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HomeMy WebLinkAbout3111 FALMOUTH ROAD/RTE 28 - Health 3 14 1 Falmouth Road Marstons dills A= 098 —008 - 005 I I 'I B1,. :2061- P:9 16.1 0'S 1-1700. 12-291-20:05.- a. 1 = trca: o�t"E rw� Town of Barnstable Zoning Board of Appeals .Decision and Notice Appeal 2005-102.-.Gingras Section 240-46C-Home.Occupation Special Permit To permit a dog grooming home occupation of 388,sq.ft. Summary: Granted with Conditions Petitioner: Diane R. Gingras Property Address: 311 LFalmouth Road(Route 28),Marston Mills,MA Assessor's Map/Parcel: .Map 098,Parcel 008-005 Zoning: Residential F Zoning District Relief Requested &Background: . In Appeal 2005-102, the applicant,Diane R. Gingras is seeking a home occupation special permit pursuant to Section 24046C of the Code of the Town of Barnstable. The applicant.seeks to establish a home occupation by special permit for a dog grooming business of 388 sq.ft- within her residence at 3111 Falmouth Road(Route 28) in Marstons.Mills. The subject property is a 1.05-acre lot located and accessed off Route 28 in Marstons Mills. It was developed in 1984 with a,one-story,two-bedroom single-family dwelling of 1,916 sq.ft. The dwelling also has a 24 by 22 foot attached two car garage. According.to the plans submitted,the applicant intends to,utilize a portion of the garage and connecting breezeway for the home occupation. The plans show an 84 sq.ft. entrance area and a 110 sq.ft. office area in combination with a 193 sq.ft: grooming area to be utilized for the home occupation. A site plan for the home occupation was submitted showing existing conditions and a proposed gravel area to create three(3) additional on-site parking spaces. The applicant intends to employ one part-time employee in the home. Procedural $t Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on October 7, 2005. A public hearing before the Zoning.Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened November 16,2005, at which-time the Board found.to grant the home occupation special permit subject to conditions. Board Members deciding this appeal were,Ron S.Jansson,Randolph Childs,James R. Hatfield,Sheila Geiler, and Chairman Gail Nightingale.- Attorney Kate Mitchell represented the applicant;Diane R. Gingras, who was also present at the hearing, Ms Mitchell described the general location of the property noting the.dwelling is within a single-family zoning district,the Residential F Zoning District that.allows for a home occupation special permit. She noted that although residentially zoned, several commercial businesses are located at the intersection of Route 28 and Osterville-West Barnstable Road just a quarter of a mile east of the subject property. Ms Mitchell noted that Ms Gingras owns and operates "Hair.of the Dog'', and is planning to decrease her business with the move to her home: Ms Mitchell noted that the impacts on the neighborhood would be minimal,as she would conform to all Board of Health forathe on-site septic and water usage.. She stated that b a"hydro-serge"system would be employed in the washing.sink that claims.to reduce water.usage.by up to 70%. Traffic would not be.of concern as the business would be by appointment only and it is anticipated the maximum number of dogs per day would be about 6.. She currently averages.about 10. All natural products. . would be used and no toxic produets.would be stored or used on-site. Most owners pick up their pets within. an hour after Ms Gingras finishes grooming the animal. No animals would be kept.over and no dog. daycare would be offered. The business would be strictly dog grooming. Ms Mitchell cited that Ms Gingras has no dog of her own Ms Mitchell noted that the applicant has an established clientele and that there would be no advertising of the business using the residential address. She discussed the site plan identifying that three new on-site parking spaces would be provided and that no parking will be within the front yard setback of 30 feet. Ms Mitchell also cited that the prior owner from 1994 to 2001:operated a general contracting office from the home. Public.comment was requested and Cynthia Haden of Cotuit spoke in favor of the grant of the special permit citing that Ms Gingras provides exceptional service and maintains a quality business. The Board.Chairman noted that a petition signed by six of the abutting neighbors-Keith C.Gilmore, 20 Hidden Valley Road, Diane&Jamie Hyllas, 10 Hidden Valley Road,Craig.H...Curtis, 11.Hidden Valley Road,Tracy Lindstrum, 29 Hidden Valley Road,John S.Harmon, 34 Hidden Valley Road, and Malcolm A. &Shirley Z.Levy 3072 Falmouth Road favored the grant of the permit. Matthew A. and Renee'E.Dedicro, abutting neighbors at 3085.spoke in opposition,citing concerns for groundwater and disruption from barking dogs. The Board verified that the homes.in the neighborhood were on public water supply and that no signage for . the business would be posted at the home. Findings of Fact: At the hearing of November 16, 2005, the Board made the following findings of..fact: 1. Appeal 2005-102 seeks to establish a home occupation within the premises addressed 3111 Falmouth Road(Route 28), Marstons Mills,MA as shown on Assessor's Map.098 as Parcel 008-005. The premise is in a Residence F Zoning District and a Resource Protection Overlay District and a Groundwater Protection Overlay.District. The Residential F Zoning.District allows for a home occupation special permit..The Resource Protection Overlay District now requires two=acre minimum lots;however,this lot predates the adoption of resource protection and is a legal non-conforming lot created in conformity to the prior one-acre area lot minimum 2. The applicant,Diane R. Gingras has applied for a Home Occupation Special.Permit pursuant to Section 240-46C to allow for a dog grooming home occupation: The home occupation is to occupy 388 sq.ft. of - the home. 3. The applicant purchased the property on July 18, 2005, as evidenced by a deed recorded.at the Barnstable Registry of Deeds recorded.in Book 20058,page 236. The property is a 1.05 acre lot located fronting on and accessed from Route 28. It was developed with a one-story;two-bedroom single-family dwelling of.1,916 sq.ft. The dwelling also has an attached two-car garage.. 4. A site plan for the home occupation.was found approyable on October 18, 2005 by the Site Plan Review . Committee. As a condition.of that approval,the applicant is required to seek a review by the Health Division for on-site wastewater disposal and,water usage to assure compliance with the"330 rule" Chapter 232,.Wastewater Discharge of the Code of the Town of Barnstable. However,the dwelling has. 2 only two-bedrooms and the on-site septic system was installed to satisfy a three-bedroom home. The applicant has also testified that she will be installing a water conservation system for the dog:grooming. 5. For the Board to grant a special permit,for a home occupation, the provisions of Section 240-46 must be met. With regards to that, the applicant has substantiated that that the.activity shall not be discernible from the outside of the dwelling; there shall be no increase.in noise or odor;no visible alteration to the premises which would suggest anything other than a residential use;no increase in.traffic above normal residential volumes; and,that there will be no increase"in air or groundwater pollution: 6. More specifically with.regard to Section 240-46: The proposed activity will be carried on by the permanent resident of the single-family residential dwelling and will be located within that dwelling. The activity is a type of business customarily carried on within a dwelling. Sole proprietors are the traditional backbone of businesses on Cape Cod: The proposed home occupation is clearly incidental to and subordinate to the use of the premises for residential purposes: 7. The proposed home occupation is to occupy 388 sq.ft., of the dwelling and is within the 400 square feet area maximum imposed in the ordinance for a home occupation. No external alterations are being proposed to the dwelling which are not customary in residential buildings, and there will be no evidence of the home occupation from the outside_as all modifications to the building are interior. 8. No traffic will be generated from the home occupation in excess or normal volumes in area. Route 28 is a heavily traveled route and although residentially zoned in this area,it has taken on a commercial ambiance.To permit this home occupation would not be discernable or impacting in terms of traffic. 9. The proposed use does not involve the production of offensive noise,vibration, smoke, dust or other particulate matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. . . There is no storage or use of toxic or hazardous materials or flammable or explosive materials in this home occupation. 10. Parking for the home occupation and the dwelling will be met on-site and is not located within the required yard setback. There are no:commercial vehicles related to this home occupation and there is no .. exterior storage or displays of materials or equipment. 11. With regard to the Home Occupation Special Permit Section 240-46C, the Zoning Board of Appeals is authorized to issue such special permit within the Residence F Zoning District. No.more than one nonresident of the household is,to be employed in the business. 12. Dog Grooming is not included in the list of prohibited home occupations cited in Subsection B(16) of ' Section 24046. 13. From the evidence presented, this proposal.would not represent a substantial detriment to the public good or the neighborhood affected,nor would it represent significant impacts on the surrounding neighbors. The vote on the Findings of Fact were as-follows: AYE: Ron S.Jansson,Randolph Childs,James R. Hatfield, Sheila Geiler, NAY:{ Gail Nightingale t F 3 e Decisioni. Based on the findings of fact;a motion was duly made and seconded to grant the special permit in accordance with Section 240-46C and all of the following: 1. This permit.is issued only to the applicant.and is not transferable. 2. Improvements to the site shall be those shown on the approved site plan submitted entitled "Home Occupation Special Permit Plan located at 31 11 Route 28.Osterville MA prepared for owner Diane Gingras"scaled 1"=30' dated October.02, 2005 as prepared for,Yankee.Survey Consultants: 3. Alteration to the dwelling to accommodate the home occupation shall be as show in plans submitted entitled "Hair of.the Dog, 3111 Falmouth Road, Osterville, MA"dated 09/26/2005 as drawn by Architectural Innovations. 4. The home occupation is limited to that area shown on the plan totaling 388 sq.ft. and consisting of the Entry, and an Office/Grooming Area to be used.only for dog grooming and no other purpose. 5. In addition to the owner/applicant, Ms Gingras, only one other person shall be employed in the home . occupation: 6. All grooming activities shall be by appointment only. There shall be no walk-ins, and no.retail sales of merchandise or products of any type. Appointments shall be limited to normal working hours of 8:00 AM to 5:30 PM weekdays and Saturday morning...There shall be.no appointments made for Sundays and all legal holidays. 7.. No animals shall be kept overnight nor shall.the premises be used for dog daycare purposes. 8. There shall be no freestanding signage.: 9. The applicant shall be responsible for maintaining the premises in a clean, orderly,peaceful and odorless manner.at all times. No'dogs shall be kept outside except as maybe necessary to relieve themselves. The vote was as follows: AYE: Ron S. Jansson,Randolph Childs,James R. Hatfield, Sheila Geiler + NAY: Gail Nightingale Ms Nightingale expressed that she voted in the negative as she did not believe dog grooming is a . permitted:home occupation as it is similar to barber and beauty shop which is specifically prohibited as a home occupation under Section.240-46B 16 of the Zoning Ordinance. t e 4 . .Zoning Board of Appeals (ZBA) Abutter List for Map 098 Parce1008-005 Abutters=Parties of Interest-those directly opposite subject lot on any public/private street/way and abutters to abutters. Notification ring of the subject lot. of all properties within 300' This list by itself does NOT constitute a certified list of abutters and is provided only as an.aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from the Town of Barnstable Assessor's database on10/27/2005 Mappar Ownerl Owner2 Address 1 Address 2 City State Zip Country 098004 HILL,RLTSSELL E 10 OSTERVILLE MA 02655 USA CHESAPEAKE BAY AVE . . 098004001 DEDECKO,MATTHEW D TR C/O DEDECKO,MATTHEW A PO BOX 409 OSTERVILLE MA 02655 USA 098004002 DEDECKO,MATTHEW D TR C/O DEDECKO,MATTHEW A PO BOX 409 OSTERVILLE MA 02655 USA. 0980040.03 DEDECKO,MATTHEW D TR MAD DEVELOPMENT TRUST 32 CARLTON DR MASHPEE MA 02649 USA 098004004 DEDECKO,MATTHEW D TR C/O DEDECKO,MATTHEW A PO BOX 409 OSTERVILLE MA 0.2655 USA 098007 DEDECKO,MATTHEW A&RENEE 3085 MAR STONS MILLS MA 02648 USA E FALMOUTH . ROAD/RTE 28 098008005 TALIN,DEANNA %GINGRAS,DIANE R PO BOX 167 MARSTONS MILLS MA 02648 098008006 HYLAS,JAMIE&DIANE 10,HIDDEN OSTERVILLE MA 02655 USA VALLEY RD 098008007 GILMORE,KEITH C PO BOX 17, CENTERVILLE NIA 02632 098008008 HARMON,70HN S&BETSY A P O BOX 707 OSTERVILLE MA .02655 " 098008009` LINDSTROM,RICHARD K& LINDSTROM,TRACY H 29 HIDDEN OSTERVILLE. MA 02655 USA VALLEY RD 098008010 ICURTIS,CRAIG H 11 HIDDEN OSTERVILLE MA 02655 USA VALLEY RD 099028001 BARNSTABLE,TOWN OF(OS) 367 MAIN ST HYANNIS MA 02601 + 099029 LEVY,MALCOLM A&SHIRLEY Z 3072 OSTERVILLE. MA 02655 USA FALMOUTH RD Friday,October 28,2005 Page] of 1 l \ CO; ON EAi. 'H OF MA.SSACHUSE. `S EX.ECuTIVE OFFICE OF ENVIRONMENTAL 'F.4IRS ' DEPARTMENT OF ENVIRONMENTAL PROTECTION �a Ste/ `gam t TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: q, 30�_ Owner's Name: Owner's Address: ��( r►s "q(3 Date,of Inspection: Name of Inspector:(pI se print) Cl Company Name: 1 h5 k5 Mailing Address: "gyp ..Telephone Number: 1-0 N(X( M,,o�S���n�$�a �q,�, CERTIFICATION STATEMENT ( b 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 15340 of Title 5(310 CMR 15.000). The system: OC Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: tG%G.�J� Date: The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. 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 flow the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I i , Page 2 of 11 OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL`SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: .3((( �t,LWIOA ILLY % Owner. MaAttLA Date of inspection: 6 130�— Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X_ I have-not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional P 'section need to be replaced or repaired.The system,upon completion of the replacement or repair,as roved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the forth ollowing statements.If"not determined"please explain. The septic tank is metal and over 20 years old* the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltrati or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic 'as approved by the Board of Health. *A metal septic tank will pass inspection if it is cfurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years of is available. ND explain: Observation of sewage backu r break of t or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a brok settled or uneven disribution box.System will pass inspection if(with approval of Board of Health): broken pipe(s)we xq laced obstructi(m i s.rsmoved distribution box is idled or replaced ND explain: The system r d pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if( th approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explavn: 2 Page 3 of I 1 OFFICIAL INSPEC.I+QN FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: Date of Inspection: 3 O C. Further Evaluation is Required by the Board of Health: Conditions exist which require fiuther evaluation by the Board of Health in order to dete me 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 31 MR 15.303(l)(b)that the system is not functioning in a manner which will protect public health, fety 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 w and or a salt marsh 2. System will fail unless the Board of Health(and blic Water Supplier,if any)determines that the system is functioning in a manner that protects th ublic health,safety and environment: _ The system has a septic tank and soil ab rption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surf water supply. — The system has a septic tank and AS and the SAS is within a Zone i of a public water supply. _ The system has a septic d SAS and the SAS is within 50 feet of a private water supply well. The system has a septic and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well" Method used to determine distance "This system passes i e well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile ganic compounds indicates that the well is free from pollution from that facility and the presence of am onia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria 'ggered.A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 1 I OFFICIAL INSPECTION FOR AT--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE MSPOSAL.MTEM INSPECTION FORM PART.A- CERTMCATION(continued) Property Address: Owner: ..r- /� LOH f? Bate of Inspection: 30 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool 4— 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'/Z day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.IThis 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.equaf 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 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility a design flow of 10,000 gpd to 15,000 YYoou must indicate either"yes"or"no"to�of the folio g: (The following criteria apply to Large systems in additi the criteria above) yes no _ the system is within 400 feet of a sur ce drinking water supply — the system is within 200 feet of tributary to a surface drinking water supply _ the system is located in a ogee sensitive area(Interim QJelihead Protection Area—TWPA)or a mapped Zone H of a public water ply well If you have answered"yes"to y question in Section E the system is considered a significant threat,or answered "yes"in Section D above th arge system has failed.The owner or operator of any large system considered a significant threat under 'on E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system o r should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST . Property Address: !( Owner: A_ �tii1 Date of Inspection: /D 7, Check if the following have been done.You mast indicate"yes"or"no"as to each of the following: Yes No Pumping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? _ Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined?(1f they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components,excluding the SAS,located on site? Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? Al _ Was the facility owner(and occupants if different from owner)provided with information on the proper mLnance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _ Existing information.For example,a plan at the Board of Health. _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL, SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: r 0 Owner: Date of Inspection: FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): a Number of bedrooms(actual): 07 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): a Number of current residents: I _ Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(yes or no): [if yes separate inspection required] Laundry system inspected(yes or no): !NO Seasonal use:(yes or no): Water meter readings,if available(last 2 years usage(gpd)): Sump pump(yes or no):NO Last date of occupancy:�� COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR i5.20 -and Basis of design flow(seats/persons/ ,etc.): Grease trap present(yes or no):_ Industrial waste holding resent(yes or no): Non-sanitary waste disc ged to the Title 5 system(yes or no):— Water meter readings,' available: Last date of occup /use: OTHER(des ' e): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no): A� If yes,volume pumped: gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool Overflow cesspool —Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) —Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of 1 mponents,date ins led(if known)and source of information: 1 9 .Pit 0 tf - Were sewage odors detected when arriving at the site(yes or no): NO 6 Page 7 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 3W fw;(1N C Owner: a. t h Date of Inspection:,� 6 — BUILDING SEWER(locate on site plan) . Depth below grade: d g u Materials of construction:`cast iron 9C 40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: *<' (locate on site plan) c Depth below grade: 17 i Material of construction:,Lconcrete_metal fiberglass_polyethylene —other(explain) __._ If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of certificate) r Dimensions: Sludge depth Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness:_ Distance from top of scum to top of outlet tee or baffle: �u t! Distance from bottom of scum to bottom of outlet tee or affle:_ How were dimensions determined: &L<UP ro— Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, Iiquid levels as relate to outlet invert,evidence of leakage,etc. : n �- a- f Jk t r C'ce wlC ud GREASE TRAP:_(locate on site plan) Depth below grade:r Material of construction:,concrete taI_fiberglass polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to op of outlet tee or baffle: Distance from bottom of s m to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumpi recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet ert,evidence of leakage,etc.): 7 a Page 8 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: od Owner: G, Date of Inspection: TIGHT or HOLDING TANK; (tank must be pumped a of inspection)(locate on site plan) Depth below grade: Material of construction: concrete me fiberglass polyethylene other(explain): Dimensions: Capacity: hallo Design Flow: g ons/day Alarm present(yes or no): Alarm level: Alarm' working order(yes or no): Date of last.pumping: Comments(condition of and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert:legfe Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of I eaks a into or out of box,etc.): A hu%k C'xs (e it e,( Q,yj itc kf PUMP CHAMBER: (locate on site an) Pumps in working order(yes or Alarms in working order(y or no): Comments(note conditio of pump chamber,condition of pumps and appurtenances,etc.): - 8 Page 9 of l l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSUI&ACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: � Lie Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): L71'� (locate on site plan,excavation not required) If SAS not located explain why: Type C< leaching pits,number leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovative/altemative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding damp soil,condition of vegetation, etc.): a t k C&S-f Pt,4 (0W ed� KZ) 14 r CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater i9dow(yes or no): Comments(note conditio of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on4p )Materials of constructio Dimensions: Depth of solids: Comments(note corArition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: (( ra(" od Owner: �(i 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. Y z . ,n Page 11 of 1 l OFFICIAL INSPECTION.FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FO%M PART C SYSTEM INFORMATION(continued) Property Address: 3(u �VKat7�'� ( VL .v :_Qj Owner:�\C Date of Inspection: p SITE EXAM Slope 1tJ d Surface water 00 Check cellar le5 Shallow wells Wo Estimated depth to groundwater ,Iy feet 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 of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe ow you established the igh ground water elev tion: 11 c g or r— f,q— -3,�-y Z AT ION 3"1 SEWAGE PERMIT NO. VILLAGE - I N S T AL LER'S NAME S ADDRESS O(/R OWNER DATE PERMIT ISSUED , �_ � C,/ DATE COMPLIANCE ISSUED �`5�-� l Il r v , f ^1 CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT • 1875 ROUTE 28 CENTERVILLE,MA. 02632 (508) 790-2380\FAX# (608) 790-2386 • OIL/HAZARDOUS MATERIAL RELEASE FORM F.A ; 0371 r LOCATION: ADDRESS OF RELEASE: FALM01,114 ROAD (d ROUTH COTINTY ROAD - MARSTONS MTT.T.S_ MA 02AAR DATE OF RELEASE: TTTNF 'A_ T Q46, PRODUCT RELEASED; =1IRQ(MJ nRTr AMn ESTIMATED QUANTITY; ►� t n�t���� - CORRECTIVE ACTION TAKEN BY RESPONSIBLE PARTY: RESPONSIBLE PARTY UNKNOWN NOTIFICATIONS: FIRE DEPARTMENT:YES Z ) NO( DATE6,0 9A TIME: I Aol NATIONAL RESPONSE CENTER: YES( ) NO IX ) DATE: TIME: DEPT. OF ENVIRONMENTAL PROTECTION: YES( ) NO( )5 DATE: TIME: OIL SPILL COORDINATOR: YES ( ) NO CC) DATE: TIME: TOWN BOARD OF HEALTH: YES W NO( ) DATE: 6/3/96 TIME: 1420 TOWN HARBORMASTER: YES ( ) NO( X DATE: TIME: OTHER AGENCIES: BPI COMMENTS: CHF.MTCAT. rONTATNF.D WTTHTN nRTGTNAT. CONTATNRR AFTFR RTRHTTNr. WITH PTKF. Pl1T.F WHILE. WEARING PROTE141 E !',()WING AND S„BA MNITATNRU 1dTT1RFMATNTNr TaP ,nl)TTCT_�n,Tt_n uv uL nnu uy n1ACIMC, TN RT17y rAT T nN PATT_ ANTI PTTT TAT RFAR nu PA-CRNCFR xTymTr..T.F RV Rnu A(_FNT REPORT FILED BY: �i. //� -/��' •* DATE:_. t1 k/ I 4 WHITE COPY-FIRE DEPARTMENT YELLOW COPY-D.E.P. PINK COPY-BOARD OF HEALTH C.O.M.M, FORM s 58 1 I Oe No..... .�...3:s.. Fim$......`f°..x..�..._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF.............O A 12, 1 - �= Fes ...._.... Apphration for Uhipviial Works Tomilrnrthin runfit Application is hereby made for a Per it o Construct or Repair ( ) an Individual Sewage Disposal System at: o .�'!.. - ©se.:t'��._M.•...-- M Sr®�1$ l.L '= t:?lr... ....._...... Location-A ess or Lot No. DAB o_''- . . . ... i �G 1 _C oy-. . _o.V ! !�d!_ ...�- A•. ? ©1.... Owner Address a ............... .....-•-•---•--........................................ .....................: ---•------..............._................. Installer Address Type of Building Size Lot_24't-7,. ...Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers —Type g --•-----------------•------- P ( — Cafeteria ( ) 04 Other fi tures -•-• .......................................................................................................................... Desi Flow........... . ... .... gallons per person per day. Total daily flow................ _._ . ..............gallons. ----------- ------- W WSeptic Tank—Liquid capacity.1 gallons LengtOTP----__ Width................ Diameter.-.____________. Depth................ xDisposal Trench—Nto..................... Width....;............... Total Length............ Total leaching area....................sq. ft. 3 Seepage Pit No--------1----------- Diameter......1.Cy......... Depth below inlet..._............ Total leaching area:�W'4 ...sq. ft. Z Other Distribution box (✓) Dosin tank ( ) / Percolation Test Results Performed by[!4AA"_...0 Tom___... ��-a.�1_�_......... Date......P/!! ®-._.____.-. Test Pit No. 1___-2 ....minutes per inch Depth of Test Pit......1 ........ Depth to ground water-----N�9__. rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ....•--•--•-••-••------•----------------------------••-•----------•-•-----------•-.............--•--......................................................... O Description of Soil----O- - .------. ............... x U --------------------•------•-------•-••-••----------•------------•-•---•....--------.....-•------•-.....-----••----•----•-------•-••-•------. -••---•---------•••..................................... w -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ --------------------•-----------------------------------------------------------------.........------------...------------------------------------------------------------------------..-----------.--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLi, 5 of the State Sanitary Code,— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has issued by the board of health. r � Signed. ���� `..,� ? �-ck. Date Application Approved By------- ---- -------------•---------...-•-------•-•-•---------..............--------•------•- ---------------------------------------- Date Application Disapproved for the following reasons--------------------------------------------------------•------•-----------------••------•-••----••-------.--••- ...............................•---------._._Date. .........._. Permit No.....�y'3Sy -•••-•. Issued--------- •-•--- ...-•------------•--••--•------------- Date ............. 3J�Y - No........................ Fm:B............................- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ......... ....................OF..............0­1"'­............. Aurfiration for Db5poga1 Work.5 Tomitrurtion Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: L'o T 6A PCIL).-re '25 WLL.�........... A- ................................................................................................. .................... ......................................................... Location-A ess or Lot ------------ ---------­------ ....*------------------------*---------------_,"''No Owner * ... - I A(Je4 I PC, D � Z0? - AVAAf,)15 ­ , I.MA & to ............ Address .................................................................................................. ................................................................................................... Installer Address U Type of Building Size Lot-----4....4-i-2e. ?...b....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder PL4 Other—Type of Building _------------------------- No. of persons............................ Showers Cafeteria Otherfioures -------------------------------------------------------------------------------------------------------------- .... ...... Design Flow............. ............................gallons per person per day. Total daily flow..._.........___ gallons. ........................ 1:4 Septic Tank—Liquid capacity-.e.�V_gallons Length DT$?...... Width________________ Diameter_.._............ Depth__.............. Disposal Trench—No. .................... Width.........__.__..._.. Total Length........... --- Total leaching area....................sq. ft. Seepage Pit No.........!........... Diameter.......!Q-------- Depth below inlet...... .......... Total leaching area.-Z-3s-,k-_sq. ft. Other Distribution box Dosing tank -lion Test Resd-Its Performed by.---- @A��Jaf!.........12..L.�A.- Percola ......... Date........................j......... 0.4 - K CAJ e Test Pit No. I..........2--.-minutes per inch Depth of Test Pit......!:?____._.... Depth to ground water------------------------ 44 Test Pit No. 2................minutes per inch Depth of Test Pit............____.... Depth to ground water...___.............._... ................ ... ------------------*-----------------------------------*-------------"--------------****....... ----------------------- 0 Description of Soil 0-- Z 16,t�,/_S L.)a I, ..; ...... ........................................................... ..?.......tz...........................--------------------A........................ U ............................................................................................................................................ -------- ................................................ -------------------------------------------------------------------------------------------------------------------------- ............................................................................. Nature of Repairs or Alterations—Answer when applicable................................................................................................ ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TT T1_, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Copliance has been issued by the board of health. ,;7 Z Signedc:7� 7­ Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:............................................................................................................. ........................................................................................................................................................................................................ Date PermitNo............�i........................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD lei 14 % r . .........................................OF....:................................................................................ fe THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired .. ...... ....... . ............. ..........by.............Z.0...7....... ............AV.&,o,-to....................Installer---............................................................................................ 1 '.17, 0dow-V 114 A- //&,1." &0 . at................................................................................................................................................................................................... has been installed in accordance.With the provisions-"&0�1` "'5 of The State Sanitary Code as described in the f jnzp.I application for Dispos9l Works Construction Permit No---------- ......1XI{ ....... dated-_----------------­--/..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector........-- ......................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF":H,EAL*TH .............. ......... OF............. ............................................ No.......-- FEE........................ lkspwial Vorkii Tonotruirtion "pamit Permissionis hereby granted..........................................................I......I............................................................................. to Construct & •o .Xepair aic Indivi Se-w---a- %-----4-----i�--g--o--j-_�_S_-Y--S--t-W- /4 4, atNo.............. ..................................... I-- 7 " . Street f T . as shown on the application-foi'Disposal Works Consqq ia,iqn -R.errnit No. Dated............. .................... ....................................................................................................... Board of Health DATE................................................................................ FORM 1255 H00BS & WARREN. INC.. PUBLISHERS S/TE PL A N SHEET I OF 2 ' SCALE: 1" 5p' r-n.l D © � ' 1 44, TE51" f%r T a�� _ , �i D, PFtEGASTC,GNG A � .\ tAT,l I G1V frNO � 0 OF N ow � •�.'�v t.C*TLN 13,nytu �6. WILLIAM M. v m WARWICK n No, 19771 h b AA ST �► �✓�_S U Rai' A, f`.J I F L P� 1 r`� � G l� FOR REGISTERED LAND SURVEYOR iZ4P T C- Ze ZONE F .a rA T v N-4 5 ►A t L Lt ' tA PLAN REF. DATE BENCH MARK DATUM WM: M. WARWICK 8 ASSOC. , INC. DOMESTIC WATER SOURCE 80X 801 - NORTH FAL MOUTH FLOOD ZONE doAJ - N z�-t� ��„ MASS. 02556 - (617) 563 -2638 LtACHINC BASIN SECTION NOT TO SCALE `—• 24 C.1.MH COVER EARTH FILL BRICK AND MORTAR COURSES AS REO'0• TO BRING 77 4 _ COVER TO GRADE NL ET iB_FLOW L INC _^ : 2"-rg"TO�" WASHED PEAS TONE FREE OF IRONS, PIPE FINES AND DUST /N PLACE OPENING WITH 4%g" y '114 To /%2"WASHED CRUSHEQ STONE FREE OF IRONS, FINES AND DUST /N PLACE fp OUTER DIAMETER AND /,0/4„ INSIDE DIAMETER I. CONCRETE TO BE 4000 PSI 28 DAYS ,.' 2.'REINFORCED WITH 'x6" NO. 6 GA. W.W.M. 3. 2�AND 4' SECTI.ONS ARE AVAILABLE FOR �x GREATER. DEPTH REQUIREMENTS �— 2, -- ---6'0" f 4. NUMBER OF PITS REQUIRED OwE MIN. NOTE: EXCAVATE TO ELEVATION OR EFFECTIVE DIAMETER '— (NOT ro ExcEEO a TIMES EFFEcr/vE DEPTH) LOWER AS REQUIRED TO REMOVE ALL WATER TABLE . LOAM AND CLAY BENEATH PIT., REPLACE EXCAVATED MATERIAL WITH CLEAN TYPICAL PROFILE GRAVEL TO DESIGNED GRADE. FL• 53 0 /B"STO LT. W6T. C.I.MH COVER . 5z.a 5� 5 51.5 5t, 4°C.LPIPE 4"B/T.FIBER PIPE OUTLET LEVEL DWELLING FLOW LlN£ _ TIGHT JOINT o TO FIRST JOINT —r- •r,. =f. I Do C./: TEE ' 1 11000 00 of i i STD, PRECAST CONC. �I%•�1 1 0 0 0 O 0 1 �9.70 DIST. BOX TO BE q'9•I2 INSTA i 1 000 00.0 I C I i IC GAL.SEPTIC TAN LLED ON LEVEL, j i f f 00 O 0 0,1-i �g STABLE BASE i i 1 0 0 0 00 1 1 ' i \SEP r/c TANK 7o BE '1 0 0 0 O 0 1 1 . /NST LLD ON LEVEL,' !f 10010 0 1 1 STABLE BASE. � � 1000 01 � i : � i1000 0011 ,. , LEACHING BASIN i 1 0 p O 0 0 0 1 i EL ' BASE TO BE LEVEL O 18O 10 , 1 44.1 SOIL AND P£RC. DATA TEST PIT NO. I TEST-PIT NO-2 i PERC. RATE MIN. /IN. 0"- To p !6,Li JOtL ' TEST.BY : M1c"Al2y �3axTa;R: WITNESSED.BY: too►-1A�i7 �.tF1=oRD G� A.til tinrcDiurn 5 a"N D TEST PIT GR. EL. ' DATE: 4$PT. `5 loj"gp 12, El.. DES/GN DATA GENERAL NOTES BEDROOMS - NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. M att' DISPOSAL SEPTIC TANK, DIST. BOX AN LEACHING .BASINS TO BE STANDARD : PRECAST REINFORCED CONCRETE UNITS. EST. TOTAL DAILY EFFIL GPD. SEPTIC TANK loon GAL. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE ' TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, ;} SIDEWALL AREAGAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF BOTTOM AREA .I GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY 1 , 1977. :I LEACHING REQUIRED129 SQ.FT. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD it ACTUAL LEACHING AREA , OF HEALTH. �5 40 Q.FT, _AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFIL,LI.NG,,THE. L BOARD OF HEALTH SHALL BE NOTIFIED FORINSPECTION. ' PITCH ALL SEWER LINES I/4" / FT. UNLESS 1 D►CATED OTHERWISE. SEWAGE DISPOSAL SYSTEM moo`' MARTIN . l7 AIJI � L FOR I'�j1aNGN ( . E. ' w MORAN v, I.cT 6A, Kc)OT E t1b ,p #23417� 4• �oF�G/ �, ���. t•n,A P.o.To tit 5 'AA I t_t_5 , Ivt ass. Rnl- SCALE AS INDICATED" DATE r • Will. M. WARWICK 8 ASSOC., INC. .j 8OX 80/ - NORTH FAL M0lI TH MASS. 02556 - 16/71 565.-2658 PROFESSIONAL ENGINEER