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HomeMy WebLinkAbout1655 MAIN ST./RTE 6A(W.BARN.) - Health 1655,Main St. Cottage W. Barnstable' F A = 196 011 M o P Certified Mail#7006 0810 0000 3525 6405 aka r Town of Barnstable s Regulatory Services BARNSCA13M MAC- Thomas F. Geiler, Director 1639. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 12, 2011 Holly Rogers 1655 Main Street West Barnstable, MA 02668 NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE CODE The property owned by you located at 1655 (B) Main Street West Barnstable, MA was inspected on August 12, 2011 by Timothy O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the rental registration of the Town of Barnstable. The following violation of the Town of Barnstable Board Code was observed: According to The Town of Barnstable Health Division records water analysis has not been conducted since 12/8/05. This is out of compliance as written below. 397-8 Requirements for wells intended for human consumption (J) Existing wells serving rental properties. (1) The owner of every well intended for human consumption serving property which is rented or leased shall have its water tested at a state certified laboratory for the following chemical and bacteriological standards at a minimum of once every two years: total coliform, nitrate-nitrogen, pH, conductivity, sodium, and iron; and for EPA Methods 502.1/503 or 502.2 or 524.1 or 524.2 at a minimum of once every five years. Where water quality problems are known or suspected to exist, the Board of Health may require more frequent testing or testing for additional parameters. Results of all water quality tests shall be made available to all tenants of the property and to the Board of Health, by the owner of the property. 3) QAOrder letters\Housing violations\Rental ordinance\1655 main(b) In cases where the well water does not meet the water quality standards outlined above, the Board of Health may require the property owner to provide an alternative approved source of drinking water for the tenants. You are directed to correct the violations listed above within fourteen (14) days of your receipt of this notice by having your potable well water tested as written above. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORD F TH� BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable QAOrder letterMousing violations\Rental ordinance\1655 main(b) TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION 0 _ Date ( Time: In Out Owner I Tenant Address b 5 Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities C 3. Bathroom Facilities 4. Water Supply -- N 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 10, 11. Space and Use 000l Loe 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal t7 (��--' 17.Temporary Housing n/ 18. Driveway Width 19. Number of Tenants Observed 60 Y PART II 37. Placarding of'Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms I Number of Vehicles Allowed (max) Number of Persons Allowed (max) 2— Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here a' TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION ( I Date _ f a 1 Time: In Out Owner ' ! -�X�-c� Tenant t'a-� Address 5 Address Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities C 3. Bathroom Facilities n 4. Water Supply v 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8..Ventilation 9. Installation and Maintenance of Facilities 10._Curtailment of Service .- 11: Space and Use - 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal (� 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed 60LY PART II li 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here SECTIONSENDER: COMPLETE THIS ■ Complete items 1,2,and 3.Also complete A. Sia- re item 4 if Restricted Delivery is desired. X Agent ■ Print your name and address on the reverse ddressee so that we can return the card to you. B. R c ve y Prin N e) C. Da8f i ■ Attach.this card to the back of the mailpiece, .�' P or on the front if space permits. D. Is delivery addmis different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Holly Rogers 1655 Main Street 1 West Barnstable, MA 02668 3. S ice Type I ertified Mail ❑Express Mail ❑Registered urn Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(F�dra Fee) ❑Yes 2. Article Number ; ; (Transfer from service label) 7006 ;0 810 ;0 a 0 0)l 3 5 2'5 i 9405 TO-1 PS Form 3811,February 2004 Domestic Return.Receipt 102595-02-M-1540 i. I UNITED STA R: .-AMCRA—z CC ,. 10S.1 s Paid T. �. • Sender: Please print your name, address, and ZIP+4 in this box • � I f I "-;q� Town of Barnstable Health Division A 200 Main Street � 1--Lvan.nis tlV_IA Q26W P6 ceti-t(- 0/1 TOWN OF BARNSTABLE _ BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date � ` � � 1 Time: In 1� � � Out Owner RdG Tenant v A)-1 Address XISS hl fq*Y-j Address J� �'� 0,4 Compliance Remarks or Regulation# Yes ZNO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities MW Cert__ d 4. Water Supply 5. Hot Water Facilities Zp� 6. Heating Facilities 7. Lighting and Electrical Facilities S 8. Ventilation 13�, �� I b� 9. Installation and Maintenance of Facilities b F E I 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal ®2 ' 05 3R 17. Temporary Housing 18. Driveway Width job F-7z- 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed (max) Z Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here I c 0- 14y-tz -UP BATHROOM BEDROOM BATHROOM BEDROOM HOME OFFICE 1..HEAVY LINES= EXISTING STRUCTURE 2..NARROW LINES=NEW WALLS CERTIFICATE OF ANALYSIS ,•a 9�; Page: 1 Barnstable County Health Laboratory Report Dated: 12/9/2005 Report Prepared For: Order No.: G0533910 Rodney Schou 1655 B Main Street W. Barnstable, MA 02668 Laboratory ID#: 0533910-01 Description: Water-Drinking Water Sample#: 33910 Sampling Location 1: 5513 Main St.W.Barnstable,'MA� Collected: 12/1/2005 Collected by: R.Schou Received: 12/l/2005 Vest Parameters ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Sulfide BRL mg/L 0.20 4500 S2-D 12/2/2005 LAB: Microbiology Total Coliform Absent P/A 0 0 309 12/1/2005 Approved By: (Lab erector) 01 ra ^. c1'+ CJ n W 70 tU �" t37 N m ` ,{, RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 r a CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory Report Dated: 12/14/2005 Report Prepared For: Order No.: G0534000 Rodney Schou 1655 B Main Street W Barnstable, MA 02668 Laboratory ID#: 0534000-01 Description: Water-Drinking Water Sample#: 34000-01 Sampling Location 1655B Main St:West Barnstable,MA Collected: 12/8/2005 Collected by: R.Schou Hot Water Received: 12/8/2005 Test Parameters ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Sulfide <0,20 mg/L 0.20 4500 S2-13 12/8/2005 Water sample meets the recommended limits for drinking water of all the above tested parameters. Laboratory ID#: 0534000-02. Description: Water-Drinking Water Sample#: 34000-02 Sampling Location 1655B Main St.West Barnstable,MA Collected: 12/8/2005 Collected by: R.Schou Cold Water Received: 12/8/2005 Test Parameters ITEM RESULT UNITS RL MCL Method# Tested LAB: IC Lab Sulfate 9.3 mg/L 1.0 EPA 300.0 12/8/2005 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By: \ (La rector). C) cn cr% CD — r— co r� .. .., „ .. RL Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 i ell_ y .. - s"` (''T� RT��TL C� T� OF e N T VCTC Page: 1 Syr ` Barnstable County Health Laboratory Report Dated: 12/12/2005 Report Prepared For: Order No.: G0533934 Rodney Schou 1655 B Main Street W. Barnstable, MA 02668 rTest ratory LD#: 0533934-01 Description: Water-Drinking Water Sample tt: 33934 Sampling Location 1655 6 Main Street West,l3arnstable,M Collected: 12/5/2005 Collected by: R.Schou (Hot Water Sample) Received: 12/5/2005 I Parameters ITEM RESULT UNITS RL MCL Method# Tested LAB: Microbiology jTotal Coliform 3 CFU/IoomL 0 0 303 12/5/2005 Recommended maximum contamination level exceeded due to Coliform Bacteria. Retesting is recommended. Appr ved By: _ (Lab ector) V .m 2 � c e -- CD -Q v N r— W 1'*1 .. RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 i CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory Report Dated: 12/1/2005 Report Prepared For: Order No.: G0533865 Rodney Schou 1655 B Main Street W. Barnstable, MA 02668 Laboratory ID#: 0533865-01 Description: Water-Drinking Water Sample#: 33865 Sampling Location 1655B-Mai St.W.Barnstable MA 7' Collected: 11/30/2005 Collected by: R.Schou `— _ "— Received: 11/30/2005 Routine ITEM RESULT UNITS RL MCL Method# Tested LAB Inorganics Nitrate as Nitrogen BRL mg/L 0.10 10 EPA 300.0 11/30/2005 LAB: Metals Copper BRL mg/L 0.10 1.3 SM 3111E 12/1/2005 Iron 0.18 mg/L 0.10 0.3 SM 311113 12/1/2005 Sodium 36 mg/L 1.0 20 SM 3111E 12/1/2005 LAB: Microbiology Total Coliform Present P/A 0 0 309 11/30/2005 LAB: Physical Chemistry Conductance 170 umohs/cm 1.0 EPA 120.1 11/30/2005 pH 7.3 pH-units 0 EPA 150.1 11/30/2005 Recommended maximum'contammation level exceeded due to CoR(_;rr'Bacteria: Retesting is recommended.Sodium level is above the maximum contain rant level. Those of a low sodium diet may wish to consult a physician. 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Q W !- . dyNv rn 3 m J W Z 0 0 y f w N O¢�= UY ou U) O w � h c� � WWI „ n t1�IL3 " z z 311 Z of LL of of < — rt� W rM W U- CL FRONT RIGHT auj W o2 w Z °g 7 O LL IMP LU �Q K Ny W>s �iI41W M4 W O " son m = men : a w co xZ� � FO❑ to W U O Z LL N 0 Q W ~ m d y H V y j m J W Z > BACK LEFT °~w w e'� �tu�u 2 ~ N> o a 5 x O o o K C Massachusetts Department of Environmental Management 0 9 9 8 4 Office of Water Resources TYPE OR PRINT ONLY Well Completion Report 1. WELL LOCATION GPS (OPTIONAL) LATITUDE , LONGITUDE Address at Well Location:/6 c�75- RO U-LE 604 Property Owner: Ho Z- O ! '5 S Subdivision Name: Mailing Address: A0 E l ,4 City/Town: � • �+QR��T�c3,L..� City/Town: Assessors Map TT�Assessors Lot#: /N NOTE: Assessors Map and Lot# mandatory if no street"address available Board of Health permit obtained: Yes 0 a , u' '3 p �"" Not Required ❑ Permit Number � "'a Date.Issued' 2.WORK PERFORMED 3.,PROPOSED USE 4.,DRILLING METHOD 9::;New Well ❑ Abandon Domestic ❑ Irrigation ❑ Cable y` ,Auger ❑ Deepen ❑ Recondition ❑ Monitoring ❑ Municipal ❑ Air Hammer"-\I] Direct Push ❑ 'Replace ❑ Other ❑ Industrial ❑ Other ❑ MudfRota �.'� D Other S. WELL LOG Cr Unconsolidated Consolidated 6.SITE SKETCH (Use permanent landmarks with distances) W Permeability y � Q >co 75 m From (ft) . To (ft) High Low m Other Rock TypeINS c l�` CR`a' X 9b, fib' X ,6KotulJ 2�J CWQ 'N 7. WELL CONSTRUCTION 8.CASING , Total Depth Drilled From (ft) To (ft) Casing Type and.Material Size O.D. (in) Well Seal Type u / i, Date Drilling Complete 77 U U� 9. SCREEN From (ft) To (ft) Slot Size _ Screen-Type and Material Screen Diameter 10. FILTER PACK/GROUT I ABANDONMENT MATERIAL 11. ADDITIONAL WELL INFORMATION Developed? �'es ❑ No - From (ft) To (ft) Material Description -F Purpose Fracture `. Enhancement? ❑ Yes llo Method Disinfected? ❑ Yes -No 12.WELL TEST DATA(PRODUCTION WELLS) 13. STATIC WATER LEVEL(ALL WELLS) Yield `,Time Pumped Drawdown to Time Recovery to Depth Below Date Method (GPM) (hr's&min) (Ft. BGS) (hrs& min) (Ft. BGS) Date Measured Ground Surface (FT) 14. PERMANENT PUMP(IF AVAILABLE) 15.NAME ADDRESS OF PUMP INSTALLATION COMPANY` Pump Description - ���` Horsepower Pump Intake Depth .{ `- (ft) Nominal Pump Capacity (gpm) 16. COMMENTS 17. WELL DRILLER'S STATEMENT This we11 was drilled and/or abandoned under my si}plervision, according to applicable rules and regulations, and this report ' complete and cor�ct to the t of my knowledge. Driller 'r ' Supervising Driller Signature: ation #: Firm: le, -/'(C. /it�e. Date: - —4 �- Rig Permit#: NOTE: Well Completion Reports must be filed by the registered wed driller within 30 days of well completion. ', ,`�x e, e.ti �, �'„�,}���. ��<."'s����,� `` �'.+�' � z;��4#BOAflD-OF°;HEALTH COP.1L «` �- "_'�,,•, 3'.; 4 � . ,. < < wa ta . ts .�t{, �i tifr.1 �. -esriet :" �., ;..:.. ar .+ a, ss .c5-ta a�„.-'Y .6t ♦:...ekr i -. refs{ .� terry Location: 1655 MAIN ST.MFE 6A(W.I3ARN.) MAP ID: 196/U11/11 Bldg Card I of 2 Print Date:07102/2001 -n 1D.14186 01ber ID: 3 RUMP M-erca a enjon rl ZPM e Rent Description rd-.� - esc ton 4anc x1entent el 1 tesidentlat eat le - kyerage Grade rarne Type I Story aths/Plumbing les 1pancy 'eitinglWall tooms/Prtns 12 riot Wall I 7 sbest Shl /o Common Wall 2 all Height f Structure 3 ableffilp r cover 3 sphtF GWCmp tU -ior Wall 1 5 rywall aemen r 70the Uescripflon Factor CO . 2 ior Floor 1 )9 laelSoft Wood 10MM—W M loor Adj 2 Jnit Location C1 a ing Fuel )2 Oil 4umber of Units Ln ing Type X at Air umber of Levels rype one 4 Ownership zo 2 Bedroom* CA, .rooms I0 Full I Roams Roams rze Adj,Factor 1.42910 a(Q)Index 1.86 . Type .Base Rate V3.23 40 hen Style I ,Value New car Built ff.Year Built A7 r977 ml Physcl Dep uncni Obsine on Obstric pecl.Cond.Code pecl Cand 5/6 ej r1pl ON ercen a verall,%Cond. 7 eprec,Bldg Value 400 U Z: r. a Apr, value unto r-rive, e on IVA I IUU L M C> n nu I undep"C. Cn ldt7 0 r oar0 SULP DX Wood Deck 21'6 23 7A6 2 1.61 0 IL R,71anon rwn 111151 RX f ®Imes and mcgrath, inc. civil engineers and land surveyors RO ���® 200 main street,suite 201 JAN _ 7 NUfalmouth,ma.02540 508-548-3564.800-874-7373-fax 508-548-9672 email:mcgrath@holmesandmcgrath.com TOJ HN OF BARNS DEPTAgLE January 4, 2002 Ms. Susan Rask Town of Barnstable Board of Health 367 Main Street Hyannis, MA 02601 Dear Ms. Rask: RE #1655 Main Street, Route 6A, West Barnstable Land of Holly Rogers Our Job Number 201238 -------------------------------------------------------------------------- Please find enclosed four copies of a revised plot plan showing a proposed septic system upgrade at the above referenced property. We have revised the plans subsequent to the initial Board of Health hearing. We have revised,the plans to add the high groundwater elevation to the plan, to indicate the actual percolation rate and depth of percolation test and to show that the existing well is to be replaced. The public hearing has been continued to January 23, 2001. We trust that we have provided all the necessary information. If you have any questions, please call or write. Sincerely, HOLMES AND McGRATH, INC. Michael Borselli, P.E. Vice President mjb enclosures - 4 revised plot plans cc: Holly Rogers - 2 revised plot plans �3 � � �a� 5°� �°2 pP� Isar-06-02 09:10am From-BARNSTABLE REGISTRY 5083625065 T-767 P.01/02 F-163 16 1 18 4 � 5 6 4 inRCl l' . Mar-06-02 09:10am From—BARNSTABLE REGISTRY 5083625065 T-767 P.02/02 F-183 n to e � beC��oaz� f8 Op 66�A 0 ICA -.- MAP ID: 196/01 I/// Bldg 0: 2 Card m -my Locadon: f 6S5 MAIN ST/RTE 6A(W.BARN.) Other ID: Q ; ' on p onrmerc a o emsn emery scr pion ernent ype o age f esidentlal ea l ` Blow Average rams Type atha/plumbing a I Story eiling/Watl 10 l �� )anCy om3/prtns ._... for Wall I 4 and Shingle soil HCommit tWall 2 able/Rlp Structure h/F Gle t /Cmp ' i Cover 3 P t �� a ercnp on a or . �r O or Weil 1 S "Oil emen t 2 to 2 omp ex or Floor 1 4 rpet lour Add O 2 nit Location 1 J•� O ng Fuel 4 as umber of Units \\ ng Type of Air umber of Levels. 10 f one /,ownership Voms 1 Bedroom r. ass o Rooms 0 R Full ms izo At�j.Factor .9191 525 12 de(Q)Index 6.61 d' Base Rate en Style ea Built a Newel 75 16 ft.Your Built rrtd Phyeel Dap S uncn!UbsIng on Inc t7bs peel.Cond.Code peel Cond% on e►w an e all%Cond. S e • vsr u ses 1,100 spree.Bldg Value U Z ~ a me sc.,,.,on = a N .r O ron a me v ng rea rocs rea rea epr0c. N A oor 0 216 22 7.80 1,685 O DK ood Deck LL rr Bit 14778 P9344 . 010740 02-01-2002 a 03:309' DEED RESTRICTION WHEREAS,Holly L. Rogers, of 1655 Main Street, West Barnstable,MA 02669 is the owner of 1655 Main Street, located at West Barnstable,MA 02668, by deed recorded in Barnstable County Registry of Deeds in Book 14286 Page 179. WHEREAS,Holly L. Rogers,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 from the 310 CMR 15.214 State Environmental 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,Holly L.Rogers does hereby place the following restriction on the above- referenced land in accordance with this agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: Until such time as technology changes and the Barnstable Board of Health changes its regulations or otherwise grants permission, said premises at 1655 Main Street,West Barnstable, MA 02668 may have constructed upon the lot a house containing no more than four(4) bedrooms and agree that this shall be a permanent deed restriction affecting said premises. EXECUTED as a sealed instrument this day of 2002. Holly NRojrseQLC- COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. , 2002 Then personally appeared the above-named Holly L. Rogers and acknowledged the foregoing instrument to be her free act and deed,before me, ary Pub My commission expires: � y Z 'd b161-Z96 (809) ONI NIH eL0 :6t1 ZO qaj t,T k �A e Sk 14778 P9344 .010740 02--01-2002 as 03=301P DEED RESTRICTION WHEREAS,Holly L. Rogers, of 1655 Main Street,West Barnstable,MA 02668 is the owner of 1655 Main Street,located at West Barnstable,MA 02668,by deed recorded in Barnstable County Registry of Deeds in Book 14286 Page 179. WHEREAS,Holly L. Rogers,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 from the 310 CMR 15.214 State Environmental 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 ,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing'Ithe 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,Holly L. Rogers does hereby place the following restriction on the above- referenced land in accordance with this agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: Until such time as technology changes and the Barnstable Board of Health changes its regulations or otherwise grants permission, said premises at 1655 Main Street,West Barnstable, MA 02668 may have constructed upon the lot a house containing no more than four(4) bedrooms and agree that this shall be a permanent deed restriction affecting said premises. EXECUTED as a sealed instrument this day of .2002. Holly L.Ro rs COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. ,2002 Then personally appeared the above-named Holly L. Rogers and acknowledged the foregoing instrument to be her free act and deed,before me, aryPubl'c -?/ �a,r My commission expires: �� l�v� z 'd 1,IE1-096 (809) ONI d-IH eI0 :60 20 qaj irI ®Imes and mcrsth, Inc. civil engineers and land surveyors 200 main street,suite 201 falmouth,ma.02540 508-548-3564.800-874-7373•fax 508-548-9672 email:mcgrath@holmesandmcgrath.com April 10, 2002 Mr. Dave Stanton Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Dear Mr. Stanton: Re: Sewage Disposal System Installation Mrs. Holly Rogers, 91655 Main Street, West Barnstable Our Job #201238 -------------------------------------------------------------------------- On April 9, 2002, I, Raul Lizardi-Rivera from Holmes and McGrath, inspected the installation of the septic system at 91655 Main Street, West Barnstable, Massachusetts. According to my knowledge, I state that the system was installed substantially in accordance with the plans prepared by Holmes and McGrath. If there are any questions and comments feel free to contact me. Sincerely, HOLMES AND MCGRATH, INC. Raul Lizardi-Rivera f.'f:.52'a. c:: �a ..'"S ^+r t.:t S. ,Y.f r y '.}'t`r .f� ,. - .a — 5 V:S' , .d ' s.t'1.f:T (i—I 4' :�= IA��.s -> 4 a rt �.�"�i T�... .. j s . Town of Barnstable Board of Health . . 200 Main Street,Hyannis MA 02601 Office:.508-8624644 Susan G..Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. January 25, 2002, Mr..Timothy Santos Holmes and. McGrath,. Inc. 200 Main. Street, Suite 201 Falmouth MA 02540 RE: 1655 Main Street, Route.6A, West Barnstable Dear Mr.. Santos, You: are granted variances, on. behalf of your client, Holly Rogers, to construct an. onsite sewage.disposal system.at 1655 Main Street, Route 6A, West Barnstable. The variances granted are as follows: 310 CMR 15.211: The soil absorption system. will be. located five (5) feet away from the property line, in lieu. of the ten. (10) feet minimum setback required. PART XIV SECT 2.00: The soil absorption system will be located 107 feet away from an onsite.well,. in lieu of the 150 feet minimum. setback required. PART VIII SECT. 1.00:.The.septic tank will be located only 48.feet away fromth p Y Y e wetland, in. lieu of the. 100 feet minimum.separation distance required. The variances. are granted with the following conditions: (1). The septic system plans. shall. be revised to show the following. (a) a locus map, (b) the notation should. be revised to indicate that there are. no other private wells located within 150 feet of the proposed soil absorption. system, and (c) all of the.variances shall be listed. A revised plan shall be submitted prior to obtaining. a.disposal works construction permit. Borselli I (2) The applicant shall submit a floor plan depicting the locations and a dimensions. of the rooms. within the building. Also, each room shall. be labeled on the plan in regards. to the proposed use. This plan shall be submitted prior to obtaining a disposal works construction permit. (3) No. more than four (4) bedrooms maximum are authorized at this property. . Dens, study rooms,. offices, finished attics, sleeping lofts, and. similar-type. rooms are. considered "bedrooms" according to the MA Department of Environmental. Protection.' (4) The applicant shall record. a properly worded. deed restriction, signed by the owner of the property, at the Barnstable County. Registry of Deeds restricting the. property to four (4) bedrooms maximum. A copy of the recorded. deed restriction shall be submitted to the. Health. Agent prior to obtaining.a disposal works. construction. permit.. (5) The, septic system. shall. be installed in strict accordance with the revised plans.. (6) The. designing. engineer shall supervise the construction of the onsite sewage disposal system and. shall. certify in writing. to. the. Board of Health. ,that the system was installed. in. substantial compliance with. the revised plans. These variances are granted. because physical constraints at the site severely restrict the location of a soil. absorption. system due to the fact that wetlands adjoin. the property. It is. the opinion. of this Board that the proposed new septic system. is designed to meet the. maximum. feasible compliance. standards contained.within the.State Environmental. Code, Title.V. Sincerely yours, Can G.�Rl, R.S. Chairperson Borselli holmes.and mcgrath, inc. aig44ign w civil engineers and land surveyors 200 main street suite 201 falmouth, ma 02540 DATE JOB NO. phone (508) 548-3564 1 800 874-7373 1�,Af/a7x1(508) 548-9672 }/'�, ATTENTION TO a /AI YLJ'-1 C%lt / .//'/ RE WE ARE SENDING YOU JAttached ❑ Under separate cover via the following items: ❑ Shop drawings A Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION t- �60( 7 -2- 2 z THESE ARE TRANSMITTED as checked below: For approval ❑ Approved as submitted ❑ Resubmit copies for approval (For your use ❑ Approved as noted ❑ Submit copies for distribution ,A As requested ❑ Returned for corrections ❑ Return - corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS fjaJA {{ b6�C�4 e-,e /� / c. �O�jl/- em u+. C-14 f/�Z 4 �l fi; M CU( .`(ter/ 62/(44rA y-4� COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. - 1 TOWN OF BARNSTABLE F LOCATION �� �5.� I %� i577 SEWAGE # �� VILLAGE J 0�9fArrJ-h b ,�_ASSESSOR'S MAP & LOT 6 '0 INSTALLER'S NAME&PHONE NO. 070/0 SEPTIC TANK CAPACITY / LEACHING FACILITY: (typeJQ2 5Q0 ;d Z,6, (size)3'9 it VXZ NO.OF BEDROOMS / BUILDER OR OWNER 110(I S PERMI'TDATE: 6 —o ;7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist _ on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ( o 0-9, 1 rfao Ii -r —t�,q Vqo pky�c ,��•'+ Fee No. a THE COMMONWEALTH OF MASSACHUSETTS EEntered in computer: Yes % PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSET7S 01pprication for Dts pozal *p5tem Construction Permit Application for a Permit to Construct( )Repair(W)Upgrade( )Abandon( ) kComplete System El Individual Components Location Address or Lot No.Q37,1 M 44(01 S C -*�-/6,,5 'S Owner's Name,Address and Tel.No. Assessor's Map/Parcel f Q t9 —t t W .9 Ja Fa,v Irj Installer's Name,Address,and Tel.No. Design is Name,Address and Tel.No. 7JOu3F�Q(cJ SA-nc�F2-lt �er'✓iC.e i A/� 2o�o�"vsv��a�n�Stg�-�► A�x 04 4 Z F0.� . w�� Foxes T OAte t,.ka o2.6�f�( J? � 20 o S°�{ ' 356 Type of Building: Dwelling No.of Bedrooms _ Lot Size Z'des sq.ft. Garbage Grinder(Np Other Type of Building Sl rAl e_rA�No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 55 6-10 gallons. Plan Date ('—(e" 0 1 Number of sheets 21 Revision Date Title Size of Septic Tank (5Oo Type of S.AI 3� IwosIw ; Description of Soil 5'e e p(A� THE SYSTEM WAS INSTALLED IN STRICT ACCQRDA,'-XE TO PLAN. Nature of Repairs or Alterations(Answer when applicable) 'RQPkod-e_ E_4 0 ed C2SS'2Ol 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 issued by thi o o •ealth. 17�OZ Sign r; �T .,,a i t ISE Application Approved by G9RT1P;- ': L' ;;ING Application Disapproved or the following a ons THE SYSTEM WAS INSTAi I E ihJ STRICT ACCORDANCE TO PLA"J. Permit No. Date Issued 74 .� Fee 50 THE COMMONWEALTH QF`Mr4SSACF�US TS, Entered in-computer: Ies 14 ,.. �RUB`LIC F�L ILTH DIVISION - TOWN OF BARNSTArBLE., MASSACN lSE'?c 4f Application for Migogar 6,p.5tem Conotruction-Permit ' ) A hcation for a Permit to Construct Repair )Upgrade )Abandon pp' ( ) p (�( pg ( ( ) , Complete System ❑Individual Components ^Location Address or LottNotzl'I Mpin Owner's Name Address and Tel.No. - [T��(lt 6�f21Q.S Assessor'sMap/Parcel /9(_0 1 (1S5 MA41 Sr , Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 600 F,e (c SA A(+A k �'er✓I r--e rmc. 11-1 aeln*�M torakt� _r �3Ox4RZ �� ForQSiDA(e WtGo2r.gq W ,yo/o !rq i, Type of Building: Dwelling No.of Bedrooms Lot Size 7—'O kOQS sq.ft. Garbage Grinder(04 Other Type of Building`J(Aq i e EAMi(/No. of Persons Showers'( ) Cafeteria( ) Other Fixtures Design Flow "' � 60,0 gallons per day. Calculated daily flow 455 6P0 gallons. Plan Date (¢6' ' rJ( Number of sheets Revision Date r? i Title Size of Septic Tank 15100 Type of S.A.S. '-f4c-h C h4rw 6a�S` r'w!y&o i X 3) Description of Soil " Q(q r% Nature of Repairs or Alterations(Answer when applicable)J CQIQ(4&e- � Date-lastjin'spected: , lce�Agre S/ / The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system a 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 in has been ids ed by thi o o ealth. r Sign ^ Date v , Application Approved A Date Application Disapproved or the following a ons Permit No.A or.) �°r Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(k )Upgraded( ) Abandoned( )by 7b,O VS at I(655 PAGt(n Tr has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.,_. dated Installer Designer The issuance o 414pttz t shall not be construed as a guarantee that the syst il�f nction as designed. Date Inspector No.-----��L -----------------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLEs,MASSACHUSETTS Migpozar *p,5tem Construction -ermit r Permission is hereby granted to Construct( )Repair(,k )Upgrade( )Abandon( ) System located at (A 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 t b co leted ithin three years of the date of this rm' Date: Approved by Y 1 No.-�`1--��� -� Fee -------------- BOARD OF HEALTH TOWN OF BARNSTABLE Application jorVell Con.5truttion Permit Application is hereby made for a permit to Construct (111, Alter ( ), or Repair ( )an individual Well at: ssd� Gam- X . 6 __ A2T i Location — Address Assessors Map and Parcel Owner Address —� — — C O�v_ lan, '/GCi�r/ Z/v� �D �J 7 3__ Installer.— Driller Address e" (� Type of Building Dwelling ____--------------____-- Other - Type of Building- No. of Persons--- Type of Well -//11`St h Capacity_ Purpose of Well--- U 1943&e Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a ertificate;pf Compliance has been issued by the Board of Health. Signed �(S/L/ — /'j-z— — %' date - ti.,. 4" 0 Z Application Approved By ------ ---- date Application Disapproved for the following reasons: date _ Permit No. �.0 0 — U — Issued -mot=I� - date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed (Altered ( ), or Repaired ( ) by c<sfn "Zj l"VcL J2/���yr� -- Installer at-16— / &��5� 4d&A.611- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ' -Dated 1 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--- - Inspector-------- ------ —------- h Fee ---------------- _ - BOARD OF HEALTH TOWN OF BARNSTABLE ZippricationforlVell Con5tructionPermit Application is hereby made for a permit to Construct (✓), Alter ( ), or Repair ( )an individual Well at: I' IoT Location — Address Assessors Map and Parcel tG. D o I J 161 12ir�5 Owner Address — . Aen&ly 1ivC _��� --�-�- 7,�3— e* 5 Installer — Driller ' Address Type of Building tl Dwelling Other - Type of Building-- ---- No. of Persons--- -------- Type of Well Capacity ------ __-_----�--------------- Purpose of Welli3GE�� Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a ertificate f Compliance has been issued by the Board of Health. ' .3 l 6-z.- Signed —�-- - — — G date A zz 0 �lr+-placation Approved B ---_— P PP Y date Application Disapproved for the following reasons:---------------- -------- -- date Permit No. a 0 a 2— O — Issued 3Aj 0 -2,-- — — ----- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS"TO CERTIFY, That the Individual Well Constructed (�<Altered ( ), or Repaired ( ) --- �— Installer at--/6 i / /(o S � �u le V/f/- _ /j '09"eUST '12ef' -- has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. �-')b—Dated_-, 1 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-- _ Inspector BOARD OF HEALTH TOWN OF BARNSTABLE Yell Con5truct ion Permit No. W2UO2 -0 Fee-l� - Permission is hereby granted - j`-----�-------------------- to Construct Alter ( ), or Repair ( ) an Individual Well at: Street as shown on the application for a Well Construction Permit No.- (S u - f Dated 6 �-- --- --------------------- AJ - - Board of Health DATE I i I • w As OUTDOOR SHOWER r L EXISTING N COTTAGE DECK LA POST w ,15 SHED .44 ryry # 16"CEDAR c 12"CEDAR 24"MAPLE �v hb EXISTING WELL TO BE REPLACED ED EARING 10"CEDAR 8"CHERRY 12"CEDA AIW 10" PLE 20"PINE BULKHEAD OIL TANK EXISTING CESSPOOL TO BE PUMPED DRY, FILLED WITH SAND SEP7IC1500 ATANK ND ABANDONED. N 21.t ^ � O cp Li OUTDOOR SHOWER � F QLAMP POST 7.0 0 2"MLLOW v c 10' DI O-BOX PICKET FENCE OF CLEARING — _6 PAVED DRIVEWAY 5' min. POLE 53/571 W wNr 3 — 500 GALLON CHAMBER w H 4 FT. OF STONE ALL AROUNO LOT 1 N/F FIRST LUTHERAN NOTES - e nr_ ni sol 1 NOTIC Unless and until such time as the original (red) stamp of the responsible Professional Engineer, or Professional Land Surveyor appears on this plan: r persons, including an municipal or other i (A) no person o p 9 Y P public officials, may rely upon the information contained herein; and of Holmes & McGrath, Inc. Ian remains the property �B) this P 01129102 ADD VARIANCE FOR SEPTIC TANK & EXISTING WELL TMS 01124102 ADD LOCUS & 150' WELL NOTE TMS MBM 01104102 ADD WELL NOTE L✓C M✓B 12112101 ADD LIMIT OF WORK L✓C M✓B I DATE DESCRIPTION Drawn Checked R E V I S 1 0 N S PLOT PLAN OF PROPOSED SEWAGE DISPOSAL SYSTEM OF yy�sy�h PREPARED FOR HOLLY ROGERS FOR LOT 1 , MAIN STREET . I N M A WEST BAR s. N STABLE . � ,E 60 SCALE: 1 " = 20' DATE: NOV. 6, 2001 holmes and me inc. nc. MICHAEL surveyors civil engineers and Ian street �508� 548-3564(PHONE200 main falmouth, ma. 02540 508 548-9672 (FAX) DRAWN: PJR,RLR CHECKED• ROGERS 201238 201238PP.DWG JOB NO: 201238 DWG.. NO.: 79-2-3 SHEE of 2 r(v Location. 1655 MAIN ST./RTE 6A(W.BARN.) MAP ID: 196/011/// Mr 14186 Other ID: Bldg 0. 2 Card 2 of 2 Print Date: 07/02/2001 77T;7A Ienr LW, GA. 'Dercription tMent --a. C;n. Delcriptran ICAE&Al—r elow Average -rarne Typ. 15A5 13 s I Story 3aft/Plitmiing )VICY �ciornalikMsting/Walll 10 Ro for Well 1 14 Wood Shingle Ve Common Wall 2 Wall Height M Structure 3 Gable/Hip Cover 3 Asphffl Gla/Cmp W Orwell 1 5 )rywatl (D 2 even r e LWcHptton actoractor or Floor 1 14 :arpet 2 loor Adj 20 21 nit Location ng Fuel )3 as "J. g Type M ot Air umber of Units V13 'ype )11 one umo ber of Levels )Oros DI I Bedroom Ownership VvLjf% 16 'OOMS I Bathroom 0 I Full no0j.vase in-am Rooms Rooms ize Adj.•Factor 1.91525 redo(Q)Index so Type dj.Ban Rate 6.61 ten St yle j Idg.Value New 6,160 car Built 40 18 .Year Built rrnI Physcl Dep uncrtl Obeltic con Obsiric peel.Cond.Code ecl Cond ff—multi imses I tumu vera11%Cond. 5 )eprec.Bldg Value 27,100 U Z: bo IvMIRV"Mr. hie Deseniption Until unit Price Yr. Lip Xt "(;nit Apr. ame L ou thulu J I Ivu 3: O In 0 2ne DeiMptION Living Arlea GrOSS Area Zjj.A Pea untr r-ost unflepre AR--M-17 F11—mr- N DK Wood Deck 0 216 22 7.80 1168Ol O LL rertyLoca/ion: 1655 MAllM 6A(W.BAKN.) MAPID: M1011/// n ID:14186 Other ID: Bldg#: 1 Card 1 of 2 P►int Dale: 07/02/2001 .-� Q. eaten escnp ion ammerc a a emen s ane enren escr p ion el 1 eaidential ea le Average Grade rame Type oths/Plumbing VVOK es l Stow l rior Wall 1 7 sbest Shin Common Wall 1 I �NQJ 2 g �1 f Structure 3 able/Hlp all Height CT) rCover 3 sph/F GIs/Cmp I for Wall 1 OS brywail is fU 2 Ifement LOOM Vescription ae or t0 for Floor t 9 Flne/Soft Wood &5p ex t7 2 loon Adj F nit Location (4a��i.tCtl r( O ing Fuel 2 LI I+ N :ing Type "at Air umber of Units L} G �d type ] one umber of Levels h Ownership 1 t 1 rooms 2 Bedrooms 0 .rooms 1 Bathroom 10 Full ase r 1 Rooms `` Rooms tze Adj.Factor T Ms (Q)Index.Base Rate 23 henry le Idg.Value New 40 ear Built 9S0 ! f1 Year Built AJ�977 rmI Physcl Dep 3 uncnl Obsinc Obelne fi pecl. o Cond.Code e rcrt uon' peel Con u ass Drell°y6 Cond. 7 � Q prec.Bids Value 6,400 •y (J U Z IN > t:r 1' t.h...+': ,.i`F vl' "1 1: ^•V '.61i+ :::I jY.Tr .1 :V. :>.,�:, .�1 P � � �+ e Description LIM Unto unit cc r. p Ri U191 Apr. a ue J � a M 4 e Vescription vmg rea UrOSSArea fIff.Area I VARC331n eprec, a ue (� O Rit Floor p CU DK Wood Deck 0 216 22 7A6 11611 4 O a) �� g �` � s y h®Irnas and rncgrath, inc.' civil engineers and land surveyors 200 main street,suite 201 falmouth,€ma.02540 508-548-3564.800-874-7373 9 fax 508-548-9672 email:mcgrath@holmesandmcgrath.com November 6, 2001 Town of Barnstable Health Department 367 Main Street Hyannis, MA 02601 To Whom It May Concern: RE #1655 Main Street, Route 6A, West Barnstable Land of Holly Rogers Our Job Number 201238 -------------------------------------------------------------------------- Please find enclosed four copies of a plot plan showing a proposed septic system upgrade at the above referenced property. The existing dwellings are individually served by failing cesspools. Both failing cesspools are located less than 100' from a.bordering vegetated wetland and an existing private well. The proposed new septic system will replace both failing cesspools. The new septic system conforms with Title 5 in all respects except for the minimum setback of 10' from a property line. In order to conform to the more environmentally sensitive setback to wetlands, the SAS must be installed in a location that places it 5 feet from an abutting property line. The proposed septic system will provide the same level of protection to public health as a system in strict conformance with Title 5. Please review the enclosed plans and place us on the next available hearing agenda. Please contact us if we must notify abutters. Sincerely, HOLMES AND McGRAT I n'-U Michael Borselli, P.E. Vice President mjb enclosures - 4 plot plans cc: Holly Rogers - 2 plans _ 7 � PyoFZNer � Torn of Barnstable • Department of Health, Safety, and Environmental Services BARtvsrast.i;, y MASS. �A i639- Public Health Division 367 Main Street, H annis MA 02601 FAXo Date: Number of pages to follow: -� To: ) From: p Phone: (0 — of i `CL Phone: 508-862-4644 Fax hone: '( � %(-nZ-Cj Fax phone: 508-790-6304 CC: tilC�Cw�nt I\, CZ01� -REMARKS: ❑ Urgent ❑ For your review ❑ Reply ASAP ❑ Please comment • BARNSTABLE. • 9 HAM. �► i639- ♦0 September 24, 2001 Regulatory Services Thomas F.Geiler,Director Public Health Division Thomas McKean,Director 367 Main Street, Hyannis,MA 02601 Office: 508-862-4740 Fax: 508-790-6304 To Whom It May Concern: This letter is in regard to the telephone conversation with Linda Merrihew on Friday September 21, 2001 concerning the shared septic system at 1655 Main Street(Rt. 6A) West Barnstable. According to the Commonwealth of Massachusetts State Environmental Code TITLE V 310 CMR 15.290 shared systems are allowed by approving authorities. The Town of Barnstable allows existing shared systems as long as they are in full compliance with 310 CMR 15.100 thru 15.293 in terms of its capacity to protect public health, safety, welfare and the environment. Any and all systems shall be inspected at or within two years prior to the time of the transfer of the title to the facility served by the system. A copy of the inspection report must be submitted to the buyer and to the Barnstable Board of Health. Please feel free to contact me with any questions or concerns. Thank you- - Lee A.McConnell Town of Barnstable, Board of Health. 310 CMR: DEPARTMENT OF EN�IIRONMENTAL PROTECTION `I , � I 15289: continued ent uidance are certified sand filters designed in accordance with Departm g �l ( Recirculating situations: d or greater but less than 2) I r' for general use in the following with design flows of 2,000 gpand 1(c; -systems serving ]0 CMR 1520. ned and (a) sys per day in accordance with 3 per day which are desig i' 10,000 gallons p gallons p * (b) systems with design flows below 25.21 approved in accordance with 310 CMR 15217. ect to the following osting To ilets ceded for remedial use subj 3 (3)(a) -Humus/Comp osung toilet_ 114, conditions: liquid wastewater discharge from the humus/comp recycled uid by-product that is not recy i' �" 1• There shall be°°hq toilet produces a liq If the humus/composting roduct is either h the toilet,the liquid by-p., that includes a septic through through a greywater system on the"facility a. discharged tank and leaching system, or disposed• a licensed septage hauler and properly roval by the b• removed by roduct requires specific app f liquid by-p Any other disposal 'of a liq Department a or a discharge from a.drain equipped with a facility e titer discharg a septic tank and a leaching 2• If there is a gr Yw there shall be P odate at least 60% garbage grinder from the facility, went i approved by the Dep x' designed in accordance with this title .specifihich are c llY PP o s design flow. A filter systemtic tank,provided that there is no w : of the facility' used in place of the septic osung toilet for that purpose may liquid by-product from the comp it for these ?. e of garbage grinder waste or of liq ooI may serve as a leaching p � ;• discharge cessp to the greywater system. An existing orients of the system''& purposes where: and cleaned when the other comp ool is pumped a• the cessp . are installed; . groundwater; s! the cesspool is not located within gr 15.253(pits,chair.bpra,and. b. n Criteria of 310 CMR t:on ` c• the cesspool meets the design separation'between units,and insP + ` . galleries)with respect to effective depth,sep ;t me;:ti.rig those a recast concrete leaching p- t ; 4 access,or the cesspool is replaced by P' requirements; and r uirements of 310 CMR 15242 (effluent loading diaulic loading eq d• the by osted solids for at rates) are satisfied; and ostable and comp disposed of either: F� j 3 The system shall be designed to store shall sP roved by the local e least two years. Residuals from the systemer and location app acted ` a. by burial on-site or in another mane a roving authority, covered with a minimum of six inches of clean comp" j PP � earth; or subject to the : b• by a licensed septage hauler. use subj Composting Toilets are certified erera system in full compliance with 310 s (b). Humus/Comp 15289(3)( ), a ' conditions set forth at 310 CMR CMR 15.000 could otherwise be installed on the site. h# when installed in. s tt x" the Department are certified for use 1. La ' (4) .Effluent tee filters approved by approval. i 1F° accordance with the terms and conditions of the DEP app ti l 5.290: Shared Systems stems, subject to any special allow the use of shared sy systems, for new (1) An approving authority maY rade of existing Y `.•� pursuant to 310 CMR 15.293,for in accordance with 310 CMR :. conditions established p existing Y k construction, or for increased flog' to an 1. 15:290 through 15292. stem shall include the follows 310 CMR 15.201 (2) Any application for use°ecificauons a shared system the system as (a) complete p required by Plans and sp through 15255; stem compares to systems constructed shared system (b) P 15.100 through 15.293 in terms of its capacity to � a descri uon of how the proposed in full compliance with 310 CMR ` protect public health, safety• welfare and the environment: 310 CMR - 541 3/24/95 (Effective 1 1/10/94) OR �t t s .� 310 CMR: DEPARTMENT OF•ENYMONMENTAL PROTECTION 15.290: continued ' (c) a proposed operation and maintenance plan for the shared system; s (d) a description of the form of ownership which any component of the system serving : more than one building or dwelling will take, together with relevant legal documentation" describing or establishing that ownership including, without limitation, `easements, condominium master deed, or homeowners' association documents. All forms of private ownership of system components serving more than one building or dwelling shall establish =# " that each user of the system has the legal ability to accomplish any necessary maintenance, repair, or-upgrade of the component; . " . (e) a description of the financial assurance mechanism proposed to ensure effective long- v term operation and maintenance of the system. A copy of a proposed insurance policy,for example, naming the local approving authority and the Department as additional insureds, which provides for upgrade of the shared system in the event the shared system fails to protect public health and the environment pursuant to the criteria established in 310 CMR '_ 15.303 shall be deemed to satisfy this requirement. The actual insurance binder shall be provided to the local approving authority and the Department prior to construction of the . system;and (f) a copy of"a proposed Grant of Title 5 Covenant and Easement essenfrally identical to that contained in Appendix 1 shall be recorded and/or registered with the appropriate - y Registry of Deeds and/or Land Registration Office within 30 days of the latter of thex following: receipt from the local approving authority of the approved Covenant and Easement or the expiration of the 30-day DEP constructive approval period pursuant to 310 } CVIR 15.293. The applicant shall file a certified Registry copy of this Covenant and Easement with the local approving authority and the Department within 30 days of its date of recordation and/or registration,and prior to construction of the system. . (3) Local approving authorities shall provide the Department with notice of all shared systems ' approved by them pursuant to,310 CMR 15.290(3)..No approval of a shared system shall be final prior to Department review pursuant to 3I0 CMR 15.293. (4) A local approving authority may impose additional conditions on the use of shared systemsr'` under 310 CMR 15.000 only in accordance with regulations adopted pursuant to 310 C v1R 15.003(3). 15 291. 11pQrades JJrsine Shard y me (1) :The approving authority may allow use of shared systems,subject to any special conditionst established pursuant to 310 CMR 15.293, for upgrade of existing systems without granting a variance pursuant to 310 CMR 15.410 through 15.413 only where: _ (a) the proposed shared system satisfies all technical requirements of 310 CMR 15.100 through 15.293 without the need for a variance except setbacks from property tines between• facilities served by the shared system; °- (b) there will be no increase in design flow from the facility or facilities to be served.by the shared system- (c) the applicant proposes institutional arrangements as described in 310 CMR: 15.290(2)(d); through documents essentially identical to those contained in Appendix 1 (Grant of Title 5 Covenant and Easement);and (d) the applicant provides the local approving authority and the Department with the insurance policy or other comparable financial assurance mechanism required pursuant to 310 CMR 15.290(2)(e). (2) The use of shared systems for upgrade of.existing systems in any situation not described t in 310 CMR 15.291(1)may only be approved through a variance. — P. (31 Local approving authorities shall provide the Department with notice of all shared systems - approved by them pursuant to 310 CMR 15.291. l l/3/95 310 CMR- 542 310 CMR DEPARTMENT OF ENVIRONMENTAL PROTECTION t 15291: continued h.! im ose additional conditions on the use.of shared (4) A local approving authority may P pursuant to 310 6 D systems under 310 CMR 15.000 only in accordance with regulations adopted 5.003 3), {i CMR 1 ( - � w to Existin Systems Usin Shared S stems 15.292: `New Construction or Increased Flo s ecial t allow use of shared systems, subject to-any p (1) The approving authority rY. conditions established pursuant.to 310 CMR.1.5,293,for ncw.construction.or increased fl°"�' tin a variance only where: Jo existing systems without granting q (a) the proposed shared system satisfies all technical nes between facilities served by the shared through 15.293 except setbacks from property 4� ty or facilities system; b the applicant demonstrates that the design flow e from the facili n flow which could have to be ( ) r b the. shared system does not exceed g e use of a shared system. served Y Op without the 15.1 System- constructed in compliance with 310 CMR 15.290(c) t (c) the applicant proposes institutional arrangements as desendixcribed in ol.G ant of Title t M through documents essentially identical to those.contained in App 5 Covenant and Easement); and roving authority and me.Department with the1 pursuant to 310' F��� (d) the applicant provides the local approving insurance or other comparable financial assurance mechanism required p CMR 15.290(2)(e)• for increased flow to existing systems (2) The use of shared systems for new construction or be approved through a in any situation not described in 310 CMR 15.292(1) may only variance. r authorities shall provide the.Department with notice of.all shared ! (3) Local approving 4 systems approved by them pursuant to 310 CMR 15.292. may impose additional conditions on the use of shared (4) A local approving authority Y P pursuant to 310 systems under 310 CMR 15.000 only in accordance with regulations adopted p S CMR 15.003(3). xk, nit 15.293: De artment A roval of Shared Systems the applicant shall submit to the Department (1) Prior to construction of any shared system, g ty together with a copy of the complete approving i the written approval of the local app g author application for the shared system approving authority. application submitted The aPP Y P complete to the local app g shall be deemed approved.by the Department if, within 60 days of receipt of a comp t. application the Department fails, in writing: applicant; or (a) to request additional information from any special:conditions the Department t a written approval,which tray. uru+ (b) gmr' J believes appropriate to protect public health, safety,or welfare or the environment; or ' royal of the shared system. (c) to deny the app uests additional information from the applicant,the 60 day In the event the Department req n receipt of such additional information. period for Department review shall commence upo } 2) In the event the Department denies the approval 15 422the shared system;that determination r ( ealed in accordance with 310 CM : may be appealed - t ' 15.300: Pu ose and General Provisions . (1) The ntenance of all systems is proper operation and mai essential to then proper tF i functioning, to the avoidance health hazar idce of public n and maintenance ds and to the protection of the t - 1 environment. 310 CMR 15.300 is intended to ensure the proper operatio of all systems. I� rovisions of 310 CMR 15.300 represent an initial effort to identify and upgrade (2) The p those failed systems which pose the greatest risk to public health and safety and to the waters s.. of the Commonwealth. Idf!# 310 CMR - 543 ` ,t. 3/24/95 (Effective 3/31/95) _ li CMR: DEPARTMENT OF ENVIRON14ENTAL PROTECTION 310 - 15.291: continue (4) A local approving authority may impose additional conditions on the use of shared systems under 310 CMR 15.000 only in accordance with regulations adopted pursuant to 310 - CMR 15.003(3). h 15 29� New Construction or Increased Flow to Existing Svstems Using Shared Systems _ (1) 'The approving authority may allow use of shared systems, subject to any special CMR.1.5,293,for neww..construction or increased flow conditions established pursuant-to 310 to existing systems without granting a variance only where: (a) the proposed shared system satisfies all technical requirements of 310 CMR 15.100 through 15.293 except setbacks from property between facilities served by the shared lines be system; ; ill (b) the applicant demonstrates that the design flow from the facility or facilities to be s not exceed the design flow which could have been served by the shared system doe constructed in compliance with 310 CMR 15.100 without the use of a shared system. (c) the applicant proposes identical to those. itional arrangements as nnAppendix in ol.(GrantCMR 5of Title - . - through documents essentially 4 5 Covenant and Easement); and (d) the applicant provides the local approving.authority_and.the.Department with the twff insurance or other comparable financial assurance mechanism required pursuant to 310 CMR 15.290(2)(e). (2) The use of shared systems for new construction or for increased flow to existing systems in any situation not described in 310 CMR 15.292(1) may only be approved through a variance. (3) Local approving authorities shall provide the Department with notice -of.all shared systems approved by them pursuant to 310 CMR 15.292. fi (4) A local approving authority may impose additional conditions on the use of'shared I� systems under 310 CMR 15.000 only in accordance with regulations adopted pursuant to 310 CMR 15.003(3). 15 293• Department Approval of Shared Svstems_ t (1) Prior to construction of any shared system,the applicant shall submit to the Department � 11 the written approval of the local approving authority together with a copy of the complete application submitted to the local approving authority. The application for the shared system PP shall be deemed approved.by the Department if, within 60 days of receipt.of a complete I application the Department fails, in writing: (a) to request additional information from the applicant; or (b) grant a written approval,which may include any special.conditions the Department i believes appropriate to protect public health, safety,or welfare.or the environment; or (c) to deny the approval of the shared system' s ; In the event the Department requests additional information from the applicant,the 60 day _ p period for Department review shall commence upon receipt of such additional information. � h h the Department denies the approval of the shared system,that determination In t (2)" e event e P may be appealed in accordance with 310 CMR 15.422. ' ':,•;, 15 300: Purpose and General Provisions pt R��5 (1) The proper operation and maintenance of all systems is essential to their proper functioning, to the avoidance' of public health hazards and to the protection of the environment. 310 CMR 15.300 is intended to ensure the proper operation and maintenance ; of all systems. (2) The provisions of 310 CMR 15.300 represent an initial effort to identify and upgrade 4! those failed systems which pose the greatest risk to public health and safety and to the waters of the Commonwealth. a' 310 CMR - 543 3/24/95 (Effective.3/31/95) COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS Z DEPARTMENT OF ENVIRONMENTAL PROTECTION a OW TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 1655 MAIN ST HOUSE WEST BARNSTABLE,MA 02668 Owner's Name: HOLLY ROGERS Owner's Address: 120 BERKSHIRE RD. Date of Inspection: 9/6/01 Name of Inspector: (please print) JOHN GRACI Company Name: SEPTIC INSPECTIONS Mailing Address: P.'O. BOX 2119 TEATICKET,MA.02536 Telephone Number: 508-564-6813 FAX 508-564-7270 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: _ Passes _ Conditionally Pa ses Needs Furthe aluation by the Local Approving Authority X Fails Inspector's Signature: Date: 9/6/01 The system inspector shall submit 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. Tile original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments THE SYSTEM FAILS TITLE V INSPECTION.THE STAIN LINES IN THE CESSPOOL INDICATE THE LIQUID LEVEL HAS BEEN OVER PIPE-CESSPOOL HAS NO EFFECTIVE LEACHING LEFT.CESSPOOL IS 50'TO WELL. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.`Phis inspection does not address how the system will perform in the future under the same or different conditions of use. Page 2 of I I i � 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 1655 MAIN ST HOUSE WEST BARNSTABLE,MA 02668 Owner: HOLLY ROGERS Date of Inspection: 9/6/01 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: _ 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: THE SYSTEM FAILS TITLE V INSPECTION.THE STAIN LINES IN THE CESSPOOL INDICATE THE LIQUID LEVEL HAS BEEN OVER PIPE-CESSPOOL HAS NO EFFECTIVE LEACHING LEFT.CESSPOOL IS 50'TO WELL. B. System Conditionally Passes: _ 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. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. n/a The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: n/a n/a 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 uneven distribution box. System will pass inspection if(with approval of Board of Health): _ broken pipe(s)are replaced _ obstruction is removed _ distribution box is leveled or replaced ND explain: n/a n/a The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): _broken pipe(s)are replaced _obstruction is removed ND explain: n/a Page 3 of I 1 c OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 1655 MAIN ST HOUSE WEST BARNSTABLE,MA 02668 Owner: HOLLY ROGERS Date of Inspection: 9/6/01 C. Further Evaluation is Required by the Board of Health: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 91 1. 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 salt marsh 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. r _ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. r _ The system has a septic tank'and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance n/a "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliforn bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: n/a ,4 ,r t� Y 1 1 Page 4 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 1655 MAIN ST HOUSE WEST BARNSTABLE,MA 02668 Owner: HOLLY ROGERS Date of Inspection: 9/6/01 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all-inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X _ Liquid depth in cesspool is less than 6"below invert or available volume is less than ''/z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool:or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool-or:privy is within a Zone I of a public well. _ X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ X 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] X _ (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design now of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply X the system is within f60�felet of a tributary to a surface drinking water supply X the system is located in a nii'r'ogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has railed.'rho owner or operator of any Inrge system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. d I Page 5of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST E Property ert Address: 1655 MAIN ST HOUSE WEST BARNSTABLE, MA 02668 Owner: HOLLY ROGERS Date of Inspection: 9/6/01 Check if the following have been done. You must indicate "yes" or"no" as to each of the following: 5 Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up X _ Was the site inspected for signs of break out`? X _ Were all system components,excluding the SAS, located on site? X _ 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? X _ 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: Yes no _ X Existing information. For example,a plan at the Board of Health. X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] i,, Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 1655 MAIN ST HOUSE WEST BARNSTABLE,MA 02668 Owner: HOLLY ROGERS Date of Inspection: 9/6/01 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Number of current residents: n/a Does residence have a garbage:grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): YES Water meter readings, if available(last 2 years usage(gpd)): n/a Sump pump(yes or no): NO Last date of occupancy: n/a COMMERCIAL/INDUSTRIAL Type of establishment: n/a 1 Design flow(based on 310 CMR 15.203): n/agpd Basis of design flow(seats/persons/sgft,etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: n/a Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: n/agallons-- How was quantity pumped determined? n/a Reason for pumping: n/a TYPE OF SYSTEM _Septic tank,distribution box,soil absorption system X Single cesspool X Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components,date installed(if known)and source of information: 50 YEARS Were sewage odors detected when arriving at the site(yes or no): NO r, Page 7 of 11 . OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1655 MAIN ST HOUSE WEST BARNSTABLE,MA 02668 Owner: HOLLY ROGERS Date of Inspection: 9/6/01 BUILDING SEWER(locate on site plan) Depth below grade: 12" Materials of construction:_cast iron _40 PVC Xother(explain): ORANGEBURG Distance from private water supply well or suction line: n/a Comments(on condition of joints,venting,evidence of leakage,etc.): 100+ FEET TO WELL SEPTIC TANK: (locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: n/a Sludge depth: n/a Distance from top of sludge to bottom of outlet tee or baffle: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a How were dimensions determined: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): n/a GREASE TRAP:_(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): n/a I Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1655 MAIN STI HOUSE WEST BARNSTABLE,MA 02668 Owner: HOLLY ROGERS �t Date of Inspection: 9/6/01 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a DISTRIBUTION BOX: _(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: n/a 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.): n/a t: PUMP CHAMBER: _ locate on site Ian) ( p Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n/a I R Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1655 MAIN ST HOUSE WEST BARNSTABLE,MA 02668 Owner: HOLLY ROGERS Date of Inspection: 9/6/01 SOIL ABSORPTION SYSTEM(SAS): _ (locate on site plan,excavation not required) If SAS not located explain why: n/a Type n/a leaching pits, number: n/a n/a leaching chambers, number: n/a n/a leaching galleries, number: n/a n/a leaching trenches, number, length: n/a n/a leaching fields, number: n/a n/a overflow cesspool, number: n/a n/a innovative/alternative system Type/name of technology: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): n/a , CESSPOOLS: X(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: 2 Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: 5' X 5"' Materials of construction: BLOCK CESSPOOL Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): MAIN CESSPOOL WAS IN HYDRAULIC FAILURE.THE STAIN LINES IN THE CESSPOOL INDICATE THE LIQUID LEVEL HAS BEEN OVER PIPE. PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a `� J Page 10 of I 1 • OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address 1655 MAIN S T. COTTAGE WEST BARNSTABLE,MA 02668 Owner: HOLLY ROGERS Date of Inspection: 9/6/01 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 3p' I�lC,a ^ch r � w ti 111 Page 11 of 11 3 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 1655 MAIN ST HOUSE WEST BARNSTABLE,MA 02668 Owner: HOLLY ROGERS Date of Inspection: 9/6/01 SITE EXAM _Slope _Surface water _Check cellar _Shallow wells Estimated depth to ground water 6 feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record-If checked,date of design plan reviewed: n/a YES Observed site(abutting'pi,operty/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators, installers-(attach documentation) NO Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: GROUNDWATER WAS DETERMINED FROM TRANSIT STORYPOLE 3t r r ,4 E f J 1 LOT 1 pi s N/F DOROTHY K. RICHARDS & BARBARA J. HILFERTY I LOCUS 413.08' LOT 2 a / �. N/F PATRICIA M. BURKE a5 ��� LOT T 1 u; `' i ��A z 7 i O I .� 70.07 � I Q LU I LO 610'f I N/F FIRST LUTHERAN CHURCH LOCUS MAP LOT 1 'I �� NOT TO SCALE �� i i K Y MAP SCALE: 1 " — 80' -77 `� 1929 LAYOUT OF RTE. 6A LOT 1 i N/F DOROTHY K. RICHARDS 010A w-19 _Aa & BARBARA J. HILFERTY S 05.37 40 W 413.08' EXISTING CESSPOOL TO BE PUMPED DRY, FILLED WITH SAND / AND ABANDONED. oCOti� ° W �qzM-,d�'11 OUTDOOR SHOWER �o LOT 1 ti o T 2.0± ACRES N t, L EXISTING COTTAGE DECK W-15 LAM POST BORDERING VEGETATED BORDERING VEGETATED `L �, ' WETLAND � �f' . :. WETLAND _—�� SHED I � ,, LOT 1 16 CEDAR e N F PATRICIA M. BURKE N K W—,�'12 h � 24"MAPLE � 12"CEDAR , v- 6 EXISTING WELL TO BE REPLACED W— 2 u7 EDGE EARING $.,CHERRY 1`0 s 10"CEDAR 0 LEGEN D �_ EXISTING WELL `eA , 12„CEDA � Z 4 10" PLE 20"PINE 24 UTILITY POLE `cb W—,r'13 �� BULKHEAD r'� EXISTING CESSPOOL BOUND ^` OIL TANK TO BE PUMPED DRY, Q' Q EXISTING WELL FILLED WITH SAND <'s 6 ND ABANDONED. _ rn .—mow�15 1500 GAL. 21' s ,� o BENCHMARK: -x—x- TEST PIT s� - SEPnC TANK O ^ c �o�' FENCE TOP OF CONCRETE BOUND sNED O 21'f ° tc� ELEVATION = 28.97 LAMP POST N W w y WETLAND FLAG I& W—#1 3 i BORDERING VEGETATED WETLAND �OUTDOOR 2 Q SHOWER 0o CL BpvN Q EXISTING TREE $ o F �s 26 GR��R4�Er1 EXISTING SPOT GRADE 44.ox h FENCE U.1 LAMP POST �z O G��NQ 7.00 EXISTING GRADE —38 2� g2"WILLOW -' F SILT F N —0-- • � E i 10' DIA. BUSH �� N 070.07,6,E E 1 STRAW BALES I PICKET FENCE 12"TREE D-Box �o °• ' • R �N$ Qom. NOTICE.•GRAVEL• \. �` i Unless and until such time as the original (red) stamp of the 26 _ �6 PAVED DRIVEWAY W''� responsible Professional Engineer, or Professional Land Surveyor EDGE OF CLEARING F-- � appears on this plan: , i9._. pp I ,30 ��/ (A) no person or persons, Including any municipal or other �I '• ...�Y. " ,fir'Y"` v public officials, may rely upon the information contained herein; and (B) this plan remains the property of Holmes & McGrath, Inc, 6 0 6. 0 5' , —— 34—-— POLE 53/5715A POLE P 5 min. -, i 01129102 ADD VAR/ANCE FOR SEP11'C TANK & EX/STING WELL TMS S 0402746" \N BENT 01124102 ADD LOCUS & 150' WELL NOTE TMS MBM J — 500 GALL 0/V 204 CHAMBER w1rH 4 Fr. �� 01104102 ADD WELL NOTE LJC MJB j OF STONE ALL AROUND ,(}— /`� 12/12/01 ADD L/M/T OF. WORK LJC MJB 1ho ��5coDATE DESCRIPTION Drawn Checked o LOT ? REVISIONS N/F FIRST LUTHERAN 'CHURCH - EXISTING WELL WPC Q" \�N PLOT PLAN MPSS'Q �o�NQ OF PROPOSED SEWAGE DISPOSAL SYSTEM LOCAL UPGRADE APPROVAL REQUIRED: 30 j� o M� PREPARED FOR NOTES HOLLY ROGERS 1) 310 CMR 15 211 (1) MINIMUM SETBACK OF 10 FT FROM SOIL ABSORPTION SYSTEM 1. HOUSE NUMBER: 1655 FOR LOT 1 , MAIN STREET 2. ASSESSOR'S NUMBER: 196-11 TO PROPERTY LINE, ACTUAL SETBACK TO BE 5 FT. o� IN 3. ZONING DISTRICT: AP �� Fc+sTE ��� WEST BARNSTABLE MA 4. FLOOD HAZARD ZONES: C 2 LOCAL BYLAW PART VIII SECTION 1 .0 MINIMUM SETBACK OF 100 FT. FROM A SEPTIC GRAPHIC SCALE F�a"4` �M"°� ��5. BENCHMARK: As ..SHOWN TANK TO A WETLAND, ACTUAL SETBACK TO BE 50 FT. 20 10 o 20 60 SCALE: 1 20 D NOV. 6, 2001 ®F ATE: � 6. TOPOGRAPHIC INFORMATION BASED ON AN ON THE GROUND INSTRUMENT SURVEY holmeS and I'1' Cgrath, inc. iL 7. ELEVATIONS SHOWN ARE BASED ON THE NA11ONAL 3) LOCAL BYLAW PART XIV SECTION 2.0 MINIMUM SETBACK OF 150 FT. FROM SOIL civil engineers and land surveyors 'A ( tri FEET ) 200 main street 508 548-3564(PHONE 4 GEODETIC VERTICAL DATUM. ABSORPTION SYSTEM TO A PRIVATE WELL, ACTUAL SETBACK TO BE 107 FT. i inch = `20 ft. — ��. . { 8. REFERENCE: PLAN BOOK 158, PAGE 137 falmouth, ma. 02540 508 548 9672(FAX) DRAWN: PJR,RLR LCHECKEDOROGERS 201238 201238PP.DWG JOB NO: 201238 WG. NO.: 79-2-3 ISHEET 1 of 2 -- jil I r I I I Finish grade above and adjacent to system shall slope away at a min. of 2%. i i I 4" diam. cast iron or Schedule 40 PVC pipe (tight joints). DEEP OBSERVATION HOLE LOG N0. 1 20 min. distance (building to edge of leaching system) i » OTHER 10 min. distance 4 PVC VENT PIPE SOIL SOIL TEXTURE SOIL COLOR SOIL (STRUCTURES, DEPTH ELEV. HORIZON (USDA) (Munsell) MOTTLING STONES, BOULDERS, SCREEN CONSISTENCY, % GRAVEL) 4, Removable covers within Removable covers within 12.8' 0" 27.6 6" of finished grade 6' of finished grade First floor Acces§ Holes in Tank to Acces§ Holes in Tank to 4 8� - _ be 20 in Diameter be 20 in Diameter 4' 4' 3 0"-9" 26.9 A Ground — MIN. .4 FINISHED GRADE Elev. 25 9 —24 25.6 B S/L TY LOAM w• s= VARIES 24".144" 15.6 C LOAMY SAND s= Leaching Chamber 0.0 — 9 2 — s 0.01 � .. •. .. '. ... 2 I 0.01 MIN. a i uid leve level Foundation o N co design N M °aSEPTIC TANK' '. :. o o Elev.=19.67 by others II N N 1500 GAL. N N D—Box rn a) H-20 PITCH N II H-10 N N 4 ft. of 3/4" to 1 1/2" Cr .'•• II > II II washed stone all around chamber. .' . . .,.> :... ,.: _00 4" PVC VENT PIPE O N N H-10 > °' C� ® > > > `n c — c c c c Elev.=15.6 6" LAYER OF CRUSHED COMPACTED STONE Bottom of test hole ` /ENT PIPE DETAIL z z Elev.=14.0V PROFILE High groundwater elevation 6" LAYER OF CRUSHED COMPACTED STONE g g NOT -TO SCALE from Regional Groundwater map Not to Scale DESIGN CRITERIA SOIL TEST Number of bedrooms: 4 Equivalent to 440 gal, 's/day ALL OUTLET PIPES FROM THE INSTALL TUFTIIT•E SPEED LEVELERS ON ALL OUTLET PIPES Garbage disposal unit: No DISTRIBUTION BOX SHALL BE Date of soil test: SEP. 10, 2001 Leachingarea capacity required: 440 al. 's da SET LEVEL FOR AT LEAST 2 FT. 12" CONCRETE `COVER - P y q g � y ' Test taken by: M.J. BORSELLI Side area proposed: 185 s . ft. - GENERAL NOTESP P q : .. a 3 5 OUTLET Results witnessed by: LEE McCONNELL ,> Bottom area -proposed. 430 sq. ft. KNOCKOUTS 2 Percolation rate: 5 MIN. IN. @ 7' DEPTH 1 ) No change to this system shall be made unless Total area proposed. 615 sq. ft. approved in writing ' Ground water NONE ENCOUNTEREDpP g by holmes and mcgrath, Inc. • a Proposed leaching capacity: 455gal. 's/day P g P y � °': � �'� 2) Subject to 'inspection- during construction by the Water supply: PRIVATE: WELL Board of Health and holmes and mcgrath, in 15.5 INLET 12 g c. Precast concrete ' units:_ H-10, H-20' ' loading design OUTLET 3) Heavy construction equipment shall not travel r17- 6 ,, °. 8►, over disposal system during or after construction. 4' 6„ 4) Disposal system to be constructed in accordance • 8 • :.. .,� with Title 5 of the State Environmental Code. 10' -6" 5) A copy of these plans must be kept on the site 15.5" during the_ time of construction. ! 1.75 6) A copy of these plans must be furnished to thet. I . e + . . . .. .,. ' contractor constructingthe ` disposal system. P y PLAN SECTION CROSS- SECTIION 7) Before backfllling, the contractor shall notify 3_20 Diameter Access Holes holmes and mcgrath, inc., and the Board of Health 00 Agent to inspect the system as constructed, • 8) If the contractor .encounters any variation between 3 HOLE ..a: a . DISTRIBUTION BOX - ( H - 10 ir) the existing > conditions shown on the plan and the ALL ACCESS MANHOLE COVERS FOR conditions encountered on the site, or any soil NOT TO SCALE condition different than shown on the soil to or INLET OUTLET SEPTIC TANK, DISTRIBUTION BOX, � g, any adverse soil, the contractor shall immediately a AND LEACHING STRUCTURE SET MORE contact holmes and mcgrath, inc. Holmes and .• THAN 6" BELOW FINISHED GRADE,`: mcgrath, inc. will examine the soil condition $) and report` to the owner an suggested revisions. :. . . 6 SHALL BE RASED TO WITHIN 6 _ OF Y g9 FINISHED GRADE WITH RISERS. • •.4 • FRAME 8c COVER • 4„ KNocl<ouT STEEL REINFORCED PRECAST CONCRETE OVER "T'S" WHERE REQUIRED. PLAN VIEW 20" DIAMETER � 4" KNOCKOUT — 4" KNOCKOUT ze PRECAST CONCRETE INSPECTION TANK RISER WHERE COVER . . 3 REMOVABLE COVERS 3 REQUIRED NOTICE �� + Unless and until such time as the original (red) stamp of the 4" KNOCKOUT •' responsible Professional Engineer, or Professional Land Surveyor + • : a .• .• a '.. u „ e• a, ..;' . ••.°• ..•• - • • • •, - + e + a b + e + • . ' . .� .. •' �: , • . ) no personnor persons, including any municipal or other appears. on(a a ' + : >' ,'~ • ° public officials, may rely upon the information contained herein;•and 4 (B) this plan .remains the property of Holmes do McGrath Inc. :.a 3" min. clearance required ' : INLET „T„ $� _ 6" p p y INLET oo •— , :.. . , 2 min. inlet to outlet • .. A OUTLET ALL WALLS ARE 3" THICK '•. I I 5' —7" •� Liquid level ^� 5' _7'f 8' - 4" 01/04/02 ADD HIGH GROUNDWATER NOTE LJC 4-1 o [4 = DATE DESCRIPTION Drawn� _ Checkeda� �, tTU F TI TE ;„ � REVISIONS GAS BAFFLE oF=7 FMo o asPLOT PLAN DETAILS FOF PROPOSED SEWAGE DISPOSAL SYSTEM 0 = C� N o REPARED FOR 1 w - PI—J LLY ROGERS 0 0 0 0 0 0 e T 1, M T IN • OR LOT IN STREET 10> 0>, 5, 8„ BARN A . . WEST ST BLE, MA - END = SECTION- SCALE:8' - 6 4' = 10" CROSS SECTIO AS SHOWN DATE: NOV. 6, 2001 ® holmes and mcgrath, inc. 'M1 ' TYPICAL 500 GALLON LEACHING CHAMBER civil engineers and land surveyorsiTYPICAL 1500 GALLON SEPTIC TANK H 10200 main -street NOT TO SCALE ( H - 20) falmouth, ma. 02540 DRAWN: RLR CHECKED• NOT TO SCALE - ROGERS\201238\201238DET.DWG JOB ` NO: 201238 DWG. NO.: 79-2-3 SHEET 2 OF 2 !II _ II I LOT 1 IS, N/F DOROTHY K. RICHARDS W \ M FFT BARBARA J. HILEERTY I LOCUS 413.08' _.LOT 2 J() N/F PATRICIA M. BURKEAll 45 70.07' oe 4I 61 o't i Q LOCUS MAP N/F FIRST LUTHERAN CHURCH LOT 1 ��� NOT TO SCALE KEY MAP SCALE: 1 " = 80 -77 1929 LAYOUT OF RTF,. 6A LOT 1 N/F DOROTHY K. RICHARDS to W-�9 I F RTY W W & BARBARA J. H L E S 05.37'40" W W-#7 413.08' EXISTING CESSPOOL TO BE PUMPED DRY, AND ABANDONED. AND FILLED WITH NED. OCO�C' w << �F F w- 11 y� I OUTDOOR SHOWER 0 O OU D S WE LOT 1 ti 2.0± ACRES N 1, I' L EXISTING � • COTTAGE DECK, W--15 �_ h . C� LA POST BORDERING VEGETATED i 5WETLAND .fr . 2 BORDERING VEGETATED WETLAND SHED W � .,, . . LOT 1 o . 16 CEDAR �� <- W � „ N/F PATRICIA M. BURKE W--112 h � 24 MAPLE y1 �P 12 CEDAR GN Q ,,y N\ vN I N EXISTING WELL v 6 S F (.� TO BE REPLACED W-,/2' A PS \N EDG EARING 10 CEDAR 8"CHERRY M �\ LEGEND 4 „ AIdZl EXISTING WELL f 12 CED g _ 24 14 i0" PLE 20"PINE t eQ, UTILITY POLE ifs, 13 Q> 1 4� BULKHEAD \ BOUND EXISTING CESSPOOL' OIL TANK ` EXISTING WELL FILLED BE PUMPED DRY, G FILLED WITH SAND Q- ^/ 266 �6 ND ABANDONED. J. TEST PIT W 15 21 O --- T 1500 GAL. BENCHMARK. K sEPnc rAN � o � FENCE TOP .OF CONCRETE BOUND sHEa O �c (p O 21'f ° + F ELEVATION 28.97 LAMPPOST # ¢ �V WETLAND FLAG W-#1 23� W OUTDOOR o Q Qi BORDERING VEGETATED WETLAND SHOWER a �� �O N Q EXISTING TREE Y o 2g 2s ONGRE BRG\C� EXISTING SPOT GRADE 44.Ox w LAMP POST' Q G 0��\Q EXISTING GRADE ---3s -24 9 2„WILLOW Cp SILT FENCE —0-- 7.0 I' STRAW BALES 10' DIA. BUSH 16 N 07 .0 46 E � ti 0 07 ti .� � PICKET FENCE 12"TREE " �j. Gj D-BOX '•: ..' : .'_ ;, R p�.$ NOTICE M 7 0,h `, Unless and until such time as the original (red) stamp of the 26 — �6 PAVED DRIVEWAY ,� responsible Professional Engineer, or Professional Land Surveyor i-- d`� appears on this plan: EDGE OF CLEARING `� 1�11 0 (A) no person or parsons, Including any municipal or other Q �o i�� �v public officials, may relyupon the information contained herein; and ' P (B) this plan remins the property of Holmes & McGrath, Inc. 606. 05 5' min. 34 —— POLE 53/5715A POLE P f �� i �S`�� 01129102 ADD VARIANCE FOR SEPTIC TANK & EXISnNG WELL TMS > » vENr JQ`` S 0 4 2 7 4 6 VV g Vic, 01124102, ADD LOCUS & 150 WELL NOTE TMS MBM ,3 - 500 GALLON 244 f �/ �J �0 0110410 ADD WELL NOTE LJC MJB CHAMBER W rH 4 FT. OF sronrE ALL ARouNo 12112101 ADD LIMIT OF WORK LJC MJB 0 R, DATE DESCRIPTION PrawnChecked �o LOT 1 R E V I S I O N S EXISTING WELL Qlv�.��? `' ' N/F FIRST LUTHERAN CHURCH �p,� �` �`'�` PLOT PLAN S• N\G uN° �V� OF PROPOSED SEWAGE DISPOSAL SYSTEM LOCAL UPGRADE APPROVAL REQUIRED: `�o�N° H f PREPARED FOR NOTES '" q FOR HOLLY ROGES STREET 1) 310 CMR 15.211 (1 ) MINIMUM SETBACK OF 10 FT. FROM SOIL ABSORPTION SYSTEM ` , , MAIN 1. HOUSE NUMBER: 1655 IN 2. ASSESSOR'S NUMBER: 196-11 TO PROPERTY LINE, ACTUAL SETBACK TO BE 5 FT. , WEST BARNSTABLE MA 3. ZONING DISTRICT. AP 4. FLOOD HAZARD ZONES: C 2) LOCAL BYLAW PART VIII SECTION 1 .0 MINIMUM SETBACK OF 100 FT. FROM A SEPTIC GRAPHIC SCALE ` 4 5. BENCHMARK: AS SHOWN 20 1ro o 20 6o SCALE: 1 " = 20' DATE: NOV. 6, 2001 �g of TANK TO A WETLAND, ACTUAL SETBACK TO BE 50 FT. 6. TOPOGRAPHIC INFORMATION BASED ON AN hOlmes and me rath, Inc. O THE GROUND INSTRUMENT SURVEY ON civil engineers and land surveyors 7. ELEVATIONS SHOWN ARE BASED ON THE NATIONAL 3) LOCAL BYLAW PART XIV SECTION 2.0 MINIMUM SETBACK OF 150 FT. FROM SOIL ( IN FEET > 200 main street R08) 08 548-3564(PHONE) -` ' GEODETIC VERTICAL DATUM. ABSORPTION SYSTEM TO A PRIVATE WELL, ACTUAL SETBACK TO BE 107 FT. 1 inch = 20 ft. 8. REFERENCE: .PLAN BOOK 158, PAGE 137 faimouth, ma. 02540 548-9672(FAX) DRAWN: PJR,RLR CHECKED• w L - - ROGERS 201238 201238PP.DWG JOB NO: 201238 DWG. NO.. 79 2 3 SHEET 1 OF 2 I i Finish grade above and adjacent to system shall slope away at a min. of 2'. 4" diam. cast iron or Schedule 40 PVCi'' joints). e (tight o PP 1 ) DE EP OBSERVATI ON HOLE 20 min. distance (building to edge of leaching system 10' min. distance 4" PVC VENT PIPE; SOIL SOIL TEXTURE SOIL COLOR SOIL (STRUCTURES, DEPTH ELEV. HORIZON (USDA) (Munsell) MOTTLING STONES, BOULDERS, CONSISTENCY,r STE CY X GRAVEL SCR EEN N i 4—Removable covers within Removable covers within 12 8' 0" 27.6 Fir floor 6" of finished grade 6' of finished grade First r Acces Holes in Tank to Acces Holes m Tank to f � 4.8 3 i e 0 m Diameter in Diameter b 2 Dia ete be 20 D - A _ 0 9 26.9 -— Ground 4 4 I Elev. = 25.4 MIN. FINISHED GRADE 9 -24 25.6 e SiLrYLOAM i 24 -144 15.6 C LOAMY SAND =• s— VARIES s= in Chamber 0. — Leach C amb 0 2 — 9 s 0.01 2 0.01 MIN. i i I v ud e e level Foundation :. o N coF9SEPTIC TANK_ '� o design N N Elev.=19.67 1500 GAL. N b others00 - rn rn N X.D 'Bo Y N — N H 20 n PITCH N r r n H-10 N 4 f . of 4 to 1 1 2 a� II II N tV t 3 i II > washed stone all around r` v � a� I I > I I II, � � — > chamber. a� f u, "mot' a� a� � ° N 4 PVC VENT PIPE 'I C H—,10 > r, II — c Sri c c c — a� - - - Elev.=15.6 c c a) - - Bottom of test hole 3 6 LAYER OF CRUSHED COMPACTED STONE VENT PIPE DETAIL - z z Elev.=14.0 PROFILE High groundwater elevation NOT TO SCALE 6" LAYER OF CRUSHED COMPACTED STONE from Regional Groundwater map Not to Scale DESIGN CRITERIA II INSTALL TUFTITE SPEED LEVELERS SOIL TEST Number of bedrooms: 4 Equivalent to 440 gal.'s/day ALL OUTLET PIPES FROM THE ON ALL OUTLET PIPES Garbage disposal unit: No DISTRIBUTION BOX SHALL BE Date of soil test: SEP. 10, 2001 — R AT LEAST 2 FT. 12" CONCRETE COVER Leaching area capacity required: 440 al. s da SET 'LEVEL F0 g P Y q g � Y Test taken by: M.J. BORSELLI Side area proposed: 185 s . ft. :. � GENERAL NOTES Results witnessed by: LEE McCONNELL P P q .. • 3 5 OUTLET • d •.: ..• .• .•., •.• •. y Bottom area proposed: 430 sq. ft : KNOCKOUTS ; .. . .; .. .:,: 2" 1 ) No change to this system shall be made unless Percolation rate: 5 MIN./IN. Ca? 7 DEPTH . ' . Total area proposed: 615 sq. ft. approved in writing b holmes and mcgrath, inc. Ground water NONE ENCOUNTEREDd PP 9 Y 9 Proposed leaching capacity: 455 gal. 's/day a 2) Subject to inspection during construction by the Water supply: PRIVATE WELL 15.5" INLET 12" Board of Health and holmes and mcgrath, inc. Precast concrete units: H-10, H-20 loading design OUTLET 3) Heavy construction equipment shall not travel g 6„ 8» over disposal system during or after construction. 4. 6ff 8 ,;. 4) Disposal system to be constructed in accordance • 2" with Title 5 of the State Environmental Code. • . . ., 10' 6 ff 5) A copy of these plans must be kept on the site - during the time of construction. 1.75 1 _ ,- � --.-- --6 �_A,--co � .caf t. esp_ sons-r+�ust ..e_ furnished _. o h.. b e a ► s { . a .. .. • . e . . a: . contractor constructingthe d.ls ~osol system. P Y a a 7 Before backfillm the contractor : . ,, e'•, PLAN SECTION � CROSS SECTION ) holmes gf shall notify 3-20 Diameter Access Holes o mes and mcgrath, inc., and the Board of Health Agent to inspect the system as constructed. b• .s I l 8 If the contractor ' :. 1 a •' ) encounters any: variations between 3 H OLE DISTRIBUTION BOX ( H - 10 the existing conditions shown on the plan and the .a • ALL ACCESS MANHOLE COVERS FOR conditions encountered on the site, or any soli I NOT TO SCALE INLET OUTLET SEPTIC TANK,- DISTRIBUTION ` BOX, condition different than shown on the soli log, or any adverse soil, the contractor shall immediately AND LEACHING STRUCTURE SET MORE • contact holmes and mcgrath, inc.a a Holmes and 9 r THAN 6" 'BELOW FINISHED GRADE, mcgrath, inc. will examine the soil condition n report o he owner n • • ... and o t t t a suggested revisions. I P Y 9g SHALL BE RAISED TO WITHIN 6 OF I a e , FINISHED RA GRADE WITH RISERS. d. 9 .• e, a •. . .a• .• .e .a .a •s. ., s 4" KNOCKOUT FRAME & COVER STEEL REINFORCED PRECAST CONCRETE OVER "T'Sff WHERE REQUIRED. PLAN VIEW - 20 DIAMETER o` 4r, KNOCKOUT 4" KNOCKOUT i e INSPECTION PRECAST CONCRETE COVER REMOVABLE COVERS TANK RISER WHERE 3 3 NOTICE •a REQUIRED d. Unless and until such time as the original (red) stamp of the i " i` SurveyorI 1 responsible Professional Engineer, or Professional Land .I PI •, 4 KNOCKOUT 4•, 9 appears on this Ian: I pP P >f e < ► ,. ♦''• y .. �� (A) no person or persons. Including any municipal or other s a '. s.' o a. . e A.' ♦ r' d' ,•• : ' e e' e '. public officials, may rely upon the information contained herein;•and B this plan remains the property of Holmes do McGrath Inc. ( P P Y ff P : 3 min. clearance required i� INLET ,rTr> $f _ srr INLET 2" min. inlet to outlet T T i OU LE e a ALL WALLS ARE 3 THICK I s s f ff Liquid id level f ff r „ q 8 4 cJ 7 � �., d- — . � 5 7 01 04 02 ADD HIGH GROUNDWATER NOTE LJC e s' O a •� d ♦ . d d. a � • a . <. • DATE DESCRIPTION Drawn Checked TU F—TI TE ;+ s. ►" a a: o ;. REVISION S GAS BAFFLE _ I oOoCi. 000 0 0 00 � l e PLOT PLAN DETAILS • . o � a- e � I • J O 0 I 0 . 'a. OF PROPOSED SEWAGE DISPOSAL SYSTEM I 1 N PREPARED FOR 0 0 0 0 0 0 HOLLY ROGERS • � v '. s ,.a n• a s < a a: s . . e ' 3ff .. s ;a• e . .� ae• •. .e• I e a :s' a o 0 0 0 0 0 o 0 0 0 0 f ff �• � FOR LOT 1 , MAIN STREET 10 IN 0 WEST BARNSTABLE MA rr 4 - 10 CROSS— SECTION END — SECTION 8 - 6 SCALE: AS SHOWN DATE: NOV.' 6 2001 :.OF ® holmes and mcgrath, inc. TYPICAL 500 GALL 0 N LEACHING CHAMBER civil engineers and land surveyorsTYPICAL 1500 GALLON SEPTIC TANK H 10200 main street I ' NOT TO SCALE � H - 20) 600 falmouth, ma. 02540 NOT TO SCALE DRAWN: RLR CHECKED' ROGERS\201238\201238DET.DWG JOB NO: 201238 DWG. NO.: 79-2-3 SHEET 2 OF 2 i -