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HomeMy WebLinkAbout0198 TOWER HILL ROAD - Health .198 Tower Hill Road A= 1.42 013 OsteNi Ile S M E A D No. 2-153LGN UPC 12134 smead.com • Made in USA vacvc" z� SUSTAINABLE FORESTRY INITIATIVE Certified Fiber Sourcing W W WAprogrw"rg ✓x wGs Dr ( ,� ' ,�� wit 4.► TOWN OF BARN_ STABLE + LOCATION ���' �j SEWAGE# 76& 6Z2 VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY. (type) (100 (size) /2 E�� 2 NO. OF BEDROOMS 7� h a OWNER i! In>_ P6W63 . PERMIT DATE: / COMPLIANCE DATE: a�- Separation Distance Ltween the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY �4s AS-. 7ol Q� Nc— ro9"°ZS4�1- /Oar ��� 4-v per saa Apr .• : - -: (� §y. F k�,..IY us� ,b p,. �4 i {• e -.t e I .. - ..., t - t /n No. v Fee THE COMMONWEALTH Or MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftphLation for VspoSal 6pstem Const union 30ermit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 198-fewer 0111 RA-C A4_ Owner's Name,Address,and Tel.No. %6,t P* er5 Assessor's Map/Parcel 1 a Installer's Name,Address,and Tel.No. Egk_ Designer's Name,Address,and Tel.No. 0A eV 71 %K*T®Aa i)Vm i s IM. 5C6—77(o jq ��� �013 ��1 �� �o '?�6 33► Type of Building: Dwelling No.of Bedrooms � 0 R r^n'( to" ze 16 W57' sq.ft. Garbage Grinder( ) Other Type of Building , a No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) M3 6 gpd Design flow provided �a. gpd Plan Date— Number of sheets 'z. Revision Date Title Size of Septic Tank 15b0 Type of S.A.S. Ch2k4&s 1j760 r 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 Certificate of Compliance has been issued by this Board o ealt . Sig Date 1 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 6 ,� Date Issued THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M A�C(, I "J L DATA I No. Fee THE COMMONWEALTH OP MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for - Disposal 6pstetn ConstTurtion Vermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ti¢_ Owner's Name,Address,and Tel.No. � , r , Assessor's Map/Parcel Installer's Name,Address,and Tel.No. 5tt JF S Designer's Name,Address,and Tel.No. 170-10S1 rya 41 ^i, 'fit 7 1 Type of Building: 'r t t M f Dwelling No.of Bedrooms k �^�' t Lot Size r 'r/� sq.ft. Garbage Grinder( ) Other Type of Building 1~ xa- A \ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided ?'i — J gpd Plan Date Number of sheets E. Revision Date Title Size of Septic Tank ,OE, Type of S.A.S. 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 Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by ",.- L� — -—--' Date Application Disapproved by Date for the following reasons Permit No. - Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired —-Upgraded( ) Abandoned( )by rK J, -1p,0-, at A. 1 .� . �`� E a.%tN a has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No�'(./I, - .�. dated Installer +r r 'S t`, Designer r�',�,�y tf r ,� , 1-, #bedrooms Approved design fl'tiow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector ---------------------------------------- - - - - - ----------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE, MASSACHUSETTS Disposal *pstem ctConstruction Permit Permission is hereby granted to Construct( ) Repair(`e) Upgrade( ) Abandon( ) System located at 7 M 'rnr.P V- At PA and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date Approved by , .�._,r' V Town of Barnstable Ft 'op,o Regulatory Services Richard V. Scali, Interim Director ■ MUMSrns�.e, 9� MASS. ��� Public Health Division �F163ng. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: a l� Sewage Permit# Z0/6-1G2Z Assessor's Map\Parcel 013 :Designer `(P� Saves `yl L Installer: � aad Address: PO �c�Qx , Address: hz?x11 G• .�Arl�v�ll�( � �F�QS`f't1Als �� /Y1�4- . 625�� o ag On 5� f�v Z 2 was issued a permit to install a t P . 5 (dateo (installer�` septic system at I �l/bC�..i 1-k r I P-D 6 S� based on a design drawn by / (address) "( dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may.include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was construct e with the terms of the proval letters (if applicable) 4 FkREN E s all Signature) VV, esigner's Signature) (Affix Designer _ � amp Here) PLEASE RETURN TO B STABLE PUBLIC HEALTH DIVISION. CERTIFICA OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc TRANS.NO.: CITY/TOWN: \i l e A/ ' APPLICANT: V r G ADDRESS: Tlieltl- DESIGN FLOW: 330 gpd REVIEWED BY: DATE: N/A OK NO GENERAL , Legal boundaries denoted[310 CMR 15.220(4)(a)] Street,Lot, tax parcel number and lot number noted on plan [310 1/ CMR 15.220(4)(u)] J� Locus Provided 310 CMR 15.2204(t) Plan proper scale?(1"=40' for plot plans, 1"=20' or fewer for components) 310 CMR 15.220(4)] Easements shown 310 CMR 15.220 4 System located totally on lot served [310 CMR 15.405(1)(a)for upgrades]- i not, a variance is required [310 CMR 15.412(4)] �y Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] X Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve X areas. 310 CMR 15.220 4 e System Calculations 310 CMR 15.220(4)(f)] daily flow septic tank capacity(required andprovided) X soil absorption system(required andprovided) whether system designed for garbage grindei X North arrow 310 CMR 15.220 4 Existing and proposed contours 310 CMR 15.220(4)(g)] Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] X Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and i Location and date of percolation tests (performed at proper elevation?) 310 CMR 15.220(4)(i)] X Percolation test results match loading rate? 310 CMR 15.242 Certification statement by Soil Evaluator 310 CMR 15.220(4)0)] Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3)and 310 CMR '1 15.220 4 n Address /`7 0 lJie y-- Sheet 1 of 7 S� N/A OK NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)] within 400 feet of the proposed system location in the case x of surface water supplies and gravel packed public water.su l within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case X of private water supply wells Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins X located within 50 ft. [310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located[310 CMR x 15.220(4) m if water line cross see 310 CMR 15.211 1 1 Profile of system showing invert elevations of all system X components and the bottom of the SAS 310 CMR15.220(4)(o)] Stamp of designer 310 CMR 15.220 1 and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor(required if construction X activities within 5 ft. of lot line) [310 CMR 15.220(3)] Test Holes adequate(two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2)or as x approved for an upgrade under LUA at 310 CMR 15.405 1)(k)] Test hole adequate to demonstrate four feet of suitable material? 310 CMR 15.103(4)] , X Test Holes adequate to confirm adequate groundwater separation? 310 CMR 15.103(3)] Benchmark within 50-75' of system 310 CMR 15.220(4) Materials specifications noted? [various sections of 310 CMR 15.0001 System components not>36" deep (unless Local Upgrade jApproval or LUA requested) [310 CMR 15.405(l(b)] Address /? j*1 Z& _ Sheet 2 of 7 I � N/A OK NO SEPTIC.TANK Size OK? 310 CMR 15.223(1)] Inlet tee located ten inches below flow line 310 CMR 15.227(6)] Outlet tee 14" or 14" +5"per foot for increase ft depth[310 CMR 15.227(6)] Outlet tee with gas baffle or approved filter 310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(1)] X Separation between inlet and outlet tees (no less than liquid depth) 310 CMR 15.227(2)] X Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5))or permitted for upgrades under LUA 310 CMR 15.405 1 k Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(l) and 310 CMR 15.232(3 Three access covers(inlet and outlet must be 20" or greater)- middle access at least 8" 7/07 [310 CMR 15.228(2)] Access to within 6 " of grade -one port for systems<1000gpd, X two fors stems>1000 gpd 310 CMR 15.22 8(2) All at-grade covers secured to unauthorized access? [310 CMR x 15.228(2)] > 10 ft from building foundation 310 CMR 15.211(1)] Buoyancy calculation Required/Done 310 CMR 15.221(8)] H-20 Where appropriate? 310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211] Required when other than single-family dwelling or flow>1000 d 310 CMR 15.223(1)(b) First compartment 200% daily flow; Second compartment 100% daily flow 310 CMR 15.224(2)and 3 "U" pipe through or over baffle,outlet of each compartment with as baffle or approved filter 310 CMR 15.224(4)] p 4 Address 7 Sheet 3 of 7 Os7ervl� A44 N/A OK NO BUILDING SEWER AND OTHER PIPING Located at least ten feet from any water line? [310 CMR v 15.222(2)] Disposal piping at least 18"below water line(when water and sewer cross, see 310 CMR 15.211 1) 1 ) Cleanouts required/provided? 310 CMR 15.222(8)] Thrust blocks specified in force mains?310 CMR 15.221(6)(c) Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable 310 CMR 15.222(6)] X Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) 310 CMR 15.251(9)and 310 CMR 15.252(2)(c)] Siphonproblem/ leachfield below pump chamber) Endca s or vent manifoldspecified? Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) DISTRIBUTION BOX ` Stable compacted base [310 CMR 15.221(2) and 310 CMR y 15.232(2)(a)] X Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 x CMR 15.323(3)(a)] Riser if deeper than 9" 310 CMR 15.232(3)(f)] Inside minimum dimension 12" [310 CMR 15.232(2)(b)] Minimum sum 6" 310 CMR15.232(3)(e Watertight cover if<2000gpd); waterproof manhole if>2000gpd 310 CMR 15.232(3)(d)] PUMP.CHAMBERS Capacity(emergency storage above working=design flow)? [310 CMR 231(2)] Proper setbacks 310 CMR 15.211 same as septic tanks)] Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE 310 CMR 15.231(5)] X Service components accessible (not too deep with piping, disconnects accessible) Alarm floats -alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag mode. 310 CMR 15.231(6)and 8 Stable Compacted Base [310 CMR 15.221(2)] Buoyancy caallculations needed?Prov/ided? [310 CMR 15.221(8)] Address �!( ���P� J�7�( l�G� Sheet 4 of 7 I ` N/A OK NO SOIL ABSORPTION SYSTEMS.(SAS)GENERAL Calculations correct? 4 feet of naturally occurring material demonstrated?[310 CMR 15.240(l)] x Required separation togroundwater? [310 CMR 15.212 Aggregate specified as double washed [310 CMR 15.247(2)] X System Venting required/provided?(system under driveway or >36" deep) [310 CMR 15.241] Inspection ports specified and within 3"final grade? [310 CMR 15.240(13) Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document GALLERIES;PITS,CHAMBERS_310 CMR:15:253 Chambers and Gal. in trench configuration.supplied with inlet every 20 ft. 310 CMR 15.253(6)] Each structure with one inspection manhole(if>2000 gpd must be tograde) [310 CMR 15.253(2) Aggregate 1'minimum-4'maximum. 310 CMR 15.253(1)(b)] 2' sidewall credit maximum [310 CMR 15.253 1 a) In bed configuration, inlet every 40 s . ft. 310 CMR 15.253(6) TRENCHES.310.;CMR15.25.1 n _ Width T minimum Y maximum[310 CMR 15.251 1)(b) 100 feet-maximum length [310 CMR 15.251(1)(a)] Minimum separation 2x effective depth or width whichever x eater 3x if reserve between trenches) [310 CMR 251(1)(d)] Situated along contours [310 CMR 15.251(2)] Breakout OK? 310 CMR 15.211(l)[41 and Guidance Document] BED SAS(1Vlax mum size of bed orIleld_'S000, minimum 2 distribution lines [310 CMR 15.252(2)(a)] Maximum separation between lines 6' [310 CM R15.252(2)(d) Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge-pipes 6"minimum, 12" maximum. 310 CMR 15.252(2)(g)] X Separation between beds 10'minimum. 310 CMR 15.252(2)(f)] Bottom area used in calculations only 310 CMR 15.252(2)(i)] Address l /0 "u' I G�� ,"'�. Sheet 5 of 7 o�r�C-wl Ile AIL4, L - J N/A OK NO DID THE PLAN INVOLVE Pressure Dosed System ? Provided pump and piping calculations as required [310 CMR 15.220(4)(r)] Pressure dosing required on all systems >2000gpd or alternative systems under remedial approval [310 CMR 15.254(2)and I/A Remedial Use Approvals] J� If used in gravelless system-make sure jet is directed as not to scour soil interface Guidance Document] Inspections once per year(systems<2000 gpd) or quarterly >2000 d)good to note on plan 310 CMR 15.254(2)(d)] Construction in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15.255 3 ? Impervious barrier and/or retaining wall? Guidance Document] Impervious barrier installation must be supervised by I� designer 310 CMR 15.255(2)(b)] �C Retaining wall must be designed by Registered Professional Engineer 310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? 310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] X At least 5 ft. from impervious barrier to edge of SAS (10 ft. \/ recommended) [310 CMR 15.255 2 e) Gravelless System!I/A Approval y J Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface Alternative Se tic's stem[IIA 4Apiovai Letters) Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? x Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for y perpetual maintenance agreement? /\ Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has applicant submitted a copy of a maintenance JC Variances Are the variances listed on the plan ? [310 CMR 15.220 4 RLS Stamp necessary on plan if a component is within five feet of property line 310 CMR 15.412(4)] New construction or increased flow proposed- [Refer to 310 CMR 15.414] x Address �g� /vie✓ �� /CC( . Sheet 6 of 7 �,g- r Cq N/A OK NO Nitro en:Sensitive Areas Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well? 310CMR15.2142) X Are the nitrogen loads proposed in compliance? [310 CMR 15.216(l)] Miscellaneous Plumping to septic tank? 310 CMR 15.229 Shared System 310 CMR 15.290 Address 6 �O �lJ��r� � (��� Sheet 7 of 7 f table P it 3 `I 'own of BAins a . -Department of Regulatory Services i Public Health Division, Bate_! A 'i6 'Mrs$ 200 MaiwStreet,Hyannis MA 02601. - r1�t-' 0 Date Scheduled I 3 j met, Fee Pd A. il uatabality AssessM ni fop Se* e Disposal , IPerformed By. &I f" ' " " Witnessed By: {• - LOCAT JON &GENERAL INFORMATION Location Address q,11)91 ; Owner's Name' 1' ��f S ; e. Address S A M Assessor's Map/P4rcel: I r/ �.�s I Engineer's Name J" ""! 4 NEWCONSIRU(' lON REPAIR - "Y Telephone# Land Use I i�ENI l A�Li ,`Slopei(%Y `'• 0 l Surface Stones Distances from: Open Water Body } �U ft `Possible Wee Area?�Y #'ft Drinking Water Well > t Drainage Way ft w. Property Line Other 'ft SKETCH:($treet name,dime nsiods of lot,exact locations of test holes&Pere tests,locate wetlands in proximity to holes) �S Parent material(geologic I Depth t0 Bedrock Depth to Groundwater. ding Water in Hole: i- Weeping from.Plt FACe R Estimated Seasonal Nigh Groundwater D TERM N TTON FOR SEASONAL HIGH WIATER TALE . Method Used: I In, Depth observed standing in obs.hole: In. Depth t0 soli 1T tt i in. ©roundwnter Adjustment uet Depth to weeping from side of obs.hole: i p�,faCtOr � Adj.drpundwater Leviel,,,,e, Index Well lev Index Well# Reading Date el , PERCOLATIO TESTTEST . Datt ,1�� , ON Observation 4 I Time at 9" Hole# : 36`�S��l Time at6" .-..:— Depth of Pere a S7 Time(9"-6") Start Pre-soak Time.@ End Pre-soak ffi Rate µ' 1 Min-finch Additional Testing Needed(Y/N) Site Suitability Assessment: Site Passed _ Site Failed; Originak Public Hce lth Division Observatioti Hole Data To Be Completed on Back--- -- ***If percola#6n testis to be condracted within 100' of wetland,you must first notify.the Barnstable C4.4servation Dhision at least one(1) week prior to beginning. kU �� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other .Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,clo Gravel A �n �A4 An*4 N B Lo m a n b y DEEP OBSERVATION HOLE LOG Hole#�_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel) 2'S 6 � • DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color, , Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,',Boulders. Consistent %Gravel T7 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten ra I F Flood Insurance Rate Man: Above 500 year flood boundary No Yes, Within 500 year boundary No Yes Within 100 year flood boundary No Yes r' Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist,in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per ious material? Certification I certify that on �� (date)I have passed the soil evaluator examination approved by the Department of Envir mental Protection and that the above analysis was performed by me consistent with the required tr/ g,expertise an experience described in 3,10 CNM 15.017. Signature r Date f 27 �fo Q:\.SEPTIC\PERCFORM.DOC I - McKean, Thomas From: Ginny Guimond <ginny@oysterre.com> Sent: Tuesday,January 26, 2016 5:16 PM To: Health; McKean, Thomas Subject: Fwd: 198 Tower Hill Road , Here is the email i sent. Ginny Ginny Guimond / oyster real estate/ 829 main street osterville, ma . 02655 c:�774.238.0027 /o: 508.420.1000 e: innygui - -------- Forwarded message ---------- From: Ginny Guimond <ginn a,oysterre.com> Date: Fri, Nov 13, 2015 at 3:22 PM Subject: Re: 198 Tower Hill Road To: "McKean, Thomas" <Thomas.McKeangtown.barnstable.ma.us> Dear Tom We do have a private first floor finished room with Windows, heat, electric_, and a door that has been used as extra sleeping space. My seller will be installing a new septic system. Capewide failed the current cesspool. Please advise as to the need for another affidavit. I have summer home buyers waiting on approval for a three bedroom designation. Thank you Ginny On Tuesday,November 10, 2015, McKean, Thomas<Thomas.McKeanQtown.barnstable.ma.us> wrote: Good Afternoon, We are in receipt of an affidavit regarding the number of bedrooms at 198 Tower Hill Road since 1966.. However, we understand the second floor'area or room is unfinished and unheated: Unfinished and unheated spaces are not normally considered bedrooms. Also, a bedroom is defined within Section 310 CMR 15.002, State Environmental Code, Title V, as a room providing privacy, intended primarily for sleeping, and consisting of all of the following: (a) floor space of no less than 70 square feet; (b) ceiling height of TY if new construction; (c) a ceiling height of no less-than seven feet for existing houses; (d) an electrical service and ventilation; and (e) at least one window. 1 ti Please clarify this issue at your earliest convenience. Sincerely, Thomas McKean Ginny Ginny Guimond / oyster real estate/ 829 main street osterville, ma . 02655 c: 774.238.0027 /o: 508.420.1000 e: gYguimondggmail.com/e: ginnyoysterre.com. 2 &e ov CL p �. dL m„ fi GiAsl5�0�- AFFIDAVIT tirr I, ROBERT W. POWERS, of West Palm Beach, Florida, having personal knowledge of the facts herein stated, under oath depose and say as follows: a� 1. I am the current owner of the property located at 198 Tower Hill Road, Osterville, Massachusetts, being shown as Parcel 013 on Barnstable Assessor's Map 142. 2. On September 15, 1966, my parents, Kenneth W. Powers and Marguerite W. Powers, purchased the property by deed recorded with the Barnstable County Registry of Deeds in Book 1346, Page 792. 3. Since the time of purchase, said premises has been used as a three bedroom home. 4. Since the time of purchase, several people have witnessed the property used as a 3 bedroom. 5. Said 3`d bedroom is located within the unfinished upstairs. Signed under the penalties of perjury this ;3 day of November, 2015. f �! td P 4,,fv.A ROBERT W. POWERS STATE OF FLORIDA /- COUNTY OF L On this day of November, 2015, before me, the undersigned notary public, personally 4peared ROBERT W. POWERS proved to me through satisfactory evidence of identification, which was FL, )),- Pbatl-T-11-q?�Jj-z to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it vol untar*1 for its stated purpose. Gilbert Brno Notary Pubfia Notary Public So of Florida My Commission Expires: W" *C=niS m#EE-83395? EVku SepWmW 10,2016 f — McKean, Thomas From: McKean, Thomas Sent: Tuesday, November 10, 2015 2:46 PM To: ginny@oysterre.com' Subject: 198 Tower Hill Road Good Afternoon, We are in receipt of an affidavit regarding the number of bedrooms at 198 Tower Hill Road since 1966.. However, we understand the second floor area or room is unfinished and unheated. 'Unfinished and unheated spaces are not normally considered bedrooms. Also; a bedroom is defined within Section 31.0 CMR 15.002, State Environmental Code, Title V, as a room providing privacy, intended primarily for sleeping, and consisting of all of the following: (a) floor space of no less than 70 square feet; (b) ceiling height of TY if new construction; (c) a ceiling height of no less than seven feet for existing houses; (d) an electrical service and ventilation; and (e) at least one window. Please clarify this issue at your earliest.convenience.- Sincerely,( Thomas McKean a 5 y 1 LEGEND OSTERVILLE " -J- PROPOSED CONTOUR 9Cm PROPOSED SPOT GRADE —— 98 —— EXISTING CONTOUR l PARCEL ID: + 96.52 EXISTING SPOT GRADE � -4 142/12 W— EXISTING WATER SERVICE / o� 1V TEST PIT OCU PLAN BOOK SCALE: 1"=20' - S83°36'0010 206 PAGE 31 NORTH . a BAY �'vyo 4 1 189.12 q 50.7 \' Lp) f, IV PROP. 1,50OG IP LOCUS MAP OAK o SEPTIC TANK + 50.6 �c> LOCUS :INFORMATION co J PARCEL ID: PLAN REF: E NOTE TITLE REF: 12670/8 0 0 142/13 z PARCEL ID: MAP 142 PAR. 13 cc �' ZONING: "RC" 46 7, >� AREA=16,345E S.F. 00 -- � S. r 0 FLOOD ZONE: "X" - #198 O N CQ � z0 COMMUNITY PANEL: 25001CO544J DATED:07/16/14 Frl r j TOF=49.52P� i 35.31 0 n 0 II W W I m 0 � Z SEPTIC SYSTEM w o N r REPAIR PLAN �, -� ➢ m LOCATED AT: r— -- - ---�,-------_------- ------ t o - vn 198 TOWER HILL ROAD DRIVEWAY PRgPANE 1 OSIER VI LLE, MA. --t -B--R--B z PREPARED FOR nt 0 z i BRB a------------------ GARAGE i p sUSHEs 125' o - + 0.8 D .ti, t V s-2 5 ROBERT .W. POWERS LA I / `,��, ) TH-1 JANUARY 26, 2016 201.2% CALC.) _--____--, I ' DEED 5O0-.9-------------- ���N 0FN86'3 '( ' FENCE IP qy PLAN BOOK 82 PAGE 93 DARRER/ BM COR STEP EL=49.00 No. 1 0 PARCEL ID: 'PfG�sT `� 142/14 S4NITAR0a 7.h 6 i MEYER & SONS, INC. P.O. BOX 981 GRAPHIC SCALE 4 NOTE: EAST SANDWICH, MA. 02537 20 0 10 20 40 80 THE LOT SHAPE WAS DERIVED FROM ABUTTING PLANS PH: (508)360-3311 AND DEED DIMENSIONS. AN INSTRUMENT SURVEY IS FAX: (774)413-9468 HIGHLY RECOMMENDED IN ORDER TO CREATE A RECORD meyerandsonsinc©gmail.com ( IN FEET ) PLAN SUITABLE FOR THE REGISTRY OF DEEDS. 1 inch = 20 ft. SHEET 1 OF 2 J#1807 l I ELEV. TOP NOTE: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS FOUNDATION(Existing) BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE FINISHED GRADE (50.6) = 49.52 F.G.EL: 48.7 F.G.EL: 50.3 F.G. EL: 50.5 VENT .A MAINTAIN 2% MIN SLOPE OVER LEACHING AREA M2" OF 3/8" DOUBLE WASHED _ F.G.EL: 47.70 3/4" 1-1/2" R FILTER,. . STONE 0 FABRIC DOUBLE WASHED STONE a 6" 4" SCH 40 PVC " ®®®®. O ®®®® ink .. 10 I � s 14" @ S= 1% (MIN.) ®®®®®®®®®®® A' TEE'S ARE TO BE INV.46:2:0 F ®®®®®®®®®®® 4" SCH 40 PVC 2 E F. DEPTH ®03®®ME3 93 ® :•Q::A::: INV.46..45 INV.46.0 2 X 8.5' 4' GAS - 4 ExISTINc ouT1.Er BAFFLE . PROPOSED DB 3 . ... . . "' .. DISTRIBUTION BOX EFFECTIVE LENGTH = 25' INV. 47.5 INV. 46.70 .(H20) INV. ELEV.= 45.85 PROPOSED 1,500 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON ����`� OF Mgss9� ` BREAKOUT OUTLET TEE AS MANUFACTURED BY DA REN M. ys ELEV.= 46.85 TUF-TITE, ZABEL, OR EQUAL M R TOP CONC. ELEV.= 46.85 o. 1 / INV. ELEV.= 45.85 • E3 ®® NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING �� ®®®®®®® PIPE INVERTS PRIOR TO CONSTRUCTION Af6/$TES ®®®®®®® BOTTOM EL.= 43.85 ®®®®®®®2) TANK AND D-BOX SHALL BE SET LEVEL AND �NITAR�P� F � TRUE TO GRADE ON A MECHANICALLY COMPACTED } 3.75 5 FT.. 3.75 SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN ,310 CMR 15.221(2) �� SEPARATION 5.25 FT. EFFECTIVE WIDTH = 12.5, 3) INSTALL INLET & OUTLET.TEES W/ SEPTIC SYSTEM PROFILE GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL: 38.60 SOIL ABSORPTION SYSTEM (SECTION) (500 GALLON H2O LEACH CHAMBER) GENERAL NOTES: SOIL LOGS P : 14934 . DESIGN CRITERIA ' i. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL # NUMBER OF BEDROOMS: 3 BEDROOMM BOARD OF HEALTH AND THE DESIGN ENGINEER. SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: JANUARY 21, 2016 OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE DESIGN PERCOLATION RATE: <2 MIN/IN LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 - 310 CMR 15.405 (1) (B): WITNESS: DAVID STANTON, BARNSTABLE B.O.H. DAILY FLOW: 110 G.P.D. X 3 BR = DESIGN FLOW: 330 G.P.D. 1) A 0.75 Fr. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING GARBAGE GRINDER: NO (not designed for garbage grinder) TO BE 3.75 Fr (MAX) BELOW GRADE VS"REQ'D 3 Fr. (H20/VEW PROVIDED) SEPTIC TANK: 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR Elev. TP-1 Depth ` Elev. JP-2 Depth 330.gpd x 200% = 660 gpd, USE PROPOSED 1,500 GAL. SEPTIC TANK TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. 50.60 A 0" 50.60 A 0" (330) 445.94 S.F. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING LOAMY SAND LOAMY SAND LEACHING AREA REQUIRED: tOYR 4/2 10YR 4/2 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 74 ENGINEER BEFORE CONSTRUCTION CONTINUES. 50.10 B 6" I 50.10 B 6" . USE TWO (2) 500 GALLON (H20) PRECAST LEACH CHAMBERS W/ 4' 5. ALL ELEVATIONS BASED ON ASSUMED DATUM.6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF LOAMY SAND LOAMY SAND STONE ON SIDES & 3.75' STONE ON SIDES: 25' L x 12.5' W x 2'D THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 10YR 6/8 10YR 6/8 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. BOTTOM AREA: 25 x 12.5= 312.5 SF 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 47.68 35" 47.68 35" C C SIDE AREA: (25 + 12.5) X 2 X 2 = 150 SF 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TOTAL SQUARE FEET PROVIDED = 462 vs. 445.94 REQ'D TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. PERC TEST 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 0 EL. 46.10 MEDIUM SAND MEDIUM SAND DESIGN FLOW PROVIDED: 0.74(462 S.F.) = 342.25 G.P.D. vs. 330 G.P.D. req'd THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 2.5Y 6/6 I 2.5Y 6/6 CON10. EXISTING CLEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. PROPOSED SEPTIC SYSTEM UPGRADE PLAN 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 38.60 .144" 38.60 144" 198 TOWER HILL ROAD, OSTERVILLE, MA 12. THIS PLAN IS TO BE USED FOR SEPTIC'SYSTEM PURPOSES ONLY PERC RATE < 2 MIN/INCH IN TH-1 P0 AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY NO GROUNDWATERIOBSERVED Prepared for: Powers 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. i DRAWN 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. Engineering and Survey by: SCALE • I, Darren M. Meyer, R.S., CSE, hereby certify that I amicurrently approved by MADEP pursuant to 310 CMR 15.017 - MEYER&SONS,INC.. N.T.S. DMM 15, ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPECIFIED) PO BOX981 to conduct soil.evaluations and that the above analysis has been performed by me consistent with the DATE CHECKED SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. " E4STSANDWICH,A4A02537 1 508-362-2922 01/26/16 DMM 2 of 2 t I