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HomeMy WebLinkAbout0053 HIGHPOINT ROAD - Health 53 Highpoint`--.,, � j 028-045 Marstons Mills Dabkowski, Cindy From: McKean, Thomas Sent: Thursday, June 06, 2013 9:25 AM To: Dabkowski, Cindy Subject: 53 Highpoint Road M. Mills. Good Morning, I received a septic questionnaire application this morning regarding the above-referenced address. The applicant is seeking approval for an amnesty apartment. The application contains a note as follows: "two bedrooms in the main house and one in the accessory apartment." However, the submitted floor plan shows three bedrooms labeled as "bedrooms", plus two additional rooms on the second floor labeled as"exercise room" and the other is labeled as a "TV/den." The plans are not marked as to the width in the door openings to these rooms. Due to the fact that these two additional rooms are located on their own on the second floor affording privacy in this space, they are counted together as one or possibly two bedrooms, depending on the doorway widths. This property is limited to three bedrooms maximum. Four or five bedrooms are not allowable in the zone of contribution to public water supply wells on a lot size of only 0.45 acre. Sincerely, Thomas McKean 4„a7 '`J P77 1 + y Town of Barnstable Health Inspector Ft►+e t Regulatory Services Office Hours g 3' 8:30—9:30 Thomas F.Geiler,Director 3:30—4:30 BAMSTABLE, « Public Health Division y MASS. �pTEn 39. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT — SEPTIC QUESTIONNAIRE Date: May 15,2013 1. General Information: Size of Property.45 acre Address: 53 Highpoint Road Marstons Mills,MA 02648 Map 028 Parcel 045 Name: Charles and Margaret Russo Phone#: 2a. How many bedrooms exist at your property now?3 2b. Are you planning to add any bedrooms?No If yes,how many?0 2c. How many bedrooms total are proposed at this property(including the amnesty unit)? (2)Two bedrooms main house and(1)one bedroom in accessory apartment 2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room clearly. 3. Is the dwelling connected to public sewer? NO If the dwelling is connected to public sewer,skip questions#4 through#9 below. 4. Location of dwelling is INSIDE a Saltwater Estuary Protection Zone? 5 Location of dwelling is INSIDE a Zone of Contribution to public supply wells?GP and WP 6. The dwelling connected to PUBLIC WATER? 7. Is a disposal works construction permit on file? YES or NO 8. If yes,how many bedrooms were approved according to this permit? Bedrooms. 9. Were any building permits obtained for construction of additional bedrooms? YES or NO 10. Is there an engineered septic system plan on file at the Health Division? YES or NO 11. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO ------------------------------------------------------------------------------------------------------------------- FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this property. Special Conditions: Signed: Date: 4o- ;` � s , 9�� � 1� k,, 16 1 r 2 S{r y 1 i 7 I ; , i 1 �� i m 0 \ N N 1 - � I � o � N - A '40 j J � � ' I n1 a `l 140r:y `/ernr C Y oaf } i kvi� Y as I i i w y . t r f 6-wv-,)- 1 c�- 3reo YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI.;367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: n b _ Fill in please: r 4 F APPLICANT'S YOUR NAME/S:/ 722VI S>4n1/ . BUSINESS YOUR HOME ADDRESS: -5 3 I-M -#yolA)7 26A� M42SThn15 MiuS. Mh oa�I�� r TELEPHONE # Home Telephone Number _6 69- -3 aid t NAME`OF CORPORATION. NAME OF NEW BUSINESS �o �� S fR�uz= MG�s1(' bq- qq �= TYPE O.F BUSINESS'HaII� S�Lu�1G�tU %'1l�sic Fit�shjN �n��r , S.THIS A HOME OCCUPATION? ✓ YES ` NO 1, ; ADDRES5.OF.BUSINES$' 3 ///�f orn1T 2r>, 25 vrJ '_'fl ;MAP/PARCEL NUMBER 6Z �"►� fAssessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual has bee �, gppi,gf the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) 4 This individual has e, n inVq of the licensing requirements that pertain to this type of business. uthorized Signature* COMMENTS: t S t 1 Town of Barnstable Health Inspector FtHe r Regulatory Services Office Hours �- o oyti g y 8:30—9:30 y o� Thomas F.Geiler,Director 3:30—4:30 BAMSTABLE. * Public Health Division 9 MASS. $ 1639. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT — SEPTIC QUESTIONNAIRE Date:May 15,2013 1.. General Information: Size of Property.45 acre Address: 53 Highpoint Road Marstons Mills,MA 02648 Map 028 Parcel 045 Name: Charles and Margaret Russo Phone#: 2a. How many bedrooms exist at your property now?3 2b. Are you planning to add any bedrooms?No If yes,how many?0 2c. How many bedrooms total are proposed at this property(including the amnesty unit)?(2)Two bedrooms main house and(1)one bedroom in accessory apartment 2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room clearly. 3. Is the dwelling connected to public sewer? NO If the dwelling is connected to public sewer,skip questions#4 through#9 below. 4. Location of dwelling is INSIDE a Saltwater Estuary Protection Zone? 5 Location of dwelling is INSIDE a Zone of Contribution to public supply wells?GP and WP 6. The dwelling connected to PUBLIC WATER? r.::7' 7. Is a disposal works construction permit on file? YES or NOF';;' 8. If yes,how many bedrooms were approved according to this permit? Bedrooms. ' 9.•Were any building permits obtained for construction of additional bedrooms? YES or NO 10. Is there an engineered septic system plan on file at the Health Division? YES or NO 11. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO ---=--------------------------------------------------------------------------------------------------------------- O�N I�0 FOR OFFICE USE ONLY qj r7 The Public Health Divisionhas no objection to bedrooms at this property. Special Conditions f3c-�ro-�S S.l�g„� aN l-4V �e(-�rj j7v0i �� fl ,Jar Sig d: _- Date: f C f McKean, Thomas From: McKean, Thomas Sent: Thursday, June 06, 2013 9:25 AM To: Dabkowski, Cindy Subject: 53 Highpoint Road M. Mills. Good Morning, I received a septic questionnaire application this morning regarding the above-referenced address. The applicant is seeking approval for an amnesty apartment. The application contains a note as follows: "two bedrooms in the main house and one in the accessory apartment." However, the submitted floor plan shows three bedrooms labeled as"bedrooms", plus two additional rooms on the second floor labeled as"exercise room" and the other is labeled as a"TV/den." The plans are not marked as to the width in the door openings to these rooms. Due to the fact that these two additional rooms are located on their own on the second floor affording privacy in this space, they are counted together as one or possibly two bedrooms, depending on the doorway widths. This property is limited to three bedrooms maximum. Four or five bedrooms are not allowable in the zone of contribution to public water supply wells on a lot size of only 0.45 acre. Sincerely, Thomas McKean 1 vwk 1 � 'y'r1 3 "s e a a� �t siCX°! k l�o'�+✓.�y� r` �' Uy" a� V �IR AQ VLA-) 1 t6 ��'�'^ �cA.,,--c�,s�,�, C�'r�" 1C"''-�.>'vr�" �3�'3"J���`�4 rt�` �. � . ��3ss�;a.•T� � r���-`� ���'" I I j�/i�n� r 4 Q"r`''3 ��� f '—j— t e i 1 � =r �---�-- —' � 1, .• — i � cS�d 7.�v�a� � x s i � ----- 1-�i�c�-�� ' � �� ��-� � �,, a � TOWN' OF BARNSTABLE ,Sa 2' 2004 JUN 23 AN 11: 12 �F IS-1O -FG,- C oy-, c;CLW 7hL l �► �a b� )cl ��� �zr .'�, 1 �ubr�,'A _ M, rtc��Q.#cac. btj►.roo►y,s -b ax. 4'n►sue w�'th ►h �x►'s}-, �5 s� rwc Wa3 ai- $edroavn,3 )iaze I 'P�kt a 1 )CCo,,,I-St` -N-,M-r' w ova w h a we Wan )f-K �o 641, t1-,R, i ny ccky' t dam" w►'� h h a ct �h�- S c�m c vY�d v,$)- �CF i h� . be CVWA-" �- y S I� 3 o i CL __11 1�-- P-olgo,61-) 1�C/ k. n+ �Wo-'"� k;w C G1L� O 'L s op C. JTC W f/n�- Ova of Cht,CkA dl �$�ne-��'hS j J r wow Wo, vue"t vY►th cnVY A-UU-Stot beta-ors . Wz� Sin ce 1�t�Z we ►rc be P�r o TI 6-'-) i'� Q Y✓ 4bo 6Uf .-w� uuw hie }� v cm�6 v�, be dry rm 44- DO,rva�c So 06 ck vt, wh �. 1 �g 7 1 a ) d�� Wl a tycv 'I I cd i v�J' v�G s i n �✓✓uv. wLa,,-v�-� '�- �'��+may �-a of a . ov►-z��'►,,� ►°iegwl . We: yv- 4 '` ham,p cn�..r c5 do cStaJv a c'� `� rvv `, McKean, Thomas From: McKean, Thomas Sent: Tuesday, July 13, 2004 11:52 AM To: Wayne Miller M. D. (wamdoc@aol.com); Sumner Kaufman MSPH (sonnykoff@aol.com); Susan Rask RS (srask@cape.com) Subject: UPDATES/TONIGHT'S MEETING 1) Ben &Jerry's and Intercontinental Enterprises are now both in compliance with the APIC Servsafe certifications. You could elect to remove these items from the agenda. 2) At the end of the meeting, under"Old Business/New Business'-Zl received an amnesty septic questionnaire application for three bedrooms at 6 Pine View Drive Cotuit. The original disposal works construction permit application was approved 1982 for only two bedrooms; however, it indicates it would have a total daily flow of"330 gallons." A septic tank, distribution box, and a six by six feet leaching pit was installed with one foot of stone surrounding it. The nitrogen sensitive area location (Zone II District) line runs through this 0.48 acre parcel, bisecting it nearly in half. Unfortunately the septic system clearly appears to be located within the Zone II. The currently homeowner, aged 68, wrote us a letter stating that she purchased the home in 1986 and three bedrooms were already present. The previous owner built the bedroom and bathroom in the walk-out basement in 1985 for a visiting family member(daughter). The assessor's records also have it listed as a three bedroom home. The owner wishes to sell her property as a three bedroom home(not two)and to move to a condominium. The potential buyer expresses an interest only if three bedrooms are okay. My question is this: Normally, we would only look at the fourth line down on the disposal works construction permit which states: "Dwelling— No. of Bedrooms " for approving these amnesty applications. Do we accept the documentation submitted (letter from homeowner, assessor's records, and original disposal permit indication that the daily flow was for 330 gallons) all together and agree to allow three bedrooms? 3) Also, at the end of the meeting, under"Old Business/New Business",we received an application for a new in-law apartment at 53 High Point Road for a total of four bedrooms. The original disposal works construction permit issued in 1977 was for two bedrooms with an "expansion attic." In 1982, the applicant obtained a building permit to construct a dormer"for a bathroom." In 1997, the septic system was repaired (for only three bedrooms) and two 500 gallon ,. chambers were installed with four feet of stone surrounding them. [NOTE: We are aware that at least three 500 gallon chambers would be needed for four bedrooms]. The homeowner stated that she is seeking to build an in-law apartment over the garage and to remove a bedroom from the existing home, to maintain a total of four bedrooms in her home. The property consists of 20,000 square feet and is within a Zone II. So, we know that the existing septic system is insufficient. My question is this: If"expansion attic" is checked on an original disposal works construction permit issued, would we allow any additional bedrooms in a home? JS�v 1 NO' . IrAho { 10 it lap IRV- 1G A x D r-� nn L i 4 a � i F 0.. 1 -2, ? _ ._ . 4 i i I t 'e� 1 3 �f f ` { J 1� I { s ... I T- i i k�IoW �C-6. PYN C4 1 .. c\ ✓ V ee ~� '\ i ± z V.Gc vim, b ' n 4l, T.i �e r � �� `, AvOf TOWN OFF BAARNSTABLE ,D LOCATION_f31�� 1 o��T "' SEWAGE # 9733�_ ASSESSOR'S MAP & LOTS 4l- Uy� INSTAI LER'S NAME&PHONE NO. e s ela 10e 5 4y�,O s SEPTIC:.TANK CAPACITY Mao LEACHING FACILITY: (type) �'�S"4�6.14 ��d��/-- size) /3 X ZS' NO.OF BEDROOMS .3 BUELDER OR OWNER Aa o PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximuht.Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of!Wetland and Leaching Facility(If any wetlands exist within300 feet of leaching facility) Feet Furnished by Ito i fi l f i • / TOWN OF BARNSTABLE i('I^AvoN _ 2 17i�2 / 0/Nr SEWAGE # �33,z�l VILiAGE_ 11. 144, ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I ,90 LEACHING FACILITY: (type) I'S'OU size) /3 X 2S NO.OF BEDROOMS - BUILDER OR OWNER A0.5,5d PERMTTDATE: -3G -Y i COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by G 'S- lit ' o e i No. ® Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for 30igogal 6pgtem Construction i3ermtt Application for a Permit to Construct(J�, I epair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 5,3 �jp�ej /�O(��f / � Owner's Name,Address and Tel.No. ZI2�',— Assessor's Map/Parcel 77 lz US"S'O Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Z/?7 ✓o ��rh O-c /3 r�r/5 ✓bs pl, P 1311 rH05 ! � M, tom,ZA, SgAol-e_ Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil 1 Nature/of Repairs or Alterations(Answer when applicable) �1e15'1/4l� 2 .5�01, ���Q �iaarini��i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i sued by this oard f Health. Signed ' r Date 3d %Z Application Approved by Date G Application Disapproved for t ollowing reasons Permit No. L Date Issued No. �3 a �, "`� !J Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS application for Mi!�po,4af *psstem Construction Permit Application for a Permit to Construct(4o4fRepair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components__ Location Address or Lot No. �� f�jy6j O/y1' /1 Owner's Name,Address and Tel.No. cy 2$' /l !2 upso Assessor's Map/Parcel ` " aInstaller's N e,Ad'd'ress,'and Tel'.No. 41.744i-03 4T lt�C1 Designer's Name,Address and Tel.No. 4/7 7'V 11P9 `ylQ�,ep i O-e ✓bse,04 Ae, /3Xr`►oS T/ 6 -e 4,Yl Type of Building: ' Dwelling No.of Bedrooms .� Lot Size sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date ` Number of sheets Revision Date Title Size of Septic Tank / Type of S.A.S. JI Description of Soil Natu a//of Repairs or Alterations(Answ wfien applicable) 05 11 S"QO 601, ZlZor- /�lu W,14 er♦3 tUh/5 I¢/houH 2 "P,150 STOH/- Date last inspected: Agreement: IJ The undersigned agrees�to'ensure the construction and maintenance of the afore described on-site sewage disposabsystem in accordance with the provv"ons of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has'been)isuej by this oard 9f Health. # r - #Signed u/Lti / Date r Application Approved by _ Date G Application Disapproved for th ollowing reasons l � Permit NO. - b3 Lj Date Issued k✓ ———---————— THE COMMONWEALTH OF MASSACHUSETTS r°'r BARNSTABLE, MASSACHUSETTS (tertfficate of QCompliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( 'Repaired ( )Upgraded( ) Abandoned( )by ✓a> 4i ..G at r3 , li o/ T /?W has been constructed in accordance with the provisions of Ti ye 5 e fo Disposal System Construction Permit No. Y�/ dated G Installer�TX aA4A~ Designer JoS rph ds 1_4"0HroS The issuance of this perm/it shall not be nstrued as a guarantee that the system will function as designed. Date ` (� ' � ' Inspector- --------------------------------------- No. f y J f — -337./ �p� ©��� Fee 115i C7 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mwitpo.gal *patent Qfon5truction Permit Permission is hereby granted to Construct(v')'Repair( , )Upgrade� )Abandon( ) System located at r-3 14, 4 Palk7r /fit - and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this p rmit. Date: e ID O Approved by NOTICE: This forth is to be used for the repair of foiled septic systemg„btil CERTIFICATION ICATION OF SWCII AND APPLICAtICN POR A DISPOSAL, W.URKS CONS'I'ItUCTION pPIti T(Wif Rift OLSIu1 -U FLANS) heteby d6ftify that the application for disposal works construction petniit sighed by the dated,, ( -.., 0: �I% coticerning the propetty located at S'3 144 12ainT :.kgl meets all of the following ctiteria: i kl/ There are no wetlands*1"Joo feet of the ptoposed septic system • There are no private*dlis Within I50 feet of the ptopbod septic system V7 "e obseWed groundwater table is t4 feet tit gteatet br±loth%the bottoitt of the teaching facility 4/There is no increasd hi flow and/ot change hi tine ptaposed • There are no variances requested of heeded. SIGNED DATE: LICE RED EPTIC SVSTI;M tNSTALLPK tN ti4t tOWN O I!Att.NSTA13Lt NUMAVP,_,71i [Attach a sketch plats of the ptbposed system:Alsd It the licehsed thstallet posesses a certified plot piali, this plan should bd subhiitted]. • q:health t'oldec cert r - �/ / ` I�LFIl� � O w �Gl 1 ho� d 1 --..._. 7 No.IA --( :7- 7� BOARD OF HEALTH Fee------------------- TOWN OF BARNSTABLE Tipp[icationArVell Con,4tructionPermit Application is hereby made for a permit to Construct ( ), Alter 04, or eyi,( ),an individual Well at: ---1�/L-,I+�--tUT__�zJ____------------ N_�I1/LLS -— - -- ��L--�U W----------------------------------- Location - Address Assessors Map and Parcel --014 c,�. uss ----------------------------------------- ------------------------------------------------------------------------------------------------ Owner Address j�ttl,F/EN klgt— ._-�_AL&n 4At(1------------------ ---------------------------------------------------------------------------------------------------- Installer — Driller Address Type of Building Dwelling---------------------------------------------------------------- Other - Type of Building -------- No. of Persons---------------------------------------------------- Al/� Type of Well--------- -- ------------------------------------------------ Capacity----------------------------------- -------------------------------------- Purpose of Well-------R-►__N_K!_N__L-4-----------—-------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed -- ------------ --- -- ------------- P 1 3_ ------- ----------------------- date Application Approved By - --- - - - -— --- ---- ---------- date Application Disapproved for the following reasons:-- ---------------- ----—-------------------------------------------------------------- ------------------------ ------ ----- ----------------------------------------------------- -------- -------------------------------------------- date — --- — Issued —- Permit No. ---------- � - -- -------------------- ------------------------ date BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer at------------- ——------ ------ -- —-- - ------------------------ has been installed in accordance with the provisions of the Town of Barnstable Board of Healt to Well Protection Regulation as described in the application for Well Construction Permit No. g ---- - ated------------------------- T THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- ——--- — - — --- -- Inspector--------------------------------------------------------------------------- �'" ' '� n'P+ � d'- _ �,F` 'h ... �; ij�� •,+ .. ,.,�;�ri;.<• a..+�cYFN:,.�"`Z''•.�n,��kh.�"'11^^�yQ:�,^+•.�E".��i•.:t. ., .-+ T 5. 00 No. - Fee-----------.------ - BOARD OF HEALTH TOWN OF B,ARNSTABLE App[icat ion,forVell Congtrutt ion Permit Application is hereby made for a permit to Construct ( ), Alter (x), or Repair,{ )an i dividual Well at: ---14/C-,�+'�v�U T_1�1�_.-_�`'l A�STDN IW 14 44 - ,*- -------- �_--x _�1Z--------------------------------=------- Location Address Assessors Map and Parcel ------------------------------------------ ------------------------------------------ I! Owner Address IMC61-1Aiv -�il�G_ I�; --------------------- --------------------------------------------------------------------------------------------------- '[ Installer — Driller Address Type of Building Dwelling----------------------------------------------------------------- Other - Type of Building ------------------- No. of Persons------------------:----------------------------------- Typeof Well----------- ---- ---------------------- ------------------------------ Capacity----------------------------------------------------------------------=- Purpose of Well ! y - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Signed ------ -- - - date. Application Approved By— ---------- --- ---- - -- --- -------------------- date Application Disapproved for the following reasons:-- ------------------- ------------------------------------------------------------ ------------- - --- - - - -- ---- =----------------- ------------------- -------- ----------------------------------------------- date ------ -------- Issued -- Permit No.---=------ -----__--- - � -------------------------------------------------------- date , BOARD OF HEALTH TOWN OF BARNSTABLE C ertif irate Of COUIP ianre THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) -- - - -------------- - - -- ------------------------------------- - y—"""""""""—'""""—` --- Installer at--------------—-- -- -- -- ----- —- - ------------------------------------------------------------------------------------------------ has been installed in accordance with the provisions of the Town of Barnstable Boar of ea to Well Protection f described in the application for Well Construction Permit No ------ ated--------"------ i Regulation as des pp THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------------------------- --- -- Inspector---------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Yell Congtrurt ion Permit No. -- -- -- -----� Few-- - -- -------- { Permission is hereby granted--11Y " - a-------— - `/ to ConstrucLLAlter ( :�O�/o Repair n adi ' .ual W No.as shown h applicati Well Construction Permit r.s to No. -4�i/- e- --- — - ---- _ --------- Dat - ---------------------------------- ------------- ------C--------- c = ; - - Board of a It DATE f NO. DATE' 9 Watteree L _ FEE Eo �'� Town of Barnstable REC. BY Board of Health 367 Main Street, Hyannis MA 02601 I Susan O.Rusk,R.S. Office: 508-790-6265 Iv Brim R.Oredy,R.S. FAX: .508-775-3344 001 Ralph A.Murphy,M.D. OfivIARIAN�niIF.ST F III varimrcc rcqucsts must he suhmittH at lent fifteen LLSIAW prior to the scchh�e�dulleedd Board of Health meeting. NAME OF APPLICANT f l�l/` I EL.NO. o �l Q ADDRESS OF APPLICANT NAME OF OWNER OF PROPERTY SUBDIVISION NAME DATE APPROVED y ASSESSOR'S MAP AND PARCEL NUMBER � LOCATION OF REQ UEST c , SIZE OF LOT ®_�5 SQ.FT WETLANDS WITHIN 200 FT.YNO VARIANCE FROM REGULATION (List Regulation) 6C� REASON FOR VARIA;CE (May attach if more space is needed) "D 6l� PLAN - FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED Susan G. Rask, R.S., Chairman NO"r APPROVED Brian R. Grady, R.S. REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. a� �0. r 7, 'V! k--j AA r t"E'�`� Town of Barnstable s s UrwsrAai.E, Board of Health 1 39. .� 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Susan G.Rask,R.S. a Ralph FAX: 508-790-6304 A Murphy,M.D. Brian R.Grady,R.S. July 28, 1997 Joseph DeBarrows 81 Cammet Road Marstons Mills, MA 02648 Dear Mr. DeBarrows: You are granted a variance, on behalf of your clients, PeW and Chuck Russo, to install an onsite sewage disposal system at 53 Highpoint Road, Marstons Mills, Massachusetts. The variance is granted from the Town of Barnstable Board of Health Regulation, Part XII, Section 2.00 in order to install a leaching facility 120 feet away from an onsite well, in lieu of the required 150 feet separation distance. The variance is granted because the existing cesspool is malfunctioning and needs to be replaced. Due to the lot size contraints, the proposed leaching facility could not be located 150 feet away from the well. The proposed leaching facility will be located at the maximum distance obtainable at this property. Sincerely yours, Susan G. Rask, hairperson Board of Health debarrow.wp/q Y Izl a 12�el ` I I I I 0 Ln _..:FOIJNCATIOIJ FLAW PIFST FL -F rLAI_I �.:LTIOIJ ' pEIKrp1T1-�E I/W7 4- 12 HE ....w.T _- 1 7 7 - - I I I i I T�•..,..n-.i� 1 ---- ' � Isen EI�..ATI�-+ K✓,++r cloc eLe'.iAra-�t V4-1 Il" ! MK.NICKE¢So�.-> gvIL�E2 - R�o. ..Tvxls�4Emo4�ELMy�o41S- ,C\_I iL — Assessor's map and lot number i.:.. ... ... � Sewage Permit number P. .. IL .. .... ....... �t�C/ Z 898HSTADLE, i House number ..................................................... 9 Mass. 039. �'E YAY Or TOWN OF BARNSTABLE BUILDING INSPECTOR Day-M er; APPLICATIONFOR PERMIT TO ........................... .o.............................................................................................. TYPE OF CONSTRUCTION .....w ...... t'GL ......................................................................................... ...............m .... .............19.? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 3 I-f h amI RiOL 1'�"1 rMon Mi s Location ..................:.....5..... ................................................................................................................................................. Proposed Use ..... �. ...�'-.......ba4h raom..........::.:........................................... ZoningDistrict .......►..�...................................................................Fire District .............................................................................. Name of Owner .!,!!.! ri'2S W. fi rr M RUSSO Address .,51.49k7poi rn-., l'SAnSInfi Name of Builder' � m ..........................Address ... .. i s SO..NG�W iC ...........�-...:tom.-.�.'?.1.....�n. ��..!�c�:�er......f................ ..........h.............. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms-' ......�.....b�:�?.�}�:�......................Foundation .............................................................................. Exierior ....c5.h.ihqtl°T..........................................................Roofing ........ ....•.............................................................. Floors i 1 Interior .... .... ...wO ...................................................... . . ............................................. ►-�. Heating ...x("St.` . . ........................................................Plumbing ......L..5P%1 1...bp:fb........................................... Fireplace .h.Q.�,.+............................................................Approximate Cost �000,0D Definitive Plan Approved by Planning Board ____________ __-------19 . Area ! ........... Diagram of Lot and Building with Dimensions Sh Fee ..... ...::........ ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform. to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........................ Le)>C'ATIOTN � SEWAGE PERMIT NO. 53 V ILL AG E ✓�/J - y!'�S mov - V 5"' INSTALLE RJOH'S NA A. AA LA BACKHOE_S>IM S S 15Q Walnut Ctreet. West Barnstabl.e,,Mass. ,026,68 B U I-L D E R OR OWN ER DATE PERMIT ISSUlD y_ q _ 77 DATE COMPLIANCE ISSUED ` e i C \ / �/ � / \ \. / / 11 � �'� .0" � (r ' ��,.� \ yj�� � ' � \ 1 � -� ' .!C,B,/ No......... ••-••• Fic'U.P.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEATH J 1I1,1Tr,............0F...13.0...- .1�74 1W----......................................... Appliration -for Riipoittl 10orkii Cnnnitrnrtinn Prrntit, Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 9 ocat- -Add ess or Lot No.- �f1. ....7 1�. 1. 11a_ - .-(��cac`ram Y!............................ wner Address a -C�� ----�---- � ...................................................... Installer Address Q Type of Building Size Lot.;k4l,_0_00-_______Sq. feet U Dwelling\ZNo. of Bedrooms-------i ................................Expansion Attic (off Garbage Grinder (&/d ..... No.No. of ersons____________________________ Showers — Cafeteria Other—Type of Building persons ( ) ( ) 0.' Other fixtures -------------------------- - - - - W Design Flow_____________.C�:_____________________gallons per person per day. Total daily flow-------------- C�________--_-__-___gallons. WSeptic T:uik quid capacity->,vj''C�allons Length________________ Width-.____-___.---._ Diameter....... ------ Depth.__............. x Disposal Trench—No- ____________________ Width-------------------- Total Length...................- Total leaching area--------------------sq. ft. Seepage Pit No..................... Diameter._6 __. Depth below i let_________ _________ Total leaching_area-------.----------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) �- OR �L�!� — ? - ✓�/- /-7 a Percolation Ri _m Results Performed per inch Depth of Test Pit____________________ Depth to g Pit No round water---:- pc� Test Pit No. 2----------------minutes per inch Depth of Test Pit.-__________________ Depth to ground water...........------------- ------ /� --- Description of Soil_ `-__-__-_ :�______` _ _ N �- x . •-• W ------------------------------------------------ ---�••�-•---------•-- --- ------- -------- - � y �� . V Nature of Repairs or Alterations—Answer when applicable.._._.Lo _____ �Sd___�2 ire__ _ ,, �' .____...-•--------------------•-------------------•-----........._._...-_._....-__.._._..---•-•-•-••-----------•------------•-------•-•-----•--------------------------•-•-- ---•--•------------------- 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 bee iss ed b the board of health. Si d 4-_ � --- 1/�1 __ ________________.__._____Application Approved BY - --••• ��= 71Date Application Disapproved for the following reasons:... - -----•••--------- ---------------------------------•-----------•---•.....-------_--•- Date Permit ........ Issued. 1W- ` Date No......................... FE ................. A THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 72, lid­­7�,�.......... OF.../ 0.L.4.4.-t......... .................................. Appliration -for 43hipoiial Works Tonstrurtion Vrrmft Application is hereby'made for a Permit to Construct or Repair an Individual Sewage Disposal System at: .............................................................................................. 'L Add V.................- -_b - 25;kfr . 6, L.041TT ................... el 10 -----------T------------------ ------------- W. Address ............................................................................................ Installer Address Type of Building Size Lot-PA-AMP-------Sq. feet U Dwellinv No. of Bedrooms P- - -------------------Expansion Attic (6Q Garbage Grinder Other—Type of Building I_ _W1 j----- No. of persons---------------------------- Showers Cafeteria OtherfLULires ------------------------------------------------------_----------------------------- -------------------------------------------------------------- Design Flow.-..-_-►._._•.64PV .............................gallons per person per day.. Total daily flow............;k C7.............._gallons. WSeptic Tan kd—'oiqtiid 'capacitv--40!a�allons* Length................ Width.-_......._..... Diameter_....`.....-.--- Depth.._.-.._---._.. x Disposal Trench No..................... Width...........R----_ Total Length--.--_-----. ------- Total leaching•area-----------------_-sq. f t. Seepage Pit No..I.................. Diameter..6�--- Depth below ijilet -------- Total leaching area...-..___.-..---- Z Other Distribution box Dosing tank i��41 Percolation Test Results Performed by--------------------------------------------------------------------------- Date......... ---------------- ............ Test"I'lit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to grou'�d water........_-.....:.---.... rX4 Test Pit No. 2.................minutes per inch Depth of Test Pit-------------------- Depth to ground water........._-..----------- ,,., ----------------------- n of --- - -------- -------- ......... ------ 0 Description Soil -------------------------------------------------------------- -_------------- _A7 T------------------------------- A" -------------------------- ------------------------------------------ ;"-q----------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alieiratibris'­Answer when.applicable._.....-----------------------------­1------------I..................... ------------- ------------------------------------------------------ - ------------------------------------------------------- -------------­--------------- ------------------------------------------------- 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 CO-iptiqpce has bee iss ed b he board of health. o; , Sid-. -------­----------------- ----YI,17,1-7-7 e Application Approved By.--'- ..L. ...................... --------- ---7_7 Date Application Disapproved for the fo1'1owihg-wds6�fs:,,_,­, ----- ....7--------------------------------------------------------.............. .......... ........................................................................................------------------------------------------------------------------------------------------------------......... Date PermitNo......................................................... Issued......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OE HEALT F. ..... . .. . ............................. r* fifiratr of 'Woutpliaurr 0 T Hl CERTIFY 0,"S T - ,?l t, th/Inlivil e D�wa Di y, tem constructed j by......... ..................................... ­ SJ ........... Installer a - ------ ----------- - ------- A.. .......... ... ...... has been insta ed in , rd, ce.wi e on o The State Sanitary '��6�(iea`s�escribed ln.lhe -- ---------- -- ----- 7c;?rd1,,1,0_e nsta ed in , applicati6ii for Disposal Works Construction Permit No.. .....5,-,7. ------- dated...-------- i` THE ISSUANCE 6F. THIS C E R T I F 11 C TE SHALL T BE PdSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.... ---------- • ........... - ----------------------------------------------------------- Inspector-------- _,4 117ei THE COMMONWEALTH OF MASSACHUSETTS BOARD 0 HEALTH ... OF...... N FEE......... ........ o------------/ Binposa_' Norkii Cllatt ur it er5Wgranted------- -Permission is h -- ---- ----- ---/"' to Construct 4-6r-Repair ,,' an In(Ir7vidual ge f-spqsal Este atNo------- ---------------- ----- - t ----------------........................... Pas shown-on, the application for Disposal Works Cons(ruc on Permit" o--------- ted----------------- ........................ .......... -------------- oa DATE--------------- �' FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS F 1 E N Ik Cal �6VrvD. 1yQPd Cum. L + 06 - oil �C7T �8 OF , . !�•�;its rr M '�,�, P P�.hi•.i 1_oCATiO" SAN-'U tT , y G .30M"r,12-AT / PKIL 1.3,1977 T"Ar T141. FoL)KvAT1oM5"OWQ 1.1 C 2�1J -C>AAPL%eS W 1TA TWF-- 2- 7 Aw.iU SETVAC4 VC-4UIgEME:"Ts DATG gpm,.13, 10 G BA, ATCR, tI-1C... REG(S t'GiZcD LAF.t© 6uv-va%(o ZS T"I'S VLAW !S tJOT BASSO O'.4 Ai.! USTEtZ�/�4� a MASS. tl45recJA F-k-JT SL)ZVM`( TNE. OF<=''$iCT'S e'140WLr-> APPL.IGA.IJ T MERGO 'RF xY. T �. N,b-r Pas v5mo To DL'TEQM4 F4& L.AT L1 WCe5 map and lot',number ......... .......... .....: SEPTIC SYSTEfIN :eNW. ge-Permit number .......................................................... . WIT( ALLED IN COM AfVCE . INSp ARTICLE II STATE C' yafaHE q TOWN O F BAR T Ir ,c AND To �Q o BARNS d A LICENSED, ii'"�:t'.__.`_�� � T OBTAIN SEWAGE. :ia. i B�$BSTAp�S. • r, L�G�I:i�I�f. AN,J :i,S3 ,.. `2639• BUILDING INSPECTOR p� 9� : ro APPLICATION FO�t PERMIT TO f.�.l. G�! .: �f.,.....:F(e s/„ !?� f.TYPE OF CONSTRUCTION . z... e. ................................:.... ....... ......... ...... ., .:. .................. 9.7,E TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the,following information: /` J 02 7 y�t r .................................... Location �I`f.. .. . . ..P....!1. �... 1l� 3 ?!..�... !.�/- ................. ProposedUse .. /!*f<.!.(!t ................................................................................................... Zoning District ... n ........Fire District >!Y...£: .f..... !! ........................ Name of Owner . Y..L<...Ife-tc.//t.....,��Y..f�.r/....Address Nameof Builder ... Clr'uxt.�C.................................................Address ...... ..................................... ................................. Nameof Architect ... ............................................Address ................................................... ............................ Number of Rooms ..�........................................:..................Foundation �..... Exterior .........ft. --rX.......... .............................................:......Roofing ../X-' .�..1.:................................................................. Floors ............:.......................................Interior .wal'j.................................................................. _._ Heating ..I 1_1J9...'....A!./............................... . .. ..Plumbing .C. ..t./0..V.0.......................................... Fireplace .... ...................................................................... ..Approximate Cost .................�t. J ...... S' .. Definitive Plan Approved by Planning Board ________________�___________19 Areo ..................... .................. 74 Diagram of Lot and Building with Dimensions Fee ... �t............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH I � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .. ... :....... ... .... ...... r':A`1. 41............................