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HomeMy WebLinkAbout0248 OLD MILL ROAD - Health 2`48 OLD MILLI `MARSTONS MILLS TOWNN OF BARNSTABLE LOCATION 2 5C SEWAGE # % �p7 7,io z ' VILLAGE /I/s ASSESSOR'S MAP & LOTS ` INSTALLER'S'NAME&PHONE NO.WSJ Fg � t�',w SEPTIC TANK CAPACITY ,45ZzQ LEACHING FACILITY: (type) NO.OF BEDROOMS al 6,4. dw (1 J 13ra 3 y RMI)EWOR OWNER �'�'J / 0 °ly PERMIT DATE: A� N COMPLIANCE DATE:. Separation Distance Between the: -•- ' Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility s 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 1 aching faciliM), Feet,' Furnished byiP.� 13 t � � t No. �.r Fee / t THE COMMONWEALTkLOF MASSACHUSETTS Entered in computer: ✓ 'Yes/ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0[ppYication for Migw6al *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) V.Complete System ❑Individual Components Location Address or Lot No. -KA EJ O` �(� Owner's Name,Address and Tel.No. Assessor's Map/Parcel � �`� G­rOm A� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: i l naqc t l ( v 3 i' '^'Yw Dwelling No.of Bedrooms ,Z a Lot Size sq. 40arbage Gnnder Other Type of Building No.of Persons Showers( ) Cafeteria Other Fixtures 4d-_ Design Flow gallons per day. Calculated daily flow S gallons. Plan Date Number of sheets Revision Date Title _ Size of Septic Tank Type of S.A.S. l tiC r Description of Soil Ii`a_ Nature of Repairs or Alterations(Answer when applicable) - c ���(t�S�r� v, c i Jars Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system it 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 is of \\ Signed Date d d� Application Approved by Date Application Disapproved for the following reasons Permit No. 0_Z— Date Issued s Z S v V FY No. Fee / THE COMMONWEALT1 f�,� NI FISSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION —TOWN O ARNSTABLE, MASSACHUSETTS j� .11pplication.for Mt5pooal *p5tem Conotruction Permit N Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) omplete System ❑Individual Components Location Address or;Lot No.�y 0,© t� ` Owner's Name,Address and Tel.No. Assessor's Map/Parcel - 11V i Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. C-t L, ���, 1 '.:' , s ' 9 aw r ( }Yr1 1 Type of Building: °ems" ,r .,. �'e it 1 u 3 y (jC �a J T�'" w0- W�s ti Dwelling No.of Bedrooms A. of Size sq.ft. �AWOrbIge'7Ginrider( ) ,./ KJo,,1_ Other Type of Building No.of Persons Showers( ) Cafeteria S ) Other Fixtures j Design Flow 30 gallons per day. Calculated daily flow 7AS gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank �- Type of S.A.S. r Description of Soil re Q. tF1<.0 Nature of//Repairs or Alterations(Answer when applicable) �` �a e- W_.(-r t5 eyy- T.''%— tL Vk 1(C�."V\,4 __CC )",L t C A i( S t S t(fL.� CD,A 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 iss of Signed - Date 0 a. Application Approved by Date Application Disapproved for the following reasons Permit No. p O Z Date Issued U - 2 S - r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance 7 a THIS IS TO CERTIFY, that t ';A n-site Sewage Disposal System Constructed-(- )Repred( ' )Upgraded Abandoned( )by M11 5. at i �.� c t has beel-11(constru-6ted in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. T'-7 O Z dated /O-.L -9q Installer Designer The issuance otthis pe t shall nolbf construed as a guarantee that the s e will function as desi YCJ- Date �" Insp t �- --- ------ -------------------------- No. j Fee THE COMMONWEALTH OF MASSACHUSETTS © L/G , g �" PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Miopooar *pgtem Construction 3permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon((,4-''r System located at c 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 conditions. Provided:Construction must be ceoympleted within three years of the date of this t. Date: y Z ' 0f Approved by 1 - - - - .ram• I 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated iD '�J- �"J concerning the property located at 2) O k0fyczl \ ��v� S meets all of the following criteria: The failed system is connected to a residential dwelling only. There are no commercial or business es associated with the dwelling. e soil is c?assified as CLAS S I and the percolation rate is less than or equal to 5 minutes per inch. There are no wetlands within 100 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic system L • I Here is no increase in flow and/or change in use proposed •/There are no variances requested or needed. `/• The bottom of the proposed leaching facility will not be located less than five feet above the ma-amum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor me od when applicable] 1*4 If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the ma.�cimum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) ` J B) G.W. Elevation +the iVfA`C. High G.W. Adjustment?,,' _ 2 Dl-FFERENCE BETWEEN A and B SIGNED : DATE: (Sketch proposed plan of system on back]. q:health folder:cert o �4i� � .�..,�, � �' � // � _ - ,. �f TOWN OF BARNSTABLE { LOCATION � SEWAGE # I n D' VILLAGE— — = C?5.� ASSESSOR'S MAP & LOTS 4.C�1 t INSTALLER'S'NAME&PHONE N0.A'S �a d r vll�C I -SEPTIC TANK CAPACITY fQ�30 LEACHING FACILITY: (type) tr NO.OF'BEDROOMS B°MDEWOR OWNER PERMTTDATE: 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 Feet ..on site or within 200,feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet off I aching facili ) Feet TZ *' Furnished by ;t I - 4 s e oYl �0 i ` i Fee =/ THE COMM:ONyVEALT QEXASSACHUSETTS Entered in computer: ✓ Ye 6-7 PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS J d� ZIpprication for MSSP05al *Pkem Construction Permit 0,,j P I/Application for a Permit to Construct( )Repair( )Upgrade( .)Abandon( ) Ucomplete System ❑Individual Components 3 Location Address or Lot No.+ZZ-k E O 1 vS-4 \`S Owners Name,Address and Tel.No. Assessor's Map/Parcel 6,4 o k6 o e i-�' Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. � Ow � Q \S `cu ks F S; pe of Building: a�p 00r'bwelling No.of Bedrooms_ _ )b, Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( Cafeteria( ) � 1^1 �1/.q Other Fixtures V 1u� Design Flow 3O gallons per day. Calculated daily flow 73��S gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1 1 c, a Type of S.A.S. W"A'_ r Description of Soil 1[l D Nature of Repairs or Alterations(Answer when applicable) S•e d 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 bejis ofSigne Date d d Application Approved by 1 Date V Zf= Application Disapproved for the following reasons Permit No. r 0."Z Date Issued Z v— Z S ------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certif irate of Compliance THIS IS TO CERTIFY, that the 0n-site Sewage Disposal System Construc$4- -, )Rep�ired°(, )Upgraded Abandoned( )by ,'% at t t has beenconstrUted in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 4 Z dated 10 Installer Designer The issuance o this pe 't shall not construed as a guarantee that the s e will function as desr Date �' Inspt5t� ----- N,. --7 p--_--------------------- ------—,.�.- Fee THE COMMONWEALTH OF MASSACHUSETTS O L/G c PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS M*05ai *pgtem ConMruction permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon System located at o"� �, 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 conditions. Provided:Construction must be completed within three el- years of the date of this rmit. Date: / y — Z ,77 Approved by � ' A2- TOWN OF BARNSTABLE LOCATION - 4 a ��� 4 �. �� —"r-- f SEWAGE # ��- VILLAGE „c `/I/s --� ASSESSOR'S MAP & LOTf> INSTALLER'S NAME&PHONE NO. �A- F . SEPTIC TANK CAPACITY 1� LEACHING FACILITY: (type) NO. OF BEDROOMS R'DII.DEIVOR OWNER PERMIT DATE: c COMPLIANCE DATE:4/F AI <�- 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 off I aching facili ) Feet Furnished by d �0 . 09391" : 1,' 1/1 Jf �us E p 61' Bath 8x7.3 During Room Bedroom 2 8.5 x 12.11 11.6 x 9.11 IGtchen 13.6 x 10 3ugle Garage 24.3x14.5 n r Master Bedroom Lv5x Room 11.5 x 13.5 lL5x14.5 Porch 7.11 x 13.8 0 . 0900911 : 1 ' 1/1 61' O Bath 8z7.3 Bedroom 2 11.6 z 9.11 fOY. kitchen N i p N N Master Bedroomuving Room !j 11.5 x 13.5 11.5 x 14.5 dining room mvdroom/pantry rf�0� garage l 0 . 0939111 : 11 1/1 rP� N ��fl GE 2 0 2 61' 0 A040 j �71 n� c� f�YtIAs7i po TOWN OF BARNSTABLE OE THE t0 OFFICE OF � 13A339TABL o BOARD OF HEALTH y NAB& pj �p i639• 367 MAIN STREET a mix HYANNIS,MASS.02601 February 18, 2000 George Germaine 248 Old Mill Road Marstons Mills, MA 02648 RE: 248 Old Mill Road, Marstons Mills Dear Mr. Germaine: You are granted a variance, from 310 CMR 15.214, restricting sewage flows to one bedroom for every 10,000 square feet of land within Zone II districts. You are granted permission to construct a one-bedroom addition at 248 Old Mill Road, Marstons Mills,, with the following conditions: (1) No more than three (3) bedrooms are authorized. Dens, study rooms, finished attics;sleeping lofts and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (2) The applicant shall record a properly-worded deed restriction at the Barnstable County Registry of Deeds limiting the dwelling to three (3) bedrooms. The deed restriction shall be signed by the property owner. A copy of the recorded deed restriction shall be submitted to the Board of Health r�to obtaining a disposal works construction permit. This variance is granted because it is the Board's policy to grant applicants approvals to construct three (3) bedrooms on lots of more than 18,000 square feet in size. This lot is 24,393 square feet in size. Sincerely yours, Susan G. R R.S. Chairperson Board of Health Town of Barnstable SGR/bcs germaine TOWN OF BARNSTABLE LOCATION o ��1 & SEWAGE # ."ZD'- VILLAGE ASSESSOR'S MAP & LOT f� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ��y) LEACHING FACILITY: (type) T_ 7 /,�,dq NO.OF BEDROOMS IiIMDERrOR OWNER �7-� PERMIT DATE: rG"' r COMPLIANCE DATE: �� ,<� s 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 le*hing facilii Feet Furnished by VZ- Ot' qJk r ,47 TOWN OF BARNSTABLE _` _—,_------ ------------�� LOCATION SEWAGE # ! ." Q' VILLAGEM �AJ/f ASSESSOR'S MAP & LOTf� INSTALLER'S NAME&PHONE NO. F ; i SEPTIC TANK CAPACITY 15 � LEACHING FACILITY: (type) <�- /4/ T NO.OF BEDROOMS r RMLDEi OR OWNER PERMITDATE: COMPLIANCE DATE: I . I 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, j within 300 feet of 1 thing facili ) Feet r -f Furnished by ��fA e �—y i 13L Z� OP qo k 4 SearchYfo MapiRa eJb 046098 wn of a ttible V rr m �� . K a ForwarceiNumbe�046098 i ,, @ tal Prope GNJ . Business Name ion Contrrbutron iN z Number 11, ` CQntarnrnant�el(Y�IN) i r ielStorage Taii .Permit Ph,�ne � a r Car On Frle r�� ���; �' Pe�rc'fest 11Veli Prermit � NR�� � �~�v r � r r rWgi MA JFile/,Permrf No. 99 702 k \\ \ WN Issuance�Date10/25/1999 6 yJii �e Compietron Date 11/12/1999� ` z,,.; r Size ofSeptrc fy a/Saze nt SAS 4 infil w/4 sides&14 UNDER Tank 1500 -. r 3 BRs . . 9 mappar 046098 1.�Ownerf GERMAIN GREGORY S proploc 248 OLD MILL ROAD � '� �,� � ,,��� � inn`ovatrvelAlte na�rv��Techn logy ptrc SySt ms ' `� mg1e or �U�AService Type styY tld records? r !dele'te records I E p � � x s -c vPO t� Ojo axe y B, d \A160 DEN vi5c-K r Co►M cNs Coy-`cY S ro _ 3, , O 00 a L so a 3 3q, ���. o A.a. ay a�� � 3• moo' 3 2� 3 / N ,L F Tt� �QS <Sep���LS�s-� -SUS'►�1`�-�. ( ( -I�-9 �re `�- aye ako 1M►1� 12c�a� rMaY sTeK;5 ISlovvsSTree- �` �►�.;,�,15. Y1'1r4� ���Sri ry�c(q a(Y S-T 5 S eve 0 1 C t' T E e-1A 'Fa c� i I /y''sloDF p�Y�d1�� CIll FT 6�� �T- ila G.P3•j ply flD 7 S "III K �"� !-� Go-CA-�SAL%�( F%L kR S �Xts�i N G-TFs N k 5 T 01X F. O cV 51'0 E Go L In i-z E- o L �,. cv1Couv\i-ereJ `ice t0,8 -Kai Le�c���vc� T-�xi s i N S (mac-S st ^l 1 G REG G t emit 4 g Q yS O 1-0 m,\\ QOp o �1�r STcN S � �o,)N ` 13, 10 3� �. Co yh Poivs Cow,(S� O 00 4 23' t y7 3g,�S ��� ST ►Soo A,a. �/' �a� 3y� a� A 73. <SePT% Sys ��us►h1`�� 11 ct Grez,C> a14S 6►1D 1M►1�, >2na,o iStoo\SST, -�— ty�pN JAGS i �� to 1v s RE pro VId1C� js 4 • �v�i ,J,c.. / r-i- o w F'P��v �P �®DB �� 7 eooms � �T ►Ib G•P3•j pay yo 1 sT OiNF— Old SlVES 00 40lus GotI Log .SizE or- � �ncovv\�rec� O' c ►4Qp-���- 1 d- o�f T-� S St cv�1 G REG G t em"k pt K DOC:804,036 06-27-2000 8,:34 BARNSTABLE LAND COURT REGISTRY Barnstable County Registry of Deeds DEED RESTRICTION WHEREAS,Gregory S.Germain of 270 Communication Way,Hyannis,MA is the owner of lot and dwelling located at 248 Old Mill Road,Marstons Mills,MA,and being shown as Lot 282 on Land Court Plan#30751E,Document#625059. WHEREAS;Gregory S.Germain as the 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 frorn the 310 CMR 15.21-4 State Environmental Code,Title V,Minnnum 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,Gregory S.Germain does hereby place the following restriction on his above-referenced land in accordance with this agreement with the Town ofBarnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: 248 Old Mill Road,Marstons Mills,MA may have constructed upon the lot a house containing no more than three(3)bedrooms. Gregory S.Germain agrees that this shall be a permanent deed restriction affecting 248 Old Mill Road located in Marstons Mills,MA and being shown as Lot 282 on Land Court Plan#30751E,Document#625059. For title of Gregory S.Germain see the following: CTF 135124 Gregory S.Germain COMMONWEALTH OTF-MASSACHUSETTS,Barnstable County. On this•27� .J day of Oa1 — 2000,before me personally appeared Gregory S.Germain,and acknowledged the foregoing instrument to be free act and deed. f My Commission expires: A4 Notary Public BARNSTABLE COUNT; REGiSTf;Y GE DEEDS A TRUE COPY,ATTEST BARNSTABLE REGISTRY OF DEEDS Y� ('L f4)66,008 •- n� L 3B5 . cl - -- a o 3- _ .. FO sr�rt) v6A5[ R �u IT 1 GOUa4. i O N�fi I EW adFRFi3ati 8 v a Puct 4owa \ IJ�W GIO Go�u M,cs+- t1/.L:- N - _. _ sty R/ !o£ -1..— ~ 1 •`J'- - Iz6E 5vflllvfzr �w L✓[•R!D b E- D•a-E T t a,4,"d To /( „S �> v. r -rr xu � 8�s NG t...�"u� !tT•I� P TRy 4 R pL.htx- Wf�Dowt 41 N 1}Ou5� R kR NCO t a n wl _ff L'U . r �LEw fo vaz � I 10"cow - v N 1 pay E a o t y > r L S F-l1 �2__LOB D 12GWn) ]�K iV EcJ L VLr. t � Gvr AGGEy1 DpOk �� OR Qr _ �V < l,y' A_c -CA P. 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