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Home My WebLink About0109 POINT HILL ROAD - Health 109 Point Hill Road West Barnstable A= 136-020 7 Town of Barnstable Board of Health MASEL 200 Main Street,Hyannis MA 02601 163g. �D MA'S& Office: 508-862-4644 John Norman,Chairrman FAX: 508-790-6304 F.P.(Thomas)Lee,P.E. Donald A.Guadagnoli,M.D Daniel Luczkow,M.D.Al March 1, 2022 Mr. Daniel A. Ojala, P.E., P.L.S. Down Cape Engineering 939 Main Street, Route 6A Yarmouth Port, MA 02675 RE: 109 Point Hill Road, West Barnstable MA A- 1,36-020 Dear Mr. Ojala, You are granted a variance on behalf of your clients, Bob and Mary Foley, to construct an onsite sewage disposal system at 109 Point Hill Road, West Barnstable, Massachusetts. The variance granted is as follows: Section 397-2, Town of Barnstable Code: To install a private water supply and a private onsite sewage disposal system on a lot containing an area of 35,000 square feet, in lieu of the minimum 40,000 square feet lot area required. This variance is granted with the following conditions: (1) No more than three (3) 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. (2) 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 three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The system shall be installed in substantial compliance with the engineered plans dated November 29, 2021. Q:WP\Ojala Kiryeleja 109 Point Hill Road Variance 2022.docx (4) 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 plans dated November 29, 2021. Sincerely ours, ohn Norman Chairman Q:WP\Ojala Kiryeleja 109 Point Hill Road Variance 2022.docx DATE: $95.00 FEE* • t & Town of Barnstable � 12EC.$Y: &639. Board of Health o SCHED.DATE: / 3� 200 Main Street, Hyannis MA 02601 Office: 508-8624644 John T.Norman FAX: 508-790-6304 Donald A.Guadagnoli,M.D. Paul J.Canniff,D.M.D. F.A.(Thomas)Lee,Alternate VARIANCE REQUEST FORM LOCATION Property Address::* 169 fro i nt t{ 11 12oa c( ge-sf -ga rn S c-b l-2 Assessor's Map and Parcel Number: 130/2 0 Size of Lot: 0,p a(A Wetlands Within 300 Ft. f-�� Business Name: (\� Subdivision Name: Iv APPLICANT'S NAME: �0 h M(1 A le-1 Phone W?- 5(+ 1- 2-5 G 1p Did the owner of the property authorize you to represent him or her? Yes -,X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Bob + K GlL4 f y 1&A Name: -b f In CODE & i I1L2 e4,� rVA' rL C. Address: 175 51IV(r St CJreAj'F.IGQ.p1301 Address: q39 POUR- &A Urn PW-( Phone: ( 17-54q- a5`((P Phone: 50S 1 EMAIL: Irlfo ed 6Wr1Ca-(-1-2_. 0,1M VARIANCE FROM REGULATION oncl.Reg.Code a) REASON FOR VARIANCE(May attach separate sheet if mores ace needed SSG an .2; To aIIoW jiv, InSt014-hon of o- on✓�+� WAV 0pplu a.ha orivait sewa�u. _ di S u& Svc S n lot cold tW n i n q GUI,_ Careii .Ie55+t- &A 4o,yoo SF of bui ciabl-e- NATURE OF WORK: House Addition U 10-"'�" Ho Renovation Repair of Failed Septic System MW 31 d 1 c Checklist (to be completed by office staff-person receiving variance request application) Please submit first four on list as S collated packets. A. Five(5)copies of the completed variance request form 10 B. Five(5)copies of MA DEP approval letters for Innovative/Altemative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: healthna.town.bamstable.ma.us *(Pool Plan—5 hard copies) _ D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant must notify abutters by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only). ( Full menu—Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted"$95.00 for the following variances: 1)New construction, 2) Septic repairs with increase in flows, and 3)New owner/new lessee applying for food, pool or body art variances. Exemptions from Variance Fee: 1) Septic repair without an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED John T.Norman NOT APPROVED Donald A.Guadagnoli,M.D. REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. Q:\Application Forms\VARZREQ Rev Jan 1-2020.docx tel. (508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land_ surveyors Daniel A.Ojala,P.E.,P.L.S. surveys Arne H.Ojala,P.E.,P.L.S. Daniel E.Gonsalves,P.E.,S.E structural design December 30, 2021 Craig J.Ferrari,E.1 T,S.E. Barnstable Board of Health site planning 200 Main Street Hyannis, MA 02601 sewage system Re: 109 Point Hill Road,West Barnstable designs Dear Board Members, inspections Enclosed is a variance filing request for the above referenced site. On behalf of our client, we are requesting a variance under Town of Barnstable Health Regulations Article II Section permits 397-2: installation of a private water supply and a private sewage disposal system on a lot containing an area of less than 40,000 s.f. of buildable land.This variance was previously approved for a different applicant on this site and an approval letter was issued by the Barnstable Board of Health on August 30, 2017. ��/ ;(,_et The applicant is proposing a 3 bedroom dwelling with a garage on a vacant lot in an area of private wells. No town water is available.The subdivision was approved in 1971 and contains 37 lots, most of which are developed with single family homes. Many of the lots 'contain areas.of-approximately 35,000+/-s.f.This lot contains 35,200 s.f. and has remained vacant since its.creation. roe e Down Cape Engineering, Inc. located relevant wells and septic systems based on 3 �� t information obtained at the Town and also as located in the field.The proposed 3-bedroom �� primary septic.system and reserve area do not require a Town or State setback(lot line, foundation, or well)variance.The base of the leaching field is greater than 15' above the bottom of the test holes which were dry at the time of the test hole procedure. Soil testing was performed in May of 2011: all 4 holes indicated fine and medium sands and were considered suitable for subsurface disposal of effluent under Tile 5 and Town regulations.As well,the soils are suitable for drainage. With a.projected groundwater separation distance (based on the Town groundwater map) in excess of 25.'to the base of the leaching facility, and separation between existing wells/proposed well to the proposed septic system in excess of the required 150',we feel that the proposed construction with its Title 5 septic system will not adversely contribute to the decline of the public or private surface or subsurface water resources. Very truly yours, � c :) Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. o-w a I f R>nM iZ BUTLERS PANTRY !y II'-m'%1'•1N' RITCBF,N ur sr UMIN(XRMK]M x ----_-- b.m• ..b• � FOLEY S HALL DALI.F,RY RESIDENCE II'-O'Xa DN- TWIICAR GARAGE O 6 I ]av-r -- 109 Point Hill Road W. W.BDmstable,MA Q O 02668 'IUUR 66 FOYER - a BAni 771 D•-]•x U �Re�r DRomR�Rlw�34s Dr. Irnnx�e�c�I3 ilxnyticl wwblao: !me er. k�€a•�•'wd:�H.m:, r]Ro PtooR] - s IVDY o•-eN'.n'-eN' voaclxex: MEOW COVEREDPDRCII i n'-e•x D'-m' "' Fla bn er. �`""•"•'•`~ DEVELOPMENT ', FIRST FLOOR PLAN eCLLe�b••r-m• FIR9T FLOOR F'LgN 1 BALCONY M6 BATH ff! M.BEDROOmdI wic#I L O OFOLEY UNFININTILD* RESIDENCE LAUNDRY 109 Point Hill Road II STAIR HALL IC W.Barnstable, MA -STAIRS STAIR O .266, FIAIL BATH d2 BATH da ROOM#.I c3 wIc 42 AE C:3 BEDROOM Bi—nid DESIGN SECOND FLOOR PLAN -------FDEVELOPMENT - SECOND FLOOR PLAN F 2 Ij I I + ------- FFEI II 8 8 I �FR:R�FFFR- ®® RE FOLEY SIDENCE m FRO 109 Point Hill Road • W.Barnstable,MA I I i i 02668 FRONT ELEVATION _ ___: - - - - - - - - - - � ixxe�a�•r-m� I eaa w ow,w aA.o. ° ° --- ------ ------ ---- -- � ---------- - �� — bB ---------------------------------- --- - - - li ii ! �n A;ms,l�t ��t�+�nugiur wn II I i •� �= - - I -\ - ----- ------ w - DE9KN iI DEVELOPh1ENi I I I I ELEVATIONS .� - - - - - - - - - - - - RIGHT SIDE ELEVATION 111111 .. �HE� IT IIIIIIIIIIII!!'!!III,!;�!!!Illlllllllll!IIIII „ __ - -_--_-- VAX 111111 —� �� 11 ■■ ■■■ .: Lll11IJJ J . ,; . :,, ., ulk'II'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ._„ „ .,,,. ,..;. � �' --,MEN AV I'IIIIIIIII e � III ii I utt:r i;ui —�_ t — ,;:�IIIIIIIIIIIIII' Illillllllillllll.Il,,.,!,,,,Ilillllldl m E 1 i t II December 13,2021 j E 1 I authorize Down Cape Engineering,Inc.,939 Main St.,Yarmouth Port,MA 02675,to represent me at the Barnstable Board of Health meeting,regarding my property at 109 Point Hill Road,West Barnstable,MA. i I { i E Property Owner Date �a �G'2r 1 � I I I I , I Board of Health Title V Septic Variance Abutter List for Subject Parcel 1-36020 Direct abutters(no set distance)and the properties located across the street. Parcel ID Owner i Owner 2 Address Line i Address Line 2 city State Zip 136oi9 TYNI,DONALD E&KATHLEEN J TRS TYNI FAMILY REALTY TRUST 91 POINT HILL ROAD WEST BARNSTABLE MA o2668 136o2o FOLEY,ROBERT J&MARY K 175 SILVER STREET GREENFIELD MA 01301 136o2i PACI,MARK %PACI,MARK& 127 POINT HILL ROAD BARNSTABLE MA o2668 MCHUGH-MULLANE,BRIGHID 136041 NIEDZWIECKI,MELISSA F&PAUL 97ISALENE STREET HYANNIS MA o26o1 JAMES 136042 BURGOYNE,JOHN TR FIRST POINT HILL REALTY TRUST 124 POINT HILL ROAD WEST BARNSTABLE MA o2668 136054001 BESS,JOEL F 12 BRIAR IN WEST BARNSTABLE MA 02668 Page 1 of 1 Total Number of Abutters:6 Report Generated On: 12/27/2021 10:58 AM This list by itself does NOT constitute a"Certified List of Abutters"and is provided only as an aid to the determination of abutters. If a Certified Abutter List is required,you must contact the Assessing Division to have this list certified. 939 main street rte.6a tel.(508)362-4541 yarmouth port mass 02675 fax(508)362-9880 down cape engineering, inc Daniel A.Ojala,P.E.,P.L.S. land court civil engineers&land surveyors surveys Arne H.Ojala,P.E.,P.L.S. Daniel E.Gonsalves,P.E.,S.E. Craig J.Ferrari,E.I.T., S.E. structural design site planning December 30, 2021 Sewage System designs Barnstable Board of Health—New Construction Foley, 109 Point Hill Road, West Barnstable inspections Dear Abutter:{ permits A public hearing has been scheduled for the Barnstable Board of Health to act on a request to approve variances from the Town of Barnstable Regulations for the proposed New Construction at 109 Point Hill Road, West Barnstable. Town of Barnstable Variance Request: Variance from Town of Barnstable Article II, Section 397-2: To allow the installation of a private water supply and private sewage disposal system on a lot containing an area less than 40,000 SF of buildable land. Said hearing is scheduled to be held in person at 3:00 PM on January 25, 2022, in the James H. Crocker Jr. Hearing Room, 2nd Floor, Barnstable Town Hall, 367 Main Street, Hyannis, MA. It is recommended to check the Town of Barnstable website for meeting changes as virtual attendance may be an option. You can also find the official agenda to confirm date and time if you are interested in attending the meeting. Plans and the application describing the proposed activity are on file at the Barnstable Board of Health office, 508-862-4644. Sincerely, CD) Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. SHE Town of Barnstable Barnstable ' ; Board of Health "'fte'ca(Mv - t + BARNS ABLE MAss $ 200 Main Street,Hyannis MA 02601 ' � i63q. ♦0 'Ol fD MA't 2007 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. August 30, 2017 Mr. Daniel A. Ojala, P.E., P.L.S. Down Cape Engineering 939 Main Street, Route 6A Yarmouth Port, MA 02675 - RE 109 Folnt.Hl ll Road, West Barnstable, MA A y 136 020 Dear Mr. Ojala, You are granted a variance on behalf of your-client, Annamaria Kryeleja, to construct an onsite sewage disposal system at 109 Point Hill Road, West Barnstable, Massachusetts. The variance granted is as follows: s Section 397-2, Town of Barnstable Code: To install a private water supply and a private onsite sewage disposal system on a lot containing an area of 35,000 square feet, in lieu of the minimum 40,000 square feet lot area required. i This variance is granted with the following conditions: (1) No more than three (3) 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. (2) 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 three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. kr„ (3) The system shall be installed in substantial compliance with the engineered plans dated June 5, 2017. Q:WP\Ojala Kiryeleja 109 point Hill Road Variance 2017.docx (4) 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 plans dated June 5, 2017. Sin ely yours, i I�d ul J. , Chairman vv Q:WP\Ojala Kiryeleja 109 point Hill Road Variance 2017.docx < -60 1.1, On DATE: o s FEE: + BMWSrABLE, *te n MASS. 1639. ��,� REC.BY: 0 Town of Barnstable ND ND SCHED.DATE: 1.1 �tr Board of Health �r'7 200 Main Street, Hyannis MA 02601 r � Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX 508-790-6304 Junichi Sawayanagi Donald A.Guadagnoli,M.D. Alternate:Cecile Sullivan,RN,MSN VARIANCE REQUEST FORM LOCATION . Property Address: D P,A t►� 4►'-� 2 v t, Assessor's Map and Parcel Number: 3 0 ZO Size of Lot: 3 S d d 4/ St- Wetlands Within 300 Ft. Yes Business Name: D No C Subdivision Name: APPLICANT'S NAME: -11Vitt A,4" Az:7--t Phone Did the owner of the property authorize you to represent him or her? Yes -)e- No PROPERTY OWNER'S NAME CONTACT PERSON Name: ANMA,",A g A, K t ig`tE"a--a A Name: Address: Flo o c„ `�'7e..iA-X-"A-A Z4 a L"Ca Cam- Address: �� C�(I� Gt4 c t.4'.- N/A 2'Z-1$-2-- Phone: Phone: EMAIL: �o�.�sn G�dog► ucr VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) NATURE OF WORK: House Addition LJ House Renovation LJ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) (Please submit copies in 5 separate,collated packets. Five(5)copies of the completed variance request form Five(5)copies of engineered plan submitted(e.g.septic system plans) 441 Five(5)copies of MA DEP approval letter for I/A septic systems only. _ Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) ✓ A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu-Five(5)copies of full menu submitted(for grease trap variance requests only). $95.00 variance request application fee collected (No fee for lifeguard modification renewals , grease trap variance renewals [same owner/lessee only],outside dining variance renewals[same owner/lessee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Donald A.Guadagnoli,M.D. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BMQD49H2\VARIREQ Rev APR2017.DOC ' tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surveys Ame H.Ojala,RE.,P.L.S. Daniel E.Gonsalves, structural design June 2 2017 Craig J.Ferrari,E.LT.,S.E. Barnstable Board of Health site planning 200 Main Street Hyannis, MA 02601 sewage system designs Re: #109 Point Hill Road,West Barnstable Dear Board Members: inspections Enclosed is a variance filing request for the above-referenced site. On behalf of our client, we are requesting a variance under Town of Barnstable Health Regulations Article II Section permits 397-2: installation of a private water supply and a private sewage disposal system.on a lot containing an area of less than 40,000 sf of buildable land. The applicant is proposing a 3 bedroom dwelling with garage on a vacant lot in an area of private wells. No town water is available. The subdivision was approved in 1971 and contains 37 lots, most of which are developed with single family homes. Many of the lots contain areas of approximately 35,000+/-s.f. This lot contains 35,200 s.f., and has remained vacant since its creation. Down Cape Engineering, Inc. located relevant wells and septic systems based on information obtained at the Town and also as located in the field. The proposed primary t . (and 100% reserve) 3 bedroom system do not require any Town or State setback(lot line or well)variances. The base of the leaching field is greater than 11' above the bottom of the test holes which were dry at the time of the test hole procedure. Soils testing was performed in May of 2011; all 4 holes indicated fine and medium sands and were considered suitable for sub-surface disposal of effluent under Title 5 and Town regulations. As well, the soils are suitable for drainage. With a projected groundwater separation distance (based on the Town groundwater map) in excess of 25'to the base of the leaching facility, and the separation between existing wells/proposed well to the proposed septic system in excess of the required 150',we feel that the proposed construction with its Title 5 septic system will not adversely contribute to the decline of public or private surface or sub-surface water resources. Very truly Jy\ouLs, / 1 Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. cc:J. and A.Azzinaro § 397-2 BARNSTABLE CODE § 397-4 ARTICLE II Private Supply on Lots of 40,000 Square Feet or Less [Adopted 10-16-1974,effective 10-22-1974 (Section 2.00 of Part XIV of the 1991 Codification as updated through 6-1-1996)] .� §397-2. Building prohibited; location restrictions. The installation of a private water supply and a private sewage disposal system on a lot containing an area less than 40,000 square feet of buildable land is prohibited, and in no case shall a private water supply and a private sewage disposal system be located within 150 feet of each other. §39773. Variances. A. Variance to this regulation may be granted by the Board of Health, after a hearing, during which the applicant proves that the installation of the private sewage disposal system will not adversely affect surface or subsurface public or private water resources of- (1) The lot subject to the application; (2) The adjacent land(whether developed or not); or (3) A defined aquifer recharge area. B. In granting variances, the Board will take into consideration population density of the area, the size and shape of the lot, slope, the suitability of the soil for drainage and percolation, existing and known future water supplies, depth to groundwater and impervious material and area reserved for expansion of sewage system and relocation of water supply in case of failure. ARTICLE III Private Well Protection. [Adopted 5-23-1989,effective 6-1-1989 (Section 3.00 of Part XIV of the 1991 Codification as updated through 6-1-1996)] §397-4. Definitions. As used in this article,.the following terms shall have the meanings indicated: ABANDONED WELL— A well that has not been used for water supply for a period of one year or more,unless the owner declares his intention to use the well again for supplying water within one year. BOARD OF HEALTH— The Board of Health or its agent. POLLUTION— Adverse effect on water quality created by the introduction of any matter. POTABLE — Water which is pure, wholesome and free from impurities that may cause disease or harmful physiological effects such that the water is safe for human consumption. i, 397:2 ii-of-2004 l (� . . .JTFLp t=Jl 4 ni N Certified Mail Fee 3,3S r7��1► f Extra Services&Fees(checkbox,add as eP date) c� ❑Retum Receipt(tuudcopy) $ C3 ❑Return Receipt(electronic) $ Postm4 r-3 []Certified Mail Restricted Delivery $ ) He b 1 0 ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ C3 Postage ru rqTotal Postage and Fees $ r-ISent To I � $treat and Apt.No.,or Pd oX8 No.1 1 ----------- -T ... 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Important Reminders: Adult signature service,which requires the You may purchase Certified Mail service with signee to be at least 21 years of age(not n First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. -Adult signature restricted delivery service,which ■Certified Mail service is not available for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified ■Insurance coverage is notavallable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,R should bear a certain Priority Mail items. USPS postmark If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail Rem at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipients signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardeopy return receipt, complete PS Form 3811,Domes#,^Return Receipt;attach PS Form 3811 to your mailpiece; IMPONTAU Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530.02-000.9047 ■ k G 2 � •• "h 'ki,of y� FE'k� ru rq ru rul M Certified Mail Fee r m $ 3-��_ Gd Extra Services&Fees(checkbox,add as plate) A 0 � ❑Return Receiptt(h Copy) $ Cft ❑Retum Reoelpt(electronic) $ ��? stmark OO ❑Certified Mail ResMcted Delivery $ Here ��C O ❑Aduk Signature Required $ 6 i ❑Adutt Signature Restricted Delivery$ O Postage d r�-q Total Postage and Fees o `� /�q S/N NS� $ Ln Sent To r a __ C3 Sheaf i nidApt Noa,of P�z No:--------- f 0 9--P----1)g�f�-- --------- ° - - Ciry Sfafe,Z/P+46-----------------� 3 ��' Certified Mail service provides the following benefits: n A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the r.A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service"' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is not available for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified , ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent. with Certified Mail service.However,the purchase (not available at retaiq. of Certified Mail service does not change the ■To ensure that your Certified Mail receipt Is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTARr..Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 Y� C3 ru M Certified Mail Fee 3 ��m xtra Services&Fees(chackb"ad as nate) ❑Return Receipt(hardtop» $ O ❑Return Receipt(electronic) $ f� PostmAA;;rI,,rr O ❑Certfied Mail Restricted Delivery $ 0 - Herd` Q r ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ O �t O Postage Ul $ � y6 Total Postage and Fees — �6s�.� Lr)r-q Sent To 1 C Street and Apt No.,er p x N -------------------------- f� ----- - ---------------a- -------------- City State,ZIP+4a Q2--2-t Certified Mail service provides the following benefits: •A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this. delivery. USPS®-postmarked Certified Mail receipt to the u A record Af delivery(including the recipient's retail associate. signature)that is retained by the Postal Service"' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is not available for requires the signee to be at least 21 years of age International mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent. with Certified Mail service.However,the purchase (not available at retain. " of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barooded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Refum Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. BPS Form 38O0,April 2015(Reverse)PSN 7530-02-000.9047 cc 0 N OFFICIAL USE m Certified Mail Fee y t m $ ✓C J Extra ServiceS$Fees(check box,add asap prism) - ❑Return Receipt(hardoop» $ ` Q [IReturnReceipt(electronic) $ a*'�^�e1 O ❑Certified Mail Restricted Delivery $ C3 ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ ru $stage Q AQI 6—Nil(' co rZI Total Postage and Fees u1 Sent To ,N q ---------------- ----- O Street andApt.No.,o�PC7Box No. Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-pos marked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service' Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agenL Important Reminders. Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retaiq. or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavallable for requires the signee to be at least 21 years of age international mail. and provides delivery to the'addressee specified ■Insurance coverage is notavailabie for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retaiq. of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark If you would like a postmark on ■For an additional fee,grid with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Oftiee"'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 N M Certified Mail Fee a $ 3. el"n') Extra Services&Fees(cneckbow add as12 -1 ❑Return Receipt(hardoopy)rq $1q ❑Retum Receipt(electronic) $r3 ❑Certified Mail Restricted Delivery $0 ❑Adult Signature Required $❑Adult Signature Restricted Delivery$C3 PostageruLn Total Postage and Fees $ - 1, ul Sent To r-q �L- o � d M 9-- - � StreetandA t No.,or $oxNo. ------------------------------------- ' --------------•- Ciry,State,Z/P+4e �,`r Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail.label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery pncluding the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). _ or Priority Mail®service. Adult signature restricted delivery service;which ■Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mall. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purohme by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is Insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on. ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail Item at a Post Office'for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.: electronic version.For hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Ps Form 3800,Apra 2015(Reverse)PSN 763o-02-0ooa047 i ® Complete items 1,2,and 3. a Sign a re N Print your name and address on the reverse X Agent 0 Addressee so that we can return the card to you. 0 Attach this card to the back of the mailpiece, B• Re ved by(Prl t Name) �C..D" of Delivery or on the front if space permits. •- / 1. Article Addressed to: D46 .ls•delive'ry address differe nt from•item V/13 ��t��/ r��,a n �If YES,enter deliv��d/ below: p-Now P 0. tile),pox 7 . /�ac-I - II I"III I'll III 1111 l l Il II I III'I II IIIIII I I III 3. Service Type ❑priority MallMall- ❑Adult Signature ❑Registered McIITM ❑Adult Signature Restricted Delivery ❑Reeggistered Mail Restricted Certified Mail® Deltva y 9590 9402 2740 6351 2656 89 rCertified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service Well _ _ ❑Collect on Delivery Restricted Delivery ❑Signature ConfrrmationTm ❑Signature Confirmation 7 015 1'5.2 0 0�0 01` 13 3 2 0 2 0 7 'r' testricted Delivery Restricted Delivery . PS Form 3811,July 2015 PSN 7530-02-000-9053 pornes$ic;Fteturn Receipt Ct 2-2-4 .� A USPS TRACKING# =�.. First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 940 —Ad- 6351 2656 89 United States •Sender:Please print your name,address,and ZIP+4®in this boxy Postal Service I � I I Down Cape Engineering, Inc. 939 Rte 6A- Suite C Yarmouth-Port MA 02675 I I I I I I I i I I Town of Barnstable Geographic Information System May 15,2017 136028�14 �GF 13601.8 136029 #26 <Ijr #43 #52 ] / 136 4 v #44 0 136005 v 136004 136002 �1� #44 136003 U q13#29 _J „36054002:::r•.... 3 1 6031 �•.13 01 28 'A :'{i#91'::�::.`•is':- IJOLWAYOR i r �i r'i.• #12 - 136039 #31 1360440 .136020' #17.':.'•::': Irt 05 136 5 #9 136055001 136066004 #�r 136044 6043 136042:: ..:...:....•'.;:•.. 13 #48 #32 5-3 #124 136022 136055002 #141 #38 O 136055003 O O G V 1 i ee} 136023 # H/LL/Ajw S HAYWAY 1 #157 136050 1 �9 136048 136047 — #148 #23 039 i#55 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:136 Parcel:020 Board of Health Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Abutter List Type-Direct abutters(no set distance)and the properties located 1"=100'may not meet established map accuracy standards. The parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property across the street. Abutters . boundaries and do not represent accurate relationships to physical features on the map ;s• such as building locations. Buffer el AbutterReport Page 1 of 1 t r,. a. Board of Health Abutter List for Map & Parcel(s): '136020" Direct abutters(no set distance) and the properties located across the street. Total Count: 6 Close Map&Parcel Owners Owner2 Addressi Address 2 Mailing Country Deed CityStateZi p TYNI,DONALD E& TYNI FAMILY REALTY WEST 136019 KATHLEEN J TRS TRUST 91 POINT HILL ROAD BARNSTABLE,MA 28777/310 02668 136020 KIRYELEIZA, 9606 SAVANNAH VIENNA,VA 22182 29354/231 ANNAMARIA CROSSING CT 136021 PACI,MARK 1548 N HOYNE CHICAGO,IL 28952/292 AVENUE 60622 136041 BURCHILL,ANN R TR C/O ERIC STRAND AMERICAN RESEARCH PO BOX 576-145 MARION,MA 19141/106 &MGT CO FRONT STREET" 02738-0576 136042 BURGOYNE,JOHN TR FIRST POINT HILL 4165 PLAZA DRIVE ALPHARETTA,GA 21128/267 REALTY TRUST 30004 WEST 136054001 BESS,JOEL F 12 BRIAR LN BARNSTABLE,MA 10811/220 02668 This list by itself does NOT constitute a certified list of.abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 5/15/2017. http://maps.townofbamstable.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 5/15/2017 i tel. (508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surveys Arne H.Ojala,P.E.;P.L.S. Daniel E.Gonsalves,E.I.T.,S.E. structural design June 2, 2017 Craig J.Ferrari,E.I.T.,S.E. site planning Dear Abutter: sewage system designs A public hearing has been scheduled for the Barnstable Board of Health to take action on a request for a variance from the Town of Barnstable Board of Health Regulations for the construction of a subsurface septic system and private potable well (associated with a inspections proposed 3 bedroom dwelling) at 109 Point Hill Road,West Barnstable. The variance requested is as follows: permits Under Town of Barnstable Article II, Section 367-2:To allow the installation of a private water supply and a private sewage disposal system on a lot containing an area of less than 40,000 s.f. of buildable land. Said hearing will be held in the Hearing Room 300,South Street, Hyannis,June 27, 2017 at 3:00 pm. Plans and the application describing the proposed activity are on file at the Board of Health office, 200 Main Street, Hyannis. It is recommended to check with the Health Department to confirm date and time if you are interested in attending. Sincerely, � c�) _ Daniel A. Ojala, PE, PLS Down Cape Engineering, Inc. cc: Abutters file Barnstable Board of Health We, Daniel C. Kiryelejza and Annamaria Kiryelejza of Vienna;Virginia,the owners of 109 Point Hill Road. West Barnstable MA hereby authorize James E. Azzinaro.Jr.and Ann R. Azzinaro of Scottsdale.Arizona through and by their representative.Daniel A. Ojala,P.E.of Down Dape Engineering Inc.to seek a Variance for an Onsite Well and Septic System from the Barnstable Board of Health. We authorize the filing for such Variance pursuant to a certain purchase and sales agreement executed by the parties wherein James E.Azzinaro,Jr.and Ann R.Azzinaro are purchasing the Premises. Executed this day of June..2017 Daniel C1Kiryelej r � _ Annamaria Ki elejza by her a ofney in Daniel C.Kiryelejza let,(508)3624541 939 main street rt 6a fax(508)362-8880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers land surveyors Daniel A.Ojala,RE.,P,LS. surveys Ame H.Dials,PE,,F.L.S_ Daniel E.Gonsalves,E,I,T.,S.E. structural design CraigJ.Ferrad,E.I.T.,S,E. May 15, 2017 silo planning sewage system Re: 109 Point Hill Road, Barnstable designs Inspections To the Barnstable Board of Health permits I hereby give my permission for Down Cape Engineering to represent me at upcoming Board of Health public hearing. E Az,zwGra d! ' �2dl wn r/Legal Re ent 'ive Date CNN 2 XM Ut,r d Bk 30626 p025 03507,6 07--13--2017 a 017500 500 DEED RESTRICTION WHEREAS, James E.Azzinaro, Jr. and Ann R. Azzinaro of 40082 N. 111th Place, Scottsdale, Arizona are the Owners of a parcel of vacant land commonly known and numbered 109 Point Hill Road, West Barnstable, Barnstable County, Massachusetts and being shown as Lot 5 on a plan entitled "Subdivision Plan of Land in West Barnstable, Mass. and East Sandwich, Mass., designated for Point Hill Realty Trust, Petitioner", dated July 1971, by Crowell and Taylor Corp., which plan is duly recorded in the Barnstable Registry of Deeds in Plan Book 249 Page 107 ("Subdivision Plan"). WHEREAS, James E.Azzinaro, Jr. and Ann R. Azzinaro as the Owners of said Lot 5 (the "Lot») have 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 disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V Minimum Requirement for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CM 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the Lot be put on record with the Barnstable County Registry of Deeds by recording this document. NOW, THEREFORE, James E. Azzinaro, Jr. and Ann R. Azzinaro do hereby place the following restriction on the above-referenced Lot in accordance with their agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: the Lot known and numbered 109 Point Hill Road, West Barnstable may have constructed upon it a house containing no more than three (3) bedrooms. James E.Azzinaro, Jr. and Ann R. Azzinaro agree that this shall be a permanent deed restriction affecting Lot 5 as shown on the Subdivision Plan recorded with said Deeds in Plan Book 249 Page 107. Bk 30626 Pg26 #35076 For title of James E. Azzinaro, Jr. and Ann R. Azzinaro, dated June 5, 2017 and recorded with the Barnstable Registry of Deeds in Book 30589 Page 274. Executed as a sealed instrument this -G day of July 2017. Ja es E. Azzin Jr. Ann R.Azzinaro COMMONWEALTH OF MASSACHUSETTS i Barnstable County On this-Alf" -day of July 2017, before me, the undersigned notary public personally appeared James E. Azzinaro, Jr. and Ann R. Azzinaro, proved to me throug satisfactory evidence of identification, which was -P-tq 4) to be the persons who names are signed on the proceding o ttached document, and acknowledged4expires- '.-1Ls their free act and deed, before me, for its stated purpose. `s. mid ryga� NOT PUBLIC No ary Public is , �i My commission � �.,. N�C'ommission Expires pan.28,2a22 BARNSTABLE REGISTRY OF DEEDS Jahn F.-Meade, Register Town of Barnstable P# Department of Regulatory Services Public Health Division Date �AA 26.19�,,�►`, 200 Main Street,Hyannis Ma 02601 Date Scheduled 5/6 Time Fee Pd. �wr/ Soil Suitabilit�Assessment for Se >e Disposal Performed By:f,�—,>2V/ Ul/f) Witnessed By: LOCATION & GENERAL INFORMATION Location Address: 109 Point Hill Road Owner's Name: Kiryelejza,Daniel 6 Address: 14 Cannon Forge Drive / Foxboro,MA 02035 Assessor's Map/Parcel: L3(. 0 Engineer's Name: David C.Thulin NEW CONSTRUCTION El REPAIR Q Telephone# 508-888-2345 Land Use Slopes(%) Surface Stones Distances from: Open Water Body_ >200 ft- Possible Wet Arca__>200_ft Drinking Water Well >150 ft Drainage Way_ . NA ft Property Line.^—. .10+ft Other.. ft- SKETC II:(Street name,"dimensions of lot,exact locations of test holes&perc tests,locale wetlands in proximity to holes) m 34 N N 2d — �, V t ® ql 1�k 141 L - Parent material(geologic)_Coarse Stratified Depth to Bedrock'_LNK Depth to Ground water:Standing Water in Hole: __._. Weeping from Pit Lace ALA Estimated Seasonal High Groundwater -Pi �._� DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used:!QA QA-__—__ l ' A Depth Observed standing in obs.hole: �Q __in. Depth to soil mottles: N A _ in. Depth to weeping from side of obs.hole: N/-\ in. Groundwater Adjustment N,ft. Index Well# Reading Date: Index Well level _Adj.factor Adj.Groundwater Level PERCOLATION TEST Date_ Time A1.'Ab Observation Hole# 2-. Time at 9" I� �� __.L$ 40 �I " ►l a , Depth of Pere _ Time at 6" � U• �� .,_�7 �0� Start Pre-soak Time n �0 V%�d HIS �T Time at(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assesment: Site Passcd_ l __ Site Failed:___ Additional Tesl,ing needed(YIN)_____ Original: Public Health Division Observation Hole Data To Be Completed or,Back_________-_. *`* If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to the beginning. TOWN OF BARNSTABLE 13 ' LOCATION In 1-tiZT SEWAGE # VILLAGE W • (I A M J 8T IA tst C ASSESSOR'S MAP & LOT Z (ep, INSTALLER'S NAME&PHONE NO. 10 2PtJ�ANV'A, S61>1 a C. Z.WSPC styrz , SEPTIC TANK CAPACITY ICTa'0 el fortl a w S LEACHING FACILITY: (type) 2 - l?�y S (size) 6 (X G , NO. OF BEDROOMS BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leac4ing facility) Feet Furnished by -Ae," . �_� ��► fil 71 9; £ m r f 'Z DEEP OBSERVATION HOLE LOG Mole# L Depth from Soil Horizon Soil Texture Soil Color Soil Other _ Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) -►�„ _ Loawt 76YP-4A forte yr lols— voo Q�,, " -59 -96 G ---- G Sam _i.7 _ /Co �t�la,lc--��rG+✓c��1 1 �0_—�wic� -- - - — — — QV IJr1 O i DEEP OBSERVATION HOI..E LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) ,S ! �.�t2y�e 'r7rl.ab)� -y r 12 - 7.5(?-6O- fjb—��4 a Loos DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency,%Gravel) 175 ��( I lVice Ong �vr _(e V�o Uv,_- --� �- - - /! 1. r��I �� f 1 -12 - 2- - LtYl e I�w(J �(� � v_`�j S1 �4_ o my vv -L ooSe� f o D,.r.l crBSEIZVA�ION 11.vLE LOG x;Eoaem Depth from Soil Horizon Soil Texture Soil Color Soil ) Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) ✓N Dt" - Yla CIV ��-iDL !- C— L7/,s -- i9 -- -- -124 10 `��6; Now[. Lbw, lr- L�vst —l 72 G ; ul �S'�w Flood Insurance Rate Man: Pr» Above 500 year flood boundary No❑ Yes Sit 12 6M Within 500 year boundry No❑ Yes ❑ 1 2tt 20 Yet 3 Gs 1!:�T Within 100 year flood boundar NOD Yes ❑ r t ��4,1 405 Depth Uf NMurgj;y Occurring Pea-yiouJ �iiilel'1i11 q7 r, gTr Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? �� If not,what is the depth of naturally occurring pervious material?_ _ i Certification I certify that on NOV, 1993 (date)I have passed the soil evaluai.or examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experie described in 1 CMR 15.017. 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". _ 1 llw- �. r _ ( 4 } r � a u F qk r :4 r— ` T , 1 i ...a.... ........-.......-._...e e........."._..✓.—�.....�!_..�• ,evv. ......i.._4.a..+_....er:....._...r..._taaa..'+n':ss�.�r�t._. _.. �- _____ _ - �„ .:wren... .._.-.............. _.,....n:..�.a,..-:_.. .-... .........- ...-. ¢e:.'a ^' _ � r .t ♦� i -m - - - - - - , I. f� 3 - Tl— L r ' ; s it — , Rt LV lip s , 1� _ , y - - , yp�, 111 , .y , 1 1 t ' • R¢a' Li i t. a a • i r _ • I • — I �r i .._ - .. LEGEND SYSTEM PROFILE MALL MARKED WITHCOMPONENS SHALL MAGNETICTTAPE OR BE NOTES �/ COMPARABLE MEANS FOR FUTURE LOCATION. 1. DATUM IS NAVD 88 Cape C Q d 99- EXISTING CONTOUR SYSTEM STEM DESIGN. PROVIDE MIN. 20" DIAM. WATERTIGHT (FOOT To SCALE) ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE 2" PEASTONE OR GEOTEXTILE X 99.1 EXIST. SPOT ELEV. GARBAGE DISPOSER IS NOT ALLOWED TOP FOUND. EL. 44.8' FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS NOT AVAILABLE Bay 2% SLOPE REQUIRED OVER SYSTEM 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. -[99]- PROPOSED CONTOUR 43.0 MINIMUM .75' OF COVER OVER PRECAST 43,0 C PROPOSED 3 BEDROOM DWELLING 198.4 ..` NOTE: 2" MIN. WALL J PROPOSED SPOT EL. DESIGN FLOW: 3 BEDROOMS CAD 110 GPD 330 GPD PRECAST H-20 THICKNESS REQUIRED BLOCKS OR 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS £ast RISERS (TYP.) TO BE AASHO H-2& TH1 . .. 2'0 4"OSCH40 PVC MORTAR ALL PRECAST RISERS a USE A 330 GPD DESIGN FLOW PIPES LEVEL 1ST 2' COMPONENTS H-10 i� a TEST HOLE *' s" MIN. SUMP 4' 5. PIPE JOINTS TO BE MADE WATERTIGHT. a 12" MIN. INT. DIM. ENDS (TYP.) INV'S L. 39.17' 4' o �41 10" 14» 'a"o .�_.; 51DES 40.10' 6. CONSTRUCTION ,DETAILS TO BE IN ACCORDANCE WITH 2 SLOPE OF GROUND TEE TEE ° °0 310 CMR 15.000 TITLE 5. ��- SEPTIC TANK: 330 GPD (2) = 660 lsoo caL H-20 40.25 SEPTIC TANK 40.0 ° ° o ° ®®®B ® m® REIE 0 _=mlm °oogoo°° t ) oc 4' LIQ. LEVEL o°00000°o°oo WATERTESI D'BOX O >°o°°°°°° C� C� 00000coo UTILITY POLE USE A 1500 GAL. SEPTIC TANK GAS eaFFLE ° ° ° ° ®�®®p�p�p � ®��® LJ®p�� o 0 " 0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO 0 0 0 0 0 0, ° ° ° o ACME OR EQUAL ^°^° FOR LEVELNESS N 000000go ®®®M®®®®®M® °oga BE USED FOR LOT LINE STAKING OR ANY OTHER ° °°°°° 0000000 PURPOSE. µ F o 0 FIRE HYDRANT .`'' 39.8' 39.63' ° ° ;.. ° ° ° ° ° ° ° ° 37;.17" oY LEACHING: .. ° NOiE NOT ALL SYw60LS LAY APPEAR N DRANANG :•••'i•' oo0 0�0 0 oro•o o:o 0 0 0 o•oio�o o~o 0 0 o°c HQ)� SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD ° o 0 0 ° o o 0 0 0 0 ° o 0 0 0 0 0 0 0 0 0 8. PIPE'FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. P o °O°o°,°o�°oor°o,°,o°,o�o°000000000i°o�o,°o°o�o°,_o,�0o0oo9 H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. 2 UNITS REQUIRED BOTTOM 2 x 1 8 ( )BO 5 2. 3 .74 237 -GPD- ( ) � ALL AROUND PRECAST STRUCTURES 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED Locus 6 CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' WITHOUT INSPECTION BY BOARD OF HEALTH AND �� TOTAL: 472 S.F. 349 GPD COMPACTION. (15.221 [2]) � PERMISSION OBTAINED FROM BOARD OF HEALTH. F *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING BUILDING SEWER OUTLETS AND USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) DIGSAFE (1-888-344-7233) AND VERIFYING THE WITH 4' STONE ALL AROUND LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. ELEVATIONS PRIOR TO INSTALLING ANY 5 x SLOPE 5 SLOPE 4.6 21.7' BOTTOM TH-4 LOCUS �� PORTION OF SEPTIC SYSTEM t ) ( ) ( SLOPE) NO GROUNDWATER FOUND SCALE 1"=2000'f 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED BENEATH AND 5' AROUND THE PROPOSED ASSESSORS MAP `136 PARCEL 20 FOUNDATION 25 SEPTIC TANK 4� D' BOX 12' FACILITY LEACHING FACILITY. ,` MA APPROVED DATE BOARD OF HEALTH 12. POOL FENCE SHALL HAVE SELF-CLOSING SELF-LATCHING GATES, SIZE AND MATERIALS TO MEET LOCAL AND STATE BUILDING CODE, ALL DWELLING DOORS OPENING TO POOL SHALL BE ALARMED TO CODE. 13. GUTTERS AND DOWNSPOUTS TO BE DIRECTED TO DRYWELLS SET IN CLEAN SAND ONLY. 6' \ 14. BUILDING PERMIT OR COC WILL NOT ISSUE WITHOUT ZONING SUMMARY A CERTIFICATE OF,APPROVAL FOR THE WELL \ / ZONING DISTRICT: RF DISTRICT AB ING \ ELLING 5' REMOVAL OF UNSUITA SOIL REQUIRED \�S 12 MIN. LOT SIZE 87,120 S.F. AR UND PERIMETER OF ACHING FACILITY, °' / # MIN. LOT FRONTAGE 150' O WEL DO TO SUITABLE S01 LAYER. REPLACE. MIN.. FRONT SETBACK 30' WITH LEAN MED. SA TO MEET \ <<S/ ' Q SPECI ATIONS OF 3 CMR 15.255(3) ��` MIN. SIDE SETBACK 15 Q ey MIN. REAR SETBACK 15' N -f- O d- MAX. BUILDING HEIGHT 30 <<\ SITE IS LOCATED WITHIN THE RE SOURCE 3 F �o 0 PROTECTION OVERLAY DISTRI CT � tiS . `'•S �� / g � TEST HOLE LOGS 9s328, �� RFS e Iry FR / tiS �8� MAP '136 PCL 54-1 PROTECTION SITE IS AOVERTED L/AY IDISTRICTN THE QUIFER ENGINEER: DAVID THULIN CO 48 4] C 2 y PROPOSED WITNESS: DONALD DESMARAIS �'� �Y RETAINING w LL / DESIGNED 8 ° DATE. 5/20/2011 l3 OTHERS e PERC. RATE < 5 MIN/INCH 1 O I \ l�o 13281 ` / DW I I \ ' VARIANCE REQUESTED UNDER TOWN OF BARNSTABLE CLASS SOILS P# #24 / \ 1`` / / O I \ ART. II SECTION 397-2: TO ALLOW THE 1 '� INSTALLATION OF 'A PRIVATE WATER 'SUPPLY AND PRIVATE 136 PCL 55-1 "� SEWAGE r - - ^� ra O ^a1 0� SEr�AGE DISPOSAL SYSTEM ON A LO I CONTAINING AN AREA ELEV. ELEV. •o �, ti a�' l DW I 4 4 �� / w '� - `� '�•'�� TH2 LESS THAN 40,000 SF OF BUILDABLE LAND p" „36 0 36 ��, , / tv J i 3 R LOAM LOAM / / 3� PROP. >z 7.5YR 4/1 7.5YR 4/1 6,, } Pool Ar so wF\ H 1 \ F<<Fr 18" 12" I PROP ED l4? LEAN-TO Ci SErBq I� S 9 c IS g g GAR E _ I- \ SL SL + I S = 43. ' PROPOSED A)' BARN 0 r 5 7.5YR 5/6 31.2' „ 7.5YR 5/6 31 .T I / / DECKSLAB EL. 38 I 8 52 _ D -® / PROP. PROPO ED / t� PAVILLI N PAVED /C 1 /C 1 EXIST S �° DRIV AY 38 F CS � WELL 2 A `, a� !/O PROPOSED 42� „ 7.5YR 6/6 7:5YR 6/6 �o 98 27.8 80 29.3' '� S2 ELLING ........ - TO = 44.8' / LOT 5 P ERC u7 C 2 C 2 PROPOSE > j 35,006t S.F. RETAINING .................................. FS FS DESIGNED .BY / _...• / •w > OTHERS 1OYR 6/4 1OYR 6/4 / o Q� :•'"�.... / .... . .....::: 150" 23.5' 164" 22.3 .:::::::::.:.::::::::::::: ...' 1 F o ................................ NO GROUNDWATER ENCOUNTERED � � F TITLE 5 SITE PLAN ELEV. ELEV: UNSUITABLE �, � 36' " � 36' SOIL O � �� F \... .. ZONING SETBACKS 0 0 ,� '5� 0 F A A / OAM LOAM S �� w y F ., #109 POINT„ HILL ROAD 12 7.5YR 4/1 2 2 7.5YR 8 / B B MAP 136 PCB WEST BARNSTABLE, MA p, /S L , \ �SL 40 7.5YR 5/6 32.7 / �ti �f'"', ` 38" 7.5YR 5/6 32.8' C 'S�` " PREPARED FOR 1 rt �^ ABUTTING BLDG. �`V .A.. a F MS C1 �, % #127 NIEL �9g BOB & MARY EY / 66" 7.5YR 6/6 30.5 - - DA z F/M S o�' PROP. OJALA DANIELA C` o A. 60" 7.5YR 6/6 31 ' PERC C2 WELL B NCHMARK:, ,, CIVIL No. 40980� DATE: NOVEMBER 29, 2021 FS -®- M G NAIL No. 46502 �' P _ � o C2 101 1OYR 6/4 27.6' - �s O/STE ��` �11 oSURVE .. - / EXIST 2.0 NAVID88 F Scale: 1 - 20 sTER � . N .10� a MS C3 WELL a : . .; 90" 7_5YR 6/6 28.5' LS / / ! 1,F of�"5sq a �Nof AssgtiIF 0 10 20 30 40 50 FEET 124" 10YR 6/1 25.7' „ /� �y ,v ,s DAN L C3 e.."•�- Dri J,EL Y1, �()`'*r^ �v5 (77 FS C4 Qi4L1 �1 � O'JAL] C vl:_ y' No.410330 off 508-362-4541 MS .� tu'o u6�02 �' \ c \o fox 508-362-9880 F, �° <, � °'F�s �c ,s,E,;� .� q` o downcape.com 122 25.8' 172" 10YR 6/6 21.7 v 2s'! A down cope: e�gi�ee�in�, Inc. NAL NO GROUNDWATER ENCOUNTERED /civil crud SuweeorS y 939 Main Street ( Rte 6A) DICE - 74 DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 21 0 17-115 1 � 2Z- ALL S SHALL LEGEND SYSTEM PROFILE MARKED WITHCMAGNETICTTAPE OR BE NOTES SYSTEM DESIGN: CC I AV.' COMPARABLE MEANS FOR FUTURE LOCATION. C a e C o d ' PROVIDE MIN. 20" DIAM. WATERTIGH1f (NOT To SCALE) 1. DATUM IS AV P 99 - EXISTING CONTOUR ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVERS TO WITHIN 3" GRADE 2" PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS NOT AVAILABLE Bay X 99•1 EXIST. SPOT ELEV. GARBAGE DISPOSER IS NOT ALLOWED \ TOP FOUND. EL. 49.0 FILTER FABRIC OVER STONE 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. -[99]- PROPOSED CONTOUR PROPOSED 3 BEDROOM DWELLING 42 0 MINIMUM .75' OF COVER OVER PRECAST ; 2% SLOPE REQUIRED OVER SYSTEM 39'-37' Cow/ r [98.41 NOTE: 2" MIN. WALL 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS Eost ] PROPOSED SPOT EL. PRECAST H-20 BLOCKS OR DESIGN FLOW: 3 BEDROOMS 110 GPD = 330 GPD THICKNESS REQUIRED TO BE AASHO H-ZQ a _ RISERS (TYP.) � I TH1 PRECAST RISERS USE A 330 GPD DESIGN FLOW r� 4"�scH10 PVC MORTAR ALL a 6" MIN. SUMP PIPES LEVEL` 1ST 2' 4' COMPONENTS H-10 5. PIPE JOINTS TO BE MADE WATERTIGHT. Qoo o� �� f TEST HOLE 12' MIN. INT. DIM. �ENDS (TYP.) INV'S EL. 35.2 4'- TEST Y SI ES CC D 0 << *40.0 P=°,°°,°°�°°�o ``°°°°°°°° 310 CMR 15 000 E vo hoc c�z 2� SLOPE of GROUND SEPTIC TANK: 330 GPD (2) = 660 a. : TEE 1500 GAL H-20 T E ° ° ° ° ° ° ° ° ° CONSTRUCTION DETAILS T o p 3f6. 6 CONSTRUG BE IN ACCORDANCE WITH 39.35 39.101 o 0 0 �� 0 ��0 �mri0 0 __==n '50'..000 { SEPTIC TANK °o°°°°°° OO�D��D�DD�OO �DODOO�OOO�m0 >°21L ° ° ° �Q, UTILITY POLE USE A 1500 GAL. SEPTIC TANK ° ° ° ° ° ° ° ° °4' LIQ. LEVEL o0o° ° ° °o° WATERTEST D'BOX o >°°°°°°°° o 0 00 0 0 0 S o 000aoo0 0 0 ; 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TOGAS BAFFLE ,°o°o°0°0°04• ° ° ° ° ��0�� 0��0 ACME OR EQUAL �� FOR LEVELNESS N °g ®®®®0®�®�� O��O�O�0��0� BE USED FOR LOT LINE STAKING OR ANY OTHERµo/ o FIRE HYDRANT LEACHING: 35.47' 35.30' °°°°°°°° 33 PURPOSE. ��t H°YµOy NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRA`NING = 1 GPD ,.... .. .: SIDES: 2 (25 + 12.83) 2 (.74) 1 2 .0'°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. / P °0000000°,o,°,o,°,o°o°,o�0000000�o°o°o�o°o°o°,00000° H-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN. (2) UNITS REQUIRED 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED Locus BOTTOM 25 X 12.83 (.74) = 237 GPD ALL;AROUND PRECAST STRUCTURES WITHOUT INSPECTION BY BOARD OF HEALTH AND 6" CRUSHED STONE OR MECHANICAL ALL DIMENSIONS TO OUTSIDE OF STONE: 25.00' X 12.83' PERMISSION OBTAINED FROM BOARD OF HEALTH. F TOTAL: 472 S.F. 349 GPD COMPACTION. ('15.221 [2]) �? *THE INSTALLER SHALL VERIFY THE 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCATIONS OF ALL UTILITIES AND ALL USE (2) 500 GAL: LEACHING CHAMBERS (ACME OR EQUAL) DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCUS MAP BUILDING SEWER OUTLETS AND WITH 4' STONE ALL AROUND LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES ELEVATIONS PRIOR TO INSTALLING ANY PRIOR TO COMMENCEMENT OF WORK. PORTION OF SEPTIC SYSTEM ( 2'S% SLOPE) ( 5 % SLOPE) ( 1 % SLOPE) NO GROUNDWATER DWAT R FOUND SCALE 1"=2000'f 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED BENEATH AND 5' AROUND THE PROPOSED LEACHING LEACHING FACILITY. ASSESSORS MAP 136 PARCEL 20 FOUNDATION- 11' SEPTIC TANK 77' D' BOX 12' FACILITY MA APPROVED DATE -BOARD OF HEALTH --- _ - _ -- _ 12. POOL FENCE SHALL HAVE SELF-CLOSING _ -- SELF-LATCHING GATES, SIZE AND MATERIALS TO MEET - LOCAL AND STATE BUILDING CODE, ALL DWELLING DOORS OPENING TO POOL SHALL BE ALARMED TO \ \ CODE. \ \ 13. GUTTERS AND DOWNSPOUTS TO BE DIRECTED TO DRYWELLS OR ROOF DRIP LINES TO STONE TRENCHES \ 14. BUILDING PERMIT OR COC WILL NOT ISSUE WITHOUT ZONING SUMMARY �s A CERTIFICATE OF APPROVAL FOR THE WELL °" ZONING DISTRICT: RF DISTRICT MIN. LOT SIZE - 87,120 S.F. - ��e MIN. LOT FRONTAGE 150' - MIN. FRONT SETBACK 30 s° \ MIN. SIDE SETBACK 15' �,� MIN. REAR SETBACK 15' 32so,s�Tw MAX. BUILDING HEIGHT 30' c'\ SITE IS LOCATED WITHIN THE RESOURCE 5' REMO' L OF UNSUIT BLE SOIL QUIRED / 46 AROUND P I,METER OF LEACHING F CILITY, PROTECTION OVERLAY DISTRICT DOWN TO SUI B' OIL LAYER. REP CE TEST HOLE DOGS �`�� `� // SPECIFICATONS OFWITH CLEAN ME . S3N0'CMR TO MEE 55(3) SITE IS LOCATED WITHIN THE AQUIFER PROTECTION OVERLAY DISTRICT 0 ENGINEER: DAVID THULIN �8 w \ ��g / ^� 78) / WITNESS: DONALD DESMARAIS O DATE: 5/20/201 1 X� \ .0 PERC. RATE _ < 5 MIN/INCH X \ k / N VARIANCE REQUESTED UNDER TOWN OF BARNSTABLE CLASS I SOILS P# 13281 NRAGE OPOSEDART. II SECTION 397-2: TO ALLOW THE \ TH2 INSTALLATION OF A PRIVATE WATER SUPPLY AND PRIVATE k PROP SLAB = 43.0'� I SEWAGE DISPOSAL SYSTEM ON A LOT CONTAINING AN AREA 1 / _ TH3 LESS THAN 40,000 SF OF BUILDABLE LAND 1 ELEV. ELEV. POOL / - 0 36 0 36 x <v OPEN /�� H1 \ k0 A A / �� WALK I o \ \ LOAM LOAM WELLS IS LOT >150' / co // I FROM PROP. EPTIC k PROP. m \ LJ 7.5YR 4/1 7.5YR 4/1 SYSTEM \ / DRIV \ I 18 12 \X / 142 � I m sL sL C LOT 5 \ \ \ 35,006f S.F. 1 58" 7.5YR 5/6 31 .2 S2" 7.5YR 5/6 31 .7' EXIST WELL#2 \ C1 C1 � �� PROPOSED F/CS F/MS DWELLING fO \ TOF = 49.0' 7.5YR 6/6 7.5YR 6/6 98" 27.8' 80" 29.3 w \ PERCCO ! C2 C2 FS FS 10YR 6/4 10YR 6/4 : �.a 150" 23.5' 164" 22.3' NO GROUNDWATER ENCOUNTEREDTITLE 5 SITE PLAN 2 / a r'• BENCHI`�ARK: \ MAG NAIL \ \ ELEV. ELEV. / = 32.0 NAVD88 y OF 0» `V 36' o" 36' A A � #10t9NHILL LOAM LOAM I 7.5YR 4 1 12 7.5YR 4/1 T 8 / B \I Lt) Rk I ` mw"A B L E M A B S L SL 40" 7.5YR 5/6 32.7' I I� I PREPARED FOR C1 I / 38" 7.5YR 5/6 32.8' I PROP. F/M S I I I WELL I \ M/M JAMEE-3) AZZINARO C1 66" 7.5YR 6/6 30.5' F/Ms DATE: JUNE 5, 2017 C 2 EXIST 60" 7.5YR 6/6 31 PERC FS / / WELL r REVISED: JUNE 26, 2017 (SHOW 2ND WELL W'LY ABUTTER) C2 10YR 6/4 27.6' 1 I Scale: 1"= 20' 101 \ ' MS C3 / 0 10 20 30 40 50 FEET 90" 7.5YR 6/6 28.5' LS 124" 10YR 6/1 25.7' �N OF M C3SHOFA)AS off 508-362-4541 FS c , DANiEL y�� o Sq�y. fax 508-362-9880 C4 �\ A mt r � DANIELA. ��m I downcape.com 10YR 6/4 MS , 122" 25.8' 172" 10YR 6/6 21 .7' Imo, aJAtA �CIVIL I ,� No.4t)980 `�I `a� �k° No.4n;i02_ down cape engineering, Inc. FFs ?o��G civil engineers NO GROUNDWATER ENCOUNTERED °_SU_ %' S� land surveyors (�5 AL 939 Main Street ( R to 6A) DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 ICE # 17- 115 I 17-115