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HomeMy WebLinkAbout0193 OST.-W.BARN. RD - Health 'I )3 OST! -W. BARN RDl,\� - OSTERVILLE i i i � I i f E I f I49TOWN OF BARNSTABLE ho KAP 120 LOFT 3-1 .48AC t-1 Y 1 NG ROOM . 193 WERW LLE WEST BARK51ABLE RD OSTERVILLE 14A 02,550 PROPOSC PA" �_0i o _ t TOWN OF BARNSTABLE. 14AP 120 LOT 3-1 .48AC a: 193 CSTERVI LLE WEST 8ARH�BLE RD t OSTERVILLE MA 02655, 4 DCISTIN6 VR%TUKE 4 1:', FLOOR PLA4 . ;; , a •. STEPS To (ALL Ac oMoDR-nom ON 1 z-FLvo�, St"T Dao 2' II LiV�n►G Roo BEDEoom 3 M o J V CLOSET Fa wct • 00 , KITCHEN UDRooM 2 RQJb !o pIN11Jb. -ARC* r S uN Ko0h1 LCA1E lrs 8 } TOWN OF SARNSTABLE 18� MAP IZO, LoT 3-1 .48AL BEDROOM ,3 F o S' M141 LLE WES $A R NST^BLE R O 5> OSTER vrr_c.E M A OZ655 ILL YTT P R O POS Eo ax-ramoM g AcirRn-n&u ND FLOOR PLAN pv. o✓o , DEED RESTRICTIQht WHEREAS, Carol Chandler O (owner's name) 142 Old Stage Road, .Centerville Ma is the owner of 193 Ostervillei/west Barnstable Road +,located � (address) at Osterville, MA MA (hereinafter referred to as and being shown an a plan entitled "Subdivision of Land in MA, Property of et al, duly recorded in Barnstable County Registry Of Deeds in Plan Book � _ � , Page Or on Land Court Plan Number WHEREAS, Carol Chandler as the owner of said lot has (amees name) agreed with the Town of Barnstable Board of Health to a restriction as to the number.of bedrooms which can be included in any horny built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pm-condition to granting a disposal works construction permit for a septic system In compianoe with 310 CIVIR'15,200, State EnVironmental'Code, Title V, Minimum Requirements meets for h q the-Subsurface Disposal of Sanitary Sewage,e, and authorizing the Issuance°of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, - 6eedr j JAN. 6.2003 4:07PM BARNSTABLE BOARD OF HEALTH NO.706 P.2i2 BIB 16198 P92 —1678 NOW, THEREFORE, Carol Chandler does hereby place the (owner's name) hig following restriction on his of in Health, which restriction shall agreement with the Town of Barnstable Board Q run with the land and be binding upon all successors in title: ,�. 193 Osterville/West Barnstable Road may have constructed (addresS) Ostervillei M upon the lot a house containing no more than . 3 ( ) bedroorne. Carol Chandler agrees that this shall be permanent deed ��er's name)restriction affecting located on MA, and being shown on the plan recorded in Plan Book , , Paged Or on Land Court Plan qr,, title f Carol Chandler see the following deed: Book #6715,. , Page #16 F , `oyl A'--'Or Land Court Certificate of Ttle Number ns�j ( rs r ;L0 03 healed 1rtS nt 6 h day of y -77 off" 1 U-- - Wa stature Owner's signature Owner's signature cOMMONWEALTH OF,MASSACHUSETTS � 3 20_. erso ally appeared ove-named Then p Cars the a. . . known to me to be the person who executed the foregoing instrument and acknowledge the same to be free act and deed, before me, DRIENNE VAUGHAN Notary Public My commission expires: 11 q la 9 (d to BAM)STABLE COUNTY REuISTRY OF DEEDS ATRUE COPY,ATTEST RA0MQTARI r. Ql:(;ICTRV(Vivi:nt JOHN Fa WtCA0E.52041211 TOWN OF BARNSTABLE % LOCATION y'5 l SEWAGE # 99' I aZ VILLAGE C3 / ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. K66 `te SEPTIC TANK Ca ACd= X�6-0 LEACHING FACILITY:(type) "—S'�—� 4f (size) .IA —3 � NO.OF BEDROOMSY ` BUILDER OR OWNER '4 �C PERMTTDATE: �/ --3 COMPLIANCE DATE:/02 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching-facility Feet Private Water Supply Well and Leaching Facility, (If an exist on site or within 200 feet of leaching facility) .' Feet Edge of Wetland and Leaching Facility(If any., sexist_. within 300 feet of leaching facility) Feet Furnished by i 2- 1 t � j{ � I 1 0 4 TOWN OF BARNSTABLE �FtNET� e�Py wo OFFICE OF Z EAZISTAM : BOARD OF HEALTH NABS, pj �p 1639• ��� 367 MAIN STREET HYANNIS,MASS.02601 Feb�ruary.1, 2000 Mrs. Carol Chandler 193 Osterville-West Barnstable Road Osterville, MA 02655 RE: 193 Osterville West Barnstable Road Dear Mrs. Chandler: You are granted a variance from 310 CMR 15.214, restricting sewage flows to one bedroom for every 10,000 square feet of land within Zone II districts. You are granted permission to construct an additional bedroom at 193 Osterville-West Barnstable Road, Osterville with the following conditions: (1) No more than three (3) bedrooms total are authorized. Dens, study rooms, finished attics, sleeping lofts and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (2) The applicant shall submit revised floor plans showing no doors to both the living room and family room. (3) The applicant shall record a properly-worded deed restriction at the Barnstable County Registry of Deeds limiting the dwelling to three (3) bedrooms. The deed restriction shall be signed by the property owner. A. copy of the recorded deed restriction shall be submitted to the Board of Health to obtaining an approval of a building permit application. This variance is granted because it has been the Board's policy to grant applicants approvals to construct three (3) bedrooms on lots of more than,18,000 square feet in size. This parcel is 20,735 square feet in size. Sincerely yours, Susan G. RasK, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs 4 chandler 9 �✓t�� P`e�' STANDARD LEGEND c NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES EDGE OF BRUSH Lot size: ;20 735�.sq. / ' ORCHARD OR NURSERY a 1' EDGE OF CONIFEROUS TREES \ } MARSH AREA - - - EDGE OF WATER -- DIRT ROAD DRIVEWAY .. PARKING LOT 'sja }' PAVED ROAD N DRAINAGE DITCH y, s ro ` _ - PATH/TRAIL ' -- PARCEL LINE n AW 110 1 MAP AE �c 21 -­ - PARCEL NUMBER r J�� 01160 ! -HOUSE NUMBER 2 FOOT CONTOUR LINE SOIL LOG DESIGN DATA - IN 10 FOOT CONTOUR LINE W 1 Medium Sand 3 Bedrooms = 330 gallons per day ; , SPOT ELEVATION `- No Water Encountered 3 — 500 gallon chambers - 12' deep 34 x 12' = 408 sq. ft. = 306 gallons STONEWALL 34 x 2x2 = 136 sq. ft. = 102 gallons FENCE 12 x 2x2 = 48 sq. f t. = 36 ga s RETAININGWALL Design Capac" 444' gallons RAIL ROAD TRACK --- STONE JETTY I— SWIMMING POOL Title 5 Septic System PORCH/DECK Tank , D-box , 3 - 500g Chambers 4 ' of stone all around V,r 111 BUILDING/STRUCTURE Septic Tank Capacity - 1 , 500 gal . DOCK/PIER/JETTY HYDRANT E"3 VALVE m MANHOLE POST w FLAG POLE T O W N O F B A R N S T A— ■—L ! —0 R O A R A P H I C I N I O R M A T 1 O N S Y S T i M S U N I T SIGN 111 STORM DRAIN Mf RIMED STALE:IN FEET *NOTE:ft mop Is an enlargement of a **NOTE:The paroel fines are only graphic representations DATA SOURCES: Planimehia(man-made Satins)were Interpreted from 1995 aerial photographs by The James ��w 1� a {- -.---I I'=I W'scale map and may NOT meet of property boundaries. They are not hue loaotions,and W.Seal Company.'Topography and vepetotlon were hdarpmw From 1989 aerial photograpA DWE s by GEOD UTILITY POLE TR x yM 0 9 16 Naliooal Me Accuracy Slandords at this do not represent actual relationships to physical obierts Corporation."melft topo ,and"doll n were mapped to meal National Mop Aarrary Slmrdords e 1 IW(N—It I R1• eelaryed on the map. at a soak of 1'=100. Panel lines we dIFIMM from 1999 Tam of Bamslable Assesso(s tux mops. LIGHT POLE o EIKTRIC BOX \sitemaps\Ptihlir.\m1?01n3s�xt1 (Imi .Ian 14 ?onn 11 1?57 — _ TOWN of BARNSTABLG 4 -- MAP 120 LOT 3-1 .48At fi„�" •. _ UVI46 Roots 193 CSfEAVILLE WESTBARNSABLE R.D OSTERVILLE MA 02655, F"\ RE N l+l PROPOSED EXTENS10N&AL'TEIVTfloNS PAet FLOOR PLAN $' A, DIWAG ARCA �AMIL Rooh� Y BATHROOM COUNTRY -- KITCHEN • DECK -- _'— � .SCALE 1••8� W --- = Title 5 Septic System 's Tank , D-box , 3-500g Chambers 3 e Septic Tank Capacity-1 , 500 .sue � h �T c� 4' sta,c. d 3 y' 'sh,n� TOWN OR SARNSTABLE MAP 120 LOT 3-1 .48Ac r 193 MTERVILLE WEST13ARNSTABLE Rn OSTEAVILLE MA 02655. EXIST►N6 VRumpr i" FLOOR PLAN !Sim To R N o (ALLACCOMoDRnONO �Y R f[o 2' Livjw, Roof 9 BE02ow.i i \ v c[oscT (aa1[ 0 OOI00 Kirc"EN Q O UDAoop2. r AREA 6 SVNRoots f ,Scwte 1••8� w 41 Title 5 Septic System Tank , D-box , 3-500g Chambers Septic Tank Capacity-1 , 500 � ry d J r S 3 4' y No. l ' I �j 0 —V 0 3 " 0 0 l Fee$5 0 � THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: :/ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplication for 33itpaal *pgtem CongtrUction Permit Application for a Permit to Construct( )Repair(x )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Locjn Addr ss or Lot o Owner's e, ress el.No. 193 Os ervi�le-W. Barnstable Rd. Caro�e ` Ianlher Assessor's Map/Parcel O s t e ry i l l e Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P 0 Box 1089, Centerville lc Type of Building: Q /`ail',�'!f Dwelling No.of Bedrooms f� Lot Size� sq. ft. Garbage Grinder( ) '� Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Sand. Nature of Repairs or Alterations(Answer when applicable) 'Pit 1 e(jt5 s e j)t i c system. -b x and. with 4' of stone all around.. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue by this oard A Health. 1�_� Signed Date � `J Application Approved by Date //— Application Disapproved for the following reasons Permit No. c�-7 Z ' Date Issued — 3- 71 Fee •�— THE COMMONWEALTH OF,MASSACHUSETTS Entered in c r puter: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSAGHUSETTS A 114pplication for Migoal *p6tem Con5grufttoit Permit? Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System El Individua Components r L c on Address or Lot O ner's e, ress Tel!No y �� OsCervi1Rle-W. Barnstable Rd. Gwaroe tanlr i Assessor's Map/Parcel O s t e ry i l l e V Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic S rvice P 0 Box 1089, Centerville \ 1 Type of Building: �0 46 ✓ Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No. of Persons Showers( -) Cafeteria( ) Other Fixtures R. t Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title _Size of Septic Tank Type of S.A.S. Description of Soil Sand Nature of Repairs or Alterations(Answer when applicable)_ T it le A 5 septic system. Tank D-box and with 4' of stone all around.. ' Date last inspected: J p�5_C�`t,`�,.-►�o.�-.'�/ �,¢�S��^ r K e�9N`'�S Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issu d by this oar Yf Health. )) Q Signed Date l ` 7 Application Approved by„ Date //- Application Disapproved for the following reasons i Z Permit No. -7 -1 Date Issued 3- J,. ———————————————————— ————————————————— THE COMMONWEALTH OF MASSACHUSETTS Cha.ndlet BARNSTABLE, MASSACHUSETTS Certificate of (Compliance ' THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( X)Upgraded( ) Abandoned( )by Wm. E . Robinson Septic Service at 193 Osterville-W. Barnstable Rd . , Osterville has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. "7 dated , //- 3 Installer Wm. E. Robinson S r. Designer r`i J r. g ti c The issuance of this ermit shall not be construed as a guarantee that the syste"ill function designeld. t Date 1 /) I C�1�� Inspector ( W_ ,P�w n e(! ,il �I.i �'i1= i !A- �j ; ^� Fee No. / — 7 G ———— ———————————————————————— — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Chandler x1h6poar bp5tem Construction Permit Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon( ) Systemlocatedat 193 Osterville-W. Barnstable Rd . , Osterville and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of thi a t. Date: /// �/ �/ Approved by 0'- '� 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, W i l l iarri E . Rob ins on,S,zhereby certify that the application for disposal works r�A , construction permit signed by me dated concerning the�l � ` � / property located at 19� n s t e ry i l l P rdr R a a=P a-b:1 e?d meets all of the Osterville following criteria: ; • e failed system is connected to a residential dwelling only. There are no commercial or business es associated with the dwelling. The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. . • ere are no wetlands within 100 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic System ere is no increase in flow and/or change in use proposed • ere are no variances requested or needed. •.�e bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] , • If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(1.4)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS infortnation) B) G.W. Elevation + the MAX. High G.W. Adjustment DIFFERENCE BETWEEN A and B SIGNED : t DATE: [Sketch proposed plan of system on backl. q:health folder:ecn ,Y 9V V Li I n 1 1 1 . } I =� Rfi 1 U oFime I nor 2 9 y9 DATE: 'L 1 9 A / C1 1p k'H'pTIAaE FEE: 1z �� 0C� Z.;i,1(, BAMSTABLIE HAM REC. BY� Town of Barnstable / SCHED. DATE: Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION p / Property Address: / 93 OsffVV r /I g �a ✓l S{zc 5�e /�' 0 S /c/1) e. /KA U 5 Assessor's Map and Parcel Number: /a O Size of Lot: ,�C� ,, 3•� S�if . • LJ$,fIC Wetlands Within 300 Ft. Yes Subdivision Name: No X Business Name: APPLICANT / CONTACT PERSON Name: 6 v o 17/�. eh.a 0/k, /e Name: , / A Address: 19 3 05�<rd r ll e 2d Address: l r 3 6 s k r u"1If h. barn S fw sl ejeL4 C)S+ca-t; , IIe— �f> a��SY osf-Cr✓r lie/ Phone: �1.2�' Phone: V-2 6t,? (?s.0-/29—,rS 6/(1 /)-2 X w FAX: f6tr) FAX: VARIANCE FROM REGULATION(List Res.) RE 4SON FOR VARIANCE(stay attach if more space needed) 3 i 0 e tl r,- l 5� a l y Tn c r^e a S e -�-b✓-A a - 3 1) d,-,>om 0� 020 935- s �f Wti ev-e- /Ur >� qPh Loadr,ti¢ T fle /equ,res 3y} 000 SS /Lt'r7 Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) I Full menu submitted(for grease trap variances only) Variance request application fee collected(no fee(or fireguard modification renewals.grease tno variance renewals(same owncrileasee onlvl,outside dining variance renewals(same ossmerrlea.see oniy(,and variances to repair failed sewage disposal systems(only Li no e<panston to the building proposed() Variance request submitted at least 1 days prior to meeting date VARIANCE APPROVED Susan G. Rask, R.S., Chairman NOT APPROVED Sumner Kaufman, M.S.P.H. REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. Q:/WP/VARZREQ TOWN OF SAItNSTABLE MAP 120 LOT 3-1 .48AC i93 090YO LLE WEST BAR�BLE Rn QSTERVILLE MA 026ss. EXISTING STRucrugE Sys,b it FLOOR PLAN Roth Doo (ALL ACCoMc?7ATio" OM Is;-fL.00&, ................... Liv► & Roots o 6ED corn J U CLOSET fa�cce 001 00! O• K ITCHL N 1 (3Gu ooM 2 0.0 a en pi�rN6 .S VN R®a M '.� .SCALE N r 1 ' TOWN OF SMI(STABLE KAP 120 LOT 3-1 -4SAC LI V 1 oG (Zoom 193 WERVI LLE WEST BARHVT SLE RD OSTER VILLE MA 02655. F 7� M PROPOSED EXT"ION&ALYERFMONS 9 o s D114046 AgEA FAMILY ROOM BATH 900M 2 ceutuTAy DECK' - - ,SCALE mi TQWN OF BARMS-rABLE f8� MAP iZo, LoT 3-1 . 49AL BEDROOM 1 in g 193 oST1tzvl L(_E WES F t3ARNSTABLE RD OSTER yr LSE MA 02655, IiL la PROPOSED ax-rENS1oN & ALTERA-MAS 2"D FLOOR PLAN .a 14 ?136d?1oQ _ t BEORooM Z B ATM FwM t3�DRcoM 3 jL17 SCALE I _ $ TOWN OF BARNSTABLE _ LOCATION .3 D �u , 1��•�w. !2� SEWAGE S 99 VILLAGE !2 S % // ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO.JT6 1 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 3 S—S d2 L C t (size) /sz NO. OF BEDROOMS BUILDER OR OWNER 4Lff ,0- ✓L PERMITDATE: COMPLIANCE DATE: 9' S Separation Distance Between the: j 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 4 �, �� y,. tC' ��` � � 1 � y �, .� � , � ; ��� i; �, -f'r -- __ .__-- j r ,� STANDARD LEGEND NOTE:not all symbols will appear an a map q=:Z GOLF COURSE FAIRWAY r" EDGE OF DECIDUOUS TREES EDGE OF BRUSH M �J]2 .. ........ ..... ...... .... _ ORCHARD OR NURSERY v-7-7-V EDGE OF CONIFEROUS TREES 47 1 \ MARSH AREA 201 EDGE OF WATER _= DIRT ROAD DRIVEWAY F--PARIONG LOT --PAVED ROAD — —--— DRAINAGE DITCH ————— PATH/TRAIL 1 -IMAP 120 PARCELLJNE** WIN•E----MAP# s 3 - 1 21—PARCEL NUMBER l /INN —HOUSE NUMBER 4 r I�# I /3 2 FOOT CONTOUR LINE ' le 10 FOOT CONTOUR LINE , a t j�4.9 SPOT ELEVATION J STONE WALL FENCE 120 .. ..• 7 + .� RETAINING WALL J — + r r t RAIL ROAD TRACK MAP 120 • •�.# 183 � c--� STONE JETTY SWIMMING POOL 1 3. 7 I, PORCH/DECK BUILDING/STRUCTURE # 68 �{ DOCK/PIER/JETTY �? HYDRANT 6 VALVE o AIANNou .0 POST p"` FLAG POLE T O W N O F • A R N S T A B L E O E O O R A F N 1 C I N F O R M A T 1 O N S Y S T E M S u N 1 T o SIGN ® STORM DRAIN N RATIO SME.IN FEET *MOTE:T1h map is an enlo ----- ------ -- --, D rpenNnt of a s s NOTE:Tim brad lines are only Rmphic represeftons DATA SOURCES:PlanimeMcs(man-made lea wm4 were interpreted bom 1995 aerial phoroprophs by The lames . 1, o i-f I'=100'salk map and may NOT meet o)property bauadories They are not nae low iorq and W.Seaall Company. Rrpreted ham 1989 aerial phowgrophs by GEOD 0 UTILITY POLE w e National AMLaapp perry.Topolmphy and vepehrNar were in n TOWER e O I I101?10 FfEI* 40 National map kw"Selydards d this do nd mpeseat oduol mlatlaeitips to physical oble0s (wporotlon. Moaimdriq Iopop�aphy and v"tfon we mapped to meat Natiad Map Acanaq Standards an the map. al a scale of 1'=I W.Petrol lines owe dpkW horn 1999 Town of Barnstable Asseswfs tax maps. 4 UGIIT POLE O ELFCTRI[0 Wtemaps\Pub1ic1m120p3e)d1.dgn Dec. 20, 1999 09:59:26 • THE COMMONWEALTH OF MASSACHUSETTS Fee $50 PUBLIC HEALTH DIVISION- BARNSTABLE, MASSACHUSETTS Chandler ;W000ar *Pg;tem Construction Permit Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon( ) System located at 193 osterv' 1 1 —W Barns-table Rd Osterville 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.P p itions. , Provided: o tded:Construction must be completed within three years of the date of thi a it. Date: Approved by , /.1 s , C q TOWN OF BARN�S�T/ABLE �? LOCATION {3 Q,-) k1 6 �'' ''`'' SEWAGE # C— I,�-y _ VII LAGS S / ASSESSOR'S MAP & LOT1rC1�1�(X;' INSTALLER'S NAME&PHONE NO. �c� ' •r"�a �-- SEPTIC TANK CAPACITY � LEACHING FACILITY: (type) 3 ��' '"L �- (size) NO.OF BEDROOMS v� BUILDER OR OWNER PERMITDATE: �� "3 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 wetl/ s exist within 300 feet of leaching facility) Feet Furnished by E -7 P F= Z 203 499 127 -F US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent ttto� Str P ce!aty, IP Code Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee u') rn Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees is co Postmark or Date ti cq �7 u a Stick postage stamps to article to cover First-Class postage,certified mall fee and P 9 P P 9 � charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service a window or hand it to your rural carrier(no extra charge). ai 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the a�i return address of the article,date,detach,and retain the receipt,and mail the article. U) 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C DELIVERY n h front f h article. addressee,endorse RESTRICTEDo t e ont o the art c e oD I f9 5. Enter fees for the services requested in the appropriate spaces on the front of this j E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. li �e 6. Save this receipt and present it if you make an inquiry. 102595-97-B-0145 a I SENDER: I also wish to receive the 4 0 ■complete items 1 and/or 2 for additional services. - ■Complete items 3,4a,and 4b. following services(for an 0 ■Print your name and address on the reverse of this form so that we can return this extra fee): 0 card to you. m0acc permit.this form to the front of the mailpiece,or on the back if space does not �. ❑ Addressee's Address d ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N e ■The Return Receipt will show to whom the article was delivered and the date a delivered. Consult postmaster for fee. 0 -o 3.Article Addressed to: 4a.Article Number C �I�— zo3 y99 /27. E 4b.Service Type �� d �/� _(N,// ,�,���/,���c Registered ® Certified °C rn J c�t/ 1�� ❑ Express Mail ❑ Insured C ❑ Return Receipt for Merchandise ❑ COD 0 7.Date of Delivery `.\ o �... h...�.<.:9: Name 8.Addressee's Address(Only if requested -A y, and fee is paid) r ' - r . R3 r en o 0 .PS Form 381j1, December 1994;i ; s I j - 102595-97-B-0179 Domestic Return Receipt I Ii �k_� i: i Ia i III �F i� It i - First-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid USPS Permit No.G-10 f ® Print your name, address, and ZIP Code in this box• II I I Public Health Division I Town of Barnstable PO Box 534 Hyannis, Massachusetts 02601 I Fax(508)775-3344 Phone(508)790-6265 ,,,,aliliillllii i III ��R�AR f I f' �SME ro `Y Town of Barnstable seartsrAWY. • MAS& ,0�' i Department of Health, Safety, and Environmental Services '�1►^. 1% Public Health Division i P.O. Box 534, Hyannis MA 02601 i Office: 508-790-6265 Thomas A McKean,RS,CHO FAX: 508-790-6304 Director of Public Health I I August 31, 1998 I Mrs. Chandler Carol 193 Osterville-W Barnstable Rd. Osterville, MA 02655 I NOTICE TO ABATE VIOLATIONS OF THE TOWN OF BARNSTABLE REGULATION REGARDING FUEL AND CHEMICAL STORAGE SYSTEMS Our records indicate that you have an old underground fuel oil tank located at 193 Osterville- W.Barnstable Rd., Osterville, MA . This tank is listed on Parcel 120 on Assessor's Map 003-001. This tank is located in a critical zone of contribution to our public drinking supply wells and is 20 years old or older. You must have your underground tank removed within 30 days from the receipt of this order letter. For the removal of the tank you must first obtain a removal permit from the Fire Department. I have enclosed tank removal information for you. Upon removal of your tank, please return valve tag#X to the Health Department. You may request a hearing before the Board of Health if written petition requesting same is received within seven (7) days of receipt of this notice. Sincerely yours, Thomas A. McKean Director of Public Health E nclosure- Tank Removal Information 10-05-1998 09:23AM CENT DST FIREDEPT 5087902385 P.02 ••.w.aa.uNp..w.avu av w%,p1 r 11 O Lmfjuf Ullem. Fine Department retains original application and issues dupffeate as Permit. j APPLICATION and PERMIT Fee: S10,00 _. for storage tank remcv-j and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148_Section 38A, 527 CMR 9.00, application is hereby made by: Tank Owner IlNlarne(pigaw print) C--*-rr%L Mandler _ X • a wMOf.W 9 for perms Address a tery MA 02655 street 'cay Stsrs Tip i MEMO Company Name Vincent Rom Co.or Individual v�inr -P!rrlr Address 193 Osterville H. Barn. Rd. Ostery ddress � arim r Signature(if�applyina to=ermit) Signature(if applying-.cc zermit) _ IVNkauAux IF Cartifie_ other IFCI Certified = # Other OF m-4 in , . Tank Location 193 OsteLvii e- West,Barnstable_Rd - Sleet Addrv= Tank Capacitor(gallcrts: 275 eaUon Substance Last Storer #2 fuel oil I Tank Dimensions(diarrvsar x length) 4 Remarks: !. Contact C-O-NK Fire Dept., •�'p Duty Officer lust before actual removal and�� ...`�. disconnect of tank. 508-790-2375 • . 4.r Firm transporting waste Vincent Rourke State Lic. LiRr r r I Hazardous waste mar E.P.A. # I � Approved tank dispcsa!yard Barnstable Land Fill Tank yard# Type of inert gas Tank yard address Flint Street, Harstous Mills, m& City or Town I Osterville F0I0001920 Permit# Date of issue October.2, 1998 Date of expiration October 16, 1998 i Dig safe approval number. 983901284 Dig Safe Tog= Tel.Number-8.00-322-4844 Signature/Title of Ofti�- =nting permit O After removal(s)'send Foe :=P.290A signed by Local Fire Dept.to UST Regu tory Complia=Unit, One Ashburt lace; Room 1310,.Boston. MP.M:G&1618. FP-292 r vi 1 e sed 9/961 TOTAL P:02,.