Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0554 WIANNO AVENUE - Health
5 54f� ViamiA� o� enue Osterville w v e A =.162'_ 013 e r r a . y i e d n 17 F C�y���^'��,:;6�.��,.'`�1'j-N ,may.#_. ��'•?� c� `� r Sk� k A. - - .'r µ, =a; , rt Poll E t s "'rw'� 2E x ox ,;� xr a d � cf p�" � ct i '`Q. ,ww W r� _ .'� �3 ti ��vnx�� p �" ,�•�: v , " o cqiNMN r y J ' MP ' t,. � 4 Y t t�i�'+'4,p�*•"S�e,,„�.. ugh „e,:.. � .E, �� +.t��`E';;3.k�a�'�;'t,;d�%�S '� ;3. �:., �•�^'��24,P44F fi'x !� +� get L a } 4Cir r r* :.�'f���$, �����' �o:�,.-f*{e�.sk�'.. �<��n� .,��`� aty,"t ai -�,�`"V`.".*'-:., •e„� a�:'C � '�TtS��� �°`e y, }�, � y s: t � � $!. ,,•ax f xz., k,y 'a 'c;�'y pt'';i�4', ` i L';f vs: 3,.�4,,' rft � r xr�{'� 7 "*r �f �'.,� i e:. ,� �,:.62 ,,•;`�`�,.t'� -a:,���i�,�. r ���'� d ��:, r.'s� � ,,'�, i ��;..�' ,, `�':L� .•N.«s�'�'�'3�#,gr� ;�,s�,�,, �` �,..'e;�i��'�::_ ��i"; ` ",� �r 2 a'a.z 5��v�}4� # yy *' �'w''�. U ,�.yj'}I�.�,yxc� 'SP �.,t s 'i' -w n p,..�.:y p •o ,F'. 1.,1 >•.? �4,,'" ;�"• '" ..,Y`.;� y t ��.rS-+�� ¢��ry � � �c - t"`.�F'�����fx.u�` bLx �.• '+� �r.�'�I N ear 7:• ^�' '�6 '�+�`rt;4f' �' ra aSg`` R y 'L'f. ,yam `�� a: t.. "'x' 3r• }. t ?.t. cx x. ,,/ + a „,;,.e ji r t, ro 11t;# n a `;�eu' 5 ,* t� ,N µ " T• Div su5':`#' 4f,�d f' r'rh ✓v � a. tt a5rw t�i ,:-KiK'T- 3'`�,.a�- < ;�' .,�s4a�# a r �_ �" y cx �ad .r m` .a ��i� } �;. �r '`b+ e r, ,k� �q"''- �1,, ;•r .. 's .� k�,. °h f r �''� �+�� 47k�"i''� i '{� e u' `3'y vN;x'� l '�r�k,� •''�� °3 v` r `:,..,r. � �y��,r"���.¢r+ �{y�C MY, W, Y " '.e�rt �Ii �i�f �• i'r� s��.€rta�'-M 11 �N.F �#X -;�d tF4`� �wCf:pyi � 'nr � � aC�'fl%pV.F�i�1��"�r y t3y� 1 T t.,,`. kc7 y � k r Y .rt,y 7r-�♦ �s 's��� �i)#' �,�� b t�'"� '�,,r.�i�� „v; n k'..-f ^Cd @. ,i'� �rt. � ���3#� _ €" � t VWI i ::� {'4i i s- k•.. � r ,.. � .�;�.�a � k� „�ir wr '<.s'�r yE •# �',�":S`�,,,�. � CY � t r it r�"i t� � .- �' •: � "'§'. *�-: � .� 7. c .cry" ?+ ,� "T,..t a,.fi v ,�?`>c �ik`ix'4�t 'sr �°�� +�:M ` TOWN OF BARNSTABLE LOCATION .-iAnna AVS SEWAGE # a'eg — 07 VILLAGE ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. Fr&n c i Jr,m TA J A R 9J SEPTIC TANK CAPACITY 3000 fM4 15'06 ,70 LEACHING FACILITY: (type) �e c�� ��a�o e'`' (size) NO.OF BEDROOMS /�2 ,t3e�eooe� BUILDER OR OWNER IJAd e<i t K i 'l iel PERMITDATE: � 1J e 11 L COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility (46 H e Feet - Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) TF,w t�• Feet I` Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet II` Furnished by -GAR PAyA ef,5 V • ,I . o <w�, , o � 00 o ( m d I. fJt W < v` 1e �eyT . 3� Ci c � N U N - 3 Q7 11z5tt' l� k4'.�r� D y OR _ x :n I ,. u� No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC,HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETT , a ; ... 1 // placation for Disposal i�pstpm Construction Permit i Application for a Pe it to Construct( ) Repair( ) Upgrade(P Abandon( ) ❑Complete System ❑Individual Components Location Address' r Lot No L) cdlft 4 Ve Os:J(jyill Owner's Name,Address,and Tel.No. Assessor's Map/plarcel l(p I v• 1-3 "IS"ISI U , 4Lt ,11 Installer's Narn I Pes a el.No. Designer's Name,Address,and Tel.No. N/ P.0Lv)( 3�� �S� — .6 1536 Sa ..S C U Sc .'771-7 uZ Type of Building: �11 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 13 c! gpd Design flow provided gpd Plan Date Z-��-t5 Number of sheets Z Revision Date Title Size of Septic Tank 1%ode c I iSO y Type of S.A.S.��Ul✓ ►�; i fit,,/ cn o�.s,e ran Description of Soil C 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 an to place the system in operation until a Certific to o'lei. Compliance has been issued b this Bo o th. ig ® ate .3 Application Approved by ate r Application Disapproved by Date for the following reasons Permit No. Date Issuedy `� y��'' f'. I!� J�{'�. �`r:�.,4:iu"�1 � �', Y• �Ye TVNo. of I! a " 7I °� J Y -`�• Fee} Entered in coin uter:THE COfNifl�OR�liilEALTH OF,Rli�►SSACHUSETTS P s f PUSLIC,,HEALTH DIVISION �TOlf N OF BARNSTABLE, MASSACHUSETTS , . � , �g I licati'oii for jbisposAl 6pstem Construction permit p -' Application for a Permit to Construct Repair Upgrade ( Abandon 'pp ( )• p ( ) pg ( ) O Complete System, Individual Components .., , Location Address or Lot No.s'SLI W/ &Aft Ave- 66(v;11 Owner's Name,Address,and Tel.No. 1 Assessor's Map/Parcel UPI _03 d/r e l i . P 11: c VI S J Lev . Ini t t.,,1• L-0 t I Installer's Name,'Alddress,and Tel.No. Designer's Name,Address,and'Tel:No. ='I IVG �� , r r .to 1 �, 6VA4a•S 4 c�P�1` Q. ? 4 ti s�;�,�- S :-77 •t.Type of Building: < i 1 f 1 - Dwelling No.of Bedrooms Lot Size sq.ft. Garbage'Grinder( ) Other Type,of Building' No.of Persons Showers( ) Cafeteria( ) Other Fixtures�'= `" JJn i'r"�, i?y1 1 i"!;,•_ �. , -i Design Flow•(min.required) 3 I.y t' gpd Design flow provided gpd Plan Date �.� 7 1 Number of sheetst! Revision Date ' Title Size of Septic Tank �Jp da cm, 1,sr a a ? TYPe of,S.A'S. { � _ t y I n_ 1 ..a '.Description of Soil.,,",.., v 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.nof fo place the system in operation%, Ul a Certificate of Compliance has been issued b this Board of'tee l h. P � R L� , igned �•�— *:.. G��'� �. f9( -Date Application Approved by I�/ r .L, &i i // 1Date1 � I Application Disapproved by ! `a Date r `tom for the following reasons A 4f? ).� �,f 4 I. c h 114" V v 1 ; Permit No. /l Date Issued 15? n, , l -- ---- --- --- tip------- -- ---- ' ? t,� a--r..�--:�,- - -- ----------- --- i, ti , THE COMMONWEALTH OF MASSACHUSETTS ( + �. , , ' IBARNSTAlBlLE,MASSACIH USIET4�,S ttr J Certificate of Compliance THIS IS TO CERTIFY, ,tthat jthe�Of n-site Sewage Dis osaI ystem Constructed( ) Repairedj( ) Upgraded( ) Abandoned(..)by �'T/U�!.� at-,r,!r i I- LAJ i,n n\f,V-N CtV AL, fir 4J:CAo't-14 I has been constructed in acco d2nce with the provisions of Title 5,a►nd the for Disposal System Construction Permit N 0 � `dated rJ/II Installer Cl J;L'f0 d!A/MO P A-) Designer / j #bedrooms Approved design flow I gpd c r The issuance of this,permit shall not be construed as a guarantee that the system will functio as(dJesigned. Date ! I Inspector' ' r --------------------------------'----------------------- ------------- V---I----------------------------------------- No. Fee.. THE COMMONWEALTH OF MASSACHUSETTS .PUBLIC HEALTH DIVISION— IBARNSTAIBILE, MASSACHUSETTS Misposai �&pstem Construction,Permit toc"o Permission is hereby grantenstruct( ) Repair(/� Upgrade( ) AbandonSystem located at' ,6� 2 AA MAa (.LI/l�, (Jl,� fJI�I/Y�� _ 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 ����/ / / I ( V/ Approved by ,-i' f 1 Town of"Barnstable Regulatory Services Richard V. Scali,Interim Director * BARNSfABM MAB& g Public Health Division 1639. ♦0 Fnr9'�° Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:,508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: y /3 /6 Sewage Permit# 2ci/6- y7/ Assessor's Map\Parcel /62 of 3 Designer: �,�� - IJM� Installer: %k Address: ]g Na Address: PC). how 3SEi On o 2o/6 �r4ncrsco 7—a'aa?2:15 was issued a permif 6 install a (date) (installer) septic system at 5-55F 14,4he Ave 1«v ' r based on a design drawn by (addres 13a fir- —AJ dated 3/29/2al{ F (designer) Tom. Q'I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank_ Strip out (if required) was inspected and the soils were,found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i ance with the terms of e I\A approval etters (if applicable) OF pa STEPHEN yG ALLYN (In st er's ignature) wk_.bN CIONo.30216 /STE`������� S> E� esigner's Signature) (Affix Desi Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc 2 Commonwealth of Massachusetts 1&,-2 " 093 �^ Title 5 Official Inspection Form i; Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u a 554 Wianno Ave. Property Address C � Estate of Walter M Phillips Jr Owner Owner's Name '=' information is : required for every Osterville MA 02655 7-2-18 page. City/Town State Zip Code Date of Inspection .10 6 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 �S/-+ /3l3 filling out forms � ��tt11°��ttfagi on the computer, \\``\���� ��H OF Mgssq����' use only the tab 1. Inspector: ��2�' •.C1 key to move your a O; cursor-do not James D.Sears =� JAMES `,m _ use the return Name of Inspector — ;cos c�; key. Capewide Enterprises �''•.o�. o: rab Company Name rT I I 153 Commercial Street Company Address Brao Mashpee MA 02649 City/Town State Zip Code 508-477-8877 S 1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority aw�— 7-16-23 spector'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 has a design flow of 10,000 god 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form .�' Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is Osterville MA 02655 7-2-18 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system is a 3000 Gal. and 1500 Gal. H-20 Tanks- D Box and 12 chamber's. 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.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 4 t 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is required for every Osterville MA 02655 7-2-18 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times_a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form 5 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is required for every Osterville MA 02655 7-2-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in 11MEMis less than 6" below invert or available volume is less than day flow .LE,4e#iN& t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts ip Title 5 Official Inspection Form M a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 554 Wianno Ave. V� Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is required for every Osterville MA 02655 7-2-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet.of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be.considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CM 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts < - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ti 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is Osterville MA 02655 7-2-18 required for every page. 64-y-r own State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (if they were not available note as N/A) ® ❑ 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): 12 Number of bedrooms (actual): 9 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 1320 t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 117 ( Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments . � 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is required for every Osterville MA 02655 7-2-18 page. City/Town State Zip Code Date of Inspection D. System Information Description: 3000 Gal.and 1500 Gal. H-20 Tanks-D Box and 12 Chamber's. i 2 Number of current residents: residence have a garbage grinder? ❑ Yes ® No Doesg 9 Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 2016-109,000GaI2017-45,000Gal's Detail Sump pump? ❑ Yes ® No Present Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ale Subsurface Sewage Disposal System Form-Not for Voluntary Assessments !% 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is required for every Osterville MA 02655 7-2-18 page. City/town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NA 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.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form io Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 554 Wianno Ave. " Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is Osterville MA 02655 7-2-18 required for every State Zip Code Date of Inspection page. City/Town D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2016 Permit # 2016 -071. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 2011 Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Pi ein is 4" PVC SCH - 40. Septic Tank(locate on site plan): 10" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 3000&1500 Gal. Precast H-20 Dimensions: 211 011 Sludge depth: t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr -- Owner Owner's Name information is required for every Osterville MA 02655 7-2-18 page. CitylTown 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 40" 30" 1" 0" Scum thickness Distance from top of scum to top of outlet tee or baffle 8" 8" Distance from bottom of scum to bottom of outlet tee or baffle 17" 18" Asbuilt- Plan-Tape How were dimensions determined? . Sludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank# 1 at 10" below grade w/both cover's at 6". Two in tee's out tee. Tank#2 at 1' below grade Ta w/both covers at 8" In and outlet tee's H-20 tank's no sign of over loading. 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form .' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is Osteryille MA 02655 7-2-18 required for every 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 c Commonwealth of Massachusetts y Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is required for every Osterville MA 02655 7-2-18 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 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 30"x30"-2' below grade w/cover at 1'. Box is clean and solid w/6 line's out. No sign of over loading or solid carry over. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes D 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.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 12 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form i� la Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is required for every Cisterville MA 02655 7-2-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 12 ❑ leaching galleries number: ❑ leaching trenches 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.): Leaching is 12 Flow's. Ck D Box and camera out lines. Prob. above and beside flows. No sign of over loading or holding water. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form <I� Subsurface Sewage Disposal System Form Not for Voluntary Assessments 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is Osterville MA 02655 7-2-18 required for every 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.): 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.doc•rev.6116 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ie Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �• 554 Wianno Ave. u Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is required for every Osterville MA 02655 7-2-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all 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 t+ovSf OWE O i 5p N V£ O O C 15. a n A_1 /3-s 70/ - �= g A -13= 03 -4 - 9 � r t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form <o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is required for every Osterville MA 02655 7-2-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth t high ground water: 15'+ feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ 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: Rear of lots drop's off 15'+. Bottom of chamber's at 4'-T below grade. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 117 c Commonwealth of Massachusetts Title 5 Official Inspection Form `I Subsurface Sewage Disposal System Form Not for Voluntary Assessments 554 Wianno Ave. Property Address Estate of Walter M Phillips Jr Owner Owner's Name information is Osteryille MA 02655 7-2-18 required for every State Zip Code Date of Inspection page. City/Town 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 t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIR NM'tNTAL AFFAIRS DEPARTMENT OFNVI4N `� pR�TCTION - Y y` n �.. 'TITLEGV 5 OFFICIAL INSPECTION FORM—NOT-FOR.VOWNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.FORM PART•A CERTIFICATION Property Address:554 !Vzanno A"ve: " Owner's Name: flank Owner's Address: .6 a m e '"= 70 Date of Inspection: Name of Inspector: (please print) 7 M n r n m Q 2 IZ' iA n Z/L C. .. Company Name: / Mailing.Address: ��P_n .eav c e, 7, 4�s�. 02632 Telephone Number. 5 0 8 7 7 3 3 3 8 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal systetli.at this address and that the.infotmsed on my reported below is true.,accurate and complete as of the time of the inspection.f on s to sewage disposal systemsm*e.I am a DEP training and experience in-the proper f inction and maintenance o g approved system inspector pursuant fo-section.15:340.of1Title 5(31.6 CMR4.5:400). The system: APasses Conditionally Passes Needs Further Evaluation,by the Local Approving Authority F s { 1, Date:' /� `5/0 Inspector's Sign0a-re: 3' The system inspector shall submit a copy of this inspection reporrt~o the-Approving Authority,(Board of Health or 000 DEP)within 30 days of completing this inspection.If the sYs 1 .a'report to thetagp opnate'regiona flow office of the gpd or greater, the inspector and the system owner.shall subm t p Reable,and the approving. DEP.The original should be sent to ft system owner and copies sent app authority. Notes and Comments ****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. t i DATE 1/15/05 PROPERTY ADDRESS 554 �Vianno Ave. 0,6teay.iiie rra n��55 On the above date, the-septic system at the address above was Inspected. This system consists of the following: 1. 7wo 6 'x8 ' ce.3.61zoo ez. - _ 2.Jhiz 1.6 not a t.i.t ee dive 3e/2tic *Ztem.- 3.- 7he zep is zy.6tem .i,3 .in paonea woak.ing oadga at the p/tezent t.ime.• Based on inspection, I certify the following conditions: SIGNATURE ' .f Name: Robert A. Paolini Company: Jose2h P. Macomber & Son Inc . Address: P. O. Box 66' Centerville, Mass 02632 Phone: 508-775-3338 or 508-775-6412 ;JOSEPH P. MACOMBER & SON, INC.. Tanks-Cesspools-Leachfiebds Pumped .&.InstaNed ` Town sewer.Connections I P.O. Box 65 . Centerville, MA.026.32-0066 775.333.6 775.6412 • I 1 Page 2 of 11 OFFICIAL INSRECTION O RM-NOT:FOR VOLUNTARY ASSESSME.NTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM. � ' PART A CERTIFICATION (continued) Property Address: 554 bl,.a n n o ,4 v e., Owner: f n a n if Date of.Inspection: . 1/1 5/U 5 Inspection Summary: Check IA;B C,D or.E/ALWAYStcomplete�I of Section:D A. System Passes: no i have not found any information.which indicates that any of the failure criteria described>in 310 CMR 15303.or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: n o One or more system components.as described in.the"Conditional Pass":section need to be replaced.or repaired.The system,upon completion of replacement or repair,as approved by the Board of Healtli,will pass. r— Answer yes,no or not.determined(Y,N,ND)in the for the following statements.If"not determined"please explain. no • The septic tank is metal and over20 years o.I&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. ND explain, n o Observation of'sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box.:System will pass inspection-.if(with approval of Board of Health): broken pipe(s).are replaced. . obstruction is removed distribution box is leveled or replaced ND explain: v: no The system required pumping-more than 4 times a year due to broken or obstructed pipe(s):The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: .2. f • Page 3 of 11 OFFICIAL.INSPECTION FORM-NOT IPOR V OLUNTARY AS-SESSMENTS SUBSJjRFACE SEW.A:G+E DISPOSAL SYSTEM INS.PtCTION,f ORM PART A . CERTIFICA'FION'(coritinued) Property Address: 554 ld-iarzao 4ve•. P 711�.�-..17 a Owner:..f/7r,nk 2h : PQ; QA Date of Inspection: 9/15/fJ 5 C. Further Evaluation-is.Required by the Board of Health: n o Conditions.exist whichrequire further•.evaluation•by-the Board:of�Health;in.order,to:determine ifthe system is failing to protect public,health,.safety or the environment. 1. System will;pass unless Board•of.Health determines4b Recordance with 310.CMR 15:303(l)(b)that the system is not functioning in.a•manuer which will•protect public health,safety•anil.tbe%enuiro.nment: n o. Cesspool or privy is within,50 feet of a.surface water n oo Cesspool or privy is within 50.feet of-a bordering vegetated wetland or a salt marsh. 2. System will fail unless the Board•of Health{and Public Water SupplierlAf any),determines:that the system is functioning in a manner that protects the-public health,safety and environment: n o 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.surfacre water-supply. 110 The system-has-a.septic tank and SAS and the;SAS is within a Zone I of a,public water-supply. 120 The system has a septic tank and.SAS:and-the-SAS is within-.50 fed, of a private water supply well. n o The system has a septic tank and SAS and the-SAS is less than 100 feet..but 50 feet or.rAore front 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 coliform bacteria and volatile. organic cothpounds indicates that the well-is free from-pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or,less than 5.ppm,.provided that no other failure.criteria are triggered.Acopy of the analysis must be attached to t1}is form. 3. Other; Page 4 of 11 OFFICIAL-INSPECTIQrN FORM NOTYORVOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.IN'SPECTION FORM PART A CERTIFICATION, (contin=4.) Property Address: 554 N i a n n o 4 v e. 77 e, Ma., Owner: flank l hi-Pe-i Date of Inspection: D. System Failure Criteria applicable to all systems:. You must indicate."yes"or"no"to.each.ofthe:followitig,for allinspections: Yes No _ . x. Backup.ofsewega:into-fat']'ltty.:or.system-.component.due-_to.overloaded:orclogged SAS....or.cesspool _ x ' Discharge:or ponding of effluent to the.surface bf the:;gound or..surface:waters due to.an,overloaded or clogged SAS or cesspool x Static liquid level in the distribution box above.outlet invert due to an overloaded or clogged SAS or cesspool x Liquid depth in-cesspool is less thank"below invert or..available volume is less than'14•day flow _ x Required pumping more-than-4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped x Any portion of.the SAS;cesspool or privy is below high groundwater elevation. — x Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface T water supply. _ x Any portion.:ofacesspool•or privy iswithin-a:Zone!I.,ofa:public.well.. _ x Any portion of a cesspool-or privy is within.50-feet of a private water supply well. _ x Any portion ofa•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.passe§if the well wateranalysis; performed at a DEP certified laboratory,for colifortn bacteria and volatile organic.compounds indicates:that the well is.free from pollutiow.from:.that.facflity and.thq presence-o€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-roust be attaehed.to this€orM..] no .(yes/No).The system fails.I.have determined that one or.more.of:the:Above.failure,-criteria exist as described in 310 CMR 15.303,therefore the.system-tails.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-faeility,with.a.design flow of 10;00.0 gpd to 15;000. You must indicate either"yes"or"no"to.each of the following: (The following criteria apply to large systems in addition to the criteria above) Y • yes no _ x the-system is within 400 feet of a surface drinking-water supply the system.is within 206 feet of a tributaq to a surface drinking water supply x. the:system is located in a nitrogen sensitive anti interim Wellhead Protection Area_IWPA)or a mapped Zone II of a public water supply well If you have.answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed.The owner'oT operator of any large system considered d 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS 91tSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 554 N=iaar,o ,4vP.. 0,3te/tvi e. l'�c�. Owner: 7/tank Ph i.P e i.2,s Date of Inspection: 1/ 5 f)5 Check if the following have been done You must indicate"yes"or"no"alto each.of the i'oilowing: Yes No x — Pumping information was provided by the owner,occupant,or Board of Health x Were any of the system components pumped out in the previous two weeks? x Has the system received normal flows in the previous two week period? — — _ x Have large volumes of water been introduced to the system,recently or as part of this inspection? na Were as built plans of;the system'obtained and examined?(If they were not available-hote as N/A) x Was the facility or dwelling inspected for signs of sewage back up? x Was the site inspected for signs of break out? x Were all system components, excluding the SAS, located on site'? x 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? x _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil.Absorption System(SAS)on the site.has been determined based on: Yes no x Existing information:For example,a plan at the Board of Health. _ x Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 Page 6 of I I OFFI,CIAL MSPECTI:ON::F-.4RM`-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISAOSAL:SYSTMOSFEC TION FORM � PART.0 SYSTEM:INFORMATION Property Address: 554 bl,i ri n_n n A u P., Owner:72¢nk Phii-P.i 12,6 Date of Inspection: 1/15/Q 5 , FLOW CONDITIONS RESIDENTIAL Number of bedroorixs(design): Number of.bedrooms(actual): DESIGN.flow based on'310 CNIA 15.203':(for example: l IO gpd.z#of bedrooms): Number of current residents: .: Does7esidence have a garbage grinder{yes or no),n o Is laundry on a separate sewage.system.(yes or.no):.n o (if yes separate inspection required] Laundry system inspected(yes or no): y e Seasonal use:(yes or no):n o Water meter readings,if available(last 2 years usage(gpd))?D 0 3: 3 2 U D 0=8 7 6 7 y1?d Sump pum (yes or no): n o 2 0 0 4:.3 2 0*0 0=8 7. 6 7 yl?d Last date of occupancy: 7 2 e e n f COMMERCIiAIUSTRIAL Type of estabWA. t:. n Design flow.( on CMR 15.203):. gpd Basis.ofdato"flow(seats/persons/sgft,etc.):, na Grease trappresent(yes or no): Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system-(yes or no):_ Water.meter readings,if available: Last date of occupancy/use: . OTHER(describe):. .'GENERAL INFORMATION Pumping Records Source of information: . Was system pumped as part of the inspection(yes or no):_ If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for.pumping: TYPE OF SYSTEM —Septic tank,distribution box,soil absorption system x x Single cesspool xx Overflow cesspool _Privy _Shared system.(yes or no)(if yes,attach previous inspection records,if army) Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be ob_tained from system owner) _Tight tank. _Attach a.copy.of the DEP approval _Other(describe): Approximate age of all components,date installed(if khown)and source of information: Were sewage odors detected when arriving at the site(yes or no): n o 6 _ f Page 7 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 554 O i ci n n o 42)e. O.steav-i.�Qe (7a. Owner: flank Date of Inspection: 1175105 r BUILDING SEWER(locate on site plan) ` Depth below grade: 14" Materials of constructio on 40 PVC x othyr 9xplain): Distance from private water s4ply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): System vented th2ough "the /zouse ven_t�aka e. SEPTIC TANK:n a (locate on site plan) Depth below grade: Material of construction: concrete—metal, fiberglass_polyethylene —other(explain) — — If tank is metal list age:— Is age confirmed by a Certificate of Compliance(yes or no certificate) ) —(attach a copy of Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to re dimensio bottom of outlet tee or baff�e How we determined; Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural inte as related to outlet invert,evidence of leakage,etc.): gnty,liquid levels SeI24,ic ..tank not /2ee-6ent. GREASE TRAP:na (locate on site plan) Depth below grade: Material construction (explain);: _ ---metal concrete _fiberglass_polyethylene_other Dimensions: Scum thickness: Distance from top of scum of top of outlet tee or baffle: Y Distance from bottom of scum to bottom of outlet tee or-baffl�— Date of last pumping: Comments on g( pumpin recommendations,inlet and outlet tee or baffle condition,s as related to outlet invert,evidence of leakage,etc.): tructural integrity;liquid levels nt Titles S r»cr�nntinn T'nrm 4/1;/7nnn 7 Page 8 of'I I OFFICIAL INSPECTION FORM—.NOT FOR VOLUNTARY ASSESSMENTS S, SURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:.551--Vianrin -4UP Owner; Date of Ibs.pection: / 5 n TIGHT or HOLDING TANK: na (tank must be pumped at time of inspection)(locate on site plan) Depth below.grade: Material of construction: concrete metal fiberglass—_polyethylene other(explain)r Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm`in working order(yes or no): Date of last pumping: Comments.(condition of alarm and float switches, etc.): Ti ht o z hoedinq tank,6 not /Z2e'3ent DISTRIBUTION BOX: na (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution.to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box, etc,): o11 event. PUMP CHAMBER: na (locate on sife.plan) Pumps in working order(yes or.no): Alarms in working order(yes or no): Comments(note condition of pump chamber,,condition of pumps and appurtenances, etc.); PtLnz.g chamlxe2 not 2e,6eat. 8 Page 9 of I 1 OFFICIAL INSPECTION FORM—'NOT FOR VOLUNTARY ASSES-MENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIONYORM PART C SYSTEM INFORMATION(continued) Pro.pertyAddress: 554 OicLnno 4ve "0.6;te2vi,eie, Ala.+ Owner:. Date of Inspection: 9 /9 5/0 5 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why; Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: yes overflow cesspool,number: I 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 evideace o,' hudlLgai .c f-a euze ' Vege: ation appea/tz noltma�. Suhtem wah d2u a;t time o;—R inzlzect� on CESSPOOLS: 2 (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: 2.16 'x 8 ' Depth—top of liquid to inlet invert:d2 it Depth of solids layer: 0 Depth of scum layer: 0 Dimensions of cesspool: 6 'x8' Materials of construction: U o c/L Indication of groundwater.inflow(yes or no): n o Comments(note condition of soil,signs of hydraulic failure,level of.ponding;condition of vegetation,etc.): PRIVY: na (locate on site plan) Materials of construction: Dimensions: ,m. Depth of solids: �. level of ponding, condition of vegetation,etc.): Comments(note condition of soil,signs of hydraulic failure, ')1t.jV11 no.t 9 Page 10 of 11 OFFICIAL IFISPE TloN-FORM.,-NOT FOR'VOLUNT R'y;ASSESS�VI]ENTS / S5I�RF'A:OE SE' 'AGE:Z�IS�I?.QSA SYS I E1NI.ZriSPEGTID�i:FARM PART C SYSTEM MORMATI.ON(contimxed) Property Address: 5 5 4 6),i a n n o R v e Owner: T z¢nk %hM Date of Inspection: 9 L 9 5 L Z2 n SKETCH OF SEWAGE•DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public'water supply enters.the building. 10 r .Page 11 of 11 INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMEN FORM TS OFFICIAL SUBSURFACE SEWAGE DISPOSAL CYSTEM IN SYSTEM INFORMATION(continued) Property Address: 5 5 (� u n n o Ave., Owner:f 2¢nk l hi i oiP Date of Inspection: 9�5/()� SITE EXAM Slope Surface water Check cellar. . Shallow wells -� x: ound water 20 feet Estimated depth to gr — Please indicate(check)all methods used to determine the high ground water elevation: n o obtained from system design laps on record-If checked date of design plan r@viewed: , p hobserved site(abutting propertylobservation hole within 150.feet of.SAS) no Checked with local Board of Health-explain: i,Checked with local excavators,installers-(attach documentatn n 0 e m a u �;,pccessed USES database= 1 texplain: ' #n,.,n P�, how you established the high ground water elevation: You must describe used;Gahert & Miller model 12 1 used-USGS observation well used- Technical bull — wa er a eva ions. 10 1� u Ground water: Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Pkinvptej. d Metho Therefore,the.vertical separation distance between the bottom of the leaching pit and the adjusted groundwater table is , 7 ; feet: r rr••r.trrz.•.r�Ta�rtr.:ns�r•'rrrr-.r.::r.'r1rr:�rrs�rn mrt't rr—per.m..: _ ... �.. �.. .. .._T:e'rr:r-T.�'�...�..r- k,•... TOWN OF BOARD OF HEALTH SUIISURFACF. SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D - CERTIFICATION MY •••�•••�r••.-::-�-.c�••,�-nrnen•r.:m-s.-:�r:errr+'r- t-trr.�.-mnre+'rne+rtrrst:marsrenr..•e's ramts�mrnrs:a�rrrrrnr..•.-rrr•r.•-.•.-•.n -TYPE OR PRINT CI,EARLY- PROPERTY INSPECTED STREET ADDRESS ASSESSORS MAP , BLQCK. AND PARCEL # OWNER' s NAMEYl PART D CERTIFICATION NAME OF INSPECTOR Roe, %ao:�:in� COMPANY NAME aoze12h P., NacomfleA''R` Son Inc COMPANY ADDRESS Box 66 Centenvie.9e a.3. 02632 Street Town or City. State LIP COMPANY. TELEPHONE ( 508 075 - 3338 FAX ( 508 )790 - 1578 CERTIFICATION STATEMENT I certify that I have personally .inspected the sewage disposal system at I address and that the information reported is true , accurate, and omplete as of the time of :inspection . The inspection was performed and any . recommendations regarding upgrade, maintenance , and repair areL consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one: 10 System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately. protect public health or the environment as defined in 310 CMRr 16 . 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED The inspection which I have con ircted has found that the system fails to protect the public Iiealth and the environment in accordance with Title 5 , 3.10 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this insp c ion fo m . Inspector Signature Date ` 1. C0 ne copy of this certification must be provided to the .OWNER, the. BUYER ' ( where applicable ) and the BOARD OF HEALTH. * If the inspection FAILED, the owner or operator shall upgrade ' the system. within one year of the date of the inspection, unless allowed or required otherwise as provided in 310 CHR 15 . 305 , partd.doc ;< ueeum k, \ ., C t '� ..c G U $ i S ii u I u: b ;M ,, S t. wi" t Y 7 4 42 st I t ^ y e ,. 4 ,:1, C .: tzz ,.._ .,' .�',',.,p 11' t ,.. . -,�: Y - :i :�,., ,-- c- - d - k -. ... :..: ... ...`.- Q. T. Ogg, gwl .- ....-. _3 - _ y. -..,.,,.. r. -.:. -:,.. 1. S- -,,......,, ... s � sx - k f - ` f" t y ,� Y r:. - t ... -. .: x_i. ,. 3 .-,. ..a, �.... .F ,.a 5i a.-t ,........< _., .. d >:'f-\ t f i- ... x'E :." C' P �Z f s i:, T -.•t. y U. x S v A, E .., LTI .O AS,S \CUSETTS T -IE OlT A .:, w f k; _ 13 ,-. _ V ., q. , ,- � •,.. .. a , s „_, _,.. :..:. _,v. '.t v, e... .._ .-_ .. f.>. r a .2 S_-Ou_n S S.._ 3+Y, .fi M1 �R i _, .. EPARTME T I' EhT IRo�T E T A PROTE 'T� N r _ � : .. 4 :: �. .'* S r : r "v l :': '_,. -�t ,!:1 r -a uv - Y ..C..: Y CN i4:.f \ r : ., .:, i.e._ 1-,,.;- ti 't 1 r -... :.t:... :..:. :, 1 :-.. ., t .rw t _ Mims 11 a A BET N o TIAT ,. `r --1 + 1. t, 4 y _ Imn- : art l . =I \ 'I Y J i _ f ek t +Ft 11 _ - - .. ;.,, ,- -::>: i. .._,,a..+ ..e. ::r j it <,,cl a a© 1. x ,_, , 1 nl p All tt k t . .t t >'1 R > , :. re a i-c <. a < 1, here:.4 , A.. nalifcatlons as nd s _ Has . ir, -Sf ed tt e ., artme -F p _ q = k ti MEWAN _ _, r. I ffi r., zed �o use the title 'i'r, - OM - - d i S 4- 5 C I < P T R:r ;C RT IED TITLE , S STEM. N C O E X -' F u .: ... .. .......:. .. ... .� , : X --:'> :.OWN S q. y > 1. i , , 0. nd „Secti n 13 ofa ter 21 A, of tie_ as rolcled: �n, 310 l�! 15 3,4� p o P .� ... r. .t :N �� 5 v, .:.,r r a :.., ,....s.:_ ..:n .w,.- ,... -: z ,,. ', ,. ....,.., ....,,:,. 1._.. ,t-. ,� < - .,.:.. ,-r s t: i V.., s.. .:, ., .. N11 .I, .... ...,,y ,. ,.- 1. I ,,ued b The De artment of Enn.VANronmental Prot'ectlon General Lames ss v J 4: ::r :'f _ Y - . .. - _ '_ , - :, .. -e.:.. .. t .,.S• t \ 1.L i TM A: Jul'` 27, 2004 % Director _,44. 11 .'. ; i.: .,,. - , . .1 a Town of Barnstable THE lqy�� Regulatory Services Richard V. Scali,Interim Director 9'"` 's'"B`F� Building Division BARNSTABLE MA93 1639-2014 �p 1639. rfn���s Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 May 13, 2014 Dear Mr. Phillips, This e-mail consists of five pages plus this cover page. Page 1 is the 2011 advertisement for a 9 bedroom property which agrees with the assessed bedroom count. Page 2 is a letter from the rental agency promising to remove wedding location from ads. Page 3 is the 2014 advertisement for a 12 bedroom property. Page 4 is the 2014 assessment. Page 5 is the continuation of the 2014 assessment of a 9 bedroom property. r The confusion/concern of this office is the discrepancy involving bedroom count without an increase in fire protection. Until there is resolution, no permits can be issued for this property. The Building Commissioner, Thomas Perry, is out of the office until May 15 and can be reached at 508-862-3032. Sincerely, . Paul Roma Local Inspector a r i Osterville Real Estate, Cape Cod Real Estate, Vacation and Yearly Rentals Page 1 of 3 I Seaport ^ Village REA XV 9 ParkerRoad,0stmille MA 026M 508-428-4443 Office 508-428-4493 Fax Print This Page Osterville, MA 554 Wianno Ave$12,500/Week Osterville, MA Vacation Rental Oceanfront 9 Bedroom home �---- Pro ert No.#9981 554Wianno 4 �,f . ` r ' �-� `I _ - f yga1 'K; 'iG -ts I E Oceanfront on a white sand Nantucket Sound beach near Dowse's beach this classic home has 9 bedrooms,8.5 baths,tennis courts, a beautiful back yard and deck everything you need for a perfect Cape Cod vacation! For more'information, call Seaport Village Realty, Inc., Osterville at 508.428.4443, or E- Mail:Vacations@MargoSells.com. Bedrooms: 9 Bathrooms: 8.5 Half Bathrooms: n/a Square Feet: 5000 Interior Features: Living Room, Reading Library, Separate Dining Room, Family Room , Eat in Kitchen, Floors-Hardwood , Bath-With Tub, Fireplace-Wood , Fireplace- No Use, Laundry/First Floor Appliances, Electronics: Furnished, Refrigerator, Stove/Gas, Dishwasher, Microwave, Laundry-Dryer, Vacuum , Iron, Ironing Board, Bed Linens Provided, DVD Player,Television, Kitchen-Adequate Dishes/#Occupants, Kitchen-Adequate Silverware/# Occupants, Kitchen-Adequate Glassware/#Occupants, Kitchen-Adequate Pots,Pans/#Occupants, Kitchen Utensils , Coffee Maker, Lobster Pot,Toaster Oven, Provided- Paper Towels&Toilet Paper, Provided-Laundry Detergent, Provided-Dishwasher Soap Utilities: Heat- Oil http://www.seaportvillagere-com/cape-cod-vacation-rentals-listing--Drint.aSD?id=332 4/-5/20 11 �002 PiQ 0 LUXURY HO.MEs &EsTATEs j 9 PARKER ROAD OSTERVILLE MA 02655 � PHONE: 508-428-4443 FAX: 508-428-4493 Date: April 5, 2011 Re: Roberts Wedding 554 Wianno Ave, Osterville April 16, 2011 Enclosed please find the lease agreement for the rental located at 554 Wianno Ave, Osterville, MA 02656 as per your request. I plead with you to allow this wedding to continue as at this late date Mr. Dan Roberts will never be able to find a new location and re arrange wedding plans already paid for and planned out for months. have removed an mention of wedding in any and all advertising for this �-- Y 9 9 property for our company Seaport Village RE, Osterville. We had the wording " a perfect location for a wedding " but market the home to families for the summer. Please tell me what 1 can do to fix this situation and I will do whatever it takes so that the Roberts can have their special wedding day as planned. Thank you in advance for your help. I. can be reached at 508-648-2967. Best, Michelle Wright Sylvia Seaport Village RE, Osterville Cape Cod Vacation Agent Cell 508-648-2967 ' michelle@,auecod.com www.margorents.com I 6 1� 1 Kv-"".�'p,t r�fr,Lti•,1{E'S N jjppppj.� RlEt Li" I • a) • Fat :• .a�,£ rsi FxBY ML :a�p q tgy:. r-�•" it — - - - - - - - - .. r� k ki ^G�3€�?i -.s :�.�x F�� C '��4' {�.�."";< i F'b r an��" e�� ii+�xy a A''Yk�. • •tj.'r.�n =�,,_y.F t°aARm 1ifi� �SR��`."3�y`•"ra-�'�ro�:��'" {�`n�`b3` oC._ ,�._-ram - F r �• - s ����� t t t psi. - � 111 •• y M114 `"��•�'rti�a r:'y r .-Jr�.,t,r� ice"r�.� � - - ___ .. - - __ - - - Oft 6 - LT m _ , r' • • 019. Eo -= • Y ' 'Official Website of The Town of Barnstable -Property Lookup Page 1 of 3 Assessing Division Property-Look-up Results - 2014 367 Main Street,Hyannis,MA 02601 /t` .—�--� «BACK TO SEARCH 2<' //� /_ i �-1— I Print Fnen Owner Information-Map/Bloc Us e: 1010 Owner Owner Name as of 111/13 PHILLIPS,FRANCIS B&WALTER M JR Map/Block/Lot GIS MAPS i 102 ESTABROOK RD 162/013/ CONCORD,MA.01742 Property Address Co-Owner Name C/O PHILLIPS,FRANK 554 WIANNO AVENUE Village:Osterville Town Sewer At Address:No GIs Zoning Value:RF-1 i Assessed Values 2014-Map/Block/Lot:162/013/-Use Code: 1010 ' 2014 Appraised Value 2014 Assessed Value Past Comparisons Building Value: $532,900 $532,900 Year Total Assessed Value Extra Features: $71,800 $71,800 2013-$4,935,700 2012-$5,091,500 Outbuildings: $49,600 $49,600 2011-$5,274,700 Land Value: $4,280,000 $4,280,000 2010-$6,437,000 2009-$8,012,400 2008-$6,053,400 !2014 Totals $4,934,300 .$4,934,300 .2007-$6,047,300 Tax Information 2014-Map/Block/Lot: 162/013/-Use Code:1010 ! ! Taxes i C.O.M.M.FD Tax(Residential) $7,450.79 Community Preservation Act Tax$1,350.02 Fiscal Year 2014 TAX RATES HERE Town Tax(Residential) $45,000.82 $53,801.63 Sales History-Map/Block/Lot 162/013/-Use Code:1010 History: Owner: Sale Date Book/Page: Sale Price: PHILLIPS,FRANCIS B&WALTER M JR1219/2004 19328/326 $2000000 PHILLIPS,WALTER M JR ET AL 8/29/2003 175531275 $1 Photos 162/013/-Use Code:1010 Sketches-Map/Block/Lot:162 1 0131-Use Code:1010 .:aAS/BMT[6311 .'St !AsBuik Card N/A Constructions Details,-Map/Block/Lot:162 1 013/-Use,COde;.1010. __,.::........:.:.::. hq:/./www.townofbamstable.us/Assessing/propertydisplayscreen l4.asp?ap=0&searchparc... 5/12/2014 fficial Website of The Town of Barnstable - Property Lookup Page 2 of 3 C- Building Details Land j Building value $532,900 Bedrooms 9 Bedrooms USE CODE 1010 I Replacement Cost $710,568 Bathrooms Full Lot Size(Acres) 1.83 Model Residential Total Rooms 22 Rooms Appraised Value. $4,280,000 Style Conventional Heat Fuel Gas Assessed Value $4,280,000 Grade Custom Plus Heat Type Hot Air Year Built 1880 AC Type None Effective depreciation 25 Interior Floors Carpet Stories 3 Stories Interior Walls Plastered I Living Area sq/ft 7,064 Exterior Walls Wood Shingle Gross Area sq/ft 11,630 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Outbuildings&Extra Features-Map/Block/Lot:162 1 0131-Use Code:1010 j i Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement-Unfinished 2966 $41,100"' $41,100 j WDCK Wood Decking 180 $2,900 $2,900 w/railings FOP Open Porch-roof-ceiling 717 $22,000 $22,000 i FPL3 Fireplace 2 story 2 $7,600 $7,600 FPO Ext FP Opening 1 $1,100 $1,100 FGR3 Garage-Good-Wd 900 $27,800 $27,800 Shingle TEN Tennis Court 7200sf- 7200 $18,900 $18,900 Concr :Sketch Legend Property Sketch Legend i B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLIP Loading Platform GRIN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front .UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio Print: .rlen Contact Director of Assessing, Jeffrey Rudziak P 508-862-4022 F 508.862-4722 8:30a.m•to 4:30p.m. Helpful,Links to Downloads::..' Abatements . SALES LISTINGS Barnstable FD Residential C.O.M.M FD Residential http://www.townofbamstable.us/Assessing/propertydisplayscreen l4.asp?ap=0&searchparc... 5/12/2014 Town of Barnstable P# oF1HE 11j� Department of Regulatory Services E BAM&VAELE, : Public Health Division Date it a39. 200 Main Street,Hyannis MA 02601 ry ism Date Scheduled Time M, Fee Pd. (� a M. Soil Suitability Assessment for Sewage Disposal f e;"ti^a Performed By: S Witnessed By: LOCATION & GENERAL INFORMATION Location Address.. W la.)t.e vtma3 /4lrC. Owner's Name r P6 ,I h 40.3 LJ'1 I L4 Address 102, &98,i,6r'odk RW CG /71VI L Assessor's Map/Parcel:..__l _2 161,3 Engineer's Natme NEW CONSTRUCTION REPAIR Telephone# 50Z P"?7/- 75'CZ Land Used,c14.1 Slopes(%) Surface Stones ✓I oM.e. Distances from: Open Water Body Ion ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) ,I I Parent material(geologic) 614o li.l Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date / z 15 Time Observation Hole# Time at 9" Yf•2/ [ _ Depth 6f Perc Jr{�4 4C�f Time at 6" r• Start Pre-sonk Time a {l:02 9ci 'Time(9"-6") End Pre-soak )/,I7 11 4$ Rate Min./Inch Site Suitability Assessment: Site Passed _ Site Failed:. Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- *If percolation testis to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning'. Q:HEALTH/W P/PERCFORM - °� Vs DEEP OBSERVATION HOLE LOG Hole# t� Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders: Consistency,%Gravel) D n ,p Loc�"Y $a wc/ /0 �rc w�.�ci di.r ry DEEP OBSERVATION HOLE LOG Hole # Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) ;Munsell) Mottling (Structure,Stones,Boulders. Consistency,°°Gravel WC.• 6Jfd�e.w i DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,° a el s« 4/, �c µ l a 1 t, q 12 3lL '— S'' ?o L� �da"'Y s�� to YV Y13 Z.o"-13Z C Ina, 54. o Ye S/8 — lUc INa�r' S.° DEEP'OBSERVATION HOLE LOG Hole# �f Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mrinsell) Mottling (Structure,Stoles,Boulders. Consistency,°°Gave 0 y rl Lo�zw� Jcan�f �tS Y', �/ A)a G✓a. er��jSCCI�x..l Flood Insurance Rate Man: Above 500 year flood boundary No— Yes Within 500 year boundary No V Yes Within 100 year flood boundary No_ Yes —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? �eL s If not,what is the depth of naturally occurring pervious material? Certification I certify that on 4 5 (date)I have passed the soil evaluator examination approved by the Department of Envirorunental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. j Signature Date I Q:H EALTH/W P/P E RC FO RM Town of Barnstable P I aF 1HE>b Department of Regulatory Services fi„ANaTABLE. Public Health Division Date it p MASS. 26J9. �� 200 Main Street,Hyannis MA 02601 prEO m Date Scheduled Time J r I Fee Pd, i�u Soil Suitability Assessment for Sewage Disposal Performed By: SAMQe- W,\Szp^ Witnessed By: LOCATION & GENERAL INFORMATION Location Address Sa r-f• W fe v%Ytic9 AvT- Owner's Nome (^ Ph r 11 r (0 S Address 102 F-9atM,br-oal-t WJ i✓�n.cw�0�/1l s, f, G /7V2 Assessor's Map/Parcel:.,_. _2 16/3 Engineer's Name l`3A Z(-er-lQ1-C - NCWCONSTRUCTION REPAIR �_ Telephone# ",SOZ ^ 91- 754Z Land Use _ cQ.i,��fC Slopes(%) Surface Stones YI ong- Distances from: Open Water Body !fin ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) lJl�aSc /'�+•� rfo a�che� .�'fY� '1-C-h�� i i d Parent material(geologic) 61 ac tot ®U 10datA Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.(tole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level— PERCOLATION TEST Date / Z 1 . Time Observation Hole# _ "� Time at 9" ; 1 �[ _ Depth of Perc �t�4 fed t! Time.at 6" / Z Start Pre-soak Time a /It 02 /! 34� Time(9"-6") End Pre-soak it,-I l 1/ f46, Rate Min./Inch Site Suitability Assessment: Site Passed Y— Site Failed:. Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation testis to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:HEALTH/WP/PERCFORM 20 ► agc���y.'o� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. Consistenev.%Gravel) to wr l�o`—(32a e I14 a AL 06,s.,z,V . DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency,°o Gravel) Ak 41 fGse DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co nsiste c ° Gravel) 0-5-« Ap L'a —1 Sli.��Q I d t2 3lz $"� 20 rr �a�..,y S� /O ye 11"3 Nc Wa�t� SE. DEEP OBSERVATION HOLE LOG Hole# �f Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) v r A P YR /o YR Flood Insurance Rate Male: Above 500 year flood boundary No Yes✓ _ Wilhiii 500 yeflr-bolirtdery--. .- No I" -Yes Within 100 year flood boundary No_ Yes 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? yls If not,what is the depth of naturally occurring pervious material? Certification I certify that on Aorg5 (date)I have passed the soil evaluator examination approved by the Department of Envirorunental Protection and that the above analysis was performed by the consistent with the required training,expertise and experience described in 310 CMR 15.017. I Signature Date i Q:HEALTH/WMERCFORM 4+ Z alS 09�/.'U I Map Page 1 of 2 Town of Barnstable Geographic Information System New Search Home Help Parcel Custom Map IF Abutters I Map Size [3 zoom Out M e a e U e n o din ,{gviewer �- aR =]PG 102009 103027 #610 us Y 524 _ 102011 - - .32 182013 I. Y 554 82 1003 Full 1 Y533 Narituck6t§ound Map: 162 Parcel: 013 Property Location: 554 WIANNO AVENUE Info Owner:, PHILLIPS,FRANCIS B&WALTER M 3R Y557 182028 9560 I Location Information 102002 ® Map&Parcel 162013 Y 38 1620 15^ 162028002 4n —Y16 Location 554 WIANNO AVENUE 'ef }} Acreage 1.83 acres U62 . 0 182010 02 0 1 Current Owner Mailing Address PHILLIPS,FRANCIS B&WALTER M 7R - C/O PHILLIPS,FRANK 102 ESTABROOK RD Set Scale 1��= 182 �_Atrial Photos v(- I MAP DISCLAIMER CONCORD,MA 01742 Appraised Value(FY 2016) Copyright 2005-2010 Town of Barnstable,MA All rights reserved.Send q x ra ea ores $68,000 - Barnstable MA v1.2.5833[Production] - Out Buildings - $46,900 Land $4,463,700 _- ' Buildings $472,600 , - Total Appraised $5,051,200 Assessed Value(FY 2016) Extra Features $68,000 Out Buildings $46,900 Land $4,463,700 , . Buildings $472,600 Total Assessed $5,051,200 Construction Detail Style Conventional - - - Model Residential Grade Custom Plus Stories 3 Stories - - Exterior Wall Wood Shingle Roof Structure Gable/Hip _ Roof Cover Asph/F GIs/Cmp \\. Interior Wall Plastered Interior Floor Carpet - "�;• Heat Fuel Gas Heat Type Hot Air AC Type None - - Number of 9 Bedrooms Bedrooms Number of 7 Full-0 Half Bathrooms _ Total Rooms 22 Rooms s_ _ Living Area 7064 Replacement Cost $787,608 Year Built 1880 ' Depreciation 40 Building Sketches http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=162013 3/23/2016 Map Page 2 of 2 inn i R MAP DISCLAIMER This map is for planning purposes only. It is not adequate for legal boundary determination or regulatory ... interpretation.This map does not represent an on-the-ground survey. Enlargements beyond a scale of 1"=100'may not meet established map accuracy standards. Parcel lines on this map are only graphic representations of Assessor's tax parcels.They are not true property boundaries and do not represent accurate relationships to physical objects on the map such as building locations. http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=162013 3/23/2016 I Health Master Detail Page 1 of 1 � �� ,� ,C��d[w LSD'��,'±,�,• o- 4'g`-r+S k�" �a,��I��''������l.�'s+'� "c°' �._.LL� ��°,� �-n.. ts,� ` Logged In As: TOWN\miorandd Health Master Detail Tuesday, March 22.2016 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 162-013 Location: 554 WIANNO AVENUE,OSTERVILLE Owner: PHILLIPS, FRANCIS B &WALTER M]R I Business name: Business phone: jRental property: ❑ Deed restricted: ❑ Number of bedrooms : � 01 Contaminant released: ❑ Fuel storage tank permit: ❑ 1 _ Save Parcel Changes Return to[ookup Parcel Info Parcel ID: 162-013 Developer lot:LOTS 6, 8 & UN- NUMBERED Location:554 WIANNO AVENUE Primary frontage:215 Secondary road: Secondary frontage: Village:OSTERVILLE Fire district:C-O-MM Town sewer exists at this address:No Road index: 1832 Interactive map ° AP (Aquifer Protection Overlay Town zone of contribution:District) State zone of contribution:OUT Owner Info Owner: PHILLIPS, FRANCIS B &WALTER M IR Co-Owner:C/O PHILLIPS, FRANK Streetl: 102 ESTABROOK RD Street2: City:CONCORD State:MA Zip: 01742 Country: Deed date: 12/9/2004 Deed reference: 19328/326 Land Info Acres: 1,83 Use: Single Fam MDL-01 Zoning:RF-1 Neighborhood: WF13 Topography:Level Road:Paved Utilities:Septic,Gas,Public Water Location:Waterfront,Excel View Construction Info Building No ear Buil Gross Area Living Area Bedrooms Bathrooms' 1 1880 11630 7064 9 Bedrooms Full 0 Half Buildings value:$472,600.00 Extra features: $68,000.00 Land value: $4,463,700.00 3 p http://issgl2/intranet/healthMaster/HealthMasterDetail,aspx?ID=162013 3/22/2016 f Town of Barnstable oFt"Eras. Regulatory Services Richard V. Scali, Interim Director . 9 MASS. ��,` Building Division BARNSTABLE prFp �a Thomas Perry, CBO Building Commissioner 200 Main Street,- Hyannis,MA 02601 i www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 April 16,2014 Mr. Frank Phillips '102 Estabrook Road Concord,MA 01742 Re 554 Wianno Avenue,Osterville,MA Dear Mr.Phillips, On April.10,2014 application was made to erect 2 tents at the above referenced property.This application is denied because there are several areas of concern that must be resolved before any . permit will be issued for this address., A 2011 rental advertisement specifies this property as a 9 bedroom site.-The town assessor's office . and the rental registration form that was filled out for the Health Department both specify 9 bedrooms with a maximum occupant load of thirteen people.A 2014 rental advertisement states that this property is a 12 bedroom.house. State law requires the upgrading of smoke detectors'for the entire dwelling when a bedroom is added or created and this work requires a building permit. Our records indicate no permits were G issued for this work. Our records also indicate an incomplete septic plan for work performed on the system. Your promt attention to these matters is appreciated so that resolution can be effected. Sincerely, Paul Roma Local Inspector CC: American Tent and Table PO Box 1348 Marston Mills,MA 02648 W Summer rentals for rent at 554 Wianno Avenue Osterville, MA Osterville - from CapeCo... Page 1 of 2 ShareThis a ^i Capo Faif Esrato r. a-o c b '' r` ICIIH2IEQ800Y0wDrPa3tll YlCdtlOnl.x;': Cape Cod heal t:stale litrsiness Search Cape Cod Classifieds OnCape. My°C a{'1e Entertainment Cape C:;od Oriline. Acc !Leyi. ; Sian In[New User?.Sign Uu] LW Your Rental Search Advertise My Toots. - - j Welcome to Cape Cod's i rinrida Rantnia most prominent Websitc, }; 554 Wianno Avenue Osterville,MA Osterville for vacation rentals Seaport Village Margo Pisacano j CAPE COD USA Summer a Realty,Ina Summer rentals Reouest More. t R C A L E S l"A T E 9 Beds,8/1 Baths ` Ostennlle 5,000 Sq.Ft. ;n sm -,� Inforinalt4l. ..:.: ,. �eyx �;31�LM3Infg, 2; I4E_5 Rustic oceanfront Antique on a white sandy beach on i Nantucket Sound just next to Dowse's beach,This classic 0 Cape Cod retreat has 9 bedrooms,8.5 baths,tennis.courts,a e -., Prime Weeks Still Available s- beautiful sprawling...More Details i w i ing,s Y�ebsice Hundreds of Mid Cape Rental Weeks! OCEAN EDGE P ESORT Contact Rentals , Made Easy!'. SEARCH ACAPE COD M_l..S r Save Ad 0 Email Friend ucl Print Brochure r a 'nE'wIX7APROPERtIES Details Photos . Property Details ' f Rent: $12,500 A Bedrooms: 9 - c MLS Number: N/A 4p R Full Baths: 8_ t � Partial Baths: 1 Square Feet: 5,000 _ Lot Size(Sq.Ft.). 1 , Address 554 Wianno Avenue *' Osterville,MA Osterville t 4 Updated: 12-04-2010 _ Description , y' Rustic oceanfront Antique on a white sandy beach-on Nantucket Sound just next to Dowse s`beach This classic Cape Cod retreat Figs 9 bedrooms 8 5 baths tennis:courts a beautiful sprawling back yard and deck` vl-Weddings pos�ssible ep$t,ithogh June For information an this beautiful prrbperty`calltSeaport Ostenriile'at 508 428.444s�ar i,75 Mail VACATIONS@MargoSells:com.To"vievi*all°"ouf CAPEWID'E RENTALS,visit our , wetisite'at www SeaportVillageRE:eoin a Contact Information r.required information *First Name: - *Last Name' Phone: r E-mail Address: *.lip Code:' *Contact Preferences: *Buy Within: x . Email 1 Month Comments: Please send me more Info about this listing. What happens with my info http://capecodrent.re.adicio.com/realestate/dl-4a4al d553 e61-554-wianno-avenue-osterville-'... 4/1/2011 r PaaL Pema Rolm C 2 f4rl he .� c� sa Ss 14 U e �- C yr r� �''s : �����•� �eoi 4 nvw Y A'y N 612 j • . . •fin - ,; . - .• /:S K' 4-�:/ . t 4 + d i.,/6. JY , �r7(Y,/V D'y 0? KAI o?/7x a i gig. _„ —tea �.-.» •�• - �� r 2 ff,f :,e �oXla i�Xi e Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10527 a $1lR"AASS401 Ci ra r ,y d( M Logged In As: Parcel Deta I I Tuesday, April 29 2014 Parcel Lookup Parcel Info Parcel 162-:0 ' Developer LOTS 6, 8&UN-NUMBERED ID Lot Location 554 WIANNO AVENUE Pri 215 —.--~ -~_._..�._m._.._� Frontage j Sec(_ ___�_ _ __.____. _ _, __._� Sec Road Frontage Fire Village OSTERVILLE District'C-O-MM Town sewer exists at this Road address No Index 1832 Interactive Map Owner Info Owner,PHILLIPS, FRANCIS B&WALTER M JR Co-Owner C/O PHILLIPS, FRANK Streetl j102 ESTABROOK RD �� Street2 City(CONCORD ( State FMA I Zip 101742 Country Land Info ........ .. ...... ......... ............ Acres 1.83 _ J Use Single Fam MDL-01 ( Zoning RF-1 Nghbd WF13� --- Topography jLevel m Road(Paved Utilities Septic,Gas,Public Water Location Waterfront,Excel View Construction Info Building 1 of 1 Year 1880__ __ - Roof Gable/Hip _ ExtWood Shingle Built Struct j Wall Living Roof I AC _ BAS/BMT[691] Area i7064 cover Asph/F GIs/Cmp Type None Style Conventional ( Wall Plastered f Rooms 9 Bedrooms 1 ,nt Bed d s a RIRA s � 8MY Model residential Int Carpet Bath�7 Full ( i or Floor Rooms t A" _.__._.__ Heat _..._. Total Grade Custom Plus I Type Hot Air Rooms[22 Rooms � Heat,--------_ Found- Stories 13 Stories Fuel;Gas ( ation Typical Gross http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10527 4/29/2014 S FORM P.P. 2 9 Alf 118004*0010 D/ Department of Public Safety Division of Fire Prevention and Regulation APKJCXM FOk PERMK,AND POW,FOR REMOVAL AND TRANSPORTATION TO APPROVED,VM YARD F'DID# Q192^ p permit # - Date October 6. 1993 9.3 Osterville(Town of Barnstable) City.Town aCl but C .82 s.40 N.C .L. J�Al4 ` DIG SAFE NUMBER Fee Paid:S 10.00 �`Z►�� v'L.t-� #933904679 star. date 9/27/93 In accordance with the provisions of Chapter 148, Sec. 38A, M.G.L. ,, i 527 CHR 9.00 application is hereby made by: Phillip Macallister Street Address & City or Town: Ostervile, MA c r Signature of applicant: Applicants name printed For permission to remove and transport one underground storage tank from. Owner: Ann C. Bird /1 tre'et Address! 554 Wianno Avenue,Osterville, I Hitchcock Oil State Lic.# MA,_10'; Firm transporting waste: Hazardous waste manifest # Approved tank yard: Mid city Scrap # 12889 - Tank yard Address: Westport, MA Type of inert gag: UL tank #: Tank capacity: Substance last stored: Date of issue:^October .6. 1993 Date of expiration: October 20 1 Sign / ature Title of Officer granting permit T KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMI f'n IVI/q, `d1METq� Town of Barnstable Public Health DivisionMUMMB e0. 200 Main Street ' C5 �r,�: T Leo; Hyannis, MA 02601 ^'0 0 PE"'"ryf 0004606238 JAN 05 2006 MAILED FROM ZIPCODE 02601 SENpEN IE(I NO AW)RESS NO1 1)1.1IVLIIAL(L AS AODRES$Ep ;� arge' ,, Bird INALU T{)f0}�tNAI7U d/1 .�`t ❑,411FhiPiLU /i C ''O A a C. Bird NOl Ki OtNN 4N,p. (�11N(aAIIaEn L71r[IIISLD O x 11 C:n'o suc►1 S1f?t1:i NULL;LR alp0 01)0 NO,J?jf Jj iN tfflS ENVELOPE --�- 1 C3INSUFFICTENI AGl)KESS CIP40 A1A11 RECEPTACLE ❑LOX CLOSED NO ORDER ❑VACANT sEF:,J --r--r---. _ _ I� i, �,� . . `�..- --�'""� \ ;. �w _ , T. -__. __ _ _ ,.,� % iiii i ;1 i 4S Sii S !', S litiii! ii iii i! !S� l �_ f Town of Barnstable �fTEtE T Regulatory Services ^_ �,f Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 To: BIRD,MARGERY W Date Thursday,January 05,2006 %BIRD,ANNA C P O BOX 111 - E-WALPOLE VIA 02032 - RE:Underground Storage Tank at: 554 WIANNO AVENUE Map Parcel: 162013 Tank NO: 01 Tag NO: 00313 Our records indicate that your underground fuel(or chemical)storage tank is over 30 years old,and has not been removed as required by section 326-3: subsection 2 of the Towm:of,Barnstable Code regarding fuel and chemical storage systems. is You are directed to remove this tank within sixty(60)days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90)days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of'Health Thomas A.McKean,RS,CHO ,Abler.= a i,, Health Agent 11ijolo . z r,,9�f }ts'.-z. t Fmtl Maplarcel 162013 n of Barnstablegm s Health DepartmrN ent Health System t �t Mp/PaCcel f 162013 x� I Tank Nbr 01Tag Nb , 00313 y Irstailecl _, 01/01/1974g` Locationf Lis Test NoBW tQ Date r Status Date Removal Notification Da s: 01/05/2006 �� F err 08/21/1989' v " Test 1 ���ru �� Removal 10/06/1993 i3 l FuelStored FO F elStorage ReasonH ; Cap onstructi�n L;eakaDetection � Cathod c Detection StoragebTank Info 00050www 0 SS ^� ( } /�dctitksl Details Removed-COMM FD sHEM PROW- z A x ,v F a f �.o � - _�� -�__ � - P �! �,�i l re a�� �-��� i ��C;�� �� 1 � _ ____.. 04/01/2011 11:54 FAX 0 002 03/31/201.1 23:09 FAX 6173674036 _ y' �.�+._.r••7S��ite•er)/A1►1711�T►T��A�..��{�.� 1��il'ArC J 71n�uv's vk u1r r ij+wi,+, +1�s sue,ftIDCTIQN 5 OFFICIAL INSPWnON YOM-• v�L �ssEs� �FAC UWAGEDISPOSAL FORM PART-A _ C�RTIIt'ICAUQN • . YropcMAddrew.-554 Uianno Aber Owiieu►'s Name: � -� �� Owaaft Addrrsa: .6am Date orlaspeetlod--�- _ NamW df for:(per lrJn tsmpa�Name:,..1.a�-e� � -�-►z �Rc' - . ' ,- • .. Matliag•Ad art 8/Lv.G tid e., )2632 . Tdep =*plambcc: — j CERTMCILTION STATEMENTlemu t� y dam I bwm pasaw* �° st this adds a�Nf betmv b UG%aomme and campbftloos of tLe inspeotioa.' be awn vins Af t sm DF.ir tnv�ng and c�,etieacc ip'the prat iii�aad ���'S� - � approiv� htispeota►• io•t3betion•1�r940raf'l�e•�f�30t�1�-� Tie s�tsm: pis •CanditianellY Pass ' Noe&FWOWEVWUBftbY the IWA Appa,o*&Au*ority •�•� �fS11511 �COpj►0��� � ft% �'4++"0'"'of p or D vim of anmP B '�`If a syste a s ac ht a dad► •ofltvo offft gpd '�_tha inspedar and the syatesn• to 60"pop rhftTcffioasl .Tb� dbm4a t ,aactcE�e a $AWRY. Notes� � - . -. - �. a-. .; • ' '• , . . a tuider the ao odtdona of sse at-flat •+ tr'rgmt only danib�s a oudttions At!beat of ta:pattdh':n-to the 7d- uader¢he=me or,different ttid:e.Tt&bwpwdcD d�not eddrea hoar the gAea WW p�ra . . �dttbus aR vas. - • mart 1 ,UNI1'ED'STATES POSTAL SERVICE First-Class Mail Postage o.Fees Paid USPS Permit No.6-10 • Sender: Please print your name, address, and ZIP+4 in this box • b Town of Barnstable Regulatory Services Department ' Public Health Division 200 Main Street Hyannis, MA' 02601 �j�li�llil�liilllilllli�;�IlIl��lljili,II,11�1�Ijlll�s�11�►1'lllili le Complete items 1,2,and 3.Also complete Sig lure item 4 if Restricted Delivery is desired. gent ■ Print your name and address on the reverse '❑Addressee.) so that we can return the card to you. Receiv d by(Printed Name) C.,Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. "T' D. Is delivery address different from item 14 ❑Yes 1, Article Addressed to: S,enter delivery address below;., -V 1 Francis 13.`Phillips &Walter M. Phillips Jr. . 102 Estabrook Road ConcordJUA 01742 ` ice Type —u certified Mail 0 Express Mail ❑Registered ❑Return Receipt for Merchandise. ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(6ttra Fee) ❑Yes 2.Article Number 1 (Transfer from service labeo _ 17 012;:1010 .0 0 0 0'!2`8 51' 3788 PS Form 3811,February 2004 Domestic Return Receipt +02595-02-M-1540 R... . . r. CO CO t N Lr► C Postage $ f1J O Certified Fee ,�\S M-4 0 C Postmark G C3 Retum.Receipt Fee �� Here G O (Endorsement Required) O Restricted Delivery Fee APR 2 9 2014 C3 (Endorsement Required) rl / O Total Postage&Fees $ 7 A I�P� N r� N Francis B. Phillips & Walter M. Phillips Jr. 102 Estabrook Road Concord, MA 01742 Certified Mail Provides: o A mailing receipt a A unique identifier for your mailpiece a A record of delivery kept by the Postal ServiceTor two years Important Reminders: ro Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. j o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return j Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. n For an additional fee, delivery may be restricted to the addressee or j addressee's authorized agent.Advise the clerk or mark the mailpiece with the j endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed;detach and affix label with postage and mail. ` IMPORTANT:Save this receipt and present it when making an inquiry. - PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 l Town of Barnstable Barnstable Regulatory Services Department ASAMMMM M Public Healtb Division1639. Zoos .200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 3788 April 30, 2014 Francis B. Phillips & Walter M, Phillips Jr. 102 Estabrook Road Concord, MA 01742 . RE: Application for building permit for-the erection of tents at 554 Wianno`• • Avenue, Osterville. Prior to our review of your permit application for the erection of tents on your property we require the following; 1. Records of septic system components, size, capacity, and functionality. Please provide a complete up-to-date septic system inspection report for this property. 2. Clearly identify the location of all bedrooms on a neatly sketched floor plan. Again, we cannot issue a permit until we ca property rev` w the information requested has been submitted to the Health`Di ision. PER ORDER OFITHE BOARD OF HEALTH LN Thomas McKean, R.S. HO C' , •' Agent of the Board of Health cc: Robin Anderson Richard Scali s QASEPTICEettersSeptic Inspection Failures or Future Evaf\Template Letter.doc BAXTER NYE M � ®Y ENGINEERING& '' AN NE 11 PEARLY,TRUSTEE \ lf(� 4.._ (..\/ r '" ily \ 7EARLY FAMILY NOMINEE TRUST / `�,_ \Y / ff I•` .-«' N DOCUMENT — i PARCEL 162-011 / SURVEYING +� Registered Professional Engineers \\\ -_---- I 1? r1n, 4 '•/ t cw. ey'M„•." and Land Surveyors 'n•" �\��\ �• - s° x to ,�, ^ f�._. 78 North Street-3rd Floor pE-4 4 TOY \\\\1\ o I •�-• ."4`{i � ;�( !� t - Hyannis, Massachusetts 02601 �.4 Phone- (508) 771-7502 �'��W1fi• 2 ly -3..- y �� Fox- (508) 771-7622 / / _W Rm6$• �r --__ S�tkd www.buxter-nye.com K, STAMP STAMP ... w- �/o•e YZ° j4o�ZAY' �' ,ss•�\ •�• (/( .;sue, ' �� _ E JA px //v /, - •�`�' 15^` (05.1 J _ �� � 1 `y `•�'� _ / .ram t .1 :' ...�, `err\r\�a�•.: :; LOCUS MAP Scale: 1°=1000' N/F TRIPP,FlTZGERALD.NOVQABER TRIPP d HAWKEY /V / ?> rJ`u _ I I i x'"' r $ GENERAL NOTES- Do CUMENr W7191033 'f yy ±/ •\�� �'`C �/A•� S'„� PARCEL 182-Of0 pI.6 / 7y S`1\ I CONSULTANT / / ) \ e I 3y� •J I ''/ I.THE WENT OF THIS PLAN IS TO(TEXT.EAMIN0 SITE CONMIIONS AT 554 RNNN)Al41NE I LOCUS AREA 15 COMRa4D rF. GRAEUDIN RIN N / - i \ �C I F \ 1 '� I ` d.-le.o(NAADBB) / x15.1 F, APPROXIMATE '2 RR CONTENT ASS�ORS A6tlmS l EXISnNC C GI. OVER FRANCIS W SEIM a HALTER M.PNUPS,it . INVERTS-15.9 1 \ RECOW O®: SOON 19528 PACE 326 CONSULTANT ` -1y5�`L- - STONE ORS 1 �. 1 I / xt? / \ AECORD PLAN: LAND COURT RAN ia567{ \ / I I I i LAND CO1RT RAN IB5a7-A / // �' ,/ '�� f /15.2 1<9_;•7l I I i _ .1\ .i ASSESSOR'S PARCEL R-000Rr wW Iasn-A �<18.8/ 7 3. PROAECT BEWCHMAK AS SROIM ON THIS PLAN - _ 4. ZONING INFTMBNIIOY: -11 P R E P A R E O FOR . / 3 ZOEM DISTRICT:W-I_ - '!_i %/ - 9?>• 'auNUff MIN"miens TEDUME1ETITs: P 7 APPROXIMATE , ( 2 a ,p, _ Francis B.Phillips O ON.LOT AEA-a1.1m 3 r e 102 Estabrook Road PAR 16 =01 S / FROM-CARD ( MR LOT WIDTH EE=20' AREA 90,639f S F (TO BE VERFlED) /// YARD"�"m,1�a RE YAm-IS'/15 Concord, MA. 01742 s / / %/. ry �'_.,B - AT5.5 ° �i FRONT11/I, /^-_` � '___• _ _ _ ( \ / - /� I Z.1 OVEWAY OMCM-RPCD,AP - \ �'__ 5 A ITTE SEARCH HAS NOT III PERFORMED FUR THS SITE IFERE WY ME MWIS BY OOEIS,FASFIENT,TA INGS,MORICA M MIT OF WAYS ETC.NOT DERCIEA F OETFRI1aED TO BE a12 INECESSARY,A TITLE ZARCH SITYL BE PERFO ARD Br OT ETS Alm S1FRhD M C_ \ /- c SURER NYE E(GRIEEIM a 91RVOK \ / LY/ - ',•i / _ 5 0 - S. RE PROPERTY LIE NOWTION SHOWN IS BASED ON CWdFNT AYMABIE RELLIm NW9NTIM �s \ '012 J \ / - i- 7P 2���///III RM=14.5 '- /. q AN ON TH OF PLANS Am OEIDS Off E105HNC Y 5QES WSHOWNE INERT N& OBlA87FD FROM /' T(� `\\ ( _ I INV-iZ5�/��, % IµlOr Wit Iaf�OUND FIELD SURVEYPERFaRMED BY BIXTER NIE ENOtEIINIG a SWIF(O/G an \ - r g• z C MMOOTY PAa NUMBER 2<`0001 0776 J.EFFECTIVE WE AAY 16,2014 THE HOOD INSURANCE PATE IMP MINES THIS AREA AS ZONE 1£(EL16)a ZONE X(UN-SI'ANED) / ;.c rJn�' '•� i / .,SUH PER MAs C6 OLIVER AS OF I1/18/15: SITE OOPS IS Nor MOM/AN AGED(AEA OF CAITCAL ENNROMENTi1L CO/LETdI)_ SITE D06 Nor APPEAR WITHIN M AEA OF ESTIMATED WSW OF RYE WILDLIFE AS RAPPED ON MASS GIS WAR PROTECTI�OI REG NILOP ULATIONS(3110 AOSN 10)PAE NaaLlFl.'FOR USE WITH TIff w P R MRESP DOES�GEFD vEaK POOLS,APPEAR TO CWIAOI A ORIBED vIIFNI FOOL AS MIFFED O/MASS la OIBFR- � \ e� x7 5' Ar / I , SITE DOES NOT APPEARWI 7D-BE ARE A PRIORITY IIABIDLT AS WPM T ON MASSSSAC US DELIVER PER > . NDAN'RMO°TY IAHDL15 RE RARE NS(32'FOR SI'ELES UNDER THE 11ASAONSETTS J . Ar ',,• - 0O1N(7F]MD SPIJFS ACT,AQXaAR06(32I CMR 10). �`H xJ` ' '0� „ SITE GOES Nor APPEAR TD BE WITHIN A STATE APPROVED ZONE 0 MINDWAER REOIM✓fF F C . \, \.. • 71• \\ \\ __ •` - --���•�•' � RiOIELTRIV AREA, J 13 0111, SITE ODES NOT APPEAR m ff W11Fm1 A ZONE OF COOf�000N 10 A SALTWATER ESTUARY oy`O\� r MAN6DH E Max REM Sews} I �^\ \ \ 9B`9VA _� <•':P` /\\ p• y 9. IlI11JIY INFURMATIOV SHOWN NFT2ElN: a Lrto ) 0 THE CO/RALTOR SOUL COIDLCT I11G SAFE(AT I�OfrSWO AND UIMY COMPANIES TD LOCATE ��`� THE LOCATION OF ALL EXS11hC UIRNES,AT LEAST 72 HORS PRIOR TO THE SMRT OF N AN APPROAIWTE WAY ONLY,MAY Nor BE(ANTED To THOSE SHOWN fE7E➢V AND HAVE BEEN \ \ CONSUILICTION DEW UNDERGROUND WFRASIFEUCIURE.U17UITES CONDUITS AND LINES ARE SHOWN �� \p \� 1 RESEARCHED BASED ON TTE:AYMAELE UTILITY RECORDS HOMEDNOED HERECH COIMTOR AQEF3 TO O \ \ )\ BE TRAC RESP011981E FOR CAT AND ALL DAMAGES K A HIQ(f BE aEXACTLYD FIELD THE a OFFERS FRS FAANRE O LOCATE SAID CONTRACTOR! SHALL AND I THE EXACTLY.F FEID EU FOR OFFERS FIR D RAN NFOMNIION,THE CONRdICIOR sfNLL f101FY THE I31@IFIIt IYYEDAIEir fiXt - \ '.5 I ` P059B1E REDE901. o OV SOURCE INFORMATION FROM RARE HAS BEEN COMBNED WITH OBBT:AAED EYIOIICE OF UIa1TE3 10 w \ / ( OESIIDP A VIEW OF THOSE LMIIEHORaunD UIElITES FNIWIEx IAOOm EUYARO/.THE EXACT c LOCATION OF UNDERGROUND FEATURES CANxOr BE A006111EI.Y,COPLETFIY AND RF1111)iY DEPICTED. MO ADDITIONAL OR N NFORNARON IS PIDUWED,RE OEFNr S ADM=THAT F . o r Q 005'ITNG SEPTIC SI'SIEN MANHOLES a MUM S11OWM WERE HELD LOCATM CFS.SPOOS ARE c V SHOWN PER INSPECTION HE CAW OATED I-I5-0 Or JOSEI'H P.NACOMBER a SIN,NC. / h ` f: GAS UK-Von ON RAN PER OG SAE MAemW,s LOCATED a GAS METER FEED LOCATED. SHOWN S FIELD SNOW/AU RIBS)EI WAS READ W SB 10E WASO ANO D FROMC IE'IFR z I (I 2Q PLAN WAS 11/2 LOCATED•ERmEkCA0UN0 BMW NO SFRH�WAS RNDER FROM E14IOET E SHEET TITLE a \ � •.. /L• �/ � ,')'- / 3 /20154�702057�4/IS uEbQMAO1R10 IDIE WAS NOT RNRIED GIFT UNDER OIG SAFE THXET N ^K Existing Conditions RATER SAMCE swNl PER FEED LOCATED ac sYE MAFO/2 Plan e / `\ OHW-_OH`N OH4_OH`C* \ S Qo idd4------OH OH*- °'� -_�. S7vgA.fi SHEET NO EC1 m0 .� DATE: 11/30/15 / N/F TOWN OF BARNSTABLE 20 O 20 40 p PARCEL 162-OM SCALE:1•= 20. SCALE IN FEET / / \ oRAWNIDESIGN BY: DL' CHEC411 BY:YNE JOB NO, 20I5-094 C A R D FIL E: 2015-094EG O jr - -- ;l 0 N O U UP U sE m a a� •4-1� _ O U D/VV I F I I I I Pantry1.00 T-5"x T-10 ;. Butler's - Oo Kitchen Pantry Dining Room Lef w Laundry/ - -1 T-0" x 18'-2" Ref, 10'o111„X 22'-2"x 13'-8" Living,Room ❑ 25'-2"x 27'-0" Mudroom 21'-3" x 12'-1" ` UP r DN . Closet I Breakfast Area ------_----J OF - Porch 8'-3" x 9'-0" J z r m 21'-6"x 12'-0" Closet 0 - y�y I. Closet I 4'-T x 8'-10" Entrance UP 8'-11" x 9'-8" Foyer Closet 13'-9"x 18'-7" Powder Room 5'-0"x 8'-8" F'� Porch Porch 10'-0" x 11'-6" .6-00 O O` CD 0 O O Go c Porch a Family Room ° ° o 20'-8 x 24'-4" uP o ID 7�6 03 + mo i First Floor Plan Ceiling Height = 9'-0" 554 Wianno Avenue V 1 2 4 8 scale v8" Osterville, MA 02655 _,-o" a o N O U O Bedroom 12'-8" x 13'-9" N 2 \ ) 0 Bath T Bedroom T-5" x 9'- " Bedroom 10'-7"x 10'- Bedroom 11'-4" x 20'-8" 10'-T x T-10" Closet p --Closet---- --Closet--- Roof Area m Bedroom Bath <77-:< N 10'-3"x 10'-3" th DN 9'-8°x 4'-,0" �, 6'-3 :� m 4'-,i° Closet y Bedroom Roof Area u 6'-3" x 8'-0" up N 14'-8" x 16'-10" Z: DN Open To N ,; Below o � U Bedroom 22'-4"x 12'-2' Roof Area O 9 O Bath o N 0 6' 1"xT10" d m o CD N ` • C l0 J o n •N� E E o.d � 6 m o Zm c o'>o Roof Area 5 Second Floor Plan 554 Wianno Avenue Ceiling Height = 9'-0° 8' 1' 1' 2' 4' Scale vs" Osterville, MA 02655 =1'-0" L/+ _ I i L G� U O r___________________---_____ - Attic Area O 10'-8"x Bath Bedroom �I I 6'-9" x 13'-6" 121.6�� x 14'-0" f T. edroorrl, r s' o 12'-5"x 8'-7', W ---- - ---- �� DN + ago --—— --=—-—-----------------' ____Closet___ ___Closet--- _ a Bedroom 15'-0" x 20'-2" P DN Closet Bath s�-0!X Bath 6'4" Bedroom 6-0 s'-a' ( 15'-4" x 15'-8" Closet �edroorr� 21 -------- s.0 o C•> N 2 N M a .. E� o � E � m `o Third Floor Plan Z m o Ceiling Height = T-0" I ` s i 0 5 i J 554 Wianno Avenue z' 4 8' 3 Scale 1/8"=1'-T Osterville, MA 02655 3 1 I �I o N N a 0 U O E 0 U Storage 10' 0"x 18'-1" Storage - 13'-8"x 14'-0" -Storage Storage . 25'-0"x 16'-5" 10'-2"x' 12'-0" Storage 25'-9"x UP z 6'-6" 0 Storage E'er 14'-1"x 10'-6" Storage , t 13'-5" x 11'-4" Three Car Garage 25'-0" x 29'-3" Storage a Hvnc 8'-2" x 9'-4" o o C > N " m 2 N d 0 M d d c�m -0 o m MEN Storage/ Utility o E 17'-5" x 13'-5" Storage Garage.Plan UP '-2" x 9'-4" Z 0 CM I INS Basement Plan . i Ceiling Height = T-0" 5 554 Wianno Avenue .� z 4 8 4 Scale ,�8 Osterville, MA 02655 =,-o' f y I +�IP FPS �pF�-ay �.�� r� R, ,• yrx. BAXTER NYE 1 _ 9 AN >jp O� ,� N/F ANNE D. YEARLY, TRUSTEE *' �• „~ '` 7 ^ ,£ E N G I N E E R I� a 6Z 4, o� 4j YEARLY FAMILY NOMINEE TRUST S ry \ I CERTIFICATE 153010 ` k 1 3 OSo � \ PARCEL 162-011 CONSERVATION NOTES: ``� `` ' ` s -�° ;.8 � `'` „ � SURVEYING 1. EXISTING CESSPOOLS ARE TO BE PUMPED, LIDS DEMOLISHED, AND FILLED WITH CLEAN SAND. j n `` x, >t� Registered Professional Engineers Z 2. AFTER DEMOLITION OF CESSPOOLS, DISTURBED AREAS ARE TO BE SEEDED WITH FESCUE/RYE MIX. r ,� �L a g g and Land Surveyors _j ww / "."_''� ��/�O\ ' d r"•�' ;�, y � C;,��p f r d.,r�'r� a�Y �3 f.-: 78 North Street 3rd Floor Hyannis, Massachusetts 02601 061. �\ 4; �p xff 4 � Phone - (508) 771-7502 / 0. C / Q �-.�. .S� \ •'1/ O !^ Tx Y� r -w �' i� ,- ,".i3 r ,� r....w Y Fax (508) 771-7622 - � � �A �•,��.'� V `V �/ . ' � VF '..�°i � 1 f $`�'s�d` r ✓� r/� hs / 5 S •' \ \ ram\ \ __ I 0 `~' =- �.:$k8 r ' ,. �t/a "y 3 roe t.... � `C '' .�. : y - ,�: � � t> ; •;4� � www.baxter-nye.com r / k a 7 J / / I t� /16 �O `�\ j •OO' \ �,` \� _...,..�'l►9 / ' , �o 3 \� k NEW ��;rTA RA STAMP x15.5 W ' `3>7 �_ �, �`` �-,, -`i rr / � '� ����.-,�s'� �` °`� �,-•�' fig ���P Ssgc / _ I O+ \ I ` ` \ `f r" "° X S7EPHEN y 3p 1�v ,p 772 x15.8 AEGIS RED LAND / r'SroA, � ,. �;� o c / / r MH I'I/ 'O , F -/ I `�� l f / r E - r 1\,P , f r ALLYN m. T_o 15.2 IM-15.12 ` O I cmjincATE 1752,96 / / r �?' +� ) - \ �e:s'. ;; '� a w�LsoN -' /� �' /D 11• ,� V1 (�+ LOT ,ON LC PLAN '18587F�` r I' , r I� • ..... , ..` Y No.30216 C t CB H FN 2 I � r r r. 0 y' 7rol 2 •32, , �c'�Y / .� ti i I r �0 ,G/STE� �` / +nAl Frl \\ ~��` `+ t I ' r 4 S/ONAL E W 6.5 CF F S �Qr A4 nNC N/F TRIPP. FITZGERALD, NOVEMBER, TRIPP d HAWKEY ` u� 79 x 1 CERTIFICATE 101453 � r GNERAL N(, w E ��• "�PARCEL 162-010 14.4,E Ff ' TESL DRAfN \ •6p CB/1DH SET �C p I i ! / '� CONSULTANT g� 1. THE INTENT OF THIS PLAN I�TO DETAIL PROPOSED SEPTIC SYSTEM UPGRADE AT 554 WLANNO AVENUE +3►/ ; '\ // / v�/ }4.89 \ I •\\ 6<qN I ++ t+ ( r' LOCUS AREA IS COMPRIS1D OF: BENCHMARK �` � / -� DRAIN RIM ,^'jam / �i' / -- ,'__ � 7 STONE DRIVE \ �� APPROXIMATE TONS `3� 'B �F +`\`t i `� \ 1 i �i 2. PER CURRENT ASSESSORS RECORDS: EL=16.01 NAVD88 •tijh / ,� I x 15.1 E \ EXISTING 4• C.I. •/y3 r' VENT *\ hj R INVERTS = 15.9 O �S' \ tl + , r OWNER: FRANCIS B. PHILIPS & WALTER M. PHIWPS, JR. DRNN \ , \ N rfy Z4 r CONSULTANT PARE("L 162-013 E \ i i r RECORD DEED: BOO.' 19328 PAGE 326 ~� `N s A 6¢ \ r t r ' RECORD PLAN: LAIC COURT PLAN 18587-E AREA 00,639E S.F. CLEAN( OUT ( / REGISTERED LAND / ��q +o I f LANE COURT PLAN 18587-F / `b / R=16.0 ` CERTIFICATE 175296 - \\ s8 rm\l LANL' COURT PLAN 18577-A Wh ` 3? *�`,' /15.2 �, -� I LOT 6 ON LC .PLAIy/185 7E ��\ �F ,' ASSEss S PARCEL 162�-013 Ak 3,000 GAL. s-- �• + SEPTIC TANK , CLEAN OUT 1 x16,�3 \ / 11 4.r r r 1 'r 3. PROJECT BENCHMARK AS SHOWN ON THIS PLAN ^Q) / w r/ s0 1,500 GAL. h� O ? QO�o � ( J ,' / _..•'� w �l'r / 4. ZONING INFORMATION: PREPARED FOR : --/ Q / r \ SEPTIC TAN lr� , ,a V / r / �'r Y x 16.7 /,' / \ -�� - ory / ,/ ,f, t Valerie Phillips representative of ZONING DISTRICT : RF-1 p p '� / �� ' ♦ E ' 16.4 APPROXIMATE ' l i . r i r+ CURRENT MINIMUM ZONNM. REQUIREMENTS: ♦ / o the estate of Walter M. Phillips, Jr. v // Q / �O' i ��Ss y EXISTING CESSPOOL / r r r' r r ,'r MIN. LOT AREA = 81,12C SF h x o� FROM TIE CARD / MIN. LOT FRONTAGE = 21' 452 w. Chestnut Hill Avenue C¢ `T�\ / ♦♦ `SFiQ(' OCEAN OUT U (TO BE VERIFIED) // ' rr , r �r MIN. LOT WIDTH =,125 `�.\ JP, � 6 `♦ ` /�Ql >. '� 16 r,� / ; 'f `, r , r' �. FRONT YARD = 30 SIDE dt IRFAR YARD = 15 / 15 Philadelphia, PA. 19118 / / /' .ory \� •� lQ�\ / -� ..� `� 01 ' ® /0^ / 3 • '~ �� 1 ,' r , o', 2'oaf / OVERLAY DISTRICTS: RPOD, AP ♦ 2g, TP J \ o - `�� �� ''� �W o Francis B. Phillips / ry �0�� / ♦ / 1 \ O • / ^� ' ` ' r£'„ ` `�/ Cv 5. A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. THERE MAY BE RIGHTS BY OTHERS, p / r , COW V 0 . Z EASEMENT TAKINGS MORTGAGES RIGHT OF WAYS ETC. NOT DEPICTED. IF DETERMINED TO BE 014.8 \ J r Q , / ,� ' , 1 C! ._� , 0 NECESSARY A TiTLE SEAIICH SHALL BE PERFORMED BY OTHERS AND SUPPLIED TO 102 Estabrook Road 4 <1 r \ TP 1 m '� O ' v / '�' Y ' n Q W W BAXTER NYE ENGINEERNNC, & SURVEYING. • r` Q ' � I� � Q `�' tom• • \ • ^ \ , � � � o // � Z Concord, MA. 01742 15. Z o�"/ ' tr \ `♦ O • SMH 'r Q a` ' �'S IT6. THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE RECORD INFORMATION �` / 4 /' i \` ♦ O ' RIM=14.53 / ;L • � ' % CO) ' - � �/ � t • CONSISTING OF PLANS AND DEEDS. THE EXISTING FEATURES SHOWN HEREON WERE OBTAINED FROM /� / ` 1�`_'' \ ♦♦ �� S a INN=12.53 5 � 3 � AN ON THE GROUND no p SURVEY PERFORMED BY BAXTER NYE ENGINEERING & SURVEYING ON m 9 y _ i` `\ \ ♦ (SF� 6 ` / Q�S� 4 C NOVEMBER 1Q &13 16; 2015. GA to ems/ / ,eq ♦♦` LF VENT =o�� 1 i i\O a r ' O . y s�\�� / ��` ' ��\ �►♦ ry 1• 'c / ' / .h 7. COMMUNITY PANEL NUMr13- 25(IO01 0776 J, EFFECTIVE DATE JULY 16, 2014 co Z 7j �4/S ` \ \ \ ,� SMH ® ,' , 6 r a 00 V THE FLOOD INSURANCE 5:' MAP DEFINES THIS AREA AS CONE VE (EL 16) & ZONE X (UN-SH00) \ O SS�SO , / cpG ♦� �c IM=13.84 ''� - y r� SOS 59.4 \ \ o I ___, , , � , O PER MASS GIS OLIVER AS OF 11/18/15: h CV N 20� �V 3. • SiTE IS NOT WITHIN AN 1C.E L CONCERN). (AREA OF CRITICAL ENVIRONMENCONCERN). - ,• ` ` "� •O > �V E'p NF SiTE DOES NOT APPEAR WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE AS MAPPED ON Oy , �t ,' •h^' ; S 6 r -O MASS GIS OI VEIR PER NHESP mrsnUATO HABITATS OF RARE WILDLIFE' FOR USE WITH THE MA -� F WORK / �. ,y� r 18 8 _ �73 O S )fy wEit/wDs PROTECTION kcr REg1LATiONs (310 CMR 10).• 18 \- \\\ r PROPOSED LIMA i / / r' ! F • \ �' • r � ' + , " - � � a � •• SiTE tK)ES NOT APPEAR TO CONTAIN A CERTIFIED VERNAL POOL AS MAPPED ON MASS GIS OLIVER � \ FO \ r'p F' -. \ / J?� a� 14 r ST�F PER NHESP "CERTIFIED VERNAL POOLS.' � ' ot 3 \\ \\ \` ` '• '� w ' ! I` 4,2 rr f 14- - \f . - • SITE DOES NOT APPEAR TO BE WITHIN A PRIORIN HABITAT AS MAPPED ON MASS GIS OWNER PER x15.5 .\ / /laA �00 r / , NHESP WIORffY HAWA1;5 OF RARE SPECIES" FOR SPECIES UNDER THE MASSACHUSERS Q� - \ / / , �p�lhN`�1 +rr 11+t r !� ,'/' ENDANGERED SPECIES A0, REGULATIONS (321 CMR 10). Q ADO p`� �> �� l� P�`� r �r r r rr / /� ~ 0 N� l / y1P d3� , 2 , SiTE DOES NOT APPEAR To BE WITHIN A STATE APPROVED ZONE II GROUNDWATER RECHARGE '9Y \ \`�� � 1�F ,L � ` /�2� r' ,r / ;r �p r • , /r PROTECTION AREA. C � \\ O \ S • �' �tiC `\ / \ d-�Qo4Ft lr ' y �r \0 \ S ,o l� f - O C� �' rr ; r r �� SiTE DOES NOT APPEAR TO BE WITHIN A ZONE OF CONTRIBUTiON To A SALTWATER ESTUARY 20S`0 Cgs 4.9 r` l ; ��P (BARNSTABLE B.O.H. REG. 360-45). � � 'N \ �O \ Cti \ , �� �� `\\` ,\ �� / 0 •• `� 13.9 ,` r` r �r /, ova 00 w Lr) •�-� \ \ `98 \ _ \\ �, $O�.00• \ ,E, / ,' r' ,' ' /' p "�' 9. UTILITY INFORMATION SHOWN HEREIN: n 0 \ \ \ O\ 98' +` / ,� • ' rr ' �. . ,' x5/' Q ' ���h THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE Gy \ �� S j 6 \ r' ; ` ; �' 0 •,�� THE LOCATION O'ALL EI.s1ING UI1LmES, AT LEAST 72 HOURS PRIOR TO THE SI:ART OF �r' ` O CONSTRUCTION. EXISTiN UN INFRASTRUCTURE, UTILITIES, CONDUITS AND LINES ARE SHOWN IN AN APPROXIMATE WAY;'ONLY, MAY NOT BE LIMITED TO INOSE SHOWN HEREIN AND HAVE BEEN z RESEARCHED BASED ON `iFE AVAILABLE UTILITY RECORDS NOTED HEREON. THE CONTRACTOR AGREES TO o BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE 0 CONTRACTOR'S FAILURE "0 LOCATE SAID INFRASTRUCTURE AND UTILITIES D(ACTLY. IF FIELD CONDITIONS N a rr' r DIFFERS FROM PLAN iNFORMATiON, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR Q� \ r r r , POSSIBLE REDESIGN. z w O / r�0 SOURCE INFORMATION FFFOM PLANS HAS BEEN COMBINED WITH OBSERVED EVIDENCE OF UTILITIES TO w cA / \ / Q Z �� / ,' ,' ,' r / DEVELOP A VIEW OF THOSE UNDERGROUND UTILIiIES. HOWEVER, LACKING EXCAVATION, THE EXACT o 4/ va LOCATION OF UNDERGROUND FEATURES CANNOT BE ACCURATELY, COMPLETELY AND RELIABLY DEPICTED. w .\\ ' `l\ Q Q� '`, / lrrr ;' %i ' r,' / r WHERE ADDITIONAL OR CAVATION MAY BE EM DETAILED INFORMATION IS REQUIRED, THE CLIENT IS ADVISED THAT w 00 NO t + �3 EXISTING SEPTIC SYSTEM MANHOLES & INVERTS IN HOUSE SHOWN WERE FED D LOCATED. "� a \ i if r r' ' '' ,' ' r \ ` i r r r o + i % ^� jv V CESSPOOLS ARE SHOWN PER INSPECTION TiE CARD BATED 1-15-05 BY JOSEPH P. MACOMBER & C� ISO M/O , SON INC. w 2 O v_� P 4/ • GAS LINE SHOWN OV PLAN PER DIG SAFE MARKINGS LOCATED dt GAS METER FIELD LOCATED. Q o s \ O O c�� '•�'�� '(r 1 i t ' l r r Q CIO ELECTRIC LINE SHOWN CN T}i'.S PLAN WAS FIELD LOCATED\ OVERHEAD AND ELECTRIC METER SWEET TITLE SHOWN WAS FIELD LOCATED. UNDERGROUND ELECTRIC SERVICE WAS PLOTTED FROM EVERSOURCE a \ 2_ \ p rrlr l ri r /ri }' ` l r'lr l 20154702057.- 1 ` PLAN DATED 11/24/15. UNDERGROUND LINE WAS NOT MARKED OUT UNDER DIG SAFE TICKET Septic Upgrade Plan en / i ' r' �' WATER SERVICE SHOWN ?ER'FIELD LOCATED DIG-SAFE MARKINGS rnCD r OHW- OH OHNi�- OHW OHV�--'- OH �� \ ,'" r` ' ST SHEET No rn a ��,�••'= O 'I S r r o o aC1 so Ln / A DATE : 12/17/15 / N/F TOWN OF BARNSTABLE �qN 20 0 20 40 p PARCEL 162-028 SCALE IN FEET 2SS SCALE : 1,•= 20' 9 / / y), DRAWN/DESIGN BY: DF CHECKED BY: UK Iq N / JOB NO: 2015-094 C A D D FILE: 2015-094SP.dw i 0 N C• CONSTRUCTION NOTES: BAXTER NYE , ��� PROFILE 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN TYPICAL S S ACCORDANCE WITH TITLE V OF THE STATE SANITARY CODE DATED ENGINEERING & APRIL 21, 2006, AS AMENDED THROUGH THE DATE OF THIS PLAN, wr TO W.A!E & ANY LOCAL RULES & REGULATIONS APPLICABLE. EXISTING DINElLB+1G SURVEYING _ 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY FINISH FLOOR ELEVATION IS = 19.6 THE ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. Registered Professional Engineers SET AT LEAST ONE MIWHOLE FRAME 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, y SET AT LEAST ONE MANHOLE FRAME SET COVER TO 6" BELOW FINISH GRADE NOTIFY THE BOARD OF HEALTH AGENT AND ENGINEER FOR and Land Surveyors ,. & COVER TO WITHIN 6" OF FISH GRADE. & COVER TO WITHIN 6" OF FINISH GRADE INSPECTION. :..''• RISERS & COVERS SHALL BE WATERTIGHT RISERS & COVERS SWILL � WAIERITGFTt RISER & COVER SHALL BE WATERTIGHT MAIN HOusl! . SET RISER & COVER To WITHIN 6" " 78 North Street - 3rd Floor OF FINISH GRADE RISER & COVER 4• ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4 SCHED 40 SHALL BE WATERTIGHT PVC. UNLESS OTHERWISE NOTED HEREIN. Hyannis, Massachusetts 02601 .. ^' FINISHED GRADE OVER TANK = 15.6 +/- FINISHED GRADE OVER TANK = 15.5+/- FINISH GRADE - 15.4t ENSURE PROPER PIPE T :t CONNECTION BETWEEN 5. IF NEEDED, EXCAVATE UNSUITABLE MATERIAL TO THE "C , ',•. " ALL CHAMBERS (4" VET HORIZON", FOR A HORIZ. DISTANCE OF 5' SURROUNDING THE Phone - (508) 771-7502 4 SCH. 40 PVC " FINIM GRADE M LEACHW G�iLLE15 1&3 SCH 40 PVC) LEACHING FIELD, AND REPLACE WITH CLEAN SAND PER 310 CMR •'s•. TYPICAL) :;y 3* MIN. 3" MIN. " , Fax - 508 771-7622 '* 4< 2 OF r� -% DOUBLE " 15.2:55 TO THE TOP ELEVATION OF THE SAS. ( ) 9 (min) Cover ` INv = 15.9 " 6" MIN FIRST 2' (TO WASHED PEASTONE 3s" (max) Cover WWW.baXter-nye.com - 6 MIN. BE LEVEL) ��22 OR FILTER FABRIC 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED MEN NN1f IN- 13.8 10" MIN.PVC INN OUTa 10" MIN. OUT- 2 _ 4" SCH. 40 PVC M 1 !� CONCRETE FLOW DIFFUSOR LESS 'THAN 3' OF COVER. w. 13.5 " ( _ 4 DIA F'VC INV IN= i :. 7. THE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE GARBAGE S T A S T A M P ri ..,,.... " GAS 13.4 " + BAFFLE INV I N = 13.0 6".SUMP INV OUT = 12.8 T c3 o o a o o GRINDER DISPOSALS. �tiZN OF Mqs�, 14 BAFFLE :, 14 , �C ': . r=.. : :.;• _ 8. THE CONTRACTOR SHALL CONTACT DIG SAFE AT REINFORCED CONCRETE REINFORCED 6` CRUSHED ,. .�. ' INN• �12.2 ..-• .,; S;AUTLON: ( p� HEN y .. : • m . .. CO STONE BASE 12 }'': ' '.�:: : 1-888-DIG-SAFE AND UTILITY COMPANIES TO LOCATE ALL ZF EXISTING UTILITIES, AT LEAST 72 HOURS BEFORE THE START OFC. WH ON •":,•:%•.° - r: •`:, , " UNSUITABLE SOILS. BELOW THE PEASTONE ELEV (TOP _ CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE EXACT No.30216 ,.'.. . `- :: :' ,.. •. >:•,',: ;' 6 CRUSHED STONE r OF SAS), SHALL BE REMOVED TO THE "C HORIZON" i)! EL 10.2 p t BASE 5' MIN S� LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF ALL EXISTING � S'� 6"CRUSHED - SEE CONSTRUCTION NOTE #7 HEREON. SEE NOTE #2f UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF ��° c/STEM STONE BASE ESTIMATED GROUNDWATER EL. 1.22 NAVD88 EXISTING UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE FPS/ONAL 3,M(�(■j,■N N ON COWAR MW 8EPT�C TAW t500 N�(�(ONE-10-WARTMW OEM T/w( Box WAIF ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND SHOREY ST3000-H2O OR EQUAL SHOREY ST1500-H2O OR EQUAL SHOREY 08-9 H-20 OR EQUAL HAVE NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS TO BE INSTALLED ON A LEVEL. STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTATED ON A LEVEL STABLE BASE LEAC��CHA �9UN DFFUM) REPRESENTATIVE. THE CONTRACTOR AGREES TO BE FULLY SEPTIC TANK TO BE WSPECTED & CLEANED ANNUALLY SEPTIC TANK TO BE MISPECTED & CLEANED ANNUALLY 0 H-20 RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE UTILJTIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN CONSULTANT INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY CROSSINGS, LIQUID DEPTH IN SEPTIC TANK DEPTH OF OUTLET TEE BELOW FLOW LINE VERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC, GAS, TELEPHONE & DATA/COMM AND RELOCATE IF CONFLICTING WITH 4 FEET 14 INCHES PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE 5 FEET 19 INCHES CONTRACTOR SHALL PRESERVE ALL UNDERGROUND UTILITIES AS 6 FEET 24 1NCHES REQUIRED. 7 FEET 29 INCHES CONSULTANT 8 � 34 INCHES 9. 1TiE: PROPOSED UTILITY.CONNECTIONS SHOWN HEREON ARE SCHEMATIC. FINAL LAYOUT SHALL BE AS DETERMINED BY THE -. APPROPRIATE UTILITY COMPANY. SEPTC SYSTEM NOTES: 1. A VARIANCE FOR UP TO 6' OF COVER OVER THE S.A.S. IS BEING REQUESTED IN ACCORDANCE WITH WRITTEN BOARD OF PREPARED FOR HEALTH POLICY "VARIANCE FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE GRANTED BY THE BOARD OF HEALTH AGENT" DATED representative DECEMBER 10, 2013. 6 aiim GRADE �O Valerie Phillips represents i e of , . •. the estate of Walter M. Phillips, Jr. 2. ALL MATERIALS SHALL MEET H-20 LOADING REQUIREMENTS. t " d ••' • • =.: •'.- 9 MIN. 36 MAX. COVER 452 w. Chestnut Hill Avenue ~ 2" PEASTONE OR ■ a '~ MOTE ME FABRIC ;. Philadelphia, PA. 19118 d , 24 Y. WASHED STONE Francis B. Phillips • ,. .d.. ,i'. ..• ' . . '.,.'' NJ:fECTIVE DEPTH .��::�... ._� ••:a ., .. M; •..'• _ •- _ ` '•° •• - 102 Estabrook Road _:° ..3� .°r...: :�' • : '.y - Concord, MA. 1742 4' 48• 4' 56' CONCRETE FLOW DIFFUSOR DETAIL (N-20 LOADM) NO SCALE LEACHNG SYSTEM PLAN VIEW (Tr4CAI 2) w SC LEACHING AREA REQUIREMENTS RESIDENTIAL: 12 BEDROOMS x 110 GPQ/BEDROOM TOTAL DESIGN FLOW = 1,320 GPD GARBAGE GRINDER (NOT INCLUDED) = N/A am LOGO P-IM DA7E:1V� PERC RATE = S5 MIN. / INCH (CLASS 1) BARNSTABLE LIAR = 0.74 GPD/S.F. SOIL EVALUATOR: C TEVE WILSON P.E. BOARD OF HEALTH AGENT: (D MIN. LEACHING AREA OF S.A.S. REQUIRED: DAVID STANTON Lu 1,320 GPD/ 0.74 GPD/S.F. 1,784 S.F. MIN. TEST PIT 1 TEST PIT 2 TEST PIT 3 TEST PIT 4 �_ p " G.S.E. = 14.8t 0" G.S.E. = 15.3t " G.S.E. = 15.3f " G.S.E. = 16.4t ►- PROPOSED SYSTEM: 2 SETS OF 6 FLOW DIFFUSORS; V OF STONE BENEATH CHAMBERS & 4' OF STONE ON ALL SIDES - SIDEWALL AREA: (12' + 56')x 2'(2) = 272 S.F.(2) = 544 S.F. "0" Ap; LOAMY SAND AID; 10YR 5/4 ; LOAMY SAND Ap; IOYR 3/2 ; LOAMY SAND AID; IOYR 3/4 ; LOAMY SAND .BOTTOM AREA: (12' x 56') = 672 S.F"(2) = 1344 S.F. 6" 10 YR 3/4 3" 5" 4" � �► TOTAL EFFECTIVE LEACHING AREA: 1,888 S.F. B; IOYR 5/4 ; LOAMY SAND B; 10YR 4/6 ; LOAMY SAND B; IOYR 4/3 ; LOAMY SAND B; 10YR 5/4 ; LOAMY SAND 0 SYSTEM DESIGN CAPACITY = 1,888 SF x 0.74 GPD/SF 1,397 GPD 16 18" 20" � � SEPTIC TANK SIZING: FIRST TANK 1,320 GPD x 2007. 2,6410 GAL.: USE 3,000 GALLON SEPTIC TANK - 18" SECOND TANK = 1,320 GPD x 100% = 1,320 GAL.: USE 1,500 GALLON SEPTIC TANK C; 10YR 5/6 ; MED. SAND C; 11OYR 7/6 ; MED. SAND C1; IOYR 5/8 ; MED. SAND C ; IOYR 7/8 ; MED. SAND 132" (PERC 0 56") 132" 132" (PERC 0 60") 132" o a NO WATER OBSERVED NO WATER OBSERVED NO WATER OBSERVED NO WATER OBSERVED �, I DESIGN SCHEDULE ELEVATION Cn W � w FINISH FLOOR-MAIN HOUSE 19.6 s 0 SEWER INVERTS AT MAIN HOUSE 15.9 it SEWER INVERT INTO 3,000 GALLON SEPTIC TANK 13.8 w SEWER INVERT OUT OF 3,000 GALLON SEPTIC TANK 13.5 SEWER INVERT INTO 1,500 GALLON` SEPTIC TANK 13.4 M o SEWER INVERT OUT OF 1,500 GALLON SEPTIC TANK 13.1 1 CERTIFY THAT IN APRIL 1995, 1 PASSED THE SOIL EVALUATOR EXAMINATION APPROVED r SEWER INVERT INTO DISTRIBUTION BOX 13.0 BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE ABOVE ANALYSIS m SEWER INVERT OUT OF DISTRIBUTION BOX 12.8 WAS PERFORMED BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE AND o SEWER INVERT INTO LEACHING CHAMBER 12.2 EXPERIENCE DESCRIBED IN 310 CMR 15.017. Q z BOTTOM OF S.A.S. 10. a ESTIMATED GROUNDWATER* 1.22 SHEET T I T L E SIGNATURE DATE zy Septic Upgrade Plan a M pg (SE- 622) M *GROUNDWATER ELEVATION IS BASED ON MEAN SPRING HIGH N WATER (ELEVATION 1.22 NAVD88) AS SHOWN ON PLATE C-22 & N C-23 TIDAL FLOOD PROFILE NO. 9, NEW ENGLAND COASTLINE, m U.S. ARMY CORPS OF ENGINEERS, SEPTEMBER 1988. SHEET N O 3 -v �i • 0 N D A T E : 12/17/15 0 20 0 20 40 a • SCALE IN FEET SCALE : 1"= 20' p L;, DRAWN/DESIGN BY: DF CHECKED BY: MWE 0 JOB NO: 2015-094 C A D D F I L E: 2015-094SP.dw Ln N i