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0058 HOLWAY DRIVE - Health
58 Holway Drive W. Barnstable �. A = 136 - 033 N®a 4210 1/3 BLU 0 b sm m 10% //TOWN OF BARNSTABLE LOCATION #5_8 d/may 1)"'&-4' SEWAGE# 0/ VILLAGE W.-JA 9s✓n,5"kJ)C ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. 4o ,< (C✓ SEPTIC TANK CAPACITY I LEACHING FACILITY.(,type) �� �'�j P'yu s (size) X/® �X'2 � o NO.OF BEDROOMS lrUt� OWNER /C i PERMIT DATE: a' 1 z!. COMPLIANCE DATE: Separation Distance Between the: C Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility J Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility), //ol Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility)) Feet FURNISHED BY _1 C `3- f 410` q 6 dp _a !9 a CIO �cc e 1e J� No. s Fee (60 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: to PUBLIC HEALTH DIVISION - TOWN .OF BARNSTABLE, MASSACHUSETTS Yes f 01ppricatiou for 3i5ponl *pgtem Cougtruction permit Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No.Y QtWe'y nw vc Owner's Name,Address,and Tel.No. W�i Assessor's Map/Parcel 13 A-J e u/ � /)f!l a2e���i Installer's Name,Address,and Tel.No. ,S®15�-77G-,I,(/Ga Designer's Name,Address and Tell.No. a o 3 5 =kd-1?d �' C• 00 7 - Sraee�Sel- f�gi�e�i�v+� �7o t3ox 7/3 So�+�• fJ�Mi s Type of Building: Dwelling No.of Bedrooms Lot Size �'' SO0 sq.ft. Garbage Grinder ( ) Other Type of Building r-e S Pd m ke,I No.of Persons Showers( ) Cafeteria( ) Other Fixtures _ Design Flow(min.re fired) 4A/ gpd Design flow provided G�3. gpd Plan Date O Number of sheets Revision Date Title Size of Septic Tank s(��p 11G✓1 Type of S.A.S. y�. AAsp-4fJS �✓ �/�S 1 ��. Description of Soil ��� Q.�y �tn r l t� `��i.d►C� Nature of 7airs or Alterations(Answer when applicable) —7'^S'14'/rri/4" o O✓1 SGG�����► l'��w,�jN s�Bwe ko he ca- nerIM �-© Date last inspected: 06V,— ��1BJrn Agreement: L%C M6'gydiiThe undersigned agrees to ensure the construction and maintenance of the afore described on-site e isposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed ����, �i► Date Application Approved by Jn/L YYV 4ft_l4loel 5 Date Application Disapproved by: Date for the following reasons Permit No. QWL, 0 t. K Date Issued r No. aol> - D � ��;;� � Fee (0 �. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN.OF BARNSTABLE, MASSACHUSETTS Yes :r Rpplication for �hgpo al *p5tem Con!gtrUction Permit Application for a Permit to Construct( ) Repair( ) Upgrade <Abandon( )a El Complete System ❑Individual Components Location Address or Lot No. /Q r W,`y �e.,,,) Owner's Name,Address,and Tel.No. •� W 6 Ar(I ? k9n !/ Assessor's Map/Parcel 13{o /7A,C'e/ ,}',3 Installer's Name,Address,and Tel.No. .Sa 6) -77C-6 CVG0 Designer's Name,Address and Tel.No. O R• C- Pa x 7�1 S �v��,�h Nd sou+., r7`.",'s, Type of Building: 41 Dwelling No.of Bedrooms' tt Lot Size ULl SOU sq. ft. Garbage Grinder ( ) Other Type of Building reS id'.>�'ti f No.of Persons Showers( ) Cafeteria( ) Other Fixtures �/ S Design Flow(min.req fired) 7� gpd Design flow provided Y443. 5,�j gpd Plan Date G 1 P Number of sheets Revision Date Title e �Mze�of Septic Tank 1 YO O 941IG') Type of S.A.S. '/)r .SGy c u/� Jill, d s �v S�r,f,< Description of Soil 0 /0c,v+V `r4n Gf Nature of Re airss or Alterations(Answerwhen applicable) -Tr%Y AqA �+c, /o d 04 e e��G�G t1� C'h�•r,b� � S!6rne i t, he r6,0,,2,-rAeA �-c e5c,,sy,y- q SIS Date last inspected: � /t/Tl(��d fh/�L L Agreement: Gt�J 1 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 Certificate of Compliance has been issued by this Board of Health. Signed e-- �",., 2-c Date 0 Application Approved by VVL M 7 A ) Date � r Application Disapproved by: Date for the following reasons , Permit No. sau i,L D Date Issued ✓' �� . . . . -4 THE COMMONWEALTH OF MASSACHUSETTS ;l BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded (�) Abandoned( )by 4, I_ C at fj' A/d /A ti a"'16C Ln/ 84.1>1 S�4 6)r has been constructed in accordance with t-ie provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer A �,'�j,,.-. Designer -SwcCS�'✓ #bedrooms 0e:::'G Approved des gn flow y�R� gpd The issuance of this permit shall not be construed as a guarantee that the sy(em will functions de isgned.Date Inspecr ) No. � •�� �-fJ���; -------_---------Fee - V/�/�'' ---------- - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS x1h5po$al *pgtem CongtrUction permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade (X) Abandon ( ) System located at S,9 1.1e luti V /2., P L✓*5 c/11 e 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 years of the date of this permit. Date — l '` / o Approved by o C 4 G�,I,�?sr, Town of Barnstable Regulatory Services Thomas F.Geiler,Director MAM& 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: Sewage Permit# ?0/2"o16 Assessor's Map\Parcel /(36 3 3 Designer: t&,\a I V\ &OR Installer: Address: L b Address: go, fax 7.26 5 D tolS S. Ywrnpy4ii, tV 011(1 On CQ 9 /./ ,2aI ���v7 /C gj<� - was issued a permit to install a (d ) (installer) septic system at Lyau D na) based on a design drawn by (address) &e_dse_t i r/vl dated Oe-L. 9'k r' (desi r) 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 Regulations. Plan revision or certified as-built by designer to follow. (Installer's Sign atur NAYS S No. 979 _ sAf��.!;7 (Designer's Signatur (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE LSSUED UNTIL BOTH THIS FORM AND AS-BUH.T CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:HealtWSepticAksigner Certification Form 3-26-04.doc Bk 2599,3 'Ps316 a1694 ..., 01-11-2012 a 08 = 14" Town of Barnstable Barnstable -Board of Health p g 200 Main Street,Hyannis MA 02601 I ED MA . 2007 Officer 508-862-4644 Wayne Miller,M.D. FAX: '508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi DEED RESTRICTION WHEREAS, D & S Penni, Realty Trust Of (ownei's name) 58 Holwal. Drive, West Barnstable MA (address) is the owner of 58 Holway Drive located (address) at West Rarnstabl6, MA MA (hereinafter referred to as and being shown on a plan entitled 'Subdivision of Land in West Barnstable and Sandwich MA, Property of Point Hill Realty Trust et al, . duly recorded in Barnstable County Registry of Deeds in Plan Book -249 , Page 107 ; Or on Land Court Plan Number- ' Daniel E. Penni*,:.Ttustee WHEREAS, Suzanne D. Penrii, Trustee as the owner of said lot has (owner's name) agreed with the Town of Bamstable 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 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, and authorizing the issuance of a building permit for the construction of a-single family home on this property, 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, ace M t Daniel E. Penni, Trustee & NOW, THEREFORE,, Suzanne D. Penni:; Trustee does hereby place the (owner's name) following restriction on his above-referenced land in accordance with his arc regiment with the Tnwn . d-444ealt - ,.,h:,.h•.. „+_,.+:,... off run with. the-lan d and be binding upon all.succes sors in title: 1.., 58' xolway Drive may have constructed + (address) upon the lot a house containing no more than ]Four . (A) bedrooms. Suzanne D. & Daniel E. Penni; Tragrees that this shall be-permanent deed (owners name) . 5.8 HolVay Drive . restriction affecting said lot located on Test Barnstable .NIA, and . being shown on the plan recorded in Plan Book 249 , Paged 107 Or on Land Court Plan For title of D & S Renn'i, R.T. see the following deed: Book 15601 , Page 143 . Or Land Court Certificate of Title Number Executed as a sealed-instrument loth day of January, 2012 . LUI Own is signature Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS Barnstable, MA SS January 10 . 2012 Then personally appeared the above-named Suzanne D. Penni & Daniel E. Penni known to me to be the person who executed the foregoing instrument and acknowledged the same to be His: & aier free act and deed, before me, r - Notary Public My commission expires: (date) dee& I WE: Daniel E..Penni and Suzanne D. Penn Trustees of the -& S Penni Realty Trust under a Declaration of Trust dated June 29, 1989 r and registered as Document/Book& Page,, Book 11494 Page 121 hereby certify that:• 1. Said trust is in full force and effect. 2. All the beneficiaries are of full age. _ 3. All the beneficiaries are competent.. n < 4. All the beneficiaries of said trust have consented to.the Restriction of the property to Town of Barnstable Board of Health Signed under the pains and penalties.of perjury a n -F Dated: ! / t r �IHIE Town of Barnstable Barnstable Board of Health eght 9MASS` 200 Main Street, Hyannis MA 02601 arJ i639• A1�� RFD MA'S 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. JunichiSawayanagi BOARD OF HEALTH MEETING RESULTS Tuesday, January 10, 2012 at 3:00 PM Town Hall, Hearing Room, 2ND Floor 367 Main Street, Hyannis, MA I. Hearing — Housing / Septic (Cont): POSTPONED A. Lili Seely, owner— 33 Candlewick Lane, Hyannis — UNTIL FEB 14 housing and septic issue (continued from Dec 2011). 2012 POSTPONED B. Kenneth Carey, owner—439 (a.k.a. 441) South Main UNTIL FEB. 14 Street, Centerville, 3 units, housing violations 2012 (continued from Dec 2011). II. Variances — Septic (New): A. Stephen Wilson, Baxter Nye Engineering, representing David Brito, P&S Agreement with owners — 31 and 43 Church Hill Road, Centerville, Map/Parcel 207-138 and 207-139, total two lots is 32,045 square feet, multiple variances. Many spoke of their concerns with the property. The Board will conduct a site visit on Monday, February 6, 2012 at 11:30am and will visit the property if it rains before the next meeting. The Board voted to continue to February 14, 2012 and will review a revised plan which should be available in a couple weeks, showing an I/A Microfast System and a new floor plan once it is available. , Mr. Wilson will bring in extra copies of the plan, once completed, for the interested public. The Health Division will also have information about the Microfast System available. Page 1 of 3 BOH 1/10/12 B. Robin Wilcox, Sweetser Engineering, representing Daniel and Suzanne Penni, Trustees, D&S Penni Realty Trust— 58 Holway Drive, West Barnstable, Map/ Parcel 136-033, 44,500 square feet lot, subdivided in 1971 as Point Hill Realty Trust, requesting multiple setback variances. The Board voted to approve the variances with following conditions: 1) A four- bedroom deed restriction is recorded at the Barnstable County Registry of Deeds, and 2) a proper copy of the deed restriction is submitted to the Public Health Division. III. Title V— Septic Inspection Review: Joseph Smith, Bennett Environmental Associates, representing Acworth Inn —4352 Route 6A, Barnstable, Map/Parcel 351-039, two new septic inspections were done and passed. Original inspection failed on 09/09/2011. The Board voted to rescind the order to replace the septic system within a year. No further action is required until Aug/Sep 2012 at which time the Board requires another septic inspection to be done. If the septic system then passes, the Board will deem the system as passed. Mr. Smith may contact Capewide to view the videotape of the inspection to speed things along. IV. Variance — Food (New): A. Kathy Murray, owner, Barnstable Market— 3220 Main Street, Barnstable, Map/Parcel 300-010, grease trap variance, has limited menu and is a small market. The Board voted to approve the grease trap variance with the condition that Roger Parsons, Town Engineer, will take a look at the grease situation for the first two months. B. Attorney David Lawler representing Mary Phelps, owner of Earthly Delights — 15 West Bay Road, Osterville, Map/Parcel 141-016, request for two variances: toilet facility and outdoor dining. The Board voted to approve a toilet facility variance to allow the 12 outdoor seats. C. Jason Berg, Panera Bread — 790 lyannough Rd, Hyannis, Map/Parcel 311-092, request for toilet facilities variance with additional seating. Page 2 of 3 BOH 1/10/12 Alternatives were discussed. Panera Bread may return to the Board with a revised proposal. Currently, the Board DENIED the request of eliminating two employee bathrooms for additional seating. V. Septic Installer (New): A. Daniel Duprez, Littleton, MA The Board voted to approve Daniel Duprez for a septic installer. B. Craig Condinho, Marstons Mills, MA The Board voted to approve Craig Condinho for a septic installer. VI. Policy/ Regulation: POSTPONED TO FEB 14, 2012 A. Signage "Wording" and Beach Designations. B. Ban on Pharmacy Tobacco Sales. There are 6-7 towns which have recently put into effect a similar ban. The staff is opposed to the ban. They feel it interferes with equal rights of commerce. The Board members feel it is necessary. The State is also looking into passing a state-wide policy. Mr. McKean will research and see how close the State is to passing the policy. In the meantime, Dr. Miller will have the Legal Department write up a regulation to be reviewed. Page 3 of 3 BOH 1/10/12 S = .5 1 ik-12 W A-Y S -_ �cn s G R = G A-"4F 2ovM L ,C 7— •� =StiHriw�.y .S' /�- Sif Li- A--7 t-f `C y t3�9-1`f I v£e K S N 13p- Qx Drt� m 1sT-1 A: 177ffnu � I E. 7a r _ 5 � f Daniel and Suzanne Penni,Trustees D& S Penni Realty Trust P. O.Box 47 West Barnstable,MA 02668 December 12,2011 Barnstable Board of Health c/o Sweetser Engineering P. O. Box 713 South Dennis,MA 02660 RE: Representation at Board of Health Hearing This letter authorizes Robin W Wilcox of Sweetser Engineering to represent me(us)at the Barnstable Board of Health Hearing regarding the proposed septic design variances for my(our)property at 58 Holway Drive,West Barnstable,MA. Sincerely, Daniel E. Penni, Trustee �� I"f i Suzanne D. enni, Trustee l r� �e h ', . . __ ••— �...AALUILLSRJIL; F# Department of Health,Safety,and Environmental Services M ' Public Heayl€th°'Divisl:011l Date ' JW 09 Main Street,Hyannis MA 02601 y - _ urwsr.sMAK t� lFeiwx+°" Date Scheduled' _ Il _.._ -Time•_{ 1 1 Fee Pd� I �� Soil Suitability Assessment fog ►Sawa e Ds g posal Performed By:�� y: Witnessed B ii?>%'>:?iiiir?? iiiii`•` ;i;?:#iiiY?EEii:::?::.� ;`; •• - .,. y• Loeahon ' 'Add e '' '�/ ........:. .........:.....:.....:•:....:..�:� >':>>::::<::<::::>';»;E:;::::a:.:;;::!:;::::::::<:>:3::::.>•::>:::::<:: ress�0 (WCc �/r ...............::::.Owner's'Nam . /�V1•(• .....?��( •yl•t•°`>::::::::>;;>?:::»:::::;: Address' 1pd !J 6 X 4 7, W Assessor's Map/parcel: ' Engineer's Name S(,v Qp - NEW CONSTRUCTION REPAIR Telephone# Land Use / /� �/ %Slo es Z � dv.✓e p ( ) Surface Stones No Distances from: Open Water Body �A 8 possible Wet Area �Od el Z ft ft Drinking Water Well �� Drainage Way ft Property Line — ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) i . ` V &' fJ 1 Soo x (o 3 , cco z - - 3 C3 Parent material(geologic) Depth to Bedrock-------------- Depth to Groundwater: Standing Water in Hole: W NO eeping from Pit Face Estimated Seasonal High Groundwater �0 Method •.... �r Used: ••••�. .. Depth Observed standing in obs.hole: ,...........:.:::�::::.>:•:o-;:•`.•:...........,..............................>: ':. Depth to weeping from side of obs.hole: n. Depth to atesojr Adjusts in. Groundwater Adjustment m• Index Well#__•• _ .Reading Date: d Inex Well level ft• —- Adl.factor Adj.Groundwater Level —. Observation 2 Hole# `--�- Time at'9" Depth of Perc Time at 6" Start Pre-soak Time @ 7 ? Tibia(9"-6^) End Pre-soak Rate Min./Inch 7i Site Suitability Assessment: Site Passed Site Failed:. ----T Additional Testing:Needed(Y/N) Original: Public Health Division Observation Hole Data To Be C.dinpleted on Back-----.—.� Copy: Applicant .........:..:::::::::::::::::::.�...,;....;......:::;�..:....;..........;;•:�::�..,;..:.,::;.;..;.....;;•::••�r: ': > :•�•>•� <ii: YE:2•'•;:�;;''•% `::;';:'t::::'iSS��':?' 3<F:�%?i>ir?�`<��'>."•�'.i�•?i;<':�i�'.'�:i't'i �i .........:..:::....:. :•:.::::;.;::.;•:..<.;:•:..;:•;:::.:;: ::.;;•;:::• ::,.•::.:;::•»�•a:,::::•.:;.:..�.:.::::::.:............. Soil Other xtu Depth from Soil Horizon S(US � S(Munsell) Mottling (Structure,Stones,Boulderes.' Surface(in.) ° o , r :;.>:::;:,;:.:<•>:,:::..:::::::...:........ Soil Color Soll O ther Depth from So1f Honzon Soil�exture unsellj Mottling (Structure,Stones,Boulderes. Surface(in.) (USDA) ° :::»s>>:::>::s::s»:<::><:: :::;:>::; Jw ::::.:;•::::•::.>:•:»:::•>::::::::::• :............... Other " il Textu Depth from` Soil Horizon S(USDA)re S(M nsell) Mottling (Structure,Stones,Boulderes. Surface(in.) ° ol /t/o ED "' Soil Horizon Soil Texture So►I Color So►i Other• Depth from (USDA) (Mansell) Mottling (Structure,Stones,Boulderes. Surface(in.) °. i Flood Insurance Rase Mom. ZAbove 50 y _ 0 year flood boundary No Yes Within Soo year boundary No Yes Within loo year flood boundary No z Yes Lentil`! l�Taturally Occurring envious 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? If not,what is the depth of naturally occurring pervious material? ti ; �ertirication cy certifY that'on / (date)I have passed the soil evaluator examination approved by the I Department of Enviro>uietital Protection and thda sthe actin 3 A CMR 15.017.performed by me consistent with the required training,expertise d exper e 1 Date Q7:..�ofiirP. Commonwealth of Massachusetts �6 Title 5 Official Inspection Form Subsurface Sewagc Disposal System Form -Not for Voluntary Assessments Property Address 58 Holway Drive West Barnstable, MA Owner Owner's Name Dan Penni PO Rox 47 info-oration is required for every W Barnstable —01668 —_1- A12011 page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important out When A. General Information filling out forms on the computer, f%use only the tab 1. Inspector key to move your cursor-do not joe Mart)nd use the return Name of Inspector key. ACCu Sepchec 17 Northside Dn v�► Company Name S. Dennis, MA 02660 Comparry Address rt�w Cityrrown State Zip Code Telephone Number Lic p CD B. Certification I certify that I have personally inspected the sewage disposal system at this address and that they , information reported below is true, accurate and complete as of the time of the inspection. The inspectiq was performed based on my training and experience in the proper function and maintenance of o-n site i sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.3401of Title 5(310 CMR 15.000).The system: M/Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority pector's Signature Date The system inspector shall submifa 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. ****This report only describes conditions at the time of Im y inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under _. the same or different conditions of-use: - - - - t5ins•l-/10 Title 5 Official Inspection Form:Subsurface - . pectin Sewage Disposal System•Page 1 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 1 58 Hol)ya Drive West Barnstable, MA Property Address Dan Penni PO Box 47 Ovvrler Owrlefs Name information is required for every W Ramstable — — 66- �W21 1 page- Cdylfown State Zipbate Code InspectionB. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: 2r"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: tcoo 'x4` / s s �o /o/ ,6L4 t //, C k*j ,_'(94— Mce 01_g11&0kY tv B) System Conditionally Passes: �S 4A'a— / 7,t ❑ One or more system components as described in the"Conditional Pass'section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes","no"or"not determined"(Y, N, ND)for the following statements. If"not determined,' please explain. The septic tank is metal and over 20 years old`or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. I ❑ Y ❑ N ❑ ND(Explain below): davkwC_111jjo,1o, P ev_,o l5ins•11/10 Title 5 Mical In spection Form:Subsurface Sewage Disposal System•Page 2 Of 17 Commonwealth of Massachusetts - - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 HolwR Drive West Barnstable, MA Property Address _ Dan Perm PO Box 47 Owner Owner's Name informationaired is 92668 101612011 required for every �_Rarnstable ---� page. City/town State Zip Cade Date of Inspection B. Certification (cunt.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or une istribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year d to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Bo of Health): ❑ broken pipe(s)are replaced Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Furthe Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. . I. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet-of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a saft marsh r5ns•i itio Title 5 Official In spection Farm:SubsuRace Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Holway Drive West Barnstable, MA Property Address Dan I'enni PO Box 47 Owner owners Name inform.ftn is requ-red for even, - W Rnrnstable — MA 02668 101wol 1 page City/Town State Zip Code Date of Iran B. Certification (cunt.) 2. System will fail unless the Board of Health(and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is>100fee t of a pr a water supply well. ❑ The system has.a-septic tank and SAS and the SAS is less tha50 feet or more from a private water supply well`'. Method used to determine distance: "This'system passes if the well water analysis, perfo` ed at a DEP certified laboratory, for fecal coliform bacteria indicates absent.and the presen of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other f re criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for a I inspections: Yes No ❑ Lg' 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 _0 ❑/. Static liquid-level in the distribution_boxabove,outlet�invert.due_to.an..overloaded—......_- or clogged SAS or cesspool ❑ L�' Liquid depth in cesspool is less than 6" below invert or available volume is less than Y day flow ,5irts•11/10 Time 5 Offival Inepecfim Fam Subsufece Sevage Disposal System.Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Holway Drive West Barnstable, MA Property Address Dan Petmi PO Box 47 Owner Owners Name information is required for every W Rarnstable _ M A 8 1"1101 l-____— page. Cityrrown State Tip Code Date of Inspection B. Certification (cont.) Yes No ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ l�r Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ [�( Any portion of a cesspool or privy is within 50 feet of a private water supply well- ❑ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysts and chain of custody must be attached to this form.] ❑ ❑/ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd_ ❑ (?/ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes'or"no"to each of the f ng, in addition to the questions in Section D. Yes No ❑ ❑ the system is within eet of a surface drinking water supply ❑ ❑ the syste " within 200 feet of a tributary to a surface drinking water supply ❑ ❑ th stem is located in a nitrogen sensitive area(Interim Wellhead Protection rea—IWPA)or a mapped Zone II of a public water supply well If you have ered'yes'to any question in Section E the system is considered a significant threat, or ans ed"yes'in Section D above the large system has failed. The owner or operator of any large - - - -s -considered a-significant threat under Sechior E or failed-under Section D"shall upgrade the'__ - tern in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5its-11110 Titbe 5 orical I specrtm Forth Sufswfate Sewage Disposal System•Page 5 d 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments tI-,Wt5,5 cf" 58 Holway Drive West Barnstable, NM Property Address Dan Perini PO Box 47 Owner Owners Name information is required for every W Bamstabl . —MA 0266.8--1_01612011 page. Citylfovm State Zip Code Date of Inspedion C. Checklist Check if the following have been done. You must indicate"yes' or"no" as to each of the following: Yes / No U� ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ Q Were any of the system components pumped out in the previous two weeks? d ❑ Has the system received normal flows in the previous two week period? ❑ Have large volumes of water been introduced to the system recently or as part of this inspection? �. ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) L it1 ❑ Was the facility or dwelling inspected for signs of sewage back up? E ❑ Was the site inspected for signs of brea out? [� ❑ stem components, /^�Were all s y In rtheAS, located on site? ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? ©/ ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: J2," ❑ 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)1310 CMR 15.302(5)) D. System Information Residential Flow Conditions: 3 Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 [S�s•11/10 Title 5 Official In spection Farm:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments S 58 Holway Drive West Barnstable, MA Property Address _Owner Owners Name Dan Penni PO Box 47 infomlation is required for every W Bamstahle — MA 09668 1n/6201 1 page. City(Town State Zip Code Date of Inspection D. System Information Description: • V • 3 � w sue, •2rc,Cs a •s s� Number of current residents: Does residence have a garbage grinder? 0/yes ❑ No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes LK No Laundry system inspected? /✓/� ❑ Yes ❑ No Seasonaluse? ❑ Yes No Water meter readings, if available(last 2 years usage(gpd)): Detail V4P d_� r- Sump pump? ❑ Yes No Last date of occupancy: Datelf Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(ypd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank nt? ❑ Yes ❑ No —Non-sanitary discharged-to the Title 5 system? ❑ Yes ❑ No r meter readings, if available: t5ns•Ftl10 Title 5 Official Inspection Form:Subsurface Sevoop Disposal S/stem•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Holway Drive West Bamstable,MA Property Address Dan Pemii Pn Box 47 Owner Owner's Name information is required for every W Barnstable —MA 01668 101611011 page, City/Town State Zip Code Date of Irtspel t l D. System Information (cunt.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: km Source of information: I A 0 L, I v Was system pumped as part of the inspection? ❑ Yesboy No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: IpI Septic tank,distribution box, soil absorption system /❑` Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and. maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. Other(describe)" t5ins•11/10 Title 6 Official Inspection Farm:Suhanface Sehage Disposal System•Wag®8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Holway Drive West Barnstable,MA Property Address Dan Perini Pn Box 47 Oalrler Owiriers Name information is required for every W Ramstable —l4 0266R i n16Q0I 1 page, Cityrroum State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed if known)and source of information: /1S ^S Pe Were sewage odors detected when arriving at the site? ❑ YesXNo Building Sewer(locate on site plan): Depth below grade: teat Material of construction: ❑cast iron X40 PVC ❑other(explain): Distance from private water supply well or suction line: > ' feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): l• Depth below grade: feet Material of construction: concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No !! hf _ Dimensions:. 7 _ S- 7 1 /a Z Sludge depth: isms•iino - Title 5 Oftal Inspection Form:SWXwface Sewage Desposel System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Holway Drive West Bamstable,MA Property Address Dan Penni PO Box 47 Owner Owner's Name infor nation is rn hl required for every W R a Sta a 01668 101617011 page. Citylrovm State Zip Code Date of Inspection D. System Information (cunt.) Septic Tank(cont.) Y/f Distance from top of sludge to bottom of outlet tee or baffle 2 „ . Scum thickness c Distance from top of scum to top of outlet tee or baffle 0 tf Distance from bottom of scum to bottom of outlet tee or baffle ` How were dimensions determined? r� Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Ae t-e�c ff& 2- P vc-- La /_e7 e-S • K-Ilyw ) rt00+vtvk1*K tuas Rulm.�e-w 2c a1/1, Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of sc to top of outlet tee or baffle Distance from om of scum to bottom of outlet tee or baffle Date of t pumping: Date t5ins•1,1110 Title 5 Official Ins pection Form:Subsurface Sehage Disposal System•Page 10 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Holway Drive West Barnstable, MA Property Address Owner Owner's Name Dan Pe ni Pn Box 47 information is —�.6 $ �11W0I I required for every W B1T11Stablt' �- 07 K 1 page. City/Town State Zip Code Date of lnspeatiorl D. System Information (cunt.) Comments(on pumping recommendations, inlet and outlet tee or baffle =—, STructural integrity, liquid levels as related to outlet invert, evidence of leakage, e Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow. gallons Per flay Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of st pumping: Date ments(condition of alarm and float switches, etc.).- Attach-copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ors•1 U10 Title 5 Official Im paction Form:SuosuAace Sev1ege Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 I4olway Drive West Barnstable, MA Property Address D Owner Owner's Name an Penni PO Box 47 information is 6 t)16/ Q required for every W Rarnsta� � n7 KR lP -- 1 7 1 1 page. CitYlfown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): L-P&,-e Lh01 oeyz9_ - 7v 3 Do 2zr Pump Chamber(locate on si>plan Pumps in working order. ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments(note condition of ondition of pumps and appurtenances, etc.): ell Soil Absorption System(SAS)(locate on site plan, excavation not required , If SAS not located, explain why: t5fns•11/10 Title 5 C f laal Inspection Form:Sutnurtace Sewage Disposal system•page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 'y 58 Holway Drive West Barnstable, NM Property Address Dan Perini PO Box 47 Owner Owner's Name ion is W Barnstable _requiteWir edd for every 6h8 page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Type: ❑ leaching pits number: / leaching chambers number: 3 ��^�a ` 0n sS�d�s a,2,LP, Elleaching galleries number. ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Cesspools(cesspool must be pumped as part of inspection)(locate on site Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of cOnstr Ion Indication o roundwater inflow ❑ Yes ❑ No t5irs•11I10 Title 5 Of oal Inspection Form:Subsurface Sewage Disposal System•Page 13 d 17 f ` Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Holway Drive West Barnstable, NM Property Address Dan penni PO Box 47 Owner Owners Name information is W Bamstahle _A 6 0 101612011 pagueitad for every Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.)." Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil,signs of hydraulic failu evel of ponding, condition of vegetation, etc.): t5ins•11/10 Title 5 Ofritlrg Inspection Farm:Subsurface Sewage Disposal System-Page 14 d 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form '. Subsurface Sewage Disposal System Form-Not for Voluntary Assessments z ry 58 Holway Drive West Barnstable, MA Property Address _ Dan Fermi PO Box 47 Owner Owners Name information is 8 101 6 W Barnstable —MA n7Fi6//011 required for every page. City/town State Zip Code Date of trwpection D. System Information (cunt.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate wher public water supply enters the building. Check one of the boxes below. hand-sketch in the area below ❑ drawing attached separately �✓1,O N T p IC .�ull� 0 Z +• t RZ ) l9 .83 :33 - C3 =37 .���3� • C Y =3 w et( � 5 -s > 100 � _ va-etgA-ce-, Dr< t!e }sin•11110 Title 5 Official Inspection Form Subsurface Serege Disposal System•Page 15 of 17 I I ` Commonwealth of Massachusetts t I Wzz Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments —w 58 Holway Drive West Barnstable, XM Property Address Dan Perini PO Box 47 Owner Owner's Name information is required for every W Barnstable _ MA 0 668 10/6/2011 page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) Site Exam: [Check Slope ❑ Surface water /1117 [ErCheck cellar ❑ Shallow wells N1,4 Estimated depth to high ground water. feet Please indicate all methods used to determine the high ground water elevation: Obtained from system design plans on record ZOO Z— If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) Q� Checked 'h local Board of Health-explain: �i ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: s 5 in e nL not L6:rA2 4tak--' '(/ d w a&,p h ce) Visor 66-am 7" '5- 0 /" Z_ - Before filing this Inspection Report,please see Report Completeness Checklist on next page. t5ins•1 me Tale 5 Offical Inspection Form Subsuftw Sewage Disposal System•Page 16 d 17 1 f Commonymalth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 58 Holway Drive West Barnstable, XM Property Address Dan Penni PO Box 47 Owner Owner's Name information is required for every W Rarnctahle 2668 10/6190�1 page. Cityrrown State Zip Code Date of inspection E. Report Completeness Checklist FfInspection Summary: A, B, C, D, or E checked [TInspection Summary D(System Failure Criteria Applicable to All Systems)completed [System Information—Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection form:Subsurface Sewage Disposal System•Page 17 of 17 Page 1 of 1 AUSUCHON HAPDWAPE AUBUCHON HARDWARE 155 Benjamin Moore Paints Sandwich, MA 02563 (508) 888-5035 Manager: Dale D. Butlan d . Got plans for painting or staining? Get it done with Benjamin Moore. Brian P ANCHOR HARDI PHONE:508-4; Normal Sale ELB%J,(.45) ,S 4 49 tx Or 487981 046224017226 3.99 tx COUPLING ELI TUBE WALL 1 s 046224013617 � COUPLING-Ell TAILPIECE,FL 3.99 tx 4 1 Ef 046224017295 SINK TAUPEl STRAINR BASKET SINK 19.49 tx s 046224054160 SUBTOTAL £ 31 .96 � 2.00 TAX 1155 6.25% 33.96 TOTAL 33.96 MASTERCARD 7999 04119Z..4S Involc6- IJE VALUE YOUR FEEDBACK L Please complete a short survey at: 1. /GnA7 http://sz0086.wc.maii.comcast.net/service/home/-/Image%20(193).jpg?auth=co&loc=en... 10/13/2011 i -- a as 47 tL�4 U1<i y# . Department of Health,Safety,a.nd.Environmental Services ' l 11 lOtll: Date ' I $ n Street,Hyannis MA 02601. Date Scheduled f1. Tune.._ Fee Pd. r f ° �. .,, �,. r r c • •,. , So1l S atab �lsmessment fog S Waf,,e Disposal Performed By: Wltnessed By: •. y,.>�:.< s\xj<yrrs�:2dcti:� ° S 'Marna `•,'• Aadrs Assessor's Map/Parcel: -NEW CONST'RkUMON ' REPAIR nn Telephone fl 115'A �i�5 Land Use /�' r1�a•✓y/.� G dd•.ie._ Slopes(°/a)_ Z s'y*re••�Surface Stones NO Distances from: Open Water Body N ft possible Wet Area ZLT_ Z ft ft Drinking Water Well l� Drainage Way ft Property Line ' R Other ft » TM 4 SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,Locate wetlands in proximity to holes) 1 . 1 S00 /- S CIO Fn Parent material dgeologie) r� �G /� ' Depth to Bedrock' c f/ Depth to''Oroundwater: Standing Vi!atei-in-Hole: NO Wee in . . .. . _•__. p..g.&om Plt Face_ _ _ Estimated Se`ason 7Hi al gh J l "dwater �y �- �_ ' pth Obs i g In obsNhele. Depth` o ttie p n s de of obs:hole: in. Dep it to soticmottliea�,..f in. Tndex WEII# In. Groundwater AA!' tinent Rya inR Date _ Index Well level R n ! G� t b larsx4F� fn ae __ Cr �. WLevelt ' V. Tim at9l, ®bservauon 2 r ' Time at'6"` y ''� me w E-x�,c fi D'rip ,rr:• K X N f r x r ia ?' Sedin�!s$s r . x $ItenPelled -~gr Addif oka"n&Neoded;(YII�' . � g tie meat I nl�,\; - `'�Obse�vation'�iofe D`'ta To"B ' ��:�JW z 1ioan't = -. �; a e o tedaon'$ ck ��� ..y.rr.f.. ..•....... .......{r... l rvr{}H M�3r.C lfJ yr/ l •.Yfr•..,. ..., ,yyf �£ f• i �f y{l{ta <.4•w}..�3`k .+,ti+}+...ther...,... ; �,,,�a' ''� SOII � ^ thEr Y mom." 'srrr;s; Soil Horizon Sotl Toxtiue Soil @olo'r ivlottlin Stnleture,Stones,Boulderes.' ` (USDA) (Niunsell) g ( ,dace(in.) ° 7 f r � '' •f �Sr.S 11h ryllY r✓v�%./ w . ' M 4 011'Ciolor SUih EDepth from- o z�n_ Bollerl#u . Surfike(In.) (USDA) (Mansell) NiotUing (Structure;Stones,Boulderes. ry:Y.r{h::{y:ff:• - ' -.,., ,_ _wd.....,.'"-0 -...,-.....�:..:`.�: .. ,...•y• r:•.•..,,i}:�ti i}i'f Y•y.:..::}11'�;':;$: }k+y �i'r,T r:�<K�i'1i�{F;:•h;{'+,?C f 'fV'•'!�„ ill f r r •a {' t i�• 1 >'i x' Y'� { ....... •Kyrl.�h>l f;lr...>rf�'.•yr.l:.r. r+ {rr r lirYl.• .3ivkS�•`^`:: ' J }il�S�/ld1Ji/{Yl Rf l' llli M ' n Other m So'11(°TTonzon "Soil`I� turf Soil'Color Moulin Structure,Stones,Boulderes. N} Pa <31 (USDA) (Mansell) g ( ,, Surface(irr) -i1NSt RGrtwrrvw' iJ;!awY {, _. ...:,^ .iMINti4s�villm'3:� '::� .,.� '.., ,n .� . A ¢'y� r4f•'` ,{'YfO i � ff "lI J Il:: K'rt'i l�F �p10 '••f F tih' V I;�tllbar } 9 7 � ,. .w S or 1�llviott) StoneSBouderes. r 7.P y r. (i SDA) kinu`sell)• ,� Stru ' o i e a s, �,as �_'� if4 �,+A?za3�r�•* ;:.�+f x , Alpve 500 year tloo'd bo(undary No__. Yea . 'VJ+ithin S,OO+j+earnbb ndary No " Yes ary N�✓ Yes i ervious material exist in all areas observed throughout the D .es e, sstfur �et ofitatura ng p 4 x° a�e`a p,opt edfor thsoil<absoi-ptionrsystem? Y riatuFalp occurring pervious material? uator ex ynalion approved by the 3' ( teI have�passetle soil e`val ► - o>��an�"dith" ve�analypi�vies peort�ielit"y�nff"consistent with. R.15.U17 e snence,des Date l J 4 \ bD DATE: /� 4 C FEE: snxt�fs`rnst> / 1619. REC. BY l�C/ Town of Barnstable S=D. DATE: 6 Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 58 Holway Drive,West Barnstable,MA Assessor's Map.and Parcel Number: MAP 136 PARCEL 33 Size of Lot: 44,500+/-SF Wetlands Within 300 Ft. Yes '- Business Name: No Subdivision Name: Subdivision for....Point Hill Realty Trust APPLICANT'S NAME:Daniel E.Penni Phone:561-309-5073 Did the owner of the property authorize you to represent him or her? Yes X No :~� PROPERTY OWNER'S NAME CONTACT PERSON Name. Daniel E.& Suzanne D.Penni,Trustees Name_'. Robin W.Wilcox,PLS D & S Penni Realty Trust Sweetser Engineering' y Address P. O.Box 47 Address P.O.Box 713 ,J T-- West Barnstable,MA 02668 South Dennis,MA 026'60 �� Phone 561-309-5073 Phone 508-385-6900 VARIANCE FROM REGULATIONS REASON FOR VARIANCE Title 515.211 &Barnstable Chapter 360 Reserve less than 20 feet from crawl space Request 3 foot variance Reserve less than 150 feet from owner's well Request,38 foot variance Reserve less than 150 feet from abutter's wells Request 8.1 foot and 9.1 foot variance NATURE OF WORK: House Addition ❑ House Renovation Repair of Failed Septic System ❑ Chi (to be completed by office staff-person`-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) h� Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian 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 abutter;must be notified by certifiedmail at least ten days prior to meeting date at applicant's expense (for Title V apd/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only), outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[orily if no expansion to the J building proposed)) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decol1ik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outl6ok\BAJ9P9B7\VARIREQ.DOC SWEETSER ENGINEERING 203 SETUCKET ROAD-P.O.BOX 713—SOUTH DENNIS—MASSACHUSETTS 02660 TEL(508)385-6900 SweetserEng@aol.com FAX(508)385-6991 LAND SURVEYING—ENGINEERING—TITLE 5 SEPTIC SYSTEMS December 19,2011 NOTIFICATION.TO ABUTTERS OF: 58 Holway Drive,West Barnstable Notification is required to be sent via Certified Mail Return Receipt Requested by the Barnstable Health Department Re: Variance Request at: 58 Holway Drive,West Barnstable,MA Dear Abutter, A public hearing has been scheduled for the Barnstable Board of Health to take action on an application for variances from the Regulations of the Massachusetts Department of Environmental Protection,Title 5,and/or the Town of Barnstable Regulations for Subsurface Disposal of Sewage,as follows: Town of Title 5 Barnstable Description of Variance 15.211 Chapter 360 Distance of Reserve Soil Absorption System to Crawl Space-20 feet required A 3 foot variance is requested 15.211 Chapter 360 Distance of Reserve Soil Absorption System to Owner's Well— 150 feet required A 38 foot variance is requested 15.211 Chapter 360 Distance of Reserve Soil Absorption System to Abutter's Wells—150 feet required An 8.1 foot and a 9.1 foot variance is requested Said hearing will be held in the Barnstable Town Hall Hearing Room,367Main Street,Hyannis,MA on Tuesday,January 10,2012,starting at 3:00 PM. Please contact the Health Department(508-862-464D to confirm date and time. Very truly yours, Robin W. Wilcox,PLS Sweetser Engineering Cc: File Barnstable Health Department Abutters ABUTTERS of Dan Penni 58 Holway Drive,West Barnstable AM 136/33 Job 7079 BOH variance Daniel E.& Suzanne D.Penni,Trustees D & S Penni Realty Trust AM 136/33 Owners P. O. Box 47 58 Holway Drive West Barnstable,MA 02668 Robert A.Eckert Kathleen Eckert AM 136/27 2001 Paseo Del Mar 46 Burning Tree Lane Palos Verdes Est,CA 90274-2658 Richard A.Hoffstein Beverly W.Hoffstein AM 136/32 108 Nehoiden Road 44 Holway Drive Waban,MA 62468-1926 Fay F. Kennefick, Trustee 74 Holway Drive Trust AM 136/34 P.O.Box 849 74 Holway Drive West Barnstable,MA 02668 Thomas Gere AM 136/37 3 Dassance Drive 88 Hilliards Hayway Foxboro,MA 02035-3001 John E.Brennan AM 13 6/3 8 51 Holway Drive 51 Holway Drive West Barnstable,MA 02668 Town of Barnstable Conservation Commission AM 135/003 200 Main Street 0 Main Street/Route 6A Hyannis,MA 02601 70 7 - ( r SP 1lYl�T Y. V t)1 D 1AA (1�1� r T; _ w Z S_I d S c YDO z-f Ha/-W^y B S = S 'iA G � C P U t 4�TI�r TY cp C 5, G R s� � K.mil c = t D2YC�) Gat FQ ruL4- zAl � -- N �'tcio /''1 R-77'"ic Al v z 71 r _ //o G! ) /r7v- a-cj (Dc Pi Daniel and Suzanne Penni,Trustees D & S Penni Realty Trust P. O.Box 47 West Barnstable,MA 02668 December 12,2011 Barnstable Board of Health c/o Sweetser Engineering P. O.Box 713 South Dennis,MA 02660 RE: Representation at Board of Health Hearing This letter authorizes Robin W. Wilcox of Sweetser Engineering to represent me(us)at the Barnstable Board of Health Hearing regarding the proposed septic design variances for my(our)property at 58 Holway Drive,West Barnstable,MA. Sincerely, Daniel E. Penni, Trustee Suzanne D. enni,. Trustee f f EXCERPT FROM BOARD OF HEALTH MEETING MINUTES 11/08/11: I. INFORMAL DISCUSSION: Daniel Penni, D & S Penni Realty Trust, owner— 58 Holway Drive, West i Barnstable, Map/Parcel 136-033, 44,500 square feet parcel, interested in expanding system to accommodate an additional bedroom, discuss system's proximity to lot line & wells. Daniel Penn was resent. The plans Will either require moving the wells or P P q 9 requesting variances to extend the septic closer to the lot line. They currently are only seven feet away from the lot line. Mr: Penn is looking for input to see whether the idea of an additional bedroom is feasible. The Board acknowledged it is feasible The Board recommended I . II No. /v � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE. MASSACHUSETTS zfppYtratton for lke;pozar �p tenY Cougtruction Fermat Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. �� ^ �/L{V� Owner's Name,Address and Tel.No. Assessor's Map/Parcel ZAS Wfl YNA A 13 b p A/L 33low tLtJ Installer's Name,Address,and Tel.No. Designer's Name1'7 ,Address and Tel.No. type o uilding: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(Alp Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow er gallons per day. Calculated daily flow K gallons. Plan Date O Number 0 s Revisiop Pate Title 0 Size of Septic Tank TvAe of S.A.S. Description of Soil .¢ Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction a ntenance of the afore described on-site sewage disposal system in accordance with the pro=issu Ti e 5 of the Envir ental Code and not to place the system in operation until a Certifi- cate of Compliance has b this Board of eal Sig Date Application Approved by Date ILK 7Application Disapproved for the follow' g reasons Permit No. Date Issued Noy�p aJb THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y 'UBLIC HEALTH DIVISION -TOWN OF BARNSTABLE} MASSACHUSETTS Yes 01pprication for Mioponl Construction Virmit Application fora Permit to Constnuct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. -j i,.; �� j� 1. Owner's Name,Address and Tel.No. Nj n `lu1 Assessor's Map/Parcel ri 1 V%l A -7 i 3�� 't'/i /t Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Al Lot Size sq.ft. Garbage Grinder Other Type of Building. No.of Persons Showers( ) Cafeteria( ) 1 Other Fixtures N ' DesignFlow '���' gallons per day. Calculated daily flow a �° g p y y gallons. Plan Date Number pf sheets Revision Date , Title Z?�y Zi -? A /© y J Size of Septic Tank Tye of S.A.S. f 2'Description of Soil I � t Nature of Repairs or Alterations(Answer when applicable) ' ., -Date last inspected: Agreement: The undersigned agrees to ensure the construction an intenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envir ental Code and not to place the system in operation until a Certifi- 1 care of Compliance has b en issue - his Board of ealth/J' Sig Date l( % � L- Application Approved by � -_ ate "�.� Application Disapproved for the follow' g reasons a. Permit No. Date Issued Q v ——————————— v —X ----- ——— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( V) Abandoned( )by /5, A. H t"Co r ;, at ` k4t l e-Ai., i k)o `54 f�A/1 t. QEA4t,,, A has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ?('A-.3-7 9 dated Installer -t Designer & C A N4. r \ Rie issuance of this 'ern it shall not be construed as a guarantee that the sys m will�f/unction 1di� Date nZ D�t) Z Inspector �wl/ h„! _ a --- ------------------------------- No. �/} Fee {J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Oisposaf 6potem (Construction Vermit Permission is hereby granted to Construct( )Repair.( )Upgrade(1/)Abandon i System located at �.� I W/-v► We i ��/4 11 n Y1 t't'FYJ 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 mu be co �eted�,within three years of the date of thi pe°rmit Date: COY t C.T Approved b _A� li / el _�6 %� PP Y TOWN OF BARNSTABLE LOCATION S ���� �'C I y SEWAGE # . ?7Z `} VILLAGE 9/6S7 ASSESSOR'S MAP & LOT -3 233 INSTALLER'S NAME&PHONE NO. Zb',Vs I 5' F 2 7S 13�. SEPTIC TANK CAPACITY LEACHING FACILITY: (type)a Soo (size)3 a X lD X a. NO.OF BEDROOMS ,3 ` BUMDER OR OWNER ` - a✓�✓o PERMTTDATE: 30 X 2 COMPLIANCE DATE: I L G 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 fir- �g - TOWN OF BARNSTABLEL LOCATION S:7 SEWAGE # 3 7?' . VILLAGE l/L 657 /3,9*A1V r1 Ai1e ASSESSOR'S MAP& LOT 1 INSTALLER'S NAME&PHONE NO. 43�. SEPTIC TANK CAPACITYS /�9 LEACHING FACILITY: (type)(22Sao ��� �6.25 (size) X lD X 2 NO.OF BEDROOMS 3 ` BUILDER OR OWNER e' .�+✓d�✓r PERMTTDATE: 30 COMPLIANCE DATE: I a 6 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 L___J I •.`j I L �}r= L g C9 BF: 3C ` . - WEST BARNSTABLE FIRE DEPARTMENT 2160 MEETINGHOUSE WAY ( P.O. BOX 456 WEST BARNSTABLE, MA 02668 JOHN P. JENKINS Chief of Deparbnent EMERGENCY: 362-3131 BUSINESS: 362-3241 FAX: 362-3241 April 9, 1999 Thomas A. McKean, Director Health Department Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Underground Tank Removal Notification Dear Mr. McKean, This is to notify you of the removal of an underground storage tank. The following information is provided for your convenience. WBFD Reference: #99-026 Date of Removal: April 9, 1999 _ 136. O33 f �8 Street Location: 58 Holway Drive Property Owner: David B. Starck 'Type of Tank: Steel, round, 500 gallon capacity Product: #2 Home Heating Fuel ToB Tank Reg. Tag: #215 Chief Jenkins from this Department observed the removal of this tank. The tank was solid and there was no indication of any leakage from the tank. To the Department's knowledge, there are no other underground tanks on this property. No application has been made for the installation of any new underground tank on this premises. Sin rely;- s � Johhn'! /Jenkins, Chief of Department JPJI cc: Property Owner THE COMMONWEALTH OF MASSACHUSETTS BOARD F H TH � 1 . Apphration -fur M-4pogat Workii Tomitrurtion Vamit Application is hereby made for a Permit to Construct (eor Repair ( ) an -individual Sewage Disposal syst t Af or Lot No. ---... oca o •---- •...� �...._. .. _. .e ------------------ --------------•---- .----- Owner Address Installer Address UType of Building 7Size Lot._/40�--__-____Sq. feet Dwelling�-/ No. of Bedrooms............. __. __-"_____-Expansion Attic ( ) Garbage Grinder ( ) a . Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) —.Cafeteria ( ) a Other fixtures ----- ---------- ----------------- d W Design Flow... .................. gallons gallons per person per day. Total daily flow------------ _X �of ---------gallons. WSeptic Tank Liquid capacity/,_gallons Length................ Width----- ._...__- . Diameter------.......... Depth.-..-----.-..... x Disposal Trench—N . .................... Willth.__ .----�mpt l L tl _...._. " ..Total leaching area.__._.____._.__...sq. ft. Seepage Pit No-------- ----------- Diamel .. ________. el n e ..... ._.. g < 1........._ talle iiu irea.--_-.-_-_---_---sc it. Z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by----------- ------- --------------------------------------- Date---------------------------------------- Test Pit No. 1----------------minutes per inch Depth Test it-------------------- Depth to ground water_.--------:--.--.--.___. f� Test Pit No. 2................minutes per inch Deh of Test Pit-------------------- Depth to ground water-----------..--.-.--__-- W ---------------- ------ ------- O Description of Soil--------- ------------------------- ---- x 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 Article \I of the State Sanitary Code— The undersigned further agrees of to place the system in operation until a Certificate of Compliance has been ' ed by the b and of health. ---------------- a Igned ' `y% %k�`' " te Application Approved By---------- ---- -- ,� Application Disapproved for the following reasons------------------------------------ ------- ------------------------- ------------------------------------- ----------- -- Date PermitNo......................................................... Issued..._.. .. .7 Date • .................. . No..... -- Fps.. .. THE COMMONWEALTH OF MASSACHUSETTS LBOARD OF H TH " " .OF._... .... . ............... 4 Appliratin.n .fur Bi_gpm t Works Tonstrurtion Prrmit Application is hereby made for a Permit to Construct (eor Repair ( ) an Individual Sewage Disposal Syst' t ........................................ ca o or Lot No. +----•------------------ ....•_-----•-•-----------------•-----•......_-•_-_•----•--- Owner y Address ........................�" ""::(7_........I.(b er li-t Z_%.......................... � . __._____.....__................................................ Installer Address U Type of,Buildin Size Lot_./� ___Sq. feet DwellingvNo. of Bedrooms":_____._. " .. �'_-____Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building _____ No. of persons :..................................... Showers — Cafeteria a' Other fixtures. d - ---- ---------------- W Design Flow::: ............. � g111ons per person per dray. Total daily flow............ ..._gallons. P4 Septic "1 tnk,j�Ltquid caplcrtv _gallons Length_____ ____r-_. Width-. - Diameter________________ Depth -- - _-__ . xDisposal Trench N _________________ NNI. tl ._ otal 1 t������'' Total leaching area........-- -. -sq. ft. Seepage Pit No________ _________ Diameter/ __ 10 p el n e . T'.tal ea ing area. 1. ----sc ft. Z Other Distribution-box ( ) Dosing tank Percolation Test Results Performed by.-.--:=:----=------------------------------------------------------------- Date--------------------------------------- ,..a Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water..._-.---.--:-_-_.-.---. �14 Test Pit No. 2________________ril'inutes per, inch,` De r of-Test-Pit ____-__!'--_ :Depth Depth ta-ground water-_.:::.__ :_-__-__-- . 9 --------------------- :--- = O .-:_ . ------------- ----- --- ------------- ---- - Description of Soil x U . UW -------------------------------------------------------------------------------------------------------------------------------------------------------------=----=-----------------------------•------ 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 Article \I of the State,,-Sanitary Code—The undersigned further agrees of to place the system in operation until a Certificate of Compliance has been ed by.the.b rd of heal4— il4 Igned-- ... • •. Date Application Approved BY " '= . ........ 1 AL - � 'Application Disapproved for the following reasons:_----_---------- --------------- ------------------------------- ---------------.....•D••......•....... ----------------------------------------------------- -------------------------------- •-------------- - ---------------- -------- 2 Date. PermitNo-----------=............................................. '' Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEA TH V .......OF:........ ................... Tlertifirate of f�#MIJL jattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ' r Pepaired ( ) by.. --------------- ..................... Instal] • - at... _.. , .�. ' c.. has been installed in accordance h the provisions of Article I of��Tr►he State Sanitary Code s..des ibed in the application for Disposal Works onstruction Permit No... .___. 0_1.,,;>_______________ dated .____,7_ _ �.r� 1 -)-,A- f�------•---- . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR" D AS A GUARANTEE THAT THE SYSTEM WILL FU CTION S ISFACTORY. P11!:2 �` DATE. ' ��f Inspector --- --- ----- -----�------- ---------•----------_ r T THE COMMONWEALTH OF MASSACHUSETTS BOARD Qn HEALT ........ ..O F.......... No.....��..� C���c�tr�rti>Qat{�..�rr�tt - Permission . reby granted---------- �N/7 GTL" ....----- �- --------------- --------------- ------------ .............................. to Constru C or Repai ) ti Individua wagt' Dtspo5al yste at No. - -•-• -- .�'.+Ga-as�L �.�' "� �' Street as shown on the'a"pplication for Disposal orks Construction Perm' ated____� `{_ . _ ---.- Z P -------------- Board of eal DATE............... ------------------------- FORM 1255 HOBBS & WARRENS, INC.. PUBLISHERSs r � ` t 7 / No )IZ / .a "' a670 f � VC) to �� v � � t � _ f �• � � . . / 4 .irk "�3 �� �-�'- _ , � r . Dp 79 /4f?. p� 95 _ 6C 0 l. J �~' t -" fi/v 0 o f f4 _C off. 0350 4360 0 504 too/ r v/ . •�-�Q g' t�� if v 47.74 V•* po �„j� `j- �r 1 d� z e �' 35 2�0�-� N Z�►• ~ = D�. �� 3 6 co � _ f 2 ti8�� 30..E t 00 \ 53go 7�• } _ �6C� ego —� ' .�1�• (}�'�,f/`s��! �Q ���� -• _ ea'�' fir' � � j �FTHEtO TOWN OF BARNSTABLE e BABBSTABLE, o° y MA66. p� Board of Health OOA 1639. \�4i am P FROM THE OFFICE OF IrD I a i i �1 `j 1 G p E F G �• ! /� W � � a � y _ W O IO W014254. w.O o w O W Q - _ � BREAKFAST O TA21I.— O 10— IO WDW7eY W WDIGe4 W01476Y O FAMILY RM. O, Ire . zi ------------------------ SCREENED PORCH __ __ ------------=-' ,---------------- ---- - AWV5 gITCHEN � _ ENTRY/ rn GALLERY co - F � M V3 1G RO1Ad u 0o WOWA4Y . - .. faAL 4-W to CmIT. GNye .. • ___ _ _ _____ C1ElCf I DININGall o � I GARAG€ wnitaw k0I MMATH Elite, 11 x If Q� s© 10 d =EE-3 z ! wm z ct A.I I Z 3 W °o � cAa o WINDOW SCHEDULE O 4 NO MANUtrACTURE.R Tyr } R.o. RMURKS J ANDERSEN WD1 660 O'-10 IMXV-4 71W n/ a ANDOMEN WD"25410 V-10 1/6'a's'-0 7/6' K- z a ANDERSEN WDW76" 1'-10 1/6'1r4'-6 7/6' lL Q 4 ANDERSEN WDW7446 4'-6 I/6'u4'-6 7/6' CCrT'AGE 6T7LE M a ANDERSEN WDWZ442 4'-6 I/6'Ir4'-4 7/6' . rROPOa� a ANDERSEN WPW5646 6'=7 6/la'IA'-6 7/6' FIRST FLOOR PLAN r ANDERSEN AW51 b'-0 1/2'X2'-O"a a ANDERSEN A31 b'-O 1/1'IQ'-0 6/6' 8 a ANDERSEN A21 4'-0 6/6hQ'-O 6/6' < c to ANDERSEN OVL9090 4'-0 1/2'IrI 1/2' it ANDERSEN' 6K8444i 441/2*xM. Is ANDERSEN SK69666 26 1/2%56* _ NOTE. ALL WINDOWS TO WAVE w CASING w/GRILLEB 4 INSECT 6CREEN6 - e t=n i G D E F 6 6 6 8 u 0 0 8 t _ � c -------------- 5 < g� g . i µ I --------------- ' Hal _. .I ;; � - wWLM O.Mc�t7sY. NM1rerY FlWasiMp WpYJeN. OQ LOFT cf1 (VAULTED).' ( , C r U �� J O •--O STUDIO t�v�v� (VAULTED) W m BEDROOM (VAULT 5EDROOM *TO ( z Q R� (VAULTED) S (VAULTED) urn' e -g ------ - STORAGE - y ;-,------------- %p6� 11 6S 6 . -------------- Mo MATH ips 6 � 4 O O O O ------ ------- ------ ----------- ------------- ------ - I Z I I ui �+ Z Z. W (L F _==__---=_________- _________- Z a ` Z ao Q 3 1; LL a W © 0 & -&,a. 0 ---------------------- ----- ---- Z 12-0 V W 9 N Q i o SECOND FLOOR PLAN 0 w Z (N � e � Q SYSTEM PROFILE TEST HOLE LOGS TOP FNDN, AT EL, 53.0' <NOT TO SCALE) . , ACCESS COVER TO WITHIN 6 OF FIN, GRADE ACCESS COVER (WATERTIGHT) TO ENGINEER: AH OJALA, PE MINIMUM .75' OF COVER OVER PRECAST /� WITHIN 6' OF FIN, GRADE 2% SLOPE REQUIRED OVER SYSTEM 52.0' WITNESS DAVID STANTON ~ 2' DOUBLE WASHED PEASTONE\ 7 24 /02 '`. RUN PIPE LEVEL DATE: / ! .I'. FOR FIRST 2' 3' MAX, P'ERC, RATE < 2 MIN/INCH EXIST 1000E �, / 49.17' GALLON SEPTIC 49 0 f GLASS SOILS P#Or N �'�v y TANK (H- 10 ) � [ GAS 7L`4� 48.44' C� m C] C] E 3 'CI EJ 0 RE-USE BAFFLE48.610 4$.34 0 © M m C7 CD CI EJ C] 0 4' ARouND AQy� 0J� LOCUS 6' CRUSHED STONE OR MECHANICAL ELEV. Ilk COMPACTION. (15.221 C2]) $ 2' 0 0 M 0 M L M 0 M 46.34' 0.= 53.0' DEPTH OF FLOW 4 ( 1,5% SLOPE) ( 1 Y. SLOPE) 3/4' TO 1 1/2' DOUBLE WASHED STONE,"' Ho`W"Y FILL TEE SIZES INLET DEPTH 10" 12"OUTLET DEPTH = 14 A LOCATION MAP NTS LEACHING SL FOUNDATION— EXIST. SEPTIC TANK 26' -------- D' BOX 12' FACILITY 14" 10YR 3/2 ASSESSORS MAP 136 PARCEL 33 5' B ZONING DISTRICT: RF 59 95't COMPACT RAVEL/SAND YARD SETBACKS: 6.39 ssl 25" 10YR 5 3 50.9' FRONT = 30' �16.25 SIDE = 15' IVW 6.52 REAR = 15' .40 ' 42.5' C PLAN REF.. - 249/107 ' MED/COS FLOOD ZONE. EL. 11.0 AND C 2.5Y 6/4 9,71 VARIANCES REQUESTED UNDER MAX. FEASIBLE COMPLIANCE 15.405: 9 lil3 la: REDUCTION IN SETBACK, SAS TO PROPERTY LINE (10' TO 7') 9.14 / ^o TOWN OF BARNSTABLE WELL SEPARATION REGULATION: SAS TO FLOOOZONE EL. 1t.0' ^ OT- 9 ��. EXISTING (LOCUS) WELL, 150' TO i2 2.9412. u.33 SALT MARSH 126" 42.5' �r 6 �q NO WATER ENCOUNTERED NOTES: .72 �O SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 1. DATUM IS NGVD N c� 1 'L ryt-c•T(-.NI CI MJ. 3 DET)Pr!?m ' 17n CPT)) f c" T1 ^__ 2 �1UPJICIPAL WATER IS AVAILABLE 4.63 _USE A 330 GPD DESIGN FLOW 3. AD-1MUM PIPE PITCH TO BE 1/8' PER TOOT. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10, o . 5 s'a SEPTIC TANK: GPD ( 2 ) = 660 M �� a �,jr 330 __ 5. PIPE JOINTS TO BE MADE WATERTIGHT. °� 9II >K USE A - GALLON SEPTIC TANK 6, COASTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. 2 _ -- ENVIRONMENTAL CODE TITLE V, , LEACHING: 7, THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT 2,(30 + 9.83) 2 <,.74� - 117.9 TO BE USED FOR ANY OTHER PURPOSE. °E 33. 3L7 �c� 2428 SIDES: �� a9 30 x 9.83 (74) = 218,_2 8. PIPE FOR SEPTIC SYSTEM TO SCH, 40-4' PVC. BOTTOM: 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT •06 7 33. TOTAL: 454 S.F. 336.1 GPD INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 51•e3 0•01 t 4 �, USE (3) 500 GAL. LEACHING-.-CH AMBERS (ACME OR FROM BOARD OF HEALTH. 2 BRICK �y 6.04 0 s`'es '<+v�y,�, a o EQUAL) WITH 2.25' STONE AT ENDS AND 2.5' AT SIDES 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING LEACH PIT WELL 7 2.67 ONO Box- 4 • DISCONTIGUOUS TOWN BANK , UPGRADE 1 a6.03 4 + a� .8 � 4 3 f LEGEND EXIST. DWELL. 5.97 0� TITLE 5 SITE PLAN 7� TF- 53.0' 4 .14 239 100.0 PROPOSED SPOT ELEVATION OF ' +54.1e ,. : 7 100x0 EXISTING SPOT ELEVATION 58 HQLWAY DRIVE +s3.39 e5 7 Sl.eo ai 00 IN THE TOWN OF: +53.40 3 2 .77 PROPOSED CONTOUR ( WEST) B A R N S TA B LE j 52.69 r 3.35 LAWN AR 52.E �s 100 EXISTING CONTOUR PREPARED FOR: [)ANIEL & SUZANNE PENNI 2 .44 5 . 7 l EXIST. ST 2 +53.58 +53,35 3.05 LAWN AREA . (RE-USE) 0.51 CD TH 30 0 30 60 90 +52. ` +53.13 �. \ t52.36 t52..461. t52,+9 t52.91 1 r 7 0 BOARD OF HEALTH }52.53 +U.46 PUMP Qc I t52•43 REMOVE 51.9 SCALE: 1 = 30 DATE: JULY 27, 2002 t52.57 LEACH PIT �'� t46,69 MA ' �O< APPROVED DATE tV,A � , t51.a1 O 52.5 off 508-362-4541 ��� .s ' iax 508 362-9880 4 00 +49.96 I t31.91 Of �\N MqJ� IN OF Mpsf�` down cope , inc,e engineering, ARNE H. p 9 9 0� ARNE � ,r To WELL 8 OJ y OJAJ N92METAL CIVIL ENGINEE S WELL 0.3 No.2(94 5"9HEAD LAND SURVEYORS TOka �" ... �r• r-ii" - ., : t49.47 \►� Lf:NC1S \�N� AL F.��,,� S'Zi +49.29 939 vain st. yarmouth, ma 02675 -- 02--Z 6 E H. OJALA, P. ., F.L.S. DATE ICI