/ - Use Code: 1090 Owner. Owner Name as of WENDELL,JOHN W&MCBRI DE-WEN DELL, Map/Block/Lot GIS MAPS 1/1/12 AMY 141 /049/ C/O JOHN W WENDELL FRANKLIN, MA.02038 Property Address Co-Owner Name WENDELL REALTY TRUST 83 OLD MILL ROAD Village: Osterville Town Sewer At Address: No GIs Zoning Value: RC Assessed Values 2013 - Map/Blocl l-ot: 141 / 049/ - Use Code: 1090 ( 2013 Appraised Value 2013 Assessed Value Past Comparisons Building $104,000 $ 104,000 Year Total Assessed Value Value: Extra $31,600 $31,600 2012-$295,700 Features: 2011 -$275,500 Outbuildings: $3,700 $3,700 2010-$276,400 Land Value: $171,200 $ 171,200 2009-$291,900 2008-$306,800 2013 Totals $310,500 $ 310,500 2007-$300,700 Tax Information 2013 - Map/Block/Lot: 141 / 049/ - Use Code: 1090 Taxes C.O.M.M.FD Tax(Residential) $459.54 Community Preservation Act Tax $81.60 Fiscal Year 2013 TAX RATES HERE Town Tax(Residential) $2,719.98 $3,261.12 I Sales History - Map/Block/Lot: 141 / 049/ Use Code: 1090 History: Owner: Salle Date Book/Page: Sale.Price: WENDELL,JOHN W&MCBRI DE-WEN DELL,AMY10/27/2009 24120/89 $1 WENDELL,JOHN W&MCBRIDE-WENDELL,AMY4/15/1995 9644/249 $106000 MACDONALD, YVONNE 9/15/1982 3553/111 $64000 Photos 141 / 049/ - Use Code: 1090 ~. � �ti, al i http://www.town.barnstable.ma.us/Assessing/propertydisplayscreenI3.asp?ap=0&searchpa... 7/10/2013 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART 'B SYSTEH INFORMATION continued , SKETCH OF .SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent' references landmarks or benchmarks locate all wells within 160 ' j Pr flP 17 I efOs100ol: ID a xo/. Z'`� I DEPTH TO GROUNDWATER I depth to groundwater method of determination or approximation: t t y . _ � .� , � �s� \ �. `ape-erznq M . ,� t � ,"�� }} '�• ' A Yy1 I S �. ti _ � 4, t', { �� �.�:_ � T � r „r :4 ZdQ- f y t j e r r, .. �`�'_J r. ^ V i �._ t a '�� .,: � � r! �'�- ` lam/ � 1 ,.-� 4 - ' ,j i { �:� t + i �s'� �'' r f ''' 1 ' t __. .._._..� .�_ .�...___.._.. ___���..,..__.i ;i ft r J �� � �:• ���if �¢�b E{ S n '3 r'c'. pp _ ; y ! 4k V t I J _ - {' ti r b f b B:OR:T'OLOTTI CONSTRUCTION INC. �BIIBSORFACE BE�IAOE DZBPOSAh. SYSTEH INSPECTION FOP-M "dress ,of+proper : �3 �10'.< �� �' ty .Ownar's name - Oata':o1.�•Inspecton PART A i CHECKLIST Check -if. the Iollovi.ng have been done: Pumping-Anformation was requested of.:the owner, occupant , and Boar : Health - Nona of the. .system:•.:components have. been pumped for at least two weer_ and the system-,'has, been receiving normal flow rates during that period: centlyLarge :vohumes:.ot:: water... have: not been introduced into the system re or 'as;. part of this inspection . AS' built plans have_•been obtained :4, ? examined . Note if they are available ,�with .N/A. The facility,'or dwelling was inspecc a for signs of sewage back-up . E _,-k,-", The site was inspected for signs of 'bT,ea,,=out . ystam :components., excluding the, have been located on thr> The septic tank manholes were uncov.eed,; opened, and the interior rio. the peptic ;tank was` inspected for. .coadi"; ;n of baffles or tees , iaterial :of ,construction, :dimensions,. .depth of liquid , depth of aludga .d.e.pth of scum. .The size and:.location' of the SAS on the site has been determined base on ax stin.y• inrorma,tion or approximated by non-intrusive methods . Th.t '.. eL land occupants, if -different from owner) were provided vith `i'nformatio.n' .o.n the proper-.maintenance of SSDS . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residentiAl c�O'n 0j�,2 number of bedrooms on 5'eco,d E148 number of current residents garbage grinder, _ yes. or no' eS laundry. connected, to system, yes or no 0 seasonal.'use; yes or no If or.�e ide^teal, calculated flows Water:meter readings, if available: v1 /q� Last date of occupancy GENERAL INFORMATION Pumping records and source of information: L System um ed as ----.---.. p p part of inspection, yes or no if-,yes, . volume pumped Reason for pumping: Type of. system- - Septic. ta.nk%distribution box/soil absorption system Singl.e .cesspool Overflow:.casspool. Privy . Shared system !.(ye:s or no) (if yes, attach previous inspection records, . if any 1/ Other . '(explain). Approximate. age of all .components.. Date installed, if known. information:. . Source of ��eage odors detected whe�na rrivin�ga�te site, yes or no SUBSURFACE BEWA GF. DISPOSAL SPOSAL SYST EM INSPECTION FORH PART B SYSTEM INFORMATION continued TANK: SEPTIC A-14k (locate on '.s1te plan) depth below .grade: material of construct on: t>,_ concrete metal FRP other(explain) @.off dimensions:sludge depth distance .,from to , '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 Comments: recommendation for pumping, condition of inlet and outlet tees or baffles , depth of liquid level in relation to outlet invert, structural integrity , evidence of. leakage, .recommendations for repairs , etc. ) DISTRIBUTION BOX:. (locate on Wit* plan) depth of liquid level above outlet invert Comments: (note if level and distribution is equal , evidence of solids carryover ; evidence of 'leakage..irAo .or out of box, recommendation for repairs, etc. ) PUMP CHAMBER:_ (.1 cate ..on .site plan) pumps in working order, yes.-or no Commentsi : (note: condition-.of pump chamber, condition of pumps and appurtenances , recommendations for maintenance or repairs, etc. ) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION. SYSTEM .(SAS) :�"f (locate ' on site Alin :if- possible; excavation not required , but may be approximated by -non intrusive .methods) If not determined to be present, explain: Type leaching -pits. and number 'k a rlq chambers And: nuit►ber leaching galleries and. numb.er leaching trenches, number, length leaching fields, number, dimensions overflow cesspool, number comments:'. (note condition of soil , signs of hydraulic. failure, level of ponding , condition of vegetation, recommendations for maintenance or repairs , etc . ) CESSPOOLS (locate on site plan) : number and configuration �- (3%a�%s, �� (�oc� C�rl -1�4. depth-top . 'of liquid to inlet invert - depth of solids layer - - depth of. scum ;layer dimensions of. cesspool -- .`Materials of construction - - indication .of,,groundwater --- inflow (cesspool must be pumped as part of inspection) Commencs -- (note condition of soil, signs of hydraulic failure, level of ponding , cond tion. o,f .vegetation, _ recommendations for maintenance or repairs , etc . ) ,P 1 . PRIVY:. 1A (locate (?n., site plan) . materials' of construction dimensions ----- depth of solids -- Continents (note condition of: soil, condition signs of hydraulic failure, level of ponding of vegetation., recommendations for maintenance or repairs , etc . ) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR M PART B SYSTEM INFORMATION continued SKETCH OF :SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' I - ¢c�Cc1- �7-'VY1�ilYb� " U. !. Teo/ t , No) xW Cp00d DEPTH `J [ jam ' TO GROUNDWATER �1 Z depth to groundwater method. of determination or approximation:�;.a8 S CB.o s SUBSURFACE SEWAGE -DISPOSAL SYSTEM INSPECTION FORM PART .C FAILURE CRITERIA Indicate, yes;. ,no., or not determined (Y, N, or ND) . Describe basis of _determination in all instances. If "not determined" , explain why not) Backup �of sewage .'into facility? Discharge or ponding of effluent to the . surface of the ground or surface -waters? Static liquid level in the distributio n box above outlet. invert . Liquid depth in cesspool <6" below. invert or available volume< 1/2 d�} flow.? Required pumping 4 times or more . in the last year? number of times pumped Septic tank is meta ?1 cracked. structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS , cesspool or privy: below the high groundwater elevation? within 50 feet of a surface water? within . 100 feet of a . su rface water supply or tributary to a surface water supply? within a -.Zone I of a publi c is well? within 50 feet of a bordering vegetated wetland (cesspools - and g n or salt marsh privies only, �o the SAS) ? within 50 feet of a: private water su pply well . L. Ies.s. .than 100 feet but greater than 50 feet from a private water .supply well with no acceptable water quality analysis? If the well has bsen- analyzed to .be acceptable, attach copy of well water analys for .coliform. btrogn , and te nitrogen. volatile organic compounds, ammonia; nitrogen nitra 6. :. _ SUBSURFACE. SENAGE DISPOSAL. SYSTEM INBPECTION FORM PART. D CERTIFICATION Name of InspectorT Company. Name���p°t'�-t Company Address (Ock e b4--( R0C.Lj "� d�CQ 4� my l ls, m ; ..� Certification Statement I. certifv:t2iat .I hw"e personally inspected the sewage disposal system at this .adarsss. and that the information reported is true, accurate' and complete as' .ol. _the time-of, ins pection. The inspection was performed and any recommendations- ,egarding-4grade., maintenance and repair are consistent :•with -my training and experience in the proper function and manitdnance. 6t on-s to sewage disposal systems. Chec ne: have not found any information which indicates that the system fail: to adequately _protect. public health or the environment as defined in 310 CMR 15. 303 . Any failure criteria not evaluated are as stated in the FAtILURE CRITERIA section of this form. I have determined that the system fails to protect public health and 1 the environment as defined in 310 CMR 15 . 303 . The basis for this, determination' is provided in the FAILURE CRITERIA section of this . form. Inspector' s Signature Date Original to system owner Copies. to.: Buyer (if applicable) Approving authority TOWN OF BARNSTABLE LOCATION Q,,7 SEWAGE # 91, VILLAGE 10sA:2Z L/ c � ASSESSOR'S MAP & LOT/ INSTALLER'S NAME & PHONE NO. f SEPTIC TANK CAPACITY LEACHING FACILITY:(type) f S � e �ksize) /000 NO. OF BEDROOMS-PRIVATE WELL OR PUBLIC WATER v�/c BUILDER OR OWNER DATE PERMIT ISSUED: �z DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 's 9 � 9-s NNOTE: EXTEND ALL APPLICABLE MANHOLE (20" DIA. MIN.) DEEP OBSERVATION HOLE LOGS J COVERS TO WITHIN G" OF FIN15H GRADE Lu DATE: 02- I 7-2009 P-i 247I LAcuS TEST BY: D. MEYER, R5 4� C5E Q WITNESS: D. MIORANDI, HEALTH AGENT J PIPE TO BE LAID LEVI-L PERC RATE: < 2 MIN. / INCH FOR 2' OUT OF D15T. BOX 2 LAYER OF 3/8 PEA5TONE OVER 3/4 I I/2 DOUBLE WASHED STONE � 4 SCH 40 PVC PIPE y ^ r-- -_�l ,C✓. /. �.2.t7. 2G,5 DEEP OBSERVATION HOLE#l EL. 24.5 T•O.F. @ DEPTH SOIL SOIL SOIL COLOR SOIL FROM HORIZON TEXTURE EL. 30.5 TOP EL. 2 1 .2 SURFACE OTHER @ (MUN5ELL) MOTTLING 0"-5" A LOAMY SAND I OYR3/2 NONE O 27.50 14 I (3) 500 GALLON PRECAST DRYWELLS 8"-30" B LOAMY SAND I OYR5/5 NONE 2 1 .00 , 30"-1 32" C MEDIUM SAND 2.5Y7/4 NONE ,rye✓ N 22.75 IN5TALLGA5DAFFLE BOTTOM @ EL. 15.5 BASEMENT FLOOR f LLJ - - IN OUTLET TEE. 2 1 1 7 �' @ EL. 23.0 22.5 20.ri 71 NOTE: SEPTIC TANK t- D15T. BOX TO BE BOTTOM OF TH'5 # I 2 DEEP OBSERVATION HOLE #2 EL. 24.5 I I PLACED ON 43" STONE BA5E EL. 1 1 .5 DEPTH 501L 501L 501 COLOR 50IL HORIZON TEXTURE 1500 GALLON PRECAST. i suR�cE OTHER SEPTIC TANK f1-20 LOADED (MUNSELL> MOTTLING - 0"-8' A LOAMY SAND I OYR3/2 NONE 1 FrRC @ V"-30" B LOAMY SAND I 0YR5/5 NONE E.!" 30"-132" C MEDIUM SAND 2.5Y7/4 NONE 3 I $x� 5EPTIC �SYSTEM PROFILE C 24, DIA.COVERS DEEP OBSERVATION HOLE#3 EL. 2G.0 .z s'• WALLS ::. DEPTH 111 OM SOIL 501L SOIL COLOR SOIL .y w ,,.: b•. HORIZON TEXTURE (MUN5ELL) MOTTLING ' FR OTHER SURFACE s" DIA. INLET " - O"-9" A LOAMY SAND I 0YR3/2 NONE +I - F 9"-34" B LOAMY SAND I 0YR5/b NONE 4 /YUT SRC @ 34"-G4" C I MEDIUM SAND 2.5Y7/4 NONE ~ s' DIA. tfi1" -- G4"-i 32" C2 FINE - MEDIUM SAND _ 2.5Y7/2 NONE & CUTLET I Li c a �. / � � '( _ IN STi�}L e.. � ► L'Ot-�jv'�I��/t/JE/�/'� Ti4^/�'" .•,�•"�,�' ;: i i'i I .�L/TC/2E G©>/�c/EGT/��iitif f>i= �/_`T/.�✓' DEEP OBSERVATION HOLE#4 EL. 2G.0 a'-s'• a'-r' 6°-0" DEPTH Ilr ,r,�LE LIQUID 1 SOIL SOIL SOIL COLOR SOIL 4Py 3 FROM HORIZON TEXTURE (MUN5ELL) MOTTLING OTHER SURFACE 0"-9 A LOAMY SAND I OYR3/2 NONE ' ' :p•r• ' ' •° ' �: r.'. ., � �- .� 911 34" B LOAMY SAND I OYR5/8 NONE 34"-G4" C I MEDIUM SAND 2.5Y7/4 NONE G4"-I32" C2 FINE - MEDIUM SAND 2.5 2 NONE joss SECTION vi1�w NOTE: NO GROUNDWATER ENCOUNTERED IN ANY OBSERVATION HOLE " a. DESIGN DATA 1 DAILY FLOW: (3) BEDROOMS*x 110 GPD = 330 GPD 6 SEPTIC TANK: 330 GPD x 200% I ca ar�wcn� OTC 40 1 32 30 660 GPD aF- ,,� 32 ! USE: 1 500 GALLON PRECA5T SEPTIC TANK r D15TRIBUTION BOX: 33v fa�� � �v«�Ar'�"�^�=old - 1J ; , E,OX USE:: Dg-�; DI�TRIRI IT; ��.± _ 20 SOIL'ABSORPTION 5Y`,,- M: \ I \ I I I I I \ ► U5E: (3) 500 GAL. D""'l'WELLS LINED w/4' I 3+.4 OF DOUBLE WASHED STONE ON 40.2 SIDES ENDS CAPACITY: \ I I 1 \ 51DEWALL AREA: 93 x 2 x 0.74 _ 1 37.G GPD BOTTOM AREA: . 13' x 33.5' x 0.74 - 322.3 GPD I 459.9 GPD ' - 40 / 1 1 EXISTING CESSPOOL TO 13° I I / I I BE PUMPED DRY# PILLED IN / I I 1 \ I + I ' 100% EXPANSION"~� I 1 \ I I k ow lNG i AR / ,� GENERAL NOTES $`COXiST/ 7-0 F Q/L/NG _ I I 1 I 1 1 �tI NG w r? 3 .S l� ' #4 / TIi { I Ge / ,� . a1 I�� / �� I I i ( ; 1 . REMOVE ANY IMPERVIOUS MATERIAL FOR A 5' RADIUS AROUND .` / I �Y, �� I I I I ; 5A5 AND REPLACE WITH CLEAN MEDIUM SAND. u•, 1 / // / / / �� � / I I _ / I - 2. SEPTIC SYSTEM 15 TO BE IN5TALLED IN ACCORDANCE WITH 3 10 CM R 1 5 00 I L__ V. rti 65Tri �/ / #2 / ! �� / ' / .3. GGN I RACTOR I 0 BE RE5r ON515LE FA R ThIff LOCATION OF ANY / !� � / #s �\ �` I I i O , UTILITY, ABOVE OR UNDERGROUND, PRIOR TO ANY EXCAVATION OR CONSTRUCTION. 4. TH15 5EPTIC 5Y5TEM 15 NOT DESIGNED FOR THE U5E OF A I TBM = EL. 30.5 / `��� �"y /i / �► / i ..,.,J i GARBAGE DI5P05AL. TOP OF FOUNDATION ��, (Sri�, / �` , 5. TH15 PLAN i5 NOT TO BE USED FOR PROPERTY LINE DETERMINATION. NG/WA - '� �I c� ; G. CONTRACTOR SHALL PROVIDE 46 HOUR NOTICE TO DE51GN hqv/c z.. i ; �� ; ENGINEER FOR ANY REQUIRED INSPECTIONS. I ```1 ` ,o ! Q � I 20 SITE --� SEWAGE PLAN OF LAND 12.9 FOR 83 OLD MILL ROAD OSTE RV I LLE, MA PREPARED POP, JOHN WENDELL SCALE: DATE: DRAWN BY: OF,t�Ss 1 = 30' 02-24-2009 TMW ° i DA Noy JOB NUMBER: REV15ION: SHEET NUMBER: ` ER 09-003 -z3 - 2oio SP-- 1 No. 1140 h:.. I WELLER ASSOCIATES a t N1rAR,� I� I G45 FALMOUTH RD., 5UITE 4C P.O. BOX 417 CENTERVILLE, MA 02G32 2 WINDY WAY, #232 NANTUCKET, MA 02554 :t 6 2� • UL= TEL.: (508) 775-0735 --- FAX: (508) 775-0754 ; EMAIL: tr15WCIIcr@comca5t.net � I PROFESSIONAL LAND SURVEYORS I llaverse PC S01L LOI; N 0. I Aso N 0 0 svBso�L � I - L AN 4'0 Z OF FOUNDATION EL. . ~ SAi✓D 7 MIN. 2'a FINIIsH 0Ap10 -oz. i� ,A?2 MIN. COVER �" ------ F ry 2' COVER 1/8 M WASHED STONE I z ° t � H � � ¢zGo IN ELL e ° ` ' � 3/G 1 1/2 WASHED STONE 13 • tl r t r' M eA •e •• i 1 ° 0/ 8 W� 6 SUMP e • • eb '� w, ° • • e A ' ll UID IEVEI •• o e 3io 1 � Q '. e `° o� ° ' No `vAT-OR ,E,'y000NrER D � e • • ;. U� EFF tM t [r ♦ I r11 r e D v e • f" PEAL I FS 1, RESULTS LA DEPTNt ♦ v �d"'fvT'T•"Y"9T '.e o ° ° C e D• a • I ° .: PUECAST SEPTIC TANK WITH • PRECAST ' 'LEACHING PITS NEpC aAtl` . . • e < 1 ° e �• CAST IN PIAGE INItT ANO ,�G.o L: a • � NO,; ._._. I1' E: .... ..._— WITNESSED 8Y I'AULLr e s E L. I G D/A G 'EFFECT/V/r __ �—- 0 U T E �' 1 'S h E R TITLE V wiry z ' of sT1�/VE A1-1- A V ouND. ARivsrA BL � D'd�A R D L — Z • �. 00 DIA OF STDNE GATE, - - SIZE . f ' l g N G x s'8' W 1 0 E z s�7' 0 E E P l -�' Pervious /___o .'Oa A ALI AROUND Material NO W,,orVR ,�NCOlINT�RED � x.40 r^ SYSTEM J �s rni � n gy THE TOWN OF BAN r REGULATIONS fee s ,aPILE rloNs AND h X V FOR SUBSURFACE DISPOSAL GF SEWAGE . SCAIf 1/4r-- 1 0 � a — . \ 7j ty SHAH BE SCHEDULE AO P.V.C . SEWER PIPE u cl \ I \ ... `�'1 \ SI� AII BE SLOPED 1/4 „ pER FOQT EXCEPT FCA � gl •,.1�,,. • isoo�• \ 1 3g T 2 FEET OUT OF THE 018 WHICH SNAIL BE LEVEL �T qg.2� �. LOW -BEDROOMS AT 110 GAIOAY PER 0R . 3� GAL/ DAY �\ INK SIZE 3____o�,X is 49s . GAL. �°5.00 GAL . WI Oyr- GARBAGE 011P0SAI /� G'd/A G'EFFEG T/VE bEP,7i J'�ECAST L EACHIMP- - 3 j SYSTEM : USE.' C,• I, ,.� ° oJot w/z of srn.VE r9LL 4^R VIvo o� �Z "� °E�LNG d� k S 10 E zn-R.y x zs 2 '(s�(a�Xzs� ¢7/ s ZIPWY o f D►�//^y/I oo AREA : = L ._ B O T T.O MR X/o ' 1rCs� x /o = 7B 6At/SAY kti , _` Ao, TOTAL FLOW SY9 GA�1,04Y ; ` � LOT 83 TOTAL REQ '0 FLOW A30 X /0 3so , Wl OARBAGE DISPOSAL R E S E R V E FLOW s¢9 - ��30 �. *2/,__9__, G A L D A Y IN IL1LE nn h' � a. MSi' yN1t+ L..•xj„cx�� .w tiyr M +y ♦' �k' 7» � I' P L A N S L.C. rz,1/ ` /a. /d3GG APPROVED 1';Y , p BOARD OF HEALTH OWNER • Bui�T-w�-« �o�,Es DATE . S 11" E AND SEWAGI /OG/ If0t17"E GA 1 �P\1H nF Mgss r jH OF,� :F 8U/G TWEL L HOME_. or 'B ROOM SINGLE MILY 0 W F I � a F � . ED ~ M1 boyi. iii y nvlasoN 3 � i Rom