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HomeMy WebLinkAbout0132 SOUTH BAY ROAD - Health 132 South Say Road . A 93 045001 C f ' b TOWN OF BARNSTABLE LOCATIO I IL '�f SEWAGE# s VILLAGE:,,.. or„�� ASSESSOR'S &PARCEL r` S CV INSTALLER',S NAME&PHONE NO. SEPTIC TANK CAPACITY 'One LEACHING FACILITY:(type) Cd 0 � (size) dxq� U.ry Js X I NO.OF BEDROOMS OWNER 2 PERMIT DATE: 9 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 wetlarils exist within 300 feet of leaching facility) Feet FURNISHED BY I A _ 37'grr } D r� � , 55r5noZ �J Bloe - r No. 0 Fee f �✓-_ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS fipfitation for ]Disposal *pstrm Construction Permit Application for a Permit to Construct(Repair( ) Upgrade( ) Abandon(C-f—EIrcomplete System ❑Individual Components Location Address or Lot No. 132 b064 y, me Owner's Na ddr�s�s,sand Tel, o. 6sgeh"te-Af k EGG Assessor's Map/Parcel N Installer's Name,Address,an Tel.No. Designer's Name,Address,and Tel.No. II 6,gAS,'RePrh� Type of Bu'ding: r Dwelling No.of Bedrooms 'E 2` Q r Lot Size sq.ft. Garbage Grinder( ) Other Type of Building pe W04po • -la-lal No.of Persons Showers( ) Cafeteria( } Other Fixtures Design Flow(min.requir d) 8 80 gpd Design flow provided WO.'"s gpd Plan Date � �" �'>�' Number of sheets 1 Revision Date 2G� Title Size of Septic Tank , 7-I LV 4A04 I /00-P GR`Oit Type of S.A.S. Description of Soil 14-1 Sew p- lo1j Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the constructio amid maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title of the Enviro ental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo o e Sign Date Application Approved by �/ Date Application Disapproved by C Date ( ''1 � for the following reasons l S Permit No. aOt)�0 s � Date Issued 2� -------------------------------------------------------------------------------------- f wA�� No. O" o— oq g� t Fee THE COMMONWEALTH OF MASSACHUSETTSEntered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes rr ipplication for isposal 6pstem Construction Virmit Application for a Permit to Construct((,,)' Repair( ) Upgrade( '+) Abandon(t-)'r Ej C plete System ❑Individual Components Location Address or Lot No. 32 Jor. t rat '`riccY' " � /, ./I Owner's Name,Address,and Tel�Iys1o. bar@r'�, Arfr l 2 iCGtLt he' (GC Assessor's Map/Parcel Gk -3/ t( a( Installer's Name,Address,and TA No,. Designer's Name Address,and Tel.No. , r Type of Building: car Dwelling No.of Bedrooms / £,t Lot Size l/a sq.ft. Garbage Grinder( ) Other Type of Building j?,FJ d �;a No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.r/equir/ed) © gpd Design flow providedf�a / gpd Plan Date 172 2 Number of sheets I Revision Date �'Ll �1. ! Title , � Size of Septic Tank Z url�a 106e 14 f4A Type of S.A.S. 2 r-.fr'dl 3' 50.1 6-/,G., Ckcf Z, Description of Soil a } Nature of Repairs or Alterations(Answer-when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5wf the Environmental Code acid not to place the system in operation until a Certificate of Compliance has been issued by this Board,of(lHealth�� Signed"' p �C Date / Application Approved by�RIIC ( �-S Date .. �'f h fa Application Disapproved by Date //4 ) r�z foo�.rfrthe following.reasons 1)x%)Ai.�/1,_- v G Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO1cERVIFY, hat the On-site Sewage Disposal system Constructed( Repaired( ) Upgraded( ) Abandoned( )bye-'` /V at l 32 6044 oqy k0061 has been constructed in accordance *with the provisions of Title 5 and the for Disposal System Construction Permit NoQv OVV O i5 dated y l k 2 U Installer Designer ���C � 1`h(� G`�l',a•f #bedrooms Approved design flow gpd The issuance of this§permit shall not be construed as a guarantee that the system will n�ctio�)as designed P Date t„ t 1 _(� Ins ector t/ ,/r/ J rd. V No.,) 0 47 r FeeTHE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal �ipstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(„� Abandon(✓) System located at /32 Sd 4144 trki'rj 1?60 _ /7<L-,A,,, (1"40 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. Provided: ,Construction must be completed within three years of the date of this permit. � Date f / Ya /r� Approved by M jtetNj 1,- 1 ��'sfi:7 ii_ e Town of Barnstable .�"E' i.� Inspectional Services • Public Health Division aaatvsrABL& Thomas McKean, Director i639 �� 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: Win Sewage Permit# 26ZO'PC -S Assessor's Map\Parcel 4 1: ® t k 6.� Designer: �^� Installer: 4an, Address: Y,® . " iZ& Address: .rr-� i On' ® � � - was issued a permit to install a (date) (installer) septic system at 2- 4 & z based on a design drawn by // (address) S L-1�4 dated (designer) 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. 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 co liance with the to rms of the I\A approval letters (if applicable) -�\k Of MAssq c CNARLES T. tiG (\Z//I/Zk ROWLAND In er's Sign c1viL No. 52699 o REGISTEK` ( esigner's Signature) (Affix Design,ersUdhp 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. \\toa\depts\HEALTMSEWER connecASEPTICOesigner Certification Form Rev 8.14-13.DOC f ° Engineering 'llivan Consulting, Inca U. (508)428.3344• P.O.Box 659• 711 Main Street,Osterville, MA 02655' ' seci@sullivanengin.com • www.sullivanengin.corn March 24, 2020 Health Department ' Attn: Marybeth McKenzie Town of Barnstable 200 Main Street Hyannis, MA 02601 RE. 132 South Bay Road,LLC. 132 South Bay Road, Osterville MA Marybeth, After careful review of the deed and the site conditions for the above stated address, the lot area has been updated to reflect the extent of ownership. This additional area includes the ownership to Mean Low Water and the additional fee of the private road. The deed description and record plan depicting this have been included. This additional area increases the lot area to 94,050fsf which is enough for the 9 bedroom system or 990 gallons per day. I trust this meets your present needs and let me know if you have any additional comments or questions. Regards, Chuck Rowland, P.E. Sullivan Engineering& Consulting, Inc. Page 1 of 1 6y Doc. No. 1,327,879 Ctf. No. 213803 TRANSFER CERTIFICATE OF TITLE From Certificate No. 172015, Originally Registered February 2,2004 in the Registry District of Barnstable County. THIS IS TO CERTIFY that 132 SOUTH BAY ROAD LLC, a Massachusetts limited liability company,c/o C Talanian Realty Co, Inc.,of 137 Newbury Street,9th Floor, Boston, Massachusetts 02116, the owner(s) in fee simple, of that land situated in BARNSTABLE in the county of Barnstable and the Commonwealth of Massachusetts,described as follows: LOT 17 PLAN 9592-M Said land is conveyed together with the fee in that portion of the Way which lies adjacent to said land and said portion of the Way extends to the northwest to a line between the northwesterly corner of Lot 7 Plan 9592-H and the center of the curve and extends on the east to two lines the first a line between the center of the curve and the northerly end of a line marked on said plan as being 30 feet long and the second line marked 30 feet long. Said land is subject to and has the benefit of the reservation, rights and easements set forth in Certificate of Title No. 19320 so far as now in force and applicable. There is appurtenant to said land the right to use the Way shown on Plan 9592-H for all purposes for which public ways are commonly used in the Town of Barnstable including without limitation the right to lay, construct,and maintain water lines,electric lines,telephone lines, poles,gas lines and other utilities in, over and upon said Way, said right to be exercised in common with a ' others lawfully entitled thereto in and over the same. So much of said land as is included within the limits of the Way shown on Plan 9592-H is subject to the rights of all others lawfully entitled thereto in and over the same. And it is further certified that said land is under the operation and provisions of Chapter 185 of the General Laws, and that the title of said owner(s)to said land is registered under said Chapter, subject, however,to any of the encumbrances mentioned in Section forty-six of said Chapter,which may be subsisting; and to any and all public rights legally existing in and over the same below mean high water mark in West Bay. WITNESS JUDITH C. CUTLER,Chief Justice of the Land Court at Barnstable, in said County of Barnstable, the eighteenth day of August in the year two thousand and seventeen at 2 o'clock and 30 minutes Attest,with the Seal of said Court, JOHN F. MEADE,Assistant Recorder. Land Court Case No.9592 N� �r �a 77 SUBDIVISION PLAN OF LAND IN BARNSTABLE Baxter & Nye, Inc., Surveyors 9592 August 20, 1998 w £ 9 Plan No. 9592 P 4�663 WA Y _ c> i h WA Y (20.00 Wide) CRadt°�)5,E ue C.B. ------------- 6 6�5p?6 15 Plan No. 9592 N Sh,I C8, Cert No. 19320 I� 1 .�v 2�h 17 a e3 {{ h L.C. No. 8730 £ Cert. No. 14524 o �IC.B. i -,24 i 132 W a � 2 0.52 ' 61 0.63� ; GB.� WEST . Subdivision of Lots 11 and 12 BA Y Shown on Plan 9592—J Fled with Cert. of Title No. 45456 Registry District of Barnstable County Separate certif/cotes of Title may be issued for land shown hereon as Lot 17 By the Court. ivy or got o1 vim, SEPT. 11, 1998 order . LAND REGISTRATJON 8 0MCE SEPT. 7f, f99 ✓MF-0366 Scale o1 this p/mr co feet to on Inch Lauls A m00%f*MW for Covrt 9.11Rl')1N1S10T? TT.Afd Ot „AT1f) I?I RAR?'STARI,I's 9592 H O'tinrlos N. S-every Inc., Surveyor Sheet a NOT AN ` r.l,ri�nr & 1969 NOT AN NOT AN OFFICIAL OFFICIAL OFFICIAL OFF CIAL COPY COPY COPY CO Y NOT NOT 8 NOT NOT AN AN AN AN OFFICI 6f f'I C I A&'t I&F I C AL OFFICI L COPY COPY COPY COPY c�.t♦'� s�1Q NOT OFF A�'�WC � FICIAL OPT— COPY // .* c!_�w °Nsp J , OT 1D. O� NOT NOT ca ' -AN 5P N AN AN CSFF AL 4F CIAL OFFICIAL OFFICIAL ro , po Y CO Y COPY COPY 7 ^ I�OT ` NOT NOT NOT AN AN AN AN ��• OFFICIAL OFFICI OFFICIAL OFFICIAL P COPY COPY COPY COPY .0 J e 0 / NOT NOT ° NOT NOT A� �AN AN AN 41 V w OFFI IAL OFFICIAL FICIAL-c OFn-TIAL U COPY \(COPY ys`�C.OPY e t ► d O N Z s c.' ,j C. WEST r Subdivision of Lot .2 ?•. 2 Shown on PInn 87301' °< ?:29 Filed with Cert. of Title No. ll1524 1.57113 1 ReF;fstry District of Barnstable County Separate certificates of title me he issued for land shown herein anst.nn.r�&Q p t_?.4§Lo t-A 0,7 4nd Q_ copy of n~of plan 81 the Court. r,� i^ — UND R£WSTRATION Off/CE• MAY 7..1969 Vj ;;�2 4-a.L 027- 4941-C/ Scale of this plan 80 tee?to an inch ► M9✓7 9_ ----- -----Pec C.M.Anderson,Engineer&Coart V Y 9592 H Sheet 2 . NOT NOT NOT NOT N AN AN AN AN OFFICIAL OFFICIAL OFFICIAL OFFICIAL COPY COPY COPY a /GO t POR NOT AN NAN �' A a eR�D is�'4 R 04 pi OFFICIAL OFFICIAL OFFICIA89 JP,L w COPY COPY COPY CIS a �°s°•FSTRE ' a y3 b �•e NOT NOT NOT •r���" T ANY AN AN AN OFFICI h/ ,OFFICIAL OFFICI m^ FICIAL COPS t'�s COPY 5 X.. % as COPY y .L.C. No.9597 fe Cere.µo•31P6'1 NOT NOT ti �, NOT a AN AN „o ��'' AN OFFICIAL OFFICIAL F C 4M OFFICIAL x COPY COPY 0 / COPY v �t NOT NOT M"¢ 6� NOTV AN AN ? AN A OFFICIAL OFFI ,P ICIAL OFF IAe"L COPY C o NCOPY coo P Yj' ooPY:° rv; NOT a fi a.NOT NOTr Toy 1 'Yy.+ , C,.� , AN Q, ,A ... !3 : r AN sbgFFICIAL CIAL 'OEM'. GI FICIAL COPY U o OPY COP)t r q)o N a cd;''h ,o e� 6 4 �p ` O ~0S d y M m N L.C.No."92f tib roro SyS,CB�" •�, S 4•.S= 50 3 r $B3°02'l.5••E Sy5"59't8"C , 4)b6. 153.6 t c.0 6 - l.e•-t`. A Y .�_.—.r_�.._....._-...__.-._ f.A._....N6S69•-,e••+v . ;20.00 Wide; _... cp. ? 84 Sec Sheet 2 t-.c. NO 6•1300 t C•No 8�9vE Cr.r1. No 915se C,r•t No 14514 J• r 5c.4I Flan 60 fecf -to tAn 5nc it TOWN OF BARNSTABLE CA LOCDN7 � SEWAGE # v :t' ® r VILLAVE .S� �f �Clr ASSESSOR'S MAP & LO 1 INSTALLER'S NAME&PHONE NO. GeIll- 1,W-l1l �1 SEPTIC TANK CAPACITY of a 6 a/�L LEACHING FACILITY: (type) .LXui1U'a %/'l (size) °7 NO. OF BEDROOMS BUILDER OR 0 R 14 PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and-Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and LeachingFacility:(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by po zc/,� ./ 113 ' 4- 7 1-4 .� -� TOWN OF BARNSTABLE LOCATIONe Q11LfZ LEA Y 2040 SEWAGE # VILLAGE_ BSJ ,w/aLl/>' ASSESSOR'S MAP & LO ,r , INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY `moo O O d LEACHING FACILITY: (type) lf'la .� size) NO. OF BEDROOMS '4/ BUILDER OR OWNBR PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet i Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by -- -- - - ot i I mAp 093 M PARC fC p I!,5 r, O O DATE • FEE: = BARIWAt3LE, _ b�: � Town of Barnstable R$c. Et; ) Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Susan 0.Rask,R.S. FAX: 508-790-6304 Sumner Knuffnim M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION Property Address: j?a .SOU 1--1 3� /�!7 05Tek V/LL-f, All ✓3 Assessor's Map and Parcel Number: Size of Lot: o�•O �, /9 C Wetlands Within 300 Ft. Yes Subdivision Name: No SrpVewttLSo/J Business Name: PL OAS r e A�D /V o'l;c e /d A APPLICANT CONTACT PERSON g 2 rnAiN 5'70 ST Name: CARoG`/A) C• LAA)'P Name:_,�}L LA" 1�C TRAtTo:R T Address: /3.2 Sou 16 &A Y �l Address:? P® 3 y� 9 2 }l v PK i'IU 1 o N '�/ w 7 Phone: "7 oZ O p S 9 7 Phone: - J*d 8' �19 7 94 FAX: FAX: SS07 DO 72, VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) A o R'e 'rA 4,v L (3 v Root,4S 1 e li (to be completed by office staff-person receiving variance request application) Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variances only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same ownerilessee only),outside dining variance renewals[same ownedleasee only),and variances to repair failed sewage disposal systems[only if no expansion to the building pmposedn Variance request submitted at least 15 days prior to meeting date /I1C yr cis 'ems 40C - ItOZ--cy y 110.)64 VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ Commonwealth of Massachusetts 09� �7- 00/ T t Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Z* 132 South Bay Road Property Address ------------- Carolyn & Stephen Lane Trust Owner Owner's Name / t. information is V/ required for every Osterville MA 02655 6/27/2017 ea page. City/Town State Zip Code. Date of inspection 0. Inspection results must be submitted on this form. Inspection forms may not be altered n any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms (1/# /�� on the computer, '. V 93 use only the tab 1 Inspector: key to move your cursor-do not James Ford use the return key. Name of Inspector Ford Septic Services LLC ran Company Name P.O. Box 49 Company Address Osterville MA City/Town 02655 State Zip Code 508-862-9400 S12482 Telephone Number License Number B. Certification 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. I am a DEP.approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further v luation by the Local Approving Authority 7/4/17 Inspe is Signature Date The tem 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. ****This report only describes 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. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 132 South Bay Road Property Address Carolyn &Stephen Lane Trust Owner Owners Name information is required for every Osterville MA 02655 6/27/2017 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 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 the "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. Check the box for"yes", "no"or"not determined"(Y, N, ND)fog 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 imminent. 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. ❑ Y ❑ N ❑ ND (Explain below): 15ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 2 of 17 . Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 132 South Bay Road Property Address Carolyn & Stephen Lane Trust Owner Owners Name information is required for every Osterville MA 02655 6/27/2017 page. City/Town State Zip Code Date of Inspection B. Certification (cont.)' ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if Pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed El Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N' ❑ ND (Explain below): ❑ . obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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 marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w.a V•'r. 132 South Bay Road Property Address Carolyn & Stephen Lane Trust Owner Owners Name information is required for every Osterville MA 02655 6/27/2017 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 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 a 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 determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent 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: D) System Failure Criteria Applicable to All Systems: You must indicate"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 Yz day flow l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a,••'" 132 South Bay Road Property Address Carolyn &Stephen Lane Trust Owner Owners Name information is required for every Osterville MA 02655 6/27/2017 page. City town State Zi Code P Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 1 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 from a 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® 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. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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 II 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 Section E 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. (Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 132 South Bay Road Property Address. Carolyn &.Stephen Lane Trust Owner information is Owner's Name ' required for every Osterville MA 02655 6/27/2017 page. City/Town State Zip Code Date of Inspection C. Checklist 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) El ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® . ❑ 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: ® ❑ 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(5)] D. System Information Residential Flow Conditions: Number of bedrooms 8 7 (design): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 880 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 132 South Bay Road Property Address Carolyn &Stephen Lane Trust Owner Owner's Name information is required for every Osterville MA 02655 6/27/2017 page. Citylrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑'Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? t ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail: unavailable Sump pump? Y . ❑ Yes ® No Last date of occupancy: currently Date -Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? • ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: 151ns•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 132 South Bay Road Property Address Carolyn & Stephen Lane Trust Owner information is Owner's Name required for every Osterville. MA 02655 6/27/2017 page. City/Town State Zip code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: never pumped - per owner Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: maintenance Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool El Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ In technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval: ❑ Other(describe): i !Sins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 8 of 17 I Commonwealth of Massachusetts 4 r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 132 South Bay Road Property Address Carolyn & Stephen Lane Trust Owner Owner's Name information is required for every Cisterville MA 02655 6/27/2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: system installed 9/29/2000 Were sewage odors detected when arriving at the site? . ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain):. Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: 5' feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2000 - H-20 Sludge depth: 8 l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts T Title 5 Official Inspection Form. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments •°` 132 South Bay Road Property Address Carolyn & Stephen Lane Trust Owner information is Owner's Name required for every Osterville MA 02655 6/27/2017 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 18 Scum thickness 10 Distance from top of scum to top of outlet tee or baffle 5 Distance from bottom of scum to bottom of outlet tee or baffle 6 How were dimensions determined? measure stick i. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The inlet side of the tank is in a garden area and the outlet side is unaccessable under the ashaplt driveway. A riser and cover was installed to grade on the inlet. recommend in the near future to install a riser and cover on the outlet side. Also pumping the tank every two years. Grease Trap(locate on site plan): Depth below grade: n/a feet Material of construction: ❑ concrete ❑ metal ❑fiberglass 9 El Polyethylene El other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date I5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 132 South Bay Road Property Address Owner Carolyn & Stephen Lane Trust information is Owner's Name required for every Osterville MA 02655 page. Cityrrown 6/27/2017 State Zip Code Date of Inspection D. System Information (cont.) , Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass 9 ❑ polyethylene ❑ other(explain): N/a Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach COPY of current pumping contract(required). Is copy attached? _❑ Yes ❑ No 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments a r 132 South Bay Road Property Address Carolyn & Stephen Lane Trust Owner Owner's Name information is required for every Osterville MA 02655 6/27/2017 page. City/Town D. Syste State ZipCode Date of Inspection m Information (cont.) Distribution Box(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.): The D-box was under the driveway and unaccessable. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 15ins•3/13. Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 O Commonwealth of Massachusetts o- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments 132 South Bay Road Property Address Carolyn & Ste hen Lane Trust Owner Owner's Name information is required for every Osterville MA 02655 page. City/Town 6/27/2017 State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number- ❑ leaching galleries number. ® f leaching trenches 2 -4'x 73' per number, length: as-built ❑ leaching fields number, dimensions: + ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Dug down to the stone in the SAS. There was no sign of failure. ' Cesspools (cesspool must be pumped as part of inspection) (locate on-site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow Yes ❑ No 15ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form p a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 132 South Bay Road Property Address Carolyn & Stephen Lane Trust Owner information is Owner's Name required for every Osterville MA 02655 page. City/Town 6/27/2017 State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraul etc.): ic failure, level of ponding condition of vegetation, Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure; level of ponding, condition of vegetation, etc.): N/a t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts 1 Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments r 132 South Bay Road Property Address Carolyn &Stephen Lane Trust Owner Owner's Name information is required for every Osterville MA 02655 6/27/2017 page. City/Town State ZipCode Date of Inspection D. System Information (Cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all'welis within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately PC OAT �00 or Ti-e.e �t FJ AS. b01 o' P.1�. WA (30H d . Q I t ' l t 15ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments w o •r 132 South Bay Road Property Address Carolyn &Stephen Lane Trust Owner information is Owner's Name required for every Osterville MA 02655 6/27/2017 page. City/Town State Zi Code Date of Inspection P D. System Information (cont.). Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 30'+/- feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 9/29/2000 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health-explain: Topo and water contours map. ❑ Checked with local excavators,installers -(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Per design plans no ground water was observered at 11'when installed Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection For Subsurface Sewage Disposal System Form -Not for VoluntaryAssessments �A-a••`'• 132 South Bay Road Property Address Carolyn & Stephen Lane Trust Owner Owner's Name information is required for every Osterville MA 02655 page. City/Town 6/27/2017 State Zip Code Date of Inspection- E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked 0 Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 official Inspection Form:Subsurface Sewage Disposal system-Page 17 of 17 / 0'r� ,. Fee G reel` No. THE COMMONYVEALTI;I OF MASSACHUSETTS Entered in computer: ' -`PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Yes ZIpphration for �Digogar *pgtem Construction Permit Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) XComplete System ❑Individual Components Location Address or Lot No. 19 2,t�_Cojj 11 f Owner's Name,Address and Tel.No. Assessor's Map/Parcel °l&,p qq, Pc-1 45-03i ,1 9S-GbZ 13z- Se—A Sod. RJ 1.0&hn►U',16 MA :�Z457S- Installer's Name,Address, and Tel.NooA a Designer's Name,Address and Tel.No. 4�-/r/3/ W l �W�l l �l r' aa,/z^ J' Aye _-VX `Type of Building: ... •• Dwelling No.of Bedrooms� Lot Size �. /�.sq�+. Garbage Grinder ocb Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow //0 e,� QGs� gallons per day. Calculated daily flow 25 6 0gallons. Plan Date 1-�" 1 Number of sheets to Revision Date_7/3 ff 7 Title !c eta.,CAI 13z- sw� 13,3 " Size of Septic Tank Zooc> 7./Ices Type of S.A.S. h 1 A-Z,°wt 75 Description of Soil A T prnl 1 (gin-,X6, AvxA, O- Oa ° y 3 fir, 9 Wo .ti. Ira Yee O l-/ 2 ' C r t °.a (S u ^ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b hiWo f Health. C'N Signed %' 0 Date Application Approved by y Date I/ Application Disapproved for the following reasons Permit No. 3 Date Issued / 9 5 oi� 'Fee - THE COMMON. ALA?, �OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH-DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS - ZippYication for Digogar *Vztem,Conttruction i3ermit Application for a Permit to Construct(K)Repair( )Upgrade( )Abandon( ) NComplete System O Individual Components Location Address or Lot&6-4 3 `Q6u6 12J, Owner's Name,Address and Tel.No. Carolyn G, l..cavw j Assessor's Map/Parcel ►11'l�p c'fS� Pcl 45—000'95-GbZ^ 13Z So-4f, f3'* P-9 j QS CrO�16 MA 4>24SS Installer's Name,Address,and'Tel.�i{. I j � Designer's Name,Address and Tel.No. l(/1Vl �.0 xFre_ P' 4 Jhzc � r 81,Z r ,111w1 � �S/rn!� �¢ 024,r5 Type of Building: Dwelling No.of Bedrooms 9%j kt Lot Size '� © ft. Garbage Grinder¢(10) Other Type of Building -I' No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow //'o gallons per day. Calculated daily flow gallons. Plan Date 1 2-� R 7 Number of sheets nit¢, Revision Date V3/97 Title S%tc 91re-G3 1'3Z ScKAU g�-. t7.Q \ Size of Septic Tank 2o0O 7L0'11" Tyke of;S:A.S. Tmm,:k z, 'x 75 - Description of Soil A'°•,, Topso Croce., -¢ O- e, 7 3 t R✓r.,,. `lc((ow Sa-4 /0 Y,r r-1 C (OrQ- , CoR_.�,. .S", to Y1 4V6 , ►12`— 11,0 Nature of Repairs or Alterations(Answer when applicable) , .' f '' -Jr ,� Date last inspected: ` Agreement:' The`undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- -cate of Compliance has been issued b h' B of Health. ^ g Signed 1 av Date Application Approved by Date <� 9 Application Disapproved for the following reasons i Permit No. Z Date Issued 4F"//- px" r -- THE COMMONWEALTH OF MASSACHUSETTS - BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO C TIFY,=t�jat tlhe n- Sewage D�'sp,o S�s ieM Constructed( Repaired ( )Upgraded( ) -Abando ( )by /t�{� U °►-� at 7 2 �f (�Gl-Q- as been construct din accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ��=r 2 dated r 719 Installer' ; i Designer /� t The issuance of this permit shall pt br c rued as a guarantee that the sy emAv unction s de ned. Date Inspector ( v - / ` No. O Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE., MASSACHUSETTS igPogaI stem Construction hermit Permission is hereby ed t4 Construct( )Rep ( )U g de( )Abandon( ) 'System located at �� � �, � J�Y and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided Construction must be completed within three years of the date of this • = it. Date: Approved by"a � � r Town ,of Barnstable 1 �4 '"R 059. Board of Health 367 Main Streq,Hyannis MA 02601 (� t1�`l r ?`t3 s7 Office: 508-862-4644 Susan .Rask,R.S, FAX: 508-790-6304 Ralph Murphy,M.D. Sumner aufman,M.S.P.H. Board of Health Meeting Agenda August 11, 1998, 7:00 P.M. Town Hall Building Second Floor,Hearing Room 367 Main Street,Hyannis O iytl) I IJ Hearing Requests: G� 7:00 Written hearing request from Robert A. Sylvia, 17 Washington Street �Ul Extension Hyannis regarding a cease and desist order he received on July 14, 1998 from the Health Agent regarding bird feeding activities. 7:30 Written hearing request from Susanne Lavoie, 592 Popponessett Road, Cotuit- �(� Requests an extension of time to replace the septic system which failed inspection. Variance Requests: 7:45 Joseph Ferraro, 279 Wheeler Road, Marstons Mills, 37,331 square feet- Requests variance from Board of Health Regulation Part XII: Sec. 2.00, Part XII: Sec. 3.00, Part VIII: Sec 1.00 C�"O) 7:55 Nancy Johnson, 38 Moco Road, W. Barnstable 16,625 square foot lot- Requests variances to repair an onsite sewage disposal system. . 5 James and Barbara Currei - 75 Cap'n. Isiah Road, Cotuit, 0.54 acre lot, requestVOw ("�,,, permission to construct a recreational rQQom/of e area above the garage. ^ __7 4v1 s s6rW 3,0 s: James Murphy, Lot 10 Wild Goose VVay, Centerville 41,214 square feet lot 4F' Requests a variance from Regulation 310 CMR 15.405 (reduction of setback to coastal bank). N :2 4? David Ames, Lot 12 Deer Jump Hill Road, West Barnstable, 2.17 acre lot. - Requests a variance to allow primary SAS to be 95 from BVW and reserve SAS to be 82' from BVW; 100'. �f ♦f ` i II Disposal Works Construction Permit Application: Carolyn Lane, 132 South Bay Road, Osterville 2.02 acre lot- Requests a disposal works construction permit for six bedrooms, no variances requested. 4:4 V. Application for Temporary Food Permits: 5 James Gregory, 80 Angus Way, Centerville -Requests temporary food permits to serve foods at Victory Chapel, 2 Old Rte. 132, Hyannis on August 1 and August 29, 1998. Disposal Works Installer's Permit: 8:55 Bruce T. Macallister, 87 Pond Street, Osterville VI. Swimming Pool Lifeguard Modification Requests: 1i 9:00 James Redanz, Cascade Motor Lodge, 201 Main Street, Hyannis 9:05 Richard Lindstrom, Country Squire Motor Lodge, 206 Main Street, Hyannis 9:10 Liam Monaghan. Graigville Motel, 8 Shootflying Hill Road, Centerville VII. Correspondence: .15 Jonathan Peters, Phd., letter dated July 24, 1998 which discusses disagreements ^� he has with some statements made and"flaws"in the presentation made by the U, speaker, Doug Brugge, Phd on July 21, 1998 in regards to ventilation systems and L) testing. 9:16 Howard K. Koh, MD, MPH, letter dated July 21, 1998 regarding the devestating effect of exposure to environmental tobacco smoke and encouraging policy makers to address this issue. r VIII. Discussions of Old Business and New Business: 9:17 Single Cesspools-Should the Board of Health pursue the idea of adopting a regulation which would require all DEP certified septic system inspectors to "fail" any single cesspool discovered during a routine real estate transfer septic system 0 inspection conducted in the Town of Barnstable? Environmental Tobacco Smoke - Scheduling of an E.T.S. Ventilation Workshop IX. Massage License Application Deborah Ann Dings- Dennisport X. Public Comment l0,C"*T 10N �� SEWAGE PERMIT N0. VILLAGE INSTA LLER'S NAME i ADDRESS ci 1J e� u- lfi w c c • UILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED /� �U r � --� Y�� I � � � -'� w -- e ��� i _ _ i ._. � Ii jo No. ...-•-.1 FEE.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR®' OE HEALTH ------------71"+�, .. ......OF.......4571, .-s................. --• --------------•----- ---- Application is:lereby made for a Permit to Construct ( "`)' or Repair n iv u Sewa Disposal System at: 3 /� Loca' n-Address or Lot No. .... Owner Address Installer Address Type of Buildi�ng/ Size Lot............................Sq. feet aDwelling�No. of Bedrooms.......1..................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a Other fixtures ---------------------------•--•- . Design Flow. ..-5�._.-_-........_.,.�..p gallons per person per day. Total daily flow......./'/. ........................gallons. Septic Tank Liquid capacity/- 0-gallons Length................ Width---------------- Diameter................ Depth................ W Disposal Trench—No- ------------_--_-- Width.................... Total Length_......_._._ Total leaching area....................sq. ft. x Seepage Pit No......./---------- Diameter------- Depth below inlet.................... Total leaching area...,.3..01_. ..sq. ft. z Other Distribution box ( ) Dosing tank ( � Percolation Test Results Performed by.-----�-,,- . ..............................._.... Date___ ....... -�. ........ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water:_______________...___.. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ C ----- O Description of Soil........ •. . .. = 2. V ••-•--•-••-----•--•-•-•••---------------------•------------••----••----------------•----------------......-••----------•----•-•-•---•-•----••-------.................................................... W` -----------------------------------------------=---------------------------------------------- --------------- -----------------------------------------------------------------------------•--•.... UNature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ .................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT y g g p y 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board ofof health. Signed.... e Date Application Approved BY `' ..............•--•-- f = Date Application Disapproved for the following reasons--------------------------------------------------------------------------------•------------------------------•. •••------------------------•-•---••--------------------------------------•---------..........----------.....------------•-------------------------------------------------------------------------------- Date PermitNo......................................................... Issued•--•- -1 1` (,+ -••---....-----•---••--- — — — Date ' A NZL ...j- J� - ~ \ Flm$.. ............. j' THE COMMONWEALTH OF MASSACHUSETTS �x BOARD OF HEALTH r oF.... ? ...................................................... ApplitdMi � for Dispniial Works Tomitrnrtinn Vrrmit Application is hereby niade'for a Permit to Construct (Y' ) or Repair In ividual,-Sewag Disposal System at:•- ... --•--•• 5 7 �. � -- -------------------------------- -f- '....... ---- --•- Locat' n Ad ress or Lot No. _.----•-••............ ... ....•----.------- Owner Address a •- . ° . -------------------------------- ---------------------- ----- . ....------•---•--..._..... Installer Address ' d Type of Buildi��ng,�,,,/r.� Size Lot............................Sq. feet Dwelling Building of Bedrooms....... ................................Expansion Attic ( ..._•) Garbage Grinder ( ) Other—T e of Building No. of persons............................. Showers — Cafeteria Q' Other fixtures ---•---------------------------- - .......--•---- --------------------------------------- •--------------------- <11 W Design Flow....Xlr---_____._--:.__.. ..:_,_�j gallons per person per day. Total daily flow_....../-/..'�........................gallons. WSeptic Tank Liquid capacity F-14gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length......__..._ _..... Total leaching area-----------_......._sq. ft. Seepage Pit No.......�/---------- Diameter....... _ ___. Depth below inlet.................... Total leaching area... ..sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by...... .fi tku4...................................... Date._.1__"./� aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_._____-_-___-.._.-____. G4 Test Pit No. 2................minutes per inch Depth..of Test Pit.................... Depth to ground water........................ . O Description of Soil-----• f Y"--"�---_-----�-- _ �' x � 1 V ••••----••-•---•••••-•--•••---••••••••----•----•--....•••------•-•-••••--••••.._...•••--•------ W UNature of Repairs or Alterations—Answer when applicable----------------------------------------------................................................. -•-----------------------------•----------------•----------------•---------------------------------------•----•-----------------------------•--•----------------------------------------......_•--•-••-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal os� System in accordance with the provisions of TITLE p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Si ned -- -• --- --4" __4 ,.- -----Date•...... Application Approved By...... ...... ..... �' . ..- ------------ -- -----I.."----th-�.•.. 0 Date Application Disapproved for the following reasons:............................................................................................................... •-------------------------------•------------------------....-•----•-•----------•---•-•-------------•----••••••--••--•--•-......---------•-----••------ ............................................... ( - •-----.Date-•---- Permit No..........................:........: .................. Issued = ' = Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH `bF.................. 0 10._-_1-n.... -..°.........._.. ........ �rr�if irtt�r ,af (��ant��i�nrr � - T IS S ; - 'CERTI That the Individual Sewage Disposal System constructed ( 4--o-r—Repaired ( ) by -- �. .----• .. ........ stal Y --•-- has been install in accordance with the provisions of TIp,"h S j of State anitary Code.as de• rigid in the Q �' C/ application for Disposal Works Construction Permit ivo�_ .............. dated._..-_-_ __T�- ._...__.._.__._..... THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............... � y LL �� ••DYE Inspector....---------- ........................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD PF HEALTH .....tv.lA'!' .......OF...... ................................................ No..............Lf J FEE__.. .............. Difipasat n 4%'_U cn ia�n rrmit Permission i reby granted i. - o' --------••-•- to Cons ct ( r Repair `(/� ) an T36aividual Sewa s,�?Psal st 1 .......at No.. Street as shown on the application for Disposal`Works Construction P t No Z._f_� ated_.____�_.�"�................ / -- --_-••---••-•---_-_.-- r ealth - DATE. '---{ y_. �- ------------•-------•----•--•--• Board of H FORM 1255 HOBBS & WARREN. INC., PUBLISHERS r, R«'3 F 7" _/°At!/+/ ;LY CJ"7 z;' • ' l P� �i'`7°`rf�°iq' 1 tr w ..,a �-�✓'/,.;: � .�=�f�i�.; Cs�L. n: - 4-AG 4 N/ i;P/T, ARC (-ORE, a...r_ Y, . �,;i .\�S<'��� I'•'1 :' ��r� u- � t� _ .. ..,, ``` ...«.. T _.-.. _. ,.,a. W ... . r. :.. .i ....4.W rl+.vr.5 :Jt ,:,. .... .�. .. N M... •S. '.f�;:.. -.:?4. „E,..-/`,-, .. M ,. ... �...r ... ._ .�. ;. .., v.v 'w*:? '§;s .. .T, .::,eea✓. ( ;:. i ,.7t;trcr. .th x�' k,. .�•. o . .. ,.._ r..�. . . :. ..- ,...�-,...... �. ... -�,..-. -�.., �r_ ,. sr 'r a, - S:�.r. �'_ ,:n r ..a .x....¢` > :r. s-fi::.-..,�-..+..... .._y;. 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SOB NO.: 2018-02 FILE NO.: - a•-1 I/n' 30'.2314' 24'-0' R4•g' 21'-0i/n' 2'd 3ln• . 11>'-10314" BASEMENT PLAN r PRDjECro LOWER LEVEL PLAN NORTH - SCALE1l4"=1'-0" A-1� .10 FINISHEDRASEMENT' 192]S.F, UNFINISHED BASEMENT 2.555 S.F TOTALRASEMENTAREA 4,4825.F. L — _ 1 i Q o � v o- f ...._.... s g �+ E F'1 C mo a'-0Ila- a'-23/a• 6'-0' 2P-0' a>'.10' � ta'-11' B'-01/a- 3'fi112' S'-0' 3"-61/2' v � 6'b 1/2' 1a'-111a' 17'-0- 10'-0,/a• 5'-0' 4•1 i - - -_ - --= =- =-=-- .. ...... - - ---_-- -_....._'DESK --- - - - — - — 34 -- ----------- -, -- -- --=-- _— __-- -- --� _ I - -- — - BEDROOM2 .. 6,/,• _______ BEDRO M1 DINING I 3 a• z-1• 3'2' -1 I s1.• I I I ry. p W o BAR I I - 01 ` 15.1. 3112' 3 2 a-01--uai E w0_�I I IL———_____ ____- L ---- — ----J -I m --------,I�Ifd�,'r----_ o ——.---L—i ATo m B to �-- li n•-s- 4'-10' �� � Q a' nr 1 0 - i I •,� �____ _ ______________ 0 .. a aosEr � �---aosEr '� Q eQc 5-1 mpg ________ __________ _ __ _--________---- DN a 6' .. 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DATA: 9/16/2019 10 CLOSET BEDROOM#1 (2)3'-0"x6-8" MDF WOOD 'DROWN: CAN'. 10 ENTRY POOL BATH ,3-0-x6- - MDF WOOD� � CHECKED: lO r/ASHER CLOSET ENTA! (2)1'6,6'8- - MDR WOOD - SCALE: AS NOTED lOB NO.: 2018-02 _ • -20 SDiIN6 BEDROOM kB 2'A'%6'8' hIDF WOOD FILE NO: - - 0 201 BEDROOM#8 eiTH#8 26'X6,8' - NOR -"ODD' - 0 20 aosu BEDROOM#B 2-B'X6,B- MDF IODD GARAGE FIRST&SECOND FLOOR PLANS T A-1 .12 I I s IRE Q � . 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M a I - I I \ _ _ _ ---- _ - - it L --- ------- -____ -, __-----.— -w co_-- __- _ _ �- - ------ —'_—BPo D—GE'-ADO—VE._—_— _——_—— - s-L LZU 7 FAMILCOAT LUY ROOM KITCHEN c cLOSr ..0 --——R-- I SPEP Q - nn3l YNDOW'n Q � FOYE B OO BEDR . w o _ - REAR / AT PANTRY - — = —— — I� �Q_ m O F _ ENTRY lzl a BENCH - - - - -- rFF L I I Z I 3 I' o �sFt I j I f I ICE ❑ 71I r9 I I CI❑ ❑ I I: I I W�Q I. DN I I 1 NO. Ia DATE SWE/REV 11/26a019 . I L Q 01t17/zozo .DATE:, JAN 17.2020 4'31rz' T-2' 5'-IP T-0" b'-11' 11'�' - alY GV• ]I I IV- / B-V - - OCHEC Dc W.W.S. R I I_ - _ I. LE: AS NOTED 4'A I/a• .8'811a' S'-31rz' 3'-ID 12' t'd _ - 6'O 12' S'-3• a'-3• \'DNLOw S I 1O8 NO.' 2018-02 1 FILE NO.: 3a'b• V'-0' C / FIRST FLOOR PLAN PROJECT. FIRST FLOOR PLAN NORTH 1 SCALE:]/4"=1'-°. FIRST FLOOR FINISHED AREA:4,700 S.F. III � • � � .. .. ,...,. , v."... :.: ._..._ ........._ '. '._-___. '_, ' .. _... -.:. `........ .. ..... .r. - -'3�- -.:A.rBwmn:L...rtwr.., ..-•+u:.�:Y4i,i35iY.p3.r�.`� X+'�5.'",.,,..�...,rtW"+i -�erl:.ts. a .:n...oia:...:"War.�uMia.W,'4a,:.�uru.✓N;..iN'.. .W.JW.:en;W¢s4',.:41L+1�"..^Ys►...wis'�1�'9 eAa9�.x:."t. 'h ,....,. �.<�. _. ,_.-..._ ..++.. i{Lrnil�.. ,. .. .. j 1 M1� islandpt ( •r Isabella Is .•• ", . - _ IGN DATA r - , j� - CURVE RADIUS LENGTH DE._TA tr• r aL Cl 20.00' 29.34' 84'03 44" SINGLE FAMILY - 8 BEDROOMS C2 52.50' 124.94 1 6�0'54 NO GARBAGE GRINDER �C. - ; ` C3 52.50' 64.90' 70'49 50 SEPTIC TANK: $80 GPD x 200% 1760 GPD j - # _ C4 52.50' 26.06' 28'26 21 USE 2000-GALLON SEPTIC TANK C5 52.50' 26.06' 28'26 26 LEACHING SYSTEM DESIGN: ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED } •'•f" WITH CAPPED ENDS tandin ' \� IJSE 2 ^ 4, x 7,3' LEACHING 'TRENCHES + ''"" ` I USE 2 - 4`' DISTRIBUTION x C 73' LEACHING TRENCHES ASR ENCH E 1 SHOWN kster :�� o WTH`4' PERFORATED PVC DISTRIBUTION LINES lr6ora REMOVE UNSUITA�£3LE MAiE1-IAL FROM BENEA71­1 SYSTEM IF ENCOUNTERED LEACHING AREA REQUIRED: o j y; �� ;o& OVERDIG G' INTO MEDIUM SAND LAYER $80 GPD/0.74 1189 SF ° ' C' ` • BACKRLL WITH CLEAN MEDIUM SAND PER 310 CMR 15.002 2(154') x 2 - 616 SF SIDEWALL AREA _ _ �� GS+ „•' 2(4' x 73') - 584 SF $OTTOM AREA N AND fs NO '. �. •,: (�} PCC RISER WITH TH 1 1200 SF PROVIDED " ''0� \ TOP FND 19.83' METAL FRAME & COVER � DEPTH ELEVATION FG- - -- FG 16' EG/FG a 16' I j EXISTING GRADE EL - 17' t r F_ 0' 17'0' TOPSOIL LOCAMON MAC' _ --' 2"-1/8`-1/2` STONE 0 GARDEN AREA COTUI QUADRANGLE BSMT FLR EL C 12.33' 16.0' r 2000-GAL 4` SC. 40 r 0.7' 16.3'0 BROWN-YELLOW SCALE: 1:25,000 15.0 2 COMPARTMENT ____; � - I COARSE SAND H-20 S. T. 14.75' 14.5' 14,0' ---1-3/4`-i 1/2` DOUBLE WASHED STONE 1.2' 15.8' 10 YR 6/8 ASSESSORS I No TES 8 9 MAP 93 PARCELS 45-1 & 45-2 `--- BEDDING AS r 14.25' END PIPE EL - 13.6' ZONES: TPER 'nTLE 5 4' BOTTOM EL - 11.6' YELLOW-BROWN COARSE SAND © TRACE GRAVEL A. P. so, 12' 25' .2.5' 12` & 13' 1 E 10 YR 6/6 RF - 1 I I I ! I LOGS OF HAND-AUGERED TEST HOLES MINIMUMS j 01-29-97 AREA = 43,560 S. F. I PERC RATE: < 2 MIN/INCH (ASSUMED) FRONTAGE 20' LINES TO 11.0' 6.0' NO WATER WIDTH 125' DISTRIBUTION BOX BAXTER & NYE, INC. FRONT SETBACK = 30' ` n osTERVI�N STREET o ss I SIDE SETBACK = 15 REAR SETBACK = 15' I I I { BUILDING HEIGHT = 30' I I I I c" FINISH' GRADE �'}i ILE OF P NOT To SCALE i NO'FS. l_. .RE`EFVE AREA x �i - _ x' ADD 1 J8' 1 J2' STONE;AS 'f�EQUIRED ru'«,.:r„c•ua•rsgr ,.ww,...;:.�.> ...�,sa • �'r r:+�.e!.w,r:.,.x.± *�m:rmW-.tx+.::.�.n..+w;ue�«e-.........k - ' �+- .w..,..,a...w....•.mwt:.. .aw......:• ..�. ,....•,.,...w.....:�_.. bAt h ..w... ...:.., ... ..: I i i l m TO MEET 3-F6UT MAXIMUM ' Mi:! BE 2EPLkCED WIT}, _ I ,- IJ I _ INSITU MATERIAL 4" PEKE SCHED 40 PVC EVERGREEN TREE U L I _- _ - - I \\ 4" SCHED 40 PERFORATED PVC PIPE (TYPICAL) �I ,EI*1CO MIRED REMOVE - MAPLE TREE �12' _ UN SU,Ts k LE rA En �.L TO INSURE THE REMOVE UNSUITABLE MATERIAL l PLACE CAPS AT ENDS SICiE1'`ALL AREA OF SYSTEM IS IN 2' OF 3/4" - 1 1/2 FOR 5-FEET (SEE NOTES) HOLLY TrtLL "r 28'. CLEAN MEDIUM SAND OR FILL PER STONE i� UNDERGROUND ELECTRIC ! ."0 CMR 15.201 - 15.293 2' 2' ® It--- e�E7"hIL LEACH FACILITY UTILITY POLE/NUMBER -9- PLAN VIEW S POST & RAIL FENCE -n-o-n-n- N. T. S. 14' 3' CHAIN LINK FENCE DETAIL LEACH FACILITY 6' STOCKADE-FENCE -x-x-x-x- END SECTION RAILROAD TIE RETAINING WALL N. T. S. wv WATER GATE EXISTING CONTOUR PROPOSED CONTOUR 3 B O U T �./ f TRW • C8 i ° q� PROPOSED RETAINING WALL 81' SPINDLE EL � 15.81' SPlNOI.E El- - 19.37 3 O PROPOSED FINISH GRADE j ? N Cl --� TP cv S 63'02'25 `, I LOCATION OF HAND-AUGERED TEST HOLE � T ^, S 93•02•25" E � ,� -_ o E 41.56''-" ,� a�`� C2 Ag59 C4 0 �' 1 0 L,U N _ r � s1►c SET P 12" �' A Y � • O 12" o �p „ LL 12' _ 1�0• p 35 � � 14" 5 /. C3 $ p u T $ / V TBM O CB/bH TBM O HYDRANT Y R p D PIFOLE SURVEY MARKER SET IN DRIVEWAY 12" 12 EL 15.81' EL- 1� 3 Cl � z • 10" 16 sTK SET o CY S 83*02.25. E o S i3'p2'25' E 41.56' 5p. 114.06 N W A Y o I r � O l GARDEN 775/6 / _12" TENNIS 23, )RIVE COURT I IAWVEY MARKER SET IN DRIVEWAY 2, ` ' 11' ` 14" 1� 775/6 rJ l + (6) 8" - 10" wi PROP It / ® 1 OSED DG cu o<l; TENNIS CO 16 - _ i 7 �- Fol .r 775/6 12 CV s. - ' 8" 3 11 a 1h 4" 5' x T CON C PAD o) ` , U x 1 1 .a 20.2' I` 4 M -b- •� _ I x 14" 775/6 Jry W a 2' >�I x', 6" PAVED a 75/6 12" I DRIVEWAY GARAGE J 5" o ._ L C. PI. 8730 - E cNs cB FND W PROPOSED in v6` ' 16A " _. I "�''k � DRIVEWAY PROPOSED N/P PAUL FIREMAN. ET UX. 12 � . .16" 8` t� <Z ,�"'� \ � LAWN , !!� 7 � fV 4" zoQ i 4CV \ 1 b CA - _,, 1 J 3 '© GARAGE: PORT PROF t SS 'vl vi eo A/c 25' C rn u� n �1S71NG �'1' i q, , cv ' ?2 1 12 Fq I S1IYGLE ' N o H D WUWNG ® I a s ;� ROPOSED SINGLE 75/6 1.32N FAMILY DWLLUNG 21 20" 18" PROPpSII� � r _ / TOP FOUNDATION EL 19 83, I to SLATE 1'AT10 NE•yl► .�...J �, EASEMENT 8 uC710N 3 EL - 12.33' 0 14 SW SET PM 1 o w P�� DM�ON CON _ 3' Fl(GII� 11" i `� L C T` 1 a - VIM LIMIT C RET WALL ",: - PATIO I� \ DQpq�MON IF 0HANi.z,r41 `'`.. DECK PATIO 3� - 4' �Fil GHWOW �' �'r. o .�..,, coNc >aET WALL � �. � �: 1 -1I LAWN 12 /� 1 ?> I EDGE ct- J i O 1..... ..,--. Pf�OPI � MEAN HIGH WATER + `�; `�~` NEW �� LOTS 11 & 12 - 12-27 9s , pfW L C. PI. 9592 J GRASS „� srK sa-r red .,_�„�_ Alt Oi.t7 33 (COMP 4 UNE� BEACH .rr' -. 10 86,132 S. F. f TO MEAN HIGH WATER :z EXIS11NG SiTt:• CONDsTION5 6 - o 6-FOOT BUFFER OF COMPOST PILE TBM + TOP :." CB C 6-FOOT PLANTINGS -L - 2.01' NGVD 2~' ALLOW BEACH DOCK ACCESS 2A.' A T �o a`� / �1rE TO BE REMOVED IN CONSULTATION - WITH STAFF F 132 SOUTH BAY ROAD � / MEAN HIGH WATER �Q T�P � -CONSERVATION 6 12-27-95 J COMMISSION I I OSTERViu�, MASS. � 2,3• 4 i (Co,�;P 2 ,i ,TBM 0 TOP OF CIB , EL =- 2.01' NGVD i Q WEST BAY FLOOD INSURANCE IR:. TI-IIS 0,,REA NOT AVAILABLE NOTES: � � ; s--> -y FOR NEW CONSTRUCTION OR SUBSTANTIALLY 0-SE ' Si E' -•I x�i `,3I .> IMPROVED STRUCTURE_:. ON AND AFTER NOVEMBER 6, 1990 IN DESIGNATED COASTAL BARRIERS. • � :I. WATER SUPPLY FOR THIS LOT IS MUNICIPAL WATER 1 2. t_OCA710N OF UTILITIES SHOWN ON THIS PLAN ARE APPROXIMATE. AT LEAST 72 HOURS PRIOR TO ANY EXCAVATION FOR THIS PROJECT THE CONTRACTOR SHALL. MAKE THE REQUIRED �:l2 sou-CHr' I (3 NOTIFICATION TO DIG SAFE, (1-800-322-4844) AND APPROPRIATE WATER DISTRICT FOR LOCATION DATA. OSTERVtl:" = ASS. SITE PLAN 3. THE CONTRACTOR IS REQUIRED TO SECURE APPROPRIATE PERMITS FROM TOWN AGENCIES FOR CONSTRUCTION DEFINED BY THIS PLAN. SCALE:. 1-- 'I'D' AT 4. INSTALL RISERS AS REQUIRED TO WITHIN 12' OF FINISH GRADE. W E S T B A Y \(`r,G'^ �•t 5. ALL STRUCTURES BURIED FOUR FEET OR MORE OR SUBJECT TO ;� F7T`I' 132 S(�U'�-� BAY ROAD VEHICULAR TRAFFIC TO BE H-20 LOADING cif;: : ,., 1 I..C`.c. .-J.% 1 r.-: �? ryG . �,;II OSTERVILLE, MASS. 6. FOR ALL ASPECTS OF HE SEPTIC SYSTEM THE CONTRACTOR SHALL COMPLY WITH ALL GOVERNING CODES AND REGULATIONS; I IN PARTICULAR 310 CMR 15.000 THE STATE ENVIRONMENTAL CODE 298T4 0 TITLE 5, TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS FOR PART Vlli: ON-SITE SEWAGE DISPOSAL REGULATIONS AND THE 1 s S q i 9•14 � BOARD OF HEALTH RECOMMENDATIONS FOR ACCEPTED PRACTICE. I FLOOD ZONE LINES SHOWN ON THIS PLOT P�.14 ARE DiWI�lZEL3 FROM FIRM COMMUNITY CAROLYN C. LANE 7. REMOVE UNSUITABLE SOILS BENEATH PROPOSED SYSTEM IF REQUIRED. PANEL No. 250001 00018D (REVISED: 9UI_Y 1992) USING CENTERLINE OF EXISTING BACKFILL WITH CLEAN GRANULAR MATERIAL FILL TO BE GRADED AS WAYS AND STRUCTURES SF + ON CIS SHEET #93. FOLLOWS: NOT MORE THAN 15% RETAINED ON No. 4 SIEVE, NOT MORE REVISED: 02-18-1997 THAN 90% RETAINED ON No. 50 SIEVE, OF FRACTION PASSING No, 4, SCALE: �~ .- t Q' JANUARY 29, 1997 10% OR LESS TO PASS No. 100 SIEVE AND 5: OR LESS TO PASS No. 200 SIEVE, SOIL. TO BE APPROVED BY ENGINEER FOR COMPLIANCE REV: 5-30-97 PER CONS COMM NOTE REV BLK AT LEFT PRIOR TO PLACING ON SITE. 8. TWO COMPARTMENT SEPTIC TANK REQUIRES TWO WEEKS LEAD TIME BAXTER & NYE, INC. TO ORDER FROM SUPPLIER. _ REV SION 8.:" �BRAF1 P.E. P.L.S. 812 MAIN STREET 9. THE FIRST COMPARTMENT OF THE SEPTIC TANK SHALL BE SIZED FOR I OSl RVILLE, MASS., 02655 A MINIMUM HYDRAULIC DETENTION TIME OF 48 HOURS BASED ON THE 3. 7-3-97 BUFFER/WfC l SIT i Cf„iON JRE I I DESIGN FLOW; THE SECOND COMPARTMENT SHALL BE SIZED FORA 2. 5-30-97 6` BiiFF1 R h'AT f'i._ 'dTNGS JRE MINIMUM HYDRAULIC DETENTION 11ME OF 24 HOURS BASED ON THE ------TER NA---- -----.---- _ GRAPHIC SCALE DESIGN FLOW IN ACCORDANCE WITH 310 CMR 15.224: MULTIPLE NOTE (10) R: PROP" "ED POOL JRE�� COMPARTMENT TANKS. TWO TANKS IN SERIES MAY BE SUBSTITUTED COMPOST PILE S: '.OT COR JRE t0 0 20 40 8o 160 SUCH THAT THE FIRST TANK IS 1500 GALLONS AND THE SECOND TANK 0T IS 1000 GALLONS AS PER 310 CMR 15.225. NO. DATE DESCRIPTIC/ BY BY BY 10. PROPOSED POOL TO BE OZONE-INJECTION WITH LEACH PIT FOR WINTER DRAW-DOWN. ( IN FEET ) i inch = 40 rt. 95175 (PPP03.DWG) ...Finish Grade tar ASSESSORS REF.. _ _ 3' Max. �-_W. , .:..,,�� W JIl •, ���� �7� � � _ �� Rom;, � „����. . _ �_-.._.�-�,....__9" Minp "- Ro d Ma 093 Parcel 045-001 ;r Compacted Fill Filter ay P Fabric o \ SouthB w ,« And/Or 16, DIRECTIONS: Pea Stone 3 H-20 / z % From Hyannis - Follow Main Street to the West ' 3/4" _ 1 1/2" � End Rotary' on Scudder Ave. Take third exit to Sdd A " LEACHING Double Washed �' I I / • '.x Stone s ce / Turn right onto smith street at the stop sign. CHAMBER � a / o 5� Continue on to Crai ville Beach Road and left 9,15 R';5 .50 9 onto South Main Street. Continue over the 4 r- 4' - 10" / / F`� bridge to Osterville, and left onto West Bay * ` �- 12' - 10" ' �h`y P' Road. Continue left onto Bride Street. Turn left / ® vn � r�v� onto South Bay Road. Continue right on South _ � / t th Bay Road and # 132 is at end on the left. ffv e 15 Catch Bain m a l \ R � J t t - Ee 14.5 CROSS SECTION OF CHAMBER 1 ' ;I J s NOT TO SCALE _ _ - - 16- - -- - _ OVERLAY DISTRICT: AP - Aquifer Protection District j 016 � / , / f` LOCATION MAP: HEALTH VARIANCES: Scale: 1" = 2000'f Comp stem Depth of S FLOOD ZONE: Inonents P y P-catch Ba 3' Required Zones VE Elev. 15', AE Elev. ZONE: ( Elev. 13.' ' , �� 4 Proposed ✓ 13, X 0.29 Annual Chance Tennis Court 1 Over the Counter Variance:#2 & X (Min Flood Hazard) ) RF-1 I 6 Allowed with Venting & H-20 Loading Community Panel No. Area (min.) 87,120 SF (RPOD) I for all systems that have no increase in flow. #250001 0757 J Frontage (min) 20' Chip Stan I Lot 17 l July 16, 2014 Width (min) 125' / Driveway Lot Area 81,600fsfl I Setbacks: / 1.17 Acres uplar I Fron t 30' 4, 50fsf to Exf�nt \, , Side 15 r o Ownershj(MLW) , .Rear 15' ,- ----- r- • no 3 iLawn �- REFERENCES: m N I klP MITIGATION CALCULATIONS 212 712 0 2 0. Pr000s 0 50 50 :_,100. ._ - Plan: LCP139�92-M I e eta11 View Proposed Hardscape Proposed 'Hordscop,e Lot: '717 Paver Path to Stay 45sf All Removed trip Out of Disturbed I 3 Wall to Stay 168sf LEGEND: p / _ P Existing Hardscape Soil Aro>und Existing o Total 213sf j / g .o- Stairs 13sf Septic to be replaced CDT Cedar Tree I N` ExistingHordsca e Wall 3 17sf _.---- ,,,.,..•. / by Clean Sand as per rn N P • # I� 310 CMR 15.255(3) � Paver Path 75sf Stairs 25sf HT Holly Tree Y I Wall 168sf Wall #1 52sf Conc Patio 86sf ';Q DT Deciduous Tree / I Total 243sf Paver Path 101 sf / I Ex. septic / i Total Proposed 0-50' Wall #2 143sf CT Coniferous Tree / Permit # 98-523 I 243-213 = 30sf Decrease Gozibo 173sf 3 Per Tie Gard 1 Utility Pole Total 610sf -E- Electric Prgposed 4 to be Remove - /H-20 - ~ ` _ Mitigation -G- Gas - - -- - ee 5 J D-Box 30sfx4= 120 sf Mitigation Credit Total Proposed 50-100' p Wetland Flag rH-s 610sf Decrease Proposed Vent Light Post •gyp eo ( Proposed Court Yard i Charcoal Filtered Mitigation 0 CB/DH r 0�od R I TH-1 1000 Gal Proposed � 250sfx3= 1830 sf OHW- Overhead Wires 0 -1 Septic Tank i 2000 Gal Elev. 17.6 Field Located Ma/i \0 \\\ � / Septic Tank M'ol '` at time of Install Mitigation Credit 25 Elevation Contour TH-2 E Trans Total Mitigation Required Proposed r -� o Clean Out LJI� Meter a o No Mitigation Required r T ti V 3 Proposed o I Court Yard w f Elev. 17.6 N x 16 /tic %n• �\ (` -6N �� c c N _-Ana Existing i - o Garage Nn ( Remain o -X_ Ta T,M 12.8' 25.T 12.8' -� °' Q. 4' of Stone ' of Stone w .Garage 4 �. -�• Addition ,� Proposed \ �� 500 Gallon Clean Out \ / Chambers T t TYP• V .\ ` \ ,�._ - '7 / \�, Planting Area �- � Limit of Conservation. Jurisdiction 4.0' �'/ 100' from State Coastal Bank O O j Water Line to be Sleeved as .J 19 Pitch Min p ; C , / f /\ per 15.211(1)[1) - - TjP• New _, / rt -_ 33.9' ' I � � � Proposed 4.0 �:-�.-�oncrete Foundation Patio _ 33.9' TCF Elev. 18:6' FFE 20.0' m a 1 Pro� p osed l\ 20x40 Pool O c j�:. /sue D-Box c�/p I _ Proposed. - - i \ o'Q i c, 1 CD Wo .Deck t+� _ s N W - o Q 17. Pitch Min. f \ Lawn PROPOSED SAS DETAIL VIEW n /z La _ ,� SCALE 1"= 10' LA 0' g,uffer 4 J 10 Previously Approved pool. �\ E_ y Proposed Pool Wall, Patio and Stairs DESIGNDATA \ Not to be Constructed �� �; Drawdown Pit ;, ..:�.--- Single Family J \ \T -6 Bedroom @ 110 GPD No \ Pavers to be Garbage Grinder Total Daily Flow=660GPD Removed Garage with Living Above 100.0 / ii 2 Bedroom @ 110 GPD w/ \; /f 11 10. / `T talDaYFl�a 220GPD \ �-� '� ��� --r � PERIL' TEST: 20-23 o be _ PERFORMED BY:CHARLES ROWLAND,PE- SULLIVAN ENGINEERING emoved }ram &CONSULTING,INC. ,LEACIBNGAREA - \ \ -�--� _ _ - Lawn - -- - -- ter i I 50 , S01L EVALUATOR NO.13586 WITNESSED BY:DAVID STANTON,R.S.-TOWN OF BARNSTABLE • 880GPD/0.74(LTAR)=11892 SFRequired cv _ _ Approved , � �� FEBRUARY7 2020 Sidewall=2(12.83'+33.5W' 185.3 SF offer_ _ � --. ��, j onstruction Construction a � (k , Bottom Area=(12.83'x 33.57-429.8 B' N ` Work Limit l . Work Limit -- - ��•oc / �\ 1� 1 J awn _ - / oo��,� / , E�J 6 SITE PASSED Total Pmvided=429:8+ISS.3=61!S.1SF _ ! E ' 615.1 SFx2=1230.2SF 7btal \ C"Woil.......... . _ / II,���• / �,le 10 15 (910.3 GPD) \ _ - _ r- i �,�� / 1 {{ec��P��. TEST HOLE- 1 EL.15.5 TEST HOLE-2 EL.1S.7 \.. /.... ........ - ❑ Bench /�oQ o/ / / F E ...... F.1LLl LOAM.:..........:..:...... FILL7LOAM'........_......... LEACHIlVG CHAMBER DESIGN -� ' 13 .... All Pipes to be Schedule 40. ❑ / ... 50.0' ❑ / -9'" / 8" ......... ................... 14.8 9 ;.......... 15.0 41 Use 3-500 Gal.Leaching Chambers in each I A LA..M.I0YR.4/2 ........... 12.83'x 33.5'Double Washed Stone Field as Shown - - - - / .....D.4R GRAYiSIiBRDYVN .ajARlf GRAYIS hBROWN....... g - Approved l I r l ........ \ Lawn ❑ Landscape /16 12". SANDYLOAM 14.5 12 SANDY.LQAM............ 14.7 ' P Work;Urnit ... . .i' �LOtVFSFX$RbTvIN „ LOAM '. A1VD............. 13.5 21" LOAMI'SAI�!17 :.:.......... 14.0 AE ELEV. 13' r -8 24 CLAYER lOYR-7/4 Effective 7116114 - Brush M1` - FEMA Zone rus3i _ _ PERC TEST \�� �� r i - - j' 6 1 VERYPALE BROWN 25 GALLONS GONE IN 4:25 To of __ - "`` "- i \� `�_� .,r' � iT • . -. �'� / End of Town Bank = VE ELEV. 15' - �/ l 1 E 132 MEDIUM SAND 4.5 PERC RATE<2 MIN/IN(LTAR 0.74) tote Definition) �-Soft-1G1a sh '- f / � �- __. - , / / .i._ l NO GROUNDWATER ENCOUNTERED 36" C LAYER IOYR 714 12.7 & r �. /� / 1 (Town r _._ - - 5_ / /"� i �.� - VERYPALEBROWN Beach ---- 2 -------- \ ` 4- �1 _ / /�,/ l 132 MEDIUMSAND 4.7 - - ----- Phrog4ites NO GROUNDWATER ENCOUNTERED AL ra mites Salt Marsh 7` -_ ti1HW 1 5 _ �` < ,, AL TEST HOLE-3 EL.16.2 TEST HOLE 4 EL.16.4 _ -4 �_ ..........................................FILL/LOAM.............. ... Wetlands Flagged '-'" `� . ` ........ 16.1 41L on Baxter & Nye �_ --- BwLAYERl0YR5/8... BwLAYERl0YR.5/8......... Existing 1- Conditiona..l?lan .� . .........•,YELLQWISiiBRDWN..... ... YELLOWiS�1BRDWN......... ed-Jurre'f5, 201�' ` ..... ..... ...... .. ...... ............... r - _Pat _ _ o �' 8" LOAMY SAND............. 15.5 800 .... .........LOAMY SAND ...... 15.7 PERCTEST..... ...... © Salt Marsh CLAYER 10 7/4 . i VERYPALE BROWN CN4:3211 2 . ................. MEDIU112SAND 5.2 NO GROUNDWATER ENCOUNTERED „ .............:............................... MLW _ _ 31 C LAYER IOYR 7/4 13.8 1.3 \ VERYPALE BROWN - -- __hl A9 St B�_ _ ___ ,2_ _ _ '� �� 132' MEDIUM SAND 5.4 EBB ` - _ NO GROUNDWATER ENCOUNTERED FLOOD - Proposed Pier Lighting will .. have 25 watt lncondesc.ent T -- Bulb, to meet pier `` -- regulations 703-4 D. E;' Existing Pier n Permitted Under W SE3-0520 I Main House *Final Foundation Grading To Be Vent -Charcoal filtered F.F. EL 20.00 Coordinated With Landscape Plan Gora e Slab EJev. 17.9' Existing Grade F.G. EL. 17.8* F.G. EL. 17.0 F.G. EL. 17.0 F.G. EL. 16.0 F.G. EL. 15.2-16.5' See Note 6 (typ.) 29, pitch Northern Invert EL. 16.50 to Seofic Tonk Invert EL. 15.20 Flow Equilizers Southern Invert EL. 16.50 Installer To EL. 12. 6 2000 Gallon As Required Installer To Confirm Prior Septic Tank EL. 12.61 To An Work EL. 8 1000 Gallon Confirm Prior Y H-20 Required Septic Tank EL. 12.13 To Any Work (See Note 5) H-20 Required 1 H-20 Top EL. 12.50 (See Note 5) D-Box EL. 11.77 �H OF H-20 pt ss, - 11.50 Leaching GARAGE INVERT SECTION To Be Installed On �_ Chamber o p ti0 Stable Compacted Base ~ » c, N L y Bedding, Ts NOT 2699 ti Inspection Port lf:t=rieaiun.tered:Reri..... 8c:R2 7Qee.:: P .......................................................�........... Update Proposed Septic. Design 41212020 � PF & BaffelsnSUia_oble:SD/s or TE(t�\��`� as Per Title 5 / ;Th:e;::Dufier:Pe.....i f:er::o:f;Th....�5 is#gym: Update Lot Area 3/23/2020 `�S/Ot�ALENG �/ Move Pool Drawn down Pit 311312020 DEVELOPED PROFILE OF SYSTEM EL. 4.5 Update Site and Dwelling Footrpint No Groundwater (Beyond Con Com Juresdiction 1O S 31212020 NOT T Per Test Hole 1 SCALE L e V/`1 c Revision: Add pier & rinse station notes 211 112 0 1 9 TITLE: PREPARED BY. PREPARED FOR: NOTES: Site Plan 1) The property line information shown was compiled from � Engineering Q P P y pPrOpo ed ImproVementS UiL 1.32 South Boy Rood LLC available record information. Lot Area was calculated to include y the fee of the way as noted in deed & lot 17 to MLW. At comulting, 37 Newbury Street 2) The topographic information was obtained from on on the U ivall132 South Bay Road Inc.. 9 th Floor ground survey performed on or between August 8, 2018 and y August 21, 2018. B am stable I (508)428.3344• P.O. Box 659 . 711 Main Street, Osterville, MA 02655 BOS tOn MA 02116 3) The datum used is NA VD '88, based on on RTK GPS and a a osterville Mass. seci@sullivanengin.com • wwwsuilivanengin.com confirmed by a published FEMA bench mark. 4) Tidal elevations are established by the Mass Estuaries report Draft: CTR Field: WHK/CTR/JOD 20 0 10 20 40 80 for the Three Bays Area. DATE: Jonuar 21, 2019 SCALE. „ = 20' Review: CTR/JOD Comp./Review: CTR/JOD y 5) Building dimensions are supplied by architect and should be r Project: 380017 Project: Tolonion confirmed prior to construction. Ai �fz � 4 t IlIx, - I ,(v i t / f ` 7 7- vw IN ► f � , ;tj f j 401 S "40 c.F f ei i 3 -X,S-T l n/Co- 44; f { ti { 1 4 !-f �'�'�/' ,� �.9 1JC`# /�f`4J �5 �.'G't.�- �L_. Ir I. R , C�YtL LNG/N S ;rRl� ° ?" * .S fLjyyA 7, ,1 AJAJ1.:5; /.f q_VS. SS. Yss�E'',�+f O u�tf�l+9F�4 i .''i. ..;. n .4..p.+{, ., Ii. 'v�...f. - ... _. ':.':... , _.� -- ..:. a...s':.7'. i .... .. .. . , .... i ... -..,. .. .. "' � N� Y.,, +�. 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