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HomeMy WebLinkAbout0092 SOUTH BAY ROAD - Health 92 -South Bay Road Ostervi l le A= 093-042-001 II I I i o No. 0 Fee BOARD OF HEALTH TOWN OF BARNSTABLE 01ppYicatiou ,for Vern Cou6truction permit Application is hereby made for a permit to Construct , Alter( ), or Repair( ) an individual well at: 92 Cns V%ncu 1U.- Os-�eyul�tc Mv� Cr, `y 2—I oI (( Location-Address r Assessors Map and Parcel C ` ► Owner 1 Address 1 `��O<�Y1 T'1[���f�r G tR�`� C�• �b� ,Z� ��rtWST f�✓ C,-zj- � Installer-Driller Address Type of Building Dwelling ✓ Other-Type of Building No. of Persons Type of Well LA /! t�`0� Capacity Zb Purpose of Well 'Z rv,toc_e&r,a,(\ Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Welt Protection Regulation-The undersigned further agrees not to place the well in operation until a Certificate Co p 'a chas been issued by the Board of Health. Signed DateW/4- Application Approved By Date Application Disapproved for the following reasons: Date Permit No. V.J �L'� �© 2— Issued l 5G Date --------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( ) by T-U ( C r�i1 i 1 l I� �'✓�c 1 S`ACL K\ talle at L't� -t , evUi (`p has been installed in accordance with t provisions of the Town of Barnstable Board of Health Private WeV Pro ect'on ��Regulation as described in the application for Well Construction Permit No.Q ')`'I ���� Dated 6 15 11 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector Fee �� J t BOARD OF HEALTH TOWN OF BARNSTABLE 2pprtcatiou _for Yell Congtructtou Permit Application is hereby made for a permit to Construct(Alter( ), or Repair( ) an individual well at: r ` Location`-Address Assessors Map and Parcel 7 ywl 1 (i Y►Al AN LA(1 s 'Ft l2 w ao Owner Address Ind �ayl 1Z� 3�tw5��� oZ�31 Installer-Driller i Address Type of Building Dwelling ✓ Other-Type of Building No. of Persons Type of Well 1'Y 4-,,,.n I _� �� �VG. Capacity ZQ c.pk:A. Purpose of Well -S-_ - c�4 Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the Town of Barnstable Board of Health Private Wel Protection Regulation-The undersigned further agrees not to place the well in operation until a CertificateXCo � c�has been issued by the Board of Health. well in operation until a Certificat Signed Date) Application Approved By 5( Date Application Disapproved for the following reasons: c� 1 Date Permit No. C) I�� �� Issued Date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed( ), Altered( ), or Repaired( ) Otallef at evN�E ,\=e has been installed in accordance with-the provisions of the Town of Barnstable Board of Health Private Well Pro ection Regulation as described in the application for Well Construction Permit No.QPCJ -1 _0/1 Dated 6 1 5 1� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector / - BOARD OF HEALTH -- TOWN OF BARNSTABLE Ivell �tCougtru tton Permit 1, No. ����� _ 0 �� Fe`e -Permission is hereby granted to C vi /ulaj&Yul k 4 CS Installer ✓� �, to Construct( _�lter(d); or Repair O an individual well <� y`+ � No. t Street I as sho.Wh onit& application for a Well Construction Permit No. I,J" C,AA Dated ! Date 1 '1'1 Approved By TOWN OF BARNSTABLE LOCATION SEWAGE# 2 0 -I VILLAGE ASSESSOR'S MAP&PARCE INSTALLER'S NAME&PHONE NO.SEPTIC TANK TANK CAPACITY LEACHING FACILITY.(type) rt,) (size) I Z t v,!e 4 is Z► Mf NO.OF BEDROOMS OWNER (g d R. PERMIT DATE: `--11 —13 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY .E v J eel ,i No. / V Q , t ,.4 Fee ~� THE COMMONWEALTH WARNSTABLE, MASSACHUSETTS Entered in computer:PUBLIC HEALTH DIVISION - TOW OF MASSACHUSETTS Yes application for Xhz ogal: .,terry (fow5truction Permit Application for a Permit to Construct(0 Repair( )n Upgrade( ) Abandon( ) ®Complete System ❑Individual Components Location Address or Lot No. 1z �Gu{t!� � �c� Owner's Name,Address,and Tel.No. r,fm_�-Uf fie 74 S,,,JA �7 Al 77 % f>e=P 45scC. Assessor's Map/Parcel D ' Vy� S , 9c `A to — 9�L�3 pc '�L%0e c e bn G .zs 33w —2757 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. `�B'77r-7�®Z. W Ll cr 6LVk--ei ljA CIZ? 056C WVe- , 7g A-brAA sx Type of Building: Dwelling No. of Bedrooms -7 Lot Size 8 40 YeO sq. ft. Garbage Grinder (At) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 776 gpd Design flow provided 7913 g p d Plan Date 11 11311Z `Number of sheets Revision Date d R fO 113 Title ,tr dd� ,n�fs Pz o,,4- 04ov) Size of Septic Tank ;2 Type of S.A.S. <.�� Cd,G,wlo�r- ��l fa Description of Soil 4k, c1'1 trx�� 12 tc,v, fl Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Ie Compliance has been issued by is Board of a h. S Date N t Application Approved Date Application Disapproved by: Date d t for the following reasons N Permit No. QJ�� O Date Issued f ! fir`• > - 6�- rs ,,.�. .,�, T(,. ^�� _ � i A y :t No. r-- —V y .-,�� 7R A. Fee THE COMMON_ ;E'��H C ;'MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION ,.:TOWR OF E&RNSTABLE, MASSACHUSETTS Yes i r M ZIpprication for i� ogaY O�teme Con,5tructi' ' Permit Application for a Permit to Construct Repair( ) Upgrade(-d)q Abandon( ) ®Complete System Individual Components n r, R, Location Address or Lot No. IZ ' !� �d t e .Owner's Name,Address,and Tel.No. s G S Izr i l l e �jr/Z Sa�/�t /Rw 7 hvccP /✓. T V6 P;r pAsscsc, Assessor's Map/Parcel m Ge,�3• PG rf2/OO f I UN2/ 5 ♦e 4 f� — 3Qrc f P6/4 Cl✓a/,. Ty/ coc i G a�4.ss F-"l 33q/0—Z75 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 50,9'771-7SaZ. iDoK4 ,- Nyc 7g Abl�4li.fit fA cr �jt,V�c rG 5� `12? Z (` Z N Ahn�5 js'1455 O ! Type of Building: Dwelling No.of Bedrooms Z Lot Size 1/J%60 sq.ft. 1tGarbage Grinder (IL) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 77b gpd Design flow provided 7113 gpd ,. Plan Date I d 13 1 Z. /Number of sheets +Ljo Revision Date 1 10 113 Title' Size of Septic Tank 2 600 5y0 lays Type of S.A.S. /,40 /Y 2� IV Description of Soil yc(�. }� Soi 1 (cis a►� ,�(aw (P-13 7 l �Nature of Repairs or Alterations(Answer when applicable) f. _,;,,Date last inspected: 1 J + Agreement: The undersigned agrees to ensure the construction and'maintenance of the&ore described on-site sewage disposal system in ti accordance with the provisions of-Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by is Board of each. i / ' i �� i i S.gnt Gr Date tV -i Application Approved b Date _ r Applicat n Disapproved by: Date d ' for the following reasons N ,l Permit No. Q O y Date Issued t 111411 N THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance . ;., \\ll THIS IS TO CERTIFY tbai the On-s' e Sewage Disposal System Constructed ( X) Repaired ( ) Upgraded ( ) v \ c- Abandoned,( )by r� n v f at �(�' (t has been constructed in accordance , with the provisions o7itle 5 nd the for D sposa stem Construction Permit No. c/Iry / ��l dated Installer � � ;� � j Designer W1 i #bedrooms Approved design flow , gpd The issuance of this permVsh .l lot b�construed as a guarantee that the system 16 n as desi ned. Date .'} Inspector V� — i No: �G Fee • THE COMMONWEALTH OF MASSACHUSETTS li PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS a Mnigogal *p!gtem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( j System located at �p2 �d�J�,C, i u i and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local'provisions or special conditions'..--' 4 Provided: Construction must be completed within three years of the date oft is •e i Date I I I I I Approved by� !�_ � w s Town of Barnstable U E"D�io Regulatory Services Richard V. Scali,Interim Director • anHNRrABM » Public Health Division i63� �v Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Z4 Ji3 Sewage Permit# Zu 13 —c l q Assessor's Map\Parcel Designer: Installer: Wc-l+,r S urke. Address: 'ass bJn,W Gf, Address: 23 illije k PyLld � On B-f 1--2-as3 ,^ke- was issued a permit to install a (date) (installer) septic system at 92 56u/-6 i2 ® , u® l based on a design drawn by ( ddress 3 c_�.ttr 1.J dated B�1 f�J.z ►QC_U'd t/(0] 13 (d signer) 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. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the IAA approval ers (if applicable) TH OF Mgss� STEPHEN (Installer's Sature) o ML i n SON No.30216 W 44� S e igner's Signature) (Affi Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc �c--O"7T- 2 !bAr r _ ... TOWN OF BARNSTABLE i LOCATION / Sp ,4 _SEWAGE ...:.: VII:.LAGE . . . �. ASSESSOR'S MAP&PARCEL INSTALLER'S:NAME:&PHONE:NO.: SEPTIC.TANK CAPACITY LEACHING FACILITY:(type) ►tii11, (size). I Z t%4o g x Z t lit , NO.OF BEDROOMS OWNER�6 PERMIT DATE: 3 COMPLIANCE DATE: Sepaiation:Distance:Between the: Maximum Adjusted Gioundwater.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 ty(If any wetlands exist within 300 feet of leaching facility) _. Feet FURNISHED BY 7 kkLOU VU 1 s To L PLAY/1.6/201 YTBU 02: 14 FM C.O.M.M. Fire Dept FAX No• 508—;60-23K F. 001 _76 me/t" .&4 ai\go� Tyk v CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT . DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES-, ,� )(j, 1875 Falmouth Road, Rte.28 Emergency Number: Centerville, MA 02632-31 17 8-1-1 ���✓c%� Business:(508)79D-2375 John M. Farrington Facsimile:(508)790-2386 Fire Prevention/Administration Chief of Department Facsimile:(508)957-8239 Dispatch Center = FAX COMMUNICATION MESSAGE DATE: Lfluw rl.j_bG . TO: PHONE: (4 ATTN: FROM' oc� WE ARE SENDING '"I '�"U� t ?' }PAGES, INCLUDING THIS COVER SHEET. PLEASE CALL(508)790-2375 Ir YOU DO NOT RECEIVE THE TOTAL NUMBER OF, PAGES. CONFIDI`NTIALI7Y NOTICE: This faX transmission may contain confidential information belonging to tha sender and Such information Is legally privileged and is intended'only for the use of the individual or entity fumed above. Any copying,disclosure, distribution or dissemination of this information or the taking of any acticn based on the contents of this communication is strictly prohibited. If you have received this transmission in error, please notify us immediately by telephone and return the original I` transm;ssion to us by mail or delivery 8t our address above. We shall cover the cost of return mail. Thark you! MAY11S 2013./TEU 02: 14 FIB C.0.M.M. Fire Dept FAX Ho, 508-;60-2385 P. 002 b" 5qp TAe Commonwealth of Massachiusetts., Department of Public Safety 52,7:CMR 4,00 �l 'Form 1, 'APPlicati , n for pet►. Pcrmit,'and Certifcate-,of Ca topletiari•far.•the•Ins taltatiari:oii alteration oe1.0i1 Burning Equipment atiid the StcSr'ae'of Ptixr1"Oi1t Cexlteryille, Osteryilie, Marstons•Milts t j (City or Town) (Date) Permit #'s: FD Elec. FD1D'#: 01920 fee" alt $ Owner/Occupant Name: Installation Address: q OAM lie AA - Serviced Floor or Unit #: _ ❑Heating Unit p Domestic Water Heater 0 Power Vent Other Burner: ❑Neva ❑Existing ❑Location: 4 Trade Name: Mfg: Type: Model# or Size: Nozzle Size: ❑Fuel Oil ❑Kerosene ❑Waste Oil rt r Storage Tank: ❑New ❑Existing Location: Type: V &4^,1 - 'Capacity. 1Udd gallons No. of.Tanks: Special requirements (or additional safety devices) rs bt:% r o 4,,,ic ie I l .Its Q OSV Valve Cl Oil Line protected ❑Sheet Rock ❑Sprinkler AFUE:.❑yes©no El~':❑yes❑no (Furnace and Boilers) (Water heater) Co. Name: Tnnk-- - 4- Tel.# 6 f7-14 0l77 Address: 110 _ City: zip: ,.OJt4 Completion bate: ! Combustion Test: Grass Stack Temp.: Net Stack Temp: CO2 Test_ - Breecb Draft- Smoke: Overflre Draft: Efficiency Rating %: I, the undersigned certify that the installation.of fuel bunking equipment has been made In accordance with M.G.L. c. 148 and 527 CMR 4:00 currently in effect_ Furtherzoore,this installation has been tested in accordance with such requirements, is now in proper operating condition and complete instructions as to Its use and maintenance have been furnished to the person for whom the Installation(or alteration)was made. Installer: cv,-e,. nr"Gtrr h Prtnt Name Cert of Comp. #i Signaticre(no stamp) Address: .City: Once sign y the lire c this a PE the storage and use of oil bu lg a uipment. Approved by: A Date: REFER To CHECKLIST ON REVERSE SIDE Form Distribution:White:Fire bept. (Application) Yellow:Installation(Permit To Store) Pink: Installer(Permit To Install) This corm approved by the Smte Fire Marshal and provided coutt sy of the Maas,Oil Heel Council. Form design in NOR by Cotuk and COMM Fire Depts. July 1,1999 PERMIT EXPIRES 60 DAYS-AFTER ISSUE DATE. r 'MAYll /2013/THO 02: 15 Fri C.0.M.M. Fire Dept FAX No, 508-760-2385 P. 003 COMM Fire District 1875 Route 28 CENTERVILLE,, MA 02632 1926 INSPECTION REPORT Wednesday May 15, 2013 sHARHANTsKY,, ROHERT 6 ELHINNEY, JOHN 92 SOUTH BAY RD OsTERvjLLE, MA, 02655 Occupanoy ID: FIRE02 . Date Completed: 05114/2.413 - Inspection Type: INSPECTION - UST Removal', 500 ust removed from site, no problems noted *. 05/15/2013 09:03:41 mmacneely MACNEELY, MARTIN O./Senior Fire Prevention Inspector ` 05/15/2613 09:12 Page 1 R r f �t Town of Barnstable , P# LOZ �p THE Tpk yam` ti� Department of Regulatory Services EARNSTABLK Public Health Division Date y MASS. �w 039. 200 Main Street,Hyannis MA 02601 ArFD MAC a Date Scheduled ��L,7 Q Time Fee Pd. Soil Suitability Assessment fog S age Disposal Performed By:�� e V �8...�1 iSwt Witnessed By: LOCATION & GENERAL INFORMATION Location Address._. ,, 6 Owner's Name PF(� As tar- �re,1� i C �'1 io S �►�. 'l3 � t� ., . W 3$d l a r-,4 iblucA C>S.ixeut("L¢. a'02-(p Sr Address Pe lwt 13m-tA FL Assessor's Map/Parcel: k&V tie( 'Yz- qz- t : Engineers Name Oa-,fir.-_^K)kAe- NEW CONSTRUCTION �_ REPAIR Telephone# VCR'-7 71- ?5 OZ Land Use �2� g h � Slopes(%) Surface Stones ti fl+ d Distances from: Open Water Body =0 r ft Possible,Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft. Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) -Iw R'-clm.0 SG e�-C G► Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION 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: All. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level PERCOLATION TEST Date Timc :oa/a•7 Observation Hole Al 3 Time at 9" Depth of Perc $V-y q(6� Tillie at 6" Start Pre-soak Time n Time(9"-V) End Pre-soak Rate Min./Inch '2 Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- 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/W P/PERCFORM DEEP OBSERVATION HOLE LOG Hole# L Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.). . (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Coilsi , Gravel) � n Ap BIL tit( 3(e, 134f n DEEP OBSERVATION HOLE LOG Hole# Z, Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA): (Munsell) Mottling. (Structure,.Stones,Boulders. Consistency.%Gravel) ��� �:o Q. � �( .l o Y to 2/i 1M�kom Sf r,4 I.o i2 Vr G -- DEEP.OBSERVATION HOLE LOG Hole# .2 Depth from Soil Horizon, Soil Texture Soil Color Soil Other Surface(it (USDA) (Munsell) Mottling (Structure;Stones,Boulders. Consistencv.%Gravel) 611 /Ors DEEP OBSERVATION HOLE LOG Hole Depth from Soll Horizon Soil Texture Soil Color Soil . Other Surface(in.) (USDA), (Munsell) Mottling` (Structure,Stones,Boulders. `9 o,si ei c %Gravel) J WILc�I�+l c�7akat' Iv. �� —tap Flood Insurance Rate Man: Above 500 year flood boundary.` No_ Yes With.in.500 year boundary No .Yes Within 100 year flood boundary No Yes Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption,system? is If not,what is the depth of naturally occurring pervious material? Certification 1 certify that on ke-It. Ill (date)I have passed the soil evaluator examination approved by the Department'of Environmental.Protection and that the above analysis was performed by ine consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature Date Q:HEALTH/WMERCFORM 123.24' 1 RLB FND YOHW OH•.• ��°HV YDOH TIPPED r OH OH,,, - .3 °" E ,Q, °HAS.. 85 59. 18 OH 13.4 13.5 EOP 13.4 OH, OH.. A OH... _ 13.4 °"'" UPH�77 -2 1OH 5 4.1 OH,.. 85'S9'18 E OHS o"� DPI °H 1 3.45' 13.4 13.9 13.7 S 82'26'30„ -� � 4 �`��,, 13.9 13.6 16.55' �- ---- E 16 x 1 ..6 w 3WATER GATE x 13.0 1 .7f x 97 x > D4 13.2 13.8 ELEC.S BOX 08'' BEKHMARK @ fA o 3 13.6 13.0 13.9 LS L � 1 � EL �= 'r�83' NGV w .\\ WATER METER FEW113.9 ,ANDSCAPE,D (LS=TYP) EC. METER 14.7 16.9 16�17,' ` \� 4.7 tix 13..8 13.5 18.47" 9;f I _ 14.9 00 14.3 TP�1 �---Y � LS � i Cifilf i 2 / LS Q L -i S 14. +l ,16.1 x 14.5 N. 14.5 x �! I, 15.7 16.5 ; APPROXIMATE8 CTION ' -d` +_ -- LAWN x 17.4 WING SEPTIC TP#3 16.0 �15.8 co 17.8 15 ` \ � \ ^ M LS .8.1 x 17�5, -_ 15.5 •`n 15.7-- LP x _ --' 16.8 1 5 LIS 17.3 x r z v 1 3 LS xLS6 16: 16.E 16. x 16.2 �x 16.2 p 16.�� I ~ � LU x1 4 `� o � x1 .8. QP Q 18.8 �� �� _, 16.7 LS 16.8 w o x 17.5�►- 9 17.0 - 7-0--_ 1 7.1_ No.� 2ao - GJ- ---------- ----------- - d37 Fee------- - BOARD OF HEALTH TOWN OF BARNSTABLE 2pplication-*rVell Congtruction Permit Ap is do is he ey de fora a (A it to Construct lter ( ), or Repair ( )an individual Well at: Aa LocatioAddress Assessors Map and Parcel t' -------------------------------------------------------------- Owner Address:�iz—--- ------------- - �y Installer — Driller t Address Type of Building Dwelling---------------------------------------------------------- Other - Type of Building------------------------- No. of Persons------------------------- e of Welldf!� � � T � 1-- -- - Capacity f '=--`-- - --— --- YP P Y------- Purpose of Well - - -- -- ------- j Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Prote 'o Regulation - The undersigned further agrees not to place the well in operation unt' a e ' ' a o i ce has been issued by the Board of Health. ./ Signed - = - - - ------- - iF--off date Application Approved By date Application Disapproved or the following reasons:------------------------------------------------------------------- -------------------------------- ---------------------- ------- - -- - date Permit No. -w---00 Issued---- - y- Z00 ------------ date BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate Of Compliance THIS IS C TIFY That the Individual Well Constructed (4-K'Altered ( ), or Repaired ( ) by- o_ ------------------------------------------------------------------------------------------------------------ installer at --------------------------------------------------------------- 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-- 't='4'-Zc0b THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WALL FUNCTION SATISFACTORY. DATE----(--5-^a-K------ - -- Inspector----------------------------------------------------------------------- No. ---Z92U-037 Fee-- 7 �`-�=�---- BOARD OF HEALTH TOWN OF BARNSTABLE Zipptication-*rVell Con!5tructionpermit r Ap licatio is hereby n:kade fora a it to Construct ( Alter ( ), or Repair ( )an individual Well at: Y Location— Address .,Assessors Map and Parcel t �' ----- ------------ -- Owner� -- ---------�� C� � —— —----—— ---- �. f - Address ----------—o Y-----—�— ---------- --- - —---------- a Installer — Driller Address Type of Building Dwelling - �-- ----------------------------------------- Other - Type of Building --- No. of Type of Well- ��i� YP - -- Capacity--- - 7-- - - - --— Purpose of Well------- p�� - ----- ------= ` Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The lI Town of Barnstable Board of Health Private Well Protection-,Regulation - The undersigned further agrees not to place the-well in operation until ert' ' at .o 1 a e has been issued by the-Board of Health. Signed j date ------ r� Application Approved By date Application Disapproved" or the following reasons:--------------------------------- ---------------------------------------- ----------------------------------------------------�--------------------------— -- - Permit No. -w- �C� d 3_ y �47 . date -� -------�-------,----------- Issued-------y---------------------------------- -------------------------- date. - - j r t --------------.---:.--..------ -- ---------.----- '4------..l�r`----- -------"��'._--- ————— ------------------- . BOARD OF HEALTH TOWN OF BARNSTABLE- ! Cutif icate Of Compliance 1 THIS ISX-®'C TIFY, hat the Individual Well Constructed ( l.�Altered (. ), or Repairedby ( ) r, nstaller at-------- —_ � � -- `— -- -- --------------------------------------------------------------------------------------------- has been installed in accordance with th provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit Now-&-og y -2 Dated---- -V=2C08 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL G SYSTEM WILL FUNCTION SATISFACTORY. _ .y DATE- -/- =6a-------------------------- - -- Inspector-------------------------------------------------------------------------- I ' BOARD OF HEALTH TOWN OF BARNSTABLE Ve[I Con5tructionpermit No. = G Fee--y r--- i Permission is hereby granted --------- to Construct Ater ( ), or Repair ( ) a I dividual Well at: No. O_ �'-' �-- - -- - - - - - - Street I t as shown on the application for a Well Construction Permit No. --� -v 0-�'--Q & 7-------------------------------- Dated--= - � �r--lw ------------------------ q \� � l ` F � Board of Health A • 87 8 88:53 15084202791 PAGE 61/01 Jul. 21 8 02 2SPM P2 - �� I r R'OM :daan capp- an91 veer ing i nc FAX Mt]. :156 3629$M N ftm r New 01 r • 1 t PAM [ • Mft y - t'OR 30 5 BQ is rw fiAy&(\^\)_ os � MAY/16i2013/THU 02: 114FM C.0 M.1i Fire Dept FAX No, 508-760-2385 P, 001 mc 81kc*)', CENTERVILLE-OSTERVILLE�MARSTONS MILLS FIRE DISTRICT . 05PARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Falmouth Road, Rte.28 Emergency Number. Centerville, MA 02632-3117 9-1-1 �/�yt✓w Business:(508)790-2375 John M. Farrington Facsimile: (508)790-2385 Fire Prevendon/Administration Chief of Department Facsimile: (508)957-8239 Dispatch Center FAX COMMUNICATION MESSAGE DATE: f TO: PHONE: s6% ' 14 ATT'N: FROM: f 'J WE ARE SENDING�a { )PAGES, INCLUDING THIS COVER SHEET. PLEASE CALL(508)790-2375 IF YOU DO NOT RECEIVE THE TOTAL NUMBER OF PAGES, CONFIMENTIALI'fY'NOTICE: This fax transmission may contain confidential information belonging to the sender and such . information Is legally privileged and is intended only for the use of the individual or entity named above. Any copying,disdosure, distribution or dissemination of this information or the taking of any acticn based on the contents of this communication is.strictly prohibited. If you have received this transmission in error, please notify us immediately by telephone and return the original transm:ssion to us by mail or delivery at our address above. We shall cover the cost of return maa. Thark you! c 1AAY/1 6/20 1 3/THU 02: 14 Fly O.O.M.M. Fire Dept FAX No° K8-760-238F P. 002 7'he Commonwealth of Massachusett, b Department of Public Safety 527,CMR 4,00 i • Form 1. .- .. •- • Applicat otti fair Peirm t, iPetrmit, and Certificate;,-of Completion for the:InstaliatioA;or. Alteration of>< e1..Ui1 )f3utrrsing Equipment aiiid the Sttirae''of Ptiei"Uia Centerville, Ostelrville, Marston&M& J �C Elec. (City or Town) 01920 (Date) Permit #'s: FD FDID'#: Fee` aid: $ Owner/Occupant Narnb: 9W44 Installation Address: ��` (�,�,, �sc}R.M' M4 Serviced Floor Qr Unit ❑Heating Unit p Domestic Water Heater ❑Power Vent Q Other Burner: ❑New ❑Existing ❑Location: Trade Name: Mfg:- Type: Model# or Size: Nozzle Size: ❑Fuel Oil ❑Kerosene I3 Waste Oil Storage Tank: ❑New ❑Existing Location: _ Type: Ve -Capacity: Odd gallons No. of.Tanks: Special requirements (or additional safety devices) J �in[cj j Ll OSV Valve Ll Oil Line Protected ❑Sheet Rock ❑Sprinkler AFUE: ®ye6 Q.no EF:p yes❑no (Furnace and Boilers) (Water heater) Co. Name: �ar►�f1 _ /-� - �a�- Tel.# Address: 1 !0 "odl City: L erf-W Zip: 0 149 Completion Date: 1"M13 Combustion Test: Gross Stack Temp.: Net Stack Temp: CO2 Test - Breech Draft: Smoke: Overflre Draft: Efficiency Rating %: 1, the undersigned certify that the installation of fuel buroj og equipment has been made In accordance with M.G.L. c. 148 and 527 CMR 4:00 currently in effect- Furthermore,this installation has been tested in accordance with such requirements, is now in proper operating condition and complete instructions as to its use and maintenance have been furnished to the person for whom the histallation(or alteration)was made. . Installer; 1. off. rr ? - Print Name Cert of Comp. # . Signature(no stamp) Address: City: Once sign y the fire c this a PE the storage and use of oil btx �g a uipm0ent. Approved bG Ply �'• Date: REFER TO CHECKLIST ON REVERSE SIDE Form Distribution:White`1=ire bept. (Applicatlon) Yellow:Installation(Permit To Store) Pink: Installer(Permit To Install) This form approved by the State Rre Marshal and provided courtesy of the Mass,Oh Heat Council. Farm design in NCFI by Coturt and COMM Fire Depts. July 1,1986 ` • PERMIT EXPIRES 60 DAYS.AFTER ISSUE DATE. 1 .. i MAY/16/2013/THU 02: 15 FM C.0.M.M. Fire Dept FAX No. 508-"60-238F P. 003 COMM Fire District } 1875 Route 28 �1 CMMERVILLE, MA 02632 1926 INSPECTION REPORT Wednesday May 15, 2013 SHARKANSKY, R013ERT s BLHINNEY,. JOB 92 SOUTH BAY RD OSTER rl Lrg, HA'02655 Occupanay ID: FIRE02 Data Completed: 05/14/2.013 -- Inspection Type: INSPECTION UST Removal 500 ust removed from site, no problems noted 05/15/2013 09:03:41 mmacneely MACNEELY, MARTIN O./Senior Fire PreVGntion Inspector 05/15/2013 09:12 Page 1 92 South Bay Road Residence Ma55 N. _ - .. ' •:nags -a- I Al - fn 4 I uc 1 � I F . - Clu•+— sm.wane - - .. a } . n U Yaw e _ -418 . 4' s), s�. sue{• .. ., - - - . 1. _ ro rr o o�a 0 _ Hpp� SHOVE KENO WHARTON . . - ---------- ,� am , EJE ❑ x No 44 Ll aMl � a O — O• L J •LJ ? (D MT I �.. ,., ? _ Tom. } } #} g �• } pmgrass trim - c - J�o I,. FlR.ST FLOOR FLAN-HG17SE + ' I FIRST..FLOOR PLAN � •'b' .� :.{• ..,¢• - - _ . m , . . ,r � - i - :IPa � I �• 92 South Bay.Road Residence q Sul <:Pu 1222 • I ^ , ^' n e r r rr F x.,). r ....,p y - I . I I V x h'. t x ,I. I '1 I I e y � r: ' I e N - ,. V • a . , J • SmAaodU- _ I V ev ,e _ I , +y . a., .w[arruwN � Inen 0_O _ _ ee - - r v - •' • :. .., - .. .Hunk � � "..._ : __ _ SHOVE KENO WHARTON ,,t,. .* .. ^. + ... _. � - -• .. - ,a._• - saw— , - - tllO100m ❑N iNB ! I _ r m r a N Li wh 11 .... ® f �WB ® O 4 O - .i , - -e IY w x , R , F I' _ w rh N LL I a x mI , I , P a I . m a.' .. I ., Fr • I sW , , - SECOND FLOOR PLAN-HOMW ° Pe - SECONDPLOOR PLAN' i , L. —_J I 92 South Bay Road I. Residence J. E avc q2o E�R� I 1222 - _ Q2p3 I. �URKNUTESpl ao!L>I O I O -- --- ------- -- ----------- —E _.� Olm Eam` i�T. O ' O I O SHOYE REND V✓HARTON LIL O - �� a =3 O' � - y� Progress P ini xoi3.1.03 .. p C 0 O O - ROOF PLAT-4OT75z ' p 92 South Bay Road Residence 1222 ' . .ae �. - _—______________—__________________—___—___ __-- ---__ ,___ -----—.---------- ---- O O .. .. 5 I ———-——.————.—IS-- F- - -. I I I I I I I I - I I I I I Ll SHOPE RENO.WHARTO' I-- -- -- -- boa °3 q L -3.1.01 c I I I I 44 A�4 O moo, GARAGE FOUNDATION PLAN - - : GARAGE FIRST FLOOR PLAN - - UT- .. .. VOUNUAT:O`!PLAN-(:-A1CAGt . - FIR57 FLOOR PLAN-GARAGE , I 92 South Bay Road Residence T. � '�. j• �. osrw,viu e 1222 _ EC i I 0 SHOPE RENO WHARTON . • r • I L --J. I �. �• j I n Q �. �� ProgeaFnr m�.iei 4 42p6' i GARAGE SECOND FLOOR PLAN - - Fz1 GARAGE ROOF PLAN SECOND FLOOR PLAK-GARAGE - . xOol p .-GAXAGE Th ughtf o rms,Corporation '- 542 Mass Ave, West Acton, MA 01720 U I l 0 CA 92 South Bay Road,Osterville • � f ��• � • _ .IIIII I ,',,. �218A'O.. - 2200 -FlNDoH F2 LO17O AJR �UsA2/10l8 S • D��a t h . • ,IIIIIIII I' � , MA 0+ 2655 978 263-6019 o 7 kdroom 220 220Scc:A815o O 219 See:A816 2190 Silting Room 217 See:A8t6 Kitchenette MalSee:A816 UpperGarage Stair down 26 See:A613 dots It C , Ef�6I8frI c ' E _ 92 South Bay Road- OSTERVILLE ../ • / 1 'v1y¢',Py'' ,q,,+qx MASSACHUSkTfS I I}' l4• 'r'a>♦' -li. ._l31' I)' I T _ _�. i m a •de•' - _ o m 1 ©.2 9, s•:nu,a @ m - - , NII .x 1222 rP,I;,. NIP \- \ / w,nq APPLIANCES: Profile 3D"Microhood - t• '+H�Profile 30"Electric . 1 .{nd d:ph Cook Top n e .Lp el lfil,Csmss ' �-tn s,. - "Ell Yrofilc Cou ntcr Depth -q xx"� F Qg�eh Door r t r 0 0 M1 'ftlodhl pye22p, h.ss t \ MC 'Id: TIWvu woo Hooa woo H O na1M1 _ _ \\\ /'_ Ilr�Sihroom Floor/Shower CEWR c ttlr� -Daltile ke rto hz re z:z hero o Al 16 _ s ps g n ,41I� I 2)Shower walls-Daltile 'A+ \ / ae�• "-" I CS —-u s mi-gloss 4.5x4.5 white 3)Shower Wails Daltile s O b aO1 2196 _ Q' .I _— Ttc► e \ 4)kitchenette backspl sh+ i _s$ _ ]{ ountertop-Dupont Corian in design,,whit, �n\T>-_.x�\ - PLUMBING: T 1: ) a (1 \ \ l)l nne-kholer fau cn £ del:kO i Bath- e mghgate lwpofe dek \ ountcd white pormlain faucet �I —�- -��9-\ 3)Bath-waterworks highgate v Azoo 9 I ---- - - I _ - th .aticvalctrim with Lt.cross l handle • "^ x.w \ (' q1 EI --�\ 4)Bath waterworks highgate _ \ / 219a �`�b � / - s hoover Arm and Flange Ba[h [o[o-carolma II • �: § ® 91 \ ell tulle[ I�xe�nlxr.xnwt �n3 �• iR@a o� � — - v QIT I - fi. . �1 GARAGE WING-UNIT _ _ a �1 GARAGE WING-RCP&-ELECTRICAL PLAN - 1DD yr-ry _ _ ,DD va'n'.o• - - Ell • 1 ' srA1 " DOOR SCHEDULE ❑ OOOR OOOR .. FRAME 0.FS F10.E EMARKS SCREEN , v nw wamTe nvTvoFvnno+wxlmnuxvmT. m NO. ROOM NOINAME TYPE WIDTH THICK MAT/FIN HICK MATIFIN RATED DOOR ±IPA ZIZENTRY Aa'-0' 1-La' WPTD —D) N - - - 5V UA IP.x IB ENTRY CLOSET A b'11 I-SN. WDIPTD - ±I RATH - A F" w 11D ala' WDPTD - - 3 I— 331 EATH B 2a, E.,I/_ .GLASS - STONE GMa SMmw.rDl.wJIarlMalx fni41 UI mxUM1 PuxAinµ - _ Rcvlcw B,t Ax yUZDIS 1[UA EDROQMI A !'-,U• b',VY -3/4' W'DIPFD eN' WDIPTD STONE - Aevisionl Q ' - January 3920,5 ' T REDROOM I C 1-., WDIPTD WD•PTD STONE - I 2ZIA OROOMZ A 2'-1' WDIPTD — WDIRTD Revision 2 - Pcbmary 19 2015 —FT [138EDROOMI C 11wn al Fnen Jamo `� - L Boltom of Fnen Jame • � • . t ' @xPPI III • Garage Wing-Second Floor ® - Reflected Ceiling Plan + T Electrical Plan Door Schedule It-}'a F MI INTERIOR LIARS SHOWER DE#l0. CU.(7M INTERIOR N A DOORB DOOR GRACE-TYPICAL _ PAINT GRADE-TYPICAL , GC TO CONFIRM AND COORDINATE UNDERCUTS AND ALL EXACT DOOR SIZES #( I, ----- ------— -- j co i 0 { Sout Ba I 0 \ LOCUS w West soUth �aRoadBay y N - 51 Q -----_ 113.63' Seovie A e a 1 / LOCUS MAP SCALE 1"=2000't ASSESSORS MAP 93 PARCEL 42-1 / LOCUS IS WITHIN FEMA FLOOD ZONE B, A13 EL. 12, V17 EL. 14 AS SHOWN ON COMMUNITY PANEL #250001 0018D DATED JULY 2, 1992 (DWELLING IS IN B) CESSPOOL TO WEST OF DWELLING NOT SHOWN / PAVED DRIVE / PROP. IRRIG. WELL (FOR NON—POTABLE USE ONLY j CP EXISTING CESSPOOLS , +H I FLAG STONE PATIO j 1 I i i i �qti EDGE Scale:1 30' cs 0 15 30 45 60 75 FEET j SITE PLAN SHOWING PROPOSED IRRIGATION WELL AT 92 SOUTH BAY ROAD oaf ,r ��H OF Mgss�c O S T E R V I L L E 508 362-9880 DANIEL yGN A. �+ PREPARED FOR down cope en gin eerin g, in c. OJALA N cl VIL ENGINEERS p No.409$0 LAND SURVEYORS 2 r� S\0 -=-- PAUL FIREMAN 939 Main Street — YARMOUTHPORT, MASS. . _ . DATE DANIEL . ALA, PE, PLS JULY 21 , 2008 y T BAXTER NYE ENGINEERING & SURVEYING , BAY .». STR�t Registered Professional Engineers » ` and Land Surveyors ' r- Soul �0 78 North Street 3rd Floor r, N 85'S9.18r W 1" �........� � � I ,. e� SKY SITE b ^' 53.6T TI) CB/SEAL FND BENCHMARK O i ROAD Hyannis;, Massachusetts 02601 _UP {3 WATER GATE SOU r 26^. C8/DH FND 13.1 0 <,J _ -- .__ -«. _ YD +� 123.24• �` �( EL2= 13.23' NGVD291 BAY y Phone - (508) 771-7502 ' t 5.4t1___ - - S $s59 ROAD 0� �.. „RKER Fax - (508) 771-7622 - -_ 0 +•4.3 � � --°"` 13.4- 9 1$ E • 13.4 13:5 � P�AT� 'WAY �c POND - - - - - - 0--%' ---_a,Rl B FND _ 13.5 �` www.boxter-nye.com 13.4 TI IIt 4 -P°. 7 5 2 - j� ?c- - - - -L-O s ass91sr E 1 3, ,3.4 -- -- - -•�3.z._ - LOCUS MAP x 16.2 _ '__ - 13.9 15. S 8226'30' - 13. "i °� �-_a._ -- - fl - _ 60 V E 376. c, - - -a NOT TO SCALE S T A M P' STAMP 5.T 376 55- 13. - � 5 jg� 1 7 6 ~ 4.1 - 9 16.55' r v x 2.3 w ER GATE x 13.0 /1 .7 E x - J. 13.8 EL 15BOX 9708, t 3.5 7 7 BENCHMARK !�M o Z1 13.0 aO ® 1 ; 4.2 13.8 x 8 AAA 1 5 13. 3.5 of 13.5 1 5 t LS '�✓ 14.5 x EL _ 't .83' NGV o \ ®\t3.9 �3,t \ 3 WATE� E �x t 2.7 , . 18.4 --_ 7 ANDSCAPE L -T x EC. METER 1 18 . GENERAL NOTES • ' fn �8 =----- � ��' ,� ! 13.4 � x 12.E ,. .. " . I \ 14 BRAKOUT vg� 16 tT .7 \ 13.8 x 4.7 4f x \ , � W - 1 ,,,- ELEVATION-1.3 � ,\ ,�,.\ti � 4 i 4.9 3.8 1.) THE INTENT OF THIS PUN IS TO DETAIL PROPOSED WORK AT THIS SITE 1 � ` 18.�9'� � z Co 7\ ---1-Q` 1 .5 14.9 14.1 �l X 12 a �-_�fi `�� i t 14.3 1 IINST LS - -- xa N� I NET -Q TP 1 LV-6 X r NAI 2. LOCUS AREA IS COMPRISED OF - o � -/� SPIN OBSERVATION � `� �� ) -, x / Q i!t METERS; 910' IPORTS ( I 1` as LS �. 14. LS THIN 3r OF \ / / \I ASSESSOR'S MAP 093 PARCEL 042/001 AND 1/2 OF 42/002 w ' ,x > 14. ADE AS i� / 14.5 `, CONSULTANT xI o I 1 GQ ' t 5.7 - 'SHOWN; � 13.• APPLKAN ROBER $HARKANSKY APPROXIWATE 15.2 , 8NICULTEC RECHARGE eI JOHN E McELHINNEY+� 30(OL-WLEACHING / t �� TRUSTEES OF THE 72 SOUTH BAY ROAD NOMINEE TRUST x C 17.4 16.0 NfF-R-IRG SEPTIC t v 8 CHiAMBERS OR E 17.8 T 15 © rn -- / \ x 14.5 c/oPFPASSOCIATE$ I _ x � � 8.1 x 17� 6.0 ' 5 5 • 115.7-_-- LS N� 3801 PGA BOULEVARD SUITE 910 x L ---- LP I 16.o X 1� � 4• X 1 PALM BEACH GARDENS, FLA., 33410-2757 CONSULTANT 16.8 J� \ X z t .s L`S 17.3 x \ z w (6. t 6. / \ 3.) PROJECT IS WITHIN C,E7NTERVILLE OSTERVILLE w oo )c 162> O 6.7 \ MARSTONS MILLS FIRE DISTRICT. ' Y o \ c., x 1 .t P / 1 I I \ 6.0 1 8.8 X 18 d 0 16 y _,. X 1• 4•) ZONING INFORMATION x - �o � LS� h � X 16.8 \ 1. o w \ x 15.1 a w o 1' o _ ,- / ZONING DISTRICT • Rr 1 Residw Wl I z o ------ -- �\ I_ a 1 Z ` G PREPARED FOR : x o , x Q x 17,4 \\ 1 x W -�o � _ -2sI I � +4 .� 1 CURRENT MINIMUM ZONING REQUIREMEINi'S: L A o_ x SEP DWOODEb •� a o 19. X'/1 7.3 MIN. LOT AREA 87,12o s.F: 72 South BayRoad N.T. 1 o x _ GAR, y ^ �, n, �� 1 , + 0 18.6 1 ° 17. 17. . , cr o° CHAMBER - 1 "' �• MIN. r a •18.6 + ° t'7.3 - 16.0 x -x _..x - -- x , x 16.8 I LOT FROINTAGE S111t8 91 x / 18.9 HOUSE / 0 � LS � � 7:3 l MIN. LOT WIDTH = 1?5' i x , / i w FRONT YARD 30 SIDE AI REAR YARD 15 /, 15 3801 PGA Blvd. S .. I X _ �__ i-- x 1 .o t s.s - a QOOO�V Q � X P O 07c � , D00�0 / 0 OVERLAY DISTRICTS. TROD do AP - • Palm Beach Gardens' FL. o ;�- N O X ' cv i^- i 15.3 x 1 t 7 o w x 5 fECREATK)NAL SHELLFISH ARF�1 & SHELLFISH RELAY AREA p A PROXIMATE t� x 18. _ co i 1:3 M , C7 o ODCK dt PIER OVERLAY DISTRICT. ' l1, ., OCATION 33410 W x i 8.2 ao 0 2 � _ _� I T __ _ R �A ION x , '� z - r O � WO ODED D , �-4 E �`- 18 X V W PROP. 5 x 15.5 I F 17.8 / 1N L 6'9- x 4 ' �- � L 5 L A vN A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THI S SITE IF N X ; DETERMINED x O 1 8.27 / 18.7 � S,. L .� TO BE NECESSARY A`TI11E SEARCH SFWl BE PERFORMED ED BY OTHERS. U � r X OU EI(I MG S T ON f X E 1�i 7 i � L MAT , F1 , t� ASP 0 E - / - THE PROPERTY o-�I LINE TION,- o WFORMA sHowlN rs BASED ory, 6. CURRENT AVAILABLE T 1 A I N X TI C L IS NG 5 , 1 �N 7 '+ 7 14.2 3. //F{/ RE CORD INF ORMATION CONSISTING OF PLAINS AND_ CE OLS x DEEDS r 5 L _ J - :,., _ Fb ,. X 13.5 L .- 35 L N H G : O U S i_ ,- TH FEATURES E EXISTING FEA L E RES`"SHOWN ON HERE WERE OBTAI NED FROM AN 17.1 ON THE N _1_ .7. B r . 3 U t1 2 L _ N G �' 14.8 __ L 1 4 _ 1 2 0 N tTf GROU D FIELD SURVEY C fi6.o PERFORMED BY BAXTER NYE ENGINEERING �. . - n >s- _ SURVEYING _ l 5 - _ _ BETWEEN TH� E DATES OF 08 16� . . . . . . _ 2002 AND 05_ 1 02 2012. - o _ W 3 , y x14 30 / / • 4 1 .5 r 6... !x 9 6 .. ... . . . _ . . . PANEL-_ ,4_4 7. COMMUNITY NMR. . 250001 0018 D J I 1 fr I 3.9_ X 1 XA 2.s E THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONES V1 , I s 2 7 EL 14 1� 8 Al 3 EL 12 AND B t 7 - M , S. ( ) R _ F l4 / J X1 - z , 9. / t-6' X x � _/ 16.s ENVIRONMENX 1 _6.6 a ) PR X 2. .. OP SED LI X.. M l t T MbRK F , 1 1 - OU �- SITE IS NOT WITHIN A. .SE � C EC. AREA OF _ OIN CRITiCAI. ENVIRONMENTAL CONCERN). S / ) _ U )FIRS t .7 4 6.1 0_3 � � / -�M , _.. \ � _ ,� ,. lh.b /WN _ ..-- .. / A i x - r<�� `t�... 1.1 x s.2 IS NOT - N SITE WTTHI AN AREA OF� ESTIMATED\� _ HABITAT OF RARE r Nm.DN.iFE PER r I _ 11_x1 __ ' .8 - AN T U X." �••-- i _ _ 00 R M E _F11 E b - NHESP MAP 1 2008 X OCTOBEP 'E511MATED WIBNTATS OF RATE WILDLIFE* 1 4 � _ 16. _53 x- 1 'I'6:6 , CID , x � - i .1 FO R oR USE wrrlN THE MA� x x � _ E WETLANDS PROTECTION ACT REGULATIONS 31 R � �- 0 CM 10 . cc 90 Y R ��/ ' T ROAD \fH BA / TOIMI J _ 1 ._ 1 a � 1 _ FIST h.0 - x , _ AL 4 x'9� _.-_ _ 15 t-�f MEADOW---' 8 _ x B _ _ _ _ � D�= SITE DOES NOT r AIN A No coNr_ caanF�D_ VERNAL POOL PER wHESP MAP D _ OCTOBER E>zS E t777 /. __ _ 9.5 -� � F TITLE No. 1 3 , _1 _ i / r r _ _ X � _ 2 CERTIFIED VERNAL POOLS. \ ---- -- 1 _ '�k - / x 1 x I i 2 $ N N ..0 E r _PLAN 8 _RT o tU L _ _>E- _ 1 Q _23 k _1 _ - STIE IS NOT WITHIN A� .. _ __ 13.2 ., -- - PRIORITY HABITAT PER NHESP MAP OCTOBER 1, 2008 4, 12. ,� - 0 -F_ - - y x .5�' of i 4:7 4 __� E_ tt,___- -- - �.8-.7 .. ---- --------- - -_ -•- .. rPRIORITY HABITA RARE -- - R ___-- _ / TS C1F E SPEgES FIDR SPECIES UNDER THE M 10.8 11 - 9- w tk 4. x 1 i 5 . _ - 8 _ -�A'OP'O4EDR _ M�` _ WC 17 _v -� MASSACHUSETTS END�fNGERED� _ ...�- �107, \ SPECIES ACT REGULATIONS 321 CMR10 . x - �l X`�0.5 --X-- -� \ . - \ PATH TO OOq( � ;� ., --- � �... -- - / � ill I- c r-_ I Ix 13.� .� , x - � - t � _ 0 _ SITE IS NOT WITHIN � STAT E_ APPROVED ZONE If �i n I E GROUND WAT ER RECHARGE i - �� 14.3� - ..�. Age ZONE ___--- _ _ t _ -'•* i 4.8 PROTECTION AREA. � , / \ x 4.8 x . ____-- w x <' /lit\-, � , � r, x 4:7 SITE IS .WITHIN A Z E OF OaNTRIBUTION TO A SALTWATER ESTUARY U � w 2 x BARNSTABLE B.O.H. REG. 360-45 . L g WOODED _ ,: 5.7 � R ) -- 5.t _ m X _� o ,, __ x -A 12Alow m _< _ x_ i • WETLAND PORTION OF THIS _ O x1l / �- SITE FALLS WITHIN A MAPPED DEP BARRIER BEACH i �__ x 5.6 4.9 /ill\ N ,`,,, to i \ X 6. cr 0 ` , \ SALT MARSH. •... X 5.7 _ ; •N _ x -_ a x -\ � WF A 13 _ 9;19.2 -X 1 \� 5.6 9 7. / t 4.8 i _ X _-. _ y __ COASTAL RESOURCE ,rRFJI DELINEATION PERFORMED 06-17-09 BY •�` 5 /I _ , � FIELD GRASS � 7.3 i \ FIELD _ N WF A-11 A s 5 __- c1�Nt� �- _, LORI MxDONAI.D, ENtARONMENTAL SgENi1ST BAXTER NYE ENGINEERING x _-- _ � DQS'TNNG LANK _ __ 7.7 x 4 ._.. MO _- - WF A 14A _ AM MI IGATION PLANTINGS 1 --- do SURVEYING. (D►A-t19062 do out-09063) WF A WF A 5 - WF A-138 -- WF 9 3,035 Sf. ` _ x ( ) 4.8 +I k _ WF A 1 5 - 6 3. WF A 6 O WF A 14 c> 4 EXISTING SEPTIC SYSTEM INFORMATION FOR EXISTING WF A _ � � ) APARTMENT PER PLAN t` a ENTITLED SITE PLAN OF LAND IN BARNSTABLE LITRE ISLAND MASSS. F - t� 3 2 ' --.- L 0 T 7 � _- ,_ x _ _-- _ J. SHEEHAN JR. PFtPARED BY BAXTER INC. - ` -- � � DATED SEPTEMBER 4, 1979, REV. i1 1, Q f/ r `------- o n _ --- 1 3 SEPT.SEP114, 1979 _ 1N , t x . x 2.9 1 0� UPLAND -- ----- $ Of _ o .9 WF A-8 • A-1 ro �, o h x 2.5 a 71;Q23 Square Feet f p S'/1S�QVE RSH/ o 5 2 041 1 1,65 Acres f __ X 2.5 a. � 5. .'�. _ 11 ONE shape actor - 19.68 2 .57- �+ .� p t �----' P a, _ w 183 _ w x 2.q +� WF a-7 b �- 84 r _ - - - _ --. s o . - � � _ - D.E.P. Ffle#SE 3 5047 WETL,'IND I VY 9 DUNE - ._.- "'2.S' c 06-17-2009 U r F t t .. d to o F 9,557 5qua e eet n u R GE AREA _ TIE UNE _ ' ; Order of Cond�tans Expr>ss: 12/12/2015 C.,ASTAL RESO cn 0.22 Acres, W 191.64 _ _ DELINEATION _ S 544321 w TOTAL 193' f -_ - ' CONSERVATION NOTES: Feet f N 1.87 c -, 1. NO WORK IS TO BE DONE_UNTIL FORMS A & B ALONG WITH REQUIRED - ME > SALT MARSH PHOTOGRAPHS IRE SUBMITTED TO CONSERVATION COMMISSION. o X 2.4 N co 2.4 ------------- .4i �, -, ------ 2.5 LIMIT' N 2 U OF NAORK SFIALL CONSIST OF HAYBALES AND SILT FENCING o i X 2/ \ O N -_ x 1.7 TO BE MAINTAF.D IN GOOD REPAIR UNTIL COMPLETION OF PROJECT. X 1 Z 2.4 ---- ------ - x 5 -__ 2.3 t x 1.7 SHEET TITLE 3. ALL ROOF LFJID(RS SFWl DISCHARGE ll) DRY WELLS OR DRIP TRENCHES. CO MEAN HIGH WATER: , _._� _.. - Wetlands- _ -_ , . 4. A MITIGATION PIANTIWG PLAN SHAM � ds Permit PI w FIELD LOCATION DATE. ,_ SALT-MARSH __ EXISTING BIER X � x 1.8 BE PREPARED IN CONSULTATION WITH Plan w ,, - 2.2X 2.2 CONSERVATION COMMISSION STAFF. O MARCH 20• 2012 0.8 SE 3 1 )87 X 2.4 / x O x . . . . . . . X ,-Qg WATERWAYS L10EN5E1528 WAN `` 1.6 \ X WA7ER0 1.9 x - . . 6 x t'` 7 N • X 1.5 x i.6 SHEET NO o ---- _ x 1.5 I -0,7 -- X 1 8 Pe X -� 1 o �� 92 0 o -0.6 _ DATE : 111/13/12 � 00 X g� • X t 8 30 0 ::5K WA A X _ SCALE IN FEET 0.8 L 1 _.E SCAL 30 oLL I , o N n DRAWN/D ESIGN BY.. Mom' CHECKED BY. MME i on 0 U. a . ._ J B N �N O O. 2002-075-2 C A D D FILE. WPp-ROGETt$ o c 00 c BAXTER NYE ENGINEERING & SURVEYING Registered Professional Engineers and Land Surveyors CONSTRUCTION NOTES: 78 North Street - 3rd Floor I. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN Hyannis, Massachusetts 02601 TYPICAL SYSTEM PROFILE ACCORDANCE WITH TITLE V OF THE STATE SANITARY CODE DATED APRIL 21, 2006, AS AMENDED THROUGH THE DATE OF THIS PLAN. NOTES: NOT TO SCALE & ANY LOCAL RULES do REGULATIONS APPUCABLF- Phone - (508) 771-7502 1. ALL MATERIALS SHALL MEET H-20 LOADING REQUIREMENTS. 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY Fax - (508) 771-7622 THE ENONEER. ELEVATION INFORMATION MUST NOT BE CHANGED www.baxter-nye.com PROPOSED FINISH FLOOR 19.0+/- = WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. PROPOSED GRADE 17.it MIOL • = SET AT LEAST ONE MAE FRNE O THIN 6' OF FINISH GRADE - SE? COVER � 6' BELOW FINISH GRADE 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFlWNG, WOO TO WI RISERS & OOVETH SHALL BE WATERTIGHT RISER & COVER SHALL BE W ATERTI W NOTIFY THE BOARD OF HEALTH AGENT AND ENGINEER FOR STAMP S T A.M P INSPECTION. A ; FINISH GRADE N 17.0 MAN HOUSE �FNISFI GRADE N 16.2t 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4' SCHED 40 PORTPVC. UNLESS OTHERWISE NOTED HEREIN.INSPECTION %NNW,, TO FINISHED GRADE OVER 3 BELOW GRADE LEACHING TRENCH 16.Of TO 14.5 1 ,�•� 5. EXCAVATE UNSUITABLE MATERIAL AS NOTED, TO THE 'C 22 LF»4' SCH 40 PVC OS-2.0% TOP OF TANK-14.48 3' MIN. TOP IOF D-BOX-14.00 } L HORIZON . FOR A HORIZ. DISTANCE OF 5 SURROUNDING THE 4t i�fVil_ 2' OF !i'-�4" DOUBLE LEACHING FIELD. AND REPLACE KITH CLEAN SAND PER 310 CMR too.46345 I 7 LFM4 SCH 40 PVC OS-2.0 g non C, INV OUT = 13.84 4' SCH 40 PVC 42 LFM4' SCH 40 PVC OS=i.OXF FIRST 2' (TO 8E LEVEL) WASHED PEASIOIE ELEV=13.17 ( ) 15.255 10 THE TOP ELEVATION OF THE SAS. • MN. OR FILTER FABRIC 3" (mm) Cover INN N= 13.40 2- -4 SCH. 40 PVC CHAMBER TOP 6. INSUUITE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN " ` ' MN. 1 4. NV OUT= 13.15 ELEV=13.00 � C LESS THAN 3' OF COVER. \' �" `��`t 00 q ' SUMP • NV OUT = 12.56 f K y L PVC TEE (t4" MN.) NV !1 = t273 7. THE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE GARBAGE CONSULTANT - GAS BAFFLE `. . 4. PVC GRINDER DISPOSALS. r.�.` GAS _� W IN - 12.46 8. �� THE CONTRACTOR SHALL CONTACT DIG SAFE (AT RW-ORCIED CONCRETE BAFFLE - BAFFLE C CRUSHED 6' CRUSHED STOVE BASE 1-888-DUT1U ES> AND LEAST 72COMPANIES HM OURS IEE3EFORE THE START OF STONE BASE CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE EXACT •j ?'' • t _ .'-�• ,_r,, ,r ' �e�?�••�-.r LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF ALL EXISTING DISTRIBUTION BOX BOTTOM OF SYSTEM = 10.48 5' UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF CONSULTANT EXISTING UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE SHOREY O O ALEH-20 OR TABLE No Gr= Wwoter Obs■Wd O Gov. 2.5 WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND 1T) BE INSTALIID ON A LEVEL STABLE BASE 2,500 GALLON TWO-COMPARTMENT SEPTIC TANK 3 ounFTS REQuIREv HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS SHOREY ST2500-H2O OR EQUAL REPRESENTATIVE. THE CONTRACTOR AGREES TO BE FULLY TO BE INSTALLED ON A LEVEL STABLE BASE RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE SEPTIC TANK TO BE INSPECTED & CLEANED ANNUALLY OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE UTIUTIB EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER PREPARED FOR IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY CROSSINGS, LOUD DEPTH IN SEPTIC TAN( DEPTH OF OUTLET TEE WDW FLOW LINE VERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC, GAS, 72 South Bay Road N.T. TELEPFONE do DATA/COMM AND RELOCATE IF CONFLICTING WITH 4 FEET 14 INCHES PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE Suite 910 5 FEET 19 INCHES CONTRACTOR SHALL PRESERVE ALL UNDERGROUND UTILITIES AS 6 FEET 24 NCHB REQUIRED. 8 FEET 34 INCHES 9. THEIPROPOSED UTILITY CONNECTIONS SHOWN HEREON ARE 3801 PGA Blvd. SCHEMATIC. FINAL LAYOUT SHALL BE AS DETERMINED BY THE Palm Beach Gardens, FL. APPROPRIATE UTILITY COMPANY. 33410 12' --1 ` FINISHED GRADE \ /) Rntn CPACTED FILL-36 MAX. 9 MIN.2 OF PEA STONE - :::'::: ::::::: :::::::::::::::: :::::: ::::::'::::: DIST. LINE IN �.:.,•.••: :.:.,.. • OR FILTER FABRIC 0 4' 12' " TO 1 1 ., ' 34 2 30 5" WASHED STONE DOUBLE _ 24" EFFECTIVE DEPTH 4' NMI 4• 64' 4' 4' 4' �4r PLAN_OF PLASTIC LEACHING CHAMBERS PLASTIC LEACHING CHAMBER DETAIL No SCALE , t CULTEC 330XL OR EQUAL NO SCALE , to to LEACHING AREA REQUIREMENTS SOIL LOGS P-t8e87 DATE 07i30/12 Co N NITROGEN LOADING LIMITATION: ZONE OF CONTRIBUTION TO AN ESTUARY: 440 GAL PER DAY PER 40,000 SF BARNSTABLE w cc SOIL EVALUATOR: BOARD OF HEALTH AGENT: ' LOT AREA = 81,480 SF STEVE WILSON, P.E. F 81,480/40000 X 440 = 896 GPD DONALD DESMARAS, R.S. RESIDENTIAL• 7 BEDROOMS 896 GPD/110 GPO PER BR = 8 BR TEST PIT 1 TEST PIT 2 TEST PIT 3 TEST PIT 4 - x 110 GPD BEDROOM = _ _ = 1 G.S.E. 14.Ot " G.S.E. 14.1 t " G.S.E. 15.4f G.S.E. - 15.5t TOTAL DESIGN FLOW = 770 GPD EXISTING BEDROOMS = 1 w 0 Lft GARBAGE GRINDER (NOT INCLUDED) = N/A (EXIST. GARAGE/APT. TO Ap; IOYR 2/1 ; LOAMY SAIND Ap; 10YR 2/1 ; LOAMY SAND Ap; IOYR 2/1 ; LOAMY SWD Ap; IOYR 2/1 ; LOAMY SAND o C REMAIN) 8" (ELEV 13.33) 8' (ELEV 13.43) 6" (ELEV 14.9) 7"' (ELEV 14.92) w N Co PERC RATE = <5 MIN. / INCH (CLASS 1) PROPOSED BEDROOMS = 7 a 00 LTAR = 0.74 GPD/S.F TOTAL BEDROOMS = 8 B; IOYR 4/4 ; LOAMY SAND B, IOYR 6/3 ; LOAMY SAND B, IOYR 4/4 ; LOAMY SMD 8, 1OYR 6/3 ; LOAMY SAND MIN, LEACHING AREA OF SAS, REQUIRED: 11" (ELEV 13.08) 10- (ELEV 13.27) 10" (ELEV 15.57) 11" (ELEV 14.58) 770 GPD/ 0.74 GPD/S.F. = 1,041 S.F. MIN. z C ; 7.5YR 5/8 ; MED. SAND C ; 7.5YR 4/4 ; MED. SAND C ; 7.5YR 5/8 ; MED. S/WD C ; 7.5YR 5/8 ; MED. SAND _p PROPOSED SYSTEM: 8 CULTEC 330XL CHAMBERS WITH 4' STONE ON ALL SIDES 1 1 1 1 ►- 36" (ELEV 11.0) 36" (ELEV 11.1) 40" (ELEV 12.07) 38" (ELEV 12.33) a SIDEWALL AREA (12' + 64')x 2'x2 = 304 S.F. cr BOTTOM AREA (12' x 64') = 768 S.F. C2; I OYR 3/6 ; MED. SAND C2; 1 OYR 4/6 ; MED. SAND C2; 10YR 4/6 ; MED. SAND C2; I OYR 3/6 ; MED. SAND TOTAL EFFECTIVE LEACHING AREA 1,072 S.F. o SYSTEM DESIGN CAPACITY = 1,072 SF x 0.74 GPD/SF = 793 GPD 138" (ELEV 2.5) 138" (ELEV 2.6) 138" (ELEV 3.9) 132" (ELEV 4.5) SEPTIC TANK SIZING: FIRST COMPARTMENT=770 GPD x 200% = 1540 GAL (PERC O 541 (PERC O 481 SECOND COIMPARTMENT=770 GPD x 100% = 770 GAL F- (48 HR AND 24 HR = 15Q + 770 = 2310 GAL) a 0 USE 2500 GALLON TANK MIN. NO WATER OBSERVED NO WATER OBSERVED NO WATER OBSERVED NO WATER OBSERVED >- 0EL2.5t 0EL2.6f 0EL3.9f 0EL4.5f 1 1 1 1 1 10° a p i z DESIGN SCHEWI E ELEVATION SHEET TITLE FINISH FLOOR 19.0+/- 1 CERTIFY THAT IN APRIL 1995, 1 HAVE PASSED THE SOIL EVALUATOR EXAMINATION ■ APPROVED B`Y THE DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE ABOVE Septic System Plan SEWER INVERT AT HOUSE 13.92 ANALYSIS WA'S PERFORMED BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE SEWER INVERT INTO SEPTIC TANK 13.46 AND EXPERIENCE DESCRIBED IN 310 CMR 15.017. Detail Sheet SEWER INVERT OUT OF SEPTIC TANK 13.21 0. SEWER INVERT INTO DISTRIBUTION BOX 12.73 ..�'��' /�-// � � o SEWER INVERT OUT OF DISTRIBUTION BOX 12.56 SIGNATURE DATE 2c ' 3 SHEET NO N SEWER INVERT INTO SAS 12.46 BOTTOM OF SAS. 10.46 SPm2 `m n NO GROUNDWATER OBSERVED TO ELEVATION 2.5 O m D A T E : 01/10/2013 J > g� N o SCALE : 0 o� DRAWN/DESIGN BY: SDM CHECKED BY:MWE o c J O B NO: 2002-075-2 C A D D F I L E: 2002-075-2-SP 0 0