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HomeMy WebLinkAbout1025 SERVICE ROAD - Health 1025 Service Read W. Barnstable f A= 129 - 003 J 1 0 i 'o1c� � � ��-I � . 61P, rosk4,. wiry Fizo-)\j 6`7 - r )L3 0 w„ °�' � ey 3. PO le. AS t��• DININ4 LAUNDRY/ IL� S "' a . 4 � 'N"i a y 1 PT cASCD 00 OIW � o AMA ID1NINCr h o'a ODD.' • - s �.�� 1. /��b�. P .� ,►•.��5 U I I11.NI NJ C, D F.-'.M. A-1 AUG 28 2002 11 : 56AM YANKEE LAND SURVEYING 1 -508-420-5553 p. l Q���� ,�Z=TJON EIAN APPLICANT CAROLS LANE TQ W11r.• IYEST BARNSTABLE SERVICE ROAD Ne2-35'00"E 200.00 �6 200.D0, tiM a 2'35'00'.W PAIN S8 A, YEprrmew NO �8 FLOOD PAWZ- .250001 0015C FLOOD ZONE. C _— DATED 8119165 I hereby certify that this mortgage inspection plan was prepared far. Plan is For COUNTRYWIDE HOME LOANS Bank Use Only The location of the building shown does NOT fall within a special flood hazard zone PLAN REF = 197.107 The location of the dwelling does _— conform to the local zoning bye-lairs in effect Scale I" at the time of construction with respect to horizontal dimensional setback requirements ----- or is exempt from violation enforcement action under Mass General lens Ch. 40A -Sea 7 Da te. PLEASE ATOM The structures on this inspection were located by tape not instrument and are approximate only. An actual surr".r is necessary for a precaaa determination of the building location and encrraechmenta if any wort, either nay across property bnex This iaepeciian must not be used for recording purposes or for use in preparing dead descriptions and must ace be used for variance or bulidiag plan purposes 77ris in"ction must not be used to locate property lines Verification of building/ocatiom, property line dimensions, fences or lot coaflguration eau oa y he eccomp/isbed by en accurate instrument survey which may reaect different ! ormetion than whet /s Shona hereon Thin inspection is not to be used for any purposes other then mortgage. Yankee Survey accepts no respansibWey far damages resulting Rom said reliance. rTrTT1-. /^/ T T 7'1 T TT'-I T T / n a THY T T T /'7"I A T TlT�Y 0 BO.Y' -'fi . 40 LVDUSTRY 1LD, MARSTONS tiflLLS. lily+ cl,?6 3 CrHOI' E :UO'-423-U-05.5 .'LX5d Town of Barnstable Health Inspector �OF1HE rpm Office Hours yP ti 6 Regulatory Services 8:30—9:30 Thomas F. Geiler,Director 1:00—2:00 (� BARNSTABLE, 16; Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8.62-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT — SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: Address: 2, SO.-V V � /�Cd1 V y Ma Parcel� p�Parcel- Name: 1 Phone#: 7 7� —7 O 2a. How many bedrooms exist at your property now? 2b. Are you planning to add any bedrooms?_ If yes, how many? 2c. How many bedrooms.total are proposed at this property (including the amnesty unit)? y 2d. Please include a copy of the floor plans for the entire property - showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or __�N0 -- If the dwelling is connected to public sewer,skip questions#4 through#9 below. ; _ 4. Location of dwelling is INSID or OUTSIDE a Zone of Contribution to public supp`�,wells? 4 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER 6. Is a disposal works construction permit on file? YES or-a NO' 6a. If yes,how many bedrooms were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or NO 8. Is there an engineered septic system.plan on file at the Health Division? YES or NO 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO ------------------------------------------------------------------------------------------------------------=------ FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this property. Special Conditions: �L s - up--,ta Signe - Date: tk 7 4&Hi5- Q;/health/wpfiles/amnestyapp ,�T Town of Barnstable Health Inspector �oF1He tp� Office Hours y� tio� Regulatory Services 8:30—9:30 Thomas F.Geiler,Director 1:00—2:00 (snxxsrnst.E. 9� 63. r Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: Address: V � f�1 Vy Ma Parcel/aZ soy p � Name: i Phone #: ! / C —7 V 2a. How many bedrooms exist at your property now? 2b. Are you planning to add any bedrooms? 4 4 If yes, how many? \ 7 2c. How many bedrooms.total are proposed at this property (including the amnesty unit)? y 2d.Please include a copy of the floor plans for the entire property- showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or: NO If the dwelling is connected.to public sewer,skip questions#4 through#9 below. 4. Location of dwelling is �SID or OUTSIDE a Zone of Contribution to public supply wells? 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? 6. Is.a disposal works construction permit on file? ' YES or NO 6a. If yes,how many bedrooms were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES . or NO 8. Is there an engineered septic system.plan on file at the Health Division? YES or NO 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO ---------------------------------------------------------------------------------------------------7-------------- FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this property. C Special Conditions: S s .� (� fe� b �j� _ Signed: Date: Q;/health/wpfiles/amnestyapp (L'�! "' �J _ �.:(7 c v 401 G 13 CT Ct,ns�T — 44 O SO o � ,ate , .k [�;,a. �' ��. g�a,^'t"�.::� x�;,;�. _�:� g. ' l' �L.-o c/e Ll V�r✓C� A'�c:1�}- --- � 7/0�-� S—F Su V L/Ck k e AP LNA,4y `r l YLO L v�l .e Flynn,.Judith From: Taylor, Madeline Sent: Wednesday, October 04,2006 11:54 AM To: McKean, Thomas Cc: Flynn, Judith Subject: RE: Septic System Questionnaires Received/ Reviewed Tom - 9 Linden Street is on town sewer. It may be under 9A or 9B Linden St.Would you mind rechecking your files? 40 Maggie Lane has only four bedrroms total.What you thought were bedrooms in the lower level are actually Kim and Eric's desks in their office. 1025 Service Rd -There should be something on file stating that a 5 foot opening was put in one of the upstairs bedrooms. The owner was required to do this when she applied for a family apartment, reducing the total number of bedrooms to three-2 upstairs and one in the lower level apartment.The only rooms that are not labeled are the second upstairs bedroom and the room that was opened up to five feet. Thanks Madeline -----Original Message----- From: McKean,.Thomas. Sent: Thursday,.September 28,2006 10:02 AM To: Taylor,.Madeline Subject: Septic System,Questionnaires Received/Reviewed 9 Linden Street The Health Division files were searched and we cannot find any records of the septic system. Please ask the applicant to hire a DEP certified septic system inspector to conduct a full inspection of the septic system. 40 Maggie Lane The floor plans are difficult to read. The basement contains an "office"room and two bedrooms for"Eric"and "Kim"? Where are the walls and doors located? Is this a six bedroom plan? I count one in the apartment over the garage, two in the basement, and three in the main house= Six total. HISTORY-The Board of Health limited the property to four bedroom (per the variance decision letter dated May 30, 2002. Also a permit issued for no more than four bedrooms dated June 7,2002). We cannot approve the floor plan at this time. The floor plan appears to show a number of bedrooms which exceeds the permitted number of bedrooms allowed. 49 North Precinct Road, Centerville OK-Approved for three bedrooms per permit#91-61 issued in 1991. The submitted floor plan shows three bedrooms total. 1025 Service Road,West Barnstable 1)The floor plans are difficult to read. Lines are faded so walls are difficult to locate. Also not all of the rooms are labeled. Please revise the plans or re-submit new neatly drawn floor plans. 2)The system consists of two"old block cesspools" per the inspection report on file dated 8/16/02,four years ago. I suggest an up-to-date inspection should be conducted to determine whether whether or not the block cesspools are in good condition and are functioning properly . 1 o c� 1 PIN Lei ` OA v,-6 J.,,_% oR S2, j ,,. ... r G tee �,►�' >1 J's per Service WOWN OF BARNSTABLE r LOCATION SEWAGE # ✓ v +j��'�—�� VILLAGE ASSESSOR'S ASSESSOR'S MAP & LOT +��5��'cn►•cs � 248TAE44-R'S NAME&PHONE NO._�j1- �Z e J#/yCm 45 SEPTIC TANK CAPACITY '�/��� �/yS✓� Cit-� LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 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 led osfi , /�vS stLL n e go Xa4 ,, ' r�',�►` r�•d fly ply' , �!�Sgw�S vJ /�►• '� ca S+ostASe pw*�I*-*1 CAej 1-i rtig LPL,LITY L7cw�s A•r� �oZ I� ' Uw less ,vow /� PT dab SAS 1a F-N-l. PLAN,IISA 13�K vP ����� S� � Al en CA 1-i Rsv Ali k4 ROOM ro wv1J���m �: � y���wj� � �Y��W�r ��� _ _.�NNrOrWYUo•.Yq�yM,yl.��l ��Vu�Pwwrnnruiw� � MIUMNnd�.Y��U��• S o srw°Ke ° .......Y..u..e.uiro.ww,mucwmtltl6�S'�',�'•�•••Y...na....nrw�w.wW..r,.r.W..w.n.W....wWo..w•Y...iWa..YW.F •M••••••••w,r WWYwWMWYw1.WourY�ww.l� • r •YW M Y'W _ -'Y�-- ��,.�b�,/�•• ir.„l fir•�r���;, ,��'+'�"�`'e�~ .Y.,.W. � �1��e+�y ��.-'�� pi i .r NSi 11.11'F�0.1111.1'111,46 DEF31'' All TOWN OF BARNSTABLE LOCATION I0a5scru;cc PC/• SEWAGE# ipoo9 /R 3 VILL. GEwZ ASSESSOR'S MAP&PARCEL /.1 9 - 3 INSTALLERS NAME&PHONE NO. B,�B EX Ca Vo,�i o n So g- q? 7• DG SS SEPTIC TANK CAPACITY /Soo fl Zo LEACHING FACILITY.(type)Soo q gt 1 c k.,-►)S (-2) (size) 13 x,?S'x:)- NO.OF BEDROOMS 3 OWNER r t-ctnc PERMIT DATE: L/-a- 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 Frond Dwct I%'�9 /IL. ' 71 TO' Z 133 . 73------------- y �� y s /S3 l OaS YeMcp TOWN OF BARNSTABLE TLOCATION1 lie SEWAGE # VIL°'`AGE tAl—'ZOiPti ASSESSOR'S MAP & LOT �bER'S NAME&PHONE NO. Z WNCar SEPTIC TANK CAPACITY COOTc— C 1,;�,V—A, LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 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 'r s a-3 �No. � Fee I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for IgflO aY *p�tCTIC COttgtrUCtiori permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. (o25 , 5 of V(te P—O Owner's Name,Address,and Tel.No. W. ag1-n5+CLbk . Cctr-o(e-lane_ loz.-5 5cry tce Assessor's Map/Parcel M ClP (2 P R e G 3 W. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Zbc -r &1 t_Fny- Q-rB Eticcavat(on Dowa 6:1 e- -En 9�nee.rk ncl r Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building'—Re6 j A Pj) Q No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3� gpd Design flow provided gpd Plan Date 3 2$ I D7 Number of sheets Revision Date Title TI+It_ S,A-e —Pic,n Size of Septic Tank 15 60 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 32-Cl 16 Application Approved by Date —)L O Application Disapproved by: Date for the following reasons Permit No. �oa7 !�j Date Issued L4 — a- —O —————————————————————— — - „ _ r �� vp a+. �. -.k ^1.,..•! � �r ! a .y'7A' mtir ... R�� _ No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes R� 1 Zipplication"-for ;igp gar *p5temc Con� tructton Permit Application for a Permit to Construct( j� Repair J.Upgrade O Abandon( ) Complete System ❑Individual Components Location Address or Lot No. I b Z rj 5 e r\I I.t e IZQ Owner's Name,Address,and Tel.No. W. t3grns+ab. e, Cc,c-e'le I-ripple Assessor's Map/Parcel MCI Ci P 11.01 L .3 W . r i r r�{ CL l a i c ZInstaller's Name,Address,and Tel.No. Designer's Na e,Address and Tel.No. beZI 3ti3C�4( (iQCi0&n 'Dowt((ope �nq neer , nq I -Te.nbtar Ln-T-o(e,5I CIGIe 9 ce u rl cart Type of Building: Dwelling No.of Bedrooms .3 Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building7Re n, e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.'required) .3 30 gpd Design flow provided gpd Plan Date .3 ,1<8 167 Number of sheets Revision Date Title "{�1 � 1 e, 5 Gi 1 e j7I n rh Size of Septic Tank IS oo Type of S.A.S. r IDescription of Soil r , r Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: t The undersigned agrees to ensure the constructi and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ` Signed Date 3 17-9 Iv 1 i Application Approved by Date -a - 0, 4 Application Disapproved by: Date for the following reasons Permit No. t)�7 aJ Date Issued. L - a• -O7- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( /Upgraded ( ) 'n Abandoned( )by IB-t T� E 1(.0 Ci �o f i t G,(1_� N C at G Z�j Se f V i ( e -Rd \&1 16, 1) 1 le has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer t l F G�/ Designer -Jktil i ) Lip 4 n G n e f r tl #bedrooms ti � Approved.desi n flow gpd The issuance of this permit shall 'e donn�stru d as a guarantee that the system will f�f n as desig,ed. Date / { Inspector -- _i— f No. OC)7 (;.3 � . . Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS XJJ igogar *pgtem Congtruction hermit Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( ) System located at 1 0 Z1S 5t r w( F' -ZD t and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. 0-7Date —Ti•��-, �1 - " Approved by J FROM :down cape engineering inc FAX NO. :15083629880 Apr. 10 2007 01:15'PM F1 , e Town of Barnstable Regulatory Services Thomas F. Geiler, Director Public Health Division ids Thomas McKean, Director 200 Main Street,Hyannis, MA.02601 Office: 509-862-4644 Fax: 508-790-6304 %staIler S Designer Certification Form Date: l U Sew `age Permit# - 0 / .3 Assessor's MapT2Lreel Designer:' v Installer: J� �j� -��r 'r�•� D �(iJ4),vAddress: S • _ Address: I Vie"L"I" Z/9. On �- �� ;c; ;•� 'o•�a was issued a permit to install a (da ej (installer) septic system at /02� 0 based on a design drawn by (address) �7 dated (design l certify that the septic system referenced above was installed substantially according,to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan, revision or certified as-built by designer to follow. ARNE 1-4 OJALA ( iistaller's Signature) N0. 30792 J 0rF�(331S7f�F/N, Ss'ON.al F�a (Designer's Signature (Affix DesLg er s Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC 'HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILI., N01' BE ISSUED UNTIL BOTH TIJJ.S F0_101 AND AS-111311,T, CARD ARF RECEIVED BY THC BARNSTAIILE PLJBLIC. HEALTH DIVISION. THANK YOU. Q;Hex14JSep*ic�� iFticr rif n 3•'G-(!4.doe. "`�,. down cape engineering, inc. SIEVE SOILS ANALYSIS 07-019 B&B.xls DATE OF REPORT: 3/27/07 .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST FOR B&B/LANE SITE: #1025 SERVICE ROAD, WEST BARNSTABLE, MA LOCATION: TH1 SAMPLE DEPTH 12.0' SAMPLE TAKEN 3/27/07 SIEVE ANALYSIS Weight Sample(Grams): 464.2 FIZRETAINED WT. RET. % RETAINED; % PASSED w-t on ind.sieve) (sum) 0.0 0.0% 100.0% 0.0 0.0%; 100.0% --------------------------------- ---------------------------------------o 0.0 0.0%; 100.0/o --------------------------------- ----------------- ----------------------- 0.0 0.0%; ------- #10 52.6 52.6 11--.--3%�---- ----------- ---------------88_7% #20 ------------110 0 162.6 35.0% 65.0% #40 ; ---------_--154 6 317.2 68.3/o; 31.7% --------------- - -----------------7----------------------- #80 86.3 403.5 86.9%; 13.1 --------------------------------- ------------- 4.9%: -------------38_1 441.E 95.1%; 4.9% --------------- ----------------------------------------- PAN: 22.6 464.2--------100----- SAMPLE: 464.2 NOTE: TEST ON PASSING#4 ONLY, 26% RETAINED ON#4 <45% O.K. I[ RESULTS: SOIL CLASSIFIED AS AASHTO A-3 (GRANULAR, SAND) (UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE MEETS : #4 100% (TEST ONLY MATERIAL PASSING #4) #50 10%-100% OF MggS9c #100 0%-20% o`er DANIELA. #200 0%-5% o CIJALA U 1CIVILN REQUIREMENT FOR "FILL" IN TITLE 5. No.. <5% PASSING #200 SIEVE 1 0 G / RESULTS: PERMEABLE MATERIAL-CLASS 1 <5 MIN./IN. MATERIAL SS�oNAL E� NONCOMPACTED SOIL DESCRIPTION: MEDIUM COARSE GRAVELLY SAND, TRACE SILT -32N>107 McKean, Thomas From: McKean, Thomas Sent: Wednesday, July 11, 2007 4:35 PM To: Taylor, Madeline Cc: Fontaine, Tina; Edson, Linda Subject: 1025 Service Road Madeline, In lieu of the five feet opening, I would accept a three bedroom deed restriction recorded at the Barnstable County Registry of Deeds, restricting the property to three (3) bedrooms maximum total. Sincerely, Thomas McKean -----Original Message----- From: McKean,Thomas Sent: Wednesday,July 11,2007 10:43 AM To: Taylor, Madeline Cc: Fontaine,Tina Subject: 1025 Service Road After reviewing the floor plan sketch and pictures taken of the basement area, I recommend the applicant should follow-through with the original floor sketch plan by providing a minimum five feet opening in the wall to the future proposed living-room in the basement. 1 l i 40 »l t l O � g s McKean, Thomas From: McKean, Thomas Sent: Wednesday, July 11, 2007 4:35 PM To: Taylor, Madeline Cc: Fontaine, Tina; Edson, Linda Subject: 1025 Service Road Madeline, In lieu of the five feet opening, I would accept a three bedroom deed restriction recorded at the Barnstable County Registry of Deeds, restricting the property to three (3) bedrooms maximum total. Sincerely, Thomas McKean 1 ' • _ N m CD m CD cn f allow A v` Mi In& Go CJl m lr.o ro v W cn OFFICE STUDY p f �FD4QO�M QUI L DCnS a Svt7�s o S �� zap, rx�� d co y BEDROOM R2► C Dm Asscci t s 1 FIRST FLOOR N%W tam Skiam Row TT I AIL ps P x'�'°- 'r +xEtel a•v' r a-f k12't q£A 4.6xs .� '� r-. d#�. .q+r •z7 3x' w m� F rAiP ffw rny� Fti 1 } x k so.�. � .� 'G v a :r t i r xY a x a b`# 4 1y ck} N �., w 'ri•fit 3 -'4 .b + �N rr.'^tL't-} a 'fir,1" x ,S '�A y# d.�` tit,� 2 p' «-t�^`��',��"v' '¢�. h-"x - n � S„.v �u�,a� ✓x, k.� i% 0. z c 7" "#, *�. - � -Tv �k a.,,, r „��� � �,:p� z �'��'. s��E 7 � iA;,�k alp +As „„".� ,�3', y ? �"� ,, x`� 's✓' .ap ,fix°-far,,.l. yx x i f' ,..tf r7`iF,� q fR � -,<' Rat `72 •ata {� '�..f.'.'xt,�a•� J-4j,a�.-...yx��x �°h'�xss��.. C'� *„ �,�,u� ��ia'o- r� nA t �`�,h,�' >: .r x`+y.Y`3' ..5- "'�i-'S•..Cy t� �o-. 1°i` x �.� - p" - a�*:�„r'# �x�,.,,r :.� {4 r �,..,k��.n.. v� � `r y _�a i se�'�4 Sr•'`��•a�� �3s .. r *' -5,rq�s�, In rx d,+'" ��✓�^ r' f j, r'�t'R '`. .. �. .s q. r '��3��'s�`. fib' - ' , .�zK�� `i�"(by;�" "':r r'. - �,: � 3 � �.x9 i�e`_�t`x.'x,a•5„�� 0 J St l z'i Lt \ LA_, , i H�Mt 1., s 4 5 The j� -� g r t 74 z .r F lea Zso-- cam, . , f'V'' � JUL, ' L, 2007 ' :46PM N0, 823 P. 1 Town ® Barnstable HealthEspector Office.:Hours Regulatory Services 8:30- 9.30 Thomas F.Geiler,Director rFEB - Public Health Division sb Thomas McKean,Director 2 0 2007 200 Main Street,Hyannis,MA 02601 GROWTH MANAGEMENT _63C4 X.---Ict: 509-862-4644 �'g- AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE 1. Gr�=meral Information: Size of Property:__. �id.da•ess: Ssp"y V kq- V map Parcel °di n: .✓ _ Phone k 7 7� —7 . a., I low many bedrooms exist at your property now? 12 e,b. Axe you planning to add any bedrooms?— ��� If yes, how many? ::c, I."V'v many bedrooms total are proposed at this property (including the amnesty unit)? "A.X?lease include a copy of the floor plans for the entire property-showing the existing ODHI; in the home plus the proposed amnesty apartment and/or addition. Please label Eoth'room clearly on the plans. 3. Is rh.-dwelling connected to public sewer? YES or N0�' the dwelling is connected to public sewer,skip questions#k4 through#9 below. I. Lo ration of dwelling is1__IIVSID or OUTSIDE a Zone of Contribution to public supply wells? i. is,:he dwelling connected to an ONSITE WELL or to PUBLIC WATER? 5. .s a disposal works construction permit on file? YES or NO Sa. If yes,how many bedrooms were approved according to this permit? Bedroosis. i. Wore any building permits obtained for construction of additional bedrooms? YES or No 3. Is there an engineered septic system plan on file at the Health Division? YES or NO Has the septic system been inspected by a D1EP certified inspector within the last two years? YES or NO ------------------------------------------------------------------------------------------------------- FOR OFFICE USE ONLY the Public Health Division has no objection to bedrooms at this property. :;peci:al Canditions: 'L U ta 4.az �v Signed: Date: Mf sla �RI �;/heatrh/wpfiles/arnnesryapp ��� ��`mE3y..� e e e 5 S Y !e e r— E It Y 1 Al Y Q pnt B .�- p w lT Our 1 i 0Oa.Q e N W 1 A02{�f;'i't.}./i ►' 't!i!i ��13��(: 1�'— � R rt s E r o v :l- r a 6 v _ 1911 bF /I QY. O r0 �I hA Con L'Vv 0 Co e firms � �r3 /lit ark ri \ f� � W COMMONWEALTH OF MASSACHUSETTS .F = EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION 5�,�• Rr�rc'VED AUG �' D /\ 350 MAIN STREET WEST YARMOUTH,MA TOWN V, 508-775-2800 HEALTh TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A L CERTIFICATION V MAP 153 PAR 129 Property Address: 70 SANDY STREET WEST BARNSTABLE,MA 02668 MAP Owner's Name: LANE,JOHN Owner's Address: PO BOX 304 PARCEL = WEST BARNSTABLE,MA 02668 Date of Inspection AUGUST 9,2002 LOT Name of Inspector:(please print) JAMES D. SEARS Company Name: A&B Canco Mailing Address: 350 Main Street West Yarmouth,MA 02673 Telephone Number: 508-775-2800 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: X Passes' Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: The system inspector sh ubmit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent tot he buyer, if applicable,and the approving authority. Notes and Comments SYSTEM PASSES AT THE TIME OF THE INSPECTION. SYSTEM IS TWO OLD BLOCK POOLS. THE LINE FROM THE MAIN TO THE OVERFLOW IS OLD PIPE. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 1 Page 2 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 70 SANDY STREET WEST BARNSTABLE,MA 02668 Owner: LANE,JOHN Date of Inspection: AUGUST 9,2002 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X _ 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: B. System Conditionally Passes: N/A 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. 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 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: _ 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: 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 f ND explain: Title 5 Inspection Form 6/15/2000 2 Page 3 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 70 SANDY STREET WEST BARNSTABLE,MA 02668 Owner: LANE,JOHN Date of Inspection: AUGUST 9,2002 C. Further Evaluation is Required by the Board of Health: N/A 7 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. 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 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 public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 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 **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. 3. Other: I Title 5 Inspection Form 6/15/2000 3 I - Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY UN ARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(CONTINUED) Property Address: 70 SANDY STREET WEST BARNSTABLE,MA 02668 Owner: LANE,JOHN Date of Inspection: AUGUST 9,2002 D. System Failure Criteria applicable to all systems: N/A 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 N/A Static liquid level in the distribution box above outlet invert due town overloaded or clogged SAS or cesspool X Liquid depth in pit is less than 6"below invert or available volume is less than'/2 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 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 1 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 or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) NO (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: N/A To be considered a large system the system must service a facility with a design flow 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 the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 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 is failed. The owner or operator of any large 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. Title 5 Inspection Form 6/15/2000 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 70 SANDY STREET WEST BARNSTABLE,MA 02668 Owner: LANE,JOHN Date of Inspection: AUGUST 9,2002 Check if the following have been done. You must indicate"yes"or"no"as to each of the following 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? N/A 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 manholes uncovered,opened,and the interior inspected for the condition of 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)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)] Title 5 Inspection Form 6/15/2000 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 70 SANDY STREET WEST BARNSTABLE,MA 02668 Owner: LANE,JOHN Date of Inspection: AUGUST 9,2002 FLOW CONDITIONS RESIDENTIAL Number of Bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms: 330 Number of current residents: 1 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): YES Seasonal use(yes or no): NO Water meter readings,if available(last 2 years usage(gpd)): WELL WATER Sump pump(yes or no) NO Last date of occupancy: PRESENT "NOTE: SINK WITH PUMP IN BASEMENT IS TIED'INTO SYSTEM. COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): Basis of design flow(seats/persons/sqft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: YEARLY PUMPING—1999,2000,2001 Was system pumped as part of the inspection(yes or no): ' NO If yes,volume pumped: gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system X 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 copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: UNKNOWN Were sewage odors detected when arriving at the site(yes or no): NO Title 5 Inspection Form 6/15/2000 6 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 70 SANDY STREET WEST BARNSTABLE,MA 02668 Owner: LANE,JOHN Date of Inspection: AUGUST 9,2002 BUILDING SEWER(locate on site plan): X Depth below grade: 2' Materials of construction: Cast iron _ 40 PVC _ other(explain) Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): CAST IRON IN HOUSE,PVC AT MAIN POOL SEPTIC TANK(locate onsite plan): N/A Depth below grade: Material of construction: Concrete metal fiberglass polyethylene _ other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: Sludge depth: Distance from top of sludge to the bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): GREASE TRAP(located on site plan) N/A Depth below grade: Material of construction: concrete metal fiberglass _ polyethylene other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Title 5 Inspection Form 6/15/2000 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 70 SANDY STREET WEST BARNSTABLE,MA 02668 Owner: LANE,JOHN Date of Inspection: AUGUST 9,2002 TIGHT or HOLDING TANK: N/A (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain) Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no) Alarm level: Alarm in working order(yes or no): Date of last pumping Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: N/A (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.,): PUMP CHAMBER: N./A (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Title 5 Inspection Form 6/15/2000 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 70 SANDY STREET WEST BARNSTABLE,MA 02668 Owner: LANE,JOHN Date of Inspection: AUGUST 9,2002 OVERFLOW SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: leaching galleries,number leaching trenches,number,length X leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) OVERFLOW IS ONE 6'DEEP BLOCK POOL.ONE LINE IN,COVER AT GRADE 1N DRIVEWAY.6"WATER NO HIGH STAINLINE.NO SIGN OF OVERLOADING. MAIN CESSPOOLS: X (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: X Depth—top of liquid to inlet invert: 14" Depth of solids layer: 4" Depth of scum layer: 1" Dimensions of cesspool: 7' DEEP Materials of construction: BLOCK 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 POOL BLOCK. 7'POOL 2' RISER,CEMENT COVER AT GRADE.,LEFT SIDE OF DRIVEWAY.ONE LINE IN,ONE LINE OUT. PRIVY: N/A (locate on site plan) Materials of Construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Title 5 Inspection Form 6/15/2000 9 Page 9 of I 1 OFFICI_AL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 70 SANDY STREET WEST BARNSTABLE,MA 02668 Owner: LANE,JOHN Date of Inspection: AUGUST 9,2002 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. �3 �b O .S 0 Title 5 Inspection Form 6/15/2000 10 r Page 1 1 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 70 SANDRY STREET WEST BARNSTABLE,MA 02668 Owner: LANE,JOHN Date of Inspection: AUGUST 9,2002 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to groundwater 30+ feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observation site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: X Checked with local excavators,installers-(attach documentation Accessed USGS database-explain: You must describe how you established the high ground water elevation G.I.S.AND ABUTTING PROPERTY. rr iPA� t 3 0t Title 5 Inspection Form 6/15/2000 11 i McKean, Thomas From: McKean, Thomas Sent: Thursday, October 26, 2006 5:42 PM To: Taylor, Madeline Subject: Recent Amnesty Applications/Septic Questionnaires 78 Pontiac Street APPROVED-This application is approved for three (3) bedrooms maximum (reference- Disposal Construction Permit# 2005-212) 6 Cedar Street, Cotuit PENDING -The septic system distribution box and piping is located beneath the garage/apartment. How will the applicant address this? There are no variances on record allowing the system components to be located the foundation and living space. A minimum setback is required per Title 5. -The septic system has capacity for only three bedrooms. However, the submitted floor plans show four bedrooms, including the'office"with only a forty-one inch opening at the doorway. Please have the applicant submit revised plans showing three bedrooms maximum by opening the doorway to five feet wide (without any doors). 1025 Servi oad West Barnstable PENDING The system consists of two old block cesspools per an inspection report which was conducted four years ago (out-of- date). Please have the owner hire a DEP certified inspector to conduct an inspection of the system and to complete a 16 page inspection report. We need to know whether the system is functioning properly and whether the block cesspools are in good condition. The revised floor plan is easier to read. However, it only shows part of the home. What about the remainder of the home? Are there in fact three bedrooms total plus one office which has a five feet opening without a door? 63 Security Street DENIED-This property is located within a WP district on 0.26 of an acre. Only the two pre-existing bedrooms are allowed on such small lot. No additional bedrooms are allowed. The proposal to add a third bedroom is denied. 1 i3 PrM4 4 5.D Dook D ly .......... . T L.t Vbr✓, Arc—y4- — I .7l �_ � STie6 3 roams-� To �rR Al A< ' a tj G r. } i : x 6 Y Ct3 ,� t 6Q�! AO cr R LP F P L, 16F �t R„ jcar grs0 ftad � F 6 � a t p SIR � �ccs0"5 E �,v�P�G 0 0•a- , do is coAte C-0 ®v +�'► jai a �b c� ?"°tu. a{ :t .` ' 6,oA44 awe ® �e4 SO so c- s ra T 64 ftoogo POLO p05 4. 7 Ott o e r-� i 10QT. 1,1. 2006 9: 06AM N0. 111 P. 1 `of THErp� Town of Barnstable -�y Growth Management Department, RARm-►ABLZsa. . • g 9 ra m .367 Main Street, Hyannis, NIA 02601 �ArEoyA`e Tel: 862-4678 Fax: 862-4782 FAX COVER SHEET To: all Date: Time: Attn: Number of Pages (incl: cover sheet): From: ZAIL Comments: TOM ) o ^�cn raystLIMPifj Im c MAW A Ril Ift we IAii� z � m co ��•Q A � W m A' OFFICE/STUDY ®FDC�oror1 p d N Q, BEDROOMPoo SAIR C D M As5oci a i s FIRST FL t�"Wm dos _ D �✓ - 'M a - v P90 AO S � a0 � 0 T 0-3 1 Oil. 6 b041� 4( s. 0 ce Qv2t�eA � !A 0.� R ! fd ` 1�C� t: s � '� A TO 41 Z Ck A� /�"� �,+`a t /��t� �""s�d �✓E���„��� �, .� �n� t� al4401 /`"'F 31 '. i ��_._.,.,.,. .._. ...,.._---,...,..,.w mow.+o•-...w,�,+.e+...+...w.s�wr .m+,.b..r-,+��w...,.un.rw-+�..sw.+.a..,.:.......ww+ra.bt...-...m.n.+.n..wo......:...»,..:....w«+.r..a•.•,.+,a,...w:wo..+..wu«.w.n..a..,raor...c..w,.r:� . O0&—^ Ta d, sP-r,.pvG <<arrr o� F4ma elo®e .Roca r i !0 i s O O w+ �'emna.nm����•��w-.�a�:.*.w.w..�nu'.*a+w Comparable Sales Map mwertcow nnmaamsilimumm Prooft dress 1025 SERVICE ROAD City BARNSTASLE Cw& BARNSTABLE SW MA 02630 Urldir COUNTRYWIDE HOME LOAN ar LA CA no 17 - :-f-- �r. A�r� �� � .•j ���r���', �,., � � � '^gas.-y iSYS �n -•ri' - - b4 T I _j_ i titer. a." ,J "z,. io - r7 7. f 9v CahoOq�htvman Nip c Y ` � 1 �� �� 3� , -��r s ,�.�� Cam,• � YXII i 1 Ott s - i •3 s 'F�' �- d . ..- '.. �`_ '• r� N cam': � -. NUG e_u GUUG 1 1 : abrin T rinncr. L-nny oun v c- 8 +I I.a r - - _PIAN -MOLLCL CL L=T[Olv APPLICANT CAROLE LANE TO WN.- WEST BARNSTABLE SERWCE ROAD N,82 35'00 01E 200.00 ��p• bp0 -_ o 200•D01 % S82 35'00 151E - tJi1o0 FLOOD PA.%M- 250001 0015K FLOOD ZONE.' DATED B/1918.5 Bank I herebp certifp that this mortgage inspection plan was prepared for. B �s For COUNTRMDE HOME LOANS Bank Use Only The location of the building shown does NOT - fall within a,special flood hazard zone. . PLAN REF' = 197�107 The location of the dwelling does conform to. the local zoning by-lairs in effect Scale 1u = i _ fiT at The time of construction with respect to horizontal dimensional setback requirements A/ ___ or is exempt from violation enforcement action under Mass General Lavw Ch. 40A -Sec. 7.. Da ter PLC"MOM The structures on tbrs raspectfoa Warr located by tope not iaartrument and are epproxLnate only. An actual surrey is necessary for a pracias determination of the building location end encroec.=.if any ea�f. either tray ecrnsa property.faux Mr ingwob'aJ must not be used for recording purposes or for use m preparing deed descriptions and must not be used far variance or bulfdtag plan purposes phis i�tspea�ion must not be-used to locate property An= Rrrlfloatlon o!building/;canons property dn& diawimmim fences or lot conAruration can only be accomplished by an accurate lostrument survey rbieh may reflect different in ormaiton then +rAat it shown hereon. Me inspection is not to be used for any purposes other then mor4Me, Yankee Survey accepts no responsibility for damages rasu/ting from said irllance. r rr ;^y r r r rT"T �/'y T T T T T r7 /'Y I fO BOA 65, 40 iIYD&:I:TF RL, JdARSTOX ILL5: i ,4 0I?646 PHONE 00*5i5 Y i �.�..,.. . ,�:;w,.�«�:,...�..�..k.�..«....�.�.,.�_.�,._...�.....u.�,.�«.u,. ...�.µN.,K....«�.w�<�,�,..�..�«�...,.,.u...........�..�.,.�«,��.� ......«.K....«w•..�,,,.�.,�.«.. . -I441, moll P ; ^ . � # FEaANC CLIL- soF S-1 -C;? 4e D M Associate C, kw mcm F'tRST FL. t.R mma 1025 SimmCm ROad r Ld Aornt9!!5. 1.4�tower . rvid— pow~ r i � y 1 PLAY ROOM � VD Rl, WrAl pow Feclr art.► DINING. TY coy F cd goAssOciat 7. s *Dr f ,r5-4 t , SYSTEM PROFILE NOTES LEGEND WALKOUT AT DRIVEWAY EL. 95.1' Nor ro � �o ACCESS COVER TO FINAL GRADE ACCESS COVER TO WITHIN 3" OF FIN. GRADE 1. DATUM IS APPROXIMATE NGVD 100.0 PROPOSED SPOT ELEVATION ACCESS COVER (WATERTIGHT) TO �� WITHIN 6" OF FIN. GRADE 94.0' MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM . 2. MUNICIPAL WATER IS NOT AVAILABLE 100x0 EXISTING SPOT ELEVATION L 93.0 (SEE VENT NOTE ON PLAN) RUN PIPE r, 2" DOUBLE WASHEV PEASTONE 100 *EXISTING FOR FIRST 2LEVEL OR GEOTDMLE FABRIC 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. PROPOSED CONTOUR PROPOSED 1500 5' MAX. 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO Ex%t 5 �hUrch 100 EXISTING CONTOUR GALLON SEPTIC 90.75' f H- 20 sf 91.0' TANK (H- 20 ) _ 6' SUMP 88.5' LOCUS GAS? BAFFI� 87.95' ��" 87.78 0 0 � 0 � I� � � 5. PIPE JOINTS TO BE MADE WATERTIGHT. • rms 87.7 p 0 p p C C C C p o 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH I �- �6 CRUSHED STONE OR MECHANICAL 0 0 0 C [] 0 s h DEPTH OF FLOW = 4' COMPACTION. (15.221 (21) 2' p p p p C; p p p p 85 7, MASS. ENVIRONMENTAL CODE TITLE V. TEE SIZES: INLET DEPTH = 10" 3/4" TO 1 1/2" DOUBLE WASHED STONE 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO " BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. OUTLET DEPTH 1 4 MIN. ( 2 % SLOPE) (2.7% SLOPE) ( 1 % SLOPE) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. FOUNDATION 10' SEPTIC TANK 104' D' BOX 10' LEACHING 5' 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED \ FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION (H- 20) (H-20) (H-2t2 OBTAINED FROM BOARD OF HEALTH. I 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING LOCUS MAP ADJ. G.W. EL. 80.7' DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO SCALE: 1" = 2,000'f COMMENCEMENT OF WORK. ASSESSORS MAP 129 PARCEL 3 11. EXISTING LEACHING FACILITY SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. LOCUS IS WITHIN GP OVERLAY DISTRICT FLAG A-7 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE LOCUS IS WITHIN FEMA FLOOD ZONE "C" �• REMOVED 5' BENEATH AND AROUND THE PROPOSED AS SHOWN ON COMMUNITY PANEL #250001 0015C ,OFCac A-s LEACHING FACILITY. DATED AUGUST 19, 1985 ` . AG B-1 13. NO KNOWN POTABLE WELLS WITHIN 150' OF PROPOSED / }FLAG A-1 •••� TEST HOLE LOGS • LEACHING FACILITY. FLAG A-5 � •`' )FLAG A-2 / l�FLAG B-2 ENGINEER: DAVID FLAHERTY R.S. a(3*A-V- •• LAG A-3 FLAG B-7 WITNESS• DON DESMARAIS, R.S. DATE: MARCH 21, 2007 •FLAG B-6 • PERC. RATE _ *5 MIN/INCH • FLAG B-3 ,••''�• CLASS 1 SOILS P# 11645 _.--+FLAG B-4 •` ..-�"''�~••• *SIEVE ANALYSIS PERFORMED FROM SAMPLE OF TH-2 C2 LAYER ELEV. ELEV. " 4 93.5' " 92.0' VARIANCES. o 0 A q LS LS " " 10YR 3/2 91.1' INSTALL 54't OF 40 MIL POLY ET / - LOCAL UPGRADE APPROVAL 9 10YR 3/2 92 7 g MAXIMUM FEASIBLE COMPLIANCE 11 LINER AS SHOWN PER PLAN THE / i TOP EL 88.5' O 310 CMR 15.405 1 i g LSNDY TED� 79 / BOTTOM EL s4.5' SA Tg /' 140 SIEVE ANA YSI S PERFORMED IN LIEU OF PERC 31" ' \c5' � ' ,/ / TEST AND MEETS CRIERIA AS SET FORTH. IN LS 10YR 5 8 89.4 C1 \82 200 00 �/ /� 310 CMR 15.255(3) 30" 10YR 5/8 91.0' LS 114" 2.5Y 5 4 82.5' BOH POLICY LETTER DATED NOVEMBER 15, 2005- ,. r._ 3) FAILED SYSTEMS ONLY - '� WELL 68 / SOIL ABSORPTRON SYSTEM INSTALLATIONS MCS �S S 8/ ' ,/ PROPOSED MORE THAN THREE FEET BELOW G.W.WELL INFO: C 10YR 7/4 •'� WORK LIMIT LINE ✓ H0U-SE GRADE WITH PFROPER VENTING (PIPED TO THE WELL: SDW-253 80.7' / ATMOSPHERE) AND WITH H-20 LOADING, BUT IN ZONE: B •�'•• �90 WE � NO CASE SHALL THE SAS BE LOCATED MORE READING: 48.3� 82 ' ' LS ADJ. G.W. �''•� •• 8s' .. 15G' TO Q 3 /' / THAN FIVE FEET BELOW GRADE. DATE: FEB 2007 165" 78.2' PROVIDE VENT WITH CHARCOAL FILTER "' 8 / / ADJUSTMENT: 2.5' AND BUGSCREEN (FINAL PLACEMENT WITH / GAG �v � , � /� 2.5Y 5/4 OBS. G.W. HOMEOWNER CONSULTATION) 8 �J o / (POCKETS OF 168 78.0 y� �. �. �. �� /.••� MFS) C3 LS 5 92 'T 86' Q ,� 138 82.0' 192" 1OYR 7/4 76.0 NO G.W. 'ENCOUNTERED 5' REMOVAL OF UNSUITABLE SOIL _ 95 , SYSTEM DESIGN: REQUIRED AROUND PERIMETER OF LEACHING FACILITY, DOWN TO 97 / SUITABLE SOIL LAYER (SEE SOIL 96 REPLACE WITH BEGINS AT EL MEDIUM �98 97 F G /'/ / / BENCHMARK GARBAGE DISPOSER IS NOT ALLOWED TITLE 5 SITE PLAN SAND. ' 0} 98 / NAIL IN UPOLE DESIGN FLOW. 3 BEDROOMS 0 110 GPD = 330 GPD OF 0) `' s �' ELEV = 93.9' USE A 330 GPD DESIGN FLOW I 99 � T�A� w �, SEPTIC TANK: 330 GPD (2) = 660 RD. o 1025 SERVICE j o {\ SLEEVE SEWER LINE FOR 10 USE A 1500 GAL. SEPTIC TANK � EITHER SIDE OF CROSSING �� (WEST) BARNS TABLE, MA / WITH WATERLINE - LEACHING: GRAVEL \� 100' TO ABUTTER'S WEL L o- SIDES: 2 (12.83 + 25) 2 (.74) = 112 GPD PREPARED FOR 70,7 �/ �l �� _i �' 136.5' i BOTTOM 12.83 x 25 (.74) = 237 GPD 4 PARKING/ TOTAL: 472, . . 349 GPD B & B EXCAVATION/ \ t� C p USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) CAROLE LANE EXISTING 3 BR DWELLING ���,� WITH 4 STONE ALL )AROUND DATE: MARCH 28, 2007 LOT AREA WALKOUT \ 35,655 SFf j EL=95.1' , MA A' APPROVED DATE BOARD OF HEALTH Scale: 1"= 20' 0 10 20 30 40 50 FEET off 508-362-4541 fax 508 362-9880 200.00 d0 wn cc���oF M e engineering, inc. �� .490' fN OF AIA$ AH E oyGN �Q���ARNE H. cy� Cl l/lL ENGINEERS � OJALA � CI � �N L AND SUR VE YORS fi 8 EST o NE S. 939 Maim Stree t - YARMOU THPOR T MASS. P.L. SURVEY S ONAL EN DCE #07-0 >9 07-019 B&B_LANE.DWG (DDF)