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0835 SEA VIEW AVENUE - Health
n3S SeaV1ew Ave USWrville A=. 113 -002 - 002 w e No. 9 0 1 D — 6 10 Femme S THE CGWM01 WEALTH OF MASSACHUSE-rii Entered in computer: s PUBLIC HEAL H DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for Vspoi sal *pstrm ConstrUttion Permit Application for a Permit to Construct(,ICJ Repair( ) Upgrade( ) Abandon( ) '®Complete System ❑Individual Components Location Address or Lot No. 835 S cc2 Ui cw Avt, Owner's Name,Address,and Tel.No. A-J, kkwvw�f j 1`rs, os7 rove rLe 141 Sov-dh l3zac4 IZv-el Assessor's Map/Parcel M&o 1 d3 P;vr,,_f 0oz—go-z- /-lu bG Installer's Name.Address,and Tel.No. rates Designer's Name,Address,and Tel.N .v'©9 7•,7f7sf'Z 7 �� .� I' ��. �Ll1i1ti� i I�oa��� wee 17�t�J-J c3Z�iCJ6 Type of Building: Dwelling No.of Bedrooms Z-c Lot'Size 3L1 7 sq.ft. Garbage Grinder W) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) P;�O 'gpd Design flow provided gpd Plan Date 12 1 Z i l Zo 11 Number of sheets Revision Date ®� Title /ac.- � Size of Septic Tank �/ S a� Type of S.A.S. �ce-e-k 19 Description of Soil P° 1 -01 Nature of Repairs or Alterations(Answer when applicable) t 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 Environmenta a not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. N e Date Application Approved by Date Application Disapproved byV Date a for the following reasons O ..r Permit No. '.;Z O i 0 Date Issued t Y�/.� '' _ , �.. '•r �-�-/}d�'.r1vr4'_.- ,r.s.�,,,- .,.«'r--..�. "— , y»..� -- ,rti-.-e...a-a♦ - � , - .h+r.. ` ' No. U f V..„ 1 ti ee putor: >s Fee x rEntered in com THE CW11fiONWEALTH OF MASSACHUSETI. ` PUBLIC HE_ AL H DIVISION ' TOWN OF BARNSTABLE, MASSACHUSETTS 4-- plicatlon for 3kspo8albpstr CXonstrurtion 3pQrmit Application for a Permit to Construct Repair( ) Upgrade( ) Abandon( ) '1 tComplete System ❑Individual Components Location Address or Lot No. 93$ Jca.vices Avt• Owner's Name,Address,and Tel.No. A-7, ktwvd j Trg, Oskv-v r rt e I y 11 5ov4h 73c,oc b Assessor's Map/Parcel M& 1 1_3 Eovrc-I COZ-002- Yoke •Sent/, 33�gS Installer's Name Address,and Tel.No. l�-A44u S M Designer's Name,Address,and Tel.N .S09--77/- 75*.OZ gd AA-4 W C.0^I S Sd-=pk�,.,-, 40i/S� J� //_?c,-A -Alce - 77 f- `93gs �^_ .tn S 7$ 'Nor-" Srr- H ohrirs 0:2 6,0/ Type of Building: Dwelling No.of Bedrooms Cry (./. Lot Size !k!r $4K7 sq.ft. Garbage Grinder WO) r Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other;Fixtures Design Flow(min.required) � . ' a80 gpd Design flow provided 1.��7 gpd P Plan Date Z Number of sheets ° p \Revision Date Z. Title S c.,0 he Sys �— Size of Septic Tank 6 ll g - Type of S.A.S. j4Lcc,4rAs r%ltawher - 121X71,--I X ZI h4 Description of Soil Vl! I yt:o_''-Z V e 1-L'r 1 S! er-j- P-1 30 ctg4r i `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 not to place the system in operation until a Certificate of 1 Compliance has been issued by this Board of Health. N v ;Rg e Date 1-1 7 16..- A Application Approved by Date r O Application Disapproved b Date for the following reasons N Permit No. D O I a Date Issued ,S� ------------------- 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 ( 0 A_-X7t V,P_M CA�A r) at 3 S_ t a'v, r tr W ni fle n„11V has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.d o Id w� dated Installer t Xl( I G� � Designer #bedrooms Approved design flow O �U gpd The issuance of this permit shallnot .e const ed as a guarantee that the system wil'1`funct'i o as esi�te dd. Date - / ` Inspector, No. a 0 / a - 0/ if Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposaf 6pstetn Construction i9ermitT Permission is hereby granted to Construct y) Repair( ) f_ /Upgrade( ) Abandon � ( ) �» System located at _� P H W �er n G �( and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. '�Pr-ovided:Construc ion must be completed within three years of the date of this permit. t/ ` Date Lot e1--- Approved by / �' j TOWN OF BARNSTABLE LOCATION J� StA V t!•W AVL SEWAGE# VILLAGE D STP ryilb, ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY S Pm I LEACHING FACILITY.(type) C r SSPUQ I S (size) NO.OF BEDROOMS aI ((�� OWNER (Aj �IIAnn COPPIA PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) J I Feet FURNISHED BY��rpe,c,Tion �mdsra� A' _ oe`k Q'\L SAC k a .sy c0 I 4 TOWN OF BARNSTABLE LOCATIONS Ss V i r_ Li� S SEWAGE# 4�� -66 'VILLAGE_(� �'1�/ie�� ASSESSOR'S MAP&PARCEL l➢3 QP, 00-1— INSTALLER'S NAME&PHONE NO. � ;n za 6 t-D o e➢ Gm a '?'7 ➢- SEPTIC TANK CAPACITY � v I LEACHING FACILITY:(type) ° d iZZKC-[4-- (size) -1 aC i NO.OF BEDROOMS I® C,L L ez OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 5 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) JV Feet FURNISHED BY t a p ,gym c Ys l; V3 s I � lisi 3 i DEC-21-2012 14:20 From:BORT OTTI CONST 5084289399 To:15087717622 P..1/1 Town of Barnstable Reg,,latvr.y Services Thomas F. Geiler,Director Public Health Division KAM 1 Thomas McKean,Director ZOO Main Street, Hyannis,MA 02601. ICC: -508,86 Fox, 508-79i304 Duce:�.iz-L2- t2 Sewage Permit# �,eii2,-=I,ch Assessor's Map/Parce 113Z Installer&>i)esiancr: ertifientiou Form Designer: �' .O&a A . [J.1�.. _'P�. Installer: 240t k+ Address: ',M Add'res : On 1^(date) a sZ 2=ZC +rt1{ffi (. + was issued a.permit to install a septic system ai @ 1 S 6 c 9 . Q„ 0jllg based on a design drawn by (address) — dated q-f 1 t Z d signer 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- jtt by designer to follow. Stripout(if require ectcd and the soils Weretisfa<tcry. ��w OF MASS cy 9 p STEPHEN G ALLYN m' {It2S 1j7rj Signature v W6LSON ` No.30216 A�O,F9F61STE�� S�nCr's Signature X ere PLEASF_a�' 10 13A]EtNLI ABLE p M��T r�MSTON. CERTIF'ICAXX OF ClClll1�6 LIANCE W,IGIJI�,_ O .BF ISSUEDCTNTII��34�T L'1" CS__FQ . AND AS+- z'e, BUMT CARD ARE ItECEM RY TFlE BAlt NSTAB]LaE I?L113LIC T3EAI.TH i?T1ISION. JE AM YOU. q:laMm for=Wwjparz4mf►eattw encm doe 66 4 Off Talty - Barnstable Town of Barnstable . . n�-am�i�acw f anxivsrnstie MAS& Board of Health . 200 Main Street,Hyannis MA 02601 2007- Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi November 29, 2012 Mr. Barry Lehman c/o Mr. Dave Marshall P.O. Box 626 ; Osterville, MA 02655 RE Temporary Taller at 835 Sea'V Avenue, Ostervllle A 113 002 002 Dear Mr. Lehman; You are grantedpermission, on behalf of your client, Amin Khoury, to utilize a temporary trailer at 835 Sea ViewAvenue Osterville, with the following conditions: , (1) An alarm shall be installed at the 250 gallon.capacity holding/tight tank. (2) The applicant shall provide the Health Division specs for the construction of the proposed holding/tight tank and alarm system: (3) The tank"shall be pumped as often as necessary to ensure that there are no sewage overflows. The applicant shall submit weekly pumping records to'the Public.Health Division. (4) The trailer and holding/tight tank shall be removed on or before September 15, 2012. . This temporary permission is granted because, in the opinion of the Board, the chance of any environmental contamination from this proposed use is very low.. The residents will not be staying overnight: All toilet wastes will be discharged ' into a properly designed monolithic holding tank, constructed of low density polyethylene resin and U.V. inhibitors to protect against ultraviolet deterioration. The holding tank will be alarmed and will be pumped.out as often as necessary Jo ens re that there will be no illegal discharges. Sinc ely your W ne i le , .D.,Chairman QAWPFILE TemporaryTrailer2012.doc 1 � � S AMIN J. KHOURY 1400 CORPORATE CENTER WAY T{` WELLINGTON, FL 33414 TELEPHONE (561) 791-5000 /S �Q fi`Q/►"" FACSIMILE (561) 791-4402 �J �.p . June 12, 2012 it, f -- Mr. Thomas McKean, Director , Town of Barnstable Regulatory Services -bog o g Health Division ��� 7/1® �2 200 Main Street Hyannis, MA 02601 Mr. Thomas Perry, Commissioner Town of Barnstable Regulatory Services Building Division 200 Main Street , Hyannis, MA 02601 RE: Temporary trailer to be placed at 835 Sea View Ave. in Osterville Dear Mr. McKean and Mr. Perry: , I apologize for any confusion that my representatives may have caused you but I am respectfully asking for permission to place a small 16 foot by 30 foot temporary trailer on my Sea View Ave. property from the middle of June until the middle of September. Since my new home will not be completed this year, I was hoping to provide facilities for my wife and her elderly mother to X'f enjoy the beach in front of my property this summer. The trailer that I have rented has a full bathroom in it which will be serviced by a 150 gallon waste tank that I will have pumped as necessary. The trailer does not have any sleeping accommodations so it will never be used overnight. My mother in law, my wife, and I live at Wiliowbend during the summer so it is a very short drive over to Sea View Ave. property. I understand that I or my representatives will need to appear at a formal hearing before the Board of Health on July 10, 2012, to ask for further permission to utilize this trailer for the summer. If permission is not granted for whatever reason, I will have the trailer removed immediately after the hearing. Thanking you in advance for your consideration. . Sin erely, in Kho , Y �OpIME DATE: ti y�P O•n �q t l� TOWN Q� t t�STAIBIL FEE: * BA KASS.LE, * r 9 MASS. 01 . .i639. REC. BY aTED MA1 A s el "v t 9 fit`i 3 Town of BafnSA Me SCFIEI). DATE: U ZD1Z Board of Health ('�r�lf�.'�� ,1 200 MaiA f(Iet C nnis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. LOCATION Property Address: ��� �- dAPi Assessor's Map and Parcel Number:, �� ''.YxJ2+! � Size of Lot: Wetlands Within 300 Ft. Yes Y Business Name: No Subdivision Name: APPLICANT'S NAME: j//Zj � ,dS Phone C �5 Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON' 1-e 1b) LQ.t�, Name: Xt'A Name: f .4�e-�e— ioei. � Address: t.? G Address: Pe�) Phone: c✓t� Phone: � Lp �' '`f,J VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space ne ed) NATURE OF WORK House Addition House Retzeit-0 Repair of Fatled Septic System ❑ �� Checklist (to be completed by office.staff-person receiving variance.request.application)' , Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance'request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer�re'gistered sanitarian 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 applteant s dense (for Title V and/or local sewage regulation variances only) .a Full menu submitted(for grease trap variance requests only) j[ 1�p Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owng�/lessee, y], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no ev nsior to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:.\cache\Temporary Internet Files\OLKAE\.VARIREQ.DOC MAIL-IN REQUESTS Please mail the completed variance application form to the address below. Also include four copies of engineering plans, house plans, authorization letter, etc. (see check-list below). In addition, please include the required fee amount (see fees at bottom of this page). Make $95.00 check payable to: Town of Barnstable. Our mailing address is: Town of.Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Checklist _ Four(4)copies of the completed varianc quest form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian 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 applicants expense(for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) $95.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/lessee only], outside dining variance renewals [same owner/lessee 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 -.,FOR FAXED REQUESTS -Our fax'nu'mber is (508) 790-6304. Please fax a•completed application form. Also, you must mail, the required $95.00 fee. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. In addition, please mail four copies of engineered plans, house plans, authorization letter, etc. (see check-list below): Checklist _ Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by the submitting engineer or registered sanitarian 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) $95.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals.[same owner/lessee only), outside dining variance renewals [same owner/lessee 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 • III c For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page. J Jul 0312 02:26p Ogilvie Corporation (508)420-7219 p.2 ANIIN J. KIJO RY 1400 CORPOR_LTE CENTER WAY WEGLITVGTOti,FL 83f13 TELFPROIE 4561)791.3040 FACSIMKLE 4561) 791-1402 July 2, 2012 Town of Barnstable Hoard of Health 357 Main Street Hyannis, MA 02501 y RE: Board of Health Item -835 Sea View Avenue ` Dear Members of the Beard of Health, Please be advises that Barry Lehman, owner of Marston Mills Custom Homes, LLC is authorized to represent me at the Board of Heath hearing scheduled for July 10, 2012 to discuss the temporary trailer located on my property at 835 Sea View Avenue, Osterville. Sincerely, Amin J. Khoury / Jul 0312 02:26p Ogilvie Corporation (508)420-7219 p.1 MARSTONS MILLS CUSTOM HOMES, LLC DR. BARRY A. LEHMAN P.O. BOX 626 OSTERVILLE, MA 02655 Phone: (561) 866-6142 Fax: (508)420-7219 Email: balC.ogilviesmch.com FAX NUMBER OFPAGESINCLUDING COVER: 2 TO: Board of Health COMPANY: Town of Barnstable Phone: Fax: (508) 790-6304 FROM: Barry Lehman SUBJECT: Amin Khoury hearing 07/10/12 DATE: . 07/03/12 . MESSAGE: e T., " : c t . F x. 4 e y � $- 3 _ I� ' w 000, { w n _{;-+•e„', ,^x3,,.'rorii .. 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Type of Well �0J-6 Lo" Ca acit Purpose of Well--_- Agreement: The undersigned agrees to install the aforedesc 'beo ' ividual well in accordance with the provisions of The Town of Barnstable Board of Health Private We r e i Regulation - The undersigned further agrees not to place the well in operation until a Ce tificate.o a ce has been issued by the Board of Health Signed -------- - '��� ate Application Approved By _ ze")Z date — ��— Application Disapproved or the following reasons: date Permit No. E'`� 2-® ®1 jD Issued " I ` ��1 _----- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS T CERT , That the Individual Well Constructed (?<Altered ( ), or Repaired ( ) by�-�— — ___-- ----- -- ------ -_---- ----- installer at_-Q I Q� A.ve -------- - - -- ------ - ---- ----- - has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.) L_QtPDated �Z THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A GU E THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE �� Z�l _____ _ Inspector - - tl Dv - No.--2 -- o I t� Fee-- ��------------- BOARD OF HEALTH TOWN OF BARNSTABLE ZipplicationArVef[ Conotructioni3ermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (I/ranindividual Well at: Location — ddress _f� Assessors Map and Parcel t1v Owner Address � o Installer — Driller Address Type of Building Dwelling Other - Type of Building----__--__— No. of Persons--- --- -/ Type of Well Capacity— Purpose of Well-- a/0,)-LU40. 4 -- Agreement: The undersigned agrees to install the aforedesc 'bed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well T etc I Regulation — The undersigned further agrees not to place the well in operation until a Cerpficate.o pha ce has been issued by the Board of Health Si ned g ate Application Approved By —____--_—'" Z`( -2 date Application Disapproved 401r the following reasons: date Permit No. 2 O Z O 1 ---___._---- Issued—����-��_/Z ___--__ date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERT That the Individual Well Constructed (.,), Altered ( ), or Repaired ( ) -----.—^____----------------__..----------------------------------------------- Installer at- 9 35- 5 ) I a�J AM_ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GU T�EE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE Inspector Z _ — -- -- - - - -------�---------------------- ----- -� - - ------------------------- ARD OF HEALTH TOWN OF B KNSTABLE Ivell com9truct ion 3permit . No. — Fee ---— Permission is hereby granted a —-- —-------- —- — to Construct ( �/Alter ( ), or Repair ( ) an Individual Well at: - --_ _—_ _-_ _---- -- --- ------------------------------------ street as shown on the application for a Well Construction Permit No.-1A) Z9 i 7- 0 10 Dated.= � - �= --------------- oard of Health DATE °r1;Od N131vOS�OL'�.IaHty DrB OW w 0 OL //L L HO:— 4heep 0033 w., v phe rq uo. • ° � aN eN °s �+ � H e"v /� .sM. m� - �1 wWN�tnem I'1•, � IWW+ i 1111• \ °x bnx i I� � / - � Irl ` .Y.eN i i C C ma e • / .d t� liwn�msl I /+ - s - Z i I j I I �1 I • i `1.1 YYICNl'=tmOYH PY ffi i e.0�'�� °� ��1 i� ! �1%� c 1� ,m"'� , /1.�=• — + i,V V_ a o.l a:�! odwo Rm :Noe aeerdeNe q ° 1 ,JT" .\ � N6N VW®p (lA®A1'16.O ALpIpY YHll�ll pps_ q rep,p�1,.ppp p .pmL91p11 WEI'J ( � ' l�.i,� nm>tmm.e N>�i mev amM�.v. al/x-Pa M9•Nm a-mm p°m � eW,u.r m'.°.m aN m„pp�. as•epLltlN l01 Iw SOON=nE Was defy snaol N•oauma e�aans oN�a�m.°nLunms�Weamp. prom`w4a'Sl`.C�Ew°Ruo'�o'$'m°sf�°ay* �r Puuon�ieN IDlp p meml pm eA pN p wpa OAWH 5 N]wWpx OeNN h 064uD eNNOWrYOMAY rerMOtle°I eNWNetNAY®YM 'AIY YLHI®-AOpN xNA°mrmmoss NempNpN Nnpeme°®n mwm NnmP. 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Nmwor acplrAr mroo�Nopoe mpwe Ar,moNA h mo/em ONIA3Mns3BONIN33NONAY= ,.f S 1 t ?';r a IreNteu�B'3�£f�..�Gr,"�s/'�x „��r.• ro mwami 'os1dw°mmml'm e'm°ity mm p ml mma.mre m:n a�erle wpe aar empvNm ewm hh • 3AN N31XV8 SMN 1tl11 M Massachusetts Department of Environmental Protection Bureau of Resource Protection - Drinking Water Program VIC Registration Application for Closed- Loop Ground Source Heat Pump Well Registration Category Registration of Underground Discharges to Injection Well(s) ❑ Modification to an Existing UIC Registration ❑ UIC Registration Fee - Exempt For Modifications to an Existing UIC Registration Important: When filling out Check all that apply: ❑ Change of owner , ❑ Change in#of discharge wells forms on the computer,use Enter UIC Registration Number issued by MassDEP for the initial UIC only the tab key Registration(required for modifications): UIC Realseation# to move your cursor-do not A. V Informat�n use the return key. WPrtyme e r"Private Residen "if unnamed) Wu,'p— S Property Street Address Cdy/fownkL�—` State Zip Code B. owner Information Name o ne /y Stre Add/r/esss� CitylTown Sc. State Zip Code I—50 •--�'3�' n Telephone Number Em (o bonal) 1' — C. Registered Well Driller � Well DnII sName M ssDEP Well Driller Certification Number Name of Company I� ` � o� Te ephone Number D. In' ction Well Information Total bar of Wells song plus proposed) Type of Discharge: ❑ Direct Exchange Heat Pump Closed Loop Heat Pump E. Prepare �'finted Name ' Date elep one Number Positio tie (t S Pit _ Email o one) Send a duplicate copy of this form to the local board of health.. uicgshp.doc•06/2010 UIC Registration on eg Application cation for Closed- Loop Ground Source Heat Pump Well•PagetI of 1 JR0 DEPART LATENT OFENN, N.\IENT.kL PROTECTION ,,ASSxC,41jSETTS WELL D_Rjt CERTIFICATE Pursuant to the provisions of N'lassachusetts General Laws Chapter 21G Section 20 Thomas Ogden #552 ............ is authorized to djo- or ch-ill all types of kN e Us in the Cojymionwealdi of Massachusetts dining the period Jan 01, 2012 to Dec 31,2012 Commissioner Designee FOLD R ............................................................................. --------------------------- DETACH CERTIFICATE ABOVE ALONG PERFORATION COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION COMMONWEALTH OF MASS I ACHUSETTS -71 DEPARTMENT OF ENVIRONMENTAL PROTECTION WELL DRILLERS =CATION PROGRAM ;0 CERT.NO. EXPIRES 552 12/31/2012 SIGNED: CAREFULLY PUNCH OUT CARD ABOVE AND PLACE IN YOUR WALLET Parcel Detail http://issgl2/intranet/propdataMucelDetail.aspx?ID=6434 24 I 1990 I $788,6001 $01 $01 S1,501,4001 $2,290,000 Photos i Ot41 ' - http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6434 12/18/2012 Parcel Detail http://issgl2/intranet/propdata/ParceiDetaii.aspx?ID=6434 ' 1 row t .-- r- I http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6434 12/18/2012 I Parcel Detail http://issgl2/intranet/propdatalParce]Detail.aspx?ID=6434 r http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6434 12/18/2012 Parcel Detail http://issgl2/intranet/propdata/ParceiDetaii.aspx?ID=6434 WtA � , ��uur■ d 10 00 http://issgl2/intranet/propdata/ParceiDetail.aspx?ID=6434 12/18/20 l 2 Parcel Detail http://issg12/intranet/propdata/ParcelDetail.aspx?ID=6434 A ARIA 1 4q��' r http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6434 12/18/2012 °F iHME ray Town of Barnstable Barnstable Regulatory Services Department j M,Ca j > STABM 1619 Public Health Division 200 Main Street, Hyannis MA 02601 2007 . Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 70081830000205008628 8/18/2009 William A. Coffin 6642 Walnutwood Circle Baltimore, MD 21212 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 835 Seaview Ave, Osterville MA was last inspected:on May, 15 2009 by James M. Ford, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Single cesspools automatically fail in the Town of Barnstable You have 2 years from the date of the system failure to bring the system into compli C C141` PER O ER OF THE BOARD OF HEALTH `- mas McKean, .S., CIfO•JD-j Agent of the Board of Health Az Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6434 er • jjII,y `` ,� I �(.ram J�i '..^°".""" , ` ' 1 t_T 16��i�{.�Sr r�t�1.�.,t f �.•..� "'%• } _ s �.. - _ yr.w."..cs^ - � r _ y ii �•ltlS1. f ttt� a r i xt dip li�s t� � A; f Logged In As: Parcel Detail Wednesday,August 22 2012 Parcel Lookup Parcel Info Parcel ID.113 0 2020 002 I Developeer LOT 254'&BEACH Location r835 SEA VIEW AVENUE I Pri Frontage I Sec Road F..__ I Sec ! Frontage Village JOSTERVILLE -� �-I Fire District.C-O-MM �I Town sewer exists at this address. No ~I Road Index 1450 I Asbuilt Septic Scan: Interactive '! 113002002_1 - Map -;1 Owner Info owner IKHOURY,AMIN J TR l Co-owner KHOURY CAPE COD R E TRUST I • Streetl 5400 CORPORATE CENTER WAY l Street2 j City t ELLINGTON I State;jFL zip 33414 Country Land Info ' Acres f 66 Use Single Fam MIDL-01 I zoning Ivghbd WL F13 Topography Level I Road Paved I Utilities Pluublic Water,Gas,Septic I Location Waterf ont,Excel View I Construction Info Building 1 of 1 Year, x a !2011 Roof I Gable/Hi Et ��- Wood Shin le �T�rai-?I; Built Struct p I Wall g I Living r10864 I Roof Wood Shin le AC None K Area Cover 9 _. I Type I `— 11 Style.Modern/Contempl Wall Drywall Room wBed all I s 20 f - - - Bath Model Residential I Floor Hardwood I Rooms 19 Full to _ FOP Total Grade,Superior Plus I Type,Geothermal I Rooms I �'�20BAS Stories 12 � Heat "Ground Heat Found Poured Conc-1 Fuel ation ®®� Gross 22779 Area Permit History http://issql2/intranet/propdata/ParcelDetail.aspx?ID=6434 8/22/2012 Parcel Detail http://issgl2/intranet/propdata/ParceiDetail.aspx?ID=6434 Issue Date Purpose Permit# Amount Insp Date Comments • 12/29/2011 Demolish 201106941 $35,000 11/24/2012 12:00:00 DEMO 1 FAM HOME AM 12/8/2011 Dwelling 201106942 $6,000,000 4/6/2012 12:00:00 AM GA 9BTH W/ATT GAR Visit History Date Who Purpose 7/24/2012 12:00:00 AM Nancy Finch r Call Back Next 4/30/2012 12:00:00 AM Denise Radley Change of Address 4/4/2012 12:00:00 AM Robin Benjamin In Office Review 1/24/2012 12:00:00 AM Nancy Finch Sale Review 12/12/2011 12:00:00 AM Denise Radley Change of Address 11/9/2010 12:00:00 AM Denise Radley Change of Address 7/2/2008 12:00:00 AM Tony Podlesney In Office Review 10/2/2006 12:00:00 AM Paul Talbot . Cyclical Inspection 6/2/2004 12:00:00 AM Paul Matheson Meas/Listed-Interior.Access 4/4/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price 1 9/30/2011 KHOURY,AMIN J TR C195322 $4,500,000 2 10/21/2004 COFFIN,WILLIAM A C174776 $1 • 3 5/16/1980 COFFIN,WILLIAM A C81748 $0 I- Assessment History Save# Year Building Value XF Value OB Value Land.Value Total Parcel Value 1 2012 $761,400 $47,800 $5,400 $4,624,800 $5,439,400 2 2011 $1,175,900 $11,300 $2,600 $4,624,800 $5,814,600 3 2010 $1,175,900 $11,300 $3,500 $5,202,800 $6,393,500 4 2009 $1,618,800 $8,000 $1,800 $6,490,900 $8119,500 5 2008 $1,454,400 $8,000 $1,800 $5,558,800 $7,023,000 7 2007 $967,900 $5,300 $1,400 $5,558,800 $6,533,400 8 2006 $935,900 $5,300 $1,500 $5,428,800 $6,371,500 9 2005 $1,026,400 $6,600 $1,500 $7,580,500 $8,615,000 10 2004 $1,119,100 $8,000 $1,500 $7,580,500 $8,709,100 11 2003 $735,200 $8,000 $1,600 $3,614,800 $4,359,600 12 2002 $735,200 $8,000 $1,600 .$3;614,800 $4,359,600 13 2001 $670,300 $8,400 $0 $2,840,200 $3,518,900 14 2000 $736,400 $8,700 $0 $1,955,700 $2,700,800 15 1999 $736,400 $8,700 $0 $1,955,700 $2,700,800 16 1998 $736,400 $8,700 $0 $1,955,300 $2,700,400 17 1997 $644,300 $0 $0 $1,955,300 $2,599,600 18 1996 $644,300 $0 $0 $1,955,300 $2,599,600 19 1995 .$644,300 $0 $0 $1,955,300 $2,599,600 20 1994 $340,200 $0 $0 $1,759,800 $2,100,000 21 1993 $325,200 $0 $0 $1,774,800 $2,100,000 22 1992 $591,300 $0 $0 $1,955,300 $2,546,600 23 1991 $788,600 $0 $0 $2,056,100 $2,844,700 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6434 8/22/2012 ,Parcel Detail http://issgl2/intranet/propdata/ParcelDetai1.aspx?ID=6434 F - IL 24 I 1990 I $788,6001 $01 $01 $1,501,4001 $2,290,00011 Photos — 'LiAw http:i/issgl2/intranet/propdata/ParcelDetail.aspx?ID=6434 8/22/2012 L USPS.com®-Track&Confirm https://tools.usps.com/go/TrackConfirmAction.action English Customer Service USPS Mobile Register/Sign In usps.co - Search USPS.com or Track Packages Quick Tools Ship a Package Send Mail Manage Your Mail Shop Business Solutions Track & Confirm You entered:70081830000205008628 Delivery status information is not available for your - item via this web site.A return receipt after mailing may be available through your local Post Office. . Check Again What's your label(or receipt)number? Find • a LEGAL ON USPS.COM ON ASOUT.USPS.COM OTHER USPS SITES Privacy Policy% Government Servires-r. About USPS Home, &Isiness Customer Gateway, Terms of Use? Buy Stamps&Shop, New'loom> Postal Inspeclors, - FOIA t Print a Label with Postage) Mail Service Updste.s i Inspector General, No FEAR Act EEO Data, Customer Service> Forms&Publications',- Postal Explorer, Site Index, - Careers, - CopyrighlJ 2012 USPS.All Rights Reserved. i. https://tools.usps.com/go/TrackConfinnAction.action 4/24/2012 NOTE TO FILE October 4, 2011 S. Crocker .� ,k From: Board of Health Meeting Agenda=October 11, 2011 C� . POSTPONED William Coffin, ownert 835'Sea View Avenue, Osterville, past deadline repair date, new owner 9/30, planning to tear down after approval from Historic, then will rebuild with new septic system. Attorney Mike Gill called to say the closing for the property was Friday, 9/30/11. The new owners are aware of the septic failure and plan to put in a new system once ' they have torn down and rebuilt house. Note: Should make sure the new owners realize they need an abandonment permit for the old system before they build over.it. Copy of Email from prior owner's attorney, Mike Gill to new owner's attorney. To: kkirrane@dunningkirrane.com Date: 10/4/11 Kevin I received the attached notice today regarding the septic. I spoke to Sharon from the Board of Health -- cc'd here-- and told her generally what your client's plan are with respect to demolishing the structure, rebuilding and installing a new system. I wasn't sure what happened with your client's meeting with Historic so have no idea as to timing. I'd respectfully suggest that either you or the builder get in touch with Sharon to let her know your client's plans and timing. I believe the hearing is going to be cancelled. Sharon I've also attached a copy of the deed that was recorded on Friday. Michael J. Gill, Esq. Gill Devine, P.C. ��� o 776 Main Street l Hyannis MA 02601 /d Office (508)775-9300 a . Fax (508)775-9.333' Email: michael@GillDevine.com web: www.GillDevihe.com Q:\SEPTIC\Letters Septic Inspection Failures\835 Sea View Ave Ost Note to File 0ct20I l.doc Oct 2,711 aZ:58p Ogilvie Corporation (508)420-7219 p.2 OGILVIE CONSTRUCTION DR BARRY A. LEHMAN COO) 1925 THATCH PALM DR. BOCA RATON, FL 33432 Phone: 561 866-6142 ¢ _ Fax: (908)420-7219 �-'— Email:bal@nilvieseareh.corn October 5.2011 Wavne Miller, M.D., Chairman Town of Barnstable Board of Health 200 Main Street Hyannis,MA 02601 RE: Letter addressed to William A. Coffin dated September 30,2011 regarding 835 Sea View Avenue,OsterviRe Dear Dr. '_vliller: I am in receipt of the above captioned letter sent Certified Mail to_-)ft. Coffin in care of his law firm. Please be advised that on September 30,2011.this property conveyed into the ownership of Mr. Amin Khoury of Hobe Sound,Florida. I am the developing this property for Mr. Khoury and I will be the General Contractor building his need residence. I intend to demolish the existing house and the two failing septic systems sometime in the month of December of 2011. I have alreadv received permission from the Toiwt of Barnstable's Historical Commission to take the house down and I am currently in the process of interviewing demolition contractors. Therefore. I would respectfully request that the hearing scheduled for Tuesday, October l la',at 3 P.M.be cancelled or rescheduled for a later date as I fully intend to comply with the demands of the Board of Health in this matter. Very truly yours, Dr.Barry A. hman y Oct 2711 02k8p Ogilvie Corporation (508)420-7219 p.1 1 OGILVIE CONSTRUCTION - DR. BARRY A. LEHMAN 1928 THATCH PALM DRIVE BOCA RATON, FL 33432 Phone: (561)866-6142 Fxx: (508)420-7219 E-mail:bal`@a,,ogilviesearch.com FAX Ai UMBER OF PAGES INCLUDING COVER: 3 TO: Dr. Wayne Miller • COMPANY: Town of Barnstable Board of Health Phone: Fag: (508) 790-6304 FROM: Barry Lehman SUBJECT: Failing Septic Systems at 835 Sea View Ave. DATE: October 5, 2011 MESSAGE: Please confirm receipt of the attached letter. r Pitt t :. ITS CYST F .,acne / � Y yt •. "" ' t. °f'(�r°�ti Town of Barnstable Barnstable Board of Health All-Aerica j IARNSTABLE, ` _ v MASS. 200 Main Street, Hyannis MA 02601 O D i6gq. �0 m Alfa �a 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi CERTIFIED MAIL # 7011 0470 0001 4525 5310 . September 30, 2011 William A. Coffin c/o N. Patrick Quirk Quirk& Galagher 38 Anderson Avenue Demarest,NJ 07627 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD OF HEALTH on Tuesday, October 11, 2011 at 3pm in the Town Hall, Hearing Room, 2nd Floor, 367 Main Street, Hyannis, MA due to your failure to repair or replace the failed septic system at 835 Sea View Avenue, Osterville, MA 02655 The State Environmental Code Title V requires all failed septic stems to be repaired or - p Y P , replaced within two years. The Town of Barnstable Board of Health has more Stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You will be given the opportunity to testify,present witnesses, documentary evidence, and other official information regarding this case. top C PER ORDER OF THE BOARD OF HEALTH 0 A Wayne Miller, M.D. Chairman Q:\SEPTIC\Letters Septic Inspection Failures\1567 Race Ln.,MM.doc USPS.cQm@-Track&Confirm https:Htools.usps.com/go/TrackConfirmAction.action English Customer Service USPS Mobile Register I Sign In ����------- l f n y, Search USPS.com or Track Packages V�l �.� IiI) 9 Quick Tools Ship a Package Send Mail Manage Your Mail Shop Business Solutions Track & Confirm Yoti entered:70110470000145255310 Delivery status information is not available for your - - item via this web site.A return receipt after mailing may be available through your local Post Office. Check Again What's your label(or receipt)number? Find LEGAL ON USPS.COM ON ABOUT.USPS.COM OTHER USPS SITES Privacy Policy Government Services, About USPS Home, - Business Customer Gateway) Terms of Use, Buy Stamps&Shop, 'Newsroom Postal Inspectors) FOIA, Print a Label with Postage, Mail Service Updates, Inspector General r No FEAR Act EEO Data> Customer Service) Forms&Publications) Postal Explorer, Site Index, Careers Copyright,,)2012 USPS.All Rights Reserved. https:,I/tools.usps.com/go/TrackConfirmAction.action 4/24/2012, Town of Barnstable Barnstable °F SFIE T°w,� Board of Health MASS. j�1CeC j • I3A SAF3LE, • 200 Main Street,.Hyannis NIA 02601 9 M � - i639.0 M 2[107 ArfAC a, Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi CERTIFIED MAIL # 7006 0810 0000 3525 5750 September 30, 2011 William A. Coffin c/o N. Patrick Quirk Quirk & Gallagher 38 Anderson Avenue Demarest,NJ 07627 YOU ARE SCHEDULED TO APPEAR-BEFORE THE BOARD OF HEALTH on Tuesday, October 11, 2011 at 3pm in the Town Hall, Hearing Room, 2rid Floor', , 367 Main Street, Hyannis,MA due to your failure to repair or replace the failed septic system at 835 Sea View Avenue, Osterville, MA 02655. The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You will be given the opportunity to testify, present witnesses,documentary evidence, and other official information regarding this case. PER ORDER OF THE BOARD OF HEALTH Wayne Miller, M.D. Chairman Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\835 Sea View Ave Ost BOH 00201 Ldoc VSH.cosn®-Track&Confirm https:Htools.usps.com/go/TrackConfirmAction.action English Customer Service USPS Mobile . Register/Sign In / / ,/�c Search USPS.com or Track Packages es V�1��71.i�,. #il�� g QuickTools Ship a Package Send Mail Manage Your Mail Shop Business Solutions Track & Confirm You entered:70060810000035255750 Status:Delivered Your item was delivered at 11:30 am on October 03,2011 in DEMAREST,NJ 07627. Additional information for this item is stored in files offline. You may request that the additional information be retrieved from the archives,and - that we send you an a-mail when this retrieval is complete.Requests to retrieve additional information are generally processed within four hours.This information will remain online for 30 days. I would like to receive notification on this request Restore - Find Another Item What's your label(or receipt)number? Find LEGAL ON USPS.COM ON ABOUT.USPS.COM OTHER USPS SITES' Privacy Policy, Government Services, About LISPS Horne, Business Customer Gateway, Te-ms of Use, Buy Stamps&Shop, Newsroom, Postal Inspectors, FCIA, Print a Label with Postage, Mail Service Updates>. Inspector General, No FEAR Act EEO Data, Customer Service, Forms&Publirations> Poflal.Explorer, Site Index _ Careers, - Conyright"52012 USPS.All Rights Reserved https:,I/tools.usps.com/go/TrackConfirmAction.action 4/24/2012 C �� '�I `� �� �. ? -_. �� �� 1 � iy_ 1�� ' $ `.- E- y ! .�� Y�n`� � i _,sy _�`. �.i v'i - .e4. -_.. - f a �t �, � ti� - ��.f� � 'z.L '� - . . ,.. -,: '�° _ j A f� fie 1 bal o ilviesearch.com Subject: _ FW: OLDING:TANK SP€CIFI,CAIdONS From: tom@toico.com [mailtoaomCa@toico.com] , Sent:Thursday, July 19, 2012 5:50 PM To: bal@ogilviesearch.com; 'David Marshall' Subject: RE: HOLDING TANK SPECIFICATIONS DEAR MR. LEHMAN, THE HOLDING, TANK SPECS I SENT TO DAVID RSHALL COVER A WIDE RANGE OF TANK SIZES. THERE ARE THOUSANDS UPON THOUSANDS OF THESE TANKS BEING USED THROUGHOUT THE UNITED STATES. IF THESE TANKS ARE THE CORRECT SIZE, INSTALLED PROPERLY, AND MAINTAINED PROPERLY, THE CHANCE OF THEM LEAKING IS VERY REMOTE. PLEASE DO NOT HESITATE TO CONTACTWE IF YOU HAVE ANY ADDITIONAL QUESTIONS OR CONCERNS. RESPECTFULLY, Tx fdwa�ds NORTHEAST REPRESENTATIVE TOICO INDUSTRIES,INC. HORNERSTOWN INDUSTRIAL PARK. 47 MESSENGER STREET JOHNSTOWN,PA 15902 CZ TOLL FREE:866/935-W3 I PHONE: 814/535-8444 FAX: 814/536-4352 WEB:www.toico.com EMAIL: tom�toico:com -- } • r SL + y f ! a y . 1 { { ! cellofoam® t HoldingTanks',-by, Cellofoam-- , Specifications Sheet All units are manufactured from Virgin Linear Low. Density Polyethylene resin, with E.V. inhibitors and Carbon Black to protect ;against U.V. deterioration. ThRese resins offer , a balance of toughness, rigidity,: environmental stress crack resistance -and glow temperature impact performance. All units will exhibit the following -ASTM typical test results: Properties ASTM ' rUnits Typical Results Density D-1505 b/cc 0.936 ` Melt Index D-1238 g/1-0.min 125 ESCR.(100/lgepal, F-50) D-1693(B) hours 1000 ` h Tensile Strength, 2"/min D-638. ' psi 62,,750 Elongation at break D-638 % r.6�00 l Flexural Modulus (1% Secant) D-790 psi 1'097000' J Low. Temperature Impact ARM STD-40F ft-lbs ' 8 U:f Brittleness Temperature D-746 deg'C 790 Heat Distortion Temperature rD-648 - deg,q 63 All units will be. , rotationally molded for a seamless: one-piece construction, with a nominal wall thickness of .300". - Resin used in the encasement will"exhibit resilience against ice, contact deterioration from ' petroleum products, and is recyclable. - Your One Source for Portable Toilets,.Restroom Trailers, Portable Sinks,Temporary Fence and MORE t Page: 1 United Site Services Northeast, Inc. Customer ID: USS-31592 PO Box 9131 United"" Invoice No: 114-392600 Foxboro, MA 02035-9131 SITE ERVICES E Terms: Due upon Receipt P.O.No: Customer Service: 800442-1286 INVOICE our Order No: 0-259156 Payment Inquiries: 1-800-716-1428 Invoice Date: 01/13/12 Fax No.: 800-647-6170 Bill MARSTONS MILLS CUSTOM Ship MARSTONS MILLS CUSTOM To: HOMES LLC To: HOMES LLC 15.IVY LANE 835 SEAVIEW AVE SOUTH YARMOUTH,MA 02664 OSTERVILLE, MA 02655t Item/Description . ^Quantity Term From/Thru _ Unit Price Total Price HT250 1 1 01/13/12 99.00 99.00 250-Gal Holding Tank Each, 02/09/12 DW 1 1 01/13/12 12.00 12.00 Damage Waiver Each 02/09/12 EEC 9.65 Environment/Energy/Compliance ,YS total. 120.65 . Tax 6.79 otal: 127.44 -- - -- ---------- ------... - Please detach this coupon and include with your payment in the enclosed envelope. See.Reverse for Terms &Condition's,which are part of this Agreement wherein United Site Services Northeast,Inc.is referred to as"Company" MARSTONS MILLS CUSTOM` Customer ID: USS-31592 Subject to Tax Exempt from Tax Subtotal: 120.65 Invoice Number: 114-392600 108.65 12.00- Tax: 6.79 - Our Order No: 0-259156 Total: 127.44 Amount Paid:. Please United Site Services Remit to: PO Box 5502 Binghamton, NY 13902-5502 Check this box if you would like to pay by credit card. rI�IIII��IrI111IIlII�III�hll�hlil�lilllllllllll�'ll�lfll�ll"1 change your address or decline damage waiver,and you have completed the necessary form(s)on the reverse. 0000000000114-39260000000127440 W . ' Your One Source for Portable Toilets, Restroom Trailers, Portable Sinks, lemporary I-ence ana muKt t Page: 1 United Site Services Northeast, Inc. Customer ID: USS-31592 PO Box-.9131 Invoice No: 114-417211 wni ed Foxboro, MA 02035-9131 Terms: Due Upon Receipt SITE SERVICES P.O.No: , Customer Service: 800-442-1286 INVOICE ,' Our Order No: 0-259156 Payment Inquiries: 1-800=716-1428 ,.Invoice Date: 01/31/12 Fax No.: 800-647-6170 _ y Bill. MARSTONS MILLS CUSTOM Ship MARSTONS MILLS CUSTOM To: HOMES.LLC. To HOMES LLC 15 IVY LANE , Y 835 SEAVIEW AVE 6 SOUTH YARMOUTH, MA 02664 - OSTERVILLE, MA 02655 Item./Description Quantity Term from/Thru Total Price HT. . 150 01/31112 0.46 67.50 . Holding Tank Pumping Charge Gallon 01/31/12 EEG. 6.58 Environment/Energy/Compliance Subtotal: 74.08 Tax: - 0.41 . ' Total: 74.49 Please detach this coupon'-and include with your payment in the enclosed envelope. , See.Reverse for Terms &Conditions,which are part of this Agreement , wherein United Site Services Northeast,Inc.is referred to as"Company" - MARSTONS MILLS CUSTOM Customer ID: USS-31592 "Subject to Tax Exempt from Tax• Subtotal: 74:08' ° Invoice Number:. 114-417211 6.58 67.50'• Tax: 0.41 Our Order No: 0-259156 Total: 74.49 Amount Paid: Please United Site Services Remit to: PO Box 5502 ; Binghamton, NY-13902-5502 Check this box if you would Ike to pay by credit card,, ru i II 1 I ICI Ii III II I I I i 11 Ih 1 change your address or decline damage waiver,and you have completed the necessaryfioan(s)on the reverse. 000000000D114-4172110000007'4496 vrsa Your Une Source for F'ortaDle Ionets, Kestroom I racers, Portable SmKs, Temporary rence ana NiUKE i '• Page: 1 United Site Services Northeast, Inc. Customer ID: USS-31592 PO Box 9131 - UZI,United' Invoice No: 114-463820 Foxboro, MA 02035-9131 SATE �ERV�`E Terms: Due Upon Receipt P.O.Not R Customer Service: 800-442-1286 Our Order No: 0-259156 Payment Inquiries: 1-800-716-1428 INVOICE Invoice Date: .02/29/12 Fax No.: 800-647-6170 Bill MARSTONS MILLS CUSTOM -Ship MARSTONS MILLS CUSTOM Tr To: HOMES LLC To: HOMES LLC 15 IVY LANE 835 SEAVIEW AVE SOUTH YARMOUTH, MA 02664 OSTERVILLE, MA 02655 Item I Description Quantity' Term From I Thru Unit Price Total Price HT250 1 .1 02/10/12 99:00- 99.00 250 Gal Holding Tank Each 03/08/12 DW 1 .' .1 02/10/12 • 12.00 12.00 Damage Waiver Each 03/08/12 EEC 9.65 Environment/Energy/Compliance , Due to the rising cost of fuel, insurance, disposal&supplies,this invoice reflects a price adjustment. Thank you for your continued patronage. HT 50 02/07/12 0.45. 22.50 Holding Tank Pumping Charge Gallon HT 50 02/14/12 0.45 '22.50 Holding Tank Pumping Charge Gallon 02/14/12, --HT---_----------- 75 02/21/12 0.45 -...3.3..7.5.. Holding Tank Pumping Charge . Gallon 02/21/12 HT 75 02/28/12 0.45 33.75 . Holding Tank Pumping Charge 'Gallon' `. 02/28/12 ` } EEC 10.96 . Environment/Energy/Compliance ' f y�sr, -Your One Source for Portable Toilets, Restroom Trailers, Portable Sinks,Temporary Fence and MUHL Page: 2 United Site Services Northeast, Inc. Customer ID: USS-31592 PO Box 9131 Invoice No: 114-463820 United' Foxboro, MA 02035-9131 Terms: Due Upon Receipt SITE SERVICES P.O.No: Customer service: 800-442-1286 INVOICE our Order No: 0-259156 Payment Inquiries: 1-800-716-1428 Invoice Date: 02/29/12 fax No.: 800-647-6170 Bill MARSTONS MILLS CUSTOM Ship MARSTONS MILLS CUSTOM To: HOMES LLC To: ''HOMES LLC 15 IVY LANE 835 SEAVIEW AVE SOUTH YARMOUTH, MA 02664 OSTERVILLE, MA 02655 . Subtotal: ' 244.11 Tax: 7.48 ' Total: 251.59 R i e Your One Source for Portable Toilets,Restroom Trailers;Portable Sinks,Temporary Fence and.MORE Page: 1 ELdshkCustomer ID: USS-31592 United Site Services Northeast, IncaFlo g Invoice No: 114-516654 . SERVICES y °Terms` Due Upon Receipt R ' PA No: Customer Service: 1-800-864-6387 ' 4 d No:. 0-259156 ° Our Order Pa ent In INVOICE e: 03/3U12 ym Inquiries: 1-800-716-1428 ' Invoice Dat° { Fax No.: 508-594-2581 ' Bill MARSTONS MILLS CUSTOM J, *. Ship +MARSTONS MILLS CUSTOM` To: HOMES LLC ,. ,: - To: HOMES LLC ' 151VY LANE ,. - 835 SEAVIEW AVE SOUTH YARMOUTH, MA 02664 Y =: Q n OSTERVILLE,MA 02655 k, e M- Item/Description Quantity. Term', From/Thru Unit Price. *. Total Price x HT250 `' ,`' 1 _ 1 'f~ 03/09/12 r 110:00 " 110.00 250 Gal Holding Tank' :Each 04/05/12 3 1 ,' 11 , 03/09/12. .12.00 -12.00 Damage Waiver °Each,? 04/05/12 T .STD 2"', �14 ` 3/23 1 b y . .., ; � � -.- ,�.,0 /12 t4 0.35714 � 0:00 Standard Restroom , 'Each 04/05/12 REG-STD , . 2 14 03/23/12, °'267857 75.00 Weekly Service Each {' �' 04/05/12 t t DW . 2 14, „ a :03/23/1*2 p 0.42857� i 12:00. Damage Waiver r t Each R _ - 04/05/12 p 9 ' DEL/PU 2 Misc.o .03/23/12 -10.00 " 20:00 . t. Delivery;Setup, Removal Each ' 03/23/12. EEC - .t , r," k, . 27.42 n. - EnvironmenVEnergy/Compliance ' g' =' ` , r _ _ t HT 75 �;. 03/06/12n r T^0.45 33.75.� Holding Tank Pumping Charge : Gallon '0 ^ 03/06/12'. 3„ i. F , HT 50 s r 03/13/12. 0.45, j ii 22.50 Holding Tank Pumping Charge `' Gallon 03/13/12 HT _ ebb 75 ; y' "" 03/20/12 0.45 . 33.75 Holding Tank Pumping Charge �' Gallon, ,: ' : ' `03/20/12 j t HT r - y. 100 a 03/27/12 0.45 45.00• Holding Tank Pumping Charge «w Gallon ` Y , R v S a •c EEC P ;} d .; r 1.7.21 Environment/Energy/Compliance: e. m Your One.Source for Portable Toilets, Restroom Trailers, Portable Sinks,,Temporary Fence and MORE - Page: 2 Customer ID: .USS-31592 United Site Services Northeast,Inc. Invoice No: 114-5,16654 SIT Uh SERVICES �� � Terms: Dt q URon Receipt P.O.No: Customer Service: 1-800-864-5387 '' Our Order.No: 0-259156 Payment Inquiries: 1,800-716-1428 INVOICE Invoice Date: 03/31/12 " Fax=No : 508-594-2581. -Bill MARSTONS MILLS CUSTOM 'Ship` MARSTONS MILLS CUSTOM To:. HOMES LLC t> To: HOMES LLC - 15 IVY LANE 835 SEAVIEW AVE SOUTH YARMOUTH, MA 02664 OSTERVILLE, MA 02655 • ♦ •1i i r t Subtotal: 418.63 (U Tax: 1.0.29 Tntal• 428.92 4, WA Your OnerSourse for Portable Toilets, Restroom Trailers, Portable Sinks,Temporary Fence and MORE U - Page: 1 UniCustomer ID: USS-31592 United Site Services Northeast, Inc. Invoice No: 114-567284 ed . SITE. SRVS t. Terms: Due Upon Receipt P.O.No: Customer Service: 1-800-864-5387, Our Order No:.0-M.156 Payment Inquiries: 1-800-716-1428 INVOICE Invoice Dater 04/30/12 Fax No.: 508-594-2681 Bill MARSTONS.MILLS CUSTOM E Ship MARSTONS MILLS CUSTOM ' To: HOMES LLC To: HOMES LLC 15 IVY LANE 835 SEAVIEW AVE SOUTH YARMOUTH, MA 02664 OSTERVILLE, MA .02655 Item!Description Quantity . Term' -From'/Thru Unit.Price Total Price HT260 1 . 1 04/06/12 110.00 110.00 250 Gal Holding Tank Each 05/03/12 DW, 1 1 04/06/12 12600 12.00 Damage Waiver Each 05/03/12 STD 2 1 04/06/12 10.00 20.00 Standard Restroom .. Each t 05/03/12 REG-STD 2 1 04/06/12 75.00 150.00 Weekly Service Each 05/03/12 DW 2 1 04/06/12 12.00 24.00 Damage Waiver Each 05/03/12 EEC 35.71 Environment/Energy/Compliance , HT 20 04/03/12 0.45 9.00, Holding Tank Pumping Charge Gallon 04/03/12 HT 50 04/10/12 0.45 22.50. Holding Tank Pumping Charge Gallon 04/10/12 HT 100 04/17/1.2 0.45 45.00 Holding Tank Pumping Charge Gallon 04/17/12 HT `50 04/24/12 0.45 22.50 Holding Tank Pumping Charge Gallon 04/24/12 EEC 12.63 Environment/Energy/Compliance Page: 1 United Site Services Northeast, Inc. Statement Dater 05/01/12 PO Box 6502 (United' Binghamton;NY 13902-5502 srrE Customer ID: USS-31592 Customer Service: 1-800-864-5387 Statement MARSTONS MILLS..CUSTOM HOMES LLC Amount Remitted DAVID MARSHALL 15 IVY LANE SOUTH YARMOUTH, MA 02664 RETURN THIS PORTION OF: STATEMENT WITH YOUR PAYMENT. Document Date Terms Code Debits Credits Balance 114-567284 04/30/12 Due Upon Receipt Invoice 474.49 474.49 Statement Balance .474.49 0.00 474.49 Your One Source for Portable Ioilets, Kestroom I ravers, F'ortanie SinKS, iemporary i-ence ana muKt Page: 2 . Customer ID: USS-31592 United Site Services Northeast, Inc. United' Invoice No: 114-567284 ��. � �� Terms: Due Upon Receipt P.O.No: Customer Service: 1-8.00- "087 Our Order No: 0-259156 Payment Inquiries: 1-800-716-1428 INVOICE Invoice Date: 04/30/12 Fax No.: 508-594-2581 Bill MARSTONS MILLS CUSTOM Ship MARSTONS MILLS CUSTOM To: HOMES LLC To: HOMES LLC 15 IVY LANE 835 SEAVIEW AVE SOUTH YARMOUTH, MA 02664 OSTERVILLE, MA 02655 . Subtotal: 463.34 Tax: 11.15 Tn4:�l• d7d dQ Your One Source for Portable Toilets, Restroom Trailers, Portable Sinks,Temporary Fence ana MUKt imU. - Page: 1 U nCustomer ID: USS-31592 United Site Services Northeast, Inc. Invoice No: 114-631503 Ite d - T� � �5 Terms: Due Upon Receipt P.O.No: Customer Service: 1-800-8"W87 INVOICE Our Order Na 0-259156 Invoice Date: 05/31/12 Bill MARSTONS MILLS CUSTOM Ship MARSTONS MILLS CUSTOM To: HOMES LLC. To: HOMES LLC. 15 IVY LANE 835 SEAVIEW AVE SOUTH YARMOUTH, MA 02664 OSTERVILLE, MA 02655 Item/Description Quantity Term From/Thru Unit Price Total Price HT250 1 1 05/04/12 110100 110.00 250 Gal Holding Tank Each 05/31/12' DW 1 1 05/04/12 - 12.00 12.00 Damage Waiver Each - 05/31/12 STD 2 1. 05/04/12 10.00 20.00 Standard Restroom Each 05/31/12 REG-STD 2 1 05/04/12 75.00 150.00 Weekly Service Each 05/31/12 DW 2 1 05/04/12 12.00 24.00 Damage Waiver Each 05/31/12 EEC 35.71 Environment/Energy/Compliance HT 50 05/01/12. 0.45 22.50 Holding Tank Pumping Charge Gallon 05/01/12. -. .. - - - ZO.. 05/08/12 0.45 yaw - -�I T--- - — -------- - ----- --- _.. Holding Tank Pumping Charge. Gallon 05/08/12. HT 50 05/15/12 0.45 22.50 Holding Tank.Pumping Charge Gallon .05/15/12 HT 50 05/22/12 0.45 22.50 Holding Tank Pumping Charge Gallon 05/22/12 HT 50 05/29/12 0.45 22.50 Holding Tank Pumping Charge Gallon . 05/29/12 EEC 12.63 Environment/Energy/Compliance Your One.Source for Portable Toilets, Restroom Trailers, Portable Sinks,Temporary Fence and MORE • - Page: 2 'qwtA Agsmllh Customer ID::USS-31592 United Site Services Northeast, Inc.. Invoice No: 114-631503 d1ji I,, SERVICES Terms: Due Upon Receipt_ P.O.No: Customer Service: 1-800-864-5387 INVOICE Invoice Order No: 0-259156' Invoice Date: 05/31/12 Bill MARSTONS-MILLS CUSTOM Ship MARSTONS MILLS CUSTOM To: HOMES LLC. To: HOMES LLC 15 IVY LANE .835 SEAVIEW AVE SOUTH YARMOUTH, MA 02664 OSTERVILLE, MA 02655 1 . Subtotal: 463.34 Tax: 11.15 Total: 474.49 ;,� v1�. Your One Source for Portable Toilets, Restroom Trailers, Portable Sinks,Temporary fence and MORE . INH U. OZ Page: 1 . . Customer ID: USS-31592 United Site Services Northeast, Inc. U. Invoice No: 114-633465 n ed' Terms: Due Upon Receipt SITE SERVI ..aS'. P.O.No: Customer Service: 1-800-864-5387 INVOICE Our Order No: 0-259.156 Payment Inquiries: 1-800-716-1428 Invoice Date: 06/04/12 Fax No.: 608-594-2581 Bill MARSTONS MILLS CUSTOM. Ship MARSTONS MILLS CUSTOM' To: " HOMES LLC To: HOMES LLC 1.5 IVY LANE" 835 SEAVIEW AVE SOUTH YARMOUTH, MA 02664 OSTERVILLE;.MA 02655 Item/Description Quantity Term From/Thru Unit Price r Total Price, HT250 1 1 06/01/12 110.00 . 110.00 250 Gal Holding Tank Each -06/28/1.2 DW 1 1 06/01/12 12.00 12.00" .Damage Waiver Each 06128/12 STD 2 1 06/01/12 10.00 20.00 Standard Restroom Each 06/28/12 REG-STD 2 1 06/01/12 75.00 150.00 Weekly Service Each 06/28/12 DW 2 1 06/01112 12.00 24.00 Damage Waiver Each 06/28/12 EEC 35.71 Environment/Energy/Compliance y Your One Source for Portable Toilets, Restroom Trailers, Portable Sinks,Temporary Fence and MORE ., P bl Sik T 0 ' - Page: 2. (oz Customer ID: USS-31592 United.Site Services Northeast, Inc. Invoice No: 114-633465 Un'i " ed" . Terms: Due Upon Receipt SITE SERVICES P.O.No: Customer Service: 1-800-864-5387 INVOICE Our Order No: 0-259156 Payment Inquiries: 1-800-71:64428 Invoice Date: 06/04/12 Fax No.: 508-594-2581 Bill MARSTONS MILLS CUSTOM Ship MARSTONS MILLS CUSTOM To: HOMESLLC To: `.HOMES LLC 15 IVY LANE 835 SEAVIEW AVE SOUTH YARMOUTH, MA 02664 OSTERVILLE, MA 02655 Subtotal: 351.71 Tax:. 10.36 Total: 362.07 _ VISA 1 Your One S 066 for Portable Toilets;Restroom Trailers, Portable Sinks;Temporary Fence and MCNF- ' e Page: _1 to Customer ID USS-31592 United Site Services Northeast, Inc. Invoice No:U114-675985 �. � Terms: Due Upon Receipt P.O.No: Customer Service: 1-800-864-5387 Our Order No: 0-314738 Payment Inquiries: 1-800-716-1428 INVOICE Invoice Date: 06/26/12 Fax No.:. 508-5942581 i Bill MARSTON.S MILLS CUSTOM Ship RESIDENCE To: HOMES LLC. To: .835 SEAVIEW AVE PO BOX 626 . OSTERVILLE, MA 02655 OSTERVILLE, MA 02655 Item/Description'. Quantity Term From/Thru . Unit Price. Total Prics.. HT250. 4 1 06/26/12 110600 110.00 250 Gal Holding Tank Each 07/23/12 DW 1_ 1 06/26/12 1 no 12.00 Damage Waiver Each 07/23/12 DP-HT 1 Misc. 06/26/12 15.00 15.00 Delivery, , Removal Each 06/26/12 EEC 15.94 Environment/Energy/Compliance i Subtotal: 152.94 Tax: 7.87. Tntal• 160.81 Oct 27t1,4�1 58p Ogilvie Corporation (508)420-7219 p.2 OGILVIE CONSTRUCTION DR. BARRY A. LEHMAN 1928 THATCH PALM DR. BOCA RATON, FL 33432 Phone:(561)866.6142 Fax: (108)420-7219 Email:balCa ogiivicsrrrch.com October 5. 2011 Wayne Miller, M.D.. Chairman Town of Barnstable Board of Health. 200 Main Street Hyannis,MA 02601 RE: Letter addressed to Wi iam A.Coffin dated September 30,2011 regard"ing`83SM S a Vie*-Avenue;OsterviRe Dear Dr. Miller: I am in receipt of the above captioned letter sent Certified Mail to Mr. Coffin in care of his law firm. Please be advised that on September 30,2011,this property conveyed into the ownership of Mr. Amin Khoury of Hobe Sound,Florida. I am the developing this property for Mn Khoury and I will be the General Contractor building his new residence. I intend to demolish the existing house and the two failing septic systems sometime in the month of December of 2011. I have already received permission from the Town of . Barnstable's Historical Commission to take the house down and I am currently in the process of interviewing demolition contractors. Therefore, I would respec#f 0y request that the hearing scheduled for Tuesday, October l 1`",at 3 P.M. be cancelled or rescheduled for a later date as I fully intend to comply with the demands of the Board of Health in this matter. Very,truly yours, r � tD s Dr.Barry A. hrnan 1 40 Oc#2711,,02:58p Ogilvie Corporation (508)420-7219 p.1 J OGILVIE CONSTRUCTION DR. BARRY A. LEHMAN 1928 THATCH PALM DRIVE BOCA RATON, FL 33432 Phone: (561)866-6142 Fax: (508)420-7219 Email:bal@ogilviesearch.com FAX NUMBER OF PAGES INCLUDING COVER: 93 TO: Dr. Wayne Miller COMPANY: Town of Barnstable Board of Health , Phone: Fax: (508) 790-6304 jw FROM: Barry Lehman SUBJECT: Failing Septic Systems at 835 Sea View Ave. DATE: October 5, 2011 MESSAGE: Please confirm receipt of the attached letter. f I 'LA' r c NOTE TO FILE October 4, 2011 S. Crocker From: Board of Health Meeting Agenda—October 11, 2011 POSTPONED William Coffin, owner,;_- 835 Sea View Avenue, OsterviIle,,past deadline repair date, new owner 9/30,-planning to tear down after approval from Historic, then will rebuild with new septic system. Attorney Mike Gill called to say the closing for the property was Friday, 9/30/11. The new owners are aware of the septic failure and plan to put in a new system once they have torn down and rebuilt house. Note: Should make sure the new owners realize they need,an abandonment:permit for the old system before they build over it: Copy of Email from prior owner's attorney;Mike Gill, to new owner's attorney To: kkirrane@dunningkirrane.com Date: 10/4/11 Kevin I received the attached notice today regarding the septic. I spoke to Sharon from the Board of Health -- cc'd here --and told her generally what your client's plan are,with respect to demolishing the structure, rebuilding and installing a new system. I wasn't sure what happened with your client's meeting with Historic so have no idea as to timing. I'd respectfully suggest that either you or the builder get in touch with Sharon to let her know your . client's plans and timing. I believe the hearing is going to be cancelled. Sharon I've also attached a copy of the deed that was recorded on Friday. Michael J. Gill, Esq. Gill Devine, P.C. 776 Main Street I Hyannis MA 026.01 Office (508)775-9300 Fax (508) 775-9333 Email: michael@GillDevine.com Web: www.Gil[Devine.com Q:\SEPTIC\Letters Septic Inspection Failures\835 Sea View Ave Ost Note to File Oct201 Ldoc k+ r, I Do._-I-,174.658,`09-30-2011 , 2=38 - Ctf--=195322 BARNSTABLE, LAND' COURT REGISTRY I' I QUITCLAIM DEED 835 Sea View Avenue,Osterville,Massachusetts 02655 We,William A Coffin,individually,of 32 Anderson Avenue,Demarest,New Jersey 07627 and Barbara Keatts,of 801 Horsepen Road,Richmond,Virginia,as Trustee of the William A.Coffin 2004 Irrevocable Trust for the Benefit of Barbara Keatts,u/d/t dated June 30,2004 and recorded in the Barnstable Registry of Deeds as Document No. 983544,Certificate No.174776,with an undivided 85/1000 interest and Margaret x.. Widman,of 6642 Walnut Circle,Baltimore,Maryland,as Trustee of the William A. Coffin 2004 Irrevocable Trust for the Benefit of Margaret Widman,u/d/t dated June 30,; 2004 and recorded in the Barnstable Registry of Deeds as DocumentNo.983543, Certificate No.174776 with an undivided 85/1000 interest, In o for consideration paid of FOUR MILLION FIVE HUNDRED THOUSAND AND 00/100 ($4,500,000.00)DOLLARS,hereby grant to f Amin J.Khoury of Hobe Sound,Florida,as Trustee of The Khoury Cape Cod Real Estate Trust,w/d/t recorded in the Barnstable Registry of Deeds as Document No. , 872.930 Certificate No l !q t• 5D °—' with QUITCLAIM COVENANTS the land together with the buildings and improvements thereon situated at 835 Sea View, Avenue,Barnstable(Osterville),Barnstable County,Massachusetts shown as LOT 254 'a on Land Court Plan 2664-123. 3 Said premises are subject to the restrictions set forth in Document No.171,insofar as now in force and applicable. N Said premises are subject to wetland restrictions set forth'in Document No.28607.1. C'n°O So much of said premises as lies between high and low water mark are subject to similar 4. rights of passage in favor of all persons entitled thereto.-' Said premises are subject to and with the benefit of the rights easements and agreements :r a set forth in a deed from William A Coffin to Catherine D White dated July 5,1989 " registered as Document No.486960. For Grantors'title;see deed registered in the Barnstable Land Court Registry as Document No.983546,Certificate No.174776. Q:\SEPTIC\Letters Septic Inspection Failures\835 Sea View Ave Ost Note to File Oct2011.doc Oct 05,11 03:12p Ogilvie Corporation (508)420-7219 p.1 OGILVIE CONSTRUCTION DR. BARRY A. LEHMAN 1928 THATCH PALM DRIVE BOCA RATON, FL 33432 Phone: (561) 866-6142 Fax: (508)420-7219 Email•hal@ogilv-iesearch_com FAX NUMBER OF PAGES INCL UDING COVER: TO: Dr.Wayne Miller. COMPAIV'Y: Town of Barnstable Board of Health Phone: Fax: (508) 790-6304 FROM: Barry Lehman SUBJECT: Failing Septic Systems at 835 Sea View Ave. DATE: October 5.2011 MESSAGE: Please confirm receipt of the attached letter. Oct 0511 03:13p Ogilvie Corporation (508)420-7219 p.2 { T OGILVIE CONSTRUCTION p-r DR. BARRY A. LEHMAN 1928 THATCH PALM DR. BOCA RATON, FL 33432 Yhone:(561)866-6142 Fax: (M)420-7219 Email:bal:gogilviesearch.com October 5,2011 Wayne Miller,M.D.,Chairman Town of Barnstable Board of Health 200 Main Street Hyannis,MA 02601 RE: Letter addressed to William A.Coffin dated September.30,2011 regarding 835 Sea View Avenue,Osterviffe Dear Dr.Miller: I am in receipt of the above captioned letter sent Certified Mail to Mr. Coffin in care of his law firm. Please be advised that on September 30,2011,this property conveyed into the ownership of Mr.Amin Khoury of Hobe Sound,Florida. I am the developing this property for Mr.Khoury:and I will be the General Contractor building his new residence. I intend to demolish the existing house and the two failing septic systems sometime in the month of December of 2011. 1 have already received permission from the Town of Barnstable's Historical Commission to take the house down and I am currently in the process of interviewing demolition contractors. Therefore, I would respectfully request that the hearing scheduled for Tuesday, October 11t', at 3 P.M.be cancelled or rescheduled for a later date.as I fully intend to comply with the demands of the Board of Health in this matter. Very truly yours, Dr.Barry A. hman Oct 0511 03:13p Ogilvie Corporation (508)420-7219 pr3 >, r . :.,._.. _ _... . - - -t' - _ _._ - - - - --_- _ - - - _ _- ,-..: _ :.-.: N.M. - - - - ':: - - - "P.'.i - - _ ... - - - - - i la .. _. .. - - .. - :.. -n - - - .:_ . ..._ ...: - . _ . . ... ,...t. t. F. o E ° '4 ' . 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AEG ...,_,..- r - - - - - - - - ..1 ...-.:..: _ - .. ,r.. :..:. v - : ....._._... 1, �u_'.. _ .. a _., v. _ : �.. :.._ -:_ ;I_,; _a Town of Barnstable Barnstable �pFTHE Tp�y Board of Health ed"aity nA MARS. A 200 Main Street, Hyannis MA 02601 _ MASS. A �pAr 039. p`m M 2007 fD At Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi CERTIFIED MAIL # 7006 0810 0000 3525 5750 September 30, 2011 William A. Coffin c/o N. Patrick Quirk Quirk& Gallagher 38 Anderson Avenue Demarest,NJ 07627 YOU ARE SCHEDULED TO APPEAR BEFORE THE BOARD OF HEALTH on Tuesday, October 11, 2011 at 3pm in the Town Hall, Hearing Room, 2nd Floor, 367 Main Street, Hyannis, MA due to your failure to repair or replace the failed septic system at 835 Sea View Avenue, Osterville, MA 02655. The State Environmental Code Title V requires all failed septic systems to be repaired or replaced within two years. The Town of Barnstable Board of Health has more stringent deadlines dependent upon the type of failure identified. In this case, the septic system has been in failure beyond the established deadline. You will be given the opportunity to testify,present witnesses, documentary evidence, and other official information regarding this case:" PER ORDER OF THE BOARD OF HEALTH Wayne Miller, M.D. Chairman Q:\SEPTIC\Letters Septic Inspection Failures\835 Sea View Ave Ost BOH Oct2011.doc Parcel Detail Page 1 of 3 "c 1t �i Li,.'1♦ j4r'_i 4f' <. /r" l je� m,,.. ` _�. ��_ A;rc r /",d C- LCC�• �j��f:.��Qf�e1 _ "._ i Logged In As: Friday, September 30 2011 Parcel Detail Parcel Lookup Parcel Info Parcel ID 113-002-002 I Developer Lot`LOT 254& BEACH I I ' -_. _:_ ': •.. Location 835 SEA VIEW AVENUE I Pri Frontage I Sec Road Sec _ I Frontage Village OSTERVILLE ( Fire District'C-O-MM I Sewer Acct j Road Index 1450 I Asbullt Septic Scan: Interactive i� ,.; 113002002_1 Map Owner Info Owner COFFIN,WILLIAM A ( Co-owner -C/O N PATRICK QUIRK Streets QUIRK&GALLAGHER I Street238 ANDERSON AVENUE I , City DEMAREST State NJ zip 107627 Country Land Info Acres 2.66 use•Single Fam MDL-01 I zoning IRF-1 Nghbd iWF13+ Topography Level ) Road Paved utilities Public Water,Gas,Septic 1 Location tWaterfront,Excel View - Construction Info Building 1 of 1 Year 1914 Roof IGable/Hip I Ext Wood Shingle I eMrliei2r Built Struct. wall Livin Roof AC_g' ' — � '• Area.7115 _-I Cover Asph/F GIs/Cmp I Type tNone _ >, o.K25. Zt a r-i — i0—naI — Int ,__�.._ _ Bed(. __w , , . Style Conventional I wall Plastered I Rooms 8 Bedrooms I e b0 Int Bath " Model Residential I Pine/Soft Wood I 4 Full +2H Floor'-. Rooms _ �c0 f j 01. FOP Total Grade Exceptional- I Type Hot Water T .� I Rooms:-18 Rooms = i"s 1, 20 sns . Heat. Found- Storiesi 2 Stories I Fuel Oil I ation Brick Walls Gross 11492 Area Permit History Issue Date Purpose I Permit# Amount llnspDate Comments http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=6434 9/30/2011 Town of P# 3 FIHE rpk o Department of Regulatory Services HAlW6TAal.B, t Public Health Division Date � MASS. 200 Main Street,Hyannis MA 02601 OM A `n. . /;z:-)— Vine Fee Pd. U Date Scheduled � J Soil Suitability Assessment for Se Wage Disposal Perfornied By: Re Witnessed By: LOCATION & GENERAL INFORMATION , Location Address 83$. v "Ul cw Alrc Owner's Name W�nI CEO CD U I J`{G G 6G (to 9,la a r O S Iaerui l lo. Address • Dcvrla.r�s�' � 1`1 � 07l02� Assessor's Map/Parcel: M&r II�� Pi,rc°( ooz—®Q2 Engineer's Name NEW CONSTRUCTION )� REPAIR Telephone M 50$-7 11 —7 50 Land Use Y'C S,t CLO K t"LeL Slopes(%) Surface Stones AD/Le— Distances from: � " pen Water Body ft Possible Wet Area 'ft Drinking Water Well ft l�Ja�•r W cLc4— 5�i-�l . Drainage Way ft Property Line ft Other tt SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to(toles) 1 I �t vo t h Pnrent material(geologic) (. 6c/G / Ou Sd'i Depth to Bedrock Depth to Groundwater: Standing Water In Hole: IV%,—: Weeping from Pit Face 111D. Estimated Seasonal High Groundwater DETERMINATIO_ N FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to soil mottles: In. Depth to weeping from side of obs.hole. in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION.TEST Date VA411 Tlmei2Ly Obse Vatlon Holed i•• ` 7— Time at 9" Depth of Perc �2 bb Time at 6" Start Pre-sonk.Time u I 'fib �' Tinie(9"-6") End Pre-sank Rate Min./Lich GZ►h ►t �i ZtYd„ 1✓� Site Suitabllity Assessment: Site Passed__� . Site Failed: Additionnl Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation testis to be conducted within 100, of wetland,you must first notify the Barnstable Conservation Division at least one (1)week prior to beginning. Q:HEALTH/WP/PERCFORM C�Za/i_Gy3;vZ\ s DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ° Gravel) �'- Ii'' $ Loa, . � . ,�D o � �1 I - • ` y,'Yg'' '14Y'ld, C the Sqr,►-D DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture ; Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistedev.°°Gravel) DEEP OBSERVATION HOLE LOG Hole#. 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistenev. Grnycl) el o-to �, I�Dnw, I 3 Z Qt �`i� K�,� G.l I�IIs Iu r•.S �� I� �. (a b v'"� DEEP OBSERVATION HOLE LOG Hole# _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in J (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Gravel) Vo,i. L ire Flood Insurance Rate Mai): Above 500 year flood boundary. No— Yes Within 500 year boundary No- Yes Within l00 year flood boundary No— Yes Cbe c� s Ca a9 is l 6 c,-�k �I`s ~Depth of Naturally Occurrine 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? As If not,what is the depth of naturally occurring pervious material? Certification I certify that on L 0 (date)I have passed the soil evaluator examination approved by the Department-of EnvirAufiehtal Protection and that the above analysis was performed by me consistent with the required trai n expertise and experience described in 310 CMR 15.017. signature Date—�— Q:H EALTI-l/W P/PERCFORM BAXTER NYE W eErEnu NotFe e � J f 5�7 9" ":r ENGINEERING$ .,roc wma°r SH HAx'H ro.rrK 6o:m,6 n¢mw�m«s A,mmJ °, Hm r".':miE�vw°O°v: mrm H'o6� al eZ I,6m,N«A H mrnaro 6r: twe w H.mn rAwmHmrm mwoeu. m-Mrn NO—0 SURVEYING _ wwwm,NsrS e®a ,�� pm Ailrurnww nvumeE suxlvmrsmcm.arlHAvxH �Y uv UJ vwea m)/me al mim1�U N1°QM6.v9 R]PJ °'�^JvuJH[Hmw xmwttx R°��'a urt HLIr'1° rawVulo¢�mHnf x0 w6.x[n°n x..,N,aOmx¢ y..i. I[ = .- �/ ..s.=ve,,=J - ,I.a n6m ruMva .,¢marm mu w a vt wuo rvn amnm US ME. 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A, era rm(°rnn snvm4 wxeH t ....Jx. slx¢]]e mmxe,a mN. m u wrm - ,.1 xoim,o x«m6HmN . eMw aem61:w-I aeM,MMI mxx ¢,� x Ixm H wm r°-].r-,xwmm R rr>x. Locw Yip SwN'1'=1000' . e��I¢E',a w¢v�vnx«Lr.raNm w ra,6x rmmll. a°m M mxx6 Hm H«xH: .I i II UN r.�m m n•'a'm6.Aux,.w.�E i,r � i�i'I II II I li I i',I ; 1! '1 eaeAr R u6"sax��6¢°6xe'x6HHrmHo s ��II ,C .—E " I ICONSULTANT - .- .. r •I. — ----'CIS —�\ ��� �/I ,I I II J. CONSULTANT I I I H _ it aaan i 1 - _ nil EVAxE° vox. AM xwNg N Dr.Berry Lehman 7828 Thatch Pond Road . Boca Raton,FL.,33432 Q i ux! l (Ii II a I 2 LID. I � — r-� — 'J1 - 'i A e I '� �, I I III��; l' i I 1 I r j. ❑ - N i � -�� _ .3 xa � \ as"; �• -� ii§illl Ar b I I 19 6 } �h\' zz. u,x I it j I I � '.I• i .. x m \ I� a as #" + N u 4 I i 11 illllll j I kl I u e 3$ N j>: .ja �� x. •ti 1 i. .x,l I II.I i !, i ]i .0 v 2i . \ I � 1•_ { ,I ,r �', I daa� �����. ���I Ilk T ')I a l �,..I' i i � ��3 �3 iI 0 wlSn _«AV_Uw .- Lu'e �m o;1 «" 2 w j I I KA I I I m n« II I l 1=i N.— I° I xaA I r it li �j <i a CA I Je¶I II I API TITLE v,' m +t _ • y �y� rox 0, '1w011/P1O11 ,r an �I L, row] x wVAm MEET NO w ,xNT V x M �M,mme xJ I 3.0 a 0 w.M 1.:JNra�1 °'1'°°k«r yH 'x ..< ., 120 O 20 — 40 A. l i luv ' . -» a w iwxlc ' SCALE IN FEET I 5 xE: N Barnstable �oFT � Town of Barnstable P Al�tttte�icaC °* Regulatory Services Department 1 1 * SAANSCABM "� i654. Public Health Division q ��° `l'prFD ,�A 200 Main Street, Hyannis MA 02601 2007 m Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 70081830000205008628 _ 3 8/18/2009 William A. Coffin 6642 Walnutwood Circle Baltimore, MD 21212 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 835 Seaview Ave, Osterville MA was last inspected on May, 15 2009 by James M. Ford, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Single cesspools automatically fail in the Town of Barnstable You have 2 years from the date of the system failure to bring the system into compliance. PER O ER OF THE BOARD OF HEALTH l r ThrmaMcKean, S., CIO Agent of the Board of Health CENTERVILLE-OSTERVILLE-MARSTONS MILLS Ro FIRE DISTRICT 1875 ROUTE 28 l J CENTERVILLEAk 02632 (508) 790-2380\FAX-v (508) 790-2385 OIL/HAZARDOUS MATERIAL RELEASE FORM F,A #: FA 517 f ' LOCATION: ADDRESS OF RELEASE' WIS Raavi pyg AugmiP n .i]Ih_ma_ n2A55 DATE OF RELEASE: (firer lima j PRODUCT RELEASED: 99 Ellel_nil ESTIMATED QUANTITY: ._110knoym CORRECTIVE ACTION TAKEN BY RESPONSIBLE PARTY: prnner not i f i Cat i r%ns M NOTIFICATIONS: M FIRE DEPARTMENT: YES U NO( ). DATE: 9194190 TIME: > 156 NATIONAL RESPONSE CENTER: YES( ) NOW DATE: ___.____.___ TIME: DEPT. OF ENVIRONMENTAL PROTECTION: YES ( ) NO U DATE: TIME: OIL SPILL COORDINATOR: YES U NO U DATE: 9/24/90 TIME:.1200 I TOWN BOARD OF HEALTH: YES III NO( ) DATE: 947449 TIME: 1700. TOWN HARBORMASTER: YES ( ) NO U DATE:. . TIME: OTHER AGENCIES: COMMENTS: ReMovjjl of JQQ0 gallon fjAel gil tank at abi2ye addrggs rgyraled min r leak in host= gf .tank.with moist..area MeasuX.ing apRroximateU 6-8- Tpwn Board of Health ngtified aad will send aszenL to gitg. REPORT FILED BY: Lt. Glen S. Hilcox.�. DATE: 9/25/90 WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH C.O.M.M. FORM 58 L - I is COMMONWEALTH.OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTNIENT.OF ENVIRONMENTAL PROTECTION , TITLES OFFICIAL INSPECTION FORM.-NOT FOR VOLUNTARY ASSESSMENTS r SUBSURFACE SEWAGK DISPOSAL SYSTEM FORM PART A CERTIFICATION Property-Address: 835 Seaview Avenue Osterville. MA 02655 � 1 Owner's.Name: William.Coffin Owner's Address: Date of Inspection: May 15, 2009 Name of Inspector: (Please Print)Janes M.Ford Company Name: James M. Ford Mailing Address: P.O.Box:49 Osterville,MA 026554049 Telephone Number:. (508)862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the:sewage disposal system at*this.address and'that the information reported below is true, accurate and complete as of the time of the inspection..The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.. L.am a DEP approved system inspector pursuant to Section 15.340 of Title 5(MO CMR.15.000). The system: Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority ..F s Inspector's Signature: pate: June 2, 2009 The system inspector shall submit a copy of this inspection report to the Approving Authority.(Board of Health or DEP)within 30 days of completing this inspection: If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments House has a Single Cesspool and Single Cesspools fail in the town of Barnstable ****This:reportonlydescribes conditions at the time of inspection and under the.conditions of:use at that time. This,inspection does not address how the system will perform in the future under the same or different' conditions of use. Lo Title 5 Inspection Form. 6/15/2000 page 1 �l6 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 835 Seaview Avenue Osterville, MA Owner: William Coffin Date of Inspection: Map 15, 2009 Inspection Summary: Check A-,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in,310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in "Conditional Pass"section need to be replaced:or repaired. The system,upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally. ' unsound,exhibits substantial infiltration or exfiltration or tank failure is inuninent. System will pass inspection if the - existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is'structurally sound,not leaking and if a Certificate of Compliance indicating.that the tank is less than 20 years old is available. ND.explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box'is leveled or replaced ND explain: The system required pumping more than 4 times.a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board'of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 f , Page 3 of I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION. (continued) Property Address: 835 Seaview Avenue Osterville, MA Owner: William Coffin Date of Inspection: May 15, 2009 C. Further Evaluation is Required by the Board of Health:. " Conditions exist which require further.'evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt inarsh. 2. System will fail unless the Board of Health(and Public Water Supplier.,if any).determines that the system is functioning in'a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system.(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS.and the SAS is within a Zone 1 of.a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of private water supply well.. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used.to detennine distance **This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile.organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 y OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART'A CERTIFICATION, (continued) Property Address: 835 Seaview Avenue Osterville, MA Owner: William Coffin Date of Inspection: May 15, 2009 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the'following for all inspections: Yes No _ ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or.cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is.less than 6"below invert or available volume is less than%2 day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any-portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ ✓ Any portion of a cesspool or,privy,is within a Zone.I of a public well. _ ✓ Any portion of a cesspool or privy is within,50 feet of a private water supply well. ✓ Any portion of.a cesspool or privy is:less than 100'feet but greater.than 50 feet froma private water supply well with no acceptable water quality analysis., [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is'free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] Yes (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15:303,therefore the system fails. The system owner should contact the.Board of Health to determine what will be'necessary to correct the failure. House has a single Cesspool E.. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gPd .You must indicate either"yes"or"no"to each of the following: (The following.criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply _ the system is within 200 feet of a tributary.to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone 1I of a public water supply well. If you have answered"yes"to any question in'Section E the system is considered a significant threat;or answered "yes"in Section D above the large system has,failed. The owner or operator of any large system considered a significant threat under Sectionit or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department.. 4 x Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 835 Seavieiv Avenue Osterville, MA Owner: William Coffin Date of Inspection: May 15, 2009 Check if the following have been done: You must..indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping information was provided by the owner,occupant,or Board of Health ✓- Were any of the system components pumped out in the previous two weeks ? ✓ Has the system received normal flows in the previous two week period _ ✓ Have large volumes of water been introduced to the system recently or as part of this inspection.? ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of breakout? . ✓ _ Were.all system components,excluding the SAS, located on site ✓ _ Were the septic tank manholes uncovered, opened, and the interior of'the tank_ inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems.?. The size and location of the Soil Absorption System (SAS)on the site,has been determined based on: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ Determined in the field(if any.of the failure.criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 P Page 6 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:. 835 Seaview Avenue Osterville, MA Owner: William Coffin Date of Inspection: May 15, 2009 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n1a Number,of bedrooms(actual): 9 DESIGN flow based on 310 CMR 15..203 (for example: 110 gpd x#of bedrooms): n1a Number of current residents: 0. Does residence have a garbage grinder(yes or no); n1a Is laundry on a separate sewage system(yes or no): n1a [if yes separate inspection required] Laundry system inspected(yes or no):. No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Summer use COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes,or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL.INFORMATION Pumping Records Source of information: Unavailable' Was system pumped as part of the inspection(yes or.no): No . If yes,volume pumped: _gallons--.How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,.soil absorption system ✓ Single cesspool ✓ Overflow cesspool Privy Shared system.(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach.a copy of the current operation-and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe):. Approximate age of all components,date installed(if known)and source of information: Date of installation house was built 1914 Were sewage odors detected when arriving at the site(yes or no): No 6 i Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY,ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM,INFORMATION(continued) Property Address: ' 835 Seaview Avenue Osterville. MA Owner: William Coffin Date of Inspection:. May 15, 2009 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: cast iron 40 PVC other(explain):, Distance from private water supply well-or suction line;. Comments(on condition of joints,.venting,'evidence'of.leakage,etc.)`. N SEPTIC TANK: ✓ (locate on site plan) (Cesspool acting as a septic tank) . F Depth`below grade: Cover to Qr ade Material of construction: 'concrete _metal fiberglass _polyethylene ' other(explain) cesspool block' If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes.or no): . (attach a copy of certificate) Dimensions: 4.'W x 5'T z 6'bottom to Qrade Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: - Scum thickness: Distance from top of scum to top of outlet tee:or baffler -- Distance from bottom of scum to bottom of outlet tee or baffle:; - How were dimensions determined: Measuring stick Coirunents(on pumping recomiriendations, inlet and outlet tee or baffle condition;structural integrity;liquid levels as related to outlet invert,evidence of leakage,'etc.): The Cesspool was dry,An outlet tee was present. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: -_concrete _metal fiberglass _polyethylene other. (explain): Dimensions: Scum.thickness: ; Distance from top of scuimto top of outlet tee or baffler Distance from bottom,of scum to bottom of outlet tee or baffle: Date of last pumping: Commments (on pumping recommendations, inlet and outlet tee,or baffle condition,structural integrity; iquid levels as related to outlet invert,evidence of leakage,'etc.): 7 Page 8 of I 1 OFFICIAL INSPECTION'FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) ' Property Address: 835 Seaview Avenue 1 Osterville. MA . Owner: William Coffin Date of Inspection: _ May 15,2009. TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection).(locate on site plan) Depth below grade: Material of construction: _concrete _metal'_fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons : Design Flow: gallons/day Alarm present(yes or no): Mann level: Alarm in working order_(yes or.no): Date of last:pumping: Comments(condition of alarm and float switches,etc.); DISTRIBUTION BOX: None •(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution;to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: None (locate on site plan) Pumps in.working order(yes or no):_ Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): ;. 8. Page 9 of 1.1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 835 Seaview Avenue Osterville, MA Owner: William Coffin Date of Inspection: May.I5" 2009' ¢. SOIL ABSORPTION SYSTEM(SAS):,' ✓ (locate on site plan,excavation not required) If SAS not located explain why: '. Type . leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number, length: , leaching fields,number,dimensions: overflow cesspool,number: '2 Innovative/alternative system Type/name of technology: ` Convnents(note condition of soil,signs of hydraulic failure;level of ponding;damp`soil,condition'of vegetation, etc.): The overflows were drv..The bottom to grade was 7'6".`The covers was.10."below ✓ CESSPOOLS:._(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: One single Depth-top.of liquid to inlet invert. Depth of solids layer: Depth of scum layer; Dimensions of cesspool: 5'w x 5't x.6'bottonrto grade ' Materials of construction: Bricks Indication of groundwater inflow(yes or no): Connnents (note condition of,soil,signs of hydraulic failure, level of ponding,.:condition of vegetation,etc.) The single cesspool serves for the kitchen sink. Steel cover was to grade - PRIVY: None (locate on.site plan) Materials of construction: Dimensions` Depth of solids: Coininents(note condition of soil,signs of hydraulic failure,level of ponding;condition of vegetation,etc.): " Page 10 of I OFFICIAL INSPECTION FORM NOT FOR,VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C . SYSTEM INFORMATION(continued) Property Address: 83S&aview Avenue Osterville:MA Owner: William Coffin Date of Inspection: May 15, 2009 . SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a.sketch-of the sewage disposal system including ties to at least two pennanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. O Vt >) 8r - - d 0 10 Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 835 Seaview Avenue Osterville, MA . Owner: William Coffin Date of Inspection: May 15, 2009 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 20+/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting,property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: topographic and water contours neaps Checked with local excavators;installers-(attach documentation) Accessed USGS database-explain: You-must describe how you established the high ground water elevation: Using Barnstable topoaraphicand water contours maps the maps were showing approximately 20'+/-ground water at this site The cesspool are approximately 75'from the ocean bank.. s , This report has been prepared only for the septic systeni and components described herein. This.septic systent has been inspected and failed as of-the date of inspection: This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the septic systein, the inspection,this report and/or.any components of the septic.systeni which have not been located and inspected. . 11 . GENERAL NOTES : . ;., ,., ter. �;`••�- �� .r _, �_ ; . .. - AoX7 .,. _ -� r� •f�� r',. ,teat ER NYE ICE 1. THE : - _` .. ,.' J. " >�r Y - INTENT OF THIS PLAN IS TO SHOW PROPOSED WORK AT LOCUS 5. A TITLE SEARCH HAS NOT BEEN PERFORMED FOR TM SITE IF DEIE]4MINm 8.) . + ; . J ) -� �;,.�, .x• � .� �. �. �� . +. � ��• .�.. � �. � ENGINEERING & .. TO BE NECE58AR1'. A TITLE SEARCH SHALL BE PERFORMED BY OTIERSV . # . .',, f •. -. '°.` 2. LOCUS AREA IS QED OF • SITE IS NOT WITHIN AN A.C.EC. (AREA of CRITICAL ENVMtONAIENTAL CONCERN). • THE PROPERTY LINE MIFORWTION W N LS BASED ON CURRENT AVANABLE RECORD NVFORMA •THE CIDIFIRACTOR SHALL OOIVTACT DIG SAFE (At 1- -DID- .. r r F ; �,. . .. ,= SURVEYING SAFE) AND URITY COMPM IES TO LOCATE ► -" ,,, f " ASSESSOR'S MAP 113 PARCEL 002/002 6•) TION SITE S NOT WITI I AN AREA OF ESTW7ED HABITAT OF RARE WLDLIFE PER ALL DOS�M1G UTILTI r At LEAST 72 HOURS PRIOR TO 1FE START OF CONSIRUCTNON. THE LOCATION OF +41•>'"•„ ♦; � •r �.�., � _ r'' 2010 'ESTIWTID-HABRATS OF RATE MI,DLFE'LAND COURT CASE 2664-123; ATE 195322 OONSI57NdG OF PLANS AND DEEDS. NHfSP MAP OCTOBETt 1, E70STNrG UI�aRGRO1N�ID NFRASTItIJCiUR� UTN.t11E5, CO�OU115 AIrA LN�E'5 ARE SHOIMN NV AN APPROXMATE ;., • + � Yl'• �l ,; � f',`. •' •,�a+-- ,' «�: -'' . _ . . .,r• FOR USE MITH THE MA KTLM PROTECTION ACT REGIN,ATIONS (310 CUR 10).' WAY ONLY, MAY NOT BE LMIIED TO THOSE SHOMN HEREM AND HAVE BEEN RESEARCHED BASED ON THE h} y f ' , � { Registered Professional Engineers 7.) THE EXISTING FEATURES % MN MREON MERE OBTAN0 FROM AN ON THE MAID FIELD SURVEY AVALABLE LIMY RECORDS NOTED tEREON. THE AGREES 10 BE FULLY RESAONSIBiE FOR �' o �.` 9 , APPLICANT THE MHOURI' CAPE COD REAL ESTATE TRUST PERFORMED BY BARTER NYE DWAM G d SURVEYING ON SEPTOW 12 THROUGH 13, 2011 AND •SITE DOES NOT CW MI A CERIFIED VERNAL POOL PER NHESP MAP OC70M 1, 2010 ANY AND ALL QAMAGES MHICH MK;}TT BE 00MM BY THE 0WRCTORIS FAA.URE 1D LOCATE SAD r: �.� � � ' t z . �.ti "`�C -�_� � •r '� and Land Surveyors r•� A.J. KIIOURY, TRUSTEE SEPiEMBER 19, nil. '=11FIED VERNAL POOLS.' IIFRASIRUCTURE AND UTI M EXACTLY.. IF FIELD CONDIRONS OFFERS FROM PLAN M�ORMATION THE - 149 SOUiH BEACH ROAD _., -�.}. • } P055E REDE5K;F1 ;M UONTRAC'IOR SHALL NI07FY THE ENGINEER MMEDMTELY FOR '-` '�:`• .%° '%` , '''� -. -►: ' HOBS SOUND, FL 33'I55 8,) COMMUNITY PANEL NUMBER: 250001 0018 D •SITE IS NOT MnFIN A PRIORITY HABITAT PER MESP MAP .••' , °�+ `. • • 78 North Street - 3rd OCTOBER t, 2010 'PRIOiMTY ...,i,c Floor 1FIE FLOW INLSUWVNCE RATE MAP OETINES THIS AREA AS ZONE VI t HABITATS OF RARE SPECIES" FOR SPECIES UNDER THE MASSACIIUSElTS ENQAINGERED . .. � �'�°: •. J `Hyannis, Massachusetts 02601 (EL 16). WITH THE REIUINNNG UNDERGROUND ELECTRIC SOW SI M IS APPRO)aMATE PER WO MATION RECEIVED FROM NSTAR • # s � .� 3.) BENCH14AW AT MAG/SET PARCEL AS ZONE C. SPECIES ACT, REGMAIM (321 CMRIO). ELECTRIC ON SO MBfR 2Z 2011 . NSTAR NOTES THAT NEW ELECTRIC REQUMIOIENTB STATES THAT N.W. CORNER EXISTING DWELLING AT LOCUS UPGTtADED SERVIfE MUST BE FED BY A HAND HOIE «�.� .:t�eR Phone - (508) 771-7502 EL = 21.82' NGYD29 •SITE IS NOT WMINN A STATE APPROVED ZONE' I GR W WATER RE(2MRGE PROTECTION AREA. "' ►•� • WORMATION RECEW FROM NATIONAL GRID STATES THAT THERE ARE NO GAS FACIIIES FOR THE v' 1 `. -� ; • Fax - 508 771-7622 r SITE S NOT MITIMN A ZONE OF CONtIR MION TO A SALIIMITER ESTLNIRY (BARNLSTABLE 11O.1i AREA. 4< ELEVATION ESTABLISHED BY GPS OBSERVATION ASSESSOR'S RECORDS W07E THAT LOCUS 1S HEATED BY OIL _ www.baxter-nye.com TO NGw29 USING tARPSCON 6 SOFTWARE CONSERVATION NOTE: REG. 360-45). - # y�e.com 1. LIMIT OF NbRI( APPROVED UNDER DN-11099 DELMEATION BY LORI MxDONND, IM, P.w.& OF BARTER NYE DMEEI MIG & •APMWATE PROVIDED BY THE TIO SAW ABLE X TIC CbMPONENIS ��� AS TAIV FROM Eb 5 1AS-BULt SKEICII SEPTEMBER 13, "I t. OF TH, ( / /09)• WMIOIf STAMP STAMP 4.) ZONING INFORMATION S1fflA;1 S SI MN ON PUN MERE FIELD LOC471 D AS NOTED. P�ZN OP Mgss OD-287-S FRONDED BY C-O-MM Locus Map scale 1 _ low ZONING DISTRICT : RF-1 (Residental) •APPTER ROWTE r�VN FAX� 9 2t 201t. o� TePH�N yG CURRENT MINIMUM ZONING REQUIREM�S: ( / �) / / L m MIN. LOT AREA = 87,120 S.F. o. 216 MIN. L07 FRONTAGE = 20' ' \ 1 r' 1 a� GI MIN. LOT WIDTH = 125' ; ; ,c STAL E 4. FRONT YARD = 30' SIDE dt REAR YARD = 15' / 15' OVERLAY DISTRICTS: AP (AQUIFER PROTECTION) do LOT B-9 RPOO (RESOURCE PROTECTION OVERLAY DISTRICT) 1 o-FOOT WIDE EASEMENT PER LAND CONSULTANT COURT PLAN.2664K ��,�.... 2.9 BRUSH \ f�1Y:7,.1 x 10{4� 6.1j I 3. 1 .- x20.3 CONSULTANT I It . E NF g00' t 356.51' \ - \ l MAP 113 PARCEL 003 ' { / S DONALD J. & MARCIA M. COREY, TRS. \ '\ 1�;1 ; ; X 19.E� \ .►.--""'�� I � • � - \`\ `,, ! . ' i 1 � ? ;, ; i 1 , 1 21. PREPARED FOR : TREES_ _ 1 The Khoury Cape Cod 227 i TREES fig,I ', 1 I`10.$ �.Q �.2 ; ;5:0 2 7 1 Real Estate Trust r ; 1 ; , ` ; u� � 21.8 21.8 21.3 I x \ 1 1 , ,1 1 I CESSPOOL k 2,.0 20.6 I ' % X � 1 A J Khoury Trustee UPNO , ' , 1 ( #) 1 ( C01JER 2.2 / \ t ; 1 ,; ; ; ;x 4.8 1 ; m / 1 • � III I III I � !' �,UGE- t # / 2.0 1 22.41////z LIWT OF , r©NCI( LAWN 3 -- - UGE--..._.LICE - U 22.3 22.2 (DMA-1100) UGE'----UGE ^ 22.1`` , (` P ,/ w • • ', ' , , i! ; ! , ' 'i irrl -1 1 UGErUGE 3. D DRIVE 4�---- �-� / / ' ' ' + be 12 x uGE u 21.8 . ' ; 19.5 ;; ; I ;; ; 10`7 ; Q d'BEACM 1 20.5 Itx 1 ` ; �x.22 0 \� L1.0 •• _ \ //Sc 20.s Y N ;1 •, � ' , ' ' j�. .6, m 1 \21.6 I JI //28' A ;21.6 3 m y #835 z I W' i \ 2 1/2 STORY wood 1 I , \ DWELLING �� I �' { ; I m; 1 I T V W 3 \ \ • /' a F.F.E. =22.9 .. 4I ' �� ' IL f- \ 21. • /� LAWN O ; ; ; I ` ( ; �; ; .•� 7-1 w O d 3 , TPA � j �` � . � x 21.9 MVO \ 10; I10 O as LAWN # a x 22.3 1 • ---�9 18.8 1 { I I ; _ 50 Cm N Z f / 109.9 I Ix 4.9 i1 a MAP 113 PARCEL 002/002 1" ; 1 L 0 T 2 5 4 T PROP06ED PARING COW F.F _ U00 �/ • : - - m n x 23.1LAND COURT PLAN 2664-123 + TP #2 f� x I K 1 a f TP f21 DECK _ 18.9 ; ; ; ; ; ; ; ; ! ; ; ; � 1 •.. FT \ 1 ''-- ; ; ; 1 ; i 1 1.4.9 ; ;x 2. o MAP 113 PARCEL 002/001 98,847 SO. ' i W _ N/F 2.27 ACRES t / ' • 1 UP (NO #) i 1 Q CA ERINE D. WHITE r'` ; , ; ;, ; ; t Z PER LAND .COURT pETIT10NER'S PLAN � � � � '� � + ' � � `` 1 1 W � > Y to 16,920 - UNREGISTERED BEACH AREA CO to BENCHMARK: 1 A STAKE SET ; CESS OOL ! I ; ; ; 9.7 �. i ; )d 5.1 x 3.11 5 1 qf , ; , .�, 1 I 1 ; 3 EL. = 22.1 (NGVD 29) Q Cy d �$ R ! 1 4 L DIN 2 \ 1 • x 1 /• ; x15.9 G ' x 21.8 �` SEPTIC MN / D•-80x \ NOT CESSPOOLS LOCATED) '{ x eAN�c •20.8 i c i ; 16.0 x Z 5 / % ! ' _ '_""r-•-�. I •i'wk 2 10.5 8.7 7�4 'x 4.7 3.a t� 1 O x 22.3 / p i ; ; SUFFr ONE 1�.0; I ; '+ ' 1 F - } / LAGP E / p ;' \\ - ; - ; ; ; ; ; ; 7.01, a a{ ; DRYWELI( 1 1 1 1 1 Z % �4r \ \ LAWN ; ; ; ; ' PLAYHOUSE/ \\ I ;�y4.8 11 1 I I I ; 1 4C < m W / 2 SHED/STORAGE \ ; ; 1 1 ; 6.�20.5 1 1 / 20.6 20.5 wT OF MOM( / (DA- 04 Q. 15 7 15•$ 9.6 X .5 '1 3 ; x+,5.1 x 3. 15.8 o I J 20.41 �.4►1 ; ; ; 1 ; 1 ; ; F W ~o I 223.31' - to RECORD / 0.0 3 1 21. 3 o I 4" E 224.31' m, WATER l - x 21.5 III I I m 1 1 0 GATE `WATER 23.6 x 23.3 b - 22.6 /, / / 0.5 N 2 TREES I ; 1 z g pI@ GATE .__ _ - _x-- ' /� WATER ; #Q' ft I ` ; 0.0 69 t SHEET TITLE a LP w -w -w -w - APPROXMAIE LOCATION OF r WATER LME TO FIRE HfBRANT _ - - - - 1 • • 4m _�] -w =w =w =�_ _ -- --T ---w -w-.=w - -w -w ,w -w 244-w -w I SHUT-OFF OCKADE FENCE r 1 o a W N - HYDRANT I ? b ' i '� c6 I ' 00 SOptle Sue m plan � * I ! - - ._.,� 22.0 II N 11'20'34" W 600' # TD 8.8 zJ.4 6. 3.0 o„ 3 23.6 - -X - - - - - - - - -- - - - - \ II 560.00� RECORD 1 - - - - - - - -- - - - - - ; BENCHMARK: BONNET - I � � BOLT BETWEEN `AEBERT" 559.76' - CB/OH to LOT CONt x 19.8 3 l � / dt "NIECE:' 0. ( / MAP 113 PARCEL 001 \ EL = 23.73' NGVD 29 x20.3 SHEET N O ,., N/F 21.2 a 6.6 NRICHARD T. & ALICE R. MCDERMOTT I a I I UP/LP 68/86 C T CAW NOTE: Alp �4--1?3 spol LAND COURT PETITIONER'S PLAN ANNOTATES THIS LINE: "MHw L. C. D A T E : 12/21/2011 2664K" 20 0 20 40 J PLAN DATE: AUGUST 7, 1912 M SCALE IN FEET 0 SCALE :1"= 20' y DRAWN/DESIGN BY: MTM CHECKED BY:MWE 0 J O B NO: 2011-043:02 C A D D F I L E: 2011-043-SP 0 BAXTER NYE FQ ENGINEERING & SURVEYING z 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE Registered Professional En ineers WITH TITLE V OF THE STATE SANITARY CODE DATED APRIL 21. d 9 2006. AS AMENDED THROUGH THE DATE OF THIS PLAN. & ANY and Land SUrveyr rS TYPICAL SYSTEM PROFILE LOCAL RULES & REGULATIONS APPLICABLE 78 North Street - 3rd Floor NOT TO SCALE 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY 1=04 CM: THE ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED Hyannis, Massachusetts 02601 WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. X ":' 3. WHEN CONSTRUCTION Is COMPLETED, PRIOR TO BACKFlW Phone - (508) 771-7502 7. NG. r✓ NOTIFY THE BOARD OF HEALTH AGENT Fax - 508 AND ENGINEER FOR ) 771-7622 INSPECTION. www.boxter-nye.com PROPOSED FINISH FLOOR - 23.0 PROPOSED GRADE = 21.7t SET ALL wm=omm To r saar Fmw CIaOE 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 40 SCHED 40 RIStRs COM SHALL BE WMERns"T PVC. UNLESS OTHERWISE NOTED HEREIN. SET COVER TO d" 8ELi011 FMSFH GRADE STAMP STAMP RISER & COVER SHALL BE 0790 1f 5. EXCAVATE UNSUITABLE MATERIAL AS NOTED. TO THE "C FlNISfIED TANK HORIZON- , FOR A HORIZ. DISTANCE OF 5' SURROUNDING THE p�•( \OF N1,q MAIN HOUSE Irv21.5t LEACHING FIELD. AND REPLACE WITH CLEAN SAND PER 310 CMR /-FNLSH GLADE « 213t 15.255 TO THE TOP ELEVATION OF THE SAS. s C EAL� 70 EP m FIAIM GRACE Ol tM TROVC� _ �� 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN 3 MM. LESS THAN 3 OF COVER. No.30216 4" SCH 40 PVC -• 9" (min) Cover 7. THE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE GARBAGE INV OUT m- 20.2 FIRST` 2' 8E 36" (max) Cover GRINDER DISPOSALS. s�'/OIVAL INN OUT m- 21.0 INV IN = 19.8 MIN. t 4• "`.' OUf=19.5 4" SCH. 40 PVC , 2%ayer 1/8101/2* S. �; THE CONTRACTOR SHALL CONTACT DIG SAFE (AT y PVC TEE (SEE TABLE') 2 Peastone LFACN9IG 1-888-DIG-SAFE) AND UTILITY COMPANIES To LOCATE ALL t, GAS BAFFLE ' p • EXISTING UTILITIES, AT LEAST 72 HOURS BEFORE THE START OF • CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE EXACT CONSULTANT GAS s W IN = 19.3 • . . W OUT = 19.1 LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF ALL EXISTING cOrrCRETE ; BAFFLE • . .•' UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF 7fl BAFFLE s CRt1SI�ED ,� ,.: 4 PVC STONE BASE EXISTING UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE . '+ ': •�.., r..:. • NV1I IN - 18.5 •+ - * .••..! • <.• e ;.•••:. L WAY ONLY. MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND STONE HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS REPRESENTATIVE THE CONTRACTOR AGREES TO BE FULLY S.000 GALLON TWO-COW SEPTIC TANG DISTRBl1'flON 80X BOTTOM OF SYSTEM = 16.5 RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT' BE CONSULTANT 5' MIN ' OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE ST-3000 OR EQIML UTILITIES EXAMY. IF ELEVATION INFORMATION DIFFERS FROM PLAN No Groundwater Observed O Elev. 10.3 INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. AT Ui1LITY CROSSINGS, VERIFY IN HELD THE LOCATION / INVERTS OF ELECTRIC, GAS. TELEPHONE & DATA/COMM AND RELOCATE IF CoNFUCTING WITH PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE CONTRACTOR SHALL PRESERVE ALL UNDERGROUND UTILITIES AS LIQUID DEPTH INSEPIiC TANK DEPTH OF OUTLET TEE 8EL0w RNLIE REQUIRED. PREPARED FOR : 4 FEET 14 000 5 FEET 19 INCHES 9. THE PROPOSED UTILITY CONNECTIONS SHOWN HEREON ARE 7 FFEET 24 SCHEMATIC. CHEMA I. INAL YLAYOUT AY P� BE AS DETERMINED BY THE The Khoury Cape Cod 8 FW 34 Real Estate Trust A.J. Khoury, Trustee 12' - �- FINISHED GRADE -� 36"MAX.-9"MIN. COMPACTED FILL 2" OF PEA STONE ..................... ::.................:...........................::•:::::::::::::::::::::: 11►AsffD OR FILTER FABRIC 3/4" TO ,1 1/2 " 10 « TEC tI• 30.5" DOUBLE 24" EFFECTIVE DEPTH WASHED STONE 4' 4' 4' 1 -94�- - 49 70' 78' PLASTIC LEACHING CHAMBER DETAIL PLAN VIED CULTEC 330XL OR EQUAL NO SCALE m y4 _C � > N W 3 ; Sam LEACi M AREA REOLWAMEM WL LOW ow 1IESNOomAL: s am oaMs DATE • 10/24N1 i M a TOTAL DE9N N SOIL EVALUATOR: BARNSTABLE a a0 0 QVWM cR'NOER W 111ICUM) - N/A STEVE MATSON, P.E. BOARD OF HEALTH AGENT: 1)PoNc MEME _ 4s rw (rra+ (amss DONALD DESMARAIS R.S. LIAR - 0.74 GPD1s.F: TEST PIT 1 TEST PIT 2 TEST PIT 3 TEST PIT 4 z 990 GPD/ 0.74 VDI F. - 119D Sr. IrIN -"-G.S.E. = 22.51 " G.S.E. = 22.1 f " G.S.E. = 22.3f " G.S.E. = 22.3t ! ° MPWM SMIN 10 CULTNx 3XX CWiIERS WITH 4' STONE ON ALL SaFS Ap; 1OYR 3/2 ; SANDY LOAM A; 10YR 4/4 ; SANDY LOAM Ap; 10YR 3/2 ; SANDY LOAM A; 10YR 4/4 ; LOAMY SAND " 161, 6" 16" SOENMLL ARFJI• (12' + rid • 3W SF y eOMM w,» (Ir Y - g SJ W TOTAi.AREA: I nO S.F. B1; 10YR 8/1 ; LOAMY SAND B ; 10YR 5/6 ; LOAMY SAND B1; 10YR 8/1 ; LOAMY SAND B ; 10YR 5/6 LOAMY SAND w o 1.296 SF. x 0.74 V011F: - 90 WD 12" 36" 12" 36" SEP11 TW SUM WD WD x 2DDx = f7W GALUON 82; 1OYR 5/6 ; LOAMY SAND C ; 10YR 6/6 ; MED. SAND B2; 10YR 5/6 ; LOAMY SAND Cl; 10YR 6/6 ; MED. SAND g a 1ST OOWONW - I GALLON 1 . s 20 CONNrI - MD GALLON 24" 60" 24" " USE 2 OOWOIENT 3OW GALLM SFPiIG T1WC °13 C1; 10YR 6/6 ; MED. SAND C 2; 10YR 8/3 ; FINE SAND Cl; 10YR 6/6 ; MED. SAND C 2; 10YR 8/3 ; FINE SAND O .. Z l9rHEIe1 YA'Q� 48" 120" 48" 120" SHEET TITLE .� FINISH FLOOR 23.0 a SEWER INVERT AT HOUSE 1 20.2 C2; 1 OYR 8/3 ; FINE SAND C2; 10YR 8/3 ; FINE SAND SEWER NVERr AT HOUSE 21.0 Septic system Plan6i - SEWER INVERT INTO SEPTIC TANK 19.8 144 144" SEWER TNVET7T our of SEPTIC TANK 19.5 No WATER OBSERVED No WATER OBSERVED Detail sheet SEWER NrVERT ANTI] DISIRIBUTIOill BOX 19. a SEWER NVE T OUT OF DISTRIBUiION BOX 19.i O EL 10.5t O EL 10.3t 3 SEWER INVERT INfO SAS 18.5 SHEET N O a BOTTOM OF SAS. 16.5 m NO GROUNDWATER OBSERVED TO ELEVATION 10.3 SPw2 i MR THMT N JIA.Y ZVI i HIIWE PIiSSED THE SON. EVIV.IM= EXAMTION APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL MORECi10JNI THE ABOVE ANALYSIS MIS PERFORMED BY ME CONSISTENT WRH THE RE%IRED TRAINN1f�. EXPERTISE AND DfPERENCE OESCRISE15.017 DATE : 12/21/2011 SiT;HM1Ul �-9 14 QAIE Z� `�- S SCALE : DRAWN/DESIGN BY: MTM CHECKED BY:MWE 0 S J O-B N O: 2011-M .-02 CA D D F I L E: 2011-043-SP 0 rr 13 - - - - - - - - - - ` \\ 19'-4' 0, to 42'-1' 19'-4• F 32'-5y8 191-01 II IIT II II I -- nowo I ' DIMMG � -�-t �4 OAF HR M_ 1 t \ � "FAMILY RM N — I Q c- _ MASTER - ` 1 I I I I BEDROOM L — ® — — I — Fol T-93 H�s 1 I I i CLOSET � / r � � -- ------------- � N KITCH i i ON wm c�oaer PANTRY I O twoER I.Wo Lirg \N \N THR M �/ \ 'anwele cyOFFICE tV ve ml OHER 1T-6�/ C3,.8" Eh► Y\ CLOSET t.lfl O N PANTRY �N "n-K 2 / L wIwo l r• i 1 0411104 7MAT 5r -1 I ..At D i 12 I 11'-2%' 24'-6%' 20'-0' v ��E — — — ww" cc H POOL I , STORAGE OW � SENTRY r------- Q— *�P-1+ K CHANGING j / \ LAUNDRY 4v see}tVN .- 19'-113/4" 1 a � J TORAIG LOSE GUFF / ®1 ITC EXM�CMS GARAGE + 1N ,- ,�uJ c, 1 ff��/ 13 0 R LA 1-GAR GARAGEE-1 _ 28'-9' 22'-4' 26'-1• KHOURY RESIDENCE 835 SEA VIEW AVENUE DESIGN DEVELOPMENT PROGRESS 3 - 11 NOVEMBER 2011 NICHOLAEFF ARCHITECTURE + DESIGN �� � � �� f-1 ��� 812 MAIN STREET - OSTERVILLE, MA 02655 11 PRo OSEDS o0 SCALE. '� �$ 1 � TEL. 508-420-5298 - FAX 508-420-2240 CECIFIC 2011 DOREVE NICHOLAEFF ARCHITECT, INC. THE DRAWING AND ALL OF THE IDEAS ARRANGEMENTS, DESIGNS AND PLANS INDICATED THEREON OR REPRESENTED THEREBY ARE OWNED BY AND REMAIN THE PROPERTY OF DOREVE NICHOLAEFF, ARCHITECT. NO PART THEREOF SHALL BE UTIL ZED BY ANY PERSON, FIRM OR CORPORATION FOR ANY PURPOSE, EXCEPT WITH WRITTEN PERMISSION OF THE FIRM DOREVE NICHOLAEFF ARCHITECT, INC. 9T-4' 22'-4" 1T-4" Fo HIS c Fina Q — BEDROOM 4 I e0 , I BEDROOM 2 N — O i T-42" ITQ 1 { Fol - - \ N ® I AB TH 11 I /� I �\ ° ® 17 I I I ° IL opm TO 1 BELOW N BATH 2 c \ \ 42 16'-5' I � ( I / a J I y 14 9y2 - ❑ a I I 1 I I I I Y - gug-ST a \cam � BEDR OM 3 O _ - GUEST - \ 11 11 ,11 BATH 3 Oin _ <WEST \ BATH — M OOM 4 `- / / ---- Fol Fol CLOS GUEST CLOSET 7'-2y / B TH 2 J - � KHOURYRESIDENCE 835 SEA VIEW AVENUE DESIGN DEVELOPMENT PROGRESS 3 - 11 NOVEMBER 2011 NICHOLAEFF ARCHITECTURE + DESIGN PROPOSED SECOND FLOOR PLAN 812 MAIN.STREET - OSTERVILLE, MA 02655 2 SCALE: 1 /8" = 1 '_0" TEL. 508-420-5298 - FAX 508-420-2240 CCCC 2011 DOREVE NICHOLAEFF ARCHITECT, INC. THE DRAWING AND ALL OF THE IDEAS ARRANGEMENTS, DESIGNS AND PLANS INDICATED THEREON OR REPRESENTED THEREBY ARE OWNED BY AND REMAIN THE PROPERTY OF DOREVE NICHOLAEFF, ARCHITECT. NO PART THEREOF SHALL BE UTILIZED BY ANY PERSON, FIRM OR CORPORATION FOR ANY PURPOSE, EXCEPT WITH ECIFIC WRITTEN PERMISSION OF THE FIRM DOREVE NICHOLAEFF ARCHITECT, INC.