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HomeMy WebLinkAbout0024 TERN LANE - Health (3) Town of Barnstable ( . Board of Health 200 Main Street,Hyannis MA 02601 039. & Office: 508-862-4644 John Norman,Chaimnan FAX: 508-790-6304 F.P.(Thomas)Lee,P.E. Donald A.Guadagnoli,M.D Daniel Luczkow,M.D.Al March 14, 2022 Mr. Michael B. McGrath PE, PLS Holmes and McGrath, Inc. 205 Worcester Court, Suite A4 Falmouth, MA 02540 RE: " 24 TernLane Centerville" ` A193=Q�48 o, �,��, Dear Mr. McGrath, You are granted variances on behalf of your client, Michael Valero, to construct an onsite sewage disposal system at 24 Tern Lane, Centerville, Massachusetts. The following variances were granted: 310 CMR 15.211:. To install a septic tank seven (7) feet away from a foundation, in lieu of the minimum ten (10) feet separation distance required. 310 CMR 15.211:. To install a septic tank two (2) feet away from a property line, in lieu of the minimum ten (10) feet separation distance required. 310 CMR 15.211:. To construct a soil absorption system five (5) feet away from a foundation, in lieu of the minimum twenty (20) feet separation distance required. 310 CMR 15.211:. To construct a soil absorption system two (2) feet away from a property line, in lieu of the minimum ten (10) feet separation distance required. Physical constraints at the site severely restrict the placement of the septic system components due its close proximity to a waterbody. The engineer revised the plans on January 15, 2020 to attain the required five feet vertical separation distance above the maximum groundwater table, based on Q:WP\McGrath 24TernLaneCenterville Variances Feb 2020.docx I F documented historical lake elevation information. The revised plan appears to meet the maximum feasible compliance standards within 310 CMR 15.000, State Environmental Code, Title V. Sincerel , ,651hn Norman Chairman BOARD OF HEALTH Q:WP\McGrath 24TernLaneCenterville Variances Feb 2020.docx lime Vl�a DATE $95.00 FEE*: o t+ 9 K� 6 39. � f 'Town of Barnstable SCHED.DATE: ----Board of Health 200 Main Street,Hyannis MA Office: 508-862-4644 ` Paul J.Canni$D.M.D. FAX 508-790-6304 Donald A Guadagnoli,M.D. Junichi Sawayanagi VARIANCE REQUEST FORM LOCATION - Property Address: 24'Tern Lane: - Assessor's Map and Parcel Number: 193-048 Size of Lot: 18,200 Wetlands Within 300 Ft. Yes X Business Name: No Subdivision Name: APPLICANT'S NAME: Michael Valerio Phone Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Michael Valerio Name:lJolmes and McGrath, Inc.,Attn:Michael McGrath Address: 24 Tern Lane, Barnstable MA Address: 205 Worcester court,Suite A4,Falmouth MA 02540 . Phone: Phone: 508-548-3564 EMAIL: mmcgrathoholmesandmcgrath.com VARIANCE FROM REGULATION(Inol.Reg.Code#) REASON FOR VARIANCE(May attach separate sheet if more space needed) 310 CMR 15.211 (1) - SAS to Foundation 20'to 9' SAS to Property Line 10'to 1' NATURE OF WORK: House,Addition Li House Renovation LJ Repair of Failed Septic System x 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 _ B. Five(5)copies of MA DEP approval letters for Innovative/Alternative 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: healthQtown.bamstable.ma.us 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*t95.00 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. Exem lions from Variance Fee: 1 Septic repair without aPP Y g � P Y P ) ep ep o f 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 Paul J.Car ma Chairman NOT APPROVED Donald A Guadagnoli,M.D. REASON FOR DISAPPROVAL Junicbi Sawayanagi Q;\Application Forms\VARIREQ Rev APR 4-2018.docx holmes and mcgrath, inc. civil engineers and land surveyors s 205 worcester court:suite a4•fal mouth, ma•02540 508-54b-3564 • 800-874-7373-fax 508-548-9672 '' tsantos@holmesandmcgrath.com January 30, 202C - Barnstable Board of Health 367 Main Street Hyannis, MA 02601 Re : Michael Valerio #24 Tern Lane, Centerville, MA Local Upgrade Approval Variance Request Dear Mr. McKean, Please find enclosed 5 copies of the REVISED Site Plans as requested by the Board members at the last public hearing. The plans were revised to allow for 5 ft . separation from the bottom of the leaching field to the wat.ers. of Wequaquet Lake . We also changed the design of the soil absorption system from precast flow-diffusors to a stone leaching field with perforated pvc pipes to allow for the 5 ft . separation. In order to maintain the proper separation we needed to install a dual-compartment septic tank with a pump chamber to maintain the required leaching field elevation. The update Local Upgrade Variance Approvals Requested are : 1) Distance from a Septic Tank to a Foundation Wall : Required: 10 ft . Actual: 7 ft . 2) Distance from a Septic Tank to a Property Line :. Required: 10 ft . Actual : 2 ft . 3) Distance from a Soil Absorption System to a Foundation Wall : Required: 20 ft . Actual : 5 ft.. 4) Distance from a Soil Absorption System to a Property Line : Required: 10 ft . Actual : 2 ft . Please review the enclosed plans and place us on the February 25, 2020 public hearing. If you have any questions, please call or write me . Sincerely, C Ho=mes and McGrath, Inc. - �inothyy M. Santos, PE Vice President r t I rru holmes and mcgrath, inc. civil engineers and land surveyors 205 worcester court•suite a4•falmouth, ma-02540 508-548-3564. 800-874-7373-fax 508-548-9672 tsantos@holmesandmcgrath.com December 12, 2019 Barnstable Board of Health 367 Main Street Hyannis, MA 02601 Re: Michael Valerio #24 Tern Lane Centerville, MA Local Upgrade Approval Variance Request Dear Mr. McKean, In response to ,a telephone conversation with your Department, we have revised the plan. We have reduced the design flow to 330 gallons per day. We show that the existing septic tank is to be replaced with an H-20 1500 gallon septic tank. We added the elevation of 33 . 8 feet which is the elevation of the waters of Wequaquet Lake to the profile. We also changed the design of the soil absorption system to be precast flow-diffusors. These components are shallower that the previous design. However, when we raised the revised soil absorption system to be 5 feet vertical clearance above the waters of Wequaquet Lake, the elevation of the top of the stone is at elevation 41. 3 feet. This elevation is above the existing elevation of the ground at the southeasterly end of the soil absorption .system. The elevation of the existing ground is 40. 8 feet at the property line and 40. 4 feet at the gap in the retaining stone wall easterly of the proposed soil absorption system. This creates an impossible situation since we cannot regrade the neighbor' s land. We ask that the Board allow the construction of the soil absorption system with the elevation of the bottom of the soil absorption system set four feet above the waters of Wequaquet Lake. We actually encountered the water table at 31. 3 feet. This is 2 . 5 feet below the elevation of the Lake provided to us. I trust that the Board will waive the vertical distance to four feet. If you have any questions, please call or write me. 2 December 12, 2019 Sincerely, Holmes and McGra , Inc. Michael B rath, PE, PLS dr Town of Barnstable PT# TPT-19-140 Department of Inspectional Services � C I Public Health Division t 200 Main Street,Hyannis MA 02601 Office:508-862-4644 Date Scheduled 9/5/2019 Time 10:00 AM Soil Suitability Assessment for Sewage Disposal Performed By: Larry Careiro Witnessed By: David Stanton LOCATION &c GENERAL INFORMATION Location Address:24 Tem Lane,Centerville Owner's Name:Michael Valerio Owner's Address: 24 Tern Lane Assessor's Map/Parcel: 193-048 Certified Soil Evaluators Name:Larry Catreiro Certified Soil Evaluators Email:careiro@holmesandmcgrath.com New Construction or Repair:Repair Certified Soil Evaluators Telephone#508-548-3564 Lanc.Use Residential for Slopes(%) 6%-10% Surface Stones No Distances from: Open Water Body_ 73 ft Possible Wet Area 40 ft Drinking Water Well ft Drainage Way ft Property Line 25 ft Other f. Parer:.t materal(geologic)_ Glacial Outwash Depth to Bedrock Depth to Groundwater: Standing Water in Hole: 93 inches Weeping from Pit Face, Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: 93 in. Depth to soil mottles. in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Welf level Adj.factor —Adj.Groundwater Level PERCOLATION TEST Date 9/5/19 Time 10:10 AM Observation Hole# 1 B Time at 9" Depth of Perc 45" Time at 6" Start Pre-soak Time @ 10:i0 Time(9"-6") End Pre-soakk 1020 — _ l Rate MinAnch <2 mmlin. _---- Site Suitability Assessment: Site Passed Yes Site Failed: _W_� Additional Testing Needed Y.,N) N f Deep Observation Hole Log Hole k 1 A Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in} (USDA) (Munsell (Structure;Stones,Boulders, Consistency,%Gravel) 0-20" Fill 20"-27" Ab Loamy Sand 10YR 3/3 27"-45" B Loamy Sand iOYR 4/6 45"-120" C Coarse Sand 1OYR 5/6 20%Gravel 10%Cobbles,Stones Deep Observation Hole Log Hole k I Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) _(USDA) (Munsell) (Structure,Stones,Boulders, Consistency,%Gravel) 0-18" Fill 18-24" Ab Loamy Sand 1OYR 3/3 24-43" B Loamy Sand 1 OYR 4/6 43-120" C Coarse Sand I OYR 5/6 20%Gravel 10%Cobbles, Stones Deep Observation:Hole Log Hole#: Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) (Munsell) (Structure,Stones,Boulders, Consistency,%Gravel) Deep Observation Hole Log Hole#: Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) ! (USDA) i (Mrinsell) (Structure,Stones.Boulders, Consistencv.%Gravel) i f 1 1 Flood Insurance Rate Map: Above 500 year flood boundary No . Yes X Within 500 year boundary No X Yes Within 100 year flood boundary No X Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? yes If not, what is the depth of naturally occurring pervious material? Certification I certify that on 11/6/2006 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature __ Date M911 SKETCH: (Or you can attach a separate sheet) (Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) e j tf f. i Town of Barnstable PT# TPT-19-140 Department of Inspectional Services `. NAM Public Health Division 39.® 200 Main Street,Hyannis MA 02601 Office:508-862-4644 Date Scheduled 9/5/2019 Time 10:00 AM - Soil Suitability Assessment for Sewage Disposal Performed By: LaM Carreiro Witnessed By: David Stanton LOCATION & GENERAL INFORMATION Location Address: 24 Tem Lane,Centerville Owner's Name:Michael V'alerio Owner's Address: .24 Tern Lane Assessor's Map/Parcel: 193-048 Certified Soil Evaluators Name:Larry Carreiro Certified Soil Evaluators Email:carreiro@hpimesandmcgrath.com New Construction or Repair:Repair Certified Soil Evaluators Telephone#508-548-3564 Land.Use Residential lot Slopes(%) 6%-l0% Surface Stones No Distances from: Open Water Body. 73 ft Possible Wet Area 40 ft Drinking Water Well_ ft Drainage Way ft Property Line 25 _ft Other ft Parent material(geologic)-_Glacial Gutwash Depth to Bedrock Depth to Groundwater: Standing Water in Hole: 93 inches __ Weeping from Pit Face Estimated Seasonal High Groundwater, _ DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in ohs.hole: 93 in. Depth to soil mottles: in. Depth to weeping from side of ohs.hole: in. Groundwater Adjustment ft; Index Well# Reading Date: Index Well level Adj.factor. Adj..Groundwater Level PERCOLATION TEST Date 9/5/19 Time 10:10 AM Observation Hole# 1 B _ Time at 9" Depth of Perc 45" _ Time at 6" Start Pry-soak Time @ 10:10 Time(9"-6") . End Presoak J 0.2. . �L Rate Mi--tJinch <2 mirl/in. Site Su4abiiity Assessment: Site Passed Yes Site Failed: Addir�onal Testing ti i t;Y%�j. �— n ee;.ed — l K Deep Observation Hole Log Hole#: 1 A Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) (Munsell) (Structure,Stones,Boulders, Consistency,%Gravel) 0-20" Fill 20"-27" Ab i Loamy Sand 1 OYR 3/3 27"-45" 13 Loamy Sand 10YR 4/6 45"-120" C Coarse Sand 10YR 5/6 20%Gravel 10%Cobbles,Stones Deep Observation Hole Log Mole#: 1 B Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) .(USDA) (Munsell) (Structure,Stones,Boulders, Consistency,%Gravel) 0-18" Fill 18-24" Ab Loamy Sand 10YR 3/3 24-43" B Loamy Sand 10YR 4/6 43-120" C Coarse Sand 1 OYR 5/6 20%%Gravel 10%r.Cobbles,Stones Deep Observation Hole Log Hole#: Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) (Munsell) (.Structure,Stones,Boulders, Consistency;%Gravel) 4 Deep Observation Hole Log Hole#: Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (in) (USDA) I . (Munsell) (Structure,Stones,Boulders. j Consistency;%Gravel) i i , Flood Insurance Rate Man' Above 500 year flood boundary No Yes X Within 500 year boundary No X Yes Within 100 year flood boundary No X Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ves If not, what is the depth of naturally occurring pervious material? Certification I certify that on 11/6/2006 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature _ Date SKETCH: (Or you can attach a separate sheet) (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 25 T Y , j holmes and mcgrath, inc. civil engineers and,land surveyors "., 205 Worcester court-suite a4-fa(mouth,.ma..02540 508-548-3564.800-874-7373•fax 508-548-9672 tsantos@hoimesandmcgrath.com October 29, 2019 Barnstable. Board of Health 367 Main Street Hyannis, MA 02:601 Re: Michael Valerio #24 Tern Lane - Centerville, MA Local Upgrade Approval Variance Request Dear Mr. McKean, I, Michael Valerio, owner of the above referenced lot authorize Holmes and McGrath, Inc. to represent me at. the public hearing for the Local Upgrade Approval Variance request . Sincerely, . Michael Valerio i holmes and mcgrath, inc. civil engineers and land surveyors 205 Worcester court•suite a4•falmouth, ma•02540 508-548-3564 . 800-874-7373•fax 508-548-9672 tsantcs@holmesandmcgrath.com Property Owner within 100 feet of the proposed project: RE: Board of Health Hearing for Michael Valerio #24 Tern Lane, Centerville Local Upgrade Approval for Proposed Septic System Repair ---------------------------------------------------------- The Barnstable Board of Health will conduct a public hearing on the application of Maichael Valerio to vary certain setback provisions of the Title 5 regulation 310 CMR 15 . 211 (1) . The hearing will be held at the Town Hall, Hearing Room 367 Main Street, 2nd Flocr, Hyannis, MA on Tuesday, December 17, 2019, _;ginning at 3:00 p.m. The application and plans for the above referenced public hearing are available for review at the Barnstable Board of Health Department. Sincerely, HOLMES AND McGRATH, INC. T-mothy M. Santos, PE Vice President f 100-FOOT ABUTTERS LIST y- prepared for Michael Valerio #24 Tern Lane, Centerville Job Number 219195 LOCUS: 193-048 CMA, LLC P.O. BOX 2350 ACTON, MA 01720 DIRECT ABUTTERS: 192-021 JOAN M. MCAULIFFE REVOCABLE TRUST 20 TERN LANE CENTERVILLE, MA 02632 192-021 FLORENCE L.CASEY 26 TERN LANE CENTERVILLE, MA 02632 r.a.uaa recvvt c Board) of Health Title V Septic Variance Abutter List for Map & Parcel(s): '193048' Direct-abutters (no set distance) and the properties located across the street. Total Count: 3 Close Map&Parcel Ownerl Owner2 Address) Address 2 Mailing Country Deed CityStateZip 192021 MCAULIFFE,JOAN M& JOAN M MCAULIFFE CENTERVILLE, MA CAROL ANN TRS REVOCABLE TRUST 20 TERN LANE. 02632 30018/ 312 192023 CASEY,FLORENCE L 26 TERN LANE CENTERVILLE, MA 20158/ 02632 281 193048 CMA LLC PO BOX 2350 ACTON, MA 01720 26148/ 235 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.It a certified list of abutters is required,contact the Assessing Division to have this list certifed.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 10/15/2019. E7R�� (v:':`•iitiaF�Stck3�F.t15;`H rr ,!'•%2G`S'9R<'�t�C-�+�O�t�4;rR$�O:i.3cD%?;V4N�Ri;i- Prop ID:192023 CASEY,FT ORENCE L 26 TERINLANE CENTERVILLE,MA 02632 Prop ID:193048 CIVIA LLC PO BOX 2350 ACTON,MA 01720 Prop ID:192021 MCAULIFFE,JOAN M&CAROL JOAN M MCAULIFFE REVOCABLE 20 TERN LANE CENTERVILLE,MA 02632 y _ Asspa" i and lot number ...l el. `Sewage Permit number 1__. .......... . ✓G ............... . :.. �P FTNET� TOWN OF BARNSTABLE '� 6 Z 9. `. y« BUI`LDING I INSPECTOR . i.. a F: APPLICATION FOR PERMIT TO r- `ram'' ` ! G G� / '. !. ...... .r.... ;..... ......... ........ ` TYPE OF CONSTRUCTION ........ `•.. ................. .............._ ......... ............... ............... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ........................... ... . ........ ..... _ ................ .................... Proposed Use r ' � .... .. .. ................................... Zoning District .. ......... { ......Fire District ...................................... Name of Owner t....... ..........`.............`.. ......: .. ';,.d '' ... �.. r �f , f Address c Nameof Builder .. .......................... .... .... ..Address .. ...... . .... ............ Name Of Architect `!..... ..s/.. , r /n/c4 ....... . .... .€' ...r !� r �L�f r? :... { . ...z't'' Address Number of Rooms !........... ......Zc".`... ':.: ' ? !' ''Foundation .... ............... =.............................................. Exterior ...� .d:fir: i; `F r;. ".. .Roofing ........................... .,. I °r. .......................... CAf� �:::� !� �` ..... . . .Interior /i�� Floors ... .. ..... ... ... ... ... .... . ... . . ......... ....... ..... Heating ...%-`', /.. .�: ... .. ..... ........Plumbing ............ .. .. ......... ........ .... . ..... Fireplace ....J..t.'c-..��`.............. r� .....Approximate Cost .. ..`7r, ! .... Definitive Plan Approved by Planning Board -----------_ ___-___19:_____Y. Area '!2�?h fi:.f!., Diagram of Lot and Building with Dimensions Fee . .?...................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r e.f77 YO r Crocker, Sharon From: Laura Nelson <Laura olmesandmcgrath.com> Sent: Tuesday,January 28, 2020 c2V To: Crocker, Sharon Subject: RE:Town of Barnstable - Board of Health Meeting 1/21/2020 - G Hi Sharon—thanks so much for your help.Tim is going to update the Variance Request Letter.There was a little change so we'll make sure when we get these plans to you,that we have the letter and all 5 sets. I'll email you the.pdf copies once all set. Thanks again! Laura From: Crocker,Sharon [mailto:sharon.crocker@town.barnstable.ma.us] Sent:Tuesday,January 21, 2020 10:08 AM To: Laura Nelson<Laura@holmesandmcgrath.com> Subject: FW:Town of Barnstable- Board of Health Meeting 1/21/2020- The paperwork for Board meetings is due 14 calendar days before the meeting so the staff can review the plans and then we mail out the packages to the Board. February 101h is the deadline for the plans to be submitted. Thank you for checking in. Sharon _ From: Laura NelsoRrmailto:Laura hol mesa ndmc rath.com] Sent: Tuesday, To: Crocker, Sharon —� Cc: Tim Santos Subject: RE: Town of Barnstable - Board of Health Meeting 1/21/2020 - Hi Sharon—Tom McKean called us earlier asking about the revised plans and the hearing. I let him know we were requesting the continuance. He mentioned the February 25`h meeting, but also said something about February 10. 1 do not know if he meant there is a February 10 meeting date available or he wanted to make sure he has the revised plans by February 10. Could you please confirm this?Thank you very much for your help. Laura From: Crocker, Sharon [mailto:sharon.crocker(c@town.barnstable.ma.us] Sent:Tuesday,January 21, 2020 9:35 AM To: Laura Nelson<Laura@holmesandmcgrath.com> Subject: FW:Town of Barnstable - Board of Health Meeting 1/21/2020- Yes,thank you. 24 Tern Lane Centerville will be continued to Tuesday, February 25, 2020 meeting which starts at 3pm in the same location. Regards, Sharon Crocker Office Manager i Y � From: Laura Nelson [mailto:Laura@holmesandmcgrath.com] Sent: Monday, January 20, 2020 11:06 AM To: Crocker, Sharon Subject: FW: Town of Barnstable - Board of Health Meeting 1/21/2020 - Hi Sharon I presumed you know that this is regarding 24 Tern Lane, homeowner:Valerio, (since you sent the agenda earlier to us) but I just realized the address wasn't referenced in the original email,just the agenda.Thank you! Laura From: Laura Nelson Sent: Monday,January 20, 2020 9:41 AM To: Crocker, Sharon <sharon.crocker@town.barnstable.ma.us> Cc: Michael McGrath <mmcgrath@holmesandmcgrath.com> Subject: RE:Town of Barnstable - Board of Health Meeting 1/21/202Q- Good Morning Sharon, Please advise the Board that the revised Plans are still in process. We would like to request a continuance to the next available Board of Health Meeting. Please confirm receipt of this request. If you have any questions, please do not hesitate to call or email. I have copied in Mike McGrath for your convenience. Thank you very much, Laura Nelson 1-Tolmes and mcgrath, inc. tvei r it erirr .',E3 -waiv trea ar nt. 205 worcester ct, suite a4 falmouth MA 02540 Tel. 508-548-3564 Fax 508-548-9672 www.holmesandmcgrath.com This a-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are NOT the intended recipient or the person responsible for delivering the e-mail to the intended recipient, be advised that you have received this e-mail in error and that any use, dissemination, forwarding,printing, or copying of this e-mail is strictly prohibited. ********************************************************************************************** "It is understood and agreed, that Holmes and McGrath, Inc., upon release of these electronic files no longer maintains control of its use, reuse or modification. Whereas we continue to warrant the accuracy of the subject signed and sealed record documents prepared by this office, the user of this 2 YME' ti Town of Barnstable Public Health Division • &4RNSTABM v MASS. 200 Main Street,Hyannis MA 02601 i619 � ! prf0 MA'S A Office: 508-862-4644 December 7,2021 Mr.Mark Nelson Horsley Witten Group 90 Route 6A,Unit 1 Sandwich MA 02563 RE: Septic System with FujiClean Innovative Alternative Technology/Proposed at 125 Blantyre Avenue Centerville,MA Dear Mr.Nelson, The Town of Barnstable Board of Health has no objections to the approval of the proposed alternative system described as FujiClean System. The Town of Barnstable Board of Health held a public meeting on Tuesday October 26, 2021. A proposed engineering draft plan with FujiClean technology was reviewed by the Board for the property located at 125 Blantyre Avenue,Centerville,MA. After hearing a brief presentation from Mr. Brian Baumgaertel, RS of the Massachusetts Alternative Septic System Technology Center and after some discussion, the Board of Health voted to grant approval of the onsite sewage disposal system with FujiClean innovative/alternative technology with the following condition: The engineering plan shall be revised to address the eleven(11)questions and concerns listed in the email dated October 19,2021'from Chief Health Inspector David.Stanton to Mr. Joe Henderson of Horsley Witten Group. The Board of Health had no objections to the overall concept and had no objections to the approval of the .FujiClean System Sincerely, T omas McKean,RS,CHO Agent of the Board of Health Q:FujiClean Approval 125 Blantyre Ave Centerville.docX BOH 1/21/2020 24 Tern Lane, Centerville Tim Santos and Michael McGrath, Holmes and McGrath, representing Michael Valerio, owner. Continued from December 17, 2019: December 17, 2019 meeting: The engineer will try removing one leaching chamber, increase stone fill and at perforated pipe in the hopes that they can bring separation up to 5 feet. No new plans received at this time. BOH JAN 211 2020 I. Variance — Septic (CONT): A. Michael McGrath, Holmes and McGrath, representing Michael Valerio, owner— 24 Tern Lane, Centerville, Map/Parcel 193-048, repair of failed septic system, requesting multiple variances (cont. from December 17, 2019 meeting) CONTINUED TO JANUARY 21, 2020. Tim Santos was present. The Board voted to continue it to the next board meeting. Per John Norman's suggestion, the engineer will try removing one leaching chamber, creating large stone filed and perforated pipe in hopes that they can bring separation up to 5 feet. Town of Barnstable OF SFtf Board of Health l: 200 Main Street, Hyannis MA 02601 1 MASS. John T.Norman. Officz:508-862-4644 Donald A.Guadagnoli,M.D FAX: 508-790-6304 Paul J.Canniff,D.M.D. F.P.(Tom)Lee,P.E.,Alternate BOARD OF HEALTH MEETING MINUTES Tuesday, December 17, 2019 3:OOPM James H. Crocker, Jr. Hearing Room 367 Main Street, 2nd Floor, Hyannis, MA A regularly scheduled and duly posted meeting of the Barnstable Board of Health was held on Tuesday, December 17, 2019.The meeting was called to order at 3:00 pm by Chairman John Norman. Also in attendance were Board Members Donald A. Guadagnoli, M.D., Paul Canniff, D.M.D., and Alternate Tom Lee. Thomas McKean, Director of Public Health, and Sharon Crocker,Administrative Assistant,were also present. Roll call—all present. I. Comprehensive Wastewater-Management Plan (CWMP): Dan Santos, Department of Public Works (DPW) Superintendent, Comprehensive- Wastewater-Management Plan (CWMP) Griffin Beaudoin, DPW, did presentation of CWMP. II. Variance — Septic (Cont.): John McNabola,and owner, Thomas Fisher— 164 Annabelle Point Road, Centerville, Map/Parcel 211-014, seasonal home, requesting exemption from local policy requiring septic upgrade when less than four feet above groundwater and when razing home. WITHDRAWN — Resolved prior to meeting, will install septic. illl. A. Michael McGrath, Holmes and McGrath, representing Michael Valerio, owner— 24 Tern Lane, Centerville, Map/Parcel 193-048, repair of failed septic system, requesting multiple variances. Tim Santos, Holmes and McGrath presented plan for existing three bedroom home and submitted floor plans. On this sensitive lot, John Norman expressed most important variance is the vertical separation to groundwater. He would like to see if engineer can obtain the five feet separation if takes out one of chambers and uses perforated pipe and stone. Mr. Santos will try to rework plan. Two neighbors, Joan McAuliffe and Florence Casey, didn't want septic to have an effect on their property. Page 1 of 4 BOH 12/17/19 Upon a motion duly made by John Norman, seconded by Dr. Canniff, the Board voted to continue the item to the January 21, 2020 meeting. (Unanimously, voted in favor.) B. Dan Ojala, Down Cape Engineering, representing Stanley Davitoria, owner— 55 and 61 Beechwood Road, Centerville, Map/Parcel 252-182-008, 25, 441 square feet parcel, reserve area reduction in setback variance. Dan Gonsalves, Down Cape Engineering, presented plan. The property has a steep incline and can only fit two bedrooms on lot. Upon a motion duly made by John Norman, seconded by Dr. Canniff, the Board voted to grant the variances with the following condition: 1) a two bedroom deed restriction will be filed at the Barnstable County Registry of Deeds and 2) will connect to town sewer as soon as available. (Unanimously, voted in favor.) IV. Variance Condition(s) -Septic Beth Kittila, Horsley Witten Group, representing Michelle Tobey, owner— 23 Stage Coach Road, Centerville, Map/Parcel 172-110, requesting reconsideration of condition(s) in granting septic variance at September 24, 2019 board meeting. Tom Lee recused himself. Beth Kittila spoke to the Board of their condition of a three bedroom deed restriction to be recorded. She asked that they reverse this condition as it is not in a nitrogen sensitive area. The Board felt this condition is appropriate and is consistent with other decisions at the Board. Upon a motion duly made by Dr. Canniff, seconded by John Norman, the Board voted to deny the request and to keep the three bedroom deed restriction. (Unanimously, voted in favor of keeping deed restriction) Tom Lee returned to meeting. V. Bedroom Discrepancy: Henrique Sousa, new owner - 7 Erin Lane, Hyannis, Map/Parcel 291-017, 2 versus 4 bedrooms. Henrique Sousa was present. Septic plan shows the design was for 400 gallons, not quite a four bedroom and in a restricted zone. Research will be done in the Building Department's records, as well. Upon a motion duly made by John Norman, seconded by Dr. Canniff, the Board voted to continue to the January 21, 2020 meeting. (Unanimously, voted in favor.) Page 2 of 4 BOH 12/17/19 r fa �t Vl. Variance — Swimming Pool: Greg Horton, Holiday Inn, requests a variance to allow qualified swimmers in lieu of lifeguards for pool coverage at two locations: A. Holiday Inn, 1127 lyannough Road, Hyannis B. DoubleTree Inn, 287 Iyannough Road, Hyannis Upon a motion duly made by John Norman, seconded by Dr. Canniff, the Board voted to grant the variance to allow qualified swimmers at both the Holiday Inn and the DoubleTree Inn. (Two voted in favor, Dr. Canniff opposed.) VII. Septic Installer: John Callahan, South Yarmouth, applying for a septic installer's license. John Callahan was present and all papers were in order. Upon a motion duly made and seconded, the Board voted to grant a septic installer's license to John Callahan. (Unanimously, voted in favor.) Vill. Sewer Connection: Deadline Extension A. Elaine Basias, owner— 32 Paine Avenue, Hyannis, Map/Parcel 288-142, requesting deadline extension to connect to town sewer. Elaine Basias and her daughter Dawn Basias, who lives in the second house, were both present. The Board asked Ms. Basias to have quotes available if returning in one year. Upon a motion duly made and seconded, the Board voted to grant a one year deadline extension to connect to the town sewer. (Unanimously, voted in favor.) B. Oswald Jordan of Brockton, and owner— 54 Point Lane, Hyannis, Map/Parcel 288-168-001, requesting deadline extension to connect to town sewer. Oswald Jordan was present. Upon a motion duly made and seconded, the Board voted to grant a one year deadline extension to connect to the town sewer. (Unanimously, voted in favor.) IX. Body Artist: Tyler Bolton, body artist at Black Pearl Tattoo Studio and Gallery, 505 (a.k.a. 509) Main Street, Hyannis, has completed trainee period required under his variance for Anatomy and Physiology and is petitioning for body art license without body piercing. Tyler Bolton and Alex Travassos, owner of Black Pearl Tattoo, were both present.. There were no issues Tyler's training period. Page 3 of 4 BOH 12/17/19 P r Upon a motion duly made and seconded, the Board voted to grant Tyler Bolton a body artist license with the exception that no body piercing will be allowed. (Unanimously, voted in favor.) X. Show-Cause Hearing — Body Art: Ekaterina Morozova, owner— Lash Boutique, 26 Barnstable Road, Hyannis, complaint investigation, microblading performed on a client by an unlicensed employee while the owner was off-site, on or about October 15, 2019. Ekaterina Morozova was present and stated that she was out of the country and was the speaker for a conference on microblading. The office manager she had left in charge was the person who allowed the artist to come in and work without a Town of Barnstable permit. A cease and desist order for microblading had been issued. Ekaterina stated both the manager and the artist are no longer working there. She said they have not done any microblading at this location since then. Upon a motion duly made and seconded, the Board voted to order the business to cease any microblading for 30 days. They may resume microblading on January 16, 2020. (Unanimously, voted in favor.) A. Minutes: November 26, 2019 minutes. Upon a motion duly made and seconded, the Board voted to adopt the meeting minutes for November 26, 2019. (Unanimously, voted in favor.) Page 4 of 4 BOH 12/17/19 holmes and mcgrath, inc. civil engineers and land surveyors 205 worcester ct,unit A4 falmouth,ma.02540 a � 1qS- le0o O ^ d�ot7-/ 9 rMA LLC a (q I�O BOX 2350 Ir ACTON MA 01720 Ir ED o $ - - -- -r Extra Services&Fees(check bar add fee as appropriate /� ❑Return Receipt(hardcopy) $��319 20.21 I3 ❑Retum Receipt(electronic) $ �r P Saf1 0 ❑Certified Mail Restricted Delivery $ Q []Adult Signature Required $ ❑Adult Signature Restricted Delivery$ O �N � Postage Ra < 17- $ LJ Total Postage and Fees Cam. O N $ �. Sent To aj� -=-- t . ' ------ Street and Apt.No.,or Fb Box No. `°� Off" ---------------_'---0 "G� City,State,ZIP+4® -`'� Kati �11 - . r - '' r.r r Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail labeq. for an electronic return receipt,see a retail ■A unique Identifier for your maiipiece. ' . 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 11 ■Certified Mail service is notavailable 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 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 an the mailplece,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 hardoopy return receipt, complete PS Form 3811,Domestic Return Receipt attach PS Form 3811 to your mailplece; IMPORTANT:Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02.000.9047 1COMPLETE THIS SECTION ON DELIVERY ■ Completestets 1,2,and 3. A. Si natu ■. Pr1nt,yotu,,Aame and address on the reverse X ❑Agent so that-we,can return the card to you. ❑Addressee ■ Attach thl&card to the back of the mailpiece, R ei by ed Name C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. I delivery address differ ent from item 1? ❑Yes CMA LLC If YES,enter delivery,54dre1 below: ❑ No PO BOX 2350 (604T,�� , N_, jam, ACTON MA 01720 ,,��,rr °�i , tj 3. i_ > � III'III'I I'll I'IIIIII it I IIII IIII III III III I l III ❑Adult Service eRestricted ❑.3egsredlMaiPRe tr�iCtedl ❑Certified Mail® Delivery 9590 9402 4533 8278 9861 86 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise Numb (transfer from service label) ❑Collect on,Delivery Restricted Delivery ❑Signature ConfirmationT^^ 7 a :9 , ;-{ f�l ❑Signature Confirmation Ic e 2—Article 17:-10 7 b 10�'0 0 4 0 0 91#6 914 I I'I `jail Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt mom 9 First-Class Mail Postage&Fees Paid USPS kI i N Permit No.G-10 .I 9590 9402 4533 8278 9861 86 I I United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service holmes and mcgrath inc civil engineers and land surveyor$ 205 worcester ct, unit A4 j Falmouth, ma 02540 I � I � I I filrlifi'iflfjfifiiijitf fiila, :fiP'fi ��fl�lfi, lfifi.fi il-fiill.'11i11IIIIIII1► a.46S- : MCAULIFFE JOAN M &CAROL 3 m JOAN M MCAULIFFE REVOCABLE � 20 TERN LANE ' CENTERVILLE MA 02632 o - - - - --- - -- --- 171$� �, o $ D21 �27 .'2" Ex a§ervi( s&Fees(check box,add tee as �froydate) C� ❑Return Receipt QmrdoopY) $ - 4 �\ o ❑Return Receipt(electronic) $ fa�� o ostm2fk W 0 ❑Certified Mall Restricted Delivery $ Owl ❑Adult Signature Required $ `d ❑FAuk Signature Restricted Delivery$ C-3 Postage co M Total Postage and Feesrq N Sent To p Street and Apt No.,or Pt9 Box No. ------------------- -------------------------------------------------------------------- City,State,ZIP+4® I ,r Ir Certified Mail service provides the following benefits: , ■A receipt(this portion of the Certified Mail labeq. 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(including the recipients 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 retail). ' of Certified Mall 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 L the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mali 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.e electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum Receipt;attach PS Form 3811 to your mailpiece; IMPORTAM:Save this receipt for your records. Ps Form 3800,April 2015(Reverse)PSN 7530-02-000.9047 COMPLETE THIS SECTION ON DELIVERY SENDER COMPLETE THIS sEcv6N" ■''Complete items 1,2,and 3. A. nature ■ Print your nan'i�e.�: nd address on the reverse X [3 Agent so that we'eamr`i�eturn..the card to you. ❑ dressee ■ Attach`this qah` to the back of the mailpiece, • Received by(Printed Name) C. bare of Delivery or on the frg&if space permits. Mr 1. Article Addressed to: D. Is delivery address er t ❑Yes If YES,enter deli - ress b ❑ No a — MCAULIFFE JOAN M &CAROL AL JQr-- I M MCAULIFFE REVOCABLE r� 6��1 S inn�3p 20TERN LANE CENTERVILLE MA 02632 Q II I IIIIII IIII III I IIII II I I I II II II II I III II I II III 3. Service Type o Priority Mail Express ❑Adult Signature ❑Registered MaiITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail® Delivery 9590 9402 4533 8278 9861 93 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ^+— + ron �o iahail ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM I `-Tail ❑Signature Confirmation 7 01,7 t1 G7 0 0000 4 0 0 9 [6 9; 8 j lail Restricted Delivery Restricted Delivery i i'F t iI k. PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt uSPS TRAqWG..# First-Class Mail Postage&Fees Paid I USPS Permit No.G-1'0 9590 9402 4533 8278 9861 93 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service holmes and mcgrath inc civil engineers and land surveyors 205 worcester ct, unit A4 Falmouth, ma 02540 :�} �tJ3lilfli}�l��i�flii�iilrii�li,J�i�33f}iiJl�i�1 f�=llilliiF ( CASEY FLORENCE L aLg lc�s- ty" o 26 TERN LANE cr CENTERVILLE MA'©2632 Ir - o $ E,17782. 79 Extra Services S Fees(check box,add fee as approprlate)� 2� ❑Return Receipt(hardcopy) $ _ �� ° 1 C3 ❑Return Receipt(electronic) $ V Postmark' C ❑Certified Mail Restricted Delivery $ ��:� Z Here C3 []Adult Signature Required $ S.1) O W ❑Adult Signature Restricted Delivery$ t M1 � ; Postage L`T`] N CD U7 C3 Total Postage and Fees (� �j rq $ �" U Sent To s a e4, C3 Street airiiitpt.IVo.,or�d IVo: *ter �£0��' N City State.ZIP+4® -------- ------ Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail labeQ. 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(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 retaiq. 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 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 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,y 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; IMPONAI TI:Save this receipt for your records. Ps Porrn 3800,April 2015(Reverse)PSN 7530-02.000.9047 COMPLETESENDER:,COMPLETE THIS SECTION • ON 0 138 e,4ems 1,.P.;and 3. A.Signature e ❑Agent ■�Print y4uf na fsa�"�arid address on the reverse` s2Y'that-we can return the card to you..• .•' 0 A ressee ■ Attach this card to,the back of the-mailpiece, Reb'eived by(Printed Name) Date De`ery or on the front if space permits. 14 1. Article Addressed to: D. Is delivery address different from item 17 Y a la i C(S If YES,enter delivery address below: o I CASEY, FLORENCE L 26 TERN LANE (_Q_ " CENTERVILLE, MA 02632 I 3. Service Type ❑Priority Mail Express@ II�IIII�I III �I I II'I II I I I�I I�I III II III II III ❑Adult Signature ❑Registered Mail ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail@ Delivery 9590 9402 4533 8278 9861 79 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ro,_[rr��efar_frnm_cervira IaheO ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation T'" •:i 1sured Mail ❑Signature Confirmation 7 017 10 7+0' 0 0 0'0 `4 0 9',',6 9 0"7 i i � ;tisured Mail Restricted Delivery Restricted Delivery ver$500) P� S For 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt t USPS TRACIUNG# ,.. ,�•• First-Class Mail t Postage&Fees Paid USPS a µ Permit No.G-10 9590 9402 45 "� 78 9861 79 I United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service I ., holmes and mcgrath inc I I I civil engineers and land surveyors 205 worcester ct, unit A4 Falmouth, ma 02540 I I I II I p CMA, LLC P.O.Box 2350 Acton,MA 01720 (978)263-2989 FAX(978)263-0403 Email: jllaferriere@hotmail.com July 20,2012 Town of Barnstable Karen Herrand,Division Assistant Public Health Division 200 Main Street Hyannis,MA 02601 Re:. 24 Tern Lane,Centerville,MA Dear Ms.Herrand: This property is being occupied by the owner's son. No rent is being charged;therefore we feel it does not need to be registered as it is not a rental property. If you have any further questions,please feel free to contact me at ext. 5. S' cerely, Je 'fer Laferriere Property Manager CD. 7 .,w Q `JUL-1-�-2012 01:50P FROM: 5088624722 T0:95087906304 P.1/2 Town of Barnstable Assessing Division MAM 367 Main Street,Hyannis MA 02601 www.town.barnsta ble.ma.us Office: 508-862-4022 Jeffrey A.Rudziak,MAA FAX: 508-8624722 Director of Assessing CS FAX SHEET 2 '"�'�� PAGES INCLUDING COVER: 2 TO: Health Department (508) 780-6304 FROM: DENISE RADLEY PROPERTY TRANSFER ASSISTANT (P) 508-862-4018 July 12, 2012 RE: CMA, LLC 24 TERN LANE, CENTERVILLE,MA Hello: I just came across Parcel 1 S3/048 which is noted as an Unfurnished Rental. Thank you, Denise Radley 'JUL-1�- -2012 01:51P FR0M: 5088624722 T0:95087906304 P.2/2 t Town of Barnstable Assessing Division 9ARMABUL 1 367 Main Street, Hyannis MA 02601 o rug" www.town.barnstable.ma.us Office: 5084624022 Jeffrey A.Rudziak,MAA FAX: 508-862-4722 Director of Assessing ADDRESS CHANGENERIFICATION FORM For Real Estate&Personal Property tax bills ONLY To change the address on your motor vehicle excise tax bill,contact the Registry of Motor Vehicles To change the address on your boat excise tax bill,contact the Massachusetts Environmental Police PLEASE COMPLETE THE FORM BELOW AND RETURN IT TO`fHE ASSESSING DEPARTMENT Faxed or emailed changes not accepted.Form must include original signature and be mailed to: Town of Barnstable,Assessor's Office,367 Main Street,Hyannis,MA 02601 IT IS IMPORTANT THAT YOU RETURN—THIrt 1'OR1Vi IF YOU DO NOT RECEIVE VOUR TAX BILL YOU WILL STILL BE RESPONSIBLE FOR ANY INTEREST.AND I OR LATE CHARGES This property is:(please check all that apply) My primary residence My secondary home Rental property A,/—(and Commercial/Industrial or Vacant Land is)furnished_unfurnished Personal Property PROPERTY LOCATION: 72-2A/ 4,-�A/a MAP/BLOCK/LOT OWNER'S NAME: Mailing Address STREET: or P.O.BOX: >PO 06 D W 3 5D CITY,STATE(CTRY),ZIP: T0 Al 111h P17- D This form must be signed by the owner/or Trustee as shown on the recorded deed. OWNER'S SIGNATURE: DATE: (Subscribed under the penalties o perjury COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION' ONE WINT TREET. B SO TOOT _, MA 02109 617-292-5500 WILLIAM F.WELD !' � � TRUDY COXT Governor Secretary ARGEO PAUL CELLUCCI DAVID B.STRLTH.S Lt.Governor SUBSURFACE 5 GE D S!OSAL SYST INSPECTION FORM ' . Commissioner P ItT-A CERTIFICATION Property Address: 24 Tern Lane, Centerville Address of Owner: Date of Inspection: 8/4/9 7 (If different) Name of Inspector: G t pnh pn .T C i lva I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: Holmes and McGrath, Tnc , Mailing Address: 2.n n Main .4 t r P P t Telephone Number: Fg1r3aLith, MA L514n 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 inspection. The,inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _ Passes y Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: `/�—`—:!� Date: P/4/9 7 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: A] SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303- Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: X _ 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. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Pago 1 of 10 11EP on the World Wide Web: http:INAVW.magnet.state.ma.us/dep is _o_ -,a.o. _ r SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 24 Tern Lane , Centerville, MA W632 Owner: Michael Valerio Date of Inspection: 8/4/9 7 61 SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the.. Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four 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 C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH, WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: . Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM'WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: t The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or t tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis 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. Method used to determine distance (approximation not valid). 3) OTHER (revised 04/25/97) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 24 Tern Lane Centerville , MA 02632 Owner: Michael Valerio Date of Inspection: g/4/9 7 D] SYSTEM FAILS: You must indicate ei;!.er "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or.ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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 It of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 24 Tern Lane Centerville , MA 02632 Owner: Michael Valerio Date of Inspection:. 8/4/9 7 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No X _ Pumping information was provided by the owner, occupant, or Board of Health. _ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. .� The facility or dwelling was inspected for signs of sewage back-up. X _ The system does not receive non-sanitary or industrial waste flow. x _ The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. X _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on:. X _ The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. Existing information. Ex. Plan at B.O.H. X _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)] (revised 04/23/97) Page 4 of 10 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 24 Tern Lane Centerville , MA 02632 Owner: Michael Valerio Date of Inspection: 8/4/9 7 FLOW CONDITIONS RESIDENTIAL: Design flow: 110 g.p.dJbedroom for S.A.S. Number of bedrooms: 4 Number of current residents: 2 Garbage grinder (yes or no): no Laundry connected to system (yes or no): 'fie S Seasonal use (yes or no): no Water meter readings, if available (last two (2) year usage (gpd): no Sump Pump (yes or no): no Last date of occupancy: currently occupied COMMERCIAU.I N DUSTRIAL: Type of establishment: Design flow:_gallons/day 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: OTHER: (De5cribe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: - System has not been pumped for 10± years System pumped as part of inspection: (yes or no)_ o If yes, volume pumped: gallons Reason for pumping: TYPE OF SYSTEM x Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other -' APPROXIMATE AGE. of all components, date installed (if known) and source of information: 20 years Sewage odors detected when arriving at the site: (yes or no) no (revised 04/25/97) page 5 of 10 SUBSURFACE SFPAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 'roperty Address: 24 Tern Lane Centerville, MA 02632 7wner: Michael Valerio Date of Inspection: 8/4/9 7 BUILDING SEWER: (Locate on site plan) Depth below grade: Material of construction: _cast iron _40 PVC _other (explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK: (locate on site Flan) Depth below grade: 12" Material of construction: x concrete _metal _Fiberglass _Polyethylene —other(explain) If tank is metal, list age _.Is.age confirmed by Certificate of Compliance _(Yes/No) Dimensions: 1000 gallons Sludge depth: 2 " Distance from to,o of sludge to bottom.of outlet tee or baffle: I R" Scum thickness: 12" Distance from top of scum to top of outlet tee or baffle: 61.' Distance from bottom of scum to bottom of outlet tee or baffle: 61' How dimensions were determined: Wooden strapping and tape measure Comments: (recommendation for pumping, condition cf inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) Inlet and Outlet tee ' s in good con it to be Dumped Covers need to be reDlarPdi GREASE TRAP: (locate on site plan) 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: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) (revised 04/25/97) page 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 24 Tern Lane Centerville , MA 02632 Owner: Michael Valerio Date of Inspection: 8/4/g 7 TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth'below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene —other(explain) Dimens'ions:. Capacity: gallons Design flow: gallons/day Alarm level: Alarm in working order_Yes; _ No Date of,,previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: x (locate on site,plan) Depth of liquid level above outlet invert: f1" Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) No solids carry over. Cover needs to be rP=1arod - PUMP CHAMBER:_ (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.) (revised 04/25/971 Page 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 'roperty Address: 24 Tern Lane Centerville , MA 02632 )wner: Michael Valerio )ate of Inspection: 8/4/9 7 ;OIL ABSORPTION SYSTEM (SAS):_ locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) if not determined to be present, explain: Type:. leaching pits, number:_ leaching chambers, number: leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overfrow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) System functioning as designed., Top of galley = 18" below _g. e. CESSPOOLS: _ (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY:_ (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 04/25/97) Page 8 of 10 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 24 Tern Lane Centerville, MA 02632 Owner: Michael Valerio Date of Inspection: 8/4/9 7 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (locate where public water supply comes into house) f' /k)'� i 00 r L1- /li�!ii/lip 1 . T r k , 11 (revised 04/25/97') Pago 9 of 10 f SUBSURFACE SEWAGE DISPOSAL SYSTEM'INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Addr ess: .24 Tern Lane Centerville, MA 02632 P Y Owner: Michael Valerio Date of Inspection: 8/4/9 7 Depth to Croundwater _ Feet Please indicate all the methods used to determine High Groundwater Elevation: x Obtained from Design Plans on record Observation of Site (Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators, installers Use USES Data Describe in your own words how you established the High Groundwater Elevation. (Must be completed) 1994 Plan by A.M. Wilson & Associates. entitled "EXISTING CONDITIONS PLAN" Valerio Residence at #24 Tern Water Elevation = 34. 3 (maintained) Clevation over system = 43.0 Depth to top of system = 18" Depth to galley = 48" Bottom of system = 43. 0 - 18" - 48" = 37. 5 Groundwater = 43. 0 (43. 0 - 34. 3) = 34. 3 Depth to groundwater 37. 5 - 34. 3 = 3. 2 ' NOTE: Elevation of pond assumed to be groundwater elevation given the proximity of the system (revised 04/25197) Page 10 of 10 � ..� nomes ana mcgra , inc. •C�C�51�4�C� OO [� 4 � � G``]� `C��44Lad civil engineers and land surveyors 200 main street room 201 falmouth, ma 02540 ..'r DATE / ` /� /� Phone (508) 548-3564 1 800 874-7373 Gy VI `T < 7 FAX (508)'5/48-9672 ATTENTION y. TO �/9�G �O. _ RE. �L�'/nT�C �Glq �-�—/ • > WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: X- For ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval your use ❑ Approved as noted ❑ Submit copies for distribution > s requested . ❑ Returned for corrections ❑ Return corrected prints ❑ 'For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS Y(// !�vs z4 -A �i ui7t z /ir IMF COPY TO ( • �� SIGNED: If enclosures are not as noted,kindly notify us at once. 41 January , .1977 r� r « :: ». .. ,' •�„p air {w,,� 1 q '�:a ,-x-,;.. � ..'��o � t «t' = ar ' r r.k'r�n�c�`'GelrnaS-•.. '.. vy ryt _~ a - `p ry+� R3 YY XR , ',.p L YR PrikOV ../f CM Mr`iao A�;bo iRGlys"7` Y .'•, ; 1 F" - �'7 �.. _ 't f` t' North' ffice Park 41 - ' �• ` y{a t Vrthl Axidai'®r.j.•. i3Yia+•FM i+IY ,a�T fi b �- 4 ` ,T1' ~ � wa ' rr - "Re: Iot .4. 0kf�T,6* Dear Mr.j, Celina Your p .an+ fa `.,a aub-rsurfae4' arse a 4 x o Tern Centervii .e,�; was. rev e id :and tieo ,twing $ a are •got accordance - it �i i R e°S aie ~Nn'v i3z to . t ' Code r r r r Nk.r �a, a fes are no tteh f e sum the proper, 2. Septs,c ;tank_ only!iOOO gad garbage,g hider inath Iled, 3 $pptie ,tanx wive a from ' Idod rA . teh Please subm ,t revised fan'+;with rrectiO s ai d a+ fee`of _ _^ n _ �} _ . Y &yab.I. the town or,Sar t L' ibeO at yl�ti" r8l1 will �be forwarded a In the event^ corr6`dtXron,CaAhQt �3e made,;..you St to 4r variance w rit in f c t e est a r n h-e Da oIei ' ,• Please call if�yOix °haVe any quest ior�. * Very truly .yours , : A J. John M, Kelly Dike or O:f.,Public °Me y i. ..-. a r + it r to _. r r • w' r c n 4 t4Y/r' i _ 'K.t.*' k,� - � R � ...ir• jp• '.a4. _•}3 �r YP� _,+'s?,-i. •-v+. "•efr�1.. e•ram ,. �." � t q r, t _ .t f ry F.}Gih `y�ia!it Li ,i 3Li.J.Q •� .� ..r wh Frank= ci•i Gelinas and Usoei4 5 North Andover Office Part' z North .Andover, Mas a I �ett5° �5 r beii,+1�i•j, e�/g{ �A�7� � a , '.' r _,1 t: -i .�,. ' r You,Are 'granted a xa rian' ce on twt , off T6r'n Lahoi Centery 32e Q '1l2�ta eaohtt1g ga�1.�.er es'. 1e foot from a . i �� r�a� lieu Qf t 2e-requ red' tea felt o L nd tt�'� , a the ae ie `tank' iVe .�^ feet fr©m`the dw xlling i 4 the .r•egu ed 'ten'.f i eet it -.` {. the. fp3towincr,oQtuditil6ns-y s All other Tt3Wtl abd State tnv irol men�a�.�' t _ ? regulatioh midi w r atrioti i adhear_d � - , • - , �qPrior, � the, he iaouat•�l io" o_ a t!i. ����,st. Q�, VtiV��� iil�4a^f.., A�F.• `'' r ., r. the d sig .ng a gi 6r mu for,if �:ni' writ ipr� hi de sites has eft. CoMpj.j with" 3 This varjan ix' pa a :bru.4ry 1 .1578 � Y Robert Child Chairman Al Aran lan s tgh l._` ..�.. die d VY.� +:. ., - k 3 ,'; J�: r - t�"i i • d T .. Hazard -M* D ' '« i s©C l ?t?i[i Y,GV t�.i# C7L r 1 FRANK C. GELINAS AND ASSOCIATES L ENGINEERS & ARCHITECTS NORTH ANDOVER OFFICE PARK NORTH ANDOVER, MASS. 01845 TELEPHONE 687.1483 November 9, 1976 Barnstable Board of Health 397 Main Street Hyannis, MA 02647 Attention: Mr. John Kelley Dear Mr. Kelley: i� Enclosed please find (2) two copies of a proposed subsurface disposal system of Lot #4, Off Tern Lane, Barnstable, Massachusetts. This system will replace an existing cesspool located in front of the dwelling. A new dwelling is proposed together with a new system as outlined on the enclosed plans. In addition to a permit, I have filed a Notice of Intent with the Conservation Commission. Yours truly, Frank C. Gelinas Registered Professional Engineer : Scp enclosures FRANK C. GELINAS AND ASSOCIATES ENGINEERS & ARCHITECTS NORTH ANDOVER OFFICE PARK NORTH ANDOVER, MASS. 01845 TELEPHONE 687.1483 January 5 , 1976 Barnstable Board of Health Barnstable Town Offices 397 Main Street Hyannis, MA 02647 Attention: Mr. Robert Childs; Chairman Dear Mr. Childs ; Pursuant to Regulation 20 of Title 5 - The State Environmental Code - of the Commonwealth of Massachusetts , I hereby request a variance from paragraph 3. 7 of said sanitary code for .a proposed sub-surface disposal system of Lot No. 4A, off Tern Lane, Barn- stable, Massachusetts, as submitted to the Barnstable Board of Health, dated November 2, 1976. In particular I have placed leaching galleries within one foot of a common right of way as opposed to .the stated ten foot distance in paragraph 3. 7. In addition, I have located a 1,000 gallon septic tank within five feet of the dwelling versus the stated ten feet. It is my considered opinion that the location of the leaching gallaries to the rear of the dwelling as opposed to the present ,location "midway between the dwelling and Weguaquet Lake" will provide greater environmental protection of the system than if Title 5 were adhered to. The reason for placing the septic tank five feet from the dwelling is to preserve present site characteristics as they exist. Present scoping affords placing the septic tank as shown with minimum degree of pavement removal and shrubbery removal. Again this affords greater environmental protection than strict adher- ence to Title 5. No basement is present in the existing dwelling nor is one considered in the reconstruction, therefore, a five foot distance is a reasonable setback. 'The Barnstable Conservation Commission has reviewed the "Notice of Intent" and has given us a positive "Order of Conditions" . A Public Hearing was held on November 30, 1976. There were no negative comments heard. r. Page 2 Barnstable Bpard of Health A copy of this memorandum is being sent to the list of abutters below via certified mail in compliance with Regulation 20 of Title 5. Yours truly, aQ . Z-�' Frank C. Gelinas Registered Professional Engineer FCG/scp List of Abutter to Locus Ms. Joan McAuliffe 6 Pine Ridge Street Wakefield, MA 01880 Florence L. & Leo F. Casey, Jr. Tern Lane Centerville, MA 02632 cc : Mr. Guenter Roesler Mr. & Mrs. Michael Valerio FRANK. C. GELINAS AND ASSOCIATES l ENGINEERS & ARCHITECTS NORTH ANDOVER OFFICE PARK NORTH ANDOVER, MASS. 01845 TELEPHONE 687.1483 December 17, 1976 . Barnstable Board of Health 397 Main Street Hyannis, MA 02647 Attention: Mr. John Kelley Reference: Lot #4, off Tern Lane Barnstable, Massachusetts Eear Mr. Kelley: Enclosed please find a copy of the Application for Disposal Works Construction Permit for the above referenced site. On November 9, 1976, I sent to you two copies of a proposed sub-surface disposal. system for the same lot. I am hereby requesting a permit. Should you need further information, please feel free to contact this office. Yours truly, Frank C. 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'y�', 1 X h ! ff I ^4 •r•- t - s •H �a . r•ra a t Ti.s4a�awYia��i Te � r ,• r Y ..�,C3"„%y 53 ,�-j�L, _� e..y»,;,,... ��.'£a ` i✓:` q'i �_ �y � yy� -,No.......................... ............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... .....OF......................................................................................... Applirtttiun -fur Uiipuntt1 Works Towitrurtion Vrrntit Application is hereby made for a Permit to Construct (V) or Repair ( } an Individual Sewage Disposal System at ®'Y 4 A Location-Address or Lot,No. ---------- .......•-••-------------------------------------- Owner Address w P�A2+ .r� All �sS . - �s Installer Address UType of Buildin 1® Size Lot..2_0 s__0:8C3___Sq. feet Dwelling No. of Bedrooms—--_I............ ... ..... ........Expansion Attic (A) Garbage Grinder ( `4 Other—Type of Building o. of persons.a g ______________ __ p �. ...!'a......_. Showers (�) — Cafeteria ( ) d Other fixtures ---------- ------------------------------------------------------------------------------------ --- - ------- ----- ------------------------- - W Design Flow____5....................n .gal s per person peidad. Total daily flow__.__.......®. ...............gallons. WSeptic Tank—Liquid capaci =_ _gallons Length__ -��?.. Width.._...... 5 Diameter---- 3/ __ Depth-------------_. x Disposal Trench—No. .................... idth.................... Total Length.................... Total leaching area..-.--.-___--____-sq. ft. Seepage Pit No--------3......... Diameter__- _ .._ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (X Dosing tank ( ) Percolation Test Results Performed by.--_-------��`v-��-r_G.. !g<e( 4.............. Date........ 3017 ....... Test Pit No. 1.42!?1'4ninutes per inch Depth of Test Pit....i0_.......... Depth to ground water...-_-_d. -----. - (Tq Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a ........ ------------------------ ..... - O Description of Soil----------------Gaz? �..--- -��4...... --� V ------------.......------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ -------------------------------------------------------------------------------------------------------------------W U Nature of Repairs or Alterations—Answer when applicable..---------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ..2�J Z�'7 Signed............. 1.. Date, ApplicationApproved By------------------------------------------ ---------------------------------------------------- Date: Application Disapproved for the following reasons:................................................................................................................ ........-•------------------------------•--------------------••------------•--••----•-------------••---....-•----•-•----•------.._..--------------------...-•--•------------........---------..._------ Date PermitNo.......................................................... Issued........................................................ Date ................................................ .....•..••......•........................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifirate of f.10mli inure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by----------------------------------------------------------------------------------------------- ----------------------------------------------------•---------------------------••------•......•.... Installer at................................................................. ... has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------------------------------------------ dated-..---------.--___-_---__-----.____-_-__----••-_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... -............................................................................................................................... THE`'COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................... No......................... FEE........................ MnVoottl' ork �1 n trnrtioat rrntif Permissionis hereby granted----------------•------------• -....................................•---•---...........------......-•-•---•--....----._.........._......... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo................................................................ Street as shown on the application for Disposal Works Construction Permit No--------------------- Dated------------------------------------------- ---------------------------------------------------------:..------------------------------------------- Board of Health DATE.................------------------........................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i -No.......................... Finc............................. ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... ...........OF...........................I.......... -........................................... .. Apphratiun -fur Uhipvii tl Works Tonstrurtion Vrrui t Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: _ o-r A Location-Address ................. _ or Lot No: ---- C. ' - Owner Address Installer Address Q Type of Buildin <3 Size Lot.._2 .,..A.$v___Sq. feet U Dwelling No. of Bedrooms-_._I..................................Expansion Attic (A) Garbage Grinder Other—Type of Building _________________ a yp g No. of persons........ .tp...... Showers O — Cafeteria ( ) QOther fixtures --------------- ------------------------------------ ------------------------- -------------------------------- ------------------------------ W Design Flow____�G_______ ._-__--gallons per person per day. Total daily flow...........'3__©..Q...............gallons. 9 Septic Tank—Liquid capacity._S_ 'gallons Length...��-.._' . Width..___'.. Diameter__.N��4__ Depth.-._.____._.... xDisposal Trench—No-____________________ Width.................... Total Length------------­------ Total leaching area....................sq. ft. Seepage Pit No_________3_________ Diameter....'..�!—A_ Depth below inlet.................... Total leaching area..___-._.-________sq. ft. Z Other Distribution box ( Dosing tank ( ) aPercolation Test Results Performed by.__-.-_-_-------,--tt--------------•--I.....:_,),-,�______________ Date........!0_U./7A__.-.. Test Pit No. per inch Depth of Test Pit....A-?_' .--- Depth to ground water-..-_-------.- . fX, Test Pit No. 2................minutes per inch Depth of Test Pit_._..__.--_-_______- Depth to ground water__.__._..__.________..-. ------ ------------------------------ ODescription of Soil--------_----- ' a, ,r. .......... .`-` �-� c� .,1��- ----- --- - ------------ -- - -- ------------- x V ..................... --------------•-•-•--._........_...----------------------------•----------•------...-•--••--•-----------....----- W U Nature of Repairs or Alterations—Answer when applicable..________---------------------------------------------------------- ___________________________ --------••----------•--•--------•-•----------------•---------------------•-•-------------•---.----•--•------------------•--•-------------------------------•--------•-••-•---------------------------... Agreement.: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed............= - s 1'c ---•............................•---- -------------- ---- -------- Date ApplicationApproved By-------------------------------------•----------•------------------------------------------------- ---------------._....-- ---------------- Date Application Disapproved for the following reasons----------------•----------------•----------------------•----•-•-•• ............................................. ...............................•--•-----------------------------------------------------------------------•--•------------------------------------•---------------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF......... ........................................................................... 01prfifirate of 01-1ompliatirr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------------------------------------------------------------------------------------------------ -----------------------------------•--------------------------------------------------------------- Installer at--•--•---•-•------•--•--•--•-------------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----------------------------------------- dated-............................................... THE ISSUANCE OF THIS CERTIRCATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------------------------------------------------- Inspector------------------------------------ --------•-••---------------------------•------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................----.............................................................. No......................... FEE.....-----------........ Dinpoottl lUurkq Cnonitrurtion Prrmit Permissionis hereby granted-------------------------------------------------------------------------------- ----......---•----------------..._--••----............................................................ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo--------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------- street as shown on the application for Disposal Works Construction Permit No_____________________ Dated__..--._-.-________--____•---------__---- ---••-----------••----•-•-------•-----•----------------------------------•---•---------------------...._ DATE................................................................................. Board of Health FORM 1255 HOB13S & WARREN. INC.. PUBLISHERS �1 � 1 € 1 V _ova 6uaf-& cE 6Y5TSM DE-bIGH= o f- t LoT No. 4 4. OFFTERN LAND. F,3ARN S-rABLE , MASSAC�A USE_ TS (PR6Pos.ED RESIDENCE OF MR. t Mrs, M 1 CHAEL HELEW VALERIO) r QuNTE'R R • RO E S LE R R2S AssocwrES 148.S-rA7E S-rREE'T , Room 8!c Bo s-rco )NAASSAc�ASETrS, 02105 f:'(Z h,ti K C. GE-LI nas 1 1�FRANK `{�� CONbULTITIG ENGINE-E-9, c hOfLTU AhDOVMj P TE-L. 687- 1+03 E • 4 r r 2 , 1976 ' DE S ( Gm D A-TA C AI .CUL. 4X1OR S�4EET PERC OL A'T I ON 'TEST I PE RC OL AT I ON T EST '62 SAT41RATtom -TIME. .• . 7 SATvRA-rioW 'Time f . 27Mtu4s DESIGN BASIS < {1t�t(�, IN' -D e s to w BAs s s - DA-ra :9.1 a/7.G Dare -- - - S pT i c TA N K. F LOW a 3�E,t�RdoMS/ Rcwtowt RM. v Z x SO SPUD F L O W a _.. . 6.P.D. X 1 SO-�, - 4 S' d - GALLONS ,0 O Q`Y( __. LtSE --- GALLoN S EPT1C TANK - EACNtk& AREA AtAm SOO Fc.ow GP.D. x. C). 5 43.F jGAL..= 150 �►�F ..�' 2 is S.F LEACHING GALLEY , MR TRES.ER"M .,OtZ tr��s t��► c,h��c I Ty, SOIL O FVLC.S 1'�e►. ...P�►- @ W ZG No.2 VAM9 N, No. DA-m No DA-TE oFsol , i-0„ �OPSOII. SURSQIL ` SUOSOtL 2�) =0" GRAVELLY SAND SANDY tpRAYE . UEsrGnt SAS *Z \N, rp EL-F-'d OF _8-1 , O' COARSE BOTTOM OF SAND 0 - COARSE SANtJ, GPAVF_L SoW GRAVEL EL EY, 4F 91. S 8- * Y 0 sTV R,E Co.) mp i sTU RE ELEV.$1.O 10-1d-L Env. ` , 0� � .O 'ELEV. Eum P6.2 OF t� !� :ELEvATtON SCHEDULE BENCH MAF COIVC.k3OuN.o No.1,SEE .1 t00. 00' NOTE. ALL ELEvAT►oNS REFER Td i A _ i UILDItgG SEEKER 9S.4e INVERT OF PIPE . E3 SEPTIC TANK tNLET 95430 C SEPTIC -7At�1K OUTLET as- oS- p DISTR c3Ox Ant LET NONE E D( ST. BO')< OUTLET NOME F LEACHING PtT it1LET 94,79 TBOTTOM O F GAt_LEY 9 1 . SO' i_ W J Z 0. 4 1 P> R 1 M ECt ,e,R u S t-4 ED I'y h MWF-IS%DES 4WtY. Qu m U , V{ \ 4' C.T. PIPEI j = 4 Z \ S .02 o S_.02. I � tu AAS+4O - NS z.0-444 D FLAN OF LEAcHI►JG C-kl-\ILEY rn � 1�►o ScA L.E. - --DWELLING FON. 3jt C141MNEY WITH 2 MIN.qi O>S,TIG44r I ITTtgG M,N.COVERS To VOKCGRA dal••-•`'"�' •••"•uGti+.,r•�aw#w��7t:atl6�JYra�:._..-. ...,. �O� ���!*�TiT r _ _ �...^. PLA,T14 2�5 EFFECT. A .�AREA S.F L.E AC N B C _ w AR1NG SEPrtC`TANK 9 SO -t0 .i� W�SNE17 CRuSW.FD STONE ' A:z ou tI -TN-PtCAi� ���CKtNG GALLEY PROt=tL£» tl�O SOLE m t? fT �- PRECAST GALLEY a 0 PRECAST,CONCRETE.PRODUCTS,':;' : �: END SECTION CENTER SECTION 00 0 1 END SECTION ',;.`� moo•• ® ® ® ® � ®®� ®� LENGTH 1 1 DEPENDING HOW ® ® �o MANY CENTER . a SECTIONS USED ' 151 OLD FARMS ROAD. AVON. CONNECTICUT 06001 4 TELEPHONE. (2031673-32GI I PRECAST GALLEY. G 444. 18"OIA.COVER 01A.KNOCKOUT8 ' ; .... ®M 4» o 0 o MMMMM MoziLflmM o 0 o MMMMM MMIMMM 1 . o 0 0 3"WAILS 1t M MM® ®MM®® 4'-0•. 4'-0'•—.I END SECTION •I . ( I r' CENTER SECTION �C-. Cam• or-- � SPECIFICATIONS *Concrete Minimum Strength-5,000 P.S.I. at 28 days. *Steel Reinforcement—ASTM-A-615-68, Grade 40, 1" minimum cover, •Design Loading—Standard Units: AASHO-H10-44, Optional Units: AASHO-HS20-44, 2 No.-- - •- -- s iS"S� Flz ....�i .. ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH �' _.._. ...... ---- OF......... ..-•_..___----------..................... vvv Appliratinn -for Uiiivuiitt1 Works Tutu#rnrtion Vamit AFplication is hereby"made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --••-------•---1 - 7�1 /4.A1_ ._. �.�t.x�.it��t, ,f�S . ..................................... 1� f ....................................... Location-Address r Lot No. YQ•,4-1EjeJ_0_------------------ ---16��Q Owner a Address ......`i OA.0 ...... .. _34_1&4ie.Ser.0!t g,S._. W.1 '_pay Installer - Address U Typc�ot Buildi Size Lot-F,_ .j__1_80____Sq. f et Dwelling-No. of Bedrooms----- ...........Expansion Attic ( ) Garbage Grinder (A®) aOther—Type of Building ___________________________ No. of persons_-____________________._.___ Showers ( ) — Cafeteria ( ) a Other fixtures -------------------------------- - W Design Flow.............. ___________________gallons per person per day. Total daily flow-------_��CO---------------------------gallons. W Septic Tank—Liquid ca pacity_ __© allons Length Width_.__Sc-........ Diameter______-._---__-_ De rtli.s:3''__-.__... i q 1 `/�-----g" g 1 - x Disposal Trench—No_____________________ Width-------------------- Total Length.................... Total leaching area_____-______-.-_____sq. ft. Seepage Pit No.G..Y$K1/__ iameter......1/._-------- Depth below, inlet-.. .6__.____ Total leaching area-V!7_!Q--------sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by___________________________________________________________ ____ _ Date...... ------- ---.-.-..-___.----- Test Pit No. 1................minutes per inch Depth of "lest Pit-------------------- Depth- ground water-----------.___-__-__--- Gz Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water__-_--_-____-________-_- ------- j----- --------- �� ------- O Description o Soil,- - u v1 f a' '� ��f�-- 2--3 - --------- ------------- x .� - -- - `/�'-- _ , - -------- -�¢� V 1 W ------------------------- 2 ----------------------- ------- ------------------------- ----- VNature of Repairs or Alterations-Answer when applicable----------------------------------_----------------------------------------------------------- ------------------------------------- --------------------------------••--------------------------------------------------------------------------------------------------- --------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bequ issued y the board ealth. Signe _ Date 2S.APPlication Approved BY -------------------- . --------- � Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ------------------------ ------------------------------------------------------•--------------------------------•----------_._..---.--------------------- Date PermitNo......................................................... Issued........................................................ Date —-- 4� -r 1 No. Fps.../s '' ........ - THE COMMONWEALTH OF MASSACHUSETTS :. . BOARD QF HEALTH �. .................. OF................. !' .................................................... : Applirtttion -for Uhipoiittl Workii Tomitrurtion Vrrm t Application is hereby"made for a Permit to`�onstruct ( ) or Repair ( ) an Individual Sewage Disposal System at:'- .................................................m--------- .................................. -••-•-.......--•--......._...........-•-•••............_.......------.........----_._......._.... Location-Address or Lot No. Owner Address W Installer Address Y d Type of Buildi112 Size Lot............................Sq.if et UDwelling t�No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ) `4a Other—Type of Building -------------------=-....... No. or Persons-.*-_ ____-_•_________--_ _ Showers ( ) — Cafeteria P'I Other fixtures _____________ ' W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. l° WSeptic Tank—Liquid capacitv.._.:;_-___-.gallons Length________________ Width---------- ..... Diameter................ Depth-.-_______-__--- ; x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. Seepage Pit No--------------------- Diameter-------------- _____ Depth belo inie .I...�_. ..j............ Total leaching area._------____..___sq. tt.' Z Other Distribution box ( ) Dosing tank ( ) Q �'�^ • �"" y aPercolation Test Results Performed bY------------------------------------•----------------"------------------- .Date------------------------------------- Test Pit No. 1________________minutes per inph Depth of Test,,Pit.................... Depth to ground water-._._-.-.-__._______-- , (14 Test Pit No. 2................minutes per inch Depth of Test Pit-___-___--_-_____ Depth to ground water__.__-_._____________. - t x j z Description Soil 4J � W �e � /� fc`-('' i'''sr'C• �r: +• -------------=--- a V Nature of Repairs or Alterations—A�'`itswer when applicable______ _____________________-___---__-._.._---.._--_______.-_-_-__-_.__-_...._.-._______... ,k.. Agreement: The undersigned agrees tot stall the aforedescribed Individual Sewage Disposal System„in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be iss led by the board ealth. :. �.S�igne - ---- . ...-- ..---• -------------------------- Date Application Approved BY---•-. .... •---- !� . .--------------- '-�-:r:. .717------------ Date Application Disapproved for the'following reasons: r .............•---•----.....•---------------------------------•-•-•---- -------•----------------------------•-----•----•--.. .-•---••---•--------------------_._...--••------------•--------- Date Permit No...Z --........................... Issued_.............................=...... Date 417 {s THE COMMONWEALTH OF'MASSACHUSETTS BOARD AF HEALTH Fill'y ,��,,� �s« (Irrtifiratr of Tom'plittrur xt T S I TO TIFY hat the Indi' dual Sewage Disposal System constructed (4) or Repaired ( ). ly at_..-.. ... ..... ...... „C ------- ----- -----• -•---•--•-•------- --•---•---•-•-••••-- •••-- has been installed in accordance with the provisions of Ar e XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..l�y .._.... _fl ------------_ dated.-_...`_�_ __.._..._ _...._ 7 THE "ISSUANCE OF THIS; CERTIFICATE SHALL NOT BE CONSTRUED A§ A GUARANTEE THAT THE SYSTEM WILL FUN-CTl®"ATfSFACT.ORY. Z DATE --J •-- �7 Inspector � �...._ �� ... - ••---•. ---•- 1 THE COMMONWEALTH OF-MASSACH.U.S.ETTS--- -- -- -- -- y BOARD OFj EALT .j 't-sue...._.. . oF_....... ....... - FEE...A r r No......................... or � rti�atutit Permi sin granted___. . .. - PP " R? K to Cons t° ) or e air'( ) an dividual Se al System atNo - ...... .... !-• ••--- ------ ----- ----------- - -------------------- --- Street' as shown on the a lication for i -&7 S'- 77 r pp o D sposal,Works Construction Per No _ :� . Dated_____-------_____________________________..___ Board of Health 3 -- DATE .... 7 =' FORM 1255„HOBBS & WARREN. INC.. PUBLISHERS vol uAO0 E::r . f ! t-ca`Y- 4 A. e F ' W,&y -Z� �,►.si4t.ta �� a����r {S L f• LOCATI00 •. , ,y , .:_ ; •` GCA1. Ir: s - 46 ` PAT` t4-- S5 • �-7 T NAT' THE' FOWJDA T OL) - - 1 LCD C :TE3:-: O Q TH E a C> S �.11�4 �►:s N u��., ►J C) kJ TH 1 s t !� t�.! . r->ti-A►'s .Qo v< tom ?446 " Z ' f2�ex~r C2 g N y c, w Q t IJ fi � o t� GiST� CtfD 1�b 1�? S/U�+v' yU(Z5 � � Q, oK `e v f��y1s Cr y.!- i 1..�� /+�...]s p - �r- +'r U It I 1 � , I � I I t I I i _ I I I i - -- - - - -t-- - --+ - ---- -- -- --- ---- I t I ' E ko-T,) -+ I � U L-14 - I ; i ' I I p I I T -77 I I - �- ---- - -- - - -- - -- -- - - --- + - --- -- -- - -- I if I , I I ; I -- I I 1 -.- i I I I I 1 i lk � I I , fiv 4 i � U I ! _D I I I I , I I I I I I I i I I i ' I I I I I I I - -� -� --F -- - �- - 0 I -ram- --�---7-- I I 4 I 1 i I i F I _ I I I ET 44 I - - I 1 2� I ' _ I I I t i fi 1 LEGEND T LAKE .� ` CONCRETE BOUND ■ DECIDUOUS TREE od SOIL TEST PIT �� LOCUS �•�„ EXISTING SPOT GRADE x40•3 ti ' EXISTING GRADE =40— �z w y� 1 RETAINING WALL *MIAQUET LAKE FENCE o Z WETLAND FLAG.. A WF#1 l9 �.•, v=i 2 4 EXISTING WETLAND EA 1 WF -A LOCUS MAP Fyn -�`y wEgsr ': �A , alp NOT TO SCALE WF ss _ d E\O� PROPOSED SOIL ARSORP77ON SYSTEM. r LOT•4Ah o y 12O'Wx320'L'x18 D � (3) fLOW DIFFUSERS _. c /C72 )"18;200f S.F uoT `* (H- 0) W/7H 4' OF N A AROUND. :r - ^' 3a •. »� ` „t; E ``'. Opp - - - -_.... . - - _INVIN 3B.80,.BOTTOM=37B0 S£E_DETAILS --- - �' 3 p / G x° I Y ! t - tat ': �� . EXISTING HOUSE W N �33� �f PROPOSED LOT 38 �.E ,"l '� 14 y " ° .. { - OSSERVA77ON o I _.• COVER ^ N/F r�+ nP x lr f `.. � '' / EXISTING FLOAT 11 - .� .� i-�..,�v,�� ..... �— I JOAN M. MCAULIFFE * "� - 32 0' r , e 1k s o e + l AND PIERrV -V---V.--- ��� t " '" 0 _ ON L) EXIS77NG INVERT SHALL BE V-I a 5 �' > 1'' (SEASONAL) #3-2782) VERIFIED BY CONTRACTOR 'COI i is�°srµ \�� �0 ry ` .10 4+:LIGHT" 'e' ^I � '• , d ¢ ,Qj r PRIOR TO CONSTRUCTION. O' APPROXIMATE LOCATION `;.�` T, i' \1Q2'% x `°, 1„,.,,,T '- •. , `' $`. NO77FY DESIGN ENGINEER:OF - :.. OF EXISTING 1'000 - rc 1"i.•T �. <FLpOD�y6 L— `� 1 ' . GALLON.SEPTIC TANK yi!�D �\ '' "" N�b' �� �. '"` ti a�-'/-INLAND.BANK ANY DISCREPANCIES - l _ - (H-10) TO BE EMOVED - �� \` t°^arTv�F+. �9:O• / ^ >,,,��:.. PO G i>✓ O O r o• t^A 1 u �� LAWN r. 8' PROPOSED 1,500 . GALLON S£P77C •r: J+' T .. w� \•"` 4 - i, E TANK(H-2 $ "_� r_ u SURFA TERMCE EDN7' TOO BE DEI',.y• - , r ) LD STONE PROPOSED 1,500 RETAINING N k. v PROPOSED.5.HOLE D-BOX(H-20) 7 GALLON SEP77C TANK (H-20) EXIS77NG SEP77C TANK, WALL' ° " 'BENCHMARK: INV.IN=39.02, INV.OUT=3B-90 D-BOX& LEACHING FIELD TO { o\\` Ro 4 OP R U °°, I INV.IN=39.42, INVOUT=39.17 i MCONCRETE BOUND BE PUMPED DRY, REMOVED v%S� I WITH DRILL HOLE AND.DISPOSED OF OFF SITE O AP• ' ,;. NEL,=s4.46 NAwes SEPTIC SYSTEM LAYOUT SCALE: 1" = 10' APPROXIMATE LOCATION N/F OF SEPTIC.SYSTEM FLORENCE L. CASEY • 3 sa nn. r n 1 -u� elr. r ti, c,g n, (red.) c,e of the . WAY STONE RETAINI °B °� 10 : GRAPHIC SCALE ra,na, 1 Ia p nn I Evan va n rnf is _I L ,t o�eycr aDna,C rr nn chi 1 r❑ PROPOSED SOIL ABSORP77ON SYSTEM. 20 10 0 20 60 (fi) rvr j oG aq, u+rd r mu1?aha! or other 12.O'Wx32.015(1B ID — (3) FLOW DIFFUSERS nuGGr a t c >; rr r uuon tF i rcrrt a on t ne< herein; a na W/1N 4'OF STONE ALL AROUND fd} th•l a•a,. r,:,.uir:.> 'tic)ysopG t c r Ho.ma & �7cG'ath !rx. • SE£DETAILS IN I 12/12/19 REVI UPOSAPn l SYSTEM COMPONENIPGRADE AO, ADD SEPTIC LAC E WATER SERVICE NOTE: PROPOSO t �n - 20 ft- DATE DESCRIPTION Drawn hacked COIVMAC70R SHALL UNCOVER THE LOCA77ON OF 7HE I S EXISTNG WATER SERWCE, EXISTING WATER SERVICE. g R E V O N S SHALL BE SLEEVED WHERE ITLI£S 10'OR CLOSER TO SlapVc R.OF114he L UPGRADE APPROVALS REQUIRED: . PLAN ANY SEP77C SYSTEM'PIPE OR COMPONENT- IN THE AL7ERNAnW,,. 7HE.WA7ER SERVICE PIPE SHALL BE 310 CMR 15.211 (1) MINIMUM SETBACK DISTANCES ENCASED/N CONCRETE (SEE DETAIL) OF PROPOSED SEWAGE DISPOSAL SYSTEM WATER OR 1. DISTANCE FROM A FOUNDATION WALL TO A SEPTIC TANK PREPARED FOR .. : SEPTIC PIPE _ gs 1d�N REQUIRED: 10 FT. ACTUAL: 6 FT. MICHAEL VALERIO a: 10 ° 2.DISTANCE FROM A PROPERTY LINE TO A SEPTIC TANL FOR LOT 4A, N24 TERN LANE NOTES A ;, 5 MIN., . :• ; • RE(IUIRED: 10 FT. ACTUAL 1 FT. CENTERVILLE BARNSTABLE, MA . WATER OR SEPTIC PIPE 3.DISTANCE FROM A FOUNDATION WALL TO A SOIL ABSORPTION SYSTEM 1. HOUSE NUMBER: 24 REQUIRED: 20 FT. ACTUAL: 10 FT. " � , ..•.:.• .:4' MIN- s' '<••. SCALE:I".= 20'.. DATE: SEPT. 24, 2019 2. ASSESSORS NUMBER: 193-048 • - 4,DISTANCE FROM A PROPERTY LINE TO A SOIL ABSORPTION SYSTEM 3: ZONING DISTRICT: RD-1 REi'1UIRED: 10 FT. ACTUAL: f FT. 4. FLOOD HAZARD ZONES: X ELEVAnON $r2O85 eS and mcgrath, Inc. 5. BENCHMARK' AS SHOWN 5.VERTICAL DISTANCE FROM SURFACE WATER ELEVATION (WEQUAQUET LAKE) 6. TOPOGRAPHIC INFORMATION BASED ON AN CONCRETE ENCASED SEPTIC TO BOTTOM OF SOIL ABSORPTION SYSTEM engineereandlendsurveyors REQUIRED: 5 FT. ACTUAL: 4 FT. Worcester couIt•sa4faluth,ma•02540 ON THE GROUND INSTRUMENT SURVEY. AND WATER SERVICE CROSSING 50 _E.' 564 www.holmesandmcgrath.com 7. ELEVATIONS SHOWN ARE BASED ON THE NORTH NOT TO SCALE DRAWN: LAC CHECKED: AMERICAN VERTICAL DATUM OF 1988. (NAVD88) I Joe NO: 219,195 owu. NO.: 87-2-81A SHEET 1 of 2 8 L } r i . . . w PeRcC)LATiois - Tas �'�ClSTthtG �ptyTgU� Lo-r 4-Ac _— --Pf:.o Po S f-ty Cfl wrov 4 0I / ❑ C-0NcRE E 8o6 N \ 13�-r N.cN` MARK � E o `1`OP OF Ct�NCt�ETF 3C�U[uCa moo. t AT SW ol '9 f Cop.NFR Or LOT E LSN. ASSO MED, h 1-4 o , , k rT .i 1t SAD �WGI To EPLAc E t 5T1�.1G- p 31 C3. D�t�lG. ,C3uTt_1N�D &,s :SNpw�t. \0 1 , OV PROfS 3 SFr o 01A a f d Y! GA u � Is r , a rn, r. t l , 1 ui ..� i . t z _ s -1 r 0Lu \ „ ;Q4 215 FFgFC ,s w J 3 � � l Czi C 2 LO Ov WA PLC-r pL u OF t7k s sv-'s;,—; \c is P'; -• ^` SCALE Er 4 O V= • a C Route 6 ee References: 6 Deed Book 1221 Page 4.87 i Publlo Plan Book 180 Page 25 1 Land', Pt Shirley Order Of Condit/ons File No. 3-191 0 I %ye3 Dote Typed Der 15, 1976 Pt 96 s r / , V c V / Scale.l 2083 Project Title: Locus Map Assessors Map 193 Parcel 48 • - I Zone RD-1 Setback Requirements Front 30' Valedo I Side 10'Rear 10' Obe^b Residence A t AL IL A a _ I #2-r h 9 4 3g�, i - -- R,;E E S J -� Tern 35 — t/egetated - Lane V 37 — O — cv - - -o _ - - In ® ����� 36 Center ville— — A R A �--MA \. r .. _-- 40 37 4-0 \ Rxed 4 x `- -- � 38 Deck' -- •-:;-• 40 PREPARED FOR: 4-1 -... Michael A. Valerio Jr. 42 r'a P L A T / N S� Main Street t���. ur► y ) 1.. \ \ � Oster ilie, MA �Os 1 oAL P, as R i � a C ( 5 \\ 36 35 A. M. Wilson Associates Inc. R37 38 508 428 1450 FAX 420 1856 1 .39 43 40 42 * ` 41Existing C<< . . ��. Conamons s�. 25 FOOT WAY $, Plan ell Scale: 1"- 20, a 0 20 40 50 FEET :. Qte: July 5,1994 Dwg No: Design: i y check:- C.P.J. - � Drown: J.V.B. Job No: 2,0722.0 Sheet 1 0� 1