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0174 STARBOARD LANE - Health
174 STARBOARD-LANE, OSTERVH LE A=166-054 TOWN OF BARNSTABLE LOCATION ��7�—�t,stt2�UrEtZ� SEWAGE# =SO B`T VILLAGE ASSESSOR'S MAP&PARCEL to C, - INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �� ,X�'�NO.OF BEDROOMS �`� J �7 OWNER �Z(e: _ PERMIT DATE: COMPLIANCE DATE: t Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �l'd' Feet Private Water Supply Welland 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) /00V-- Feet FURNISHED BY ✓✓ ecc4. Thncs, wear _ y O ®© /fGt1 Gs!!o✓ or, etl b" .�Y' s Q J� _ No. ir/ - — -5_ I Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plitatlon for Misposal *pstrm Construction 3permit Application for a Permit to Construct( ) Repair Q� Upgrade( ) Abandon( ) ❑Complete System individual Components Location Address or Lot No. w) 7 `) 1 ,� C�� , Owner's NamrJ le, eee Address,and Tel.No.SUF-y,2W- 12$',116 Assessor's Map/Parcel/(�� CY���fUti (� 0�__r - le f o-a-C-05- Installer's Name,Address,and Tel.No. JbT y S 9o7fa Designer's Name,Address,and Tel.No. -�5�/` (�c,�?�oaai C'c>,sk� 1r'aoi�, nc Po-t*X /7^L/ X7GwrarXlin �W ,a vrz %3 /Kretn��' Type of Building: Dwelling No.of Bedrooms CIO Lot Size '��-4C- sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) p� gpd Design flow provided gpd Plan Date 7NJnP_ l�} y I —Number //of sheets 1 Revision Date Title RqM V7 y a rLocl,rJ 61'1 0 )'Ile Size of Septic Tank i 0 p 1Q, 4" C. Type of S.A.S. 93e=' 'X1 k 1'a K�t_. 7— Description of Soil ,11/ Y Nature of Repairs or Alterations(Answer when applicable) ! A10 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S Date r Application Approved by Date r Application Disapproved by U Date for the following reasons Permit No. 9 6 l Date Issued —3—1 No. 4 ^�'- � 1^ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plicatlon for Misposal 6pstem Construction Verm t Application fora Permit to Construct( ), YRepair(yj Upgrade( ) Abandon( ) ❑Complete System Fk Individual Components Location Address or Lot No. 1 f Owner's Name;Address,and Tel.No.Sv e r/a 9• 2 F4/�r.Cn Itot4 1��1SfztCi �� �<< Assessor's Map/Parcel/G!, /r,-ae C rUt,(� 0�_,eCu'11e :,k,t�a o 4.55' Installer's Name,Address,and Tel.No. f0T q,9$- 15 P& Designer's Name,Address,and Tel,No. �%�W�•,�-SrS�!' Q.,r�JOff� CCIns�ctx_VkCn,MOC -R0-13OX ?oL/ -391Y, wCl t-S QD&Y9 e'rm,Y a ,flk trl A oa4-7S 1 Type of Building: / Dwelling No.of Bedrooms l tP Lot Size .2'39 AC sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �D (3 gpd Design flow provided gpd 1 Plan DatetYy " Number/of sheets 1 Revision Date 1 itle `.�t'k ?Ia,�., 1 t7 q Sin YrLoc,rd byi G'S4e_,)d i 1 f`? i ize of Septic Tank j ( m P 1 t c7�rr_n�l C Type of S.A.S. ,--..x;4j rre L^-u� c_ � �i A 2" ,Y 1a x r � Descripti n of Soil A Nature of Repairs or Alterations(Answer when applicable) UbCrc..t' (Ci �Ji31 ur�f'e�t� v,F r llt�tct�'�t1�G ,f- i7r�t`rr���Y�✓C i R�l�i/Y2 t t Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on=site sewage disposal system in 7'"Icordance with the provisions of Title 5 of the Environmental Code aand not to place the system in operatioduntil a Certificate of mpliance has been issued by this Board of Health. y Sigged .- Date / Application Approved by Date Application Disapproved by Date for the following reasons Permit No. G t Date Issued '-3` THE COMMONWEALTH OF MASSACHUSETTS ` BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(;k") Upgraded( ) Abandoned( )by T !.d...�. co tr'P S�'t"r ar {--![�r-r�ti . ..�Y1 L at J 5# r �Fja t"c-,] I.rj, 0S�-erU has been constructed in accordance - with the provisions of Title//5 h�and the for Disposal System Construction Permit No 201?-A��9 dated Installer �r J,�'�; t�,, r.,r i-1.®V� _�c�C• Designer Cowl) t. Cc r)n frlS r✓eer m _'MijiG a r #bedrooms �n _ Approved design flow .� �j gpd The issuance of this permit shall not be construed as a guarantee that the system ill fimcti as designed. Date , /�� Inspector - - - F•,-r----------------------------- ------------------------------------------=--------------------------------.------------- No. ��1 2 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS �I8tJ08aY �pstetn �OnBtCUctlon �errait Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon(, ) System located at 0 L/ S6r6x1,"J'LA" O S`{•cni 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 mug e compl within three years of the date of this permit.- '''6_� 1 Date i Approved by 1 U i 1�-- 160 Town of Barnstable Regulatory Services BARNSTABLE, Thomas P.Ceiler,Director MASS. Public Health Division a6;9. ApFDFNP�1° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification]Form Date: ` Sewage Permit## Z017- Z�� Assessor's Map\Parcel*�-r Designer: 190r\ a InstaHHer: 80, `D A4 f�'ltt�)a-- Address: l M Address: a d 6 x l D� — Mc On �`3 —/9 J(,,UW L S• G was issued a permit to install a (date) (installer) septic system at 7� wr�� �`^ based on a design drawn by // (address) Q r�( e 0',r LS dated J I,4 , l a,d P 1;7 (&ggner) ✓ 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. 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 s )but in accordance with State&Local Regulations. Plan revision or certified - uil y designer to follow. ySN OF Mgss9 DANIEL A. .ti�s OJALA a (Installer's Signature) CIVIL N q No.46502 � �oFLO" '�&(-7--31)-7 `SS�/NnL ENGa� (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUEID UNTIL, BOTH THIS FORM[ AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/SepticMesigner Certification Form 3-26-04.doc b is V 1 f 17 ' Doc v I !326 P 857 08-03-2017- 1 1:21 BARNSTAC'LE- LAND . G[3URT REGISTRY DEED RESTRICTION ttt WHEREAS, �/1�i�d�le t Susan �✓+art of r (wrier name) r 2 P o Bo K R�� GUTS✓+ L MA (address) is the owner of Stow j o&.4 4AA9- located (addn�sj at It MA(hereinafter referred to as and beino sho .n pQn a plan entitled "Subdivision of Land in �Gtrn,oa�,le MA, Property of et al, duly recorded in Barnstable County Registry Of Deeds in Plan Book , Page , Or on Land Court Plan Number WHEREAS, as the owner of said lot has owrwes name) agreed with the Town of Bamstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Tile V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance . with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, agar NOW, THEREFORE, W+eA* S%&gA Prr e M does hereby place the (wm es name) following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of.Health,which restriction shall run with the land and be binding upon all successors in titre: 1. 17V J%,I oaf Lu,v-p Ds fir,,,(1 a may.have constructed (address) upQn the lot a house containing no more than S,t((o?bedrooms. vi I 1A 4- st6sa.- P►-i a agrees that this shall be permanent deed (owner's name) restriction affecting located on M& and being shown on the plan recorded;in Plan Book , Paged Or on Land Court Plan__ 1 IWL0-- 1 Lv*- 36 For title of see the following deed: Book , Page . Or Land Court Certificate of Title Number 13�l63 Executed as a sealed instrument day of JquG�s I f e Owner' signature Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS ss ° 20V7. Then person��ttypeared the a e-narri (.�� f't-em at d t�c r,'y±ize.n„ known to me to be the person who executed the foregoing instrument and acknowted_ !� . the same to befree act and , before me, Public Notary My commission e 1rP FELECIA A.BLAKE D Kfty .Comm"M of (date) MyC EkesNovwW4, 2 deeds k' f - EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES ON 7/25/17: I. Variance — Septic: A. Dan Ojala, Down Cape Engineering, representing Windle and Susan Priem, owners — 174 Starboard Lane, Osterville, Map/Parcel 166-054, 2.34 acre parcel, requesting variance(s). . There are two systems: One has only one room on the system.and it is too difficult to connect the two systems together. GRANTED. The Board approved with the following conditions: 1) record a six (6) bedroom deed restriction and supply an official copy to the Health Division, and 2) submit proof of removal of the garbage grinder. 1&4p Commonwealth of Massachusetts_ W Title 5 Official Inspecti®n F®rrr, a Subsurface Sewage`Disposal System Form - Not for Voluntary Assessments 174 Starboard In Property Address NO Windel Priem Owner Owner's Name information is required for every Osteryille7 ►° Ma 02655 5/18/17 page. City/Town State Zip Code Date of Inspection iQ Inspection results must be submitted on this.form. Inspection forms may not be altered in any way. Please see completeness checklist at the.end of the form. Important:When A. General Information / filling out forms on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono use the return Name of Inspector key. DiBuono Sewer and Drain l r� Company Name 8 Johns path Company Address [nun S Yarmouth MA 02664 -' City/Town State Zip Code 508-364-9587 S113522 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 ❑ Faris ❑ Needs Further Evaluation b e.Local Approving_Authority 5/18/17 Ifi-pector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the . report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth,of Massachusetts W Title 5 ®fficial Inspection . Fora - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °� •'•y 174 Starboard In M Property Address Windel Priem Owner Owner's Name information is required for every Osterville Ma 02655 5/18/17 page. City/Town State Zip Code Date of Inspection B. Certificate®n (cont.) Inspection Summary: Check A,B,C,D or E/arrays complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System contains a 1,500 gallon two compartment septic tank as well as a Concrete distribution box and 8 Cultec 330's Fields are 27'xl2'x2' 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) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is 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): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 174 Starboard In Property Address Windel Priem Owner Owner's Name information is required for every Osteryille Ma 02655 5/18/17 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): ❑ brokenpipe(s) are re laced t p ❑ Y ❑� N ❑ ND (Explain below): ❑ obstruction is removed ❑ 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: f ❑ 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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 17.4 Starboard In Property Address Windel Priem Owner Owner's Name information is required for every Osterville Ma 02655 5/18/17 page. City/Town State Zip Code Date of Inspection B. CertiflCation (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 El ® 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 Y2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts w M: v Title 5 Official Inspection Fora _ Subsurface Sewage Disposal System Form Not for Voluntary Assessments ,M 174 Starboard In Property Address Windel Priem Owner Owner's Name information is required for every Osterville Ma 02655 5/18/17. "` page. City/Town State Zip Code Date of Inspection B. Certificatio n 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: ❑ 2 Any portion of the SAS, cesspool or privy is below high ground water elevation. . El ® 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, forfecal 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 systecr 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 - 9 pp Y ❑ ❑. 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 .m.apped Zone 11 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. t5ins:3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -,Not for Voluntary Assessments t 174 Starboard In Property Address Windel Priem Owner Owner's Name information is Osteryille Ma 02655 5/18/17 required for every ' page. Cityfrown 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? r , ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected-for signs of sewage back up? ® ❑ Was the site inspected for signs of 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 (design): 6 Number of bedrooms (actual): 6 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 660 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage.Disposal System•Page 6 of 17 A ' Commonwealth of Massachusetts Title 5 Official inspecf i®n Form Subsurface Sewage Disposal System'Form - Not for Voluntary Assessments 174 Starboard In M Property Address Windel Priem Owner Owner's Name information is required for every Osterville Ma 02655 5/18/17 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: Vacant � 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? ® Yes ❑ No Water meter readings, if available ( y last 2 ears usa 9 e (gpd)): 248 GPD Detail Sump pump?` - ❑ Yes ® No Last date of occupancy: Date Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per da y(gpd Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? El, 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: t5ins•3/13. 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 °w 174 Starboard In Property Address . Windel Priem Owner Owner's Name information is required for every Osterville Ma 02655 5/18/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other'(deschbe'bel'ow): General Information Pumping Records: Source of information: None provided Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) 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): t5ins•3l13 Title 5 Official Inspection Form:,Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal.System Form - Not for Voluntary,Assessments . 174 Starboard In Property Address - Windel Priem Owner Owner's Name information is required for every _Osterville Ma 02655 5/18/17 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: Compliance date 8/13198 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 4 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.): System is vented at the roof line Septic Tank (locate on site plan): Depth below grade: 3 feet Material of construction: ® concrete 1❑ metal ❑ fiberglass. ❑ polyethylene ❑ other(explain). 1,500 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑. No Dimensions: Sludge depth: t5ins•3/13 Title 5-Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 t Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 174 Starboard In - Property Address Windel Priem Owner Owner's Name information is required for every Osterville Ma 02655 5/18/17 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 24" 3" Scum thickness ' Distance from top of scum to top of outlet tee or baffle 42" f " Distance from bottom of scum to bottom of outlet tee or baffle Sludge stick How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping is recommended Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ 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 t5ins-3113 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 F 174 Starboard In Property Address Windel Priem Owner Owner's Name information is _required for every Osteryille Ma 02655 5/18/17 page. City/Town 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. ❑ polyethylene ❑ other(explain): 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 17 Commonwealth-of.Massachusetts - W Title 5 Official ' Inspection' Form Subsurface Sewage Disposal System Form - Not for Voluntary.Assessments 174 Starboard In _ Property Address Windel Priem Owner Owner's Name information is required for every Osterville Ma 02655 5/18/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Level and at normal level Comments (note if box is level and distribution to outiets bqual, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): 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: t5ins•3413 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 a Commonwealth of Massachusetts L Title 5' Offi'ci.al Inspection F®rrn Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °�M ,•'°F 174 Starboard In Property Address Windel Priem Owner Owner's Name information is required for every Clsterville 1Ma "02655 5/18/17 - page. City/Town State Zip Code Date of Inspection D. System Information (cost.) Type: ❑L Jeaching.pits r.., . number: .,. ® leaching chambers. .number: 8 cultec 330's ❑ leaching galleries number: leaching trenches x number, length: ❑ 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.): No ponding no break out Cesspools (cesspool must be pumped as part of inspection),((ocate 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 El Yes ❑ No` t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Force - Noffor Voluntary Assessments 4 174 Starboard In Property Address Windel Priem Owner Owner's Name information is required for every Osterville Ma 02655 5/18/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t . 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.): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Tithe 5 Official Inspection i=®rrn Subsurface Sewage Disposal System Form - Not.for Voluntary,Assessments 174 Starboard In Property Address Windel Priem Owner Owner's Name information is required for every Osterville Ma 02655 5/18/17 page. City[Town State Zip Code Date of Inspection D. System Information .(cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including tiesto at least two permanent reference landmarks or benchmarks. Locate all wells 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, t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth-of Massachusetts Title 5 official Inspection For Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 174 Starboard In Property Address Windel Priem Owner Owner's Name information is required for every Osterville Ma 02655 5/18/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: r '❑ Check Slope` El Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: Water elevation is visible at a much lower elevation Please indicate all methods used to determine the high groundwater elevation:. ❑ Obtained from system design plans on record s If checked, date of design plan reviewed: Date F El Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health - explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Home sits high above nearest water venue Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:.Subsurface,Sewage Disposal System•Page 16 of 17 Assessing As-Built Cards Page 1 of 2 TOWN Ur bPdMNalHl L a � LOCATION /7Y S7`�r6n�r</ 10.1e . s>rw a# %8 yti'y VILLAGE s �P ASS OR' � ���� �Js�wJ - Es5 S MI��.(,OT-/��=u„-� a INSTALLER'S NAME dt PHONE NO._ 1,-�-4 to .. SEPTIC TANK CAPACITX LEACHING FACILITY;(typ,,) NM OF BEDROOMS- y BUILDER OR OWNER e&I PERMUDATE: 7/!r 9� COMPLIANCE DATE: 134S p Separation Distance Between du: Maximum Adjusted Grouadwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leacbing facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist r within 300 feet of leaching facility) Feet Furnished by G nn pp /T' r7 o.o a Cf a- aT 1 X'1,2 :t h tt ://www.f _ow pr nofbamstable.us/Assessirlg/HMdisplay.asp?xnappar-166OS4&seq=1 $ 5W2O17 , Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments 174 Starboard In M Property Address Windel Priem Owner Owner's Name information is required for every Osterville Ma 02655 5/18/17 page. City/Town State Zip Code Date of Inspection E. Report Completeness'Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑. 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 t t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System—Page 17 of 17 IV CONTINUANCES Charles A. Cheevers,Tr.,Peter Chase Insurance Trust. Remove and replace existing deteriorating pool patio,decking; add pool fencing enclosure;move mechanicals from bank to new location; vista pruning and bank restoration with mitigation plantings at 295 Green Dunes Dr.,W.Hyannisport as shown on Assessor's Map 245 Parcel 029. SE3-5470 V CERTIFICATES OF COMPLIANCE (ez=no deviations,staff recommends approval) (*=on-going conditions) A. Rosiello SE3-5034 (coc,ez) construct additions;replace septic system at 60 Winfield Lane, Osterville West Bay B. Callahan SE3-5102 (coc,ez) modify existing boardwalk,pier,ramp,&float at 222 Clamshell Cove Road, Cotuit Shoestring Bay C. Smith SE3-5128 (coc,ez) . replace permanent dock to seasonal at 471 Huckins Neck Road, Centerville Wequaquet Lake / D. Cape Cod Oyster SE3-4400 (coc,ez) construct pier,ramp,&floats/flupsys;dredging 262 Bridge Street,Osterville North Bay VI MINUTES FOR APPROVAL A. June 6,2017„ B. June 13,2017 UP-COMING MEETINGS: Month 6:30 P.M. 3:00 PM July 11,25 . 18 August 8,22 15 September 5, 19 12 AG062717 Page 2 BIKE Town of Barnstable Barnstable Board of Health .AxrdsrABM039. y MASS. 200 Main Street,Hyannis MA.02601 2007 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald.A.Guadagnoli,M.D. August 9, 2017 Mr. Daniel A. Ojala, P.E., P.L.S. Down Cape Engineering 939 Main Street, Route 6A Yarmouth Port, MA 02675 RE: 174 Starboard Lane, Osterville, MA A= 166-054 Dear Mr. Ojala, You are granted variances on behalf of your clients, Wind.le and Susan Priem, to repair an onsite sewage disposal system at 174 Starboard Lane,Osterville, Massachusetts. The variances granted are as follows: 310 CMR 15.405: The septic tank will be located nineteen (19) feet away from a coastal bank, in lieu of the 25 feet minimum setback required. Section 360-1, Town of Barnstable Code: To install aseptic tank nineteen (19) feet away from a coastal bank, in lieu of the minimum 100 feet separation distance required. Section 360-1, Town of Barnstable Code: "To install a distribution box seventeen (17) feet away from a coastal bank, in lieu of the minimum 100 feet separation distance required. The variances are granted with the-following conditions: (1) The owner or applicant shall remove the garbage grinder. After the removal of the garbage grinder, the owner or applicant shall submit a letter to the Board indicating the garbage grinder was permanently removed. (2) No more than six (6) bedrooms maximum are authorized-at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. Q:\WPFILES\Ojala Priem 174 Starboard Lane 2017.docx. (3) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to six (6) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works.construction permit. (4) The system shall be installed in strict accordance with the engineered plans dated June 12,2017. r (5) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the.Board of Health that the system was installed in substantial compliance with the plans dated June 12, 2017. These variances are granted because the physical constraints at the site severely restrict the location of the septic tank and distribution box due to its close proximity to a coastal bank. Sincerely yours, LA%% Ol IAA ' Paul W,an ff, D. Chairman I Q:\WPFILES\Ojala Priem 174 Starboard Lane 2017.docx OFZHE tp� DATE: G l FEE: + BARNMBLE ; h,.� 9 MASS. A 1639. A�O� REC.BY• l./ Town of Barnstable SCHBD.DATE: Board of Health i 1i 200 Main Street, Hyannis MA 02601 ,.' Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. Alternate:Cecile Sullivan,RN,MSN VARIANCE REQUEST FORM LOCATION Property Address: t-[`+ �-2f'�ogyL.> --N _ O Assessor's Map and Parcel Number: Size of Lot: 2.3 4• AL Wetlands Within 300 Ft. Yes X Business Name: No Subdivision Name: APPLICANT'S NAME: Soli a C.NS T- . Phone Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: L.-L k w, O L�C-- t-S.�SaN �R vG^'� Name: 'DA""t`2 G q Address: 11''� �Tc,2i3oa,,,..� �-..r. Address: 6-1 o t=—Wck Phone: Phone: 508 3 6 2 - 'f S 4/, EMAIL: VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) n''F- 15.4o5 ST - C NATURE OF WORK: House Addition House Renovation LJ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) JPlease submit copies in 5 separate,collated packets. Five(5)copies of the completed variance request form Five(5)copies of engineered plan submitted(e.g.septic system plans) __ktjk Five(5)copies of MA DEP approval letter for I/A septic systems only. SLR Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) 01 A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu—Five(5)copies of full menu submitted(for grease trap variance requests only). _J-11k $95.00 variance request application fee collected (No fee for lifeguard modification renewals , grease trap variance renewals [same owner/lessee only],outside dining variance renewals[same owner/lessee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Donald A.Guadagnoli,M.D. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary 'Internet Files\Content.Outlook\BMQD49H2\VARIREQ Rev APR2017.DOC tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surveys Arne H.Ojala,P.E.,P.L.S. Daniel E.Gonsalves,E.I.T.,S.E. structural design JUne 26, 2017 Craig J.Ferrari,ELT,S.E. site planning Dear Abutter: sewage system designs A public hearing has been scheduled for the Barnstable Board of Health to take action on a request for a variance from the Town of Barnstable Board of Health Regulations and from Title 5 under Maximum Feasible Compliance for the repair of a septic system at 174 inspections Starboard Lane, Osterville. The variance requested is as follows: permits Variances from 310 CMR 15.405 ("Maximum Feasible Compliance"): (1f) reduction in setback,septic tank to coastal bank(25'to 19') Under Town of Barnstable Health Regulations: Article I, Section 360-1: reduction in setback,septic tank to coastal bank(100'to 19'). Said hearing will be held in the Hearing Room 300,South Street, Hyannis,July 25, 2017 at 3:00 pm. Plans and the application describing the proposed activity are on file at the Board of Health office, 200 Main Street, Hyannis. It is recommended to check with the Health r Department to confirm date and time if you are interested in attending. Sincerely, A\yA\ Daniel A. Ojala, PE; PLS Down Cape Engineering, Inc. cc:Abutters file Barnstable Board of Health/ f L TRANSMITTAL DATE: 6/26/17 Down Cape Engineering, Inc. 939 Main Street Yarmouth Port, MA 508-362-4541 TO: Barnstable Board of Health RE: Bortolotti Construction/W. Priem Request for Variances Enclosed: • one complete application package to include: application,variance request,abutter notification letter, board of health abutter map, list of abutters, 7 page check list Also: • 5 copies of completed variance request form - • 5 copies of engineered plan • 1 copy of 7 page check list • signed permission letter from owner cc: File. - 6/26/2017 AbutterReport Board of Health Abutter List for Map & Parcel(s): '166054' Direct abutters (no set distance) and the properties located across the street.` f Total Count: 5 Close Map& Parcel Owners Owner2 Addressl. Address 2 Mailing Country Deed CityStateZip 166042 BIGONY,THOMAS F& 111 MONTVALE ROAD WESTON, MA C194569 LISA 02493 E- 166043 TRIGG,THOMAS F& 175 STARBOARD LANE OSTERVILLE,MA C206995 SARA B 02655 166053 SULLIVAN,MICHAELT 448 STARBOARD LANE OSTERVILLE,MA C201400 K&TRU DY F 02655 166054 PRIEM,WINDLE B& PO BOX 928 OSTERVILLE,MA C158163 SUSAN S 02655 166106 INGRAM, ELLEN H PO BOX 160 OSTERVILLE, MA 02655 C192403 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 6/26/2017. http://maps.townofbarnstable.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 1/1 Town of Barnstable Geographic-information System June 26, 2017 166045001 186024 186026 #291 166051 #230 #186 #284 166057 186025 #214 166056 166052 #233 #230 186075 #194 166036001 186013y �~ #263 {#216 186012 #205 iir: ;`.a'::',:,E` f(fr.`t`]:{.7::.;•. 2•!•r;r.:.: {..f'7.'.E.iiir:'•:•:. 18605 O 5 - #206.....•..•::.:.•.•:.:: 166044002 �• # 186011 #243 #187 0 166044004 #221 174 186010 166063 ri #173 #0 166044 003 �j#222 V 166027 r16602444001 #162:#24 166038 11166055 #214 #128 166039 166028 #200 #6 166110 #122 166040 186003 166029 a #190 0 #22 O• -:`•-:f'-1660•••4••3•'i:':Tia�•:'i:-t�•.:••:i:E�.�•:'�:7i.'•:•`•`�:::•{•-::•��:i:-.'.�•:iir�`•:':�`--".••-•.166101 `.ii#175::;:::'.'. {': .:i;::.:;'t1}:?!::F'r'::iii::i :..:,!..:- :`•,'i.: 186001001 0#15 :166oa2':}'• .p,� [#120 00- #163 166041 .p 165083, #158 186001002 165039 Q #94 #165 166103 — Y#36 165077 185001 d+ #117 #48 165121 7 Feet 16 185004 #65 #48 ' DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:166 Parcel:054 Board of Health boundary determination regulatory interpretation. Enlargements beyond scale of 1"=100'may not meet established Selected Parcel map accuracy standards. The parcel liness on this map Abutter List Type-Direct abutters(no set distance)and the properties located are only graphic representations of Assessor's tax parcels. They are not true property across the street. Abutters , boundaries and do not represent accurate relationships to physical features on the map r r r such as building locations. Buffer +r1 June 26,2017 Re: 174 Starboard Lane, Osterville To the Barnstable Board of Health: I hereby give my permission for Down Cape Engineering, Inc.to represent me at the upcoming k public hearing. Owner/legal representative/agent date • r t i • i i 1 1 i i io �E . . 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Adult signature restricted delivery service,which ■Certified Mall service Is notavailable for requires the signee to be at least 21 years of age International mail. and provides delivery to the'addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is Insurance coverage automafically included with accepted as legal proof of mailing,it should bear a, certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy retum receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 753a02•000-9047 lti rq ti m Certified Mail Fee m $ 3.35 ' Extra Services&Fees(check box,add tee as pro rl ) atum Receipt(hardoopy) $ . Qrq Retum Receipt(electronic) $ Postmark .ag � ❑CerU lad Mail Restricted Delivery $ Here a/ C ❑Adult Signature Required $ N 6 ❑Adult Signature Restricted Delivery$ z017 O Postage ru � Total Postage and Fees $ LrI Sent To ''q caC 0 Stfeet .NO.,Of FV BOX NO. J !, City,State,Z P++4 - - - `+ ` �. N OAS 3 Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail labeq. for an electronic return receipt,see a retail ■A unique identifier for your mailpiece, associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority WWI service. Adult signature restricted delivery service,which ■Certified Mail service is not available for requires the signee to be at least 21 years of age. International mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service`However,the purchase (not available at retain. of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can requests hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTANT.save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 ® C . pfete items 1,2,and 3. A. Si nature rmt yd r.name'and address on the reverse ❑Agent "�so tha e can return the card to you. ❑Addressee ® Attach this card to the back of the maiipiece, B• Received by(Printed Name) C.Da of elivery or on the front if space permits. �d 1. Article Addressed to: D. Is delivery address different from item'l# 91 Yes If YES,enter delivery address below: �r'p Lcw\'e� �, ©Z1u55 IIIIII' I�III�IIIIIIIIIIII IIIIIIIIIIIIIIIIIII l EVress@ 13 Service Type ❑RegisteredM il- ❑Adult Signature ❑Registered MaIITM� I ❑Adult Signature Restricted Delivery 0 Registered Mail Restricted f Mail Mail® Delivery 9590 9402 2740 6351 2650 30 rtitied Mall Restricted Delivery ❑MR Raceiptfor ❑Collect on Delivery Merchandise 2. Article Number(Transfer from Service 12be/1 ❑Collect on Delivery Restricted Delivery ❑Signature Confirmationym 1 ❑Signature Confirmation 17 015 015 t�15.2 0 ;-6-i0 0 01 I•kx .13 3 21 19 8 3 M '" I Restricted Delivery Restricted Delivery IAR N 4 h '1 -PS Form 3811,July 2015 PSN 7530-02-000-9053 Bo►�. /Pr.i Domestic Return Receipt USPS TRACKING# . I First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I • I 9590 9408P71'0'16351 2650 30 I � I United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service i Dwn Caps Engineering, Inc. 939 Yarmouth Port MA 0676 I I iti:rFi t='=.39F:ri:i Fi...rii:.i�r•lF.I =. j il } It i2lil : 11 ! i?fsi�safii2I z• Complete items 1,2,and 3. A o Print your name and address on the reverse X VG071gent so that we can return the card to you. VVV _ { a ddressee a Attach this card to the back of the mailpiece, B. Rece'v� 'nte N e)V� C. ate oDelivery or on the front if space permits. M 1. Article Addressed to: D. Is delivery address different from item 1? Yes W�G�e\ �d -�V If YES,enter delivery address below: ❑No 4 4 Sko-vbccuv-d StckA o 3. Service Type ❑Priority Mail Express® l II I IIII�I I�I I'I I III I�II�I I III I I II III I I ❑Adult Signature ❑Registered Mail Adult Signature Restricted Delivery Registered Mail Restricted j 9590 9402 2740 6351 2650 61 n ❑Certified Mail Resticted Delivery ❑Return Receipt R for (J ❑Collect on Delivery Merchandise 2._Article Number(Transfer from service fabeq ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation*" — q�i ❑Signature Confirmation [ f 17 1.5 i 15;2 0 100 01 113 3 2 19 9 2 "' p�t Restricted Delivery Restricted Delivery k PS Form 3811,July 2015 PSN 7530-02-000-9053 $® %yr� Domestic Return Receipt USPS TRACKING# „ First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I 9590 940 -A�-6351 2650 61 I � United States •Sender:Please print your name,address,and ZIP+40in this box* Postal Service _ Down Cape Engineering; Inc. i 939 Rte 6A--Suite C I Yarmouth Port MA 02675 I I I � !� iil-riiiijlfiil,il Jill!)Y-11 11-1ill-Pillillilitil,►i i s a Complete items 1,2,and 3. re C Print your name and address on the reverse ❑Agent so that we can return the card to you. ❑Addressee a Attach this card to the back of the mailpiece, v d by ame) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. is liv ry address different om item 1? ❑Yes If YE ,enter delivery add beello\w: ❑No f+n3 PO BOA1(00 ns vv�\1e, V1kA OUP55 III IIII IIII I'I I III I I II III III I I II III II I II I IItI -ErAdultftnature Type ❑Prior Express®❑Registered MaII- Nertified dult Signature Restricted Delivery ❑Registered Mail Restricted ertified Mail® De very 9590 9402 2740 6351 2650 78 Mail Restricted Delivery ❑Return Receipt for ' - ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm ��GrtirlP Numher CTransfer_from_servi�label) ——1d Mail ❑Signature Confirmation d, 7 015 .1.5 2 0 0_�1 13 3 2 .2 0 L O id Mail Restricted Delivery Restricted Delivery $500) PS Form 3811,July 2015 PSN 7530-02-000-9053 * Domestic Return Receipt -- for-�/Pvrew►' __ USPS TRACKING# t 9• First-Class Mail Postage&Fees Paid USPS Permit No.G-10 M I 9590 9402 2740 6351 2650 78 United States •Sender:Please print your name,address,and ZIP+4®in this box" Postal Service Down Cade Engineering, inc. 939 Rte 6A-Suite C Yarmouth Port MA 0267$1 i e Complete items 1,`2,and 3. A 'gnature� n ` k ® Print your name and address on the reverse X / ❑Agent I so that we can return the card to you. ❑Addressee I m Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. to of Deli or on the front if space,permits. —� 1. Article Addressed to:; D. Is delivery address different from item 1? ❑Yes U1�►vtGl IQ g. Cku16 sosci." S. PvieiA, If Y , /eerd®every address below: Q Np „ CPC) zcx 9 7-8 LV I ') \ T I 3. e ❑Priority Mail Express® ❑Adult Signature ❑Registered Mail R Adult Signature Restricted Delivery ❑Registered Mail Restricted �y •• ,,.,. w.« ��,.. Ceit'fie Vellvery yv�1. M +FQ3 �"` r �dMaiFle5tiibt8tf[3e�GP§tji.w. 'Return'Receiptfor,. Merchandise ,.,,,„„,,�- .., .,,, ,.�,- ❑Collect on Delivery n.+. ni 6a c( 4r " m rp�9a$�(� „ ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm yQSignatureConfirmation T, x : " stricted`* Delivery 2�� a ail Restr>CdfSetivEfrY'` ' PS Form 3811,July 2015 PSN 7530-02-000-9053 �6��/�ri Domestic Return Receipt USPS TRACKING# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I 9590 9402 2740 6351 2650 54 jUnited States •Sender:Please print your name,address,and ZIP+4®in this box* I Postal Service I Down Cape Engi%9Or1ng; Inc. i 939 Rbe BA=- , e<G YWMouth POrt MA 02675 I IRwt �q N� ec-. °F'"ET°w�� Town of Barnstable s&axsrnare. 200 Main Street Tel.(508)862-4038 9�A 1039.1 `00 .E INSPECTION REPORT Date: 5/23/2017 2:11 PM Inspector: lemieuxl Permit Number: P-17-681 Name: PRIEM,WINDLE B&SUSAN S „ Address: 174 STARBOARD LANE, OSTERVILLE Inspection Type Inspection Item, Status Comment r Plumbing Final A- Inspection Results PASS No permit required if p-trap and waterlines are not altered. Inspection Overall Comment: No permit required if p-trap and water lines are not altered. Overall Inspection Status: PASS ;Re-Inspection Date: r Inspector Initials: Person in Charge Initials: Total Score: 100 174 42. .�.b �zc5 W 00 VL fi a 1 - r >x - i Vnlltll}Room '.S uiti I'n lD.:';:` Sunroom tv '••Lnl liiln I .....:..:..:. . i ( DlniuK Roottt I i hack EEali Iq'-fi"�tg'-G" �j I III : t t _ 15 I -:"::: . .. . ,. — - --- 'ix`• Living Room - 1:1• �L 11LV11,Unl M - s � 15'4^X lq' I .St.<.-s)s • �:Ytx S. f _rt !' --------------- ' — � -3a Rilt 1 Ga rage C, eIt - 6 1R10 5 • Uude'ncutll u ��l.I' '.... _ _ , .S a' ri :t h'e ui ■ I1i i I ... ? . ., �...:,.�..... .......... ......:................. ..... ... .t. - Q r`r1,• diivtm 1. lrr I' ...:...: ..:...:.:�,,.:....:,.:.::�,�:::'� - '1 nrn-•Inc ll,ll ..� ..;. .:.:.:.........:-... Y:Il1lrVn2.' 1 p 1 Study � I 11Q)Clt Address: r".wdxn� ,z 174 Starboard Lane ;:.:::. .'.. cl �• �.,,• , Ostc)nrllllc,MA o2655 FIRST FLOOR PLAN I - ... ........... ,.-. .....�__,., _ fl. 'x �.,•_...:....: ..:.r::..:,.-..:..:.:..:..::��....,....: .,.,...•,_--.,-n_.-...- s..'_...:-:_.. .,i.�.. �:•...;:�::_ Hivifd,nl d9 1.+ Ilnlnwlu• - 2. Il - _ =�.¢, Ilulhrouln U uAnirs - _- I - -- ra I - 7 1 nlnetcr Aedraom t cts,Jer ratlr nR _ t7re.t Cl Property l e Address: - r 1 "t3' - - 174 Starboard Lane t e Osterville MA ozG rr SECOND FLOOR PLAN FOYER EXISTING ENTRY DOOR I 1 AND SIDELIGHTS TO BE REMOVED rDCZ BATH BATH NEW ❑I CO D PORCH g•-0- T1� 4 4' 0 O MAST[ IS TF ul - a STUDY CONVERTED TO FRONT HALL b— EXISTING CEILING AT 7'-7' i' ,y r� yg{ 4CLOSET O U N T-r CEILING 7-0' LINE Ell m! I CEILING 9'-0- CLOSET EAT. M 1w. H TO MATCH_;X" a _ m OFFICE CEILING T-T I Y W-0•CEILING 5'-10'X3'-0'S OWER '- LINE NEW BATH ANT E MATCH p n I � m FAN/LIG `-p FDOU :CEILING 734'k84-DW TO 1O;MATC NEW BEDROOMe CEILING 9'-0' b I I z RELOCATE EX 24528' tET I �pµplCT_OH RELOCATE _ H PACT. N , 8'4' 20'-0'ADDITION h 00 1,P i - 1.2 W .2 'D i I i TOWN OF BARNSTABLE /�;✓ LOCATION /7y s7`c./O'r9w/GI Lo•�>° SEWAGE # 9'F VILLAGE '/1P ASSESSOR'S MAP& LOT ` i INSTALLER'S NAME&PHONE NO. Jo SEPTIC TANK CAPACITY _1 SOlJ s i LEACHING FACILITY: (type) S :,v/ftc 3 (size) a'a i(/a-1,?' NO.OF BEDROOMS y / BUILDER OR OWNER Wi 0 ele ICY i e rVI PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist j 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 TOWN OF BARNSTABLE �,�;✓ LOC-AnON /7y S�`�r6a��� C A"'2 SEWAGE# VF-LAGS QfYe v,Ae �C- ASSESSOR'S MAP&LOT INSTAL ULER'S NAME&PHONE NO. o /fa SEPTIC TANK CAPACITY _1rS®a LEACHING FACII.ITY: (type) 3 34 3 _(size) ;? A NO.OF BEDROOMS Y / BUILDER OR OWNER W PERMTTDATE: 7- COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 f3 C .� If,rt ; AA ®j a - .27 Wx,2 'o w/� -- fee' 33�,f L No. Fee C"" i, ► THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0[pplication for Migooat *p6tem Construction permit Application for a Permit to Construct( )Repair( )Upgrade(Abandon( ) El Complete System ❑Individual Components Location Address or of No. / �- Owner's N Address and Tel.No. /9/1 Y&P �iav��i•. �S /�r�/��✓ i� �� -��uf�Jh ��/ls� Assessor's Map/Parcel /7 y ST4v m Installer's/]dame,Ad ress,an and Tel.No. Designer's Name,Address d Tel No. A, A JOA A//pjn SLI I I;,r AJ /So W,W,4,f S1, NMI, *2 9 9rgs On/ion `sq ��/1, t 2 IVti Type of Building: Dwelling No.of Bedrooms ?' Lot Size sq.ft. Garbage Grinder Other Type of Building DA�s No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow k1 yO gallons per day. Calculated daily flow y yn gallons. Plan Date :3- ? Number of sheets / Revision Date Title Size of Septic Tank /✓rOd W 4rr, .,T Type of S.A.S. �AeA 0" r:Lro,.,,&" Description of Soil 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 by this Boar ealth.tom' Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued V";It wt::r .l.+¢,. . �^ 1* ( a z gs-t" -: .. , Fee �aQ� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES Yes MASSACHUSETTS r 2pprication for Migogar *pgtem" Construction Permit . Application for a Permit to Constnuct( )Repair( )Upgrade(P'")Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. s �.- Owner's Naamn}ee Address and Tel.No. /7y S¢Ga ,bvuv��a Owner's Assessor's Map/Parcel /7 y 51G Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7VIIh /%Q //U SLI/hi,.I9 /Sa G!/u�y y�' Sy �/'i,//�/. y`� G c1.3��jS Pl>. /�vri (, S�!': C/S/Pr✓r�l�/ Gj 7�•33�J`J Type of Building: r Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder Other Type of Building 17� No. of Persons Showers( ) Cafeteria( ) Other Fixtures tip. Design Flow 41410 gallons per day. Calculated daily flow 4)F 610 gallons. Plan Date :3- 2 y' 5'q Number of sheets / Revision Date Title Size of Septic Tank W.1/1 rv.s..2ur7-,;1 Type of S.A.S., �ra� ;, ��„,hi /,2, ., Description of Soil Sa Nature of Repairs or Alterations(Answer when applicable) ;.r i - 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 by this Board ealt. Signed Date _ Application Approved by Date Application Disapproved for the following reasons Permit No. Cf.��� � Date Issued- —/rJ - -------- `—=------ --------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY;that the On-site Sewa$e Disposal System Constructed( t_)-Repaired ( )Upgraded( ) Abandoned( )by joL 11 4r, l f at 1741 in P� i �� •TaVs ben constructed in accordance with to provisions of Title 5 and to for Disposal System Construction Permit No. dated' Installer ae, /-k Designer Sy���t�u� �H iH++v. The issuance of this permit shall dot benrtr a�a guarantee that the system will fAc s designed. Date J / Inspector No. (/ '�� ---------——----------------Fee /C)C?, THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLES MASSACHUSETTS Jlligpogar *pgtem Construction Permit Permission is hereby granted to Construct ( )Re air( )Upgrade( -'j Abandon( ) System located at /�I and as described in to above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and to following local provisions or special conditions. Provided: Construction must be completed within three`tyears of the date of this p t. Date: 7`��/ Approved by fig-` L0CATION SEWAGE PERMIT NO. VKLAGE INSTALLER'S NAME & ADDRESS S UIL E R OR OWN ER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �_ y- � Jj L No.-- ................. Fes$.. �z 111�...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® QF- HEALTH - �-- _...........OF......1.uxlfl vee- -�..:.............................. Appliration fn Bioposa1 Works Tanstrn.rtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( /J�/an Individual Sewage Disposal System at: ..... 'l _.. 1 _'.!!!!;::��........1� .................------------ --•--------- --------••-----------------•---•--------- ----•••••Lo i ' -`Address --_-.---•---•---•--••--•-•or Lot No. -- O ner j Address a ..... f / r�� �� _: -. ........ ----- ------------------------------------------------------•-----------------------------•------------- Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling�AKo. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria p" Other fixtures ____________________________ _ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.....:......gallons 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............................. ___-_......................... ----------------- Date...................................... aTest Pit No. 1----------------minutes per inch Depth of Test Pit_.__.__:_______..__. Depth to ground water........................ fTq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ - ••--- -- Descriptionof Soil----- :. ..._..-•----•--------------------------------••--•---•-_...----•-----•_....•---•--------••- W V W ----------------------------------•---•---------•-------------•--•------------.-..-----...------------------------------• ...--...••- f �� ...........-- V Nature 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance hab issued Zthe and o health. Signe _._. _ ............... Date Application Approved By.......................................... -Z ........................ -------- Wit-`--_ .j Date Application Disapproved for the following reasons-............=.................................................................................................. ----•-••-------------•-----••-------•-------•------------•-••-------------------------........_..._•------_....__....••-••-•----•--------------------•----------------------------------------...------ Date Permit No... ------------------------- - Issued-----...--- ------------------- ate , s r Fxs.:�6. ......_ THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F. HEALTH , ppliration for 11isplo sal Works Tonstrttrtiun ramit p Application is hereby made for'a Permit to Construct ( ) or Repair ( " an Individual Sewage Disposal System at: •t r r -ram l � . ............................................. =Address or Lot No. p r1 ,�at�! Owner(, Address ............................... ------------..............................- a ._..Far r�°'��.. � ��'f1�".'Y.:`��[,`'�.__1..._.c,/.r.•1s�....^.�,�N�".. Installer d Address Type of Building . Size Lot............................Sq. feet Dwelling-h—ZNo. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building .............. No. of ersons....._...._............... Showers — Cafeteria W YP g ------------=- P -- ( ) ( ) 04 Other fixtures ....:.................................................................................................................................................. WDesign Flow..............;4P.....A................. per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid ea.pacity............gallons Length................ Width................ Diameter................ Depth-............... x Disposal Trench—N;o¢.................... 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-------------------------------- .......=................................ 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........................ Q+' --- Descriptionof Soil-- � 1 .................................................................................................................... U s.. W ........................................................... ......................................................... ---- U Nature of Repairs or Alterations t Answer when applicable-_-___/:_.��' _.._ i`� Er'? .................... - -------------------------------------------- Agreement The Undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE; 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by-the of health. Sign- . ., V�'. � . : t. ` ! !1`•�iF `..� r'r.S� • 1• - � � ate D Application Approved BY ------ ---..........- ..----- +� ------- --- Date . Application Disapproved for the following reasons------------------------------- -----------------•---------•----•-- ....................................... ............................................-..........................................................................................................-................................................. Permit No............ q3• - -.. Issued .........` i_ Date . '1 Date i .flt THE -COMMONWEALTH OF MASSACHUSETTS- - - BOARD OF HEALTH ...........:" -�t'.t ........OF.. e J ...... .....n... ..�..... . ............................... CErtif rate of Toutplitturt- THISAI T/�Q//CER FYrr, That the Individ�ml Sewag Disposal System constructed ( ) or Repaired (•� j'°" by.... .................. .. --• ------. ..... ` / Fr a , Installer-I r Fj / b/'/ has been installed'in accordance with the provisions of TITLE 5 of he State Sanitary Code as described in the application for Disposal Works Construction Permit No.........�_�.--.__2',$..... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RUE® AS A GUARANTEE THAt-THE SYSTEM WILL FUN ION AATISFACTORVt DATE................... .__ ...............----------- Inspector... ........ THE COMMONWEALTH OF MASSACHUSETTS Y - BOARD,4OF HEALTFJ Gr ✓......;.<1� .lra.......OF6� 1...:,.� ' `?`? ,��e."�: ... fas No... ..<...`...�, FEE �nj : rtyrce�L1 id /j ��ii F atFrrl� �+:s Permissaon is hereby granted , . ................................... :..::. to Constrt,( ) p„Repa r (' Indiv`dual Sewage I//a�sposa.l System} at Street as shown on the application for Disposal Works Construction Permit No..................... Dated................._........................ ----------------------•--------•-- DATE_ Board of Health FORM 1255 A. M. SULKIN, INC.; BOSTON 17y_ - - - LOCATION : 5EW&C,E PERMIT VJO, L: O a IWSTQLLER5 W&N ADDRESS 5UIL ER5 tJ &MF- ADDRESS DtI TE PER W-T ISSUED DATE COMPLI &&ICE ISSUED : � 1 % . �� �.�,. -,: ,� , � ��. --._.� �� _�', r1�- 1 � _ �,, No.......... FEs...... .............. THE COMMONWEALTH OF MASSACHUSETTS BOARF�QAL H..._.. . .. ..........OF.... ........ .......-- _.................................. Apphratinn -for Bhipwial Works Tonstrnrtinn Vanift Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System j Wa L ocati ocati dress Owner ..r !•---•--•........_�........... .................... " ........................ --�-.....�..�.�..�... / ...... o Affdd t N9.�.�..41x � ...---••--••-•--- Installer // Address d Type of Building v Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms............................... . .Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons----------------------------- Showers ( ) — Cafeteria ( ) Pa Other fixtures -.------•----------------------- w Q -----•................•--•-----•---....-------------------------•--.......--- W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length.....•.......... Width................ Diameter---------------- Depth---------------- x Disposal Trench—No_ --------------------- Width-------------------- Total Length_..I................ Total leaching area--------------------sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area-------.----------sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........................................................... __ Date....................................... Test Pit No. 1----------------minutes per inch Depth of Test Pit--------------------- Depth to ground water...---.................. p4 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water...-_--__--__----_---- r' -------•--•-----------------------------•------------------•--------.-------•------------------------------------------•------------ O Description of Soil_.... _ - ............................. �` I._._. s U -------------_..............._____________________________ _____ ____________________________________�........__.................._....----------.-_----.-_---_---__--_-__---____-_--__---_-.--..... W ------------------------------ - _____._.... _ . �4 ..4. F+Ti _____________________ _ _.._........__.._.._...........________ ___._____._ _________ ____.___________._.___.._----.---__--_-._-.--. V N tore of 1Zepairs or Alterations—Answer when applicable...________ .._ ._.__/---------- . ................... ------••------••---••--- ---------•------------------------------•---------..--•----- ..-•--•-------.----------•--•-----.----.-..-.----.--------------------------------------•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article YI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is 'ed by the board of h . S gne 1!. - --•--•---.-_ �- --'�t.. ate _Application Approved By---- -- ----- - - - ---- ------ / �• 7 Date Application Disapproved for the following reasons:................................................................................................................ ---------------------------------------------------------------------------------------------------------.......-----------------------------------------------------------------------.....----•-••••-•- Date PermitNo......................................................... Issued........................................................ Date No. a.0 Fa$..... ...��-- ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD`� F HEALTH - (�- �l Appliration -for Biiipoiial Works Tonotrnrtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / �� r ........................ ...................................................................... .............................................................. � Loeati n-Address / I W J . .. . . �... s"✓S.q..._...! � A�dOwnerf/z.................................... _ .. d ' Installer /1 Address Type of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ..-_-1...................... No. of persons..--........................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Ix Septic Tank—Liquid capacity.....-.._..gallons Length................ Width..._..-----_._. Diameter-----.---------- Depth---------------- xDisposal 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------------------------------------------------------------------------- Date.....------------------------------..-.. a Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water.....--.-.--..--.------- L� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.------.---._....-.-. - "----------------------•--•--------------..-..------•----------------------------• ---------•------•---------•------------•------------ G Description of Soil---='`A----.. U --------------------------------------------------------- ----------•--•--•-------•---------------------------------•-------••----------------------------.....•---------------------------------- W -------------- --------------------------------•----....-----•-•-•••......-••-•---•••-••-•----...............-'----------- ---------=--------------------------------------------------------7.....'-- U N re offRepairs or Alterations—Answer when applicable.: - - - ......./------- �+'I c%.-,._-~ f ; f t------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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. v` Signe_ .l f` � .`...._.. ' f ---7 - - -------•/7_ ••-------------------- :': / Date Application Approved By---' r -.......•--•-... =; .: Date Application Disapproved for the following reasons-........................................................... •--------•----------•--------------------------••••- ----....•••••••••-•••••-••••....•••••. ••••-••......••-•••••••••••••--•-•-•••••••---------------•---••••---•••-•--.............. ---------------------------------- Date PermitNo.-------_-----........................................ Issued..............................................:......... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH ...........<.J'Lc/. ...........oF........ ..` .. ............................................... Qrrtif iratr of,Tomphanrr T IS IS/ CE.�TIFY, That k'i' 'ndi 1 Se a Disposal System constructed ( ) or Repaired ( -1 by--.EV'--/ ••• = - /d /`� alter -- ------- at...-.... . !_e (, f�----------- -- ---`-!- -`-/- ---- - !---- ------ --------------------------------------------------------- has been installed in accordance with the provisions of rr 1e XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No �--------------- dated.=.-- .....I1... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT TF E SYSTEM Y L FUNCTION SATISFACTORY. DATE--------V — ------•-•-•-•-•---•-•••.._. Inspector.---4....__e ......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH No.- .................... .................of... ... ' .... ..�t..............-----------------------•---......-. . ( FE -•••••-•••-....... Bi-spo,ittl rk,5 o trn Rion r- it ` Permission is hereby granted. P .�GI ./.•------- -- ----------=--- ....lt�pt�-• .................................... to Constr�u ) �r Repair,( 'n Individual Sew Disposal Sy tem at No..--- . / � " �� --cn_�...... --- ----- - -- •-----....•-• `. Street n as shown on the application for Disposal Works Construction er it N �-�,aated-.- .� Board of Health DATE. .Il:fo/ -.7i------------------------------------------ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS 3 .. . .. Q 1¢W CDIIQIMR�WN - ae Cave aete ew -. ._—. ------..- ----- - `ems C_ PR0YCE9sWKgDG1®OfIXq ASREOtgAED. _ __ .' .. - __ _ .• _ ClD9ETAfv 0A9DA7RY110GM710K8 t'. - •� 000 ol r - ' r , ..a.m ------------� TEMACE ............. .-__-..__._. -.__ ol LF 000l ool ol q PRISM RESIDENCE WkTKt �: IL171iY - _ i rowpepgppa' •t j°' tos_ i '' to _....---c. .�-r _ .. CO1J lot� I v- �Y� --ri � • y• I MAffM BEOHOOM. g - RAIL: oo etrriNoRoou ::htW •: @ REED, ; ORRISON �•...•.: e.. roi :2.1 t :•>y: 1 } ::•: ��••• 2'•:' � M _______ _________ ______oo in III IA' T eEc6}: a l o a 1 ICI I � Fro AR6 �...,�, f c�N 0 Rq tij�F�� Q<c, S� J T c Qz i o:.8097 Z 'n FIRST FLOOR N i BOSTON, W PLAN K)to ov vz 10 s j MASS J - fJO6Tfu6OON9173ucnorTO9ERe+OVATID Svc V� � 011croo 3cde: tAr=t•-c ' FIRST FLOOR PLAN D...n Br, ks o T z a a — - Fr G A4 G r ,. z —_ — — - ------ -- —_ — — _ -- _ — — — - — — rr1" i -- - - -12 - I e�rrrr'� _����� - -- — - -- 2a r{,•, � A 'Ly L yl --"— ----�'_-__ L. '-� i-� ,L. ----- — --— 1 s y 1 144LIAI�;�: t L ti f,L_} T�, � - - _ - I ''� ,�`�.L�� L 1. _ i;`f�: NEW COVERED ENTRYI NNG STOOP ]TP BEDROOM ADDITON NEW COVERED t_______� . ENTAV L �D'-0'MDIOON i LEFT ELEVATION FRONT ELEVATION i OTOZ I 8 �F NEw ceDAR sHWGLEs ro MATCH E%IBPNG w/RIDGE OONItN0009 RIDGE VEM 0000 __— —' :�_ —_--~ —• _.... � _ _ 11 UI. ® O.C. _ I 1 ;1..I1L1 7' L ® 1 r EXTENSION BEDROOM ADD 1 :� RION coo E �' r, ss Rxt wsln -.��,N ss VI lNw� BATHROOM NANG HEIDHn EJIIBTING—� �'1t11� f.. �ll �� t• -1� r•1,!' r[� I' 4 t {i I�`TL.'7 ,+r B'RBD INSUL �a BEDRooM ADmnoN �, , q �•P.C. S B'P.C. RIGHT ELEVATION s1Ae A wUNDAnON wAu 2'8%SA'%lD`P.C.FOOnNG 1 20 FT ADDITION SECTION - ELEVATIONS GREYWING DESIGN °"� J""'p'B PROJECT:�STMBOAENCE SCALE: 1l4'=1'-0' 174 STA NSIREN LANE,OSTERVILIE,MA ADDRIONBIRENOVATIONB 131 QUAKER MEETINGHOUSE ROAD,EAST SANDWICH,MA 02537 www.greywing.com (508)888-0886 G171207 Al PROJECT NO: SHEET: OF2 SYSTEM PROFILE PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) ACCESS COVERS TO WITHIN 6" OF FIN. GRADE ACCESS COVER TO WITHIN 3" FIN. GRADE )per Ro \ TOP FOUND. EL. 33.7' ACCESS COVER AT FIN. GRADE 24.1 f' 16t' cus S° MINIMUM 1' OF COVER NOTE: 2" MIN. WALL r�� OVER POLY TANK THICKNESS REQUIRED *NOTE: PR 23.09' OVIDE MIN. 1% PITCH FROM 4"�scH4o PVC PROPOSED D BOX TO EXISTING INVERT 16.1"(1.341J MIN. suMP PIPES LEVEL 1ST 2' INTO SAS - 12" MIN. INT. DIM. 22.0' PROPOSED 1,500 ♦ r Q Main GALLON POLYETHYLENE O St *32.04' SEPTIC TANK GAS G �\a ° -00 °°°°°°°°°°° WATERTEST D BOX TO EXIST. SAS BAFFLE °02„? °_ FOR LEVELNESS *13.0f' 12.83' V.I.F. o a 'n 6„ CRUSHED STONE OR MECHANICA COMPACTION. (15.221 [2]) DEPTH OF FLOW = 4' 6.4% PITCH MIN. 1% fie, REQUIRED TEE SIZES: PROP. ST — 140' — PROP. D'BOX — 4' — EXIST. SAS G° INLET DEPTH = 10" MIN. BELOW FLOW LINE OUTLET DEPTH = 14" MIN. BELOW THE FLOW LINE LOCUS MAP *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL 1 SCALE 1"=20001f BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM ASSESSORS MAP 166 PARCEL 54 LOCUS IS WITHIN FEMA FLOOD ZONE AE EL 113- D DATUM NAVD 88 VARIANCE REQUESTED FROM TOWN OF BARNSTABLE REGULATIONS: SEC 360-1: SEPTIC TANK TO BE LESS THAN 100' TO THE COASTAL BANK (100' — 19', 81' VARIANCE REQUESTED) p 15.4m$ S.i• To L.3aN�� ��.5'-ro �q`� cF C SALT MARSH n �FO Z s 0,1 G 1 o e✓FC'T \ TO 1 .4 CIO 1 EXIST. LEACHING FACILITY INSTALLED 4 AKA 11. 1998 (CULTEC 330-S WITH STONE I C04" �p TO BE RETAINED % . %k11.5 PINE 18 E 6 \ IB PINE 10. 0 10 22 ♦ �, 0p�� �2 f / - 1 ° O K 16 ti 18" PI EXIST. 1500 GAL. DUAL COMPARTMENT SEPTIC TAN 2 SEPTIC SEPTIC TANK W O 0 S SS / 0 <v EXIST. DWELL. 33.TF. = PAV D D IV T. G�G� I INVERT OUT = 28 6 I 36 32.04' 30 1 / / 4 i 7� 7, LOT AREA: 2.34t AC. �O �0 2' SITE PLAN U8 0 SHOWING SEPTIC SYSTEM REPAIR 174 STARBOARD LANE OSTERVILLE off 508-362-4541 N of �N ti�M PREPARED FOR fax 508-362-9880 s� s9e gssy I downcope.com © °� DANIEL tiJ\ o`er DANIELA. cyGN BORTOLOTTI CONSTRUCTION/a o A OJALA PRIEM I� ca ,IAI.A CIVIL I<� �ow'I cape eng�neer�ng, �nc. O No,40980 v �\ No.46502 � civil engineers d �n ��,, �� �w JUNE 12, 2017 land Surveyors 1/vosu V `ss� NAL ENG� 939 Main Street ( Rte 6A) 'j . �"� �N Scale: 1"= 30' YARMOUTHPORT MA 02675 —� -- DATE DANIEL A. OJALA P.E. P.L.S. 0 15 30 45 60 75 FEET 7— > 6 0 HEALTH SYSTEM PROFILE PROVIDE MIN. 20" DIAM. WATERTIGHT (NOT TO SCALE) ACCESS COVERS TO WITHIN 6" OF FIN. GRADE ACCESS COVER AT FIN. GRADE ACCESS COVER TO WITHIN 3' FIN. GRADE R° ,Nr� TOP FOUND. EL. 33.7' �►' , \ cus S� 24.1 f' 161 ' d, MINIMUM 1' OF COVER NOTE: 2" MIN. WALL P, sro .,, OVER POLY TANK THICKNESS REQUIRED *NOTE: PROVIDE MIN. 1 PITCH FROM 23.09 4"mscH4o Pvc PROPOSED D BOX TO EXISTING INVERT , l• 16.1"(1.346 MIN. SUMP PIPES LEVEL 1ST 2' INTO SAS �������► 12" MIN. INT. DIM. Q O1�,.. 22.0' PROPOSED 1,500 � Mo GALLON POLYETHYLENE *32.04' SEPTIC TANK GAS °°°°°°°°°°°° WATERTEST D BOX TO EXIST. SAS '�A, ' l (H-10) BAFFLE ° °2 °° FOR LEVELNESS r� v •® , *13.Of' 12.83' o� t 0 000000CD >z§Z> 8 V.1.F. ICY 6„ CRUSHED STONE OR MECHANICA M St COMPACTION. (15.221 [2]) DEPTH OF FLOW = 4' 6..4% PITCH MIN. 1% PROP. ST — 140 PROP. DBOX 4 ' — ' EXIST. SAS G� i - REQUIRED TEE SIZES: INLET DEPTH = 10" MIN. BELOW FLOW LINE OUTLET DEPTH 14" MIN. BELOW THE FLOW LINE LOCUS MAP *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL 1 SCALE 1"=2000't BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM ASSESSORS MAP 166 PARCEL 54 �. LOCUS IS WITHIN FEMA FLOOD ZONE AE EL '` 13 AND X DATUM: NAVD '88 C > ^�Q) a \L�c� SALT MARSH 03 S& O� \ l0 1 .4 CO9.S' I �• I EXIST. LEACHING FACILITY INSTALLED 4 K p� 1998 (CULTEC 330-S WITH STONE I 9�, `• TO BE RETAINED A . %x11.5 F 76 PINE 18 E 6 a 78 � PINE 10. �10 / 22 / Ix 1 O oti K 16 18" PI co EXIST. 1500 / GAL. DUAL COMPARTMENT P P. G SEPTIC TAN 2 OL SEPTIC TANK j o 0 S SS L / ® OZ EXIST. DWELL. PAV D D IVE T.F. = 33.7' r'c, INVERT OUT 36 32.04' 3p eQ o / a / 7� S 7, D LOT AREA: A Q � ;70 2' SITE PLAN 28 1 0' SHOWING SEPTIC SYSTEM REPAIR 174 STARBOARD LANE OSTERVILLE PREPARED FOR off 508-362-4541 fax 508-362-9880 1M r _I(A OF Mgss �H OF Mgss� OF MAs`S I downcape.com © 45 DANIELA �� soac� DANIEL °yam q� B ORTOLOTTI CONSTRUCTION/ DANIELA OJALA A. s .o DAAIEL '� PRIEM �p o' o down cope engineering, Inc, a+o OJALA CIVIL C" OJALA OJALA CIVIL 502 No.4U No.40060 civil engineers �No.46502o JUNE 12, 2017 land surveyors °� �c,sTE��� .�Fscc� r��G,� C qN s� �gN�Ess\°�o5 939 Main Street ( Rte 6A) Scale: 1"= 30' YARMOUTHPORT MA 02675 DATE DANIEL A. OJALA, P.E., P.L.S. 0 15 30 45 60 75 FEET > 7- 160 • - Bay - 4 AIL ab 60 Aiiii J \\\ `\ \\` \\ \\ i \ . •. L.�`\ Par Order of Conditions 5 \ \ \ \ 1 •� \ \ 1 \ \ Por o k -229 4 . See _ is AIL \\\+\ LOCUS PLAN \ \ \\ \ SCALE: 1"-2000' I I I I I \ `i�' \ • A$SESSOR5 \ \ � MAP 166 PARCEL 54 JIL CO it NOTES DESIGN DATA AN Solt Marsh \ Sin le Famil 4 Bedroom y •' ' i / i i. i i i ; 1\ �� \ _ I.Water Supply ForThis Lot'is Municipal Water g y" i 1 a\ \ '� 2.Location of Utilities Shown on This Plan Are A rox. With . Garbage Grinder o 1 \ \ PP Daily Flow=110 x4=440 GPD 2 ----- - '� �' ' ' ' ► 1 \ \ 2. \ At Least 72Hours Prior-to Any Excavation ForThis SepticTank.440 x 200%=880Gal. - Project TheContractor Shall Make The Required Use 1500 Gallon Septic Tank With 2Compartments. ,� , , / ► ► ► , \ Notification to Dig Safe(1-800-322-4844) -----' ' , ' ► 1 I , \ \ \ \ LEACHING AREA ,' I ► , ► ` 1 ' '\ \ _- - _ 3. The Contractor is Required to Secure Appropriate t\ `., — Permits From Town Agencies For Construction ' 660 GPD/0.74= 892 SF Required ------------- \ \ \ , '� Defined byThis Plan. SidewalI = 2(12+54)2=264S.F. \` \ > "\ • �� Bottom Area=12' x 54'= 648 S.E ,- --- N\ \\ \ i \\\„ 4. Install Risers as Requiredto Within Woof 912 S.F.Total Provided AL '� \ Finished Grade. \ LEACHING CHAMBER DESIGN W W \\ �- — ,, �; ` •� �'� \ \ \\ 5.All Structures Buried Four Feet or More or Subject' -- \ AL ( \ \ 1 AI I Pipes to be Schedule 40.PVC Z to Vehicular Traffic tube H-20 Loading. Perforated With Capped Ends. Use CL Q Q �`♦ �\ \ r' - ,'� i i i ; \ `\ �`� AL �`\ I �\ & Septic System to be Installed in Accordance With - 1-4"Distribution Line in L _ 1 J � � ` \ \ _ ' ► I , \ \\ \ I ,'' A `\ 310 CMR 15100 Latest Revision And The Townof Chambers in 2- 12'x 27'Washed \ \ \ I .�S' Stone Fields as Shown. 3 ,c \ \ \ I ► 1 \ \ \ \ I \_t ,__, Barnstable Board of Health Regulations. Q W 7. Al I Piping to be Sch.40 PVC � CC W �o ' p g O G2 `♦ \ \ \ ` ' ,' I 1 `\ \` \ ' L_- 8. Septic Tank Shal l be a 1500 Gal., 2 Compartment. 0 ` \ ` — The First Compartment Shall Have a Volume of Not Cf) Less Than..880 Gal. And.The,-Second of-Not Less ♦ `♦ �` \` \� \` \` _ i� / II \`\\ � \♦`\ \\�\ ` `. \`.•�. _ Than 440 Gal. .. .. .. AIL W F— AIL \\ \ v AL `- O N__ ------------- �♦ zCo 1 I I I \ 1 \ \ 1 ` ` ` \♦ _ 1 ---- AL -------- - - to r, , \ \. \ or NN NN W 4 •.� 2 Compartment, 1500 a it Q 40 FG=30 ePtiy i , , , 1 , • I , , \ .. �. --- -- --r' Gal.Septic Tank \ 00\ \ C 14.6 8, t` 16.8 26. Wan 06 1 i i ��� \; \ �\ • �` 'b -""_ 17.2 �:.; .17 0 Bot.E 1. 14.8 . m • a o N.E. Corner of LC8 _ _ Beading 5 ( , \ C • _ eS I , , "I, . _ 'ii• `�`♦ \ 10�� 10.5� 10 10 1 12 ^ C ♦♦` �\ � �'��, . '' -' • . A1� Est.Ground Water- -- ---� _ _'N, . ) � ` a► : ,, _ `.S. DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM • `% �.ti, N Q, -,--'- Not to Scale _ NNN _ _ \ \ ' / © *N 1 I _ NN \ co,� G _ -- •a \`�� --'�i �'' ,Septic Tank `� ,� ` �`•�w aC x� ♦ `♦ m 4 L 82.'2� - _ ' --- _ --------- \ `\ co,�°� `� \,. (� (' F1,nish A --' ,--- -�Flo9 -__-� \ '` r Grade Wo h� Proposed _ %._` ♦\\ 1. Retaining-Wall -; ,_ - ♦ - \c�- - ' /i• \\\�\` \\` \` \\ \\\ ` � a l b n `� - V Filter Fabric Compacted Fill 3 Maximum �_, 30 "Oil 0 0 oo \ ` \ \ \ -a \ - t Pea! Stone .o 0 o, �! \�\ \ \ \ \\ \ t \ 200�RiverAct Jurisdiction Line — a' C Leaching \\\ \ \` Chamber 3/4 -1 In, Double NOTES Washed I.Formal Flowers,Herbs aVegetables � \' 100'From 100 Year Flood .- Gardens With in The Retol Ad_Area With a Plain 'Line ' a Goal of Food Par WIIdI e. 52„ (Birds IN Insects Mainly)' 01- P.W.Cole, Landscapes. 7BM EL-27.54 NGw 12�-0° ' Z c Q,^ y>1 S.E. Car of first step _W,. c 2.All Proposed Runoff to be Recharged �E Increase Depth of Pea Stone to Maintain 3` Maximum Fill Cover. H �' a CROSS SECTION OF CHAMBER / _ '� ° \g - Not to Scale y Lot 9 W 68,862±SF (to E1=11 ) .�, �? W 17,859±SF (D=11' to MHW) Cf) r _ 86, 721±SF (Total to MHW) �oQ f CL to , t Hu m tK ev `4 �� lDJ1a.NAN ' 0. PLAN VIEW wit ,29►7 Scale: I "=20 1 CIVIL m .. y r n? ci ro . AL O Sheet , of , A