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HomeMy WebLinkAbout0028 RAMBLER ROAD - Health 28 RAMBLER ROAD, OSTERVILLE A=140-179 f a { o p a o e 4 u ! r GF tHE T Town of Barnstable CAB , = Board of Health y MASS. :�►, `bAr 039. P.O. Box 534, Hyannis MA 02601 FD MA'1 Office: 508-862-4644 Susan G.Rask,R.S., FAX: 508-790-6304 Wayne Miller,M.D. Sumner Kaufman M.S.P.H. November 21, 2003 Mr. Stetson Hall 28 Rambler Road Osterville, MA 02655 ARE 59Pheasait` /ay, C"enteru�lrex07�C62� � Dear Mr. Hall: You are granted variances on behalf of your client, Helen Weinman, to construct a replacement onsite sewage disposal system at 59 Pheasant Way, Centerville, Massachusetts. The local Board of Health variances granted are as follows: PART VIII, SECTION 1.00: To construct a soil absorption system 81 feet away from the edge of a wetland, in lieu of the required minimum setback distance of one-hundred (100) feet. PART Vill, SECTION 1.00: To install a septic tank 64 feet away from the edge of a wetland, in lieu of the required minimum setback distance of one-hundred (100) feet. PART VIII, SECTION 1.00: To design a future reserve area 77 feet away from the edge of a wetland, in lieu of the required minimum setback distance of one-hundred (100) feet. The variances are granted with the following conditions: (1) No more than four (4) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four (4) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The registered sanitarian shall supervise the construction of the onsite t sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the engineered plans dated October 3, 2003. HallWeinman r. These variances are granted because the physical constraints restrict the location of a proposed replacement septic system due to the close proximity of the two wetlands in the area. Sinc rely your , 7 n Mil r, M.D., Chairman Board f Health d HallWeinman i SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS . . ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse J Addressee � so that we can return the card to you. Received by(Printed Nam , C. ate f Del' ery ; 1 Attach this card to the back of the mailpiece, - or on the front if space permits. / ��` ,X ' j 1. Article Addressed to: ,S D Is delivi y address different from Rem 1? Yes if YES,-er ter delivery address below: ❑No I is 3. Service Type ❑Certified Mail ❑Express Mail W � ❑Registered ❑ Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. ©a/T/ 4. Restricted Delivery?(Extra Fee) ❑Yes 2, Article Number (Transfer from,service label) ;; ; { 7 p 0 3 850 0;0 0 5'e 2 5 6 1 6`.2;4 PS Form 3811,August 2001 Domestic Return Receipt 2nCPRt o3 P 4ost I r1 UNITED STATES POSTAL SERV '� ���� Fast-Gass.MaI Postage 8:-Fees Peid usps Permit No.G=10 Sender: Please print yd'urname,address;-an-`Z[P*4-imthis lion-v— ---- ZZ }$g#f?iEiiiiis{ii[issi ihiI$ ii }}iif 11e'i$=1 i$tiiisiiitiil f5:iII i II SENDER: COMPLETE THIS • • • • • ■ Complete items 1,2,and 3.Also complete A. Si slurs item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑ ee Address ` so that we can return the card to you. g. r�;�( by �dw ) C. Date of Delivery = ■ Attach this card to the back of the mailpiece, eVV�y iT�>,_wf f 0 t S✓J� ' or on the front if space permits. 1! Article Addressed to: D. Is delivery address diffe nt from item 1? ❑Yes ; If YES,enter delivery eMdress below: ❑No 3. S Ice Type � G�- Certified Mail ❑Express Mail r ,E ;Ir/7 0�4�� ❑ Registered ❑ Return Receipt for Merchandise ❑Insured Mail ❑C.O..D. 4. Restricted Delivery?.(Extra Fee) ❑Yes '2. Article Number r i; i fill 7 5�i� f (Transfer from,service label) 46 9 8 6 � Ps Form 3811,August 2001 Domestic Return Receipt CPRI 03 P-00at r UNITED STATES POSTAL SERYWIF F W-Class Mail pO A p Postage&'fees:Paid P r�l uses--.-.:.,;--- ._.- Permit No.G-10111 lit • Sender: Please prinkto' T.'njpmie,address,and ZIP+4 in this box • ,. 26i V # J 1lli}i1ll I(i lil77 11!l111}l!1i l III fill)fill h ill 14 .. COMPLETE THIS SECTIONI ON DELIVERY ■ Complete items 1,2,and 3.Also complete A.Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. R ed by Printed Name) C. Date of Delivery a Attach this card to the back of the mailplece, or on the front if space permits. yi, p 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes if YES,enter delivery address below: ❑No 3. Service Type ❑Certified Mail [3 Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑Insured Mail 0 C.O.D. 4. Restricted Delivery?,(Extra Fee) ❑Yes 2.. Article Number �I t i f 17 GO 3 0 5 0 0 0 0 0 5 2.5 , 84 6948 .(Transfer from;service label) ,a x �. PS Form 3811,August 2001 d; i Domestic,Return Receipt 2ACPRI-03-P-4081 I. I I i UNITED STATES POSTAL SERVW W h t� _Eitst-Class Mall_ v Postage&&-Fees Paid _LISPS Permit No:G-10 li • Sender: Please pdnr.yoW� address, and ZIP+4 in this box • C4 I t<v�I Me? 04 ASS • • • DELIVERY 11 []:E:N�D�ER: omplete items 1;2,and 3.Also complete A. Signature em 4 if Restricted Delivery is desired. ❑Agent rint your name and address on the reverse X ❑Addresseeo that we can return the card to you. B. Received by(Prin ame) C: D of livery ttach this card to the back of the mailpiece, �.Qlaa r on the front if space permits. 1. Article Addressed to: D.Is delivery address different from m 1_ [3/Yes if YES,enter delivery address low: ❑No JF�iYl•6.f'�����f7'J�� 3. Service Type ❑Certified Mail ❑Express Mail 0.2 K5 Z ❑ Registered ❑ Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4.-Restricted Delivery?(Extra Fee) p Yes 2. Article Number 7t003 00 0005 •2584 6931 (Transfer from serft label) ' q R i i x x # PS Form 3811,August 2001 Domestic Return Receipt 2ACPRi-03-P-4081 UNITED STATES POSTAL SERVICE ,Firlass Matl p 74. Qld Permft No.G-10 • Sender: Please print your n?nl , address,and ZIP-+4 in this box • D Z' ; ,OM24'c;? Ro que COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si n ure item 4 if Restricted Delivery is desired. y ❑Agent e Print your name and address on the reverse r so that we can return the card to you. Received by(Prin e) C. Date or Del -® Attach this card to the back of the mailpiece, or on the front if space permits. D. Is deliv t from item 1? ❑Yes 11. Article Addressed to: if YE live below: ❑No 2003 3. Service USP ^� ❑Certified Mail 0 Express Mail /'/j►p/���2� /` O Registered 0 Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number,,s;i (Transfer from service fabef) i E _�7 0 3 5 0 Cl- p pa 5"`�2 8#4' PS Form 3811,August 2001 ;; I Domestic Return Receipt 2nCPRI-03-P-40e1, j f UNITED STATES POSTAL SERVICE uwsa�R n j� a&T—eas Paid ss e tMd. us I': OCT • Sender. Please print ywr.ha&3a'dress,and-ZhO.4in this box-•--- z Z— � ;�> r • • COMPLETE THIS SECTION. ■ Complete items 1_,2,and 3.Also complete A. Sign item 4 if Restricted Delivery is desired. A N Print your name and address on the reverse -- Addressee so that we can return the card to you. B vedpx4firated Name C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from m ❑Yes if YES,enter delivery address below: ❑No 3. S e Type /1 tea.•+. / Certified Mail q Express Mail ❑ Registered ❑Return Receipt for Merchandise ❑Insured Mail. ❑C.O.D. (D� 32, 4. Restricted Delivery?(Extra Fee) ❑ Yes 2. Article Number (rransfer from service label) !` 11;17 0 Oti3 j P 5 W 0 Q Q5 12 5'A 4; 6 9 7i9 PS Form 3811,August 2001. Domestic Return Receipt 2ACPRI-03-P-4081 UNITED STATES POSTAL SERVICE First-Class Mall tF, � n. Postage_&Fee-Paid. USPS Permit No-G1D--_ • Sender. Please print your ame, address,ad--,ZIP+4 to this�box • COMPLETE •N COMPLETE THISSECTIONONDELIVERY ■ Complete items 1_;2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X [3Agent o Print your name and address on the reverse c��-�13 Addressee so that we can return the card to you. tit`" ® Attach this card to the back of the mail iece, B. Reserved by(Printed Nam)Goof Delivery or on the front if space permits. p V ' �\ D.Is delivery address different 4om item? ❑Y 1. Article'Addressed to: t I if YES,enter delivery address below: ❑N N �J ..3 �i 4• ����5��, 3. Service Type ❑Certified Mail ❑Express Mail -3'�/ ! ❑ Registered ❑ Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ Yes 2. Article Number Y. (Transfer from service label) i�i i r i_R 0 31[0 5i0 01-1 0 0 0 5 i 42 5;8 4 i 99 0 0 1111 � PS Form 3811,August 2001 Domestic Return Receipt .2ACPRi-03-P-4081 low UNITED STATES POSTAL SERVI ;) ^Fitt-gass. ---Meq G ;N. .; ._,., Postage.$,Fees Paid LISPS.., I Permft No.G16 • Sender. Please print you'name,address, and ZIP+4 in this box • X1142ZZ �8 �91�6-R 1 04 4 zz'f I I I COMPLETE •N COMPLETE THIS SECTIONON DELIVERY N Complete items 1,2,and 3.Also.complete A. 'gnature item 4 if Restricted Delivery is desired. �� ❑Agent X ® Print your name and address on the reverse Addressee so that we can return the card to you. B. Received by(Primed Name) 7i�, of Delivery ® Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D.Is delivery address different from item 1? ❑Yes ,41 S;Fenter delivery address below: ❑No We /� \ 3�Service Type•. 4A 0-Certified Mail [3 Express Mail ❑Registered ❑ Return Receipt for Merchandise I ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes `2. Article Number (Transfer from service label) t'' `• 7 0 0 3 =0 5 0 0 0 0 0'5 2--5 8 4 6 917 ^� Ps Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-P-4091 t UNITED STATES POSTAL SERVICE<,, �S �" Fir cs aass noel-- p' Postage 81fees Paid USPP&MIt No.G-10 ., t 2.i CCU • Sender. Please print your_na'me address, and ZtP+4 in this box • III fill 1111JI111I111.1.111111 is Ad Ill 11 11 It*oil llil,111ta Ill - 51END' ER: COMPLETE 'THIS SECTION -COMPLETE THIS SECTION ON DEL VERY, • Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X _ Agent ® Print your name and address on the reverse _ Addressee so that we can return the card to you. eived by(Pr' Name) C. Date of Delivery ® Attach this card to the back of the mailpiece, < �9 or on the front if space permits. D. Is delivery address different ro Rem 1? ❑Yes 1`. Article Addressed to: If YES,enter delivery address below: ❑No 3. Service Type ❑Certified Mail ❑Express Mail V , / ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (rransfer from service iaben 7003 050n n005 2585„0457 PS Form 3811,August 2001 Domestic Return Receipt 102 - -M-154o UNITED STATES POSTAL SERVI .E.--, FirsL-Cipps Mail -P-Qswaq&F668'Paid USIRS • Sender: Please p'rintyour name, address, and ZIP+4 in 4 V E Complete items 1,2,and 3.Also complete A. Sign ure item 4 if Restricted Delivery is desired. El ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. D to f elivery ■ Attach this card to the back of the mailpiece, e . or on the front if space permits. 5VON Q D. Is deliv address different from item 1? El Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No '71� �4; 3. Service Type ❑Certified Mail ❑Express Mail (flyd ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number - 9 (Transfer from service label) #7 0;0 3 0 5 0 40. 0 0 0 5 ;2 S 8 5 0 4 3 3 PS Form 3811,August 2001 Domestid`Return Receipt ,102595-02-M-1540 i UNITED STATES POSTAL SERVI .�stClass Mail e C, r,N _ PQaMge&Fees'Paid _ lJSP5 .. +1 Permit No:G-94' • Sender: Pleas #ir ypor rime, address; d ZIP+4 in this box• 14ZZ RoA� SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ONDELIVERY ■ Complete items 1,2,and 3.Also complete A. Sign item 4 if Restricted Delivery is desired. X ❑Agent ® Print your name and address on the reverse ,;)A; ❑Addressee so that we can return the card to you. "CIP', eceippd by(Print d N e) C. ate of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. J 1. Article Addressed to: D. Is dgPery add r j ifferent fro item 1? ❑Yes If Y ,enter 1 ry addres below: ❑No cl- 3. Service Type ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from service/abeq ; , ;7 p; 3 a 5.a a ; 0 5..2 5 8 5, 0.4 4,0 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVI® N u First-Class Mail Postaoe;&Fees Paid :7 I'/ lJ'; USES ,rF. Permit No,, 10.. ZI I^ �a • Sender: Please print yourlebme, address, and ZIP+4 in this box• �f/ I I � I I I c�%,�',�o�✓ IlaCL 29 I III!!1!{Id;{�{!#dii�l{�l13t!],{{!I!1!!#l�11�1EElilfll3iE#{dl�� i pU roe,_ DATE: FEE: BARNSPABLE, - MASS. �A 039. � REC. BY Town of Barnstable SCHED. DATE: Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORNI LOCATION Property Address: S� / WAJi - 4 A Assessor's Map and Parcel Number:/!72 P 1lO Z 2//„Z Size of Lot: O S/l t01Q Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: APPLICANT'S NVYIE: „/ L✓FJn/A'lAn/ Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: Name: Address:Se 1 ,4 (fin/r/r�✓,' Address: t �iQ✓// /? '�'02(o_3Z AS S Phone: �j O —�� n Phone:6c )/ ,�j —G�� O VARIANCE FROM REGULATION aist Reg.) REASON FOR VARIANCE(May attach' more space needed) % •�o�7� F <F - / ' .�E9GFl r H �t H t o 2 ZZ NATURE OF WORK: House Addition 00000 House Renovation va ' Elo Repair of Failed Septic System Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of the completed variance request form 1 Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request 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) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Summer Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Q:\HEALTH\WPFILES\VARIREQ.DOC ,Q'�fi -�- � ��� �� r Helen Weinman PO Box 445 W. Hyannisport, MA 02672 September 8, 2003 Re: Residence, 59 Pheasant Way, Centerville, MA To Whom It May Concern: Please be advised that I authorize Stetson Hall,to represent me in any proceedings, filings, or other matters with the Town of.Barnstable with regard to the new, proposed septic system and addition to my residence at 59 Pheasant Way, Centerville. Thank you. 1 1 , Helen Weinman CD �3 �e w ti 2 T ti r O X � O o V NEW ADDITION FIRST FLOOR ONLY NEW PATIO EXISTING DINING NEW KITCHEN -- LIMING AREA NEW ' DECK AREA 1 EXISTING KITCHEN i i i i i EXISTING POYER a EXISTIon BATH/ LAUNDRY EXISTING T.V./OPPICE AREA WEIMAN RESIDENCE PROPOSED ADDITIONS FOOTPRINT CENTERVILLE. MA AUGUST 15, 2003 SCALE: 1/8°=1'-O" I I -------------------------------------------------------------- ° b t NEW 136° PATIO ABOVE CRAWL SPACE W/ DUST CAP b NEW ADDITION a O i 0 NEW ADDITION s EXISTING DECK AREA IK EXISTING CONDITIONS I I WEINMAN RESIDENCE PROPOSED CONDITIONS CENTERVILLE, MA SEPTEMBER 15. 2003 . - i------------ . _-- _____________ _____-____ i I ii 1 BTORAG! 1`Or'I I ii Ii I EASEMENT STORAGE i �I I i 1 it AC .. ""-"' STORAGE i _ IITIUTIES I i , ---------------------------G i I CAR GARAGE WEINMAN RESIDENCE EXISTING CONDITIONS CENTERVILLE, MA SEPT. is, 2003 i SCALE: 1/8"=I'-O" I i � I I � GARAGE LEVEL � m ' °mm { xz Om x o Tm mZ I >� � 70 i i i i i ; r m no _0 i mi z a� i zp 1 0 O Ox i - � za E i Pz i P m_ m Z o �, nN - - N min D � mm�o Z n �m<(1 7Q r ca m pw3� <m ix 7Q Dz m 'X ao N /z� �� \! Mi A= AC DC m ------ — ----------------=------------, { --------------------------------------- { { ; ; i I -----, ------------�{ c EXISTING 1 { r BELOW - - { { ---------- EXISTNG EXISTING BEDROOM Y3 MASTER BEDROOM 83 E HALL G _ n ow _ BATH EXISTING -gnaw---- BEDROOM .1 EXISTING H ----I D O -----------! -= ------ WEINMAN RESIDENCE EXISTING CONDITIONS 1 CENTERVILLE, MA SEPT. 15, 2003 I r ---=-----------------------------------------t ----------- --------------------------------------------------- SECOND FLOOR + + j a$ 11 - 6 1#3008 228 8 -- � I39 US # 27 � 00 #7 p ] 208- 3 Cl 22 IO #n #130-- n 0' — --- / #1: zze 11°3-002 8 270 J #rFT , w0 3 �02 _❑ _ ---- "13 115 004 � # #31 [ M13 0 �. o __ - r ,is 00 / I. pd N'M 36/ 1 "1 50 #75 — — 1 r6]1 � AL -AL '\'V' 8 15 I 3 #dl 56 (Tl !�, t 201 /f \ Mw?27� � AL 43 — _/J Ilap2W ,j . 471r= T - t; 155 r a ;/ 2 f 4 16' .: oo �N6 AL #ss �2m Mnn7 dd�� #ls ---- ; 164 / 227 i { - YT__J. 166 ;5 � - I� C7 .b� MRM AL #ds , #� 17 I 172 1 —_— 's 411 — �� °227 AL :MAP 207 PARCEL 162 " SCALE: V=200' w E DIRECT ABUTTERS *NOTE: Planimetrics,topography,and **NOTE: The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James vegetation were mapped to meet National of property boundaries.They are not true locations,and W.Sewall Company. Topography and vegetation were interpreted from 1989 aerial photographs by GEOD Map Accuracy Standards at a scale of do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Mop Accuracy Standards 1 =100'. on the map. at o scale of V=100'. Parcel lines were digitized from FY2003 Town of Barnstable Assessor's tax maps. L i No. !77 Fee L THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Digpogal *pgtem Construction 3permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. e,;'g Owner's Name,Address and Tel.No. Assessor's Map/Parcel047-&,?Vi��C /- �%-i C�� �' /�L L KV Installer's Name,Address,and Tel.No. 'rj' �j'-�(p y0. Designer's Name,Address and Tel.No. Wir WI-Z. 7 fib^! Z flgCL -S� �fS GLS'reeve Ile-w.3e�Rjc C �Lr it/ E� W/ Ff /r (P ' Type of Building: 3F-X o'D`C'cvT A L Dwelling No.of Bedrooms _ Lot Size`-?yQ—sq.ft. Garbage Grinder 610) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 4V0 gallons per day. Calculated daily flow gallons. Plan Date JEZJi 1997 Number of sheets I Revision Date Title_4�i72 s-� �✓ �i F`�J Size of Septic Tank �O O Type of S.A.S...3- - ®oe5w'9L 164CW CAna&W�✓� Description of Soil ®-��"�Pvar✓.�� 0�%►2' /��-.3�" �/�t,/a�� �, J ��d �P,t'� Nature of Repairs or Alterations(Answer when ap licable) Q Al i C ,1-. `r-'°7-6 3' x 33 S- ' X U.&I'i Y /?NJ ve r-P- d 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 a Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been Wis !edZ t 's d f He It Signed Date Application Approved by Date Application Disapproved for th following reasons Permit No. - 7 7D t.r Date Issued { TOWN F BARNSTABLE 9 7-70 y ocATTON Z� ih6 e/ rGt- - / SEWAGE #' � VILLAGE 0.57 -1111d' r ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. �I��o ! ..:SEPTIC TANK CAPACITY /1000 Ga .LEACHING FACIL]TY: (type)f yo Lg( t!.-oc 4 0,,t„ (size)' /3 NO.OF BEDROOMS ". :BUILDER OR _. ` PERMTTDATE: � �- I Z ` COMPLIANCE DATE: -Z ...::,Separation Distance Between the: i 4 `lvlaximum Adjusted Groundwater Table and Bottom of Leaching Facility S 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 � i � r { -4. ��T' { No. ©(. Fee Z. . THE COMMONWEALTH OF MASSACHUSETTS b Entered in computer: ' Yes PUBLIC HEALTH,DIV;ISION -TOWN OF BARNSTABLE., MASSACHUSETTS' ZIPPrication for Mitpotar,*p5tem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �qjy/ ��� Owner's Name,Address and Tel.No. —7 �v G1STFC'Vi LSE, /YL�- �f j-�T•�O,J ,� 1 L L Assessor's Map/Parcel / D ,C,-L / ?- c r� CSi ✓i/� 4k O ,165S Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. y2r�—G Type of Building: 3E1f1b--N7-,M_ Dwelling No.of Bedrooms _ Lot Size?9 l/D sq. ft. Garbage Grinder 410) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 4V0 gallons per day. Calculated daily flow gallons. Plan Date arm(',j' /%%7 Number of sheets ` Revision Date Title�iT� �.C�a..J �=n �.l'i FT�f yaJ v SAn/f , �G1L L Size of Septic Tank(E r rS 7 1006 C�LLOn/ r Type of S.A.S.3- -�ao lT.,JL 11-4e l L*_ArrB5P.t'�✓l 4 r o r-..r7aa✓.E. Description of Soil (9—J�r`�Pr1n/��.��nn 7' /2 r-3�" �l/7w,/�� 4��J 2dy.. — yy'r eal.ne f r— ?2 ✓OA"' !T<y_L Nature of Repairs or Alterations(Answer when applicable) U 7- `7b ? x 33.S k2 CA( - gym?,F C.Cf v- n�,✓� 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 is Vy t `s oard f He It Signed ! Date Application Approved by _ . ..._ Date Application-Disapproved for�ollowing reasons r Permit No. /p 7 - -70 L/ Date Issued r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS 4 Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(7C)Upgraded Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. - 70 dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector ——————————————————————————————————————— No. a 5 Fee 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Migpogal *p5tem Construction Permit Permission is hereby granted to Construct( )Repair(%�<)Upgrade( )Abandon( ) System located at R_ 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 this p r lit Date: - L/ - Approved by a� � 6L31 1 NCT G✓��� �Ly_! Ida P pf I rJJ //� � P rsL d-B � TP aF y�.G�1 fj./1��,� /S��E�� Fl�'[�� �v✓rti/ lJlc^,ts�'�n��A�� .�L�•9�?� �--� . 1 ,�� / p� ��t L�R�►' �f � + � Z �TLA�r/'��� '-T�E /Gk��- �, ,���,�� \r-�c T/�.,�/. 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(ONLY)/ 9"MIN , LEACHING TRENClf (�i EQ. P.VC.PIPE MIN. 3S I'fTCH 1/•4`P*�t.FL PIPE-MIN. _ -�N t,,Attmv S1�OM MAX. I PITCH 1/4 P�.F7. ;.- y ;. x-- 4- 1 � � « lr► ,eke•«.•1 'O.i�<�',)�n� ✓e tr. `� I4IVFRT 3AS BAFFLE INVERT " SEPTIC TANK ��-' o ���.��:. t�k� � \ j `.• 1hTVErZT INVER DI$ INvER GAL.. Z; i v✓c�T J l 7 ��c �lL,/oh/�✓ �� ,�0� `•� ', ` ;,� — £ .P. P.. ®4X ? .`: ✓c iyasa�� lS,of CRUSHED ON ROM LE r a •1 �, • • tfi�, �� \ � ..•-�.''~��' w :..-- 4c:f,�,.� + .� •..•.., /C? .�/ SEWAGE DISPOSAL SYSTEM7'Ti.c� OUNa WATER T�. DEL//_.2 ' 1 r .�.+ - SOIL LOGNO SCALE t ` � ,�� w �'�,�,,.,..��" �.,,.. ' / DATi•.�lJllfL,`:�,.?Q�'1`I1if� .�P...G�QC`�'.� TEST Y!O TEST' HOLE 2 >:L v =L.Ev. .. . . .. . ... D ES I G i� DATA ,AiD.4 ;+4+y. - + �., w•+ { 4 ,�A,�1 lv A� ..:, r•.J'i .ri+.• -��' �'V1,2.. BE NUMBER OF OROO P �j �98! �ti::� '�,, ; • . � � u ._ 1 . -•-"" � ,� - G�/�t'0�"��'[ _ .�S TOTAL ESTIM--.ED PLOW GALLONS/DAY [. Q 7_4239 _ /" '� E�i 6 8 T%�C eToM LAC"1NG AREA ....�1A.... so.r t./ �Ncrt G o ' SIDE LEACHING AREA y�i.4 . . SQ.r t./iR�fC}i . , GARBAGE DISPOSAL .. .IYO ..t'50% AREA INCREASE) 10 09 G C �trE TOTAL LEACHING AREA . .. .�.7.Q.... sa.. G, w; -f41 �t,�.✓a PERCOLATION RAT;- . . .5�.': ^!/r -P_R. INCH t, . .4X-*lk4 9 LJ4C.'11NG AREA PER PERCOLATION PAi c11,9Sf1. S.?.FT. G 7� X . 7-01 /rPU ZA UGC .z.� Z � APPROVED BOARD OF KEA Tli ./A.WATER ENCOUN,-R---D .,v✓- o��r3 9i' 9.(S'"A1`�✓� i�✓,aT Fc'� ` c a ' AGENT OR WITNESSED BY : a3 Cwv�z) SETO BOARD OF FEALT}i R ; C7l�f.�•. ����, A EN . . . . . . . . . . . . . . . . . . . . , cn .� . . . . . . . . . . . P_,IT ION;R � �- ,�j,-•� � EVAL\3 DEEP OBSEPVATIONHOLE LOG SITE PLAN 59 PHEASANT WAYS CENTEPOLLE, MA , FOR HE•L EN E. 1/�EI N MA N o iaY" 3/� — GAL �'��rt' 7,'.�0�,,✓ -57 OF EDVVAPD - A ELLEY y o. 26100 �Q ' ST E��� LL LACE`'" �'TE7�on/ �9LL /�°•.S` i, 3 .4 R 1 ,945.r/C- . 6..•%� /9.s d0 f' r�✓i i 7;4 E �i�s a�So/✓" - ,�.C�.✓ .mac c.�.5's'_ ft !r 40 7, C7 47- &q /1�C`Cit/is/j jf CGS Ci, L3E-=%S:.T. �..:,PI.S-f"n �r•' e'-V v ' F Gi�✓s 3-S� x /off ,(�.,Q�N � -" _,•, -- _ ._-_ -- i -✓rCT\ 8E /Jo✓e.t�'ij ��/Y�►/n/ `� ;a r .: e !�lJn/.�F� fan/ /�t!'J<YJ/"G v r f 'Z1413/' D l..S T ccyy ��i } M a '� ,_ .3�::+�:.�.�.'.M.:B: "�%r.:-..y:;�..s,�G:.L=.,.f4Y.1y: :.Ti.'SWFi:,G;.y7 ESL• , " f �T TOP OF FOUNDATION tl •' COPlCRE i cc COVERS 4"CAST IRON 9�.• '_ _. , .,, ,,. , OR SCHEDULE 40 _ 4"SCHEDULE 40 P.V.C. (ONLY) 9'MIN . LEACHING TRENCH (1 )RED. } „ P.V.C. PIPE MIN. I/8"- I/2" WASHED STONE . PIPE-hi IN. 36 MAX. PITCH I/4"PER-FT 2,. i, PITCH 1/4 PER.FT _,« ..Y,_.._ _ ,. -.. _ .,.y - ., f, v'0 EN ETT fi x/STn/G INVEPT INV_RT, � ,q [�'�i Ll'rO 'LQI Q m- - ' ro. 24„ "' SEPTIC TANK EL.�t.Z-r ©IOX EL?�T? - . o;�[�;o;Q;;o�''br� r��p% .,✓✓u ; S INVERT r /a�4... GAL.. INV-cR7 _ 9Sd r t EL•y�.a•--•• EL�s9'1 I?a1EP} ,Precast 500GaI.Leach 3/4'-11/2 -/ } y� . ' 6' CRUSHED STONE0. EL✓/��'`l (3) REO. Chamber WASHED STONE , SITE PLAN CSTER `/IL_ LE� MA , I�r ' ..33..�- L',t PI\O[ �LE o �f, of Ti"zT'f�oJi� /✓O GROUND WATER TABLE Cn/c SEWAGE DISPOSAL SYSTEYI F FC/R SOIL LOG T Y?IC�1L CROSS SECTION } E DATE .1�/�/�/.7... TI�+tE ..P4:'�.� NO SCALE LEACHING TRENCH ; NO SC-4LE TEST HOLE 1 TEST HOLE 2 � T c T Q \ , U IDESIGN DATAS / ! / S ON l.t Jul ,NE HALL L L ELEV. .y7'a . .. . . EL EV. -_ 9-",diN• WASHED 36"MAX. x Y r,i ?;= C= ?OCh;sJNE 2n y TOTAL ESTIMATED FLOW .. . . ..%W4. •• GALLONS/DAY 8" y< , t 39 CL 96.D 6C,TiOM L=AC:i1NG AREA ..9 Qrs`t�. SQ.FT./inENCH C ,, D,'E: r 24„ + Coy%.a ��9�✓� Si DE LEACHING AREA . , . �° SOFT./TRENCH I C41 / i �O� �F� f'7G--L1 /%97 /C�/Z�/�jt GARBAGE DIS?OSA 4f L . .Zv�q . ..(50% AREA INCREASE) 711 y n?EG .1q�✓.� TOTAL L=ACH;N^u AREA . .. ! 2 SO.:-T.7/� PERCOLATION . RATE . _ . . ... . .2.!1!'✓. PER.IN?c 1 /? i �. LEACHING AREA PER PERCOLATION RATE � .�--'_,, "• /VG GROUND WATER i.-.?LE F'Nc t /�� ��-�6•a APPROVED .. . . . . . . . . . . . .. EOARD OF HEALTH— — -- — — — — — " Na.WATER ENCOUNTERED E DATE ... . . .. AAA, S - ✓i,�G r �' � D2���-- AGENT 01 INsaECTO �yt ` WITNESSED BY s BOARD Or HEALTH FNGINEE.R . . . • r a' - . . . . S ' AED SANS e r PETITIONER • O�o�vv13 -4 VA t °r 3 S -� �„•«.--r...r.man n•n�r �c. ,:-.-f .r. �r. _.,,,,.:. -r ,v:,;..q,,.•w..<:,, ;,y.r.,.;-x>s,.. r, v., •z z., ,+,,. r m _ :*w .. ._. .. _ .. " _.-M:,....- .,.. ,-_._: .,. �_ � l�t .�§t«�e++M'w�''ar �• r+aw!au,. 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