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HomeMy WebLinkAbout0063 MOUNTAIN ASH ROAD - Health 63,Mountain Ash't�orn� Ia,tons Mills) A= 124-n34 i i I 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: iD 25-1 17- Fill in please: APPLICANT'S YOUR NAME/S: ^.,•�,i;,t;i:��.:a d�i.4 �y,, �;an I(; j"r•,p;jyy '� ' YOUR HOME ADDRES �� ;= ;:si,,•.:� ,.,; .. �.: BUSINESS,.; '.9' r, Ir' -1y'�== 1 TELEPHONE # Home Telephone Number q)d • E-MAIL: J �rt�ir .ccM NAME OF CORPORATION: NAME OF-NEW BUSINESS I�h;kS i��u l•��+r��cE TYPE OF BUSINESS 1?rCP&L64 4k,�;.,J-(-a4NULG 1LAND!k� -q IS THIS A HOME OCCUPATION? YES NO l I 2 ADDRESS OF BUSINESS (—Z Mc✓y±!L% Ash RJ PA K B2(�Y�i' MAP/PARCEL NUMBER==/�T "�6 (Assessing) 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 COM SSIO ER'S OFFI MUST COMPLY WITH HOME OCCUPATION This individu I ha e 44o.rm do y rmi re uiremen s t at pertain to this type of business. RULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULT I-N FINES. ut oriz n to —75 MMENT — U Q- v v 2. BOARD F H LTH) This individual has beeforme o ermit requirements that pertain to this type of business. MUST COMPLY WITH ALL n in HAZARDOUS MATERIALS REGULATIONS Authorized Sign ture** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: - i Date:10/.25-/ 17 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF'BUSINESS: Wk-ij-cs my iij emmue-c BUSINESS LOCATION: ( 3 Mow-+&-,a Ask k,( NZ400s Milk INVENTORY MAILING ADDRESS: 63 RsL, gal 1✓Arcs4-aruS M11)5 TOTAL AMOUNT- TELEPHONE NUMBER: .-0?-292- YV 19' CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: S-jK -292-a5/9$' MSDS ON SITE? TYPE OF BUSINESS: AjjjykAi,4,yce INFORMATION / RECOMMEN ATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximu m _ Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) j Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED - Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) f Af Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents D( _ eather dyes Car waxes and polishes 1-2 B s Fertilizers Asphalt& roofing tar PCB's 3 f Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) o2 r Al �%Vo�ed ��/QT_ Spot removers &cleaning fluids o _ (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Appli n 's Signature Staff's Initials COMMON WEALTH OF INLkSSACHUSETTS. ' t 'EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS. 9 C� EPARTMENT�OF ENVIR�ONlYI�NTAL —'ROTECTION N TITLE 5 •OF.F+ICI_L INSPECTION FORM-.NOT FOR VOLUNTARY ASSESSMENTS S-IESURFACE SEWAGE DISPOSAL SYSTEM FORM: PART A f��5 CERTIFICATION Proper ty:Address: Owner's Name- �, ®/� Owner's Address: go'Kel— _ - ..4O -.Date of Irispection:. 4f N *.a4 r Name'o"f Inspec - (p, a e"ps-intj Company Name M'Ailing Address: Telephone Number CERTIFICATION STATEMENT 1,certify that 1 have personally inspected the sewage.disposal system at this address and that the information reported below'is true,accurate and.complete as of.the time of the inspection.The inspection was performed based on my training and experience.in.the proper function and maintenance of on',site sewage.disposal systems.I am a D.EP approved system inspecrflr pursuant to Section 1�5:340 of'Title 5(310'CMR 15:000). ;The system: Passes Conditionally Passes Needs Further Evaluation by the.Looal Approving Autho . F ils I_nspector's Sig)[lnture:. " Date:. The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP):within 30 days of completing this.inspection.ifthe.sysiem As-a shared system or has a design flow of 10,000 tor and the system owner shall submit the.:reportto-the appropriate regional office•ofthe ¢pd or heater,the inspec DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. , Notes and Comments ****This report only describes conditions at the time of inspection,and under.the conditions;of use at that E time:;This inspection does not sddress`how thte.system will perform in the future"""un$er the same or different conditions of use. Title,5 Inspection Form 6%1572000 page,I Page:2.of 11 ,OFFICIAL WS .ECTION FORM: N.QT FOR VOLUNTARY A SSESSN1EI'rTS SUBSURFACE SEWAGE'DISPOSAL SYSTEM INSPECTION FORM.' .. PART A CERTIFICATION(continued) Properly Address:6 Owner:- Date-of Inspection:. Inspection�Summary: .C:hec1: A,B',C,D or E/ALWAYS complety:all of Section.D A. System Passes: F, V I have not found any informationavhich indicates that any ofthe failure criteria'described ' 310;CMR" " h.303 or in310 CMR 15.30`4 exist.Any failure criteria.not evaluated are indicated below. Comments: B. -. System Conditionally Passes:" One or more system components.as described in the"Conditional Pass"section need to.be replaced or repaired.Theaystem, upon completion of the replacement or repair;.as approved by the Board of Health;rxill ass: .. � P Answer..yes,no..or not determined.(Y,._i;A D)in the for the following statements. if"not determined:' lease a P n. ex li "Please The septic;tank:is.mef � -� - al arid'P ,. ,over.2.Q years old or..the septic tarli�C(whether metal or not)is structurally. unsound; e,�hib.its substantial infiltration or exflltratioh or.tank failure is iimmibebr.System will pass inspection if the existing tank is replaced with-a.complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance. indicating that the tank is I;ess than 20.years oId is available;' V ND explain: Observation of sewage backup-or break out or high static:water level in the distribution box due to broken or obstructed pipe(s)or due to a-broken,.settled or uneven distribution box. System will pass inspection if(with approval:of Board-of Health): broken.pipe(s)"are replaced. obstruction is--removed ` distribution.box is-leveled or replaced ND explain: The system required pumping more than.4 times.a year due to broken or obstructed pipe(s).The system will pass inspection if(with,approval:of thi..Board of Health): broken pipe(s).are replaced obstruction"iscremo.ved ND explain' i Paee 3 of 11 OFFICIAL INSPEICTION FORM -.NOT FOR VOLUNTARY ASSESSMENTS . SUBSUF.�'ACE SE��AGEDISPOS�ALSYSTElYfIN'SPECTION"FORtN1 PART:A CERTIFI C.'ATI0N(continued) `Property Address: L -Owner- "41 Dpate nflnspection: C. F�rther.Evaluation is Required by.the Board of Health: Conditions exist which require further evaluation by the:Board of Health in order to determine if the system is failing to protect public heal&,, safety or the environment. 1. System will pass unless Board of.Health determines in accordance'with 310 CMR 15 303(1)(b) that the system-is not-functioning in a manner Whilch zvill-protect:public-health,safety arid'the environment. Cesspool or privy is within 50'feet of a"surface water Cesspool ar pi is within 50 feet of a bordering vegetated'wetland or'a salt marsh 2_ . System dill fail unless the Board:of Health land Public.W.ate'r Su.ppl.ier,:if any).determines that the system.isTunctioning in a manner that protects the public health,safety.and environmena: _ Thesystem has a septic tanl:.and oil absorption;system(SAS)and the SAS1is.within 100'feet of a. surface water supply or tributary to a surface wateraupply: _ The system has a septic tank and SAS and the SAS;is within�a°:done I-.of a°public water supply. The system has aseptic tank:and SAS•and the SAS is: vithin'50.fe'et of a private,water'supply well. The system.has aseptic tank.and SAS and the SAS-is.less than 100 feet.but'50 feet or more from a private water supply well".'Method used to determine:distance -i **This system.passes if the well water analysis;performed at a_DEP certified,lalzoratory,'for:coliform bacteria and volatile organic compounds indicates that the well is.free from p.olfution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal tv or less than 5 ppm, prov,ided thatno other failure criteria are triggered. A copy ofthe analysis:must be attached to this-form. 3. -tither Page 4;of I OFFICIAL,INiSP-.4.TlOIN FORM . OT'F:OR VOLU.NTAR ASSESSMENTS SUBSURFACE SE*WA' GE-DISPOS SX,STEM-INSPECTION.FORM PART A CERTIFICA.TIO:N(continued): Property.Address: Pj4 (C%'LJ' Owner: Date of Inspection:. -� D.. System Failure-Criteria applicable to all;systems: You must indicate"yes"or"no"to each.of the:following for all inspections: Yes — Backup of sewage into facility;or system component due tooverloaaed. or:clogged SAS or.:cesspool Discharge:or Ponding of effluent to the.sur' ce oft lie ground.or surface waters due to an overloaded or clogged.SAS or cesspool Static.liquid7 Eevel:in the.distribution-box above..outlet.invert due to an.-overloaded:or.clogged SAS.or cesspool Il Liquid.depth ih cesspool is`less.than 6"below invert or available volume is less than %day flow �[ Required pumping:more.'than 4-times in.the last year NOT due to clogged or obstructed pipe(s).Number. ' 1. of times pump'ed _ V Any portion ofthe:SAS,.cesspool or privy is..below:high ground water elevation. Any:portioii.o.rcesspool�or privy is within.100-feet of a.surface water supply or tributary to:a.surface water.su.pl. ,. Anyportion.ofa cesspool,or:privy.is withiii,a Zone,1 of a.publicwell. _ Any portion of a cesspool.or privy is withih-50 fcetof.a.private water supply well:: Any-portion of a cesspool orprivyis:less.than 1.00 feet:but.greater than5.6feet from a private water supply well with no acceptable.-water-quality-analysis.,[This systern..passes-if.the.well water analysis, performed a:t:.a DEP certified laboratory,for colifor.ni.bacteria and'volatile organic.compounds indicates thatthe..wellis free from pollution from tbat.#`acility and the..p..resence of ammonia nitrogen a.ndinit.r:.a.fe nifrogen is:equal.to or less than 5 ppm,jprovided that no:other failure criteria. are triggered..A.copy-of the analys s.must,be:attached to this form.] A (Yes/No)The system-fails.I have determined that one or more of be above failure criteria exist as. described in 510 CMR 15.303,thereforejhe.system fails. The.systein owner should contact the Board of Health to determine what.wi:ll be necessary,to correct the:failure. , E. Large:Systems: To be considered a large;system the system must serve:a facility-with a design flow of 10,000:gpd to 1.5,000 'gPd'. You must indicate either":yes" or"no"to each of the following: (The following criteria.apply to large systems.in additibn'to the criteria above) yes no _ - the system is within 400 feet of a.surface drinking water.supply the system is within_200.feet.of a tributary to a surface drinking water supply — _ the system-is lo.cated•in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply Well. If.you have,answered".yes:"to an quest on y q m Section E the system-is considered a significant.threat,,or.answered.- "yes"iii Section D`above tfie large system has failed. The owner or operator of any large system considered a significant threat.under Se.ction.E or failed under Section D-shall upgrade the system.in accordance with 310 CMR 15.304.The system owner,should contact.the appropriate.'regional office of the Department. Page 5 of I OFFICIAL IN;SPECTI01�t;FORM=NOT FOR'VOLUNTARY ASSESSMENTS SUBSURFACE'SEW:AOE DISPOSAL SYSTEM INSPECTI FORM P'ART`B, CI4ECTa.ST Property Address: Owner. Date of Inspection: ) Check if the following'have.been done..You.must indicate"yes"'pr"no"'as.to each of the foIlowina:. Yes. No Pumping information was.provided bythe own er,•occupant,'or Board-of Health. Were anv of the system components pumped out in the previous two weeks ? ; Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently oras.part of this inspection ? Were as built plans of the system obtained and examined? (1f they were hot available'note as N/A) Was the facility or dwelling inspected for signs.of sewage Back up ? ` Was the site inspected for sisns of break out? 1. Were all system components, excluding the SAS,.located on site _ Were the septic tank manholes uncovered, opened, and the interior-of the tank inspected for the condition o the bafr'les ortees. material ofconstruction, dimensions, depth•of l quid,.depth of.sludge+and-depth ofscum? Was the facility owner(and.occupants if diffeien.tfrom owner)"provided with information.on the proper maintenance of subsurface sewagedisposal systems? The size and loc2tion of the Soil Absorption System-(SAS) on the site 1 as been'deterinined`based on: Y 'Q `e/�/n BxistinQ irirermatior,. For example, a plan at the Board of Health.. ZDetermined in the field.(if any.of the failure criteria related to Part C is at issue approximation of distance a—cceptable) [310 CMR 15.302(3)(b)l Page 6 of 11. OFFICIAL INSFE.CTION FO.RI I N—OtFOR VOLUN ARI'ASSESS1�iIEiVTS SU, PRFAC'E-SEti. AGE;DISP,OSAL SYSTEIM-II°d.SPEC:7E ION Ii OR1'vS PARI':C SYSTEM:ItF.OA d ION Property Address: Owner: � Date;of Inspection:_ C 7 FLOW CONDITIONS . RESIDENTIAL Number ofbedrooms(desrgn):: Number.of be (actual).: DESIGN flow based on`310.CMR 15.203 (for example.-* il'o ad p s : 30 Number.of current residents:._ Does residence have a 'arbage grinder(yes or no):. ' (� Is laundry on.a'separateaewage systerr�(y s or no);` ifves separate inspection required] Laundry system inspected(yes r no)� 0 Seasonal.use:(yes orna): / Water meter readings,.if ay able(last 2 years.usage:(gpd)):. / Sump.pump(yes or no) Last date of occupancy:• C OMMERCIAT/IND FISTRIAL Type of.establishment:. Design.flow(based'on Z-10 CMR'I5.203): gpd Basis of-design flow(seats/persons/sq.ft,etc.): Grease trap present(yes;orno);— Industrial waste holding tank.present(yes-or no):Non-sanitary-waste-discharged.to the-Title 5.system (yes or no):_ Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source-of information: Was system pumped asPpart the.in pection(yes o):— Ifyes, volume pumped; gallons--How was quantity pumped determined?- Reason.for pumping: TYP9,6F SYSTEM Septic lank,distribution box,soil absorption system _Single cesspool Overflow cesspool , _Privy Shared system (yes:or n.o)(if yes, attach previous inspection re'cords,.if any) Innovative/Alternative technology:.Attach a copy of the.current operation' and maintenance contract(to be obtained from system'owner) Tight tank.. _Attach.a copy'of the DER approval , _.Other.(describe): Ap oxima e age of all components, date installed (if kno .n) a d source of' rmati Were sewage ddors:detected when:.arrivi g.at the site (.yes or no):. _ t Page 7 of I I OFFICIAL INSPECTION FOPM- —NOT F.OR"VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DI,SPOSA.LISYSTElY1 INSPECTION FOI2N1: PART C SYSTEM:INFORMATT ON.(continued) Property Address: /G Dwnerk y Date bf Inspection: BUILMNG SEVER(locate on site elan) Depth below grade: Materials of construction: cast iron . 40 PVC_other(explain): Distance-from private water supply well or suction line:.... Comments (on�condition'.of joints,ventuig, evidence of leakage, etc.): i SEPTIC TANK:Zoocate'on site plan) !, ItDepth below grade,�,=� Material of construction:.�ricrere_metal_fiberglass_polyethylene —other(explain) If tank is metal lis+age:_ .L age:confi=ed by a Certificate of Compliance(yes'or no).;_(attach..a copy oI certificate) Dimensions: R•� X Sludge depth:. .7 Distance from top of s ludge to bottom of outlet tee or baffle:. Scum thickness:_ Distance from.top of scum to.top:of outlet tee or baffle:. Distance from bottom of scum to bo m'of outlet tie o bafi e: How were dimensions determined: . 40 Comments (on pumping recor ine ations, inlet and outlet tee or baffle condition, structural integrity, liquid_levels a lated to outlet invert, evil nce of I akage, et y lv 7 9�" GREASE TRAP'/:,(locate on sit') '`(J L Depth below:grade: Material of construction:._concrwte, metal_fiberglass Polyethylene_other ` Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom"ofscum to bottom'of outlet tee oi-baffle: Date of last•pumping: . Comments (on.pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,-evidence.of leakage; etc.): 7 Page 8 of 1.1 OFFICIAL:.INSPECTION FORM=NOT FO :. O UTv fi 'ASSESSMENTS. SUBSURFACE-SE 'AGE D1SP0$A-L SYSTEM INSPECTION FORIM PAIN C. SYSTEM-INFORMATION�conti ued}, Property Address: A/Inf C � Owner:;, Date of Inspec n: TIGHT or HOLDING TANK: (tank must-be pumped at time ofinspection)(locate on.site plan) Depth,be]ow grade: Material of construction: concrete metal fiberglass polyethylene other(explain)- Dimensions:­— Capacity: salons Design Flow: gallons/day Alarm present.(yes.or no):. Alarm level: Alarm in work-ins order(yes'or no): Date of last pumping: Commentsi(condition of alarm and iloat.switches,.etc.): DISTRIBUTION BOX: Aifresent must..be opened)(locate on site plan) Depth of Iiquid level*above outlet inve c. Comments(note if box is:Ievel and distribution to.outlets, al;.any evidence of solids carryover, any evidence of Aa,a,e into or out f box;e e f f PUaIP CHAMBER: a ocate on site �` plan). /yam.(.. B ). Pumps in working,order(yes or no):. Alarms in workina.order yes or no):. Comments (note condition of.pump chamber, condition of pumps and appurtenances, etc.): Page 9 of I 1 OFFICIAL INSPECTION FORS.—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACES `? A E:DISPOSAL SYSTEM P FECTION:FOR�kS PART'C SYSTEM INFORNI aTION(continued) Property Address: Owner. ' Date oflnspection: "T SOIL ABSORPTION SYS EM (SAS): (locate on site plan, excavation not required)- If SAS-not located explain why: Type ` aching pits,number:, -leaching.chambers,number: Jeaching.galleries, number: leaching trenches,number,'length: leaching fields,murnber; dimensions: overflow cesspool;number: innovative/alternative system- Type/name of technology: Comments (note condition of soil. signs of hydraulic.failure, level of pondino, damp soil;condition of vegetation, etc. - PAO <�)W. CESSPOOLS: ivu(cesspool must be pumped as part of inspection)(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.(yes or.no): . Comments (note condition-of soil; signs of hydraulic failure,:level of,ponding, condition of vegetation, etc.): locate or 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,): 9 Page 10 of 1.1 OFFICIAL IZSSPECTIO�i-F0R--M-=.-0T F0R.VOLB '�'ARY'ASSESSMENTS . SUBSURFACES 4VA GE DISPOSAL SYSTEMJNSPECTION FORK PART-C' SYSTEM INFORIATIO:N(continued). Property Address:. Owner: Date of Inspection:. SKETCH OF SEWAGE DISPOSAL SYSTEiM Provide a sketch of the;sewage disposal system including ties to at least two permanent reference landmarks or benchmarks,Locate all'wells within 1,00:feet:Locate.where public water.supply enters the building. af 0 100 1 c� v Page 11 of I 1 OFFIC.IAL:INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM.`INSPECTION'FOR ll PART C SYSTEM-INFORMATION(continued) Property Address: -Owner: Date oflnspection: . . (� 7 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated.depth to-ground water fee: 5 Please.indicate (check)all rpe.thod.s used to determine the high.ground water elevation: Obtained from�system design plans on record-If checked, date of design plan•reviewed: Observed.site(abuttiric,'property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with.local excavators, installers-(attach documentation) Accessed USGS database-ex-olain: You must describe how you established the high ground water elevation: 5, 1114r� ear o 11 • Permit Number: Date: Completed by: HIGH GROUND-WATER LEVEL COMPUTATION Site Location: /L�dl����q �f /'t Lot No. Owner. tg&dz J Address: Contractor: �C Address: Notes: STEP 1 Measure depth to water table l/ to nearest 1/10 ft. ..................... .................................................. .Date month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: 53 Appropriate index well.................................mod.. , ..' Z OWater-level range zone ..................................................... C STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to water level for index well ........................... !! 6 month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) 2 determine water-level adjustment .......................................................................................... STEP' 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water ZZ� levelof site (STEP 1) ............................................................................................................. Figure 13.--Reproducible computation form. �5 r / 0 �-Ic l a g -77 oF1HE r�,, Town of Barnstable Regulatory Services * snxxsrnaLe, 9 MASS. g Thomas F. Geiler, Director 1639• Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 September 15, 2003 Dear Susan, Per our conversation during your animal inspection this year, I looked up some of the information in regards to you potentially getting a legal horse stable on your property in the future. At this time, with the information I have reviewed, it does not appear that you meet the zoning requirements. The building department enforces the local zoning regulations. Enclosed is a copy of your plot plan from your recent septic system design plan, Board of Health Stable regulations, and zoning regulation in regards to horses. Your plot plan shows your property as being 21,576 square feet. The zoning regulation states that you need 21,780 square feet. At this time, it does not appear as though you could have a horse stable at this location. You might be able to apply for a variance, but I am not sure if they even allow variances for such. Sincerely, David W. Stanton, R.S. Health Inspector Town of Barnstable Q:\Health\Stables\63 Mountain Ash.doc 01/07/2002 17:25 5083942873 PLAY AND LEARN PAGF 01 F,qz r 1 ,4 cars 4n-i. 4a �yvaran 4>rl bu-� cam- -� new c ! � leaa.kir?q Ue and � - oy) pro p"r, /n 9 ICI RECEIVE® of,SHE r, - 8 2002 ATE: .l�i� EE: _1LkTtNSPABLE T U, -�E 9 ' MASS. g HEr+L i n ucr i 59. REC. BY Town of Barnstable SCHED. DATE: Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask R.S. FAX: 508-790-6304 Sumner Kaufrn an,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION Property Address: Q'4 Assessor's Map and Parcel Number: 1'Y Size of Lot: d21 67(0 Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: Phone -7-7 -3 G Did the owner of the property authorize you to represent him or her? Yes _ No PROPERTY OWNER'S NAINTE 11. CONTACT PERSON Name: t <<tZ*-'d- Name: Address: G3 �vw��-y.a vt Y�1 Address: �3� A'10-4 1 Sri Phone: 'Vb c9 1 7",& Phone: VARIAINCE FROM REGULATION(List Reg) REASON FOR VARIANCE(May attach if more space needed) �— �:tLA NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System Checklist(to be completed by office sraff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor pians submitted(e.g.house plans or rstaur=t kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same owner/leasee only),outside dining variance renewals(same owner/leasee only],and variances to repair failed sewage disposal systems (only if no expansion to the building proposed)) Variance request submitted at least 15 days prior to meeting date VARL NCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ tel.(508)362-4541 ,939 main street rt 6a fax(508)362-9880 Yarmouth port mass 02675 down cope en fineeriflf civil engineers& land surveyors structural design Arne H.Ojala P.E., P.L.S. Timothy H.Covell, P.L.S. land court December 13, 2001 Daniel A.Ojala, P.L.S. surveys Barnstable Board of Health site planning 367 Main Street Hyannis, MA 02601 sewage system Re: 63 Mountain Ash Road,Marstons Mills designs Dear Board Members: inspections The enclosed represents a variance filing for a septic repair for an existing(older) Title V septic system. No addition of habitable space is proposed. The following permits variance is requested: reduction in setback, proposed leaching facility to abutting well, 150' to 133' (17' variance) and to locus' well, 150' to 122' (28' variance). No other variances are requested. Due to site constrictions(topography and the presence of wells), a variance is necessary to existing wells. The locus well is relatively new-being a new location because the original well which was at the front portion of the property had failed. Now the leach pit has failed, and due to the requirement of Title V that no system be greater than 3' below grade(it is a DEP variance), the system is sited as shown. The new leaching facility is further from the abutting well than the failed leach pit is. According to the GIS Groundwater Map, �oundwater appears to be moving in an east-southeasterly direction, which is not directly in line with the well. We feel that by granting this variance, the same degree of environmental protection can be attained without the need for strict adherence to the Barnstable Regulation. Thank you for your consideration. Very truly yours, �c Arne H. Ocala, PE, P Down Cape Engineering, Inc. ,y tel.(508)362-4541 ,9,P main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down Cope engineering civil engineers& land surveyors structural design Arne H.Ojala P.E., P.L.S. Timothy H.Covell, P.L.S. land court Daniel A.Ojala,P.L.S. surveys December 14, 2001 Susan Dillard site planning 63 Mountain Ash Road Marstons Mills, MA 02648 sewage system designs- Dear Mrs. Dillard: A public hearing has been scheduled for the Barnstable Board of inspections Health to take action on a request for a variance from a Barnstable Board of Health regulation for your failed septic system. The variance requested is as follows: permits Town of Barnstable Regulations: Proposed leach facility to be less than 150' to abutting well (28' variance requested) Said hearing will be held in the Town Hall conference room, 367 Main Street, Hyannis, January 23, 2002, at 7:00 pm. Please check with the Health Department to confirm date and time. Sincerely, Sarah B. Ojala Down Cape Engineering, Inc. cc: Abutters file Barnstable Board of Health Z9 AC o" Zrt 7.II rc w'y `9° -may �n 1tDA \ 1.0c 0. 1.0 at 1 ss 13 l a O 45 cc S 1.? Ac- \ \v I \ 16- 1.08 t w\ . 'O� it. OF O r ,y Ar qoAi- �, •,, •� ems^ A% A t AO ! .Og WET Alc- .« �\ • �7 1 10 ANo yl 1.3.JpgT 6 I 1 qG SOTA� w \ 3 31 9 ♦'" � Lee ec POND " POND 9 .< - 92 AC-S 31, O Ffr, 1 1 _ O o I o�ec 170AC * +� 11-5 c \ootoo qP \ho b 05 ,:i..5"x?3,. \PO \'O .�00�• 9® © ° Lail sG. /92 97 or - ♦1 a e ° 1�_7 so < p> SAO ♦ c 1.15 s`. O 22g'r1• � } 2•\ PG � s \ l.i N ;i. 046 r n w lob Oe►f- o Q 0 ry 4y a 24 f °moo 7T,-� ti r{yrt ` '!]-- {r+{T�,.w {r a �9 •�) { � - 10 30 Q �p ryISO k z7 �� 9 • �j ewp ~ tel.(508)362-4541 ,939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering civil engineers& land surveyors structural design Arne H.Ojala P.E., P.L.S. Daniel A.Ojala, P.L.S. land court Timothy H.Covell,P.L.S. surveys April 19, 2002 Thomas McKean, R.S. site planning Barnstable Board of Health 367 Main Street sewage system Hyannis, MA 02 601 designs Re: 63 Mountain Ash Road, Marstons Mills inspections Dear Tom: Down Cape Engineering, Inc. performed inspections of the permits newly constructed septic system at the above-referenced location. The septic system is hereby certified to be installed in substantial compliance with the approved plan dated December 5, 2001 . If you have any questions, please do .not hesitate to call me. Yours truly, Arne H. Ojala, PE, PLS Down Cape Engineering, Inc. cc: Bortolotti Construction APR-23-02 08:51 AM DOWN CAPE ENGINEERING 508 362 9880 P.02 t tel.(508)362-4541 939 rain street rt 6a fax(508)362.9880 yarrhouM port mass 02675 down cape engiineeiing civil engineers&land surveyors structural design Arne H.Ojala P.E..P.L.S. Daniel A.Ojala,P.L.S. land court Timothy H.Covell,P.L.S. surveys April 19, 2002 Thomas McKean, R.S. site planning Barnstable Board of Health 367 Main Street sewage system Hyannis, MA 02601 designs Re: 63 Mountain Ash Road, Marstons Mills inspections Dear Tom: Down Cape Engineering, Inc. performed inspections of the �'m,ts newly constructed septic system at the above-referenced location. The septic system is hereby certified to be installed in substantial compliance with the approved plan dated December 5, 2001. If you have any questions, please. do not hesitate to call me. Yours truly, �b Arne H. Ojala, PE, PLS Down Cape Engineering, Inc. cc: Bortolotti- Construction a a RECEIPT Printed :03-28-2002 ® 9:41:50 BARNSTJOHN F LIMEADE, REGISTER DEEDS Trans#: 79426 Oper:JEANNE Book: 14979 Page: 186 Inst#: 27990 Ctl#: 256 Rec:3-28-2002 ® 9:40:20a BARN 63 MOUNTAIN ASH ROAD----------------------- -_- DESCRIPTION__---_--- TRANS-AMT DOC 1 DILLARD, CHARLES A JR RESTRICTION 10.00 10.00 rec fee 20.00 Surcharge CPA $20.00 ----_--- Total fees: 30.00 Ctl#: 257 Rec:3-28-2002 ® 9 40 20a DOC DESCRIPTION --- TRANS-AMT --- _-- POSTAGE FEE .34 Mail per page fee -ixx Total charges: 30.34 30.34 CHECK PM 285 r BARNSTABLE COUNTY REGISTRY OF DEEDS JOHN F. MEADE, REGISTER RG425RP: LAND RECORDS COPY REQUEST Delivery: Pickup Dated: 4-19-2002 Q 8 : 51:47 Wkstn: IX060 Req by: DILLARD Local Trans #: 99149 ------------------------------------------------------------------------------- Inst#: 03-28-2002 27990 in Book: 14979 Page: 186 Pages requested: *All # of pages printed: 2 Copies : 2 Fee: 3 . 00 ------------------------------------------------------------------------------ Customer will pick up ------------------------------------------------------------------------------ Bk 14979 Po186 *27990 03-28-2002 A 09=40a DEED RESTRICTION Property Address: 63 Mountain Ash Road,Marstons Mills,MA 02648 WHEREAS: We, CHARLESY, DILLARD, JR. and SUSAN M. DILLARD, husband and wife,as tenants by the entirety [the"Owners"], are the owners of the real estate located at 63 Mountain Ash Road,Marstons Mills,Massachusetts [the"Premises"],being Lot 411 as shown on a plan of land entitled "Plan of Land in Marstons Mills,Barnstable,Massachusetts, for John B. Cotton, Scale: 1 in. =50 ft. Dated: May 19, 1971, Charles N. Savery,Inc., Registered Engineers, Surveyors,Hyannis, South Yarmouth," said plan being recorded in Plan Book 250,Page 133, Barnstable County Registry of Deeds; and WHEREAS: the Owners of the said Premises have applied to the Town of Barnstable for financial assistance through a betterment agreement to repair,replaced and/or upgrade the failed on-site subsurface sewage disposal system serving the said Premises; and WHEREAS: the Owners have entered into a Betterment Agreement with the Town of Barnstable,by its Board of Health, acting by and through Barnstable County,for financial assistance to cause the repair, replacement and/or upgrade of the failed system; NOW,THEREFORE,we,the aforesaid Owners,do hereby place the following Restriction on the above-referenced Premises, in accordance with our agreement with the Town of Barnstable Board of Health, which Restriction shall run with a land and be binding upon all successors in title: 1. No single-family dwelling, now existing or constructed hereafter upon the aforesaid Premises, shall contain more than three(3)bedrooms. We,the aforesaid Owners, agree that this shall be a permanent deed restriction affecting the land located at 63 Mountain Ash Road,Marstons Mills, Massachusetts, and being shown as Lot#11 as shown on a plan of land entitled "Plan of Land in Marstons Mills,Barnstable, Massachusetts,for John B. Cotton, Scale: I in. =50 ft. Dated:May 19, 1971, Charles N. Savery, Inc.,Registered Engineers, Surveyors,Hyannis, South Yarmouth," said plan being recorded in Plan Book 250,Page 133,Barnstable County Registry of Deeds. For title, see Deed recorded at Book 8136,Page 123,Barnstable County Registry Deeds. Executed as a sealed instrument this—z day of March,2002. n Charles A. Dillard, Jr. V Susan M. Dillard 1 Bk 14979 P91$7 �2799U COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. March a�p_, 2002 Then personally appeared the above-named Charles A. Dillard,Jr. and Susan M. Dillard and acknowledged the foregoing instrument to be their free act and deed,before me, . ��17` V V£•�.: J•. r`�i I: LSubscriber-!.o a savor bet a me t Public Q "' lis%ay o My commission expires:', ry Public .� Jinn 2,2006 BARNSTABLE COUNTY REGI STRY OF DEEDS A TRUE COPY,ATTEST 2 JOHN F.MEADE,REGISTER BARNSTABLE REGISTRY OF DEEDS TOWN OF BARNSTABLE �� �pa2 _00 LOCAnON- 13 AD SEWAGE # 02 VILLAGE-//*�IXJA ASSESSOR'S MAP & LOT PL 3Y INSTALLER'S NAME&PHONE NO.&x ,I A SEPTIC TANK CAPACITY G19(— LEACHING FACILITY: (type) 52V eet 1� 4o-j (size) %D,A 30 241P NO. OF BEDROOMS 3 BUILDER 0 WNER �� o PERMITDATE: r COMPLIANCE DATE: c. Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist- on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Cyr C�sr+ +ey bar 7�b YV vy 30� i No. Fee THE COMMONWEALTH OF MASSACFWSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for Mi!6po5a1 *potent Construction Permit Application for a Permit to Construct( . )Repair(✓)Upgrade( )Abandon( ) El Complete System li Individual Components Location Address or Lot No. Owner's Name,Address and Tel.N yJ Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's N e,Address and Tel.No. 7 71 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 44f/0 So.ft. Garbage Grinder(/0 Other Type of Building e- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow J�� gallons. Plan Date Numb r of sheets Revision Date Title r�✓� O/ 3 4 f Size of Septic Tank Type of S.A.S. 2- —.J G0, e! ow,�i Description of Soil •8 3X 3O�`Z Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by s Board H lth. Signed Date f �� Application Approved by G Date Application Disapproved for the following reasons Permit No. �aC�a- ��� Date Issued QI Cd"�— IL No Fee y PEfdOMMONWEALTH OF MA§SA61 USETTS Entered in computer: Ye t PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS application for Die;po.5al *potem Comaructiou Perron Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) ❑Complete System eindividual Components Location Address or Lot No. / -yQ'S!� r� Owner's Name,Address and Tel.N . Assessor's Map/Parcel O / /f�/� s u� ����r �i+a/sf��3 i//s Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size Z 1- 7VIsq.ft. Garbage Grinder(X0 Other Type of Building R(-5/l�`�'Af No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow _.-,:��"j Q gallons. Plan Date Z Number of sheets / Revision Date Title ),-e 3 /©G��i Size of Septic Tank /.SI/n 9 Type of S.A.S. Description of Soil / 91, 3 X 3D/r Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a CertifiJ7 cate of Compliance has been issued by this Board f H-alth. Signed Date Application Approved by �`- Q� -1��-- Date Application Disapproved for the following reasons Permit No.4t �- c1 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( V)Upgraded( ) Abandoned( )by f30!X,!� �/ at ��G'G�'f!�`l�/sl L�'Sl1 12' / �5���.5.0///S has been constructe4 in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated ! Installer Designer I The issuance of this permit shall not be construed as a guarantee that the system y/ f do as de igned. Date / —o r2 Inspector b, No. ����' c^' \ ----------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS"' 'v ANJ �3ESIGNING ENG14ftW 'HEA-C! -'`DIVISION - BARNSTABLES MASSACHU.SLT 1r11E;T 1- INSTALLATION AND CERTIFY IN WPi i-iNi:, 0 LAN. THE SYSTEM WAS INSTAL 7506Y *pgtem construction erluit � 1;GCORDANCE TO PLAN. Permission is hereby granted to C nstruct( )Repair( V)/�pg_rad�( )Abandon( ) System located at 63 eft Z le7l,,l 7 /.ice' W47/rS 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 ofathis�permit. f Date: Approved by Y�c Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MS Wayne Miller,M.D. January 31, 2002 Mr. Arne H. Ojala, P.E., PLS Down Cape Engineering, Inc. 939 Main Street, Route 6A Yarmouthport, MA 02675 RE: 63 Mountain Ash Road, Marstons Mills Dear Mr. Ojala, You are granted variances on behalf of your client, Susan Dillard, to construct a soil absorption system at 63 Mountain Ash Road, Marstons Mills. The variances granted are as follows: PART XIV SECT. 2.00: The soil absorption system will be located 133 feet away from the existing neighbor's well, in lieu of the 150 feet minimum separation distance required. PART XIV SECT. 2.00: The soil absorption system will be located 122.feet away from the existing onsite well, in lieu of the 150 feet minimum separation distance required. The variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA z Department of Environmental Protection. - (2) During a site visit on January 30, 2002, Daniel Ojala of Downcape Engineering Company and our health agent counted five (5) bedrooms within this dwelling. The issue of the two bedrooms constructed in the past without any building permits (located above the garage and in the basement) shall be resolved in accordance with the State Building Code Ojala4 4' and local health regulations. The resolution would include demolition work necessary to comply with the nitrogen loading restrictions contained within the State Environmental Code, Title V, and the Town Ordinance, Regulation of Wastewater Discharge (330 Regulation). Please contact the Town of Barnstable Building Division to ensure any demolition and/or renovation work is done in compliance with all of the State and local regulations. (3) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (4) The septic system shall be installed in strict accordance with the engineered plans dated December 5, 2001, signed by the designing engineer on December 17, 2001. (5) The designing engineer shall supervise the construction of the onsite sewage disposal-system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated December 5, 2001, signed by the designing engineer December 17, 2001. (6) The owner of this property, Susan Dillard, recently informed the Health Agent that the horse was removed from this property. Horses shall not kept or stabled on this site in the future without first receiving a valid stable permit from the Board of Health. (7) The onsite private well water shall be tested annually by a certified laboratory. These variances are granted because physical constraints at the site severely restrict the location of a soil absorption system due to the topography and the presence of other wells in the area. Town water is available in this area; however the Board was informed that the property owner possesses insufficient funds to connect to public water at this time. It is the opinion of this Board that the proposed soil absorption system is designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. incerely yours, an G. Rask, R.S. C Chairperson Ojala4 /- ��'• �l� C.®wsE55i0�.r' fig r Iln..�n:.N1 v1" TOWN OF BARNSTABLE LOCATION Wc* AD SEWAGE # VILLAGE 41AI15 ASSESSOR'S MAP & LOT �� 3 INSTALLER'S NAME&PHONE NO. ®le � ibr/�i�+✓ 5� �'"TV16 SEPTIC TANK CAPACITY 16yo 60C / LEACHING FACILITY: (type) 5270 61 e/,w4fw, ( � (size) iD'A 30'X7 NO. OF BEDROOMS BUILDER O ` NER PERMITDATE: I e COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist Via? on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist ' Feet within 300 feet of leaching facility) Furnished by Ako 4�& 6!sw— q 'ly 30 , A l qC1 V 6" . 30' oF1HE r Town of Barnstable � do Regulatory Services * snxivsznsLe, v g, Thomas F.Geiler,Director .� i63q �0 Public Health Division Thomas McKean,Director 367 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 December 18, 2001 Mrs. Susan Dillard 63 Mountain Ash Road Marstons Mills, MA 02648 ORDER TO ABATE VIOLATION OF THE TOWN OF BARNSTABLE STABLE REGULATION Dear Mrs. Dillard This letter is being written as a result of a complaint placed to this department on September 6, 2001. A warning notice was issued on September 6, 2001 regarding this matter, by Donna Miorandi, R.S., Health Inspector for the Town of Barnstable. Due to the fact that you have not been able to come into compliance with the stable regulations you are hereby ordered to remove the horse from the premises or comply with the regulations within thirty(30) days of receipt of this notice. You may request a hearing before the Board of Health if written petition requesting same Is received within seven(7) days after the date the order is received. This letter which is signed by the agent of the Board of Health, Thomas McKean, shall constitute as an order of the Board of Health. Failure to comply with an order of the Board of Health will result in the penalties described in the Town of Barnstable Stable Regulations. PER ORDER OF THE BOARD OF HEALTH �ZmWasA. McKean,R.S. C.H.O. Health Agent � ?` '}, t t },t 7 ''{": w TO� 'OF BARNSTABLE' BAR TAT •'; •' y ^ Ordinance or Regulation ... TATARNING::`hTOTICE °Name of Offender/Manager .� t ,� ; �r y { y.+ � '.a '• � .•, .. r �t t� k°� t{ E t P i Y 1 Address of Offender �,� r ! ,x- ,F �, , : + A : .,.� MV/MB 'Reg # _ ,. I Village'/State r ? tt ; ` =,k _ '� �` t•" �: . Business Name. . am/pm, on �1' 20 B ' 4 usiness "Address Signature of Enforc'i^ng `'Officert� ""' k . Village/State/Zip :ate . • ,•s, r1 t .,Location of Offense '? . " Enforcing 'Dept/Divis ion ~ ! J r,.d �., f f i�•�*A i P ip ay. ! t #t II j }f t }n J. _ .Offense . � ,;. x k` i� yr E �✓ � 'b�� _ S 1 � L A §:qa°''" j!», c+ +' �^• ; uJ t zS ; �,.,. Fact S zdd .r" .i''" IT`: l �`1 .. 4 v . f *: f r 7 (z2` (tl':y�.�^�'' ,�`• .�', r d ! dT 4 R r-.1. $� 1� ` "'#'.t f L'h� ¢ ,"•'' This will serve' only- as a`'Nwarning. At this °time "no legal--actiod—ha"s been taken. It ' is the goal of. Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. . Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate. legal action by the Town. WHITE OFFENDER CANARY ORD/BEG PROG PINK-ENFORCING OFFICER GOLD ENFORCING DEPT JAN-07-02 01 :42 PM DOWN CAPE ENGINEERING 508 362 9890 P.02 ALTERNATE BENCHMARK: USE POOL V APRON ELEVATION OF 64.7' U_ ov • 73.76 � X � 55.96. x_. x x --- - , 10' x - TH 1 PUMP Ah REMOVE p SOILS WI' l 6-� _ _ = TREE x _ HSE. _ POOL 12" JA OAK r4o + x x + - ro GONC. APRON v x 10" HOLLY EXIST I `r ARE-US . `D 5 x I EXIST. DWELLTF 6 HOKEEe rt OR RA co N gory + ` x X fl A � tom A56.6 63: I EXIST. WELL 1 r LOT 1 i 21.57 SO. FT =15.77' ! -y� mDljNTA IN ASh� ROAD ,yb- •�. �" � C3i � �- N ':l. �. Aiy T rL _{..4 T ut. frl. .. :. "lg 4'L�i".. _ zo 7Y LOCATION SEWAGE PER MIT NO. 1�1 OU Al'ri IAI A S}/ lZ b _. VILLAGE P M A 2 s rotes Ivl ! Le S oxy s I.HSTA LLER'S MAMF b ADDRESS - Ro gs-lZ7 I U 11 D E R OR :.: 'OWN-EW _ Cr R.h'/9/Z : x J GATE PE tMIT ISSUED : Ivolve DATE COAIPILANCE ISSUE.O �2'oMNGNeFn r ,acAN L E-AcW ti. uz .x Pi T r - $ox I TAN K R.E•A P. o 14IG • i GAB N1oU.NYAIIV . /Zl] , LOCATION SEWAGE PERMIT NO. Moy Al-7W/A/ A S/1 R b. VILLAGE M oQ/QS1ONS M I LtS INSTALLER'S NAME a ADDRESS T�DT�E2T �1Ofi�N BUILDER OR OWNER e-R//fIR In ,S //►?/ Ti9% DATE PERMIT ISSUED X-30 - ->9 DATE COMPLIANCE ISSUED �2oM ENGih/�'E2T AGAh! L trACfl B/T 20 Box 3A 9s� s' ?AN K 17 r 32 ' r-EA IZ a ��� MO U iV rA Al AS'A/ 2b No.. .: , r^ y ' Fzcs.............................. THE,COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town Barnstable ..................................... O F..........................._........................................................... Appliration for Bi-spn,ial Works Cnnnstrnrtinn "trntit r Repair Application is hereby made for a Permit to Construct (X ) o p ( ) an Individual Sewage g Disposal System at: � Mountain Ash Road Lot 11 .....----•------------•-•-••-----------------------------------••-•---------.............._...---- --•---•---••-----...-------•---------------------......----•-•---•-------------------------------- Location-Address or Lot No: !a� l�.lxiA.- ......5. ..1.t� �_ _T!9.1................. -•- Owner Address ........................................... .lj Vim! !�1/ ........ Installer Address { Type of Building Size Lot...21.,5.75_.._.....Sq. feet U Dwelling—No. of Bedrooms.............3.............................Expansion Attic ( ) Garbage Grinder 0.0) p, Other—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria Q+ Other fix s ..._--•----------------------- -- Design Flow............................................gaonsperpersoer day. Total aiyflow............................................gallons. W � . W -10Siameter.............. . De th -�. _9 Septic Tank—Liquid ca acit -000--gallons Length idth__- _.. -- ..: .. - Disposal Trench—No..................... Width.................... Total Length-_______-_..._..... Total leaching area...__._._.. ._----sq.ft. �' -.. 1 Diameter...l�.T......... Depth below inlet----.6.'. g 2�7 q Seepage Pit No.................. Total leaching area._.__. .._..._.___s ft. Z Other Distribution box (X) Dosin tank ) a e �od Surve Consultant 12 15/7$ W . Percolation Test Results Performed by..------IL......• bate C a Test Pit No 1 ....2.......minutes•per inch Depth of Test Pit 12_---_.:_. Depthrto ground water none_ fs, Test Pit No '2 :.............minutes per inch Depth of Test Pit .............. Depth to ground water D Description of Soil...0.0:-0.........wood loam, 0.5-3_ .0 subsoil--wf clay rri xed,� ) ss9 x coarse ravel 6�b-12.0 med, coarse sand. F z oy ------------------- --- - ----------------- W o F --------------------------------------------------------- -----•------------------------------------ ------- a U Nature of Repairs or Alterations—Answer when applicablei__-_,-:.;--_---_:-----------------•_---__-_____-__•_:-:...... '?_ DAYLOR_ v .. A-�--No.2$7410 .--•-•.............•--•---••-----•--•------•----•---•----•-----•-----•--.....------............----------------•-----........----•-......•............----- Agreement: s The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acc 178 the provisions of TITLl , 5 of the State Sanitary Code—The undersigned further agrees not to place the system I operation.until a,Certificate of Compliance has bee ssued' y the board.of health. Signed-1��. ........................................................ ---' .... . ..... _t Date I Application Approved By............ ----•-----_.- .. ......-•---------•------••---......-- -•-•--•--• -�.-.. Application Disapproved for the following reasons:-----•----------------------•----------...------....----------•------------------.............................. ---•-••-----•....--••••-•--------------•--•--•-•--••-----•---------•---•-------------......•.--------•----------------------- Date PermitNo......................................................... Issued-.................................................... Date THE COMMONWEALTH OF MASSACHUSETTS j BOARD Q.F HEALTR. y o1 '� Trr#ifirate of Tontlilinnrr �- fo- 'T z- THIS IS TO CERTIf That the Individual Sewage Disposal System constructed (n) or Repaired ( ) l ------------------------------------------------------------------------------------•-----••-- Installer has been installed in accordance with the provisions of TIr y� 5 of The State Sanitary Code as described in the � - -- `lD---7� application for Disposal Works Construction Permit No.-'"_..V_._ � ---•-- da.ted-----�-W ..__ ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RISE AS A UARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. / DATE........... . ....... ............................................... Inspector--- �------.-•_....... •--- -4.44... �.......'....... -a 'Fxs• w. THE COMMONWEALTH OF MASSACHUSETTS 4,t �r BOARD OF HE, R►LT-Hi ''' ` . f Town OF...,.:Barnsta --------------------------•---••••-- S• Apphration for MipmW Warka Tomitrnrtion rulit f Application is hereby made' it a Per to Constriict.:`(x ) or Repair ( ) an''Individual Sewage Disposal Systemt�; ;- Mountain Ash Road vat 11 - ...............•-- ............• ... r'��l, A R I) Location Address �! or Lot No —� Owner 1 Address ° -Installer ......_ a ller t i, Address x Type of Building Size Lot__�1 y.57-5---------Sq. feet Dwelling—A140—of Bedrooms____.._.____3................... _Expansion Attic-:,(. ) Garbage Grinder (jd) aOther—Type of Building ____________________________ No. of persons............................. Showers _( ) — Cafeteria t� t Q' Other fixtures ----• ................ ..................................... _. n Design Flow______ ... gallons per person er day. Total daily flow ,K _ __ "� � gallons. Septic Tank-Liquid capacit} 00Q_gallons I ength _ "bf�__ Width �! t ©8Iaineter___.___ Depti— 0T'k. gth hing 1 x" Disposal Pit Trench Nol..._1 0.. .___. Diameter 1 t...__..__ De t Total belown ffl _.!6 t Totall leacch ri aarea___ .����7___.sq ft. � �r r P g q Other Distribution box ( ) D yingata� © SLLI'Ye �: 11Sltlt3llt V15/7'$ Percolation Test .Results Performed b GG . __ §ate ____. Test Pit No. 1.__.__....____.minutes per inch Deepth of Test Pit_._ 2__..____ Depth to ground water_I!1©ns Test Pit No. 2.................minutes per inch Depth of Test Pit ________ Depth to ground water......................... s __________________ ____ _ - _ 0 0 i 0.5 wood l0 0.5-3 .0 subsof��. w can mixed Description of Soil ._._._ _ I . x c©arse gravel. 6.0 12.0 med. t coarse 'sand:. t� c.� _-•-------- ------------------- ; o� ti W .u+* 'a ROBERT/. G U Nature of Rep,irs or Alt�ei ations—Answer when applicable, '� S -•--- a D>�'ltQf2 S -- Agreement: t ,� 3 .(�F 7 The, tmdersl 'ed a re to install the aforedescribed Ind yidlial Sewa e Dis osal System in g g, P y the,p ovisioiis of i TL: 5 of the State Sanitary Code.`- Tpe undersigned fui-tl:er agrees not to place in „'operation until a Certificate of Corriphance has been Issued by.,the-board of health. - `y ----- igned _{ r••(,` t.......................................... . ............... • f Application Approved By....... ...... y j-•--: R Application Disapp owed for th'e 11 w g reasons______________ .. ` . b ..' ' --------------------------------------- -•-•---•-•-•--------•-•-------------•-........ ----- ------ R a Date Permit No........................................................... . •--•----••--••-••-......--- Issued------- Date w� ` THE OMMONWEALTH OF MASSACHUSETTS i ` c r A R H ,,' t r r' , F . '1 .................. OF...................... •..:.. file Viertiffr a#r...of Toaatplitaat.rr THIS ISP CERTIFY Ttiatrthe Individual Sewage Disposal.System constructed (;_ ) or R' a reds ( )tk t y ' Insta 4 %^ a .. `,1 ,. .. f. �f� If l 3 ..................................t i �a�i has been installed in'accordance with the provisions of T he State Sanitarydc��ss�ri�ed ri, the t, application for Disposal Works Construction Permit No,____ ...__ ,__.__ dated x"' __,__._ THE ISSUANCE,.OF THIS CERTIFICATE SHALL.NOT-BE :CONSTRUE® AS A GUARANTEE THAT:THE SYSTEM WILL FUNCTION SATISFACTORY. . DATE.................. .....•.................................................... Inspector------•. ............................... ............................. ram: r .. > _ rye• . THE COMMONWE'ALT OF MASSACHU ETTS( + f` Z Iv 74 BOARDF r �................... OF...... , No...................:..... r FEE .. ...._......... e;.. fit Permissaon is.hereby granted_::.: _:. `' !--_ --• •• •-_----- =s..._: ---- • -• to•-Construct,X-'` ) or,R air.`"K ) 'an Individual Sewage Disposal:'>Syst ` at No°�,w*�' �� x �_ � (,t /,0? , �n� tJ.l� .:.:_. ....f� < --- - � _ ,,,��.. f ----- . - ,� / q- as shown on the a lieation f street / r �. d� pp or Disposal Works'Constru i o ______ _ ___ ................. .................... ...................... Board of •ealth DATE FORM 1255 HOBBS & WARREN. -INC., PUBLISHERS wtM�. �,77x. a1 • l . No `�' I+Es................1-.... :THE,COMMONWEALTH OF MASSACHUSETTS BOARD OF ` HEALTH Town OF.......B.arnstable... ......... ..... ............ Appliration for Biopos al Works Tonotrnrtion "pami# Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at Mountain Ash Road Lot 11 ................_................................................................................ -•----•----------------•....................-•----•--•----•--••---•----••-•-------__.....--------- Location-Address or Lot No: ---..5.�..i.N�n!a. _T..i9.f............... A'l N.'wl�•�- s T °°° $ .j -- Owner Address Installer Address U Type of Building Size Lot___21r.57.5_........Sq. feet Dwelling—No. of Bedrooms............,__---------------------------Expansion Attic ( ) Garbage Grinder (r.10) Other-T e of Building ..... No. of persons............................. Showers — Cafeteria PL4 Other fix s -•-••---- --•---•-••--•--•--•................. .. --------_.-••-•---•-•-•------------- W Design Flow____________________________________________gallons per person per day. Total daily flow............................................gallons. tx Septic Tank—Liquid*capacit} 000 gallons Length�...:'6_..... Width...4.__ 105iameter________________ Depth .....PSI _ Disposal Trench—No..................... Width.................... Total Length___________________ Total leaching area........... __ sq.ft. Seepage Pit No----- .............. Diameter...1o_.......... Depth below..inlet-......_........... Total leaching area____..2._Z...sq. ft. z Other Distribution box (X) Dosing tank (� ) '-' Percolation Test Results Performed by.....Gppf od Survey Consultant�ate.__12�15....................... Test Pit No l......2-------minutes'per inch Depth of Test Pit__...._.:-2_......: Depth to ground water—none._.._._,__. Gx, Test Pit No '2_______________nunutes per inch Depth of Test Pit_,:...__.____..... Depth to'ground water__.____ __;____�__. N .....�. •____..__.Y........ •S ' �t 0 Description of soil.__O.0-_0.5 woo d.__loam; _0.5-3,b subsoil:: w/ clay mixed,P a`� '�ss9c coarse gravel, b �-12b med. coarse sand.• ... Q� sca�€ar-- c� UNature of Repairs or Alterations—Answer when applicable.,___ ........................................_______ c� -DAYLOR v, .................................-•-•-•---------••--•--•-----•-•---••-•------•----.................•------------------------•-•--•-•-•---••----••••-•--- A 'A NoI�il q�� Agreement: E Mtn. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acc 678 the provisions of T1TU, ; 5 of the State Sanitary Code—The undersigned further agrees not to place the sys em in operation;until'a,Certificate of Compliance has bee ssued y the-board;of_health. . Signed.._ ......` ............................................................. .. !/ Date Application Approved BY — ---•------------ --Cl*------------------------------------- r i �=• 7 Application Disapproved for the following reasons----------------------------••----------------------•--.._._..-----------...------------------...------•...-•--•- .........................................•--•-----------------•----------....•---•------•--•---•.........--- Date PermitNo--------------------------------------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALT Trrfif iratr of TontPlianrr cam' I THIS IS TO CERTI4, That the Individual Sewage Disposal System constructed (A) or Repaired by--------- ----- -•------------•--•---1.. .___Q. .................................------------------------•..........-------•---•------....••--..........._........_...._ Installer has been installed in accordance with the provisions of TI� 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._ ��.... _.�-................ da.ted_-.../__".3®..s7f_______.______-__.- THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONS RITE AS A IJARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........... . --------------------------•-----------•------- Inspector. ----------------•--- __ - T_ -__- e THE C6MMON�(KEALT OF MASSACHU ETTSt, t, A. A ,. t^'` OF;: f No .................... r. w �... c (Soft 0 U�I ' 1'rlltrt 1 Permission is:hereb ranted:� I _-'-to Construct S ) or R air ) an �rkdm8ual Sewage,DL isposal System �rhk J Y y.+e"''" .r'/• mf ,:• '' Street - .. t" 1 as showri'on the applicataon#or D> p al Vl orlcs'Constru i o ....... r.p Board of "�alth DATE. ..... • -•-- . ...L . FORM'�'t255 'HOBHS &`WAFT EN INC-,:.PUBLISHERS No.-- -1- - ! Fee-----'f - BOARD OF HEALTH TOWN , OF BARNSTABLE 0[pp[icationArlVe[C Congtruct ion Permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: - ------------— - Location — Address Assessors Map and Parcel Owner Address �1> # 11�-�_- .- I-I -1-7_ r; l l _�___ _3_ £� - �---I s ------�-A--a - w Installer Driller Address Type of Building Dwelling------------- ----------------------------- Other - Type of Building ------ No. of Persons------------------------------------------------------ Typeof Well Capacity----------------------------------------------------------------- Purpose of Well----- ----------------------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a ertificate .of mpliance has been issued by the Board of Health. Signe� - - -- - -- --- -- date Application Approved By -, !-'�9 ----------- -- -— - =-�=?4------- V — — date Application Disapproved for the following reasons:--------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------- - - - date PermitNo. --A-1 — — -------------- Issued---------------------------------------------------------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE (certificate Of (compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired b Y_�"�e � ✓�--- ---� r; 1\ ----- ---------- ------------------------------------- -------------------------------- I Inst ler at- f� _— '1�2_ 4-L n----/-I.S t't __� ------------1rS-rS ✓1 -- --I-1 - - has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No.W---7f------ Dated-------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE-------- ------- —-- — -- -- Inspector------------------------------------------—-- ------------ i -- - '-t4( w.t Fee----- No. " k. BOARD OF HEALTH E f TOWN OF. B�AR• NSTABLE Clcation yr e[C+ on!9tructio dtfitt. z Application is hereby made for a permit to Construct.( ) Alter ( ) or Repair ( )an individual Well at Location - Address Assessors Map and Parcel Owner — Address f ,y J:CA--- E?Q lam. 's, li —c..) l I BC;, d �,►-► `"' `� ,"1 C�° i4. �, c��t' .{ , _ Installe — Driller Address ` Type of Building ' g4' Other - Type of Buildmg - ------ No. of Persons------------- -- — - Type of Well 'Capacity--- - - -- ---- Purpose of Well -G� - — Agreement: x 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,Regulafion The undersigned further agrees not- to place the well in operat;;on'until a- ertificate'.of ��'mpliance has been Isstied by.ihe'Board of Health. ' Signe..-- r. - „ r 't� Y: ✓ ," date" t t r z , Application Approved By date. a a tAPPlication Disapproved for* he following reasons ----------- -xw— -- - --- - ----=--- ----------------------------------------------------------------------------------------------------------- t date ' Permit No. --�v�- -= �{ -- Issued------------- ----- - - - = - — -- -t---- date ...�,.. e�s. reemcsa.ms:-tzx- :;mmW: we+ek r ' BOARD OF HEALTH TOWN OF BARNSTABLE . �ertifitate5�f �Com�riance . �a THIS IS TO, CERTIFY That the Individual Well.Constructed ( '),,Altered( );,or Repaired (` ) Re'V ck r `Ins ler e a - �•� -- �'--- =4 =- -�� t ems l 1- - -t w, has been installed in accordance with the provisions;of the,Townj:of Barnstable Board of Health Private Well Protection ' Regulation as described in the application for Well Construction Permit No. -c�-------rf --Dated------------------------ 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 BARN STAB L.E Veff Con9truct ion permit No. - - - -=--I � Fee -�� ----- 3 Permission, ' , on is hereby granted M*�p ___5 .,� t I- _- T, -�_+ -- k f-C-P.tcL cry C " - - to 'Construct( )'; Alter:( ) or`Repair,( )an Individual Welat ?No. Street T as shown on the application for a`'Well Construction Permit ' No. Dated------------- C - - ------------------------- 7 Board of Health DATE j p AT SYSTEM PROFILE TEST MOLE LOGS lQ FNDN. EL 65.1 - f --` ACCESS COVER TO WITHIN 6' OF FIN, GRADE (NOT TO SCALE) -� /� AH OJALA, PE / ACCESS COVER (WATERTIGHT) TO ENGINEER, MINIMUM .75' OF COVER ❑VER PRECAST /` WITHIN 6' OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 64 O' WITNESS, DAyE STANTON 2' DOUBLE WASHED PEASTONE I �p w EL. 62.5' RUN PIPE LEVEL DATE,12ZA 01 _ pJ� FOR FIRST 2' 3' MAX. PERC, BATE = < 2. MINANCH EXISTING 14Q0 GALLON SEPTIC . 61.0'� � 61.0 CLASS I SOILS P# 10123 4 � TANK (H- 10 ) GAS 60.28 0 O ED Cl m m ED 1:1 BAFFL 60.45' �" a 60.13' ED ED ED 0 E ED ED ED E.l � 6' CRUSHED STONE OR MECHANICAL E_3 ELEV. i 4' -§, 2' CJ CD 0 ED 0 0 0 F-1 E 1 DEPTH OF FLOW = COMPACTION. (15.221 123) 58.13' 0 O&A 63 4' j FOCUS TEE SIZES, 1 INLET DEPTH = 10" ( SLOPE) ( x SLOPE) 3/4 T❑ 1 1/2 DOUBLE WASHED >TONE OUTLET DEPTH = 14» 12" 1OYR 3/2 FOUNDATION- EXIST. SEPTIC TANK 55' D' BOX 17' LEACI-`°NG Bw � LOCATION MAP NTS i FACIL`11 Y 5.23' SL ASSESSORS MAP 124 i=" 34 -- ALTERNATE BENCHMARK: USE POOL APRON ELEVATION OF 64.7' 10YR 4/4 + 62a 36" 60.4' Cl 73.76' ^�X M/C ` X X 62.9 52.9' I . W/GRAVEL .55,96 o to' x STRATIFIED TH I2.3Y 7/4 ' x 108" } X PUMP AND REMOVE LEACH PI' - P 3• X REMOVE ANY CONTAMINATED C2 , I 0) 66.0 SOILS WITHIN 5' OF NEW FACILITY MS X 6 .2 I 126" 2.5Y 7/4 52.9' I 64.7 TREE 63,0 w w x HSE. _ NO WATER ENCOUNTERED X 7.5 .8 63.6 NOTES: 61 3.4 , 61.0 X POOL 12" ` 1. DATUM IS APPROX MATED FROM GIS MAP ELEVATION OAK yY SEPTIC, DESIGN, (GARBAGE DISPO`'ER I-,, L4 T ALLOWED ,___ T > J. x -_ - ,.� r' NOI AVAII_A3L.E V �, + 6 .6 6; $ + a.2 DES'.�N FLOW, 3_ BEDf�QOMS (�`-U_GPD) = 330 GP'.] - X CONC. APRON 6a.7 I USE A 330 GPD DESIGN FLOW 3. 1INIMUM PIPE PITC-1 T❑ BE 1/8` PER FORT. a I ------- 6a,7 �x 4, DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO HI-10 - 64.7 o SEPTIC TANK, 330 GPD ( 2 ) = 660 x - --- 5. PIPE JOINTS TO B= MADE WATERTIGHT. USE A 1000 GALLON SEPTIC TANK (EXIST) 6. CO:"ASTRUCTIDN DETAILS TO BE IN ACCORDANCE WITH MASS, 4. LEACHING, ENVIRONMENTAL CODE TITLE V. r 67.5 64.4 10' HOLLY 1 EXIST SEPTIC TANK �+ 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND ISM NOT V�` I 0-) (RE-USE) 2(30 + 9.83) 2 (.74) 118 ;s 3 x SICES, TO BE USED FOR ANY OTHER PURPOSE. EXIST. DWELL. 6 ��/ 1.1 r 30 x 9.83 .74 _ ? I x TF = 65.1' X' + 58.a BO1 ° OM` ( ) 218 8. PIPE FOR SEPTIC SYSTEM T❑ SCH. 4C-4' PVC. fry / 9, COMPONENTS NOT TO BE BACKFILLED DR CONCEALED WITtHOUT '�» I 9 �1.6 TOTAL: 454 S.F. 336 GPD , INSPECTION BY BOARD OF HEALTH AND PERMISSION DB � A,INED I 62.0 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR FROM BOARD DF HEALTH, HORSE ORRAL _6- "64.8 6 o EQUAL) WITH 2.5' STONE AT SIDES, 4' AT ENDS AND 5' 10, PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING LEACH PIT 4 I ' __.. - 6 � BETi':'EEN UNITS + ' J '10 I� 64.9 65. N �� + 2•0 `r N 0 1 LEG D . ' ' "r /AN 0 I \ C 41 100,0 PROPOSED SPOT ELEVATION OFrn 10ox0 EXISTING SPOT ELEVATION 6 3 MOUNTAIN ASH ROAD IN THE TOWN OF: 63.9 1 EXIST. WELL - U- 100 O PROPOSED CONTOUR ( MARSTONS MILLS) B A I \ I v S T A B L E 6"7,1 1 j EXIST. WELL �\ 1 LOT 11 I 100 EXISTING CONTOUR PREPARED FOR: BORTOLOTTI 1 21,576 S0. FT. -15.77' 4 6 CON STRUCTION/DILLARD . R=9 0.0 89.50 -+ 56,6 63.4 + 57.3 20 0 2.0 40 60 BOARD OF HEALTH � - - pQAD ------ MA SCALE; 1" V 20' DATE: DECEMBEER 5, 2001 Mo U-NT.AI APPROVED DATE off 508-362-4541 fox 508 362-9880 BENCH MARK - CTR. OF C. BASIN TOWN OF BARNSTABLE VARIANCE REQUESTED; I �' O �14 ELEVATION = 62.3 (ASSMD G.I.S.) LEACH FACILITY TO BE 13 ' FROM NEIGHBOR'S down cope engineering, Inc, , rr ARNE\s WELL AND 122` TO LOCUS' WELL ARNE H. H. CIVIL_ ENGINEERS CD o.� m, OJA1 CI IL - „ Nu L_.A N D SURVEYORS r`o 0792 CGS __..R�� 939 vain st, yarmouth ma 02675 � . �' y - MILI/V OJALA ':; ^ .L.S. DATL' 0 1 --99.9 SYSTEM PROFILE TEST HOLE LOGS tP Ni)t . AT EL, 65.1' ti - 6 ACCESS COVER TO WITHIN 6 OF FIN, GRADE (NOT TO SCALE) ACCESS COVER (WATERTIGHT) TO ENGINEER, AH QJALA, PE MINIMUM .75' OF COVER OVER PRECAST /` WITHIN 6' OF FIN, GRADE 2% SLOPE REQUIRED OVER SYSTEM 64.0 WITNESS; DAVE STANTON LEVELRUN PIPE o 2' DOUBLE WASHED PEASTONE-,,� DATE; 12/4/01 ( �Mo&VD _ EL. 62.5' FOR FIRST 2' 3' MAX. PERC, RATE _ < 2 MIN/INCH rn�FP - EXISTING 1000 , GALLON SEPTIC ��_, 10123 61.0'� 61.0 CLASS I SOILS P# 60.2 m Q m TANK <H- lO GAS 60.4 8 BAFFLE ' 60.13' � � � 6' CRUSHED STONE [IRO MECHANICAL CD m m 0 �� ELEV, RR� 2 1[CI [0 CI C� C� C� f� Cl [:� 0� 63.4' Locus DEPTH OF FLOW = 4 ao _- o 'i 58.13 COMPACTION. (15.221 [23) O&A 10.. TEE SIZES, c_?�_r SLOPE) ( 1 % SLOPE) 3/4' TO I 1/2' DOUBLE WASHEI STONE _ INLET DEPTH = OUTLET DEPTH' _ 14" 12" 1 OYR 3/2 17' I.EAr;HING LOCATION MAP NTS FOUNDATION- EXIST. SEPTIC TANK 55' D' BOX FAC"!...ITY Bw 5.23' SL ASSESSORS MAP 124 PARCEL 34 ALTERNATE BENCHMARK: USE POOL APRON ELEVATION OF 64.7' 10YR 4/4 62.1 36" 60.4' Cl , a'\Sl bt^'.5 Clkkl351\1,a.te 6'd P -• .,.. -. 7 3.76 .ALLAT l,oN AND Cites�Ti-;' E X 62.9 52.9' M/C : SYSTEM WAS INSTALLL� , X r �, ¢.v ..... 55 g6' >4 . oX �o x W/GRAVEL .�Iy '�-oF'lmo �, STRATIFIED TH 2.5Y 7f4 108" + " PUMP AND REMOVE LEAC:,d T - {� 3, x REMOVE ANY CONTAMINATEI C2 66.0 SOILS WITHIN 5' OF NEW,FF.• I_;TY MS 4 0 126" 2.5Y 7/4 6 .2 1 1 52.9' I 64.7 TREE 63,0 w x HSE , NO WATER ENCOUNTERED ` " 7.5 8. 63.6 '"V NOTE�� ' 61,0 T-u 3.4 Ilk I 61,i r I x POOL - \ 12 DATUM IS APPROXIMATED FROM GIS MAP ELEVATION - I OAK Y SE T i DFSTCiN' <r:^BRAG I POSER Ir' N( A'_I OE 1 - O + 6 .6 . x :,:GN FLOW; �_ 'EDR'IC'1 ' <110 CPL - :_:�..'F'D MUNICIr AL WA L1 I < +; 4.2 V 6 8 i � 3. MINIMUM PIPE PITCH TO BE 1/8' PER FOOT, CO x C. APRON 64.7 I I1 : A 330 GP1 DE�IGfk FLOW hr I 64.7 �x 64.7 SE 4, DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASH❑ H-10 Q 'TIC TANK; 330 GPD C ? ) = 660 5. PIPE JOINTS TO BE MADE WATERTIGHT. 6> 5 ISt A 1000 GALLON SEP I IC TANK (EXIST) 6. ENVIRONMENTAL IONDETAILS COME TITO E V IN ACCORDANCE WITH MASS, 4• t 'ACHING; 64.4. 10" HOLLY 1 EXIST SEPTIC TANK 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT 167.5 � v- I,/ (RE-USE) 2(30 + 9.83) 2 (.74) - 118 6� x DES; TO BE USED FOR ANY OTHER PURPOSE. EXIST. DWELL. �� ,�1! - 30 x 9.83 (.74) = 218 8. PIPE FOR SEPTIC SYSTEM TO SCH, 40-4' PVC, I X .2 TF - 65.1. X, + 58.4 Br.. I s OM; ' 9 ' TC-AI,;; 454 S F 336 �PD 9, COMPONENTS NOT TO BE BACKF'ILLED OR CONCEALED WITHOUT tI.6 INSPECTION BY BOARD OF HEALTH AND PERMISSION ❑BTAINED . 62.o W;,: '2) 500 GAL. LEACHING CHAMBERS "(ACME OR FROM BOARD OF HEALTH. HORSE 6- 064 e o G . i,) WITH 2.5' S TONE AT SIDES, 4' AT ENDS AND 5' 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING LEACH PIT ORRAL _ -~ 46 _ x a / �. � ;r E,�`tdEEN UNITS 64.9 M 65. y + 2'0 C . t X A5.a o t O x X \ 41 `a ran 100.0 ] PROPOSED SPOT ELEVATION OF Q 63 MOUNTAIN ASH ROAD I \ � 100x0 EXISTING SPOT ELEVATION � \ � IN THE 'TOWN OF: EXIST. WELL 10O - Q66.8 63.9 ' o PROPOSED CONTOUR ( MARSTONS MILLS) BARNSTABLE EXIST..WELL 6 \ ! LOT 11 ( 100 EXISTING CONTOUR PREPARED FOR: BORTOL.OTTI \ I 21,576 SO, FT. \ =15.77' 6 . CONSTRUCTION/DILLARD \ R=9o.p - -+ 566 ''.. 20 40 60 �6.1 p\\ S 63.4 89.5Q + 557.3 20 O BOARD OF HEALTH �� BOAR MA SCALE: 1 ' = 20 DATE: pECEMBER 5, 2001 ' 4�I � r OUN'rA IV ASH DATE ca I off 508-362-4541 fi x K: Fax 508 362-9860 I BENCH MARK CTR. OF C. BASIN TOWN OF BARNSTABLE VARIANCE REQUESTED: %�K OF `��� Orf��H� �f ELEVATION - 62.3 (ASSMD G.I.S.) LEACH FACILITY TO BE 133' FROM NEIGHBOR'S dawn CQ�P englneering, Inc. �y,1 "i AHNE J � WELL AND 122' TO LOCUS' WELL ARNE H. H• CIVT`_ ENGINEERS � 0,1 A , C7JAL. in • �s CI fL LAND SURVEYORS No U�sz c,is`rE r • / //7/j, f 939 main st. ycrmouth, ma 02675 OJALA, .y'. ., .L.S. DATE [ 01 --299 Y ` , 4 x SOIL 1. 0a '�� I s.`,P••►EASYONE'� '=LOAM`p V1LL 32 idAx x. C. 1. �,, r • . ° C C.GI. "" . BOX b t0'MIN =LOON `GAL � ��.• 1000— . GAL'' tF• " ' PRECAST OR ; .y- . SEPTIC 6� b BLOCK; a P.aFReS $s ` ` TANK "PIT €'�-- t, . • �` SEEPAGE / ! 16 �. ��'� n '♦ '� d � � .SCE 20' MINIMUM «+.:---- • o ;r s:?v, j 'r i -FOUNDATION I 11: . . "WASHED STONE + . .-max I E +�,, 4., w �} f'r I I ' Lh'r iw IAGI l E L E V Ati ON SKETCH 10 " u '( G Y A, 4L.1✓i'1 N 0 1 SCALE I 4' EST 8Y ' TOWN CNSPECTOR: - /WC11- AAa-'_Y 3 BACKHOE OPERATOR xf PEST MADE ON '7B a. 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