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Home My WebLink About0125 CEDAR TREE NECK ROAD - Health 125 Cedar• Tree Neck Road Marstons Mills A= 075-011 i Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. July 14, 2005 Mr. Stephen Wilson, P.E. Baxter, Nye, and Holmgren, Inc. 812 Main Street Osterville, MA 02655 RE: 125 Cedar Tree:Neck Road', Marstons Mills A= 075=01'1 Dear Mr. Wilson, You are granted a variance on behalf of your clients, John and Debra Brodeur, to construct a replacement onsite sewage disposal system at 125 Cedar Tree Neck Road, Marstons Mills. The variances granted are as follows: Section 360-1, Town of Barnstable Code: The soil absorption system would be located 84 feet away from a coastal bank, in lieu of the 100 feet minimum separation distance required. 310 CMR 15.248 (1): No reserve area provided for the soil absorption system as required. This variance is granted with the following conditions: (1) No more than four (4) bedrooms are authorized at this property. (2) The applicant shall record a properly worded deed restriction, signed by the property owner, at the Registry of Deeds restricting the number of bedrooms at this property to four, before the applicant obtains a disposal works construction permit. (3) The septic system shall be installed in substantial compliance with the submitted plans dated June 20, 2005. WilsonBrodeur (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated June 20, 2005. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system. Since I youj, , 7rmIler, M.D. a WilsonBrodeur 4� tME 1 � DATE: FEE: P ..MASS. REC. BY Town f Barnstable OW o a nstable SCHED. DATE: Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-8Q-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 1 Z.5 Cep T►-r-C QCc1c. 2.oa r W6,rs}ly4s 1'Yl;)lS Assessor's Map and Parcel Number: V4ekp 7S; pal 11 Size of Lot: 3 O.26y SF Wetlands Within 300 Ft. Yes X, Business Name: No Subdivision Name: APPLICANT'S NAME• Sohn CPn&ur Phone Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: -Thh„ s lkbna 13rad e.ir Name: $ixrhen A. lf)i 15 0" Ole-i 140101,1rcn Address: 1 Za Gccclorr MM,w1rck- Address: $IZ Il a s-1 Strect- kmbIShcns mils ! MA 6Z4,ye, OS}tvVhlje , Mass 0upss, Phone: Phone: (:508-) yze -5/3/ VARIANCE FROM REGULATION(List Reg) REASON FOR VARIANCE(May attach if more space needed) Tt I&C V — I5.Z N 9C1) To Ln. +A" r e�.��r ..n r.1f �'.� a r�csev.rr avtie. _94rkiphouk ,T C.6 3&0--1 to &Ito a &0 bG .1ce s16l bo n k- so% lieu if IdO� NATURE OF WORK House Addition 11 House Renovation 0 Repair of Failed Septic System�. Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C r �J Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals [same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman MAIL-IN REQUESTS NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Please mail the completed variance application form to the address below. Also include four copies of engineering plans, house plans, authorization letter, etc (see check-list below). In addition, please include the required fee amount (see fees at bottom of this page). Make $85.00 check payable to:Town of Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Checklist Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) $85.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date FOR FAXED REQUESTS Our fax number is(508) 790-6304. Please fax a completed application form. Also, you must mail the required $85.00 fee. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. In addition, please mail four copies of engineered plans, house plans, authorization letter, etc. (see check-list below): Checklist Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) $85.00 variance request application fee (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals [same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) DATE: FEE: REC. BY SCHED. DATE: Variance request submitted at least 15 days prior to meeting date For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page C:\Documents and Settings\decollik\Local Settings\Temporary Internet Files\OLK3\VARIREQ.DOC June 20th, 2005 Board of Health Town Offices 200 Main Street :Hyannis, Massachusetts 02601 Re: 125 Cedar Tree Neck Road,Marstons Mills Members of the Board, This letter is to inform the Board that I have authorized Stephen A. Wilson,P.E. to represent me for the variances being requested at the above noted location. Sinc ely, r ro ur #1998-053 BrodeurBOHl.etter.doc v �R Qa' v s� P�44r `Q b ♦ _ 1/ v . o », s i r Y - -- . - � y ,� � - '�-. - - -- - -- - -- - SITE Pf � t3 - Os / 4 w I¢ 1.00 a Abutters Map Scale 1» 200'. BAXTER, NYE & HOLMGREN, INC. Registered Professional Engineers and Land Surveyors i ;vE ) Lid �uF�S CAr DATE: / 19 FEE: 1KitSS.. 2U5 Jl� 22 H 9 i639 Rt��' REC. BY Town of Bar SCHED. DATE: IV1St4 Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 1 Z.5 G L AC� 'T e-C OC-c4. Q0 a.Q , MQ r s ivot s M i IS Assessor's Map and Parcel Number: 104 75; pal 11 Size of Lot: 30,26y SF Wetlands Within 300 Ft. Yes X. Business Name: No Subdivision Name: APPLICANT'SNAME: Sekri Eka ur• Phone Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME 'CONTACT PERSON Name: T„uj4 c Name: S+Crhan A. W I 1 s tryt E . Nee-i. 14clen,p-cr. Address: 1 ZD Ccc6r Address: a17- Y1'1c4►N 54r«t kM,rs&mS knillS . ►nA D2�o�/8' Ostcv��lle t ynass OZ&SS Phone: Phone: (sog) V z a -my VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) Tt i"le V — is,2 y 2(1) To t aa% *U& n C �r W%r-%t S'—► a re setrt/e AWC& 1;arkZ&R"&-3t C1.1 3&0-1 n S.A�S E3Nr ;g' .1 ceaS1..1 b&nk. t.% lIcu a 10n, NATURE OF WORK House Addition 0 House Renovation 0 Repair of Failed Septic System-_. Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet �Fii1es\0LK3\VARIREQ.D0C 77 fJUI, 15, 2005 8: 38AM N0. 0721—P, 1 6�TO atA-a-n h Law Offices Of FqT'Theo'do�re A. Schi g 4 Schilling, P.C. g35 1550 TaImouth Road, Suite 10 Telephone 508-775-0700 Centerville, M 02632 Fax 508-775-0792 Email law@cape.com j, FAX COVER SKEET To: I'aX: Of: Prom: Ted By; Pages: (Including Cover Sheet) Date: Re: O Urgent LQ For Review 0 Please Reply . O As Requested a � - 7� o1 ��30 -CON FIDENTIA y N CE The documents accompanying this FAX transmission cover letter contain inFormatlan from The Low Offl es of Theodore A.Schilling,P.C.,which is confidential and privileOd. The Information Is intended to be for the use of the indMdual or entity norned on this transmittal sheet. If you are not the Intended recipient,be awaro that any disclosure,copying,distriburion or use,of The contenrs of this FAX transmission Is prohibited. IF YOU HAVE RECEIVED THIS FAX TRANSMISSION IN ERROR,PLEASE NOTIFY US IMMEDIATELY BY TELEPHONE. JUL. 15, 2005 8. 38MA NO. 0721 P. 2 Bk 20045 Pft119 QL48495 47-14--200S 01 O� a 41p BARNSTABLE REGISTRY OF DEEDS DEED RESTRICTION WHEREAS, JOHN E. BRODEUR and DEBORAH BRODEUR of 125 Cedar Tree Neck Road, Barnstable (Marstons Mills) , Barnstable County, Massachusetts 02648, are the Owners of 125 Cedar Tree Neck Road, located in Barnstable (Xarstons Mills) , - Barnstable Country, Massachusetts 02648, hereinafter referred to as LOT 1 on a plan filed in Plan Book 217, Page 107. WHEREAS, JOHN E. BRODEUR and DEBORAH BRODEUR as the owners of said lot have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15 . 000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of n' P Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, is requiring that the agreement for the restriction on the number of bedrooms in the house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document. NOW, THEREFORE, John E. Brodeur and Deborah Brodeur do hereby place the following restriction on their above- ` referenced land in accordance with their agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 125 Cedar Tree 'Neck Road, Barnstable (Marstons Mills) , MA 02648 shall have a house containing no more than four (4) bedrooms . John E. Brodeur and Deborah Brodeur agree that this shall be a permanent deed restriction affecting Lot 1 located on 125 Cedar Tree Neck Road, Barnstable (Marstons I ' I JUL. 15, 2005 8: 38AM N0, 0721 P. 3 Mills) , MA 02648, and being shown as Lot 1 on the plan filed in Plan Book 217, Page 107 . For title, see Deed recorded with the Barnstable County Registry of. Deeds in Book 11612, Page 224 , EXECUTED as a sealed instrument this 14tbday of July , 2005 . o E. Brod r i1,9 LjVA�d . 4n��j Ue orah Brodeur THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS. July 14, 2005 2005 Before me, the undersigned Notary Public, personally appeared Deborah Brodeur, proved to me through satisfactory evidence of identification, which was a MA driver's license, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. Notary Public My commission expires . J 7) Gz� A:\Brodeurdd.Aeetriction,doc Town of Barnstable P# Department of Regulatory Services 1 i Public Health Division Date 0--5 200 Main Street,Hyannis MA 02601 �tb Mld a I L r Date Scheduled // /t" Time Fee Pd._1 0 Soil Suitability Assessment for Sewage Di osal Performed BY: PN A Wt I SCAL Witnessed By: LOCATION& GENERAL INFORMATION Location Address 125 Cedar lred: ��ak 12.,D Owner's Name, (3,�Qeur �Yl 12S C4:,A-- PLO Address Wtor-%+w•ts vn/l� Assessor'sMap/Parcel: IM_74T P-1 II Engineer's Name ut),)sc NEW CONSTRUCTION REPAIR Telephone# $ 42 S"! � ex>t• ��% Land Use' 4 "0 USG Slopes(%) Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property line S ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) •� a 1.33' I I S 720.1'OT E 14 -� _ 5.00'CB to T 4 ,!i. q. `afN�4+ 3g.3 Z&9C Road S14in0 ce 397 to 31.6 \\ in 4',`1 I N 14 40.6 398 j9/ 30, 3 7.p 90k- \\ 36 / �� 116 �` \4\3 �l•2 4 c 0.0 3j5 1j 36\ �2 y < /\ 20 lg—�� 37.2 97 OYS �� y"`• zt \ 0 \ % f� 1` 375 Z�NK 31.4 3737.7 i ry \\\�6\\ ��r•. v V� g07y.•�..41W < QA.�VW� , 3756 336 379 \\\\ \ �O\J+O u` 01 3/ 7 6 37 31.937 B 24 t\ \\ G\tS i 37 4 31.2 e� `/��/ 39 400 x 1. n 30• • 0 31- LKR.Rrz . r I / ,42'7 •a.�` 10 ro a R � rEPS .R. T1E 7,1 37.8 996 ' g 42.1 io .��N 7 0 W 297. ro ` \,:......•.' oN F>a 41. .e .- r...,..e,Hw,m.,e __ .._< ). Parent material(geologic) ��Ct4( d�tf'U+uSi1 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: in. Depth Observed standing in obs.hole: ln. Depth to Soil mottles: in, Groundwater Adjustment ft. Depth to weeping from side of obs.hole: � Adj.Groundwater Level Index Well# Reading Date: Index Well level .. Adj,factor- .- PERCOLATION TEST DgW Fife Observation Time at 9" Hole# Depth of Pere lnQ Time at 6" Start Pre-soak Time @ 10 1.Z!L Time(9"-6") End Pre-soak 1 b cl Rate Min./Inch .3 i Site Suitability Assessment: Site Passed ✓ Sito Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conseicvation Division at least one(1)week prior to beginning. Q:\.SEPTICIPERCFORM.DOC /r9S� o s3 DEEROBSERVATION HOLE LOG Hole# �4_ Depth from Soil Horizon Soil Texture Soll Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency,%0 3 A� S�,.a13 io:y.u� y1y �' Sated Loae^ 10 � y e, me wan Sa►+r.L B I �y Rio la C2 i��.� so.,oc 10 Yte s�4 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil.Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Grave]) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenMGravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes .✓_ Within 500 year boundary No L Yes ' Within 100 year flood boundary No-Z 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? 25: If not,what is the depth of naturally occurring pervious material? ... .�. Certification I certify that on �—(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 10 CMR 15.017. Signature Date Q:\SBPTICIPERCFORM.DOC i Town of Barnstable " Regulatory Services s Thomas F.Geiler,Director MAS& .g Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: $ 8 20oS Sewage Permit# 2005— 363 Assessor's Map\Parcel JW,*p 75 Pe-/ 12 Designer: 5; -c rkc*, A, W,lsrr, 12. Installer: 13cn-d-ola+h C&t,--frae-hvm Address: L3 a x h r 4 MVA 'F I-Lo I na rc h Address: P.o, IUe, 7 d Y @(2 Whin G+. , 3SJ-XrQllIf- VY1br4ms mitts _ 026y8' on_7 2'7 Zoo 5 G g, }n c, +P# Can s was issued a permit to install a (date) (installer) septic system at .125 CcJ-G,- Tr-es Mask lebz4 based on a design drawn by (address) cZ 1 A, Lo �sory, � PI E, dated 6 12-6 /Zoo.s (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. 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 R ations. Plan revision or rtified as-built by designer to follow. IV%Of STEPHEN ALLYN R, r 0 WILSON co (Installer's Signature) " No.30216 ADO �R61S AL (Designer's Signature) (Affix Designer's Stamp 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:Health/Septic/Designer Certification Form 3-26-04.doc I 0 TOWN O�F/BARNSTABLE LOCATION SEWAGE # 'VILLAGE ///• �I,/l� ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. /Y SEPTIC TANK CAPACITY j ®e6 C,�L LEACHING FACILITY: (hype) flow (size) NO.OF BEDROO BUILDER O OWNE <- PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �� Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet o leaching facility) Furnished by Ll `i)F", cu.. w 1 No. ' O S 363 Fee ®V i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Zigpogar *pgtem Congtruction Permit Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) O Complete System individual Components Location Address or Lot No. C G Q,� jy� Owner's Name,Add sp�and Tel.No. Assess is Ma AR 1 ✓ �GG4 �c Installer's Name,Address,and T .No Designer's Name,Address and Tel.No.. 7/ - YZ S'- / Type of Building ��4_�� Dwelling No.of Bedrooms Lot Size ,V5 gzr ft Garbage Grinder(. � Other Type of Building nvo. of Persons Showers( ) Cafeteria( ) i Other Fixtures �f Design Flow At gallons per day. Calculated daily flow -` tip gallons. Plan Date blza O'er Number of sheets Revision Date Title 9�fof>�' .4y9AWZZ /Z. 5— C e 6Z Z'✓ e <t ec�- s1:21, 4,2 / Size of Septic Tank / ®o Type of S.A.S. �� ® ell, �a�'S Description of Soil Nature of Repairs or Alterations(Answer when applicable) t_. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee d b �i"sarf He lth. 7� Sig ed Date Application Approved b Date Application Disapproved for the following reasons Permit No. S _ �� Date Issued n ltkl ,. No. 3 6 Fee / �Q TWE COMMONWEALTH OF MASSACHUSEMTS -' Entered in computer: Yes PUBLIC HEALTH DIVISL_O1�=TOWN OF BARNSTABLE., MASSACHUSETTS", 01pprication for Migoar *p5tem Cong4ruction Permit Application fora Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) ❑Complete System L9-Individual Components Location Address or Lot No. � `n ) i Owner's Nfe,Addre 1 a s and Tel.No. ss Asse 's p/Par Installer's Name,Address,and Tel No. Designer's Name,Address and Tel.No. 7 71 - f�3 s - 9r 1 Type of Building: Dwelling No.of Bedrooms Lot Size /QS sq'fr Garbage Grinder(-•'e'000 Other Type of Buildings/ ? `l t$To.of Persons Showers( ) Cafeteria( ) Other Fixtures ��// c Design Flow `7� gallons,per day. Calculated daily flow l gallons. Plan Date f Z� � ✓ Number of sheets Revision Date Title 3 Size of Septic Tank L191:90 Type of S.A.S. c� r'G� i°�` 4,S 0,,` 4- Description of Soil ✓� � � / / Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been-•issu b .,th�'arof Health. 7 Q Sig ed Date. Application Approved by Date 5 Application Disapproved for the following reasons Permit No. G% �J "— Date Issued C _ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIF that the O'/�-site Sewa .e Disposal System Constructed( ) Repaired (A") Upgraded( ) Abandoned( �by ��/ l`fG�19✓ at � 7 Cam' .�9 lr--Ie e �� " has been constructed iii/ accordance with the provisiq8s`of Ti e 5 d e for Disposal System Construction Permit No. 3 dated a7 Installer :=� ' c t Designer The issuance o it shall not be construed as a guarantee that the sy4l Olfuu tion tem as de gn Date 0 Inspector ijA-1 -�-� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpo5ar *p5tem Construction Permit Permission is hereby granted to Construct( , )f epair U grade( )Abando ( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditiCb ns. Provided: Construction ust be co pleted within three years of the da p Date:_ 17 2 Approved JUL-27-2005 09:49A FROM:JK HOLMGREN ENG. INC 15084283750 TO:815084289399 PA Town of Barnstable rMarsres�, o►5 Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508.790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. Mr. Stephen Wilson, P.E. July 14, 2005 Baxter, Nye, and Holmgren, Inc. 812 Main Street Osterville, MA 02655 RE< 125:Codar �ee.Neck,Road,..Marstons Mills A-= 075-011: Dear Mr. Wilson, You are granted a variance on behalf of your clients, John and Debra Brodeur, to construct a replacement onsite sewage disposal system at 125 Cedar Tree Neck Road, Marstons Mills. The variances granted are as follows: Section 360-1, Town of Barnstable Code: The soil absorption system would be located 84 feet away from a coastal bank, in lieu of the 100 feet minimum separation distance required. 310 CMR 15.248 (1): No reserve area provided for the soil absorption system as required. This variance is granted with the following conditions: (1) No more than four (4) bedrooms are authorized at this property. (2) The applicant shall record a properly worded deed restriction, signed by the property owner, at the Registry of Deeds restricting the number of bedrooms at this property to four, before the applicant obtains a disposal works construction permit. (3) The septic system shall be installed in substantial compliance with the submitted plans dated June 20, 2005. Wilsonl3rodeur JUL-27-2005 09:49A FROM:JK HOLMGREN ENG. INC 15084283750 TO:815084289399 P.5 F " (4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated June 20, 2005. These variances are granted because the physical constraints at the site severely restrict the location of the soil absorption system. Since I your , Wa a Iler, M.D. Ch +rma WilsonBrodeur JUL-27-2005 09:4eA FROM:JK HOLMGREN ENG. INC 15084283750 TO:e15084289399 P.2 EMMMM BMc ��D445 R9119 ;�$495 47-14-20 0S a 03=0 7.p BARNSTABLE REGISTRY OF DEEDS DEED RESTRICTYON WHEREAS, JOHN E. BRODEUR and DEBORAR 21t0DEUR of 125 Cedar Tree Neck Road, Barnstable (Marston Mills) , Barnstable County, Massachusetts 02648, are the Owners of 125 Cedar Tree Neck Road, located in Barnstable (Marstons Mills), Barnstable County, Massachusetts 02648, hereinafter referred to as LOT 1 on a plan filed in Plan Book 217, Page 107. WHEREAS, JOHN E. BRODMM and DSBOMM BRODEUR as the owners.. of said lot have agreed with the Town of Barnstable Board of Health to a restriction as, to the number of bedrooms as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15 , 000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health. as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, is requiring that the agreement for the restriction on the number of bedrooms in the house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document. NOW, THEREFORE, John E. Brodeur and Deborah Brodeur do hereby place the following restriction on their above- ` referenced land in accordance with their agreement with the Town of Barnstable Board of Health, 'which restriction shall run with the land and be binding upon all successors in title: 125 Cedar Tree -Neck Road, Barnstable (Marstons Mills) , MA 02648 shall have a house containing no more than four (4) bedrooms , John E. Brodeur and Deborah Brodeur agree that this shall be a permanent deed restriction affecting Lot 1 located on 125 Cedar Tree Neck Road, Barnstable (Marstons JUL-27-2005 09:48A FROM:JK HOLMGREN ENG. INC 15084283750 TO:815084289399 P.3 Mills) , MA 02648, and being shown as Lot 1 on the plan filed in Plan Book 217, Page 107. For title, see Deed recorded with the Barnstable County Registry of, Deeds in Book 11612, Page 224. EXECUTED as a sealed instrument this 146day Of Jnlyr , 2005, obbE. Brod r e orah Brodeur THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS. July 14, 2005 2005 Before me, the undersigned Notary public, personally appeared Deborah Brodeur, proved to me through satisfactory evidence of identification, which was a MA driver's license, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily .for its stated purpose. Notary Public My commission expires: A:lssodeurdd.Restriction.doc f COMMONWEALTH OF MASSACHUSETTS Q EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS a DEPARTMENT OF ENVIRONMENTAL PR ATE FADED INSPECTION �qY 8 q �05 ® F TITLE 5 'C OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FO-Y� s o PART A r E: IVED CERTIFICATION _ MAY 1 0 2005 Property Address: / k LTOWN OF BARNSTABLE Owner's Name^ HEALTH f�EPT. Owner's Address: — ' ? i �c Date of Inspection: 1 Name of Inspec�ar. please print) Company Nam` .,�- Mailing Address: 62 Telephone Number: y � CERTIFICATION STATEMENT 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 Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: ' The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shard system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the repor to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the bbyer, if applicable, and the approving 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. Title 5 Inspection Form 6/15/2000 page I r Page 2 of 11 : . t + OFFICIAL INSPECTION FORM—NOT FOR,VOLUNTARY ASSESSMENTS g` SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM -=^ APART-A`" �r •YC I 1�' �� r.iA� 9 ' V CERTIFICATION (continued) Property.Address: Owner: _ Date of Inspectio`: Inspection Summary; Check A,B,C,D or E./ALWAYS complete.all of Section D A. System Passes: I have not found any informatioL which indicates that any of the failure criteria described in.310 CMR 15.303 or in 310;CMR 15,304 exist.Awv failure criteria.not evaluated are indicated below. Comments: y , B. System Conditionally Passes: One or more system component: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,*ill pass. Answer yes,no or not determined(Y,N ND)in the 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. ND explain: Observation' of sewage backup o break out or high static water leyel in the distribution box due to broken or obstructed pipe(s)or due to a broken, se_tled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is.removed distribution boy,is leveled or replaced ND explain: 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: Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (contin-jed) Property Address: � Owner:'' Date of Inspection: ) C. Further Evaluation is Required by the Board.of Health: Conditions exist which require further evaluation by the Board o-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)chat the. system is not functioning in a manner which will protect public health,safety and the.en Cesspool or privyis within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Z. 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 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 tLan 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 DEEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence:of ammonia nitrogen and nitrate nitrogen is equal to air 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: 3 Page 4 of 11 OFFICIAL;INSPECTION FORM:—NOT-FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART A. CERTIFICATION(continued) Property Address: Date of Inspection: D. System Failure Criteria applicable to all systems: � You must indicate"yes"or"no."'to each of the following for all inspections: � — P Yes No. Backup of sewage-into facility,or system component due to c verloaded: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 J _ Static liquid level in the distribution box above outlet invert due to an overloade&or,clogged SAS or cesspool. . Liquid depth in cesspool is.-ess than.6"below invert or available volume is less than %day flow 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, ce=spool 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. An onion of a cess ool.c_- iv ' within y p p , privy is .rthm a.Zone 1 of a•publtc well. _ Any portion of a cesspool o_privy is within.50 feet of A-private water supply well. . Any portion of a.cesspool o-privy is less.than 10.0,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 coliform bacteria:and volatile organic compounds 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. A copy of the analysis must be attached to this form.] (Yes/No)The system fails. I have. determined that one-or more of the above failure criteria.exist as described in 310 CMR 15.3103,the 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. 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) 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 11 of a public.water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered (,yes" in Section D above the large system has failed: The owner or operator of any large system considered a significant threat under:Section E or faded under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contsct the appropriate regional office of the Department. 'A Page 5 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: Date of Inspection: Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes o Pumping information was provided by the owner, occupant, or Board of Health _~JZ-Were any of the system components pumped out in the previous two weeks? 1 Has the system received normal flows in the previous two week period ? 0 o this inspection ave larae.volumes of water been introduced to the system recently or as part f p j— Were as built plans of the system obtained and examined?(IfYhey were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? r/ 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 in._erior of the tank inspected for the condition ofthe baffles or tees,material of construction, dimensions,depth of liquid,depth of sludge and depth of scum? l/ Was the facility owner(and occupants if different from owne-)provided with information on the proper maintenance of subsurface sewage disposal systems The size and location of the Soil Absorption System (SAS) cn the site has been determined based on: Yes no //�xisting information. For example, a plan at the Board of Health. y Determined in the field.(if any of the failure criteria related tr.Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] 5 Page 6.of 11 t OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION;FORM` PART C ti SYSTEM-INFORMATION- Property Address: OwnerQ Date of Inspectio 5/ t ` FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310.CM 15.203 (for example: 11.0 gpd x#of bedrooms): Number of current residents;_ Does residence have.a garbage grinder(yes or no):Vqq Is laundry on a separate sewage system,(y-,dor no):; jif yes separate inspection required] Laundry system inspected(ye .or no)`60 Seasonal use: (yes or no): Water meter readings, if available last 2 ears usage Q ' ' Sump pump(yes or no): 16 'Last date of occupancy: COMMERCIAL/INDUSTRIAI/XO Type of establishment: Design.flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft.etc.): Grease trap present(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: , r Was system pumped as part of theinspz!ction(yeWor no): If yes, volume um ed: allons--How was tit um ed determined? P P g q Y P P ... 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) . _Tight tank _Attach a copy of-the DEP approval {, V Other(describe): L JApproximate age of all components,dam installed(if known)and source of information.- . s F Were sewage odors detected when arriving at the site(yes or no): v/ 6 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTENT INSPECTION FORM PART C SYSTEM INFORMATION(ccrtinued) Property Address: In Owner. �� ,al WA Date of Inspection: BUILDING SEWER(locate on site plan)✓I �`"�"' Depth below grade: Materials of construction:_cast iron _40 PVC other(explain): Distance from private water supply well or suction line:_ Comments(on condition ofjoints,venting, evidence of leakage, etc.)- SEPTIC TANK: r/ (_locate on site plan) Depth below grade:UAd.0 Material of construction: /concrete_metal_fiberglass_polyeth rlene —other(explain) If tank is metal list age:_ Is age'confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: S' K K5- / Sludge depth:770 j .a fwx� P-- Distance from top of sludge to botton,noff outlet tee or baffle: Scum thickness.' ,/ !F Distance from top of scum to top o outlet tee or baffle: Distance from bottom of scum to bottom f outlet tee or baffle: How were dimensions determined R jnl u Comments(on pumping recomme ations, lfilet and outlet tee or baf e condition, structural integrity, liquid levels a related to outlet invert,evidence of leakage, tc.): —/K4Lk till -6140 i GREASE TRAP. locate on site plan) t Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyeth:�Iene_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: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR YOLUNTARY ASSESSMENTS SUBSURFACE A E SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C . SYSTEM'INFORMATION continued) Property [� P y Address: t Owner.. Date of Inspection ' s ect' n i locate.on site plan) TIGHT or HOLDING TAN K• tank must be pumped at time of m �o ��- P P P ). P ) . Depth below grade: Material of construction: concrete metal fiberglass ther ex la.in ) _Pof eth lene o Dimensions' i 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.): e e o ened locate on site lan •. B if present must b DISTRIBUTION O�y��t� P P )( P - ) Depth of liquid level above outlet invert: Comments(note if box is level and disuibution to outlets equal, any evidence of solids carryover,.any evidence of leakage into or out of box, etc.): PUMP CHAMBE*(locate on ste plan) Pumps in working order(yes or no.): Alarms,in working order(yes or n'o): Comments(note condition,of pump chamber, condition of pumps and appurtenances, etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: QC��rL, l Date of Inspection 3., 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: 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, CESSPOOL,jt.n (cesspool must be pumped as part of inspection)(Iccate 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 or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation,etc.): . PRIV�(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.): 9 Page 10 of 11 OFFICIAL INSPECTION-FORM—NOT FOR VOLUNTARY:ASSESSMENTS SUBSURFACE SENVAGE.DISPOSAL.SYSTEM.INSPECTION FORM FART C SYSTEM INFORMATION(continued) Property Address: /Y---�'� Ownera/ A , Date of Inspection 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. o 1000 4C) i jj 10 l Page 1 l of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(cantinued) Property Address: .� d 71w. Date of Inspection SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 2Sfeet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet cf 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: �o T 1p 11 - Pe rmit rmit Nu mber: b er: Da te: Completed by: �%�'� HIGH GROUND-WATER LEVEL COMPUTATION Site Location: �� / y'G�( ' Lot No. Owner: /- Address: Contractor: / "J1 J / / �f'�`�, Address: /Y GAS f/ STEP 1 Measure depth to water table ),� to.nearest 1/10 ft. .............................................................................. .Date l�J' rl� month/day/year STEP 2 Using Water-Level Range Zone " and Index Well Map IDcate site and determine: pp z .. .r O Appropriate inde>: well............................. OWater-level range zone ............................................... ..... G t STEP 3 Using monthly report"Current Water Resources_Conditions" ::;,....... determine current depth to l water level for index�\vell ........................... r7 \7, month/year STEP 4 Using Table of Water-evel Adjustments for index well (STEP ?A), current depth T _ to water level for index well (STEP 3), and water-level zone (STEP 213) determine water-level.adjustment ...................................."...........................;......................... STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ............................................................................................................. �� s } J Figure 13.--Reproducible computation form. s 1. 15 �. i• «.,,_..._.wr.. ,.�...,... (,rl.'�rr�P�/ �(;�! 4�. (,•'Tier .e_._.._................,_.,..,...... _ 1 ' i i 1 e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION >Q Map 0 ?.5 Parcel C// '`J Permit# Health Division 8 --/d--�g' Date Issued Conservation Division Fee Tax Collector P11C SYSTEM MUST SE Treasurer INSTALLED IN COMPLIANCE WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS .�K, y 13 p.3 _aa A C./`/�l Historic-OKH Preservation/Hyannis Project Street Address t 2S C e d ac- -'rt e_ f c-k )2 . Village V0 a y-3 to ervl4 Owner r_Ca\n!n A 0 Address Zq? o2c� Telephone "AL A - 61 o6 Permit Request R AZy- e►cus-r,N 6 h G�^t ce.-b� �1� "ew ov", e,ccs'r�ry . 'C=c-�tj.,cA a *%er�n • el o n-e,-r r L-;,c-t- N Ft -_, c6 Q�a c 1, e 8 I-Lw On e e_r cL S'G e �, Square feet: 1 st floor: existing zs�6� proposed 29 96 42nd floor: existing O proposed Lg R 6� Total new zs' Estimated Project Cost (o Ls,000 Zoning District C2 F Flood Plain Groundwater Overlay Construction Type she J Era e„ Lot Size , $S Fie—, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family(#units) Age of Existing Structure 2S' + Historic House: ❑Yes 4 No On Old King's Highway: ❑Yes A No Basement Type: A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 12 2 2k Basement Unfinished Area(sq.ft) 33 L Number of Baths: Full: existing 4 new Half: existing new `t1 . Number of Bedrooms: existing 4 new —& Total Room Count(not including baths): existing new l 3 First Floor Room Count 6 Heat Type and Fuel: A Gas ❑Oil ClElectric ❑Other Central Air: ❑Yes ❑ No , Fireplaces: Existing I New 3 Existing wood/coal stove: ❑Yes 6 No Detached garage:❑existing ❑new size 7o Q Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes K No If yes,site plan review# Current Use S c n q te- iw.A Si Proposed Use �gFw►e � 1, s,��. ➢ N S ! r va.rtla T GacF m R . .. i______—_jf __tV_• ____ ________ _______._ . exvf wMa.• � I I Y•tl w0. I I /�' i I - �ip Ti••r�r x l w• � I I I ,1 I I I s ar•'.v xlw � � I' s a•w xl we• I � ' I II - T Tom'F 1w a 1 M' � ♦a`/-P.u�ll 1 ' 1 ' ; I ' � '�'1 -1'-� • '. ��• s aw x.wal wr• I � . 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U �'-0•x.�e•%I N• IbG tr pl.'Al 10'b'. n Yb'%Ib'x I M• erdCK1'r px1l ..� � ....� � I. 7 x.b x I a.D jtliq, b 11:.LI2r pxal IM!He+p er � @ TALLm YI KIIGe%lM/0RY �N pe urC GI.Ul2 r•Ne Mp MN•l M.ear a Nwa1Cl M1N �... Nl>a i� {l-0•%T•O'x I eM' - b•%ed'%I e.0• R.o eLOOI.OP:111 e'b eN'x 'd eNYlO. 41- tlr�1RmY .. 41 b. M ID% �lLA MKIl LLI/n ro ee INIOJbO!M1e rnlV/LY - .. : MIUwI.GHaGM.T NO u peme ro ee oof'ar..npm'nea.11 - - . .0.�CpQ MTaDm-ne H.no.fC - • �r...P.a. p ,�s nM Nor LoIU,NK1tlN o N N m • " x 0'dx b' , lo�ix,x J.yr may, d OOpt 110T TIO 4 ' x2��ry- o�"fvnT w utm _ rl vrO.LLunx � a% BILLIARD AREA Y K-IN STORAbE ___—_ N Wa6•m WMT f-, A Mf9MM1 ' ♦AT . ROOM FINISH SLHEOVLE ' I_..._. O - � b "TLIT'LHASE E.�... ��.b•--y-r a•-1O'` .wanx vrox /� p _ F - I �I�q.�onn�011 tl aaa111 YKC RAY.w OAOG C/pr IOT UTILITY RDOM � _ eiub0 Mw ny�' NVC ^+M M1W. ��N. M• N H•a nLy'b IbcO MV �O^fir. TO•wM� ' ; f`.`a"�. vr•e earq •.r. ros .e.a rw eewq ^I+i }� � - cw..T• co•M nwq _ _ — _ eslq .. _ ......-.••.:._ ::;•. ... :�ram:,;'. yar IN•0 qt M b't _ __ __ _____ _ _ t S �90�YHtT. �^"x mxg M eun nra mrq e•m colKxrrt - ' —Ar off b. NYit At1. A•m.Yt [M• � x1gC Ibx nI{ M Nix .o OK•DIT. 1V11 fib' �-... .. ' - H>Tp. s I BA5EMENTFLOOR PLAN A r SGALE 1/4'•V ' QA99AA T. FLOO Iw.o�noli C:� r Commonwealth of Massachusetts Executive Office of Environmental Affairs Dept. of Environmental Protection .John Grad One winter Street Boston,Ma. 02108 D.E.P. Title V Septic Inspector P.O. Box 2119 Teaticket, MA 02536 (508)564-6813 WILLIAM F.WELD Governor ARGEO PAUL CELLUCCI 3 Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM �1( f��S PART A , CERTIFICATION `fr ,� N qy � Property Address: 125 Cedar Tree Neck Marstons Mills 02648 Address of Owner: ro�2 Xy Date of Inspection: 5118198 (If different) F Name of Inspector: John Graci Wilbur I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) \ pFAs9 �8 Company Name,Address and Telephone Number: CERTIFICATION STATEMENT 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: x Passes This Inspection Is based on criteria dented in Title V - 10 CMR 16503. findings are of how the system Is code My e _ Condition Ily Pa ses performing at the time of the inspection.My Inspection does Needs F ther aluation By the Local Approving Authority not Imply any warranty or guarantee ofthelongevltyofthe septic system and any of Its components useful life. — Fails Inspector's Signature: Date: 5r18198 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C,or D: A] SYSTEM PASSES: x I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: _One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes Inspection. Indicate yes,no, or not determined(Y, N, or NO). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of CoMpliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal, is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 007S7) One Winter Street . Boston,Massachusetts 02108 Is FAX(617)556-1049 0 Telephone(617)292-5500 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 125 Cedar Tree Neck Marstons Mills 02648 Owner: Wilbur Date of Inspection:5119199 _ Sew.aae backup or,breakout.or hiah,static water level observed.in.the distribution box is due to a broken. or obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced _The system required pumping more than four 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 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 the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption system and Is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method usedto determine distance (appro)imation not valid) 3)Other D] SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination Is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage in facility or system component due to an 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 cesspool. SAS is in hydraulic failure. (revised 04R7197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 125 Cedar Tree Neck Marstons Mills 02548 Owner: Wilbur Date of Inspection:5118199 D]SYSTEM FAILS(continued) Yes No Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 limes in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: _ The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04127187) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 125 Cedar Tree Neck Marston Mills 02648 Owner: . Wilbur Date of Inspection:5119199 Check if the following have been done:YOU must indicate either"Yes"or"No"as to each of the following: ,c_ — Pumping information was requested of the owner,occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal — flow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this inspection. x As built plans have been obtained and examined. Note if they are not available with N/A. x The facility or dwelling was inspected for signs of sewage back-up. x — The system does not receive non-sanitary or industrial waste flow. _X_ — The site was inspected for signs of breakout. x All system components,excluding the Soil Absorption System,have been located on the site. x The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum. x The size and location of the Soil Absorption System on the site has been determined based on — — The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x Existing information. Ex.Plan at B.O.H. x Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is — — unacceptable)[15.302(3)(b)] (revised 0427197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 125 Cedar Tree Neck Marstons Mills 02648 Owner: Wilbur Date of Inspection:511V98 FLOW CONDITIONS RESIDENTIAL:Design flow: 440 g•pd!bedroom for S.A.S. Number of bedrooms: A Number of current residents: 2 Garbage grinder(yes or no): Yea Laundry connected to system(yes or no): Ye: Seasonal use(yes or no): No Water meter readings,if available:(last two(2)year usage(gpd): rda Sump Pump(yes or no): No Last date of occupancy: Na COMMERCIAL/INDUSTRIAL: Type of establishment: nia Design flow:0 gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no) No Water meter readings,if available: rda Last date of occupancy: n1a OTHER:(Describe) rda Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: Na System pumped as part of inspection:(yes or no)No If yes,volume pumped:9 gallons Reason for pumping: Na TYPE OF SYSTEM x Septic tank/distribution box/soil absorptions system Single cesspool Overflow cesspool Privy Shared system(yes or no) ( if yes,attach previous inspection records,if any) I/A Technology etc.Copy of up to date contract? Other: APPROXIMATE AGE of all components,date Installed(If known)and source Information: 1972 Sewage odors detected when arriving at the site:(yes or no) No (rwlaa d 0l727)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 125 Cedar Tree Neck Marstons Mills 02548 Owner: Wilbur Date of Inspection:5119199 SEPTIC TANK: x (locate on site plan) Depth below grade: 2' Material of construction:x con create_metal_FRP_Polyethylene—other(explain) If tank is metal, list age nia . Is age confirmed by Certificate of Compliance No (Yes/No) Dimensions: L8'6"H5'7"w4.10^ Sludge depth:3" Distance from top of sludge to bottom of outlet tee or baffle:24" Scum thickness:3" Distance from top of scum to top of outlet tee or baffle:6" Distance form bottom of scum to bottom of outlet tee or baffle:15" How dimensions were determined: measured Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) Septic tank and all components are structurelly sound and functioning properly.Recommend pumping every years. GREASE TRAP: (locate on site plan) Depth below grade: nla Material of construction: _concrete_metal_FRP_Polyethylene_other(explain) Dimensions: rva Scum thickness:nla Distance from top of scum to top of outlet tee or baffle:rda Distance from bottom of scum to bottom of outlet tee or baffle:rda Date of last pumping;ra Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage, etc.) nfa BUILDING SEWER: (Locate on site plan) Depth below grade: ra^ Material of construction:_cast iron x 40 PVC_other(explain) Distance from private water supply well or suction line" Diameter: 4"_ Qdsmments: (conditions of joints,venting,evidence of leakage,etc.) (revised 04R7)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 125 Cedar Tree Neck Marstons Mills 0284E Owner: Wilbur Date of Inspection:5118199 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: nra Material of construction:_concrete_metal_FRP_Polyethylene—other(explain) Dimensions: ara Capacity: nla gallons Design flow: Na gallons/day Alarm level:_nra Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) Ma DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: n1a Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box etc.) ros PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)No Alarms in working order(yes or no)_T j Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) nla (reyieed 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 125 Cedar Tree Neck Marstons Mills 02648 Owner: Wilbur Date of Inspection:5119199 SOIL ABSORPTION SYSTEM(SAS):x (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: roe Type: leaching pits,number: one 1000 gallon leach pk leaching chambers,number:roa leaching galleries,number: rda leaching trenches,number,length: roa leaching fields,number,dimensions:n1a overflow cesspool,number:n1a Alternate system: roa Name of Technology:_roa Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) Leach pa and all components are structurally sound and functioning properly.Leach ptt has been 314 of the way full,It la now 112 full. CESSPOOLS:_ (locate on site plan) Number and configuration: roa Depth-top of liquid to inlet invert:roa Depth of solids layer: roa Depth of scum layer: roa Dimensions of cesspool: n1a Materials of construction: n1a Indication of groundwater: roa inflow(cesspool must be pumped as part of inspection) roa Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.) •, roa PRIVY: (locate on site plan) Materials of construction: roa Dimensions: We Depth of solids: rua Comments:(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.) He l (rsylsed 04R7187) I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 125 Cedar Tree Neck Marstons Mills 02648 Wilbur 511 V98 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes Into house) �rbn I� o ►�lR A9 6A r1 3 U (nvUv�OA/17197) Page ! 9L 10 7 , • 1- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) i 125 Cedar Tree Neck Marstons Mills 02648 Wilbur 5118198 Depth of groundwater 12. Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property,observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators, installers x Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS maps and charts (revlaadOW191) 1/00 10 of 10 I PER MIT NO. �� - ��g DATE 4 3 :`OWNER , G QNeQ� AA 01r9'Owl L N ADDRESS C, CONTRACTOR INSTALLER at-' t' M,DATE INSTALLED JOB LOCATION NAME OF INSPECT;Oft DATE •�� J`e /CE rf� �t4 r rL�Q// /bba 6sT /n REPAIRS/ALTERATIONS " y /� � � -� =�� APPROVED O -- Fas..... ...................... THE COMMONWEALTH OF MASSACHUSETTS t -BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiun for Ali►ipwial Mirkq Tomitrnrtinn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( V l an Individual Sewage Disposal System at: . ..... CJ!!H!I S ..__ b .-------------' •-'-----••--•-•----•---••-----'--•--•-"'-'••'----------".................'-"•'..........._............... .. Locat n-Address or Lot No. PL�4Ll�. -----------•- L4`�lJ/5/�fis 4s L ---------------------------------.----------""----------. _-. =.lei✓. r ....... ......•... �` `' U G"•t9-res JJ S.�....._^...........^... Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms._--3---------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons__--__---.-___---_---.-.-. Showers ( ) — Cafeteria ( ) a' Other fixtures --------------------------------•-. W Design Flow...........G__.....................gallons per person per day. Total daily flow.....3---r3- O.........................gallons. 1:4 Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter__.. Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No....../............ Diameter._--. ..... Depth below inlet....4L(......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 04 Percolation Test Results Performed by.......................................................................... Date........................................ 0.4 Test Pit No. 1................minutes per inch Depth of Test Pit-.-_-----.._-._--__• Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ -----------------------------------•------------------•--•-----.....------------•........................................................................... 0 Description of Soil........................................................................................................................................................................ x V ............. ................................ ---•-••------•-...•--•--------•-••----•--•---••---------------------------'-•••-••------•-••------••-•----.._..................----••..............-•'••-. ••-------------------------••---...............--•-------------....................•--•--•-•---•-------•------------------- ---...-•--- ------ -.._---•••--.._.............---''---• U Nature of R pairs or Alterations—Answer when applicable.-- �SC�LC.......1.M. I..r................. --•-••--•-------------------•-----.-----..---•--•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Com i' s be issued b the boar f health. Signed . - ...................................... .------.... ...--- - ------- .............................. .......... Dare ..............-- Application Approved By ........... � ...IQ ................ -............................. ......... Application Disapproved for the following reasons: .......................... ........................ . .....................................................Dace�-Ce.................. .......... . . ...................................................... ....... ... ........ . ...................................... q q Dare PermitNo. 1 �J... �.. ..[ ........................ Issued .......................... .....................---.............. Dare ..r-+.f+...r.....:r-...,.,,.v.s �.l•rv.-�,1"^�.ry.^`^".ri.,,+'��.+i"^..�....vw•'�4'v>..t,.y� ...,,. ..,.f,n,,}v,....�'w..r.� +-�.'r -"'•-�i'Y, - . .. ._.. .. ... ._.. .,. _. ti No.................-....... !I (l FEB..-. ��............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratioit for Diripootil Worlto Tomitrurtion 11Prutit Application is hereby made for a Permit to Construct ( ) or Repair ( L,-') an Individual Sewage Disposal System at: ........................ <, ---•----•----------•------.....•----•...--.....•-••- ------;•� nLocation-Address or Lot No. ay .......n.. . a` `t................................ d ,_ i=t Ili ' arc��a«s f�� I nstaller Address of Building eet TypeDwelling—No. of Bedrooms-----��___---------------------------------Expansion Attic ( ) Size Lot.-Garbage Grinder q(f ) { aOther—Type of Building ...................... No. of persons--------------------------.. Showers ( ) — Cafeteria ( ) dOther fixtures ----------------- --------------------------------------------------------------------- �3----.---------------•-------••-•------••--•• W Design Flow.......... �_ _________________________gallons per person per day. Total daily flow..--.- _-_-_ .........................gallons. WSeptic Tank—Liquid capacity------------gallons Length..--_-.-_--__._ Width.-_-_.--.-... Diameter---------------- Depth................ x Disposal Trench--No. .................... Width.................... 'Total Length Total leaching area............_.......sq. ft. Seepage Pit No...../------------ Diameter-----e0......-- Depth below inlet...l............. Total leaching area..................sq. ft. Z 1__Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by-------- ---------------•--••--•-•----•-------•-•-••-•---•--•-•-••••--•••. Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fZ4 Test Pit No. 2..._............minutes per inch Depth of Test Pit----:............... Depth to ground water........................ •---•--------------------------------------------------------------------------------'--••••-•--• ------------------------ •••--• -••-•--------_-- ODescription of Soil...........................................................................................................................................-..._._..•••••-•--........--- W ....•-•-•-•--•--•------•--•••-•-----------------•-•-----•-•---•-••--•-•-•••-----•-•--••-••--•-------•-••--•••---•---•--.._..----•••----•---...---••--••--••••--•-•-...._........•-•...._....__._....._.. W U Nature of Repairs or Alterations—Answer when applicable....`.'�. ( --...._1.�1f� �- ' ___ 1-�"________________ r Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued the b�oarrdd,bf health. r Signed ! � .......................................................� `� � .... .. .. � `"•.�...�� Dare Application Approved By ......--... .< t,� �...�.• .. .`....................................................................'--' Dare Application Disapproved for the following reasons: ..... .................................................................................................................. ........................................................ .. ... ...................................--.......................--.............................................................. ........................................ q Dare PermitNo. ....... l..�J........l x..q 1........................... Issued -----------------------..................................... ...... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ter#tfirate of (11'ontylianve THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( Cs'') by c`' -.��i_y C-- . t�/J. : -..r. ).1- --c'............... .... ..............................---_:.. Installer at ... -- .............._.c- Z- " ...... - C..r.-._......-✓.' -c-.. _..._... - has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. -.--Y .-.../_. --- '_............ dated ........_...............__........:.__.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. ..__....� - - ..._................ _. Inspector -..-.. .. ...................__. ... ...... V THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Qc/ TOWN OF BARNSTABLE Disposal Workv Tonotnution '"rrutit Permission is hereby pgranted r_._-... '_--./. _%(:_ _. `�--f-�- -. -- -•-•••--•-•--•------------••----•----••-•-...--•...._••••-...... to Construct or Repair // an Individual Sewage Disposal System at No.----._...•-•-•_.._._......•-••--•-•-- t� � G. �..�fawn C c - r rr_ ...p_ ...•-•-_--- - - Strcet qq �/ as shown on the application for Disposal Works Construction Permit No.73 ll.1._ Dated.......................................... ----------- -------------- -------------•--------------•--•--•••-•--•-•- i/ - ' Board of Health DATE............J _ • . / •-- G FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS �s VZ .0...' ... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiuu for Di!ip11ial Hlur1w C omitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: US4� i�,a6 A�� M. M'c l is ........12 5 . .. .. ...- .- ... Centerville .............. .......................................... Location.Address or Lot No. tA- Winn Wilbur 125 Prince Ave. .................................................................. owner Address a .......Patri.QX...MCI.Qw.el.l---(_A.rthur...S.ears...& Sons...Inc.)...5D....Dx_-..Lnr.ds...Rd...Dennls....... Installer Address Type of Building Size Lot............................Sq. feet ,., Dwelling—No. of Bedrooms.-------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---I........................ No. of persons......................------ Showers ( ) — Cafeteria ( ) 04 Other fixtures ------------------------------- - - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity------------gallons Length---------------- Width.......-.-.----- Diameter................. Depth................ Disposal Trench--No. .................... Width.------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter......---_-------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------- --------------•-------•--•----•----••-----•-•--•------•------.... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ w •--•----------------------------------------•-----••-------•---......................................................__...................................•.. 0 Description of Soil................................................ ---.....---•-•--------•------.....-------------------------•-------.........---------•--------.........----............ W V ............................•------------•---•----------•••---------------------•-----------•-------------•----•---•----------------------------•-------•------------............------.....----.....--- W .................................................................................................... ----------------•--•---••-------------•--•----•--•••--•••--•---------------------•----•••---....-- U Nature of Repairs or Alterations—Answer when applicable.... Re---1 o c a t e (1 ) 15 0 0 G S T f o r . • ................. .......a.d di t;.i.on..------------------•-----------------------------•----....................---------------------------------------.....-----------......--•--------•--..................... Agreement: The undersigned agrees to install the aforedescrib viduA Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environm tal Co undersigned further agrees not to place the system in operation until a Certificate of Compliancq ee i d b oa of a Signed ------- ------------------------------ -�J......... ..... ................. ........................................ Date Application Approved By ............... . . .... ...ID :.. ........ ...................--.. ..........9—...... Application Disapproved for the following reasons: ........................................................................................................................................ ............................... ...................--. . ................ ............................. .........................--................................................ . ......... . ---..................-- Date Permit No. ---------- 90........................... Issued ....................... Dare J,.,.r,-. '��.�..:t+1J^r.�h.d..v -rts.ry .,...r, ....�..-r..%�.sw,. vt.-�-"•2;�.W�� ...-�a.r"__: y.� r..,_ ��-v + -v-,.- ��s- -rw ,,,,- .vr✓ ,y ..�,r/-v .,,.`y.,� y. ,�;r,•,rt� // " --9; VZ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun fur Diripwml Wur1w Towitrur#tun Frrmit Application is hereby made for ,a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: �L�V� ��.EE I kc / (enftD __, 125 �P- ve-: Centerville 125 _Pxax�ce ��e-. -----------------•-••-------•-•---•-.......-•-------........---••---•------------- .................................- C ---A ------•---•-••.._........_..._......_ ... Location- Address or Lot No. I Winn Wilbur 125 Prince Ave. e-t� a-leM C- ....................••--•------••---.....--•--------•-••---------------------•------•-•-•--------- --•------ ----------------------------•--•--------....._.....----...•-•-•----...........-•-•-•---- OR'ner Address a ---•...PAt3: C)k...M7 -1 ....(_Arthur....S.earG...& Snnc---Tnc.1...5f1..nr.:_...T.nr B--Rft....T.?!A'_n.L ....... Installer Address UType of Building Size Lot-__ _.------- -------Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures -------------------------------• ' w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. p4 Septic Tank—Liquid capacity------------gallons Length________________ Width---------------- Diameter................ Depth................ Disposal Trench--No. .................... Width.................... ..otal Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No---------- - ------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to^ground water........................ f% Test Pit No. 2................minutes per inch Depth of Test Pit-_.__--_----______.. Depth to ground water......................... 0 Description of Soil........................................................................................................................................................................ x ---------------------- ------------------------------------•--------------------------------------------------------------------•---•------------------------...-----------------...........--•---•-•-•- w __ _ U Nature of Repa------•--•--------------------------------------------------------------- .-------------------------- .--------------------------•........ ..............••----------- ......... irs or Alterations—Answer when applicable.-__-Re-.-locate----(-1.).....1.5.00....GST...for.............. .......ca d1 t.?.on.......................................................................................................................-.................................................. Agreement: The undersigned agrees to install the aforedescnib .. I•nd.'vidu Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environm� tal C� e undersigned further agrees not to place the system in operation until a Certificate of Compliance has'bee- is d b zk�e'bo"_ard�of .ea fh Signed -----.-- ................................... . v ... ......................... ................................. Daze Application APPrroved,BY . t .... ...... - ..D.are ( ..- 3...- Application Disapproved for the following reafonf: ....................................................................................................................................... ................_----..................................................--------..........................................-------------................-------------................................... ................Dace.................. PermitNo. ........1.3-._.Jf�........................... Issued ................................................................... Date —————— ___-------- ____— _.._._..___---_._._.____—,_---.____--'--'--^----____-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (�Prtifirate of CZomplianre THIS IS To CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Y atf121 1. ---------- ---- _ . ...... . .............. has been installed in accordance with the provisions of TITLE 5 of T g� e St to Environmental Code as.described in the application for Disposal Works Construction Permit No. ..........r . .. dated ...:.._..................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ..... y'__.........r� Inspector ......... ........ 1^ `.) ------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE q � 6FEE....No .................... inn �.erntit Permission is hereby granted._.__ ... !. ./..��.__._.l :__.__. !W to Construct ) or�� epair/l�il( ) an �L diyulual Sew,-"o isposal'Systern / l ... A, at No...� __ R'Ry 1 n t_�-T--��- -� ----- .. ♦.� c Strcet ��y X 7 as shown on the application for Disposal Works Construction Permit No.3...____Q-(�D'aced;;..........................�...�........ �C.�� Board of Health DATE............ �... ; ---•---•------------------------------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS « ' TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE / ASSESSOR'S MAP 6z LOT 07J I 'S NAME & PHONE NO. CdAS?_ ��X.S� SEPTIC TANK CAPACITY LEACHING FACILITYAtype) V (size) 9 - NO. OF BEDROOMS PRIVATE WELL ORCR EIC WATE -------------- BUILDER OR OWNER DATE PERMIT ISSUED: ,Ma�h J^) 9�ig9,�$�'� DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �.�/) F �f `�., { �' `a �6` �� ; , �� TOWN OF BARNSTABLE LO tATIOIV' 2 62( �eo � CZi SEWAGE #. NULAGE Al 0L"-S ''J Z"t'11J ASSESSOR'S MAP&LOT 07S "0 j INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY l'O®® LEACHING FACILITY: (type) o�� (size) NO.OF BEDROOMS ,� BUILDER ORQ R� 1� �C)�� PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist . within 300 feet of leaching facility) Feet Furnished by SOIL LOGS #P-10,986 DATE:04r29/05 LEGEND/ABBREVIATIONS '0. = UTILITY POLE CB = CONCRETE BOUND ENGINEER:Stephen A. Wilson,P.E. E = ELECTRIC LINE DH = DRILL HOLE = GAS LINE LSA = LANDSCAPED AREA � BOARD OF I>EALTH AGENT:Donald Desmarais,R.S. T = TELEPHONE LINE EL = ELEVATION LOCUS��, _ 0 TEST PIT 2 0 = YARD LIGHT FND = FOUND 0L- ® = DRAINAGE CATCH BASIN EOP = EDGE OF PAVEMENT P�� G.Q.E. 41.5f ® = ELECTRIC BOX CCB = CAPE COD BERM RET = RETAINING F� O •E 0" 0 ® = ELECTRIC METER F.F.E. = FlNISH FLOOR ELEVATION 0 Q ,�� 0P� 3 ® = GAS METER G.F.E. = GARAGE FLOOR ELEVATION �Q F�� S�P� 6" Ap, Sandy Loam, 10 YR 4/4 ® = AIR CONDITIONING UNIT 0 TER NECK RD• �/P = TREES B AX �Op` 0� �,� 20" 4011- 0 B. Sandy Loarr, 10 YR 5/4 ---_10'-- = CONTOUR .� LOT 1 " X 100.0 = SPOT GRADE Q 20 C , Compacted 7J *NOTE FRONT YARD SURVEY PLAN BOOK 259 PAGE 95 - 1 Medium Sand, Q UPDATED ON 5 2-3 2005 0 /� BARRY M. & PATRICA D. MANUEL 10 YR 6/4 / / <0 90" C 2, Medium Nand, 10 YR 5/6 NORTH BAY �' ^ �c5��,/ p��P 138" g4 GA *NOTE REAR YARD SURVEY NO WATER ENCOUNTERIM, RATE = 3 MIN/IN PERFORMED CIRCA JUNE 1998 LOCUS MAP NOT TO SCALE IL42.0 REPLACE PAVEMENT WITH A'd CRUSHED STONE ! 41.4 SOIL LOGS #P-10,722 DATE:07)29/04 N 41,s G e„ �{4 PUMP FILL ) �� P��0� GENERAL NOTES : 41.0 �r "FND WITH CLEAN SAND r � ENGINEER: Stephen A. Wilson,P.E. m �r �,�tT 1,4 0.4 � GpP`'�o � ' I 1•) LOCUS IS DEFINED AS: BOARD O�TH AGENT: tanton Z 397 , 5•cP` / BARNSTABLE ASSESSORS MAP 075 PARCEL 011 ,{71 41.3 �, 38,3 SOS Q gj, ' a �� 41,2 r I '�� y�C� 6 ` / LOT i ® PLAN BOOK 217 PAGE 107 TEST PIT 1 a 0 c 3 38. LEACH PIT , _ ,�-� r (FIFE p A s 24 I / DEED REFERENCE: G. ^' 21. f �� 41.6 41.7t a �A 3�,b �e ? `� •��. 22 ''--�1 1 DEED BOOK 11,612 PAGE 224 7,8 9 00' £ 40,7 1 41.6 1 1 ��R c to 20 Ow 0 , `" � J �c PROPERTY OWNERS: 2 4 ,6 LSA/MUL i 5�` 38.0 3?7;. hs t 41. 5" 41.6 I PP W �r I C'B 18 -1. JOHN E & DEBORAH BRODEUR Ap, Sandy am, 10 YR 3/4 " G 41.4 4 Jl J X; �nc37. 3 -�37 NG (INVERT 0 N h 125 CEDAR TREE NECK ROAD w p 8 - FOUNI)Al N EL +36.0t O 16 • s :. TANK / MARSTONS MILLS, MA 02648 / 5 B, Sa Loam, 0 YR 5/8 Q o, 4i. y 37.sw 1�'`w 37, 27" ! • ' 41.4 3 PAVED'�RIVE : 37.6 2. CURRENT ZONING INFORMATION R941y Stratified �Jl� ��cn R r 4 LSA 3 t�- 126" edium Sand 10 ��4 39.4��,• 40.9 o, 37, TC BASIN 'r D.e0 37w 0 12 ZONING DISTRICTS: RF TBM: B 1 C DH FND NO TER ENCOUNTERED RATE- <2 MIN/1 y � 39,1 40.0 X 73 , -} : _ 37,s 7 6 S Y p °- EL. _ 3.27' OVERLAY DISTRICTS: AP GROUNDWATER PROTECTION UNABLE SOAK y _, o —Us ` e ti Z �� RPOD RESOURCE � v RCE PROTECTION OVERLAY DISTRICT' 7 � TRICT 41,1 o QO' 3 ,6 37,6 a 4�8,8 37, MINIMUM CURRENT ZONING REQUIREMENTS / 4D.8�. 40,9 4 ��• p ♦ \ CP rn o �Il� 120 CEDAR TREE NECK ROAD x "� �_ 4 ' b STONE •2 ♦ ----. \ TEST PIT (#P-10,722) p�,� �' 6RE EL = 21.5t �' /�� 40,3� c� i dg�7,9 ; 38,8� W�.B - 2R ?? / t � --.►� 381 X �, 4 ,2� >�, 37,8 LA wN A` LOT 1 MINIMUM AREA: 2 ACRES (RPOD) / o 57,9 T N i I MINIMUM FRONTAGE: 150 41.6 ° PLAN BOOK 217 PAGE 107 37.s 37, 7, �� 30,264 S.F. UPLAND MINIMUM WIDTH: N/A 0.69t ACRES FRONT YARD - 30 SIDE & REAR YARD = 15 a _ 37,8k' �°j a� � {�-TEST PIT � �\ � LSA 37. 0 �. 39.6 x/ (#P-10, 6) 4 ,4 F 37.7 _ Q l 1 I �-� 3.) A TITLE SEARCH WAS NOT DONE FOR THIS SITE; SHOULD ONE BE REQUIRED IT 37,7 '�, � ,� , +, �, � , ;�, � � � � � Q SHALL BE PERFORMED 8Y OTHERS. � a TBM: CB DH� _ 42 42J � � 24 � � j `) = ry� 41•8 a v 3; I I o '�` m 4.) THIS PLAN IS BASED ON AVAILABLE RECORD INFORMATION, RECORD w M - o ''� �) w PLANS AND AN ON THE GROU • d• 37,9 . 1 .� 4 iJn ND FIELD SURVEY BY THIS FIRM: REPLACE WATER SERVICE \ 37, m Z ♦ ` 1 I �I AL Q 611011998, 7/14/1999, 6/4/2001 and 5/2-3/2005 (update) USE CLASS 150 PRESSURE PIPE 421 - s \ �� 1� 38,5 CON 3 O � . p MM r` C. U{ 1 ti� I CAI(n "�� I-- 0 PLAN REFERENCES: co W rn �- v o , n I �I� �_ _ PLAN ��K 1 , oG. � s _ x . Fl rt. . 2.7 �•_ 1 . 7 A PLAN BOOK 259 PAGE 95 P c, 69 0 ♦ co M OD N 7? .TO Cg •� h� OI p VICES REQUESTED : t�°"ha,tc 0� W? Rood N^ ' `r- ,� 5•) COMMUNITY PANEL NUMBERS 250001 0018 �, 46.6 /fie _ �devl„ .-� zI MARSH THE FLOOD I D * 46.7 to �. t� c �, INSURANCE RATE MAP DEFINES THIS AREA AS ZONES: 1•) TITLE V 15.248(1) - TO WAIVE THE REQUIREMENT FOR A RESERVE AREA. NOTE FRONT YARD SURVEY ��) O �o A11 (EL=11) & C. UPDATED ON 5 2-3 2005 2•) BARNSTABLE BOH REGULATIONS, CHAPTER 360-1 - TO ALLOW A SOIL ABSORPTION SYSTEM 0 4 6. LOCATION OF UNDERGROUND TO BE 84' FROM A COASTAL BANK IN LIEU OF 100' 3 Q „ , ) ROUND UTILITIES ARE APPROXIMATE AND s 4 � SHOULD BE VERIFIED IN THE FIELD BY THE APPROPRIATE TOP OF COASTAL BANK �' 34 Q - WETLANDS FLAGGED BY 32; R•R. UTILITY COMPANY PRIOR 70 ANY CONSTRUCTION. ' TOWN DEFINITION �\ nE K. BARNICLE 0 26 ( PS I ENSR INTERNATIONAL 7.) WETLAND DELINEATION & FLAGGING PERFORMED BY KATHRYN BARNIC 26 LE OF 61511998 ENSR INTERNATIONAL ON 61511998. �2 AL EXISTING SEPTIC SYSTEM LOCATION IS APPROXIMATE. 20 4 8 8 / PATH ` �` PER INSPECTION REPORT PERFORMED ON 5-18-1998. LOT 2 � � Q 4 _ _, `� EXISTING PIER # SE 3-1856 FLOAT FLOAT \ c� I 8.) PROJECT BENCHMARK : DATUM NGVD PLAN BOOK 217 PAGE 107 R_ hll IBM = SEE PLAN N/F AIMEE K. SILBERMAN R. DH FNAL BEACH 125 Cedar Tr LeachingArea Requirements *NOTE REAR YARD SURVEY HOUSE e Tree q PERFORMED CIRCA JUNE 1998 oa Neck Road Marstons Mills, Massachusetts 02648 4 BEDROOMS AT 110 GPD/BEDROOM = 440 GPD PREPARED FOR ADDITIONAL 50% FOR GARBAGE DISPOSAL _NA_GPD John E. & Deborah Brodeur PERC RATE = < MIN. / INCH (CLASS 1 ) TITLE DESIGN SCHEDULE ELEVATION PREVIOUS ORDER OF C01MMONS : Septic System Repair LIAR = 0.74 GPD/S.F. FINISHED FLOOR ELEVATION 40.20 P Y h MIN. LEACHING AREA OF SAS. SEWER SEWER INVERT AT SEPTIC OUNDAnONANK N36.7 1•) SE 3-339 HOUSE RECONSTRUCTION- CEFT, OF COMP. ISSUED 5/15/2001 2•) SE 3-4055 PERMANENT DOCK - ORDER IF CONDITIONS EXPIRES 2/18/2009 J.K. 130LMGR.EN ENGINEERING, INC. 440 GPD/ 0.74 GPD/S.F._ 595 S.F. MIN. SEWER INVERT OUT OF SEPTIC TANK -35.4 SEWER INVERT INTO DISTRIBUTION BOX -35.2 SEWER INVERT OUT OF DISTRIBUTION BOX N35.0 BAXTER, NYE&HOLMGREN PROPOSED SYSTEM:SIDEWALL (35'+12' x 2 x 2' = 188 S.F. Registered Professional Engineers and Land Surveyors SEWER INVERT INTO LEACHING SYSTEM N34.9 BOTTOM 35' x 12' = 420 S.F. 812 Main Street, Osterville, Massachusetts 02655 BOTTOM OF LEACHING TRENCH N32.9 608 S.F. WATER TABLE: NONE OBSERVED AT ELEV. 11.,0 FINISH Phone - (508)428-9131 Fax - (508)428-3750 N of �ws4., FLOOR EL. �� STEPHEN a �✓�i 20 0 20 40 At = 40.2 �� 1 FINISHED GRADE = 15.0t ( PAVEMENT). SCALE IN FEET :-'� OTFIERW SEANHOLE FRAME CRETE COWER AJUSTED GRADE016 U BELOW FINISHED GRADE ..� INSTALL RISERS TO 6" BELOW " " ,...,SCALE: 1 = 20 GIST FINISHED FINISHED GRADE OVER TANK = ???f FINISHED GRADE ' PVC VENT 3/4 - 1 '��_ i ' WASHED STONE, , 32' — G tcatQ�•'- FINISHED GRADE D. BO = 37.5t .. E OVER LEACHING SYSTEM = 38.Of 4' MIN 4, s y 4" SCH. 40 PVC 3" (mime 2"PEASTON ® 2.0°,� 4" SCH. 40 PVC FIRST 2 0 BE LEVEL' (T ) 9" (min) Cover , DATE: 6- 20' - 05 � 2.0� w " :�y •�'+�-1•,�j-i`}�J'!Ak � laY F.-U`}"C. �•1 M}' �-L ..ti J-': t w then O 1.0Z ` .; 36 max Cover CON EC w 2 (mi (max) N TION 24 12 ��-:- -•ir-s3:..•:3• . o o _,.��._ =t:~��r _�'•f•i _. EFFECTIVE -�;.�cm�` :,•, ?t ,x; 10 G TEES „''.y r' `-`- CONSTRUCT ACCESS _ • w w t tzr` �. . yr2y;;4�Y�.t ;wv < fi ,}_j.s`• 1.5 MANHOLE OVER INLET Fi SUMP 4 SCH. 40 PVC •. . rt fi.�.,� -`'z•�:c t.=.-..�.� k;;1�.; �ti ,57_ �} $ 4' 12' . -�. ,.-. o 0 0 0 0 o w " DEPTH 12 :x:•-�:-��-s�=s+,:.��'---:.�-..._��, Er.^-.-;�.�.�.x<,,.,�� :,,,;��,�.� `�` TO TANK TO AT LEAST _ 3/4 --1 1/2 t ' z. Y_ .. WASHED STONE WITHIN 6 FlNISFI GRADE -.._: i .F :1;r :-�:a .!. col . -l- -- �" CRUSHED EL. .3Z9 12' ." v RONFORCED - 5' MIN I. 35' N0. BY DATE REMARKS FOOTING - STONE BASE INV 34.9 I No Groundwater Observed O Elev. 11.0' NGW (P-10,722) DRAWN BY: MCL DESIGNED BY: CHECKED BY: JRE DRAWING NUMBER _-. _ :..:-.. i.. .- :-s CONCRETE FLOW DIFFUSOR DETAIL PLAN OF PRECAST LEACHING CHAMBERS EXISTNO 1000 GALLON SEPTIC TALC (H 20 LOADING) j�$TRsynON BOX PROPOSED CONCRETE FLOW DFFUSERS No scALE N0 SCALE 0: 1998 98053 surve worsht 98053s ndw H-20 1998-053 I