HomeMy WebLinkAbout0059 MIDDLE POND PATH - Health 59 MIDDLE-PONOTATH
Marstons Millis
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*Town of Barnstable Health Inspector
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Regulatory Services office x
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30 Thomas F.Geiler,Director .�P ®PI -� 3:30 4:30
BARNSPABLE, Public Health Division
MASS.
9 i659
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 . Fax: 508-790-6304
AMNESTY PROGRAM APPLICANT — SEPTIC QUESTIONNAIRE
Date:June 1,2012
1. General Information: Size of Property 1.12 acre
Address: 59 Middle Pond Path Marston Mills,MA 02648 Map 061 Parcel 030 L
Ia�7C�1��YYIC In T
Name:Arthur J.Torino Phone#: 508-420-8910 3 l� �uSc P e v(oI U S(
yVict2a. How many bedrooms exist at your property now? .4 ( — r-f-me lrtt fZ�Yrt t l JV hv�onf
2b. Are you planning to add any bedrooms?NO If yes,how many? 0
2c. How many bedrooms total are proposed at this property(including the amnesty unit)? 1
2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the
home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room
clearly.
3. Is the dwelling connected to public sewer? NO
If the dwelling is connected to public sewer,skip questions#4 through#9 below.
4. Location of dwelling is INSIDE a Saltwater Estuary Protection Zone?
5 . Location of dwelling is INSIDE a Zone of Contribution to public supply wells?
6. Is the dwelling connected to an Public Water?
7. Is a disposal works construction permit on file? YES or NO
8. If yes,how many bedrooms were approved according to this permit? Bedrooms.
9. Were any building permits obtained for construction of additional bedrooms? YES or NO
10. Is there an engineered septic system plan on file at the Health Division? YES or NO
11. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO
---------------------------------------------------------------------------------------------------=---------------
FOR OFFICE USE ONLY
The Public Health Division has no objection to bedrooms at this property.
Special Conditions:
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Hk 13665 Pg9O #19430
03-26-2001 @ 01 : 35p
DEED RESTRICTION
WHEREAS, Art Torino,of 59 Middle Pond Path, Marstons Mills, MA is the owner of 59
A /ly9 AiPTNv X ?'Ol�ii�o
Middle Pond Path, Marstons Mills and being shown on a plan entitled "Subdivision of
Land-in Barnstable, MA, Property of Art Torino duly recorded in Barnstable County
Registry of Deeds in Plan Book�d 0,3 ,page -52
WHEREAS, Art Torino, as owner of said lot has agreed with the Town of Barnstable
Board of Health to a restriction as to the number of bedrooms which can be included in
any home built on said lot as a pre-condition to obtaining a variance from the 310 CMR
15.214 State Environment Code, Title V, Minimum Requirements for the Subsurface
Disposal of Sanitary Sewage and to obtaining a building permit for this lot:
WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting the
variance from 310 CMR 15.214, State Environmental Code, Title V, Minimum
Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the
issuance of a building permit for the construction of a single family home on this lot is
requiring that the agreement for the restriction on the number of bedrooms in any house
constructed on the lot be put on record with the Barnstable County Registry of Deeds by
recording this document,
NOW, THEREFORE, Art Torino does hereby place the following restriction on his
above referenced land in accordance with his agreement with the Town of Barnstable
Board of Health, which restriction shall run with the land and be binding upon all
successors in title:
1. 59 Middle Pond Path, Marstons Mills, MA may have constructed upon the lot a house
containing no more than four (4) bedrooms.
Art Torino agrees that this shall be permanent deed restriction affecting 59 Middle Pond
Path located on Marstons Mills, MA and being shown on the plan recorded in Plan Book
Paged_
For title of Art Torino see the following deed: Book_Mb A Page 1+
77
Exec d as a sealed instrument this 26th day of March of Two-thousand One.
1 S�AgLE DEEDS
.3 - l gpRN IM OF �ESZ
Art Torino Date uEGOpY;A
` 'TERMTRY OF
---------------------------------------
----------------- .............. -----------------------
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2'� z
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FIRST FLOOR PLAN
ILLJ o
P.T.BLOCKING
3/1'TtG COX PLYWOOD oa
K D.C. Fa
1/1'LEXA�CLEAR PANEL 2 X I F.T.NAILER 1W O.C.
ryy GENERAL REQUIREMENTS: PITCH 1/4 OVER Oo.
I ALL ..R— ARE.TO FA.OP—.11.RUCATE.—R.. 2 X 2 TOP RAILS AT 12*O.C. x"P.T.
2. EXTERIOR HUERG SHALL Of 2 A I CON57-01 It—M—RETEDI
LIALL IR— I—L EE I.I LOrvSTRI.CTOn—ElIS
ALL E..ILODI ALL 6-4 E—L OR I A.I E—l—E.
..—El ROTED. 6 NIL.POLY VAPOR BARRIER
1 11 1 RAILS AT 12'O.C.
ALL I'TIFA VLO4l`=bTT`0U'4!T—EITA'E—,,.A�CODE—o"A.E IL am W--
CIA DRELLM COO-E ALL I Cd,,A
I ALL�—ARE BKDEI lAleRI—SkAlL—T�EXCEED RECO—ED M—IRY X 8 CFZ035 BEANS
—.ARDS FEACI A I—E 6'BATT INSULATION R-19 RE—ONS
S.E—R TO OTHER GR-EOl A 'ART 0'1"'.1 IOA""DEIA"'CIETO,T—Tl
_—OiNG BUROR RI
EE—
DETECTOR —E EE,. p T;. E ITT A'
A Rl
E R."A.M^ I—IA INTO I
AR, RE D
RE Ar
PROCEN—01 T-1.1E.OLD 11 �D .... E'BOXED OUT P05T
ALL�TI�1,1' TRELLIS g'117 SMILE DETECTOR C. E U,
5(5 KAI DETOR
EIR Ell—D—REINSTALLED
EllTI"l—1 2 FLOOR INFILL DETAIL
le
TRELLIS DETAIL SCALE:1-1/2' =1'-0"
L fey 0 SCALE:3/4' 1'-0'
OF�
I / ( TOWN OF BARNSTABLE
LOCATION ./ a; eliW1 SEWAGE #
VILLAGE 4<5'2 a—1 4 l��` ASSESSOR'S/MAP & LOT
INSTALLER'S NAME&PHONE NO. On
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) - (size)
NO.OF BEDROOMS_
,BUILDER OR OWNER
PERMITDATE: `ai= ' "� COMPLIANCE DATE: j-30 AP-7
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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THE COMMONWEALTH OF MASSACHUSETTS FEiR
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliration for Biupuutti Mor1w Towitrurtiutt ramit
Application is�heyL, de fo�r'a P�n�o Construct (V) or Repair ( ) an Individual Sewage Disposal
System at• � /�!^-o f'-J
oc -Addre r Lot No.
O ner �jJ/� Address
f ......•.. .......
Installer Address U Type of Building �./ Size Lot----51Z_0 ....Sq. feet
Dwelling— No. of Bedroom's,_/___.__._.-Z________________________________Expansion Attic ( ) Garbage Grinder ( )
p`4 Other—Type of Building U 4&. _FL44P!.,(_No. of persons....................._..__. Showers ( ) — Cafeteria ( )
W Design Flow-Other fixtures l �____gallons per por
tl per day. Total daily flow.:..__ (�____________________..gallons.
WSeptic Tank—Liquid capacity-0U gallons Length---------------- Width-----.---------- Diameter................ Depth................
x Disposal Trench—No- -------------------- Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------_----- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tan )
~' Percolation Test Results Performed by.......... ... -_ _........1�_____.___._ ._ ._.. Date----.�2-.-.._1_^....
Test Pit No. 1....a ___ ...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.. ..
�+ ---------------------------
O Description of Soil......... •• ••--- f'v ------------------------------------
U .............................................. ••••-••--•••-•----•-•-••••--•-•••••••-•------•--••...•--•---•-----------------------------•••-••--
W
-- ---------------------------------------------••---------------------•---•--------------------------•-----...----------•------------•------------•--•----••-•-••--•--•--•......•-••••--•-----•---•••-
UNature of Repairs or Alterations—Answer when applicable........... ....................................................................................
..--••••••••--•.......•••-•-----•••-••-••-•••-•-•-•----••----••--•••-•---•-----------•--•-••--•••-••--••----•-•---••-•..............••-••-••••-•-----------------•-----••--••---•--•••-...........--•••-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE°5 of the State Environmental Code—The undersig ed further agrees not to place the
system in operation until a Certificate of Com as bee issued ley th and of health.
Signed.----- -- - ---
Dace
Application.Approved By .._...... - � K'" ------------ -----------------------.�.t' '`�- ........------------------------------------ Dace
Application Disapproved for the following rearonf: . .............................. ................................ . .
---------------------------------------------------------------------- ---------------------------------------------------------------------------- ----------------------------------------- ----------------------------------------
Dace
PermitNo. ............�.` ---- -5 J S-------------- Issued --------------------------------......---------------------------
Dare
L ��
TOWN OF BARNSTABLE
LOCATION SEWAGE # 257-3
J�
VILLAGE,& <��9/ ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE N0. 2
SEPTIC TANK CAPACITY
LEACHING.FACII.TTY: (type)
1 (size)
NO.OF BEDROOMS
BUILDER:OR OWNE IbXL. __ Q!h
PERMITD:ATE.: ::�� -COMPLIANCE DATE: / rlcti - "7
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility. Feet
Private Water.Supply Well and Leaching Facility (If any wells exist
on site ormithin 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 3:00 feet of leaching facility) Feet
Furnished by
00,17
�� ( �j}
1
No.. ........... Fss..............................
_ THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
` Appliration for Diij-pagal lVorlai ( omitrurtion ramit
Application is 1P
here made for �a P �6to Construct ( V/) or Repair ( ) an Individual Sewage Disposal ;
System at:
.... ... ..---•-... .. ..................................... ......................................................
oclli�ow.,Ad.lrQ. 1 r LotNo:--------------- ----- ------------------ -••• ---------- __._.__--------.er Address
a --�• ........................ ............•-----•_ ?.� ...................... •---• J------
Installer Address ec��
U Type of Building Size Lot____ !_e__��._._Sq. feet
Dwelling— No, of Bedrooms___________________________ ___________Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures _______________________________ _ _
W Design Flow..........................11P......... per p444n per day. Total daily flow.......�q0........................gallons.
WSeptic Tank—Liquid capacity./3UU_galIons Length________________ Width---------------- Diameter................ Depth______________--
x Disposal Trench— No_ ____________________ Width..._................ Total Length.................... Total leaching area....................sq. ft.
3 Seepage,Pit No-------- ----------- Diameter-------------------- Depth below inlet.................... Total leaching area......._..........sgrft.
z Other Distribution box ( ) Dosing tank2( )
'~ Percolation Test Results Performed by---------- ---------- Date.....l Z �.....................
aTest Pit No. I---- _._.minutes per inch Depth of Test Pit____________________ Depth to ground water....._ _...
(14 Test Pit1No. 2................minutes per inch Depth of Test Pit..................... Depth to/ground water.........�-��_-
lx " ------------- -4..--•--••----•--•------•--.._...-•-------•---•-------------...............................................................
D Description of Soil �/ Q�l ^
x _- -•••--•---•-7-- _ _l_? ____________________________-------------------------------------------------------------------------•---•-•----•---
U ...........................................................................-•-----•-•--------•---------•-••------...-•----••------------------•--•-••--•-••--------•--•-....._•--•-----•-••--•-•--•--•-
W
UNature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________
...................=..................................................................................................................................................=•-----------------•-------••---•--
Agreement--
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigpped further agrees not to place the
system in operation until a Certificate of Com� as bee issued �.y/thn bard of health.
Signed .-- -- -- -
--. .............. .... :
...
Dare
i Application.Approved By ........... J ..'t'I,."'' ............................. --------- ------------------------------------ Da e %5-
Application Disapproved for the following reasons: . - - ..............._.-...... ............_-.-......-.......... ..--_...-.......-.......
P
:?..--..-....------.---......................_-.--.....e.�........----...----------'---'--.........---.....------........-.......-----------------------.....-..-.........-........_........... ........................................
Dace
Permit No- ------------- -_-.-------- - Issued
Dace
4� --._--z-_-. -,�-o»
-.�.-..-.�..��.,-..,-,.-.�.,4.o....,e—..�:�—..v�._...�—..�.-..,-.--..-.——�...::—-..a�...�.—_.->--... -a---- - �-.a-_ - _u-vs a•._rars•.� -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
C�Pz#ifir�x#E of C�nmpItttr><ce
H�IS, 0 CE �, That the Individual Sewage Dis sal S s em constructed (V ) or Repaired ( )
g P Y P
by -------- ....... -- - hT� � f ���f•.. �--�-- r --o-------__-------------------------------------------.--
at _....-.- -.}` _-.._3 - --------- y1 -
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. -..-���C".--:, -.1���_-..-._..--_ ` dated ..............................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNC ON SATIN CTORY.
DATE----- ----- -... - .. Inspector --- .... -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
NO......��--—✓,1� FEE....b�--.0.........
�i��nstt1 I�r�� �la�a��tr irr �rrutit
Permission i f hereby granted......- `' ---- - -------
to Construct ,v) or Repair ( �)r an Individual Sewage DisposalSystem, .$�!' /'�7/00 P pot
....
Street p
as shown on the application for Disposal Works Construction Permit No._!_ 'Jy Dated____________________________!-._..._....
....................•-----------------------------------------------------------------------------------
Board of Health
DATE-------------------------------•------•--•----------------•--------------------
FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS
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Design Data
Single Family - bedroom ._.. _.._.__.__..
No disposal, Daily Flow =
4-xll0=.Q1I,6GPD. Septic tank =
Al.5=660 gal. Use /:CYS gallon
septic .,tank.
DisposaL _ Use 2-6x6 leach pits - -----
w/1' of stone. Bottoms = too sf @: !i /�.,
1.0 GIs.f. = 1.�� G/D. Sides /A� C.-1-�- v
s.f. @ 2.5 GIs.f = 7�% G/D. =65a Tr -
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I certify the proposed dwelling
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conforms to the sideline and setback / w�CUAM ti� � ( �� !�L S MA
requirements of the.Town of Barnstable C.
and is�not located��in the .f loodplain. v i +� Y E
Professional:..L�urveyor Date
Z41
c�A-1760 s �4569 c-N 7-0 i oxj o r
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