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HomeMy WebLinkAbout0022 BURNING TREE LANE - Health d e _ 22 BURNING TREE LANE F 136 - 025 blest Barnstable f 0 4 1 1 1 1 � FM No. 4210 1/3 BLU 10% Y' No. , e1�17�� � (/ Fee ✓ THE COMMONWEALTH OF/� U SACHA%TTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN, OF BARNSTABLE, MASSACHUSETTS application for Dispos Y *pstem Construction permit Application for a Permit to Construct(Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 0;7-/- air i0wner's Name,Address,and Tel.No. Assessor's Map/Parcel G' vw e r f- ,aor"- \ tj C VV v C16- Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �r3``ic,r /t• c7"ozi .y1 i� r sy/� y� �� 6 -Tre irr e / / G Type of Building: IF P t f rf�� u Dwelling No.of Bedrooms 3-deed Lot Size 3,) OZ®6 sq.ft. Garbage Grinder( ) Other Type of Building /L-ef`/Wz.- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided 3 3 Q gpd Plan Date ,/, r�i ? Number of sheets Revision Date Title Size of Septic Tank /,r-o O Type of S.A.S. .2 -O J Description of Soil ire Z �r Nature of Repairs or Alterations(Answer when applicable) .r-e c /} Date last inspected: U ���d —�''O 4,- Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si edA Date Application Approved by 4 Date / 0 - ( O Application Disapproved by I� Date for the following reasons�d 4/ N o o /� �/ v�� !� f" �D A`r © � /��� s V B!(/�o✓t Sr If Permit No. A o 1 1; Date Issued f -7 3t11L f No. y — (1?U!°� j 4 Fee ( � ./'' THE COMMONWEALTH OF ASSACHUSETTS /// Entered in computer: Yt/ es PUBLIC HEALTH DIVISION - TOW,M"OF BARNSTABLE, MASSACHUSETTS -Application for 30ispo8_a`f��p trm Construction permit Application for a Permit to Construct(Repair( ) Upgrade( Abandon( ) P/Complete System I Intd ividual Components Location Addresst_or Lot No. f air f�/,f pi / iowner's Name,Address,and Tel.No: Assessor's Map/Parcel /y G'y1r vvwr (ti, i ��� rt f U C '' " ' w v C/ C (-r�f e Installer's Name,Address,and Tel.No._ o DZ Designer.'s Name,Address,and Tel.No. Type of Building: /� f r4ri4' 4 Dwelling,!1�10 of Bedrooms 3 01,eJ t Lot Size o-2- b U sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) k, Other Fixtures Design Flow(min.required) / gpd Design flow provided 3 0 gpd Plan Date (;����j(� Number of sheets Revision Date r.:..+ Title Size of Septic Tank f D O Type of S.A.S. _2� j 0 v k 1 o r Description of Soil J 7-Nature of Repairs or Alterations(Answer when applicable) �._ J_�e C Yl,r Date last inspected: �,�� Agreement: " The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. y -��' / -7 Si e _ e/" Date Application Approved by / °�'V .� Date / d - / O - / ,7 Application Disapproved by Date for the following reasons "'Io V�/(!�N! Permit No. /2 O - 3 7 Date Issued / O ------------------------------------------------------------------------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,t t the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by / '/ V at -Z /L//, f.-a- X/re �!/ { has been constructed in accordance with the provisions of/Title 5 and the for Disposal System Construction Permit No. 2 O/?_39dated l 0// v Installer /fT h �/ / cad l, / Designer #bedrooms 3 �at* r rJ -,c Q`j�y( Approved design flow .317 0 gpd The issuance of this perm it-shall noy be construed as a guarantee that the system will functio •e 'gned. Date Inspector - -------.-------- ---- ------------------ ------------------------ No. 13, J 1 -7 Fee ��d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS 13isposar *pstrm Construction Permit Permission is hereby granted to Construct( vJ Repair( ) /Upgrade( ) l Abandon( ) System located at /� 4- �� P,5 T �J and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 permit/ Date (0 ( � Approved by t No. ( '1' J Fee THhE �M MONWEALTH OF MASSACHUSETTS / ' Enter i computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MAS�SACHYVITTS Yes AppliLatIOYC f ]Disposal *pstem Construction 3permit Application for a Permit to Construct( Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. J. 841rn/'H j free A. Owner's Name,Address,and Tel..No. Assessor's Map/Parcel 136 — � Q J c r 9r ile e UCg l UL k �S`�101 le Installer's Name,Address,and Tel.No. S' �d/ Designer's Name,,Address,and Tel No Ccl n-1 ee� Type of Building: vl.Xj �Jk- a Dwelling No.of Bedrooms 3 Lot Size 0,0 sq.ft. Garbage Grinder( ) Other Type of Building (�,p�1 J enr No.of Persons Showers( ) Cafeteria( ) Other Fixtures /� Design Flow(min.r quire ) S 30 gpd Design flow provided U gpd Plan Date a10 Number of sheets Revision Date b Title /I Size of Septic Tank ��U Type of S.A.S. 2 on _C h r *" C 4 Description of Soil Nature of Repairs or Alterations(Answer when applicable) c. v1 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 TitleAtheiromnenta de and not place the s stem in operation until a Certificate of Compliance has been issued by this Bo Signed Date Application Approved by dl Date Application Disapproved�ebVQ Rt CO for the following reasons CO i d a r. `�`' !? C�-1c 0 n H U n 11 e A 1WvgLW Permit No. [) — Da Issued tt.t -� THE COMMONWEALTH OF MASSACHUSETTS �O BARNSTABLE,MASSACHUSETTS Certificate of (compliance M THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by 'I-Zo h S J�7aCeA vcd"ri A f at r24 531jry?inQ ­2'ry-e /ah e has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0 7 dated 1pa/ Installer 1?0I1.f f,--,x ea d 7/'+-! ' .4 Designer #bedrooms cty 1 't Approved design flow�U gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. ( ..—�. � ! � L � ° I��j{,„,�f , / Fee THE UIM' WE 1TROF MASSACHUSE7 w"� Entere i computer::� PUBLIC'HEALTH DIVISION- TOWN OF BARNSTABL`E, MASSACHUSETTS �pYication fJ .r MisposAh6pstrut Construction 3permit ., _ Application for a Permit to Construct it,( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 130y'nj'H g 7"-rr e A. Owner's Name,Address,and Tel..No. Assessor's Map/Parcel 136 -c?- VJ 12, Installer's Name,Address,and TeI;,746., SUL�G/ Designer's Name,Address,and Tel No. 1171-AGt4,L2e< Type of Building: Dwelling No.of Bedrooms 3 P Lot Size �,ad0 sq.ft. Garbage Grinder( ) Other Type of Building 1�>,pS t G!7e n No.of Persons Showers( ) Cafeteria( ) Other Fixtures - Design Flow(min.require ) so gpd Design flow provided U gpd Plan Date G Number of sheets Revision Date kL7,0 41 Title Size of Septic Tank j TUU Type of S.A.S. 2 Sao an -C Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in ` accordance with the provisions ofrl'itllee 55 of the ironmenta de and not place the s stem in operation until a Certificate of Compliance ha&,been issued by this Bo of alt q P Signed Date Application Approved by / ,ei+` , Date / - /0 - /3 Application Disapproved by "� t' ` / Date q-a 7 ' �3 CJ for the following reasons _ , p /,lu� C OMD J y , � a 0 U / �G FO . U✓ lU rw7� AM rM�(Y G r '•� � Permit No. D - y Date Issued , --------------------------------------------------------------------------------------------------------------------------------------- TH F COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS . s Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( ))by 2p h S fZX LA yta t 1 AT ,•r[ l at 513,., 01 NG �i toE' /00 e has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 0( ,/7 dated 0 0 / Installer 1?00f Il e4e✓ T/ 44� */L..4 a Designer #bedrooms n P d rr��f r c!�'d' Approved design flow 3 3 U gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. ,r t Date P Inspector ----------------------------------------------------------------------------------------------------------------------------------------- No. ? 0 /-7 _3 !7 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS / Mispos 16pstem Construction j3ermit Permission is hereby granted to Construct( Repair( ) Upgrade O, Abandon( ) System located at 1;9 4?Ur/h4 Tf'r-L° Glf-C i ti. and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 permit. Date tI - a ' Approved by �J x Town of Barnstable F 1Me ram, �' do Regulatory Services Richard V. Scali, Interim Director * swaxsena[.s. 9�A MASS. ��$ Public Heaath Division 1639. Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# 2613-3V Assessor's Map\Parcel Designer: U&I'l d- Cv vyLm Ad w r V�_S Installer: 0 j o1 Address: So �r4L�1 4So� Address: C k,q��,tm , Vh� 02� 33 f�? On l® bo/� 7 was issued a permit to install a (date) (installer) septic stem at ZZ vrK� k� Tte p y C Lq h e based on a design drawn by (address) dated h (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils r ' were found satisfactory. I certify that the system referenced above was constructe '° ompliance with the terms of the I\A app ` val letters (if applicable) �jH of M,lss'y �o DAVID o D. (Install rnat e) " COUGHANOWIR No. 1093 �FG/STE'L s'9NI TAW (Designer's Signature) (Affix Des s Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designer Certification For n Rev 8-14-13.doc I NOTES REMOVE ALL UNSUITABLE SOILS ENCOUNTERED 34 WITHIN THE SOIL REMOVAL AREA FOR FIVE BENCH MARK LATERAL FEET DOWN TO THE C2 MEDIUM s SAND STRATUM AS INDICATED ON PLAN AND TOP OF CONC BOUND 36 REPLACE WITH CLEAN MEDIUM SAND PER TITLE S. ELEVATION =36.00 ADDITIONAL SURVEY MAY BE REQUIRED AFTER BARNSTABLE GIS DATUM 36 94.8%.! CLEARING OF LOT. 3e ' THIS IS A b$.IS ft o C 0 L 0FR ESERlE•ppEA: \o PLAN TEST FULL DETAIL IS BEST •••••''•�+,; .PIT I i VIE10&04N L COLOR .••: , ! %''� ••' 1 USE COLOR PLAN ONLY / PROPOSED. IL I FOR SEPTIC INSTALLATION ABSORPTION / OS SYSTEM p poOL TEST -SEE DETAIL HOUSE PIT 2 ON BACK 0 38 0 ft / in G a zp ft M OSEP ft 9 G T P WIMMING OWED - 0 REMOO� Je 5 POOL 3 32 N\ o ,g0X D 0 \� W 0 1500 GALLON - /"�? SEPTIC TANKSETBACK Z 0 - REQUIREMENTS i m\ f 20 ZONE: RF-1 0 9 ® FRONT: 30 ft ®FOOS SIDE: 15 ft REAR: 15 ft oNtsI\ \ DN 4 m 4 a z z \ ® TOP 3 00 = EL Q c 1 �o \ 40 ft m LOT 10\ 36 \\ AREA = 35200 Sf + O \ ASSR MAP 136 Pa 2 5\ I i \ N` CJ� \ my p \ EXISTI LL cn T P T p 3.,\` / 160.00 ft 3/OFAVEMENtQ` A140 m m PAV 34 / EDGE l�9 Q 35 � ir ~ a — 36 �(�� PLAN 01 0 SCALE: I /n = 30 ft 30 60 0 10 20 30 NO OTHER WELLS WITHIN 150 ft OF THE " to PROPOSED SOIL ABSORPTION SYSTEM. NO OTHER SEPTIC SYSTEMS WITHIN «• 150 ft OF THE EXISTING WELL. VARIANCES REQUESTED tti' f, BARNSTABLE TOWN CODE 397-2 C> MINIMUM 40.000 sf FOR NEW CONSTRUCTION EXIST/NO INVOLVING WELL AND SEPTIC - VARIANCE TO EXISTING r ' WELL 35.199 sf REQUESTED. LEACH PIT #26 BURNING ISO ft SEPARATION FROM EXISTING WELL TO O #26 BURNING WEST BARNSTA L . MA ' TREE SEPTIC SYSTEM. VARIANCE TO 116 ft REQUESTED. TREE OFMgsjoFraq G�'TEC SITE AND SEWAGE DAVIDcyG�, �� DAVIDy �' y DISPOSAL SYSTEM PLAN -FOR PROPOSED DWELLING D.COUG ANOWR � COUGHANOWR .. ,.. SUSAN & BRUCE NOT No. 1093 to v WALUCK hP TO �F �� `rO �tCENSEC Q' �` 1995 �' CLIENT r9q SCALE 90 Sq ISTE PN % EVAL�N ON1A�� 22 BURNING TREE LANE WEST BARNSTABLE. MA yr yi i - 43 TRIANGLE CIRCLE PROPERTY ADDRESS SANDWICH MA 02563 L' ® C U S MAP �'��'SPd A��vSt �1 2o�i3 508 364-0894 °�'E �uNE 29. 2013 P�l/2 .sae: ETE-1812 SOUL TEST LOG ORC NUMB15. 2604 DEMIG IV OALCU-LATMNS SOIL EVALUATOR: DAVID D. COUGHAN R;LSE-461 N FLOW: 3 BEDROOMS X 110 GPD = 330 GPD WITNESSED BY: DONNA MIORANDI�'E•ALTH DE PA SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS TEST PIT 1 NO OINCH IN A2 S ILC UNTERED USE E ISTING 1000-GALLON SEPTIC TANK IF IN 2 MIN/INCH IN C2 OILS �� SOUND STRUCTURAL CONDITION. IF NOT. INSTALL ELEVATION DEPTH JALOAM USDA SOIL C SOIL OTHER NEW 15 0 GALLON SEPTIC TANK (MINIMUM ALLOWED) [�T) ONCHES) TEXTURE UNSE L) MO 3 .DISTRIBUTI N BOX: USE 3 OUTLET D-BOX. 35.50 SOIL ABSO BTION SYSTEM: INSTALL A 24 ft x 12.5 ft x 2 ft 0-3 10 YR 2 NONE FRIABLE LEACHI G GALLERY AS DEPICTED BELOW 3-20LOAMY SAND 10 YR 4/ NONE FRIABLE bot ( 24 x 12.5 ) = 300 sf 20-84SILT CLAY LOA 10 YR 5/4 NE FIRM Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sf 27.50.83 84 NMEDIUM SAND TO YR 6/3 NO OOSE At = 0.74 x 446 = 330.04 GPD 19.83 INSTALL A 24 ft x 12.5 ft x 2 ft GALLERY AS CONFIGURED BELOW TEST PIT 2 NO GROUNDWATER OUNNDWAT 2 MIN/INCH NTEN EC SOILS - Vesta= 355.2 GPD n) 3330 GPD REQUIRED REQUIRED p� ELEVATION DEPTH SOIL USDA SOIL COL SOIL OTHER DISTRIBUTION TRIBI�/ U IOUV BON DBE3 HOO Y (fin ONCHES)HMM TEXTURE UNSELL) MDTRM DIMENSIONS PIPES EXITING D-BOX TO RUN LEVEL 34.10 0-4 A LOAM 10 YR 2l2 NONE FRIABLE AND DETAIL FOR 2 FEET BEFORE PITCHING DOWN 4-22 B LOAMY SAND 10 YR 4/4 NONE FRIABLE 26.60 1 22-90 Cl SILT CLAY LOAM 10 YR 5/4 NONE FIRM --- 90-1601 C2 MEDIUM SAND 10 YR 6/3 NONE LOOSE NO•T TO 12 /n 2077 SCALE MIN TO GALLON SEPTIC TANK '� � TANK i = ,'. . DIMENSIONS AND DETAIL O op ,p SAS - USE SHOREY ST-1500-H-10 6 Vl b /n STONE BASE !S 5 /n �5 CROSS SECTION VIEW 1 in �, ^ NOT TAPER _8 TO SCALE pi ABSORPTION o - 5 ft- SYSTEMONSTRUCTION DETAIL 8 in 00 GALLON LEACHING DRYWELL 24.0 ft \0 `° cl)10 +, 6 /n 5 � N m INLET CENTER OUTLET �w COVER COVER COVER STONE 3.5 ft 8.5 ft 8.5 ft 3.5 ft IN DROP F LOW LINE FROM -_ BUILDING ID In i� TO E GALLON DRYWQL INSTALL ONE INSPECTION D-BOX O� AID DETAIL RISER TO WITHIN THREE 48 in �I INCHES OF FINAL GRADE LIQUID GAS / USE M-10 UNIT AND INDICATE LOCATION LEVEL BAFFLE ON AS-BUILT PLAN - -- 33 6 in STONE BASE oobdc o in SEPARATION BETWEEN INLET AND �a00000�*� OUTLET TEES NO LESS THAN oafiogo �� LIQUID DEPTH 10. In 5$ CROSS SECTION VIEW INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE NOTES FABRIC IN PLACE OF THE 2 /n. PEASTONE LAYER SPECIFIED. 1) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS CROSS SECTION VIEW OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 GAR 15). 2 in PEASTCME 2 h PEASTOAE 2) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES 8 APPLIANCES, AND BIANNUAL PUMPING OF THE SEPTIC TANK. F "I `''` 28 h o , 29 /n:.;.° w4 • ro [26 3) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT 9' VEPARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. inGm n 4) SEPTIC TANKS TO BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL ' STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED &.ON TO WHICH SIX 46 In `w'S$ In r .-„. 46 in INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. FLOW PmOMLhC� TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE SCH. 40-PVCY7-' EL = 36.00 6 in OF FINAL GRADE AND TO PITCH AT 1/8 In/ft MIN 34.75 D-SO� 3 ft. y - ' --,MAX t . INSTALL '-, �31.75 33.25 1500 GALLON 4 PREcasr' SEPTIC TANK 32.so 31.40 ' DRYWELL 6 in 32.75 SEE DETAIL ON BACK STONE. < �-`' SOIL ABSORPTOON + v 31.57 BASE 3L00. _ r - - . Sy.s")TE -SEE DETAIL - 10 ft 6 in STONE BASE XX ft o), 4 ft ON BACK O 29.00� NO GROUNDWATER 7 U) b) 12 fr MOTTLING OBSERVED _ 19.83 SITE & SEWAGE DISPOSAL SYSTEM PLAN 22 BURNING TREE LN. W BARNSTABLE, MA JUNE 29. 2013 ETE-1812 PG 2 OF 2 NO OTHER WELLS WITHIN 150 ft OF 34 NOTES BENCH Al1AROC THE PROPOSED LEACHING SYSTEM. 35 REMOVE ALL UNSUITABLE SOILS ENCOUNTERED TOP OF CONC BOUND ELEVATION = 36.00ND WITHIN THE SOIL REMOVAL AREA FOR FIVE LATERAL FEETMEDIUM BARNSTABLE GIS DATUM 36 94.Bifw SAND STRATUM ASWNDICATED ONTO THE2PLAN AND ' REPLACE WITH CLEAN MEDIUM SAND PER TITLE S. ADDITIONAL SURVEY MAY BE REQUIRED AFTER 38 CLEARING OF LOT. 65.15.ft VE pREA \ THIS IS A ES "' ER .•� \ ' r � .1 ' . '�TEST , COLOR t't•,t. ,:.,twr 1 o - PLAN ,i.r.•;..; :.•:';.• FULL DETAIL IS BEST PROPOSED •• VIEWED IN FULL COLOR LEACHING / tUpE SYSTEM d fU USE COLOR PLAN ONLY -SEE DETAIL HEST D-BOX P00�5E . w FOR SEPTIC INSTALLATION ON BACK • N 38. \ /a / o \ SETBACK REQUIREMENTS RE ~ 9 10Osw PO MoL� $ ZONE. RF-1 2 SOS �AL letP 32 ` FRONT: 30 ft / REM AREA O /0 m SIDE: 15 ft W �� �3E�� REAR: 15 ft X �0 2 0 a 1500 GALLON 1 ( N /2 SEPTIC TANK N i0 \ �`}y~ Zo \o O f O m S ® 20 �. G N ° 1 ®�® ® G T o m� \ � � 1 OWED o° %A 3 p��IhLI - m OF NDN TOP o 00 ft EL ; 3 z \ o \ 40 m \ O LOOT 10 T \ AREA = 35200 sf + crn 36\ 90 ASSR MAP 136 Pa 25\ I Z� my p \ EXIS O WELL NgOF ED 16 00 ft 32 O/ m 34 0 / F, 35 �� PLAN NINO SCALE: ► in = 30 ft 36 O 30 60 FLOW PROMLE O 10 20 30 TOP. OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE SCH. 4o Pvc EL 36.00 6 in OF FINAL GRADE AND TO PITCH AT 1/8 In/ft MIN 34.75 -BO 3 ft INSPECTION Fl USE H-20 MAX PORT 31.75 33.25 1500 GALLON = = = — SEPTIC TANK 32.50 6 in 32.75 SEE DETAIL ON BACK STONE SOIL ABSORPTION + 31.57 BASE 302 w SYSTEM -SEE DETAIL o 10 ft 6 in STONE BASE 45 ft 3-10 ft ON BACK 30.42 NO GROUNDWATER 7 LO WEST: BARNSTABLE, MA, MOTTLING OBSERVED-7 19.83 Mgss9cti a��ySH Or:MgSsgc �GQ-rF�y DSITE AND SEWAGE ISPOSAL SYSTEM EM PLAN DAVID �N �� DAVID tiN D o d -TO SERVE EXISTING DWELLING COUGHANOWR N " COUGHANOWIR y SUSAN & BRUCE Spy NOT TO �F 0. 109 WALUCK �0 `40 410ENS � Q �y • • �� CLIENT SCALE Sq II E h� 1� eV ° `�RON1A�� 22 BURNING TREE LANE WEST BARNSTABLE. MA 9��r yyi 43 TRIANGLE CIRCLE PROPERTY ADDRESS °4Gyy,4r UA 'L 21 , ZD 1 3 SANDWICH MA 02563 OA,� JUNE 29. 2013 L O C U S M A P 508 364-0894 1a 1/2 1 -ago ETE-1812 A SOUL ICST LOCH DESIGN CALCULATIONS DATE OF TEST: OCTOBER 15. 2004 SOIL EVALUATOR: DAVID, D. COUGHANOWR• LSE-461 DESIGN FLOW: 3 BEDROOMS X 110 GPD _ 330 GPD WITNESSED BY: DONNA MIORANDI• HEALTH DEPT. SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS PERC NUMBER: _ 10821 INSTALL 1500:GALLON SEPTIC TANK (MINIMUM ALLOWED) NO GROUNDWATER ENCOUNTERED DISTRIBUTION BOX: USE 3 OUTLET D-BOX. TEST PIT 1 2 MININCH IN C2 SOILS EAR DEPTH SOIL USDA SOIL COL SOIL OTHER SOIL ABSORBTION SYSTEM: 35.50 am (INCHES)HOR'Z TEXTURE UNSELU MO INSTALL 20 ADS ARC 36 HIGH CAPACITY B16DIFFUSERS 0-3 A LOAM 10 YR 2/2 NONE FRIABLE 20 UNITS x 5.0 ft / UNIT = 100 L.F. 100.0 L.F. x 4.80 S.F./L.F = 480.0 S.F. 3-20 B LOAMY SAND 10 YR 4/3 NONE FRIABLE 480.0, S.F x .74 G.P.D.I/ S.F. = 355.2 GPD.. 20-84 Cl SILT CLAY LOAM 10.YR 5/4 NONE FIRM USE 20 ARC 36 HC BIODIFFUSERS AS CONFIGURED- BELOW 27.50 -.Vt = 355.2 GPD > 330 GPD REQUIRED 84-188 C2 MEDIUM SAND 10 YR. 6/3 NONE LOOSE : REFER TO DEP APPROVAL LETTER TRANSMITTAL 19.83 * X235253 FOR-CERTIFICATION OF ADANCED, ' DRAINAGE SYSTEMS BIODIFFUSER SYSTEMS. NO TEST P I IT 2 PERC AT 110 n 2 MINN/INCH INEC SOILS �a ELEVATION AR DEPTH SOIL USDA SOIL. CC>L SOIL OTHER DISTRIBUTION BOX 34.10 (INCHES)HOR2 TEXTURE UNSELU MO DIMENSIONS AND DETAIL USE SHOREY DB-6 H-20 0-4 A LOAM 10 YR 2/2 NONE FRIABLE 4-22. B LOAMY SAND 10 YR 4/4 NONE FRIABLE NOT 22-90 Cl SILT CLAY LOAM 10 .YR 5/4 NONE FIRM TO 16 In 26.60 SCALE 90-1601 C2 MEDIUM SAND 10 YR 6/3 NONE LOOSE —s 2077. FROM c TANK E TO O SAS O . �' z 2Q ' Z� M 6 ,In STONE BASE 9500 GALLON SEPTIC TANK. in CROSS. SECTION VIEW DIMENSIONS :AND DETAIL USE SHOREY ST-1500—H-10 p �a n � np 1 in 8 NOT SOIL A B ORl� U DOUV . TAPER 8 SCALE CONSTRUCTION S YS TC (Ml DETAIL USE ADS ARC.36 HC B/ODIFFUSERS. . o , GRAVEL FREE INSTALLATION - USE DEP 5 ft— APPROVED INSTALLATION PROCEDURES. o' 8 in ate, 'INSPECTION 20.0 ft PORT INSTALL O TWO AND - f('C SHOW ON lO ft_ 5 AS BUILT � r 6 :%n CARD n M INLET CENTER OUTLET COVER COVER COVER O IN DROP FLOW LINE 20 UNITS TOTAL - 5.0 ft PER UNIT FROM IO In = 14 TO BUILDING ,,, a-sox CROSS SECTION VIEW 48 In LIQUID GAS LEVEL BAFFLE RESTORE VEGETATIVE COVER. BACKFILL .WITH CLEAN PERC SAND TO TOP OF CHAMBERS IFFe 6 in STONE 'BASE, SEPARATION BETWEEN 'INLET AND 16 Inch OUTLET TEES SHALL NOT EXCEED 10.75 1n HINITS TOTAL DEPTH EFF DEPTH UNITS. .LIQUID DEPTH EXISTING ? t::2.8:7r� SUITABLE CROSS, SECTION VIEW EFFECTIVE WIDTH 5 x 2.875` = 14:375' MATERIAL USE 20 ARC736 HC ADS BIODIFFUSER UNITS-NO STONE - NOTES + + • 1) INSTALLER TO,OBTAIN.DISPOSALS WORKS PERMIT BEFORE STARTING WORK. 2) ALL COMPONENTS' INSTALLED`SHALL MEET 1 THE MINIMUM REQUIREMENTS SITE b SEWAGE DISPOSAL OF MASSACHUSETTS TITLE,.5 SEPTIC CODE (310 CMR<15). 3) INSTALLER TO VERIFY,,LOCATIONS OF,ALL UNDERGROUND UTILITIES SYSTEM PLAIN PAGE 2 QF 2 BEFORE EXCAVATING'FOR SYSTEM. Q 4) PIPES.EXITING D-BOX TO RUNtLEVEL FOR 2 FEET BEFORE PITCHING DOWN. SUSAN 81 BRUCE: WALUCK 5) ECO-TECH ENVIRONMENTAL "RECOMMENDS THE,INSTALLATION OF LOW FLOW K. FIXTURES 8'APPLIANCES.,AND;BIANNUAL` PUMPING OF. THE SEPTIC TANK. 6) SYSTEM IS. NOT.DESIONED TO WITHSTAND'VEHICULAR LOADING. DO NOT 22 BURNING TREE LANE PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. WEST BARNSTABLE, MA 7) SEPTIC-TANKS TO"BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY: COMPACTED 8 ON TO WHICH SIX DUNE 29, 2013 ETE=1812 INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. r' 09 ;x�sT�CTIioN WHEREAS, AUDREY 1VL LOUGHNANE is the owner;ofthe real estate located a 22 Burning Tree Lane, Barnstable(West),Barnstai le Coun4,'-Massachusetts(hereinafter referred to as Premises?), and more pa 4larly,bounded:+and described on. Exhibit `X' attached hereto; and WHEREAS, Audrey K Loughnane,:as the owner of'the Premises,.has agreed with. the Town of Barnstable Board of Health to a restriction as to the`number of bedrooms which can be included in any residence, built or expanded on.the-said Premises as.:a pre-condition to the prospective purchasers of the Premises; obtaining a disposal works construction permit: .iri compliance with 310 CMR 15.00 State Environmental Code; Title,5, Minimum Requirements for the Subsurface Disposal of:Sanitary Sewage and to obtaining a building permit for the Premises;and - WHEREAS, the Town of Barnstable Board of Health,.as a,pre-condition to.granting a disposal works'construction'permit for aseptic system m compliance with 310 CMR 15:00 State Environmental Code;.Title 5, Minimum Requirements for the Subsurface';Dispo`sal of Sanitary. -Sewage to Bruce Waluck And .Susan Wa uck;.the pro. ective purchasers of the Premises, and sP authorizing the issuance of a buuldig peririit foT the,construction ofa single family residence and s appurtenant structures on the Premises,.is requiring that the agreement for the restriction on the number of bedrooms in any House constructed :on_the Premises be put on record with, the Barnstable County Registry of Deeds by recording this'document. NOW;:THEREFORE;Audrey M. Loughnane does.hereby place the following_restriction oti ihd Premises:above:referred to in accor lance with her agreement with the Town of Barnstable Board of.Health, which restriction shall,run with the-land and be binditzg upon all ;successors im " ,. 1: Any dwelling constructed.or`.expanded on the`=Preri ises may have no more than three(3)bedrooms:, . Tms.restrictiolh shall°continue in full force and effect iiistrl such tinge that the Preri�ises is connected to Town.sewer or'the coirstruct on or expansion Q a,residence With greater than three ( bedrooms is alloid as of right;'at which time:this restriction will becorrie nulland Void_ For title, see deed from Katherine A Gimin to;Andrey M Loughane, dated December 19, 1971,recorded in thebarnstable County registry"in B.00l£2652",Page'061; Executed as a sealed`instrnent this- 1: day of September ZOT3, Autrey Lounaixe` u f ; 0!(* NWEt I,TH OF MASSACHUSE` S Barnstable County .�,. 44 � n this} p y f Se tember 2013,Before me,the undecsi ed Tub d t di o p , Q Y. w personally appeared AUI}R Y M .�UCr INANE,prayed to me through s tjsfacforga e"dence � Y F of Identification, which was'( Q� .�r . ` to be the person`whose name, x is signed on the;preceding tir attached document;`and acknowledged tome that she signed it , voluntaily for its stated puipose x . ul .e y _r iC r � _t ?a�N4k3 Q My comrnM104 e4-1res low t p \ /<p of x xi y s & s$ Say"S�S� e ._.The land,together with the buildings thereon,located at`22 Burning Iree Lane,Barnstable {West);Barnstable C©u rty Massachusetts,in partieulaxl`y bounded and c eseritieel as:follows. BEGINNING at a point on the_Northerly sideline of I3urmng'Tree Lane at the intersections of Lots 9 and 1Q'as-shown:`o a plan hereinafter riient oned; THENCE: Noith:23°93' S8""West by Lot 9 a drstance of trvo`huridred nineteen -arid 99A00(219 99)feet to a point, THENCE. North 66° 1 S' 2S"East by Ianii now or former""ly af,.Robert UV. and Grace L: Russell,sixty five and 15%100.°(65 15:}feet to a cement bound found, , THENCE North 66° 1'6' 02"East by said Russell land-,ninety-four and 851100 (94.85}feet fo a paint; THENCE South 23°�3' 58"East by,Lo# L1;a dxstanee°,oftwo l nr rid ent grad 0.0/100(220;00)feet to :Poitit T�-IENCE: `South 66° 16' 02"rest by the sideline of Burning Tree Lne,a:rstanc of one hundred sixty and O0J100,(160,0E1)feet•to the pnirit n f f, beginriing. }. Being shown as LOT 1 Q,conta�ruxig an aped of 35,2QQ:square feet,more or,less,€fin a plan entitled"Subd vlsidn:IN ofLan'd n,West Barnstable;Mass; and East Sane eh;bass designed for Point Hill Realty firtist,Petitioners by"Crowell&!Taylor"Corp,'Yd►mcau#hpart, Mass. Scale:.. 1" 1Q0',Iuly 1971;"yvhicEi said plan being duly recacde-d iu Barnstable Coiriity'. ` Registry of Deeds.in Plan Book 249,Page 107. S ss m m 4 m r t f : ANS"A4LE REGISTRY QF DEEDS ,� w - , , . _. - . - :. . _ .. . . . ,":` ,; .. . . � .. . .. -f . . 1 . . . ,. . I: s: - . RECEI.P7 _ Printed Se ptember 23 2013 M 9 52: BARNSTABLE GQtlI�TY REGISTAY ;( QEEOS , II :' . MEAAE',,,) iIST,ER Trans#,; 253489 Oper:KATHLEEN �,.� j „ Book 27706 Page 94 Inst#.. 54617" Ctl#. 276 Ree:9,23. 2Q13 6l*�9.51.30a 'BARN 22 BURPING TREE,'.LN ` - pOC DESCRIPTIOPt. TRANS AMTA . . __- ------.. :. 1 IOUGHNANE; {kUOREY M ,`„ RESTRICTION County'Fee $.1,0 QO 10.OQ £ s` Surcharge CPA Q.QO 20.00 State Fee S4Q:fl0 40`00 ' ,. .- S,ur`c�ia'ge Tech$5;00 5:;00 - t -., , 7otat fees: 75:Q0 � ., .a . r ** Tatal charges. 75,(?0 ° , " CASH PMT PAYMENT CASH $Q.00 a $�.f` OJerpayment,amount 5.00= . : . REE CASH'REFilND CASH; 5.:q0 .: - »; �Ib ,< ": . .., . 4 i - . . �_ - ' '`k f R .a. Li. �A i a - - _ - R--, r I:' - - _4. ,p , Yy 1 Z j "t Vn �y - ,Z k Y `cur - Jy a T x s s ., t t .. �^ r- "� C n•,� 5 .. v 3 t 1 3 , ;S �< = 4 +� ', , L oi,,'Y I - _ k .- -.it s § x `� § ,� . r-; +. �rl , x as , t:; r- , o-. $. F s A„.C 't:.�. . °� "� i . .. .. ,i,'' :2 3 or A►^a re 6 �o Stanton, David From: McKean, Thomas G Sent: Monday, September 23, 2013 3:04 PM To: Crocker, Sharon Cc: Stanton, David Subject: RE: Excerpt BOH Aug2013 22 Burning Tree Ln,WB.doc FYI I called Dr. Miller and he indicated that with the three bedr d ed5instead was already recorded apparently), he has no problem with allowing her to build it with a r feet openi -----Original Message----- From: McKean,Thomas Sent: Monday,September 23, 2013 2:46 PM To: Crocker,Sharon Cc: Stanton, David Subject: RE: Excerpt BOH Aug2013 22 Burning Tree Ln,WB.doc I see that the Board of Health required both a three bedroom deed restriction and an opening in the doorway to the den. -----Original Message----- From: Crocker,Sharon Sent: Monday, September 23, 2013 12:09 PM To: McKean,Thomas Cc: Stanton, David Subject: Excerpt BOH Aug2013 22 Burning Tree Ln,WB.doc << File: Excerpt BOH Aug2013 22 Burning Tree Ln,WB.doc>> Here are the minutes you requeste. Sharon 1 EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES - OCTOBER 8 2013 I. Septic Variance (Cont): Susan and Bruce Waluck— 22 Burning Tree Lane, West Barnstable, Map/Parcel 136-025, requesting reconsideration on September 10, 2013 Board decision to change condition of study from 5 feet to 4 feet opening. Bruce Waluck was present. It is technically impossible to enlarge the opening to a five feet opening due to the stairs location. The three bedroom deed restriction has already been recorded. The Board will change the requirement of the doorway opening from 5 to 4 feet. Upon a motion duly made by Mr. Sawayanagi, seconded by Dr. Miller, the Board voted to grant the following revision to the variance condition# 6, approved at the August 20, 2013 meeting. Condition # 6 will read...a four-foot opening will be made into the study (changed from a five-foot) (Two voted in favor, Dr. Canniff abstained.) EXCERPT FROM THE BOARD OF HEALTH MEETING MINUTES ON AUGUST 20 2013 A. David Coughanowr representing Bruce Waluck, potential buyer, and Audrey Loughnane, owner— 22 Burning Tree Lane, West Barnstable, Map/Parcel 136-025, 35,199 square feet parcel, new construction, variances requested. David Coughanowr was present. The Board reviewed the plan and stated the existing well will be abandoned for portable use. It may remain, if desired, for irrigation use. A new well will be placed in the southwest corner of the lot. The pool house was discussed. It will be a single, unheated room (so it will not be used as a bedroom) with the possibility of a bathroom being installed later. The bathroom will need to be connected to the main septic as the distance required around a pool will not allow a second system. David Coughanowr said he will adjust the plan for the potential of this. The adjustment may require the tank to be dropped down a bit. He will have to review it. Upon a motion duly made b Dr. Canniff, seconded b Mr. Sawa ana i the Board p Y Y � Y Y g , 3 voted to approve the variances with the following conditions: 1))existing well will be abandoned for potable use,.2)'a new well will be placed in the southwest corner of J\��Q lot,'3.)the pool house will be a single, unheated room (no bedroom) with the possibility of having a bathroom installedf J).a revised plan will be submitted with a revised elevation, if necessary, for the future plans of a bathroom in pool house,'"a three bedroom deed restriction will be recorded at the Barnstable County Registry of CAcache\Temporary Internet Files\OLKMExcerpt BOH AugOct 2013 22 Burning Tree Ln WB.doc Deeds, 4) an official copy of the deed restriction will be submitted to the Public Health Division, 5) the reference to Using the existing tank will be removed from the plan, and 6) a five-foot opening will be made into the study. (Unanimously, voted in favor.) NOTE: AT A LATER BOARD OF HEALTH MEETING dated 10/8/13, condition # 6) was revised to " a four-foot opening will be made into the study (due to the location of the stairs.) CAcache\Temporary Internet Fi1es\0LK7E\Excerpt BOH AugOct 2013 22 Burning Tree Ln WB.doc Susan & Bruce Waluck The Barnstable Board of Health has granted a variance for 22 Burning Tree Lane with the nine(9) conditions shown below. Conditions 1-7 are completed, and 8-9 will be executed upon septic system installation. I. The existing private well shall be abandoned or the owner has the option to utilize this well for irrigation(for non-potable use only). Is now noted on the revised plan 2. A new private well shall be constructed at the South-West corner of this parcel, as denoted on the , revised engineering plan. New well is installed and test results submitted to the Barnstable Board of Health 3. No more than three(3)bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. House plan is for a (3)bedroom home. 4. 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 bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a. disposal works construction permit. Deed restriction is signed by the owner, registered at the Barnstable County Registry of Deeds, and a stamped copy will be submitted to the Health Agent before obtaining a permit. 5. The proposed"pool house" shall consist of a single unheated room. The"pool and pool house"has 1 been removed from the building permit request. 6 The floor plan shall be revised to show a minimum five (5) feet opening between the study and r, front entranceway. Architectural designer has determined there is not enough wall space for a five foot opening.After speaking with Tom McKean on 9/23 after he consulted with Dr. Miller he said �V�� that Dr. Miller has no problem allowing a four foot opening and suggested we move forward now '` and on 10/8 meeting request it be removed from the conditions. 7. The engineering plan shall be revised to strike the reference in regards to utilizing an"existing cQ �� septic tank" The plan is revised and the phrase has been removed. 8. The septic system shall be installed in strict accordance with the revised plans. Will be done at the t C . time of installation:'We are working with Manny Cabral from Ron's Excavating and David Coughanowr from Eco-Tech �Uv The designing engineer,or registered sanitarian shall supervise the construction of the onsite CW� sewage disposal system and shall certify in writing to the Board of Health that the system was J installed in substantial compliance with the revised:plans. Will be done at the time of installation. > e are working with Manny abral - Ron's Excavating, and David Coughanowr- Eco-Tech. 17 � l r,4. 4 ��tfi �` CUn rope C04'Ayry 1,q�c` V frf,f O I u ve . ffS o aq—l17// �_ /l f /I �Cll✓Q G rt! g 11 IP3l / Cdv�I welN � NSJrnl7/'f 1`2LjV,"-to' CE, t 4, �C q � P (0 ios d IHE tO,ty Barnstable Town ®f BarnstableAFA,eficaC ity IARN,AS& • Board ®f Health 1 ArfB '�k 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi October 11, 2013 Mr. David Coughanowr, R.S. 43 Triangle Circle Sandwich, MA 02563 RE: 22 Burning Tree Lane, West Barnstable A=136->025 Dear Mr. Coughanowr, You are granted variances, on behalf of your clients, Susan and Bruce Waluck, to construct a replacement onsite well and onsite sewage disposal system at 22 Burning Tree Lane, West Barnstable. The variances granted are as follows: Section 397-2 of the Town of Barnstable Code: To install an onsite sewage disposal system and a private well on a parcel consisting of less than 40,000 square feet. This parcel is 35,200 square feet in size. This variance is granted with the following conditions: -(1) The existing private well shall be abandoned or the owner has the option to utilize this well for irrigation(for non-potable use only). I;- (2) A new private well shall be constructed at the south-west corner of this parcel, as denoted on the revised engineering plan. (3) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. i Q:\WPFILES\CoughanowrWaiuck22BumingTree2Ol3.doc .� - - (4) 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 bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (5) The proposed "poor house" shall consist of a single unheated room. (6) The floor plan shall be revised to show a minimum four.(4) feet opening to - the study room at the front entrance/hallway. (7) The engineering plan shall be revised to strike the reference in regards to utilizing an "existing septic tank." (8) The septic system shall be installed in strict accordance with the revised plans. (9) The designing engineer or registered sanitarian 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 revised plans. ti Although this existing parcel consists of only 35,200 square feet, the designing engineer was able to demonstrate that an onsite sewage disposal system and a private well can both be placed onto this parcel without any additional variances. Sincdrely yours ,I Wayne ' iller, M.b. Chairm n Q:\WPFILES\CoughanowrWaluck22BumingTree2Ol3.doc I DATE: . . ...� . FEE: + ]iARNSTAgry. � MASS. � i639 A`� REC. BY p ` Town of Barnstable SCRED. DATE J Board of Health 200 Main Street, Hyannis-MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: fZd Ce n 4'-''t-`r. Az Assessor's Map and Parcel Number: 2�Z 7 ' L} ( Size of Lot: 5 2, 4 S}/-- Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: Fes. eke E ►n+---r ?L Phone T 3-7 `7 C Did the owner of the property authorize you to represent him or her? Yes �_ No PROPERTY OWNER'S NAME CONTACT PERSON Name: C;-a L 41" Name: 'V t c Address: Address: rc��a -v ����e Phone: Phone: 2-5-6 �E 7 3 7— `I? G 1 VARIANCE FROM RFGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) � 11— c o ry`- `-��"a" 1 ,1--e NATURE OF WORK: House Addition House Renovation 0 Repair of Failed Septic System r,•7 Checklist (to be completed by ojjzce staff-person receiving variance request application) " Please submit copies in 4 separate completed sets. i� _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian a _ Four(4)copies of labeled dimensional floor plans submitted(e.g'house plans or restaurant 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 (or Title - ti 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/lessee 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 VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED - Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canna D-M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC 4 Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 - September 20, 2013 Town of Barnstable Board of Health 200 Main Street Barnstable, MA 02601 Re: 385 Elliott Road, Centerville (Parcel ID: 227-104) Dear Members of the Board, On behalf of my client, Carol Crouthamel, the following request for variances.related to a septic system upgrade, is being made. The soil absorption system (SAS) is in failure and a proposed 4 bedroom SAS is shown with maximum feasible compliance. Following are the variance requests: e 310 CMR 15.405(b) — CONTENTS OF LOCAL UPGRADE APPROVAL i 1. A 3' variance to the maximum cover requirement of 3', for up to 6' of cover. 2. A 3' variance, S.A.S. to cellar wall, for a 17' setback • LOCAL REGULATION, Chapter 360, Article 1 — Setback Requirements 1. A 27' variance, septic S.A.S to,coastal bank, for a 73' setback. Variance requests are being made do to Limited area available for S.A.S. cerely, Peter T. McEntee P.E. pFt�fo{y Town of Barnstable Barnstable w r All-AmeficaCily R" MASMS Board of Health Arta '°` 200 Main Street, Hyannis MA 02601 Zoos Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi August 21, 2013 A f"156:e 4r vCt g ;ZOl3 Mr. David Coughanowr, R.S. I 43 Triangle Circle �O Sandwich, MA 02563 RE: 22 Burning Tree Lane, WestBarnstable ` : . A='136= 025_' Dear Mr. Coughanowr, You are granted variances, on behalf of your clients, Susan and Bruce Waluck, to construct a replacement onsite well and onsite sewage disposal system at 22 Burning Tree Lane, West Barnstable. The variances granted are as follows: Section 397-2 of the Town of Barnstable Code: To install an onsite sewage disposal system and a private well on a parcel consisting of less than 40,000 square feet. This parcel is 35,200 square feet in size. This variance is granted with the following conditions: (1) The existing private well shall be abandoned or the owner has the option to utilize this well for irrigation (for non-potable use only). (2) A new private well shall be constructed at the south-west corner of this parcel, as denoted on the revised engineering plan. (3) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. Q:\WPFILES\CoughanowrWaiuck22BumingTree2Ol3.doc (4) 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 bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (5)bThe proposed "pool house" shall consist of a single unheated room. u /� OC( � �0,1J3 (6) The floor plan shall be revised to show a minimum five (5) feet opening between the study and front entrance/hallway. (7) The engineering plan shall be revised to. strike the reference in regards to utilizing an "existing septic tank." (8) The septic system shall be installed in strict accordance with the revised plans. (9) The designing engineer or registered sanitarian 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 revised plans. Although this existing parcel consists of only 35,200 square feet, the designing engineer was able to demonstrate that an onsite sewage disposal system and a private well can both be placed onto this parcel without any additional variances. Since r y yours, Wia me iller, M.D. Chair an I Q:\WPFILES\CoughanowrWaluck22BumingTree2Ol3.doc -T) Ak rJ Gr 1 DATE: Sj FEE: • t3axrtSTABLF, MASS. 039. `0� "C. BY -5C C_ �b'°rEc 1Nl�p Town of Barnstable sCaED. DATE: Board of Health Ccf4I 200 Main Street, Hyannis MA 02601 / a Office: 508-8624644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi _ Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM (� -�7 �LOCATION Property Address: 2 2 1�u r vi �t Vl Tree L,Q h -LAJ-6 Assessor's Map and Parcel Number: Io ' ZS Size of Lot: 35 , 200 S" Wetlands Within 300 Ft. Yes Business Name: No y1L Subdivision Name: APPLICANT'S NAME: Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON p - �JJ Name: AAA t ey � W voA lIA PIC Name: �l�l°l Colf6fiiobvr Address: 2-6 PO t,w f H l I P j Address: 4-� r tt 01 h 0 e cr It Phone: West- 1p Phone: �`'"b 3 6¢ ®&V-C1 4- �Z 3 VARIANCE FROM REGULATION(List Res.) REASON FOR VARIANCE(May attach if more space needed) i�rns ,blo -own rade 3g7-2. 0 W!; n Wt ir1 —�— Lot G rti 4 d TN1 etP4 I (SO well P 4r0k1 rn �LbDjji 1l��,!�D�i f S Vr fPot — - W-11 req . I tisbi e N i S 6 rn cC v r-a+ .kke,e t Kyle (,5urae.yDr t Rasen (R.S NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System ❑ Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant 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) 4{ 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/lessee 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 VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC ,4 14 FTHET NO+ DATE: FEE: / * BARNSMBLE. 9�ArF .l A`m� REC.BY: "'�VL P)"M o Town of Barnstable Board of Health SCH ED.DATE. 200 Main Street, Hyannis MA 02601 ' %.3 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 22 BURNING TREE LANE,WEST BARNSTABLE,MA Assessor's Map and Parcel Number: 136-025 Size of Lot: 35,199 Wetlands Within 300 Ft. Yes Business Name: No X Subdivision Name: POINT HILL APPLICANT'S NAME: BRUCE WALUCK Phone 978-807-6017 Did the'owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON �I _,- - • Name:`AUDREY LOUGHNANE Name: 0..1,'Yj c a t cSi � Address: 26 POINT HILL RD, WEST BARNSTABLE,MA Address: 1=e o=7e cc—✓►yit"1n Phone: q3 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) SECTION 397-2 LOT UNDER 40,000 SQ FT NATURE OF WORK: House Addition ❑ House Renovation /❑ Repair of Failed Septic System ❑ Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant 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/lessee 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 VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\cache\Temporary Internet Fi1es\0LKFE\VARIREQ2.D0C NO OTHER WELLS WITHIN 150 ft OF 34 MOTES BENCH AFK TH AlE PROPOSED LEACHING SYSTEM. .../// TOP OF CONC BOUND /' REMOVE ALL UNSUITABLE SOILS ENCOUNTERED 35 ELEVATION =36.00 / WITHN THE SOIL REMOVAL AREA FOR FIVE FEET DOWN BARNSTABLE GIS DATUM 36 94..B%f� SANDASTRATUM AS INDICATED ON PLAN/UM AND REPLACE WITH CLEANMEDIUM SAND PER..TITLE b. 3s ADD/TIONAL SURVEY MAY BE REQUM AFTER CLEARING OF LOT. 65.15 ft ^/ E AREA I \ THIS IS .A ESEHT..�•y�' \ COLOR 1••i•.i.t�SPIrai .- \..t••�• • • I o PLAN �••'•�1��"' FULL DETAIL IS BEST / PROPOSED VIEWED IN FULL COLOR LEACHING / TUpE SYSTEM H-2 PU OL USE COLOR PLAN ONLY ON BATH L • D-BOX NpUSE 2 FOR SEPTIC INSTALLATION Wi®E 38 \ / o \of SETBACK. .. . ft Miy TORE \ 90 REQUIREMENTS IL4, sWloµo o ZONE: RF-1 / o ( SAL /Je P f 32 FRONT 30 ft o W APEp� ��0 `3 F� SIDE: 15 ft = 0 REAR: 15 ft t ° 1500 GALLON, - 2 SEPTIC TANK ^' N O m 20 f 9= GAM G RB v Oaf �OP ° I� T O Ba'' Q�cl , OWED 2 x ® lo vvION Op Of p0 EL ZO a O o \ 40 ft m \ o LOT 900 \ � - 36 9 AREA = 35200 sf + o OASSR MAP 136 PCL 25\ EXIST!LL N\ \ OF EDGE A 160 00 ft 32 m I' '' 34 / PLAN 35 SONG YJ SCALE: !In =30 ft 30 60 FLOW V' PROML E O ►O: 20 30 TOP OF FOUNDATION RAISE COVERS TO WITHIN LL PPE IT B T 11 4o Pvc EL = 36.00 6 in OF FINAL GRADE AND TO PITCH AT ua InIft MIN 34.75 -SOX 3 ft INSPECTION - _ USE H-20 - AX PORT 3►.7 33.25 1500 GALLON — — — SEPTIC TANK 32.50 In 31.40 32.75 SEE DETAIL ON BACK STONE SOOL ABSORPTION { 31:57 BASE 31.32 SYSTEM -SEE DETAIL o 10 ft 6 in STONE BASE 45 ft 3-10 ft ON BACK GROUNDWATER 7 WEST BARNSTABLE. MA 30.42 MOTOTL NG OBSERVED 19.83 SHOFM gss�cti OF a'Assgcy Gp-TFc SITE AND SEWAGE N Qopo DAVID o o DAVID 'S' DISPOSAL SYSTEM PLAN D. o D. -TO SERVE EXISTING DWELLING COUGHANOWIR v COUGHANOWR SUSAN & BRUCE boy NOT �No. 1093° .,, WALUCK e TO FOIST `rO�CICERs�°o� y` .. �� CLIENT �4 SCALE $ hI F ON1W1�� 22 BURNING TREE LANE i WEST BARNSTABLE. MA ` 43 TRIANGLE CIRCLE PROPERTY ADDRESS �bF Q4 Gy�4Y V vv\e V I ZU 13 SANDWICH MA 02563 77E3 DUNE 29. 2013 L O C U S M A P 508 364-0894 m 1/2 1,Ras, ETE-1812 14 SM TEST LOG DESM CALCULATIONS DATE OF TEST: OCTOBER 15. 2004 SOIL EVALUATOR: DAVID D. COUGHANOWR. LSE-461 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS PERC NUMBER: 10821 INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) TEST PIT 1 No 2 MIGROUNDWATER NCH IN C2 Sp�OUNTERED DISTRIBUTION BOX: USE 3 OUTLET D-BOX. ELEVATION DEPTH SOIL USDA SOIL 50L COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: FEET) 4NOf5)HOMO TEXTURE NSELU MOITIM 35.50 INSTALL 20 ADS ARC 36 HIGH CAPACITY BIODIFFUSERS 0-3 A LOAM 10 YR 212 NONE FRIABLE 20 UNITS x 5.0 ft I UNIT = 100 L.F. 100.0 L.F. x 4.80 S.F./L.F - 480.0 S.F. 3-20 B LOAMY SAND 10 YR 4/3 NONE FRIABLE 480.0 S.F x .74 O.P.D. / S.F. = 355.2 GPD 20-84 Cl SILT CLAY LOAM 10 YR 5/4 NONE FIRM USE 20 ARC 36 HC BIODIFFUSERS AS CONFIGURED BELOW 27,50 - Vt = 355.2 GPD > 330 GPD REQUIRED 84-188 C2 MEDIUM SAND 10 YR 613 NONE LOOSE REFER TO DEP APPROVAL LETTER TRANSMITTAL 19•83 * X235253 FOR CERTIFICATION OF ADANCED DRAINAGE SYSTEMS BIODIFFUSER SYSTEMS. NO ENCOUNTERED UNDWATER TEST PIT 2 PERC ATO110 In-2 MIN/NCH IN C SOILS ��aa /� pnn 5� �n BOX ELEVATION DEPTH SOIL USDA SOIL COL SOIL OTHER ®a`ST §Bl� U §OOV� IBAOO\l "m BNOfS)HORZO TEXTURE GAUNSELD MDTRM DIMENSIONS AND DETAIL USE SHOREY DB-b H-20 34.10 0-4 A LOAM 10 YR 2/2 NONE FRIABLE 4-22 B LOAMY SAND 10 YR 414 NONE FRIABLE NOT 22-W Cl SILT CLAY LOAM 10 YR 514 NONE FIRM TO 26b0 SCALE 20J7 1 90-160 C2 MEDIUM SAND 10 YR 6/3 NONE LOOSE FROM c -► TANK c TO O m SAS O O A 0' b !n STONE BASE 1500 GALLON SEPTIC TANK 24 in CROSS SECTION VIEW DIMENSIONS AND DETAIL USE SHOREY ST-1500—H-10 FAPPROVED I in TO BSORPT§OnM TAR ® SCALE CONSTRUCTION t HC BIODIFFUSERS ° TALLATION - USE DEP 0 S ft— LLATION PROCEDURES. 8 in INSPECTION 20.0 ft PORT INSTALL O ------- TWO AND SHOW ON w 1 p ft_6..In k AS BUILT ,n CARD n M INLET CENTER OUTLET COVER COVER COVER 0 i ,3 /N DROP LINE s i 20 UNITS TOTAL - 5.0 ft PER UNIT FROM 10 /n BUILDING 141 TO 48 /n _^ D-BOX CROSS SECTION VIEW LIQUID GAS LEVEL BAFFLE RESTORE VEGETATIVE COVER BACKFA.L WITH CLEAN PERC SAND TO TOP OF CHAMBERS RR 40 6 in STONE BASE 9 SEPARATION BETWEEN INLET AND 10.751n HI-CAP OUTLET TEES SHALL NOT EXCEED 10 pin UNITS �T��� LIQUID DEPTH z 2.875' l�� - EXISTING CROSS SECTION VIEW SUITABLE MATERIAL EFFECTIVE WIDTH = 5 x 2.875' = 14.375' u' USE 20 ARC-36 HC ADS BIODIFFUSER UNITS-NO STONE NOTES \� 1) INSTALLER TO OBTAIN DISPOSAL,WORKS PERMIT BEFORE STARTING WORK. 2) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS SITE 81 SEWAGE DISPOSAL OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 116). 3) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES SYSTEM PLAN PAaE 2 OF 2 BEFORE EXCAVATING FOR SYSTEM. 4) PIPES EXITING D-BOX TO RUN LEVEL FOR 2 FEET BEFORE PITCHING DOWN. SUSAN & BRUCE WALUCK 5) ECOXTURESEBVAPPLIANCESLAND BIANNUAL PUMPING OF THHE SEEPTC TANK OW 22 BURNING TREE LANE 6) SPARKYSTEMOR DIS RIVEDVEHIICLES OVERISEP ICNSYSTEMULAR LOADING. DO NOT WEST BARNSTABLE. MA 7) SEPTIC TANKS TO BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED 8 ON TO WHICH SIX JUNE 29. 2013 ETE-1812 INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. 0 0 2nd FLOOR PLAN -- 22 BURNING TREE LANE DECK 11 - 25 - 4 16 - 0 0 21 - 0 12 - 0 LOFTT 0 ATTIC ATTIC STORAGE BATH CLOSET BATH STORAGE o N ATTIC N STORAGE " CLOSET CLOSET 20 _ o . BDRM 1 BDRM 2 N 24 - 0 0 i O O 38 - 0 100 - 0 4 - 0 SCREEN o IST FLOOR PLAN -- 22 BURNING TREE LANE PORCH � 1l - 25 _ 4 16 _ 0 0 0 21 - 0 BREAKFAST NOOK 12 - 0 s - o KITCHEN GREAT ROOM MASTER 21 x 16 22 x 16 MASTER BATH TWO CAR N GARAGE 24 X 28 N o GLASS DOORS LAUNDRY 1/2 BATH CLOSET WALK-IN CLOSET DINING STUDY/OFFICE 20 - 0 14X16 14X16 N 18 - 0 24 - 0 a o GLASS DOOR 38 - 0 100 - 0 JOHN W. KENNEY ATTORNEY AT LAW 12 CENTER PLACE 1550 FALMOUTH ROAD CENTERVILLE,MASSACHUSETTS 02632 TELEPHONE 771-9300 FAX NO. 775-6029 AREA CODE 508 e-mail:John@jwkesq.com - May 31, 2013 Bruce Waluck and Susan Waluck P.O. Box 273 Harvard, MA 01451 Re: Opinion of Buildability Lot 10, Plan Book 249, Page 107 22 Burning Tree Lane, West Barnstable, MA 02668 Our File No. 13-74 Dear Mr. & Mrs. Waluck: You have asked me to render an opinion whether Lot 10 as shown on a plan recorded in Plan Book 249, Page 107 is a buildable lot for zoning purposes. In response to your request, I have caused the records at the Barnstable County Registry of Deeds to be researched. Based upon my review of the results of the search of the records at the Barnstable County Registry of Deeds it is my opinion that Lot 10 on a plan recorded in Plan Book 249, Page 107 is a buildable lot for zoning purposes. This opinion is based upon the following: 1. Lot 10 was created by a definitive subdivision plan approved August 16, 1971 and signed September 13, 1971 by the Town of Barnstable Planning Board. Said plan is recorded in the Barnstable County Registry of Deeds in Plan Book 249, Page 107. A copy of said plan is attached hereto for your reference. 2. The subdivision plan recorded in Plan Book 249, Page 107 is a subdivision of Parcel B shown on the plan recorded in Plan Book 246, Page 73: A copy of said plan is attached hereto for your reference. 3. Parcel B on Plan Book 246, Page 73 was acquired by James Southwood and Robert W. Bridges by a deed dated May 19, 1971 and recorded with the Barnstable Registry of Deeds in Book 1511, Page 32. 4. James Southwood and Robert W. Bridges conveyed Parcel B to themselves as Trustees of Point Hill Realty Trust by a deed dated November 29, 1971 recorded in Book 1570, Page 125. l Mr. & Mrs. Bruce Waluck May 31, 2013 Page 2 5. As of November 29, 1971, James Southwood and Robert Bridges, Trustees of Point Hill Realty Trust owned Lot 10 and abutting Lots 9 and 11 shown on the plan at Plan Book 249, page 107 in common. The two lots to the North abutting Lot 10 were not owned by Southwood and Bridges. 6. On January 31, 1975 Lot 10 was conveyed by a deed from. Robert W. Bridges as Sole Trustee of Point Hill Realty Trust to Richard W. Grimm, Jr. and Katherine A. Grimm recorded in Book 2147, Page 21. 7. Lot 10 was again conveyed on October 28, 1977 by a deed from Richard W. Grimm, Jr. and Katherine A. Grimm to Katherine A. Grimm recorded in Book 2608, Page 149. 8. Lot 10 was conveyed to the current owner Audrey M. Loughnane by a deed from Katherine A. Grimm dated December 19, 1977 recorded in Book 2652, Page 61. 9. Abutting Lot 9 was conveyed by Robert W. Bridges as Sole Trustee of Point Hill Realty Trust to Robert Ward Bridges, Trustee of the Traditional Realty Trust by a deed.dated October 29, 1974 recorded in Book 2113, Page 294. Robert W. Bridges, Trustee of Traditional Realty Trust sold Lot 9 to Edward E. Lyons and Lucia O. Lyons by a deed dated March 3, 1975 and recorded in Book 2156, Page 281. Edward E. Lyons and Lucia O. Lyons conveyed Lot 9 to the current owner, John Loughnane and Audrey Loughnane by a deed dated January 31, 1977 recorded in Book 2462, - Page 185. , 10. Abutting Lot 11 was conveyed by Robert W. Bridges, Sole Trustee of Point Hill Realty Trust to Katherine A. Grimm and Richard W. Grimm, Jr. by a deed dated July 6, 1972 and recorded in Book 1684, Page 245. Katherine A. Grimm and Richard W. Grimm, Jr. conveyed Lot 11 to Janice C. Leggatt by deed dated January 4, 1978 and recorded in Book 2644, Page 210. There have been eight additional conveyances of Lot 11 and none of the eight additional owners of Lot 11 ever held an interest in Lot 10. 11. A review of the records at they Barnstable County Registry of Deeds revealed that none of the owners from the 1960's to today of the two abutting lots to the north ever held an interest in Lot 10. Mr. & Mrs. Bruce Waluck May 31, 2013 Page 3 Based upon the foregoing, it is my opinion that the conveyance described in paragraph 8 above conveyed Lot 10 into separate ownership in the name of Audrey Loughnane, individually. The conveyance into separate ownership took place during the seven (7) year plan protection period afforded by Massachusetts General Laws Chapter 40A, Section 6 in effect at the time. The lot has remained in.separate ownership since that conveyance and is therefore a legally grandfathered buildable lot for zoning purposes. The fact that Audrey L.oughnane and John Loughnane have owned abutting Lot 9 as husband ar,,d wife :en nts by the entirety since January 31,. 1977 does not cause merger with Lot 10, separately owned by Audrey Loughnane, individually. If you have any questions, please do not hesitate to contact me directly. Very truly yours, ohn W. Kenney, E uire JWK:bp Enclosure C Pa aD aqY • u s ,wA° cb A"i aoPcrc aLa gP ye P6 D BL.II^Il 9* s DV w 10�lliaa.�.si I S �r.Ar� l,a3e ape�'ad�SB! 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C.........,...n. _ ..... u.0 ur, r,r.. •.. � 4 Py6 wo-ar HAA?NBTAHL ' o-aa SAND W/CL/ rin nn. .y_ CUABL&S A.4 S fZTIlA M.U/LL/AZD ..raaw.wr<ea....eo ew.,'a o.:i.`v....w,vo a ftnrtte PoW A;Avu.•I� e.z a]a c r,oN NAYIVII� _ �.dom wlmn4Wl A al o..V..e, .ea.cr.uv.rra /t a''r� ' °�Sil /j,_A��•'r���V eMnmam lw 9WgMfm C •�Gr Ptl4� aeoror en� wvsroe S D /0-/S A r c4tC v June 28, 2013 Dear Neighbor, This is to notify you as an abutter of 22 Burning Tree Lane, West Barnstable of a Board of Health variance request to be heard at 3:OOpm July 9, 2013. The hearing will take place in the second floor hearing room located at the Barnstable Town Hall, 367 Main Street, Hyannis, MA. Sincerely, Susan and Bruce Waluck SY ��� Pd ,� Town of Barnstable Geographic Information System September 20,2013 227081 227082 #18 227078 227094001 IN 351 #9 #185 227083 227077 #381 #327 Rd 227142 #50 2270 84 IF 344 227 085 1 #330 227 04 385 7 OBi 22 167 227 �: 227141 i:•. ......�:�::::�':':: #3 1B #108 3# 78 i AIIII a 22 7151 #50 39 227110 227140 #435 .# 1 227109 #429 227150 227111 #8 #'14 #439 227149 #28 227.112 227135 y 0443 #420 227159 3�ei #710 160 #45 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:227 Parcel:104 Board of Health boundary determination or regulatory Interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Abutter List Type-Direct abutters(no set distance)and the properties located are only graphic representations of Assessor's tax parcels. They are not true property across the street. Abutters E boundaries and do not represent accurate relationships to physical features on the map f such as building locations. Buffer t f 9120/13 AbutterRoort Board of Health Abutter List for Map & Parcel(s): '227104' Direct abutters (no set distance) and the properties located across the street. Total Count: 7 Close Map&Parc Mailing el Ownerl Owner2 Addressl Address 2 CityStateZip Country Deed 227103 CREELMAN,JEAN 377 ELLIOTT RD CENTERVILLE, 8362/195 M TR MA 02632 227104 CROUTHAMEL, 385 ELLIOTT CENTERVILLE, 2 5 33 9/3 1 1 JOHN J&CAROLS ROAD MA 02632 ZANDERER, C/O GREENBERG, 115 OLD FARM FAYETTEVILLE, 227105 ROSALIE E VICKI ROAD NY 13066 #BA10P1225EA ESTATE OF 227107 COVELL,BRIAN 0 415 ELLIOTT RD CENTERVILLE, 17776/170 &ROEY MA 02632 227108 SANDELL,DAVID A 423 ELLIOTT RD CENTERVILLE, 9743/319 MA 02632 227141 MITCHELL, 378 ELLIOTT CENTERVILLE, 8580/277 JOSEPH B&HELEN ROAD MA 02632 227148 GARDINER, ROBERT W 8 FOX RUN CENTERVILLE, 26121/227 MATTHEWFTR GARDINERIRRTRST MA 02632 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list isfrom the Town of Barnstable Assessor's database as of 9/2 012 01 3. 66.203.95.236/arcims/appgeoapp/AbutterReportaspXRype=BOH 1/1 Sage Page 1 of 2 Stanton, David From: McKean, Thomas Sent: Wednesday, July 03, 2013 2:24 PM To: Stanton, David Subject: FW: Check List for-22 Burning Tree Lane, West Barnstable -----Original Message----- From: Waluck, Bruce [mailto:bruce.waluck@philips.com] Sent: Wednesday, July 03, 2013 12:40 PM To: Waluck, Susan; McKean,Thomas Cc: Crocker, Sharon Subject: RE: Check List for - 22 Burning Tree Lane, West Barnstable Hi Thomas, When printed on 8.5 x 14 inch paper the septic plan is to 30 scale. I'm.having a hard time finding the bedroom definition in the DEP document So we'll change the description to "living room" which should be not considered a bedroom. Best regards, Bruce From: Waluck, Susan [mailto:Susan.Waluck@fmr.com] Sent: Wednesday, July 03, 2013 11:47 AM To: McKean, Thomas Cc: Crocker, Sharon; Waluck, Bruce Subject: RE: Check List for- 22 Burning Tree Lane, West Barnstable Importance: High Thank you Tom, ® Attached is the check list from the designer David Coughanowr, from Eco-Tech. ® David left a stamped copy of the septic plan with Anne Michniewicz the architect and we can bring it with us 7/9. • Bruce will contact David`Coughanowr and have him adjust the scale. • study is a real study since both my husband and l will neetl.towyork for home on specific days during the? Can we bring the updated septic plan:to the meeting or do we need a continuance? Thanks.again, Susan m From: McKean, Thomas [ma ilto:Thomas.McKean @town.barn stable.ma.us] Sent: Wednesday, July 03, 2013 11:11 AM To: Waluck, Susan Cc: Crocker, Sharon Subject: Re: Check List for 22 Burning Tree Lane, West Barnstable 7/3/2013 Cr t V i� 1 2 Dvrn1n W4 a ` _CV rvf.;d d? 1 1 dud rej-�f",C� ou U.41r b ed NrPAf ? J J _ y Stanton, David To: McKean, Thomas Cc: Crocker, Sharon Subject: 22 Burning Tree Lane, West Barnstable, Notes from IDS (didn't have plans for staff meeting) Tom, V dire are just my notes for 22 Burning Tree Lane, West Barnstable (note, we couldn't review the plans at the staff meeting because we didn't have them) 4 Need to show#25 Burning Tree Lane septic system setback to onsite well at 22 Burning Tree Lane (appears to:be less then 150', which would require a variance. Note, Well code requires to show all septics within 200 feet of the well 397-8(A) (4)(C)) 2. Variance not listed on plan for 397-2 (lot with well and septic <40,000 sqft lot) 3. Proposed water line from well to dwelling not shown (310 CMR 15.220(4) (m) ,�4. Pg. 2 under design calculations says use a 3 outlet d-box, yet needs at least 5 outlets and another location on plans says to use a db-6 V5. Pg. 2 under cross section view of septic tank it says "separation between inlet and outlet tees shall not exceed liquid depth" That is the direct opposite of Title 5, it must be equal to or greater than the liquid depth. (310 CMR 15.227(2)) 6. Plan does not show a fully compliant Title V conventional system as required by the DEP document"Standard Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use Revised: June 6, 2013" II(6)(C ) 7. Plan does not provide a minimum of 400 square feet of effective leaching as required by DEP document"Standard Opc Conditions for Alternative Soil Absorption Systems with General Use Certification and/or Approved for Remedial Use Revised: June 6, 2013" II(8)(C ) 1� 8. Floor plans do not comply with Town of Barnstable Health Division Policy. Shows 3 bedrooms and a study/office with two sets of glass doors which is considered a 4th bedroom. Note:received two conflicting a-mails about the use of this Sys study/office. Susan Waluck states "Study is a real study since both my husband and I will need to work for home on specific days during the week." and-Bruce Waluck states "So we'll change the description to 'living room'which should not considered a bedroom' Also, above the garage it is listed as "attic storage" is this.unheated storage area above a garage? It appears-that this will likely need to go before the Board of Health again in the future for these changes and possible additional variance for well setback. At that time, we can bring the pl ns to sta eeting for a full staff review incase anything was missed in this short notice review. �j Yef I '% p /Thanks, �,� ��,�f} 6J•�;� l o ��/ David { I David W. Stanton, RS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 . 1 Direct phone: (508) 862-4647 Health Dept. phone: (508) 862-4644 Health Dept. fax (508) 790-6304 1 Message Page 1 of 1 McKean, Thomas From: McKean, Thomas Sent: Tuesday, August 27, 2013 8:47 AM To: 'Bruce Waluck' Subject: RE:WELL PERMIT 22 Burning Tree Lane West Barnstable Good Morning, I recall that at the Board of Health meeting,the Board preferred a new well because the existing well did not meet the minimum setbacks. This is new construction and the Board requires setbacks to be met wherever possible. However, in order to obtain a well construction permit, Section 397-8 of the Town of Barnstable Code requires the following.- Locate all septic systems within 200 feet of the proposed new well (Not shown on submitted plan. Engineer failed to locate all septic systems within 200 feet on plan.) - Locate the proposed well at least ten feet from property line (Not shown on plan. Engineer failed to locate well a minimum of ten feet away from property line. If not possible to locate a minimum of ten feet away, applicant failed to request a variance from this requirement). - Existing well, which does not meet minimum 150 feet setback to neighbors septic system, needs to be marked as non- potable or to be destructed. Please submit a revised plan to scale which meets the Town Code requirements. Sincerely, T.McKean -----Original Message----- From: Bruce Waluck[mai Ito:brucewaluck@yahoo.com] Sent: Monday, August 26, 2013 7:49 PM To: McKean,Thomas Subject: WELL PERMIT 22 Burning Tree Lane West Barnstable Hi Tom, I'm very unhappy about the way Tom Desmond was treated when he came into your office today. We hired his company to drill our well and told him your office was ready to allow the permit. He was made to wait ' . 45 minutes while David Stanton went in the back office and left him standing there. He came back to say the plan was not to scale and could not issue the permit which is something we've been over.already. David Stanton also indicated he wanted a 10 foot setback from front and sidelines. Our plan shows 7.5 x 7.2 feet setbacks which was shown and approved at the meeting and this the way we want to keep it. This is very costly and sets us back in time. We are asking Tom Desmond to go back to your office for the permit because he's scheduled to install a new well this Thursday morning. David Coughanowr will be in your office tomorrow(Tuesday)to go over this again. Bruce 8/27/2013 0 DECK 2nd FLOOR PLAN - 22 BURNING TREE LANE 11 - 25 - 4 16 - 0 0 21 - 0 12 - 0 ------------ LOFT rB ATTIC ATTIC STORAGE BATH CLOSETH 'STORAGE ATTIC STORAGE " W-s CLOSET 20 _ 0 BDRM 1 BDRM ,2 N 2G - 0 0 • 18 - 0 O O 38 - 0 100 - 0 A 14 - 0 SCREEN o IST FLOOR PLAN -- 22 BURNING TREE LANE PORCH H-1 1 - 25 - 4 16 - 0 0 21 - 0 BREAKFAST NOOK - o 12 - 0 s _ o KITCHEN GREAT ROOM MASTER 21 x 16 22 x 16 MASTER - BATH TWO CAR 61 GARAGE 24 X 28 0 c:::] GLASS DOORS LAUNDRY 1/2 BATH CLOSET WALK—IN CLOSET DINING STUDY/OFFICE 14X16 14X16 18 0 24 - 0 o _ . . GLASS DOOR . - - 38 - 0 100 — 0 ° -+ Asage Page 1 of 2 Stanton, David From: McKean, Thomas Sent: Wednesday, July 03, 2013 2:24 PM To: Stanton, David Subject: FW: Check List for-22 Burning Tree Lane, West Barnstable -----Original Message----- From: Waluck, Bruce [mailto:bruce.waluck@philips.com] Sent: Wednesday, July 03, 2013 12:40 PM To: Waluck, Susan; McKean,Thomas Cc: Crocker, Sharon Subject: RE: Check List for- 22 Burning Tree Lane, West Barnstable Hi Thomas, When printed on 8.5 x 14 inch paper the septic plan is to 30 scale. I'm having a hard time finding the bedroom definition in the DEP document So.we'll change the description to "living room" which should be not considered a bedroom. Best regards, Bruce From: Waluck, Susan [mailto:Susan.Waluck@fmr.com] Sent: Wednesday, July 03, 2013 11:47 AM To: McKean, Thomas Cc: Crocker, Sharon; Waluck, Bruce Subject: RE: Check List for- 22 Burning Tree Lane, West Barnstable Importance: High Thank you Tom, • Attached is the check list from the designer David Coughanowr, from Eco-Tech. a • David left a stamped copy of the septic plan with Anne Michniewicz the architect and we can bring it with us 7/9. j • Bruce will contact David Coughanowr and have him adjust the scale. d • y� a real study since both my husband and I will need to work for home on specific days d `t uring°the week Can we bring the updated septic plan to the meeting or do we need a continuance? Thanks again, Susan From: McKean, Thomas [mailto:Thomas.McKean(a)town.barnstable.ma.us] Sent: Wednesday, July 03, 2013 11:11 AM To: Waluck, Susan Cc: Crocker, Sharon Subject: Re: Check List for - 22 Burning Tree Lane, West Barnstable 7/3/2013 '`sage Page 2 of 2 Good Morning, The following has not yet received: -The required seven page checklist was not received from the designer. -The septic system plan does not contain an original stamp and signature. -The plan is not to scale, as incorrectly indicated on the plan . We did not receive appropriate septic system plans at 30 scale. The health inspector is not able to properly review the septic system plans without accurate dimensional plans to scale. -The room marked "study/office" is considered as a bedroom, with privacy, as defined by DEP definitions. As I indicated above, the health inspector cannot properly review the septic system plans because they are not to scale. Please provide septic system plans to scale. Sincerely, T. McKean From: Waluck, Susan <Susan.Waluck@fmr.com> To: McKean, Thomas Cc: Crocker, Sharon; bruce.waluck(-Ophilips.com <bruce.waluck@philips.com> Sent: Wed Jul 03 10:20:15 2013 Subject: Check List for - 22 Burning Tree Lane, West Barnstable Tom, Can you or Sharon confirm that everything that we sent to you has been received and is appropriate for the meeting next Tuesday? • Variance Request Form and $95 fee—sent to you by email and US Mail ' • Certified letter to abutters—sent to you by US Mail • Septic design with plot plan -sent to you by email a •. Seven page check list from David Coughanowr, Eco-Tech -sent to you by email • Letter of permission from owner Audrey Loughnane -sent to you by email • Labeled dimensional floor plan -sent to you by email • Letter proving lot is Grandfathered from attorney John Kenny-sent to you by email Please review so that our meeting on the 7/9 will be a productive one. If you foresee anything that might cause delay please let us know. We will bring four copies of everything listed above to the meeting with us. Sincerely, Susan Waluck The information contained in this message may be confidential and legally protected under applicable law.The message is intended solely for the addressees}.If you are not the intended recipient,you are hereby notified that any use,forwarding,dissemination,or reproduction of this message is strictly prohibited and may be unlawful.If you are not the intended recipient,please contact the sender by return e-mail and destroy all copies of the original message. 7/3/2013 -Town of Barnstable p �� a Department of RegulatOry Services ' a Public Health Division �� �'� (Up 200 Msin street,Hyannis MA 02601 Date SchedWed l�l Sr J '] the Fee Pd Soil SuftubiliV Assessment for Sewage Duposi. pAv�d t3• you hRnswr �S� Pa way �� oM�rdr Pcrtornxd By: Witnessed By:; LOCATIPN&GENERAL INFOR UTION twition.Addsess �z t/trY' Owna"sNsme G?l�'n C 11 } Adduss Assessor's Map/Paroet. 1 3 Bnjonmes Nance NEW C¢NMULMON REPAIR Tat bone 0 lznd use R CS d Q w t q( Slopes{ ,} D Surface Stantrs Distances from: open.Water.Body i�Q R Possible Wet Area E� 8 Drinking Vvatac Wtsli too + txai�ta way. �� Pmperty Una + It othee SKETCH:{Street name,dimensions aF lot.exact locations of cost holes&pert tests;k=m wetlands in ptnaitnity to holes} 65JS f t 9445 f i } TA4 s0 LOT 10 t AREA 35200 sf .. wi so fr FROM WELL �t U1�11NG TREE LANE Parent rnatuial.(gooIa&) 0014VO Depth to Btyiroek h D ii hoil� W to fromAftpace. hDn� Depth to Gmnadwa w...Standias Waw in Hole: aP S F7 Wmuw scamal High C oundwata k{o ! n DETERMNATION FOR SEASONAL gIGH WATER TABLE Method used ( �`•�' �T�'1�in: DCPlh to owl mottles: ,...In. Depth Obsmed standing in obs.hale: - Depth to weeping side of in, Gtt►tindwa;�m'�dJualmen «-� Index WeU# rLZReading lt)ate: hulstrwall keel '� -- AdJ.&CLW,,I �. AtQ,droundwtrter Level k3,•�7 � 2&Aq-A COUTION IMT Dais 1alts/d4 �. ..a •t It 97 R LvW uu ►ees d e M r,a I slope: Surface Stone •'„ 1 Distances from: Open Water Body too ft Possible Wet Area i L t ft Drinking Water Well + ft Drainage Way �d + ft Property line 2-0 + ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) -.. 65.15 fr � 94.85 r, ®TP-1 TP-2 NI !o I �0 N N O O O I l V L 0 T l0 I AREA - 35200 s f I50 ff FROM WELL 150.00 ff $URNING TREE LANE P r4cic""t ourwafk Depth to Bedrock h D K Q Parent material(geologic) P - h D 11 a - Weeping from Pit Pace �iDvl e Depth to Groundwater: Standing Water in Hole: P g Estimated Seasonal High Groundwater I + DETERINIINATION FOR SEASONAL HIGH WATER TABLE Method used: $�. L� _I Depth Observed standing in obs.hole: In, Depth to Soil rrintt 0W .-.... Depth to weeping from side of obs.hole: II1. Groundwater Adf ugtment Index Well#aD4-15ZReading Date: 9104 Index Well level `11.G Adj,fnclbr `l,, �77 Adj.Oroundwater Leval •k7 ff 2.o►+-A PERCOLATION TEST Data �►is/o4 Timp l 'fiA�[ ;fIZ %t-t7 Observation 'L Hole tl Time ar9" 1 1 0 I h Time at 6" W'.2- Depth of Perc Start Pre-soak Time C L 'time(9"-6") 13 pC�444fiev t-e5t in 0bft?rv9tioa %vie it l tnaclW4 End Pre-soak ! 1py IV'A dve. -tv Simflq►►+y o , 50.,15. 2IN01 iq Z.Mf►i ;a Qtycotmtet'Pd �M Ob 0ti Hole'#-2 Rate MinAneh Site Suitability Assessment: Site Passed site Failed: W 0 Additional Testing Needed(YIN) N Original: Public Health Division Observation Hole Data To Be Completed on Back------ ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:�SEPTICUtRCFORM.DOC DEEP OBSERVATION ROLF,LOG Hole# � Depth fmm. $oit Horimst` Soif Textun; :Sat Ook.r. son Other Surface(In.) (USDA) (Munsell) Madfin .g (Strtschu�e.Stones.8outders. ':. 3 .2;11 lian�y S•lad !oR l ,}�re ]DEEpr OBSERVATION HOLE LOG r Holt# 2 Depth from r sail Hasiwn Soil TexFun: Spit(3olor Soil.; awes Surface(in) r (USDA) (Munseli) Mooting (Street M Stmes,Boulders 04 Loa`vn ytF fir;gbtP 2Z (gainy bane 2Z C� �1 Clay �O, ib'! 5i4 bane fiiY'vrl C2 N4e�`,� , �► t� YR G WDue pse- DEEP OBSERVATION HOLE LoO x�ili ttn f , oil Etoriwn soil Texture Soil Colar oil Other: Surface(lh:) (USUA) Mottlin g (Sirncture.'Stpnes,Boulders. t : DEEP OBSERVATION HOLE LOG Hole# Deglh from W1 Hotixon Soil'ltixtune Soil wor . ;toll Other. Sur&-(tn.} {USDA) (mausell) Matt ng (Structure,Stases.tlautdcrs. :: V CC,y Lea I, 10 y R-. 5/4 �•1 c ne fir� av-�GD Cz lAd'v► l C►yd to ,( G/ Novo Qse. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C nsi tenc %Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. i toncv.%Gravel I Flood Insurance Rate Map: Above 500 year flood boundary No— Yes _✓___ Within 500 year boundary No✓ Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? _ If not,what is the depth of naturally occurring pervious material? Certification I certify that on : 1 y�S (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature `b�' G"" �S C Date act Q:\S EP'nC%PERCPDRM.DOC t� Page: 1 of 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) �Y ••, Report Prepared For: Report Dated: 09/06/2013 Sally Desmond Desmond Well Drilling Order No.: G1376991 P O Box 2783 Orleans, MA 02653 — ............._ Laboratory ID#. 1376991-01 Description: Water-Drinking Water Sample#: Sample Location: 22 Burning Tree Ln.W. Barnstable, MA Collected: 09/05/2013 Collected by: Customer Received: 09/05/2013 Test Parameters ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Total Coliform Absent P/A 0 0 SM9223 RG 09/05/2013 Water sample meets the recommended limits for drinking water of all the above tested parameters. _....._...__. ..... ._... Attached please find the laboratory certified parameter list. Approved By: � (Lab Manager) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 A »I ,o J�f'. CERTIFICATE OF ANALYSIS M' Barnstable County Health Laboratory (M-MA009) Recipient: Sally Desmond Matrix: Water-Drinking Water Desmond Well Drilling Sampled: 09/03/2013 14:30 P 0 Box 2783 Received: 09/03/2013 15:25 Orleans, MA 02653 Collection Address: 22 Burning Tree Ln.W.Barnstable,MA Sample Location: Order#: G1376935 Description: 2day-22 Burning Tree Lab ID: 1376935 O1 Date Analyzed: 9/3/2013 @ 11:01 Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor: 1 Comment: Recommended maximum contamination level for drinking water exceeded due to Coliform Bacteria.Tested absent for E.coli. Retesting is recommended.May present aesthetic problems(taste,odor,staining)due to Iron. J EPA 524.2- Volatile Organics by GC/MS r Result I MCL i MDL 1 Result MCL MDL 1 Parameter ug/L ug/L ug/L Parameter ug/L ug/L ug/L Dichlorodifluoromethane F ND 0.50 iiChloroform -�- 1.1 80 0.50 Chloromethane ND ! o.so Icis 1,2 Dichloroethene ND 70 0.50 Vinyl chloride j ND �z.o j- o.so cis-1,3-Dichloropropene ND 0.50 ^� Bromorriethane NO I 0.50 Dibromochloromethane ND 0.50 E__ 1,1,1,2-Tetrachloroethane _- NO 0.50 Dibromomethane ND 0.50 1,1,1 Trichloroethane ND zoo 0.50 Ethylbenzene ND 700 0.50 0.5o o.50 !1,1,2,2-Tetrachloroethane NO Hexachlorobutadiene 1,1,2-Trichloroethane ND 5.0 I 0.50 Isopropyl benzene NO 0.50 11,1-Dichloroethane ND 0.50 Methylene chloride NO 5.0 0.50 1,1-Dichloroethene ND 7.0 0.50 j Methyl-tert-butyl ether NO 0.50 I1,1-Dichloropropene ND i 0.50 Naphthalene _ NO 0.50 11,2,3-Trichlorobenzene ND 0.50 n-Butylbenzene -� ND 0.50 j1,2,3-Trichloropropane ND 0.50 n-Propylbenzene ND ' 0.50 1,2,4-Trichlorobenzene ND 70 0.50 p-Isopropyltoluene ND; 0.50 11 2 4-Trimethylbenzene ND 0.50 sec-Butylbenzene ND 0.50 1,2-Dibromo-3-chloropropane ND 0.50 Styrene ND 100 0.50 i1,2-Dibromoethane(EDB) ND 0.50 tert-Butylbenzene ND 0.50 11,2-Dichlorobenzene j ND 600 0.50 Tetrachloroethene ND 5.0 I 0.50 , 1,2 Dic_hloroethane ND 5.0 0.50 Toluene ND 1000 0.50 --- -- - - - .1,2-Dichloropropane NO 0.50 Total xylenes ND 10000 0.50 1,3,5-Tri methyl benzene ND 0.50 'trans-1,2-Dichloroethene ND 100 0.50 1,3-Dic_hlorobenzene ND oso trans-1,3-Dichloropropene ND 0.50 i1,3-Dichloropropane ND 0.50 Trichloroethene ND 5.0 i 0.50 1,4-Dichlorobenzene ND 1 5.0 0.51) TrichloroFluoromethane ND 0.50 2,2-Dichloropropane - ND 0.50 Surrogates %Recovered QC Limits(%)' 2-Chlorotoluene ND 0.50 1p-Bromofluorobenzene 92% 70 1 130 I4 Chlorotoluene ND 0.50 1,2-Dichlorobenzene-d4 77% 70 1 130 Benzene ND S.o 0.50 Bromobenzene ND 0.50 IBromochloromethane ND 0.50 Bromodichloromethane ND o.so Bromoform i ND 0.50 �Carbon tetrachloride NO 5.0 0.50 Chlorobenzene 4 ND 100 oso Chloroethane ; NO 0.50 Approved By: Attached please find the laboratory certified parameter list. (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant el Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page 1 of 1 h ° 1�: CERTIFICATE OF ANALYSIS Page. 1 of 1 J S`y•. m Barnstable County Health Laboratory (M-MA009) act" Report Prepared For: Report Dated: 9/5/2013 Sally Desmond Desmond Well Drilling Order No.: G1376935 P O Box 2783 Orleans, MA 02653 Laboratory ID#: 1376935-01 Description: Water-Drinking Water Sample#: Sample Location: 22 Burning Tree Ln.W. Barnstable, MA Collected: 09/03/2013 Collected by: Customer Received: 09/03/2013 Routine_M ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 9/4/2013 Iron 0.76 mg/L 0.10 0.3 SM 3111E 9/4/2013 Manganese 0.48 mg/L 0.10 SM 3111B 9/5/2013 pH 6.4 PH AT 25C NA 6.5-8.5 SM 4500-H-13 9/3/2013 Sodium 13 mg/L 2.5 20 SM 3111B 9/4/2013 Total Coliform Present P/A 0 0 SM9223 9/3/2013 Conductance 140 umohs/cm 2.0 EPA 120.1 9/3/2013 Recommended maximum contamination level for drinking water exceeded due to Coliform'Bacteria. Tested absent for E.coli. Retesting is recommended.May present aesthetic problems(taste, odor, staining)due to iron. - ------- ....._ - - --------._._. _.------ - — ------- Attached please find the laboratory certified parameter list. Approved By: 1 (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 No. V" l aZ Fee BOARD OF HEALTH c _ TOWN OF BARNSTABLE 0[ppYicatiou _for Vern Cougtructiou permit Application is hereby made for a permit to Construct(Vh, Alter( ), or Repair( ) an individual well at: 22 " I\N a`�0.m bl>r 13� 125 Location-Address Assessors Map and Parcel LUya�r•�na,r,e. 240 Vo;,�t �1� I \IV ,uc�c�t �,(� 02.6� Owner Address IN�(3VA \ \Ar , Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well 4" S(x\gC5-RAG Capacity Purpose of Well 1"�Tal1v� Agreement: The undersigned agrees to install the afore described 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 Certificao of Compliance been issued by t e Board of Health. Signed 016 /3 n ( Date Application Approved By i ICJ D to Application Disapproved for the following reasons: Date Permit No. V" p�d C) ?- f) Issued �-- J D 47 Date ------ - ------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed 4 Altered( ), or Repaired( ) by ` i \"NJ T Insttall_er, at Z2 V C n 1 �2st. � '. ,\N 1�q- ► ST�A k has been installed in accordaige with the provisions of the Town of Barnstable Board of Health Private Pe i Pr 'ection Regulation as described in the application for Well Construction Permit No. W2u)3 02-0 Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector N -No. �`��l " v 1 Fee BOARD OF HEALTH TOWN OF BARNSTABLE - 0[ppricatton -for Yell Cow5truction Permit Application is hereby made for a permit to Construct(✓), Alter( ), or Repair( ) an individual well at: 2Z bump a,Tcu_U, ,w a4Basx"4 13 12s Location-Address Assessors Map and Parcel Owne Address g3 ,C?c�M"W yz.653 ,.Installer-Driller Address Type of Building Dwelling Other-Type of Building No. of Persons Type of Well P S CHI�p Q��- Capacity ��Y VIK I, Purpose of Well Agreement: The undersigned agrees to install the afore described individual well in accordance with the provisions of the i Town of Barnstable Board of Health Private Well Protection Regulation The undersigned further agrees not to place the well in operation until a Certific of Compliance4a` ee�n issued by t e Board of Health.' Signed '^t'o.� 1 �''P`"6 �o�fo i3 _>- l Date, Application Approved By i 5, ° 7 Date Application Disapproved for the following reasons: i Date Permit No. v - d' 0 ' C) a2 0 Issued V 315113 { -- r Date BOARD OF HEALTH {: .. TOWN OF BARNSTABLE w Certificate of Compliance THIS IS TO CERTIFY,that the individual well Constructed V), Altered( ), or Repaired( ) Installer at �2 �Ucr� has been installed in accords e with the provisions of the Town of Barnstable Board of Health Private �e}�l3Pr tection W Regulation as described in the application for Well Construction Permit No. �01-3 P U� Dated �/ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORILY. Date Inspector - . 4, BOARD OF HEALTH TOWN OF BARNSTABLE Ivell Con.5truction Permit No. W 03 3 i(}a D Fee Permission is hereby granted to Installer to Construct Alter( ), or Repair( an individual'well at: G No. � ce. - L.-Y� W '©os r1 '_w, ' l to LZ Ij Street as shown on the application fora Well Construction Permit No. � ''-' ! 0 n Dated 3 0)l P//} Date /3, / 3 - t Approved By G' -, W. I r r 1 �' Page: 1 of 1 CERTIFICATE OF ANALYSIS �sM Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 09/06/2013 Sally Desmond Desmond Well Drilling Order No.: G1376991 P O Box 2783 Orleans, MA 02653 _ ---- ------- ------..- Laboratory ID#: 1376991-01 Description: Water-Drinking Water Sample#: Sample Location: 22 Burning Tree Ln. W. Barnstable, MA Collected: 09/05/2013 Collected by: Customer Received: 09/05/2013 Test Parameters ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Total Coliform Absent P/A 0 0 SM9223 RG 09/05/2013 Water sample meets the recommended limits for drinking water of all the above tested parameters. Attached lease find the laboratory certified parameter list. Approved By: LQ-1 p rY P v (Lab Manager) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 4t Page: 1 of 1 CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory (M-MA009) Report Prepared For: Report Dated: 9/5/2013 Sally Desmond Desmond Well Drilling Order No.: G1376935 P O Box 2783 Orleans, MA 02653 .. .. ... --... — ....... .... ........--.......__. ...... ... i Laboratory ID#: 1376935-01 Description: Water-Drinking Water Sample#: Sample Location: 22 Burning Tree Ln. W. Barnstable, MA Collected: 09/03/2013 Collected by: Customer Received: 09/03/2013 Routine_M ITEM RESULT UNITS RL MCL METHOD# TESTED Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 9/4/2013 j Iron 0.76 mg/L 0.10 0.3 SM 3111E 9/4/2013 Manganese 0.48 mg/L 0.10 SM 31118 9l5/2013 pH 6.4 PH AT 25C NA 6.5-8.5 SM 4500-H-8 9/3/2013 Sodium 13 mg/L 2.5 20 SM 3111B 9/4/2013 Total Coliform Present P/A 0 0 SM9223 9/3/2013 Conductance 140 umohs/cm 2.0 EPA 120.1 9/3/2013 I Recommended maximum contamination level for drinking water exceeded due to Coliform Bacteria. Tested absent for j E.coli. Retesting is recommended.May present aesthetic problems (taste, odor, staining) due to Iron. _..__...--------..._..._...... . . .........-- ..... . ._.._._. Attached lease find the laboratory certified parameter list. Approved By: P rY (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 y tf CERTIFICATE OF ANALYSIS G f Iw, itni Barnstable County Health Laboratory (M-MA009) Recipient: Sally Desmond Matrix: Water-Drinking Water Desmond Well Drilling Sampled: 09/03/2013 14:30 P 0 Box 2783 Received: 09/03/2013 15:25 Orleans, MA 02653 Collection Address: 22 Burning Tree Ln.W. Barnstable, MA Sample Location: Order#: G1376935 Description: 2day 22 Burning Tree Lab ID: 1376935 01 Date Analyzed: 9/3/2013 @ 11:01 'Sample#: Analyst: yn Method: EPA 524.2 Dilution Factor: 1 Comment: Recommended maximum contamination level for drinking water exceeded due to Coliform Bacteria.Tested absent for E.coli. I Retesting is recommended.May present aesthetic problems(taste,odor,staining)due to Iron. J EPA 524.2 - Volatile Organics by GC/MS Result MCL MDL Result MCL MDL ' Parameter ug/L ug/L ug/L Parameter ug/L 1 ug/L j ug/L IDichlorodifluoromethane ND o.s0 Chloroform 1.1 so 0.50� Chloromethane ND 0.50 cis-1,2-Dichloroethene ND 70 0.50 (Vinyl chloride NO 2.0 0.50 cis-1,3-Dichloropropene ND 0.50 r--- --- - .... -- -- .. --- -- - --.. _.._._ Bromomethane NO 0.50 Dibromochloromethane ND 0.50 11,1,1,2-Tetrachloroethane _� ND 0.50 Dibromomethane ND 0.50 - 1,1,1-Trichloroethane NO 200 0.50 Eth ylbenzene _ NO 700 0.50 1,1,2�rachloroethane ND 0.50 Hexachlorobutadiene ND 0.50 1,1,2-Trichloroethane ND 5.0 0.50 Isopropyl benzene ND 0.50 1,1-Dichloroethane ND 0.50 Methylene chloride ND 5.0 0.50 1,1-Dichloroethene NO 1 7.0 0.50 Methyl-tert-butyl ether ND 0.50 -- - 0.50 1,1-Dichloropropene NO ( 0.50 Naphthalene ND 1 2 3-Trichlorobenzene ND 0.50 n-Butylbenzene ND 0.50 1,2,3 Trichloropropane 1 ND 0.50 n Propylbenzene ND .50 ---- - 1,2 4-Trichlorobenzene ND 70 0.50 p-Isopropyltoluene ND 0,50 -� 0.5o sec-Butyl -- - - 1 2 4 Trimethylbenzene ND ty benzene ND 0.50 -.. _._ --- ... - - 11,2 Dibromo-3-chloropropane ND 0.50 Styrene ND 100 0.50 0.50 tert Bu oao 11,2-Dibromoethane(EDB) ND tylbenzene NO 1,2-Dichlorobenzene ; NO 600 0.50 Tetra chloroethene ND 5.0 0.50 1,2-Dichloroethane ND 5.0 0.50 Toluene ND 1000 0.50 ..........._.....__ 10000 0.50 0.50 Total 1,2-Dichloropropane ND xylenes ND 1,3,5-Trimethylbenzene ND 0.50 trans-1,2-Dichloroethene ND 100 0.50 113-Dichlorobenzene NO 0.50 trans-1,3-Dichloropropene NO 0.50 11,3-Dichloropropane NO 0.50 Trichloroethene ND 5.0 0.50 1,4-Dichlorobenzene ND 5.0 0.50 Trichlorofluoromethane ND 0.50 2,2-Dichloropropane ' ND 0.50 0 0 Surrogates /o Recovered QC Limits(/o) 2-Chlorotoluene NO 0.50 p_Bromofluorobenzene 92% 70 130 �4-Chlorotoluene ND 0.50 1,2-Dichlorobenzene-d4 77% 70 130 Benzene ND 5.0 0.50 - --- Bromobenzene ND I 0.50 Bromochloromethane _ ND 0.50 Bromodichloromethane ND 0.50 Bromoform j ND 0.50 .....--. -..._ (Carbon tetrachloride NO 5.0 0.50 Chlorobenzene ND 100 0.50 Chloroethane ND 0.50 Attached please find the laboratory certified parameter list. Approved(LabDie By: _- _ _ ------- (Lab Drector) � �j� ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant el Superior Court House, P0. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page 1 of 1 �� vui vuu v .uuvu uu v.0 v.u. Well Driller Please specify work performed: Address at well location: New Well Street Number: Street Name: 22 BURNING TREE LANE Please specify well type: Building Lot#: Assessor's Map#: Domestic I I Assessor's Lot#: ZIP Code: Number Of Wells: j02668 City/Town: Well Location BARNSTABLE In public right-of-way: GPS C3 Yes r> No North: West: 41.73341 170.38762 Subdivision/Property/Description: Mailing Address: r click here if same as well location addres Property Owner: Street Number: Street Name: WALUCK 1273 APO BOX City/Town: State: Engineering Firm: 1HARVARD MASSACHUSETTS ZIP Code: 01451 Board of health permit obtained: t!1 Yes r% Not Required Permit Number: Date Issued: W2013 020 v� 18/30/2013 �� massacnuseiis wepartment or rnvironmentai vrotection 1-' Bureau of Resource Protection-Well Driller Program Well Completion Reports(General) Well Driller - General Well Form DRILLING METHOD Overburden Bedrock Auger --Choose Bedrock WELL LOG OVERBURDEN LITHOLOGY From To(ft) Code Color Comment Drop in Extra fast or slow Loss or addition of (ft) drill stem drill rate fluid I 12-0-71 Fine To Coarse Sand Brown (-I Ye C Fast (30 Slow G) Loss ro Addition 20 40 Fine To Coarse Sand Brown Yes Fast Sl0w [t:Lo�sl Addition r- 40 55 Fine To Coarse Sand 1 Brown ( Yes r Fast ( Slow G Loss r Addition WELL LOG BEDROCK LITHOLOGY Visible Extra From Drop in Extra fast or slow Loss or addition of To(ft) Code Comment Rust Large (ft) drill stem drill rate fluid Staining Chips Choose Code r Ye f j Fast r Slow Loss Ga Addition �Ye r Ye ADDITIONAL WELL INFORMATION Developed (-') Yes G No Disinfected t, Yes 0 No Total Well Depth 155 1 Depth to Bedrock Fracture Surface Seal Type !None ( Enhancement Yes C: No CASING IF Is Casing above ground. From: To: From To Type Thickness Diameter Driveshoe [� 51 yvinyl Chloride , (Schedule 40 Pol Ye SCREEN r'No Screen From To Type Slot Size Diameter 51 55 Stainless Steel Well Point 10.012 WATER-BEARING ZONES Ci DRY WEL From To Yield (gpm) 20 55 12 PERMANENT PUMP(IF AVAILABLE) Pump Description [Description -Choose Pump Horsepower ---Choose Horsepower-- --- Pump Intake Depth (ft) ��� Nominal Pump Capacity (gpm) ��. IYIP.7JPLr11 V.lGLL.1 ✓{'i iJP1 LIIlri IIL VI LIIYII VIIIIIGIILPI I IVLGLi LIV II Bureau of Resource Protection—Well Driller Program f Well Completion Reports(General) ANNULAR SEAL/FILTER PACK Water From To Material 1 Weight Material 2 Weight(gal) Batches Method Of Placement '� Choose Material !Choose Material Choose One WELL TEST DATA Time Pumping Time To Date Method Yield (gpm) Pumped Level (ft Recover Recovery (ft (HH:MM) BGS) (HH:MM) BGS) 9/5(2013 Constant Rate Pump 12 1:30 33 0:01 20 WATER LEVEL Date Measured Static Depth BGS (ft) Flowing Rate (gpm) 9/5/2013 120 12 COMMENTS WELL DRILLERS STATEMENT This well was drilled or altered under my direct supervision, according to the applicable rules and regulations, and this report is complete a knowledge. Driller THOMAS E DESMOND 1111 Registration# 1764 Monitoring[M] Supervising Drill Firm IDESMOND WELL DR Rig Permit# 023 Date Job Compl ILLI NOTE: Well Completion Reports must be filed by the registered well driller within 30 days of well completion. CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory Report Prepared For: Report Dated: 4/5/2007 Shaun F. Harrington All Cape Well Drilling Order No.: G0739940 P O Box 126 Brewster, MA 02631 Laboratory ID#: 0739940-01 Description: Water-Drinking Water Sample 4: Sampling Location:. - Collected: 4/2/2007 i Collected by: SFH Received: 4/2/2007 Routine +Ammonia ITEM RESULT UNITS RL MCL Method# Analyst Tested Note Ammonia ND mg/L 0.20 EPA 350.3 LAP 4/2/2007 Nitrate as Nitrogen 1.6 mg/L 0.10 10 EPA 300.0 LAP 4/2/2007 Copper !�111 mg/L 0.10 1.3 SIM3i1IB LAP 4/4i2007 Iron ND mg/L 0.10 0.3 SM 311113 LAP 4/4/2007 Sodium 16 mg/L 1.0 20 SM 3111B LAP 4/4/2007 i Total Coliform Absent P/A 0 0 SM9223 AF 4/2/2007 Conductance 160 umohs/cm 2.0 EPA 120.1 DCB 4/2/2007 pH 6.3 pH-units 0 EPA 150.1 DCB 4/2/2007 Water sample meets the recommended omits for drinking water of all the above tested parameters. Approved By (Lab anager) P ••'J Via} ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Y f4fK ` CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory Report Prepared For: Report Dated: 4/6/2007 1 Shaun F. Harrington All Cape Well Drilling Order No.: G0739940 P O Box 126 Brewster, MA 02631 Laboratory ID#: 0739940-01 Description: Water-Drinking Water Sample#: Sampling Location: 22 Burning Tree West Barnstable,MA Collected: 4/2/2007 Collected by: SFH Received: 4/2/2007 EPA 524.2 - Volatile Organics by GUMS ITEM RESULT UNITS RL MCL Method# Analyst Tested Note Dichloroditluoromethane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Chloromethane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Vinyl chloride ND ug/L 0.5 2.0 EPA 524.2 yn 4/3/2007 Bromomethane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,1,1,2-Tetrachloroethane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,1,1-Trichloroethane ND ug/L 0.5 200 EPA 524.2 yn 4/3/2007 1,1,2,2-Tetrachloroethane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,1,2-Trichloroethane ND ug/L 0.5 5.0 EPA 524.2 yn 4/3/2007 1,1-Dichloroethane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,1-Dichloroethene ND ug/L 0.5 7.0 EPA 524.2 yn 4/3/2007 1,1-Dichloropropene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,2,3-Tr1chlorobenzene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,2,3-Trichloropropane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,2,4-Tr1chlorobenzene ND ug/L 0.5 70 EPA 524.2 yn 4/3/2007 1,2,4-Trimethylbenzene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,2-Dibromo-3-chloropropane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,2-Dibromoethane(EDB) ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,2-Dichlorobenzene ND ug/L 0.5 600 EPA 524.2 yn 4/3/2007 1,2-Dichloroetliane ND ug/L 0.5 5.0 EPA 524.2 yn 4/3/2007 1,2-Dichloropropane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,3,5-Trimethylbenzene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,3-Dichlorobenzene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,3-Dichloropropane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 1,4-Dichlorobenzene ND ug/L 0.5 5.0 EPA 524.2 yn 4/3/2007 2,2-Dichloropropane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 2-Chlorotoluene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 4-Chlorotoluene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Benzene ND ug/L 0.5 5.0 EPA 524.2 yo 4/3/2007 Bromobenzene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Bromochloromethane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Bromodichloromethane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Bromoform ND ug/L 0.5 EPA 524.2 yn 4/3/2007 ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 CERTIFICATE OF ANALYSIS Page: 2 Barnstable County Health Laboratory F '` yss is Report Prepared For: Report Dated: 4/6/2007 Shaun F. Harrington All Cape Well Drilling Order No.: G0739940 P O Box 126 Brewster, MA 02631 Laboratory 1D#: 0739940-01 Description: Water-Drinking Water Sample#: Sampling Location: 22 Burning Tree West Barnstable,MA Collected: 4/2/2007 Collected by: SI I Received: 4/2/2007 EPA 524.2 - Volatile Organics by GC/MS ITEM RESULT UNITS RL MCL Method# Analyst Tested Note Carbon tetrachloride ND ug/L 0.5 5.0 EPA 524.2 yn 4/3/2007 Chlorobenzene ND ug/L 0.5 too EPA 524.2 yn 4/3/2007 Ch1oroethane T�D ug/L 0.5 EPA 524.2 yn 4/3/2007 Chloroform ND ug/L 0.5 80 EPA 524.2 yn 4/3/2007 cis-1,2-Dichloroethene ND ug/L 0.5 70 EPA 524.2 yn 4/3/2007 cis-1,3-Dichloropropene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 DibromochIoromethane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Dibromomethane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Ethylbenzene ND ug/L 0.5 700 EPA 524.2 yn 4/3/2007 Hexachlorobutadiene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Isopropylbenzene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Methylene chloride ND ug/L 0.5 5.0 EPA 524.2 yn 4/3/2007 Methyl-tert-butyl ether ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Naphthalene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 n-Butylbenzene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 n-Propylbenzene IND ug/L 0.5 EPA 524.2 yn 4/3/2007 p-Isopropyltoluene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 sec-Butylbenzene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Styrene ND ug/L 0.5 100 EPA 524.2 yn 4/3/2007 tert-Butylbenzene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Tetrachloroethene ND ug/L 0.5 5.0 EPA 524.2 yn 4/3/2007 Toluene ND ug/L 0.5 1000 EPA 524.2 yn 4/3/2007 Total xylenes ND ug/L 0.5 10000 EPA 524.2 yn 4/3/2007 trans-1,2-Dichloroethene ND ug/L 0.5 100 EPA 524.2 yn 4/3/2007 trans-1,3-Dichloropropene ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Trichloroethene ND ug/L 0.5 5.0 EPA 524.2 yn 4/3/2007 TrichIorofluoromethane ND ug/L 0.5 EPA 524.2 yn 4/3/2007 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By:---.- - ----- / (Lab irector)i ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 " 9 t,6 { BENCHMARK LEGEND TOP OF-CB >� f e ELE'V. 99.90 I (ASSIGNED) 6'02, t EXIST. CONT ' S661 4'85 t \ \ —� - PROP: CONT. k ca R ® = PROP WELL ..: ..__. r•� A1 ^ol \ ® = EXIST, WELL >., LOcr a, Sh M\�. �/ ; ti � `�BOLTt`AY - s , BARNSTABLE fff E AM 13 toe 9A, 1 ��/'o� C& MAP 1 p \. LOT 11 j PLAN REP 249-107 20 r, DEED REF.` 2652-E1 i 1 ZONING, KF-I d SETBACKS.' 30'-I5=15' ronTM p rc OVERLAY DIST AP,& P.POO" S , tt'` 4, S3 0 TN�'A,r ARE NO 5D Fl Go^RTE;D FI,DOD ZONE'. �j? Ah___ d1 �z tv WI7fIIA'uc of THE PROPOF T, I PANEL NUMBER 250001 0011 D DAMD.- 07-02-92 SEPTIC PLAN OF-LAND ! LOCATED AT. N'Af . �- 22 BURNING TREE LANE 2M'7 ALL IJ C"LARLE 7FRUL '.SRD R �'h S \ \ �` .�- 'i \ / - T C7WN 7C TYF' C"1:47;:i7 AND�2CPLA.Cd WI1H C.E'AN \ \ ,yA, .sNUZAP SAND PER 3/0 CMR 15.255 � \ `� `:� _ �,,0 �\ •�`'• � ', WEST�R4RNSTABLE; MA. a A.M. 136-24JOG I i,oT s A " I OTE': 1^ \\ A pp4r.... 161 J \ t 9'� \ `�r'" PREPARED FOB?' TYERE ARE NO WELLS LOCA.TE'D N t �. •' ''_ \ 1. WITHGV 150' OF THE PROPO.STO SEPTIC S? TEM - "\\ 102 p 0 1 , J': r/" �\a MARCH 02 2007 REV. { IO .ter\\\ iri i ♦ e ,� I GRAPHIC SCALE � � � Cf2 `" �° YANKEE LANE? SUREE`Y01, ,S/ i"°� °z_ & CONSULTANTS i % \ T BOX 265 /r f �/ \ i° P.O.UNIT 1, 40 INDUSTRY ROAD % R� MARSTONS 1dILLS, AM 02648 i inch.= 30 P_ ( '(�1'��> TEE' 508-428-0055 FAX 508-420-5553 % \ v �\ �� SHEET I OF I -,l01T.�' 54183 !F I - Town of Barnstable P# �� a ,HE Department of Regulatory Services BARNSTABLM Public Health Division Date ices. a 200 Main Street,Hyannis MA 02601 0 ,$ J` AV-1 Fee Pd. Date Scheduled 16 S Time f "y Soil Suitability Assessment for Sewage Disposal Performed By: V d 0 d D- Ca t)Y�Q h 0 w r l Witnessed By: P0unn LOCATION&GENERAL INFORMATION Location Address �Z 6 U�, t Gvi^ .."T�v�� Owner's Name L&7A�o e W��t' ii Address - ns'��- Assessoes Map/IParcel: Engineer's Name 136 36 ' O aJ NEW CONSTRUCTION REPAIR Telephone# Land Use tCCS d e N °l( Slopes(%) v ,mot. Surface Stones Kan e Distances from: Open Water Body ft Possible Wet Area 1 V t ft Drinking Water Well 6�D"k ft Drainage Way �d ft Property Line 20 + ft. Other ft c tests locate wetlands in proximity to holes) f lot,exact locations of test holes& er p SKETCH:(Street name,dimensions o o, P _ _— _ - - - 4.85 1 - 65.15 ft 9 ft ®TP I k TP-2 t N O O 0 0 J LOT l0 1 W AREA - 35200 sf t- o E u 150 0 FROM WELL o U r 160.00 ft UR ING TREE LANE pp�yci ti OUi ti^�Si1 Depth to Bedrock h©t1 Q " Parent material(geologic) De P t V�0 K eWeepingiriDYl e Depth to Groundwater. Standing Water in Hole:^ from Plt Estimated Seasonal High Groundwater / , } DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: '�$ }.CT P--0 in. Depth Observed standing in obs.hole: in. DepthtU 59i1muttlea:Depth to weeping from side of qbs,hole: in. Gmundwake•r4djustment Index Well#5Db-ZSZReading Date: Index Well level 41:6 Add.factor .i(r . ] Adj.Groundwater 1•evel ��7 �� } 2owe A PERCOLATION TEST Date Loll5/04 Tate I `i,men+IZ" FIs i7 Observation 2 Hole# Time at 9" i Depth of Perc I 01 Time at 6" ti 2� d Time(9"-G,) Start Pre-soak Time @ ( � 5 N4 r - s �� �e►evlA>`i6y t�PSfi in Obs^�rvgfive hole # 1 IveriU� End Pre-soak �� ° 1p y -`Y/u n c(✓2 IV Si wti lclYll�+o� SDi�S 2Ytlb1 ty 2.nip i iy QI'ycou�y,-,f 14 ob-ce I Holy' 2 Rate Min./Inch Ci SO. Gz or 1 Site Suitability Assessment. Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100'of wetland`,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. r Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# i Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel 0 -3 Lo%m IpYR Z/z N04(- Fri'gtle 3 -20 L el m y Sind to t{iZ *13 Ue" Fr111016 ~gq- C1 5'11f Clay L041M t0yP-`VS Vj0rie PI tm ;gym SQh4 co `iR 4/3 Qohe Leone DEEP OBSERVATION HOLE LOG Hole# 2. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc %Gravel p�4 A L®a v ► 6 D� 2`z Nome fir;-Qe -22 (� (.oQw�y ��►we 6D �lR A Na�P r;�1ole 22'�DC � � ClYl �► �b � � /4 o ►e � r M 90-LCO Cz M9$vin Cthd 10 YP, 613 Nove p52 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% ravel } r Flood Insurance Rate Map: Above 500 year flood boundary No— Yes _.✓____ Within 500 year boundary No✓ Yes— Within 100 year flood boundary No V/ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? N 6 If not,what is the depth of naturally occurring pervious material? Certification 1 y I certify that on WO+ 9 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature S C s C Date C>`t to, Q:\SEPTICPERCFORM.DOC t LEGEND BENCHMARK TOP OF CB ELEV. 99.90 ,02 = EXIST. CONT (ASSIGNED) 56616 65 t `. --�� = PROP. CONT. 9a � ® = PROP. WELL (as fND) I `�\ ® = EXIST. WELL LOCUS II11 5. 100 \ g g E g66�5 1 \ rC. \ ! o HOLWAY 1 ,t�j rn 1 100 IEL �j�OF��s t i 107p D AVID 104 l 101 1 j I cr oNo.1066 BARNSTABLE IG3 ,,;;.. A M. 13 LOCUSAP 102 �g PR�P� i42> s s I LOT 11,- Z. PLAN REF` 249-107 10 DEED REF` 26521 -CI ZONING: RF- N S 20 :;;;; ; } SETBACKS.• 30 15, 15, $$ OVERLAY DIST. AP & RPOD" %%%%%%I 99 NOTE: ARE NO SEPTIC"S LOCATED FLOOD ZONE., "C" AREA=35199tS.F. 3 .......... N WIT_FIIN 150' OF THE PROPOSED PANEL NUMBER 250001 0011 D i�, o WELL DATED. 07-02-92 AM. 136-25 o 15,6 gE55 LOT 10 I ; SEPTIC PLAN OF LAND LOCATED AT, NOTE 22 BURNING TREE LANE REMOVE ALL UNSUITABLE MATERIAL 5'AROUND SAS. � Is, . \ \ \ �' WEST BARNSTABLE, MA. DOWN TO THE "C"LAYER AA'D REPLACE WITH CLEAN GRANULAR. SAND PEP. al CUR 15 R55 \ �97 r A M. 136-24 \\ 100 w 99 \�r r ( ,G yV✓`' PREPARED FOR. LOT 9 101 1� NOTE MICHAEL LONGO S THERE ARE NO ATU LOCATED WITHIN 150' OF THE PROPOSED ;dp o`\ \ i/ \ ��°/=-� MARCH 02, 2007 SEPTIC SYSTEM C', 95 j `a E <;o%`�-tLREV �tP X i k EV.- RE 6\" V.•YANKEE LAND SURVEYORS CONSULTANTS �o GRAPHIC SCALE t✓"/" P.O. BOX 265 r� UNIT 1, 40 INDUSTRY ROAD G IN MARSTONS MILLS, MA 02646 = R 1 TEL- 506-428-0055 FAX 508-420-55 1 inch 30 Pt 53 \� Y� SHEET'1 OF.1 JOB 01.• 54183 JF EL = 102.0 yOP OF fUUNDATION 20, MIN. 2-LAYER OF 4'SCHEDULE 4PER FT. Lam-- 10'MIN CONCRETE COVERS y1N. P17L'N II pASHED SyDNE 1 FD/ GRADE 10 CONCRETE Co VER FIN GRADE 101t GRADE 10 t I IXJE •i . i i i iii i 1i BMSS e MAX ''MAX 8'M CLEAN 4'SCHEDULE 40 P.VC RISER SAND EL=97 94 MS PITCH 1/17 PER FT. ° FIN..GRADE 101t FLOW LLVE LM/N. 14' LEM p1VERT _ 6"SUMP1NVERT "4 a � 9Br0'_ DA p EL. 97.55' _97 3B EL.= 2�L A� ""4 o Z EL.--- INVERT EL. — EL.=27 B DISTRIBUTION E7.=$711 _—CALLONS BOX 3q5,X l2B'TRENCH FORMA NO p o; EVE AIL UNSu1TABLE MATERIAL 5'AROUND SA3 � PROPOSED SEPTIC TANK 10 THE C"LAM AND REPLACE WITH CLEAN � SOIL ABSORPTION Ij GRANULAR SAND PER WO CMR 1"55 3/4'TV 1-1/7" SYSTEM (SAS) 1 OF DOUBLE WASHED STONE _ 85.53 PROFILE SEWAGE DISPOSAL SYSTEM BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV NOT TO SCALE _ 100 5 OBSERVATION HOLE I ELEV.= 1�B4 INCHES OBSERVATION HOLE 2 ENV R — OTHER � 2 INCH AT .---- DEpTH HORIZ TEXTURE COLOR MO7T. PERCOLATION RATE _--- MIN/ COLORroo'Ni-E TT OTHER IOYR 2-2 NONE RlAB DEPTH O TEXTURE 0•_4"" A LOAM NONE FRIAR lOYR 2-2 FRIAR 4'-22 BLOAMY SAND IOYR 4-4 FIRM 0-3"" A LOA LOALOAMY SAND IOYR 4-3 2••_8O" B s�Lr cLAY LOAMNONE3"-20 B FIRM IOYR 6NONE LOOSE 20"-84"" CI S/LT CLAY LOAM 1�yR 6_3E LOOSE 0"-160" C MEDIUM SAND 84"-188 C MEDIUM SAND GENERAL NOTES NO WATER __ 8716 ALL WORKMANSHIP AND MATERIALS SHALL CON MULES AND P NO WATER FV TITLE 5 AND THE 7DWN OF- TALE--- ELE y= 85.53 p) ONE UCO COVER ON SEPT TANK SHALL BE BROUGHT TO WAGE WITHIN 10,821 WITHIN 6" OF FINISHED GRADE~ OTHERS L CAPABLE SOIL TEST P# 3) ALL COMPONEN75 OF THE SANITARY;.SYSTEM SHALL BE OF SOIL TEST DONE BY DAVID D COUGHANOWR WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITffIN 10�20/2004 10 FT OF DRIVES OR PARKING AREAS H-20 LOADING SHALL BE DATE OF SOIL TEST �-- USED UNDER OR WITHIN 10 Fr OF DRIVES OR PARKING AREAS WITNESSED BY: DONNA AI/ORAND/ DESIGN CALCULATIONS. 4) ANY MASONARY UNITS USED IV BRING COVERS TO GRADE SHALL (4 DESIGN) RTERED IN PLACE COMPLIANCE WITH _------- BE MO S 7D OOM5 BEEN MADE A TO NUMBER OF BEDR NOT ALLOWED 5) NO DETERMINATION HAS NUM DEEDED OR ZONING REGULATIONS. OWNERIAPPLICANT LS GAL/DAY GARBAGE DISPOSAL . . - ------- OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. TOTAL ESTIMATED FLOW 4 BR) 440 _ 16) �l�IZS SHowV "DIG�FE"ROUMATE ONPY48A4AATTIEAST 72 HOURS 110 CAL/BR/DAY x INSTALL THREE(3) PRECAST ( __--- PRIOR 7t� COMMENCING WORK ON SITE 500 GALLON LEACHING CHAMBERS PROPOSED SEPTIC TANK CAPACITY E5_--DO--CAL 7) CONTRACTOR IS 717 VERIFY GRADES AND ELEVATIONS AS WELL AS W/7X FOUR FEET OF DOUBLE <!_MIN./IN. SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE DESIGN PERCOLA770N RATE 74 GAL/DAY/S.F. 8) PARCEL /S /N FLOOD ZONE_---L---- WASHED S7TJNE SIDES AND ENS SOIL CLASSIFICATION 33.5 X 12.8' EFFLUENT LOADING RATE 4--- 55—GAL/DAY 9) LOT IS SHOWN ON ASSESSORS MAP _I36 AS PARCEL _ -- 455 GAL/DAY NG (AREA X IO)7O MC HOR/ZONUANDP1 L WITH CLEAN SAND PER PTLE V SPECS. YANKEE SURVEY� HOURS PRIOR CSYSTEM RESERIVE LEACHING CAPACITY IZA.TE) —_ ION INSPECTION. JOB NUMBER__54183 __---_ INSTALLAT SHEET 2 OF 2 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) MF DATA ' e No. -------------- Fee-------------------- BOARD OF HEALTH TOWN OF BARNSTABLE ZippCitation-for Vell Con ruttionpermit Application is hereby made for a permit to Construct ( , Alter ( ), or Repair ( )an indiv ual Well at: '. J Locati n — Address Assessors Map and Parcel ------�---- �—fir rur_�.-_� a� Owner Address - --- ----- ----`--:--- Type of Bu Installer — D Address 3� ell!n 'll r n` ✓ welling -�- .\���c� -�L'1 -- '� nsl"1I yr ✓ t er - ype of Building--=----------------- No. of Persons----------------------- ------ r• �o G� Type of Well—�- — ------ - Capacity------------------�----------- Purpose of W A reement: 30 �d 13 -I g Alt) Y1044'c4 The undersigned agrees to in tall the afored rib d individual well in accordance with t 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 Certific .of C pliance has been issued by the Board of Health. ct��f D AIAN �/ Sign e ----- — _34,- dale --- Application Approved BY _--_—_—_-__--__— date I JJI� Application Disapproved for the following reasons: --- -------------------------------___- C/3 0 dI , �3 - — -------- - -- - --- -- -- -- d' date Permit No. �Od 7 0©J`O -- Issued C) 7- —__----- date BOARD OF HEALTH, F BARN':-l471 :irate Of tom. Jura cQ IV, /V?,e G� lIHfi�4.' a Vell Constructed51 7 L/ qL Installer---- ✓Ij171r �^✓ V�!'� r04r�7 ;ions of the Town of Ba..- �r Well Construction Pt C-- �J/D or, f ALL NOT BE CONST: . o.: �,�tr� �vr�y. L.-J�c:��i�,nv��„Atle, (OP. W Q 11� ✓r I P S 1 Inspect(, BOARD OF HEALTH TOWN OF BARNSTABLE Ivell con5trutt ion Permit No. - -- Fee---- Permission is hereby granted — - --- ------------------------------------------ to Construct ( 'A, Alter ( ), or Repair ( . ) an Individual Well at: street as shown on the application for a Well Construction Permit No.- �� .--____ Dated-----------=---=----=-2---1-------------=----------�---- ,a_... . _ Board of Health DATE __- �- 0 Crnnrcrf ��� G�/DU,M f �I ttcl� COn WQ, l/ vrI QS 1 i + Un �Ywn Aly � T;•1�cn�M ��oo7 —60fo `� S No. -------------- Fee--- BOARD OF OF HEALTH TOWN OF BARNSTABLE 0[pptication- orlVel ion ructionpermit Application is hereby made for a permit to Construct ( , Alter ( ), or Repair ( )an indiv' ual Well at: �. _ S J Locati n — Address Assessors Map and Parcel --------------- - ----- --- �_— >���.�Y.���ri�_—� Y�,�-�r Owner Lf C.H Address `�` :__ 1ssYr4 h`r-__�` -15- rt� - � � r��1S �e��i__'�►� Installer.— D II Address / �> Type of Bu"cl welling t er - ype of Building No. of Persons---_—.-------__--_ Type of Well 1• ---- --- - --- -- Capacity---�d -G1-M-- --- ---—- Purpose of WO'A r V' U`Pl Agreement: 30 )- l3 �r/,r 14L t$(��Q a (��t�/� c j o�^��7���✓►u� The undersigned agrees to in tall the afored scrib d individual well in accordar{ce with tl provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to �✓h� place the well in operation until a Certific .of C pliance/ as been issued by the Board of Health. Signe Application Approved By — __—___—____—___— date 1 f J� Application Disapproved for the following reasons:— --___--__________—______.__________�__—_.________ (^�/3 -- ---- - ---- - —-—--- ------------ - - --- --- d o �3 date Permit No. "" '2 O o 7 o®to Issued------3----'1� C)_ date _—�—— BOARD OF HEALTH TOWN OF BARNSTABLE C ertif icatr Of Comphance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by—___ _-----_----------�� Installer —_-----------'----'� athas 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. -----------------_____Dated----.-------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE - --- - Inspector------ - - - ---------- - No:--"-------------- Fee---="---rr---�-/----- BOARD OF HEALTH TOWN OF BARNSTABLE 0(ppIicat ion- orWell Conotruct,lonPermit Application is hereby made for a permit to Construct (ZAlter ( ), or Repair ( )an individual ell at: Locati n — Address Assessors Map and Parcel � Owner 1—i L� Address -1�Yy_ ��r � a O. ---�-ZL ��.cw 5 e�---- ►� Installer — Drille Address Type �Ot Buildin Dwelling ------� - '�� ,a -------- �� er - ype of Building------___—__.__.________ )y No. of Persons-------------------------__--_-_____.____ Type of Well— _ - - ------- - - -- Capacity-- - — Purpose of W ��- -- -- r lJ� p✓e �i f Agreement: O 30 i3 �{ yl,y�� �� rs�P a ���r� c rn^C/'T`�(/�.4c,f- The undersigned agrees to in tall the aforedescribed individual well in accordance with thiprovisions 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 C ' pliance,has been issued by the Board of Health. Signe E_ � '� i?i� q `N�"' dae �17 Application Approved By —__—___—___________— �— J -- date 1 5 j(N Application Disapproved for the following reasons: date , Permit No. — ODD —---- Issued-----?�- -� .date ------------------------------------------------------------------------�----------------------------j-- BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate Of Compliance �. THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) Installer ------------------------ at- -- -------- ----------------------------------------------------------------------------------- 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. -----------------------Dated-------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NC►T BE CONSTRUED AS A GUARANTEE THAT THE WELL 'SYSTEM WILL FUNCTION SATISFACTORY. DATE----- --- --- - --_ Inspector----------------------------------- ---------- RP----- --- --------------------------------------------- ---- --------- BOARD OF HEALTH TOWN OF BARNSTABLE Vell Construct ion Permit No. - _ O y7—5 0f. Fee- - - Permission iss'ereby granted------ ----—---- -- -------- -- -- - to Construct ( k , Alter ( )� or Repair ( ) an Individual Well at: IT ----- — �--- '� --i/�/ — ----- -- —--- ------------------------_—------------ o. Street as shown on the application for a Well Construction Permit aoo - 0O6 6-- No.- _ -------- Dated----—-- -—�T= - - ----------------------_.......-- 2 _DATE Board of Health —_ ✓ —_—___—_ TOWN OF BARN//STABLE LOCATION P' t< y'r./Vl^ < L/# SEWAGE# VILLAGE 461Jrt17, ASSESSOR',S MAP&PARCEL INSTALLER'S NAME&PHONE NO. ra. `l�i�g SEPTIC TANK CAPACITY 4 04- LEACHING FACILITY: (type)3-1'0 rCo P'e (size) Z Y NO. OF BEDROOMS. 3 OWNER —rv.1'4 N 'f 49/'✓C e W 4-1y C, PERMIT DATE: l / COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ,� Feet FURNISHED BY V a/ O f /� - � 1 •_ �r n a � � � �, / <i ' b NOTES VARIANCE REQUESTED BARNSTABLE TOWN CODE 397-2 REMOVE ALL UNSUITABLE SOILS ENCOUNTERED FELEVATION ARK MINIMUM 40,000 sf FOR NEW WITHIN THE SOIL REMOVAL AREA FOR FIVE BOUND 34 CONSTRUCTION INVOLVING WELL LATERAL FEET DOWN TO THE C2 MEDIUM 36.00 35 AND SEPTIC - VARIANCE TO SAND STRATUM AS INDICATED ON PLAN AND DATUM 3694 65 ft 35.199 sf REQUESTED. REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. A DEED RESTRICTION LIMITING THE ADDITIONAL SURVEY MAY BE REQUIRED AFTER 38 DWELLING'S BEDROOM CAPACITY TO CLEARING OF LOT. ft THREE SHALL BE RECORDED PRIOR POOL HOUSE TO CONSIST OF ONE ROOM. b515 RESERVE•--- TO THE ISSUANCE OF A DISPOSAL WORKS CONSTRUCTION PERMIT. /�� •• •' TES o � PROPOSED SOIL �TESABSORPTION SYSTEM 36 38 ft �y —SEE DETAIL f ON BACK tt 'N to sq i %O 9��o�Fq' j pEMOVA `'v'�L 3 O p-50 ..�. lay0,�0 • �� I500 GALLON 3 = h~0� SEPTIC TANK- w O • 0 PROP Ft164 Q BF'V %%la 1 Q � •-, LII'9 o Q0 ��Y N W TopEDF 36.0 ^^ 4i 40 ft O ^ \ T O y `yOt O �,��' ARE ®9 S�( +- g WELLING O F, \ x 4 , O Qph ASSR MAP 136 Pa 25 ^�� PROPOSED / /�� WELL 1NG WELL a asp map / / - TO BE ABANDONED OR -FOR USED FOR IRRIGATION 'c90� 9 DOMES C �j60 Op ft�32 ,pVE � u°sREs°o�uy"oN POTABLE \ EXISTING LOT B O,y USE x$ 34 //OE �A Q \ WELL ASSR MAP 136 Pa 24 ` ��j 35 a ' � F' \ #26 POINT HILL ROAD � / N& A DREYHNANE. JOHN / UR41�G LOT 13 ASSR MAP 136 Pa 28 PROPOSED *25 BURNING TREE LANE WELL-1� N/F STOLTE. ROBERT R \ EXISTINQ & SHIRLEY C TRS _, \ WELL 10 r \ EXISTING ft \ h \ \ \ THIS IS A COLOR O \ PLAN \ FULL DETAIL IS BEST solo ` \ VIEWED IN FULL COLOR \ USE COLOR PLAN ONLY FOR SEPTIC INSTALLATION 8 4 6, S9�ti \ \ GARB � ROBB � G o SYKES SETBACK \ G OT No. 354113 \ REQUIREMENTS \ A OWED ZONE. RF-I \ O oro FRONT: 30 ft -- L LOT 14 SIDE. 15 ft PLAN ASSR MAP 136 Pa 29 REAR: 15 ft \ /' *52 POINT HILL ROAD SCALE: 1 in = 40 ft 1 N/F KILDUFF. KATHLEEN C �/� 0 40 80 1 I / 0 20 WEST BARNSTABLE, MA 40 a ® � T SITE AND SEWAGE o Q�``'�c `" °F �� °Fi11'�s9 �� �� DISPOSAL SYSTEM PLAN Op �J yr DAVID 'yGJ, DAVID �yG N 0 D. D. —FOR PROPOSED DWELLING Q�� COUGHANOWR H v COUGHANOWR v QQ p No. 1083 No. 461 :v :`' S U S A N Ol B R U C E NOT SgG1SfER�� �i'�J'PROV�c�O� �� .,. • • CLIENT W A L U C K TO P !i SCALE 22 BURNING TREE LANE o'fc ,9eFggy VeF/ISc -u�vs� 31�, �� WEST BARNSTABLE. MA Q,Qy 3 43 TRIANGLE CIRCLE PROPERTY ADDRESS �Y,4J- D CERTIFY INSTALLATION°EOF'SEPTIC SANDWICH MA 02563 DATE: DUNE 29, 2013 SYSTEM. CONTACT ECO-TECH AT L O C ST«AT ' FSEPTC COMMENCING S M A P NONOSM 508 3 6 4—0 8 9 4 PG. 1/2 1 woe# ETE-1812 � G OCTOBER 15. 2004 DEMGN CALCULATIONS SOIL TEST LOG PERC NUMBER 10821 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD SOIL EVALUATOR: DAVID D. COUGHANOWR. LSE-461 WITNESSED BY: DONNA MIORANDI. HEALTH DEPT. SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS TEST PIT 1 NO 2 MIN/INCH NWATER ENCOUNTERED INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) ILS DISTRIBUTION BOX: USE 3 OUTLET D-BOX. ELEVATION DEPTH SOIL USDA SOIL SOL COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: INSTALL A 24 ft x 12.5 ft x 2 ft FEET) ONCHES)HORZON TEXTURE UNSELL) MOTTW LEACHING GALLERY AS DEPICTED BELOW 35.50 Abot = ( 24 x 12.5 ) = 300 sf 0-3 A LOAM 10 YR 2/2 NONE FRIABLE Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sf 3-20 B LOAMY SAND 10 YR 4/3 NONE FRIABLE Atot = 446 sf 201 Cl SILT CLAY LOAM 10 YR 5/4 NONE FIRM Vt = 0.74 x 446 = 330.04 GPD 27.50 INSTALL A 24 ft x 12.5 ft x 2 ft GALLERY AS CONFIGURED BELOW 19.83 84-M C2 MEDIUM SAND 10 YR 6/31 NONE LOOSE - Vt = 355.2 GPD > 330 GPD REQUIRED NO GROUNDWATER ENCOUNTERED DISTRIBUTION BOX DBE3 HOO P TEST PIT 2 PERC AT 110 In - 2 MIN/INCH IN C SOILS DIMENSIONS PIPES EXITING D-BOX TO RUN LEVEL ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER AND DETAIL FOR 2 FEET BEFORE PITCHING DOWN FEM ONCHES)HORIZON TEXTURE UNSELL) MOTHM 3430 0-4 A LOAM 10 YR 2/2 NONE FRIABLE 4:;�'NOT TO 4-22 B LOAMY SAND 10 YR 4/4 NONE FRIABLE SCALE /2 /n 22-90 Cl SILT CLAY LOAM 10 YR 5/4 NONE FIRM MIN 26.60 90-160 C2 MEDIUM SAND 10 YR 6/3 NONE LOOSE FROM S 20.77 TANK To 0 10SAS LIL --- 1500 GALLON SEPTIC TANK 6 In STONE E DIMENSIONS AND DETAIL is `55 CROSS SECTION VIEW USE SHOREY ST-1500-H-10 Sin I in 8 1 ^, NOT SOIL ABSORPTION TAPER TO SCALE IS YS TEM CONSTRUCTION DETAIL USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL 5 ft- DRYWELL 24.0 ft 8 in UNIT �w +1 -- L0 ® ® v 10 ft_6 - - a a i �J STONE INLET CENTER OUTLET 3.5 f t 8.5 f t 8.5 ft 3.5 f t COVER COVER COVER F OP 500 GALLON DRYWELL INSTALL ONE INSPECTION FLOW LINE DAIEIV510NL5 AND DETAIL RISER TO WITHIN THREE FROMa INCHES OF FINAL GRADE BUILDING 4 TO Are D BOX USE H-10 UNIT AND INDICATE ON AS--BUILT LOCATION 48 in LIQUID GAS LEVEL BAFFLE 4 33 mg-Z _ -- in **-6 in STONE BASE 6a SEPARATION BETWEEN INLET AND 102 in OUTLET TEES NO LESS THAN LIQUID DEPTH INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE CROSS SECTION VIEW FABRIC IN PLACE OF THE 2 in. PEASTONE LAYER SPECIFIED. CROSS SECTION VIEW 2 In PEASTOA 2 H PEASTOnE 28rL21" GRUVE /4 /n TO EFFECTIV 314 rn T 26 In DEPTH -u2 rn GRAY In 461n 58In 461n h GROUNDWATER ADJUSTMENT NOTES. 150 In EXISTING GROUNDWATER LEVEL BASED ON CONDITIONS OBSERVED 1) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS IN TEST PI T 1 OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). OBSERVED OW NONE AT 19.83 2) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW INSPECTION PORT FIXTURES & APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. INDEX WELL SDW-252 DETAIL 3) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT ZONE A PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. READING DATE OCTOBER. 2004 4) SEPTIC TANKS TO BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL 3 in MAX READING 47.58 STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED & ON TO WHICH SIX PVC CAP-,,.ADJUSTMENT 1.7 INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. 4 in PERF PIPE-> ADJUSTED GW BELOW 20.53 5) APPLY MAGNETIC LOCATING TAPE TO THE EDGES OF ALL CONCRETE mma COMPONENTS AND TO THE TOP OF ALL PIPING. STONE - F L 0 W PRR 0 F L E TOP OF FOUNDATION RAISE COVERS TO WITHIN =APIPETO PITCH AT 1 TO BE SCH. 40 PVC EL - 36.00 b in OF FINAL GRADE /8 In/ft MIN 34.75 34.75 D_BOX 3 ft INSTALL TWO INSPECTION RISERS TO MAX WITHIN THREE INCHES OF SURFACE & INSTALL 31.77 ONE INSPECTION PORT IN LEACHING GALLERY STONE. 33.25 15000 GALLON PRECAST SEPTIC TANK30.40 ";. a: �•• DRYWELL in 32.00 SEE DETAIL ABOVE 30.57 STONE 30.32 S �� ABSORPTUON + ]0 ft BASE SYSTEM -SEE ABOVE oETAIL 6 in STONE BASE 46 ft o) 5• ft 0 BELOW b) 12 ft 28.32 HIGHADJUSGROUNDWATER TED SEASONAL Y 20.53 SITE & SEWAGE DISPOSAL SYSTEM PLAN 122 BURNING TREE LN. W BARNSTABLE. MA JUNE 29. 2013 ETE-3737 PG 2/2 1 NOTES VARIANCE REGWESTED BARNSTABLE TOWN CODE 397-2 REMOVE ALL UNSUITABLE SOILS ENCOUNTERED BENCH MARK BARNSTABLE 40,000 sf FOR NEW WITHIN THE SOIL REMOVAL AREA FOR FIVE TOP OF CONC BOUND 34 CONSTRUCTION INVOLVING WELL LATERAL FEET DOWN TO THE C2 MEDIUM ELEVATION =36.00 35 AND SEPTIC - VARIANCE TO SAND STRATUM AS INDICATED ON PLAN AND BARNSTABLE GIS DATUM 3694.86 It 35.199 sf REQUESTED. REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. A DEED RESTRICTION LIMITING THE ADDITIONAL SURVEY MAY BE REQUIRED AFTER 38 DWELLING'S BEDROOM CAPACITY TO CLEARING OF LOT. 6515 ft THREE SHALL BE RECORDED PRIOR POOL HOUSE TO CONSIST OF ONE ROOM. RESERVE---- TO THE ISSUANCE OF A DISPOSAL WORKS CONSTRUCTION PERMIT. /�� / � �•�: •• .PIT i » ft O PROPOSE SOIL ABSORPTION TEST SYSTEM o -SEE DETAIL 3 38 ft 03 ON BACK toF,e,� AEVmAO `� ` s%3•`��. 0 D-50X ro 3 f ,� 90 �� li 1500 GALLON �' '$y 'Os a 3 = VIy�20? �_ SEPTIC TANK IIO N N ' ft O r �%) qm ® w O O�Oh �p ��O 1 Q �, QQ 3 B,w�I L��G 3 O �� �Y•e.op OF 36-00 #AdDN <r9 � � �y o ft EL � 1 y ®T tl ` O h `y� AREA = 35200 s +- oar WELLEXIS y� assR MAP 136 Pa 25 4 � o OQO y� O / /J PROPOSED EXISTING &A. WELL � WELL TO BE ABANDONED -FOR OR DOMES C ft 32 VE OR OTHER NON D FOR IRRIGATION 0,00 PAp4s USES ONLY p EXISTING LOT 9 � 90.E USE �s 34 � G�GE OF 1 C \ WELL ASSR MAP 136 Pa 24 ��ll 35 4 �� a \ #26 POINT HILL ROAD 1 FtF. N/F LOUGHNANE, JOHN & AUDREY UR�'� j5• /� /�311 LOT 13 W�qS� /' ASSR MAP 136 Pa 28 %690 PROPOSED *25 BURNING TREE LANE WELL \ N/F STOLTE, ROBERT R \ .-.. EXISTING \ & SHIRLEY C TRS \ WELL 10 A EXISTING \ WELL \ --,. h O \ \ THIS IS A \ COLOR PLAN \\ \ FULL DETAIL IS BEST \ ; VIEWED IN FULL COLOR USE COLOR PLAN ONLY - FOR SEPTIC INSTALLATION OF MISS' GA S°ES \ SETBACK ; G T No. 35418 \ REQUIREMENTS OWED \\ ZONE: RF-1 ` �oN^L L FRONT. 30 ft LOT 14 SIDE: 15 ft /'� PLAN 10 IS ft ' ASSR MAP 136 Pa29 REAR: #52 POINT HILL ROAD SCALE: 1 /n = 40 ft N/F KILDUFF. KATHLEEN C D 40 80 WEST BARNSTABLE, MA I / 0 20 40 \�a NH OF A{q ® � TES SITE AND SEWAGE DAVID 'CyG OFMq 9`l x DISPOSAL SYSTEM PLAN N O g D. DAVID � -FOR PROPOSED DWELLING P :o Q�� COUGHANOWR H D. COUGHANOWR t, S U S A N & B R U C E 't No. 1083 No. 461 �Qy NOT r �FGISTE '9PPRpV� • • W A L U C K hP TO A �/l VP �� �� CLIENT SCALE o ��ON 22 BURNING TREE LANE NI�� o�oANeF9 a ( SC�d A�(��5f , 30, ?mil3 WEST BARNSTABLE, MA 90v F y�C3 DESIGN ENGINEER MUST SUPERVISE 43 TRIANGLE CIRCLE PROPERTY ADDRESS aq y/ygy AND CERTIFY INSTALLATION OF SEPTIC SANDWICH MA 02563 DArE: DUNE 29, 2013 C SYSTEM. CONTACT ECO-TECH AT O C U .J MAP INS 36ATION BEFORE COMMENCING 508 3 6 4—0 8 9 4 INSTALLATION OF SEPTIC SYSTEM. PG, 1/2 1 IOB# E T E-1812 SOUL TEST LOG OCTOBER 15. 2004 DESIGN CALCULATIONS PERC NUMBER 10821 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD SOIL EVALUATOR: DAVID D. COUGHANOWR. LSE-461 WITNESSED BY: DONNA MIORANDI, HEALTH DEPT. SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS I 2 MIN/INCH IN ENCOUNTERED INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) TEST PIT DISTRIBUTION BOX: USE 3 OUTLET D-BOX. ELEVATION DEPTH SOIL USDA SOIL SOL COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: INSTALL A 24 ft x 12.5 ft x 2 ft FEET) QNCHES)HOR>2 TEXTURE (MUNSELD MOITIM LEACHING GALLERY AS DEPICTED BELOW 35•50 Abot = ( 24 x 12.5 ) = 300 sf 0-3 A LOAM 10 YR 2/2 NONE FRIABLE Asdw = ( 24 + 24 + 12.5 + 12.5 ). x 2 = 146 sf 3-20 B LOAMY SAND 10 YR 4/3 NONE FRIABLE Atot = 446 sf Vt = 0.74 x 446 = 330.04 GPD 27.50 20-84 Cl SILT CLAY LOAM 10 YR 5/4 NONE FIRM INSTALL A 24 ft x 12.5 ft x 2 ft GALLERY AS CONFIGURED BELOW 1983 64-118 C2 MEDIUM SAND 10 YR 6/31 NONE LOOSE - Vt7= 355.22 GnP/Dy) 330 /G�P�D REQUIRED D� TEST PIT 2 PERCA 110 In -GROUNDWATER MIN/NCH IN EC SOILS DIS DISTRIBUTION U IOIIV I�Od� DBE3 HOOY DIMENSIONS PIPES EXITING D-BOX TO RUN LEVEL ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER AND DETAIL FOR 2 FEET BEFORE PITCHING DOWN FEET 4NCHES)HOW TEXTURE UNSELD MOTRM 34.10 0-4 A LOAM 10 YR 2/2 NONE FRIABLE ---- NOT TO 12 /n 4-22 B LOAMY SAND 10 YR 4/4 NONE FRIABLE SCALE 22-90 Cl SILT CLAY LOAM 10 YR 5/4 NONE FIRM MIN 26.60 90-160 C2 MEDIUM SAND 110 YR 6/31 NONEI LOOSE FROM s 20.77 TANK = TO O 10 SAS 1500 GALLON SEPTIC TANK DIMENSIONS AND DETAIL 5 b In STONE BASE USE SHOREY ST-1500-H-10 16/S.S In 15. CROSS SECTION VIEW J 1 in 8 8 NOT TAPER SOILS ABSORPTION c'` - -`� SCALE SYSTEM CONSTRUCTION DETAIL 11 o 4�5 USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL D 5 ft- DRYWELL O 8 in UNIT 24.0 ft of r \0 w w N /0 ft-6 In 5 a STONE INLET CENTER OUTLET 3.5 f t 8.5 f t 8.5 f t 3.5 f t COVER COVER COVER IN OP 500 uNE 500 GALLON DRYWELL DIMENSIONS & DETAIL INSTALL ONE INSPECTION FROM = RISER TO WITHIN THREE BUILDING 10 in 1 U TO n D-BOX USE I BC�NDICOATE FINAL GRADE TION 48 in H-10 ON AS-BUILT LIQUID GAS UNIT LEVEL BAFFLE p0 33 In 6 in STONE BASE SEPARATION BETWEEN INLET AND 7021n OUTLET TEES NO LESS THAN INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTILE LIQUID DEPTH FABRIC IN PLACE OF THE 2 In. PEASTONE LAYER SPECIFIED. CROSS SECTION VIEW CROSS SECTION VIEW 2 h PEASTONE 2 h PFASTOI E 28 /4 m TO 7EFIFEIn4 314 In T 26 In hl/2 rn'OAA V EPHT/V U2 In GRAY In 46 In 58 in 46 in GROUNDWATER ADJUSTMENT 150 in EXISTING GROUNDWATER LEVEL NOTES. BASED ON CONDITIONS OBSERVED 1) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS IN TEST PIT 1 OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). OBSERVED OW NONE AT 19.83 2) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW ONSPECVONF INDEX WELL SDW-252 FIXTURES & APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. DLL TA ZONE A 3) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT READING DATE OCTOBER. 2004 PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 3 4) SEPTIC TANKS TO BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVELREADING 47.58 STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED & ON TO WHICH SIX PVC CAP-s ADJUSTMENT 1.7 INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. 4 in PERF PIPE-> ADJUSTED GW BELOW 20.53 5) APPLY MAGNETIC LOCATING TAPE TO THE EDGES OF ALL CONCRETE COMPONENTS AND TO THE TOP OF ALL PIPING. STONE FLOW P 'R5) 0MLE_ TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE SCH. 40 PVC EL = 36.00 6 in OF FINAL GRADE AND TO PITCH AT 1/8 in/ft MIN 34.50 34.75 D-BO 3 ft INSTALL TWO INSPECTION RISERS TO M A X WITHIN THREE INCHES OF SURFACE & ONE INSPECTION PORT IN LEACHING INSTALL 3177 GALLERY STONE. 33.25 1500 GALLON PRECAST r• ��•"'�`''''�YN' �D+v,� u�v�ux••y SEPTIC TANK 31.75 30.40 • DRYWELL 6 in Y��Y���✓Y 32.00 SEE DETAIL ABOVE STONE + SOUL ABSORPTION + 30.57 BASE 30.32 SEE DETAIL 10 ft ������ ABOVE o 6 in STONE BASE 46 ft a) 5 ft 0 28.32 ADJUSTED SEASONAL BELOW b) 12 ft HIGH GROUNDWATER _ 20.53 SITE & SEWAGE DISPOSAL SYSTEM PLAN 22 BURNING TREE LN. W BARNSTABLE. MA DUNE 29, 2013 JET737371PG 2/2 BENCHMARK 1 �`\ LEGEND ± / TOP OF CB — - / ELEV. 99.90 EXIST. CONT. (ASSIGNED) PROP. CONT. g I PROP. WELL ; (FND,) /I �` = EXIST. WELL �CLOCUS 100 \ tJ r11 I o Of�� 100 HOLWAY I EL k\OF Njgs I T ' 101 10 g w z DAVIDB. , P �► ' � 104I 101 I 1 •�I MASON No.1066 / .. .................. •CG' Pti" t ... ..... .....�.... . r,,, I rSTE S 5i 4 C ,, , rrrrrirrrTp 2r,,,,, �.,,,, I I \ ,,,,,, , ,,,,,,,,,ED, � I - E. = BARNSTABLE ,,,, ,,,,,,,,,,,,,,,,, II,,,,,,, ,,,, ,,,,,,,,,,,,,,,,, „ II,,,,,,,, 103 ,,,,,, 5 . ,,,,,,,, 'OOOOOOO:" op0., l02 OOOO'00 LOCUS MAP 102 61g.� = "" pR 'T 0 F """ o"' LOT 11 Z- �� PLAN REF 249-107 ,,,,II ,,, ,,,,,,,,,,,,,,, • 10 Ole Ile DEED REF. 2652-61 \/\ 2 ,,,,yy,,,,,,,,, ZONING.• RF 1 " °20' SSStSSSSSSSSSS i SETBACKS.• 30, 15'15, N : II,II / „/III/I,II//II » N ,,; ;' „ �� eelllelleee OVERLAY DIST. AP & RPOD ,., „ i ,, ,,,,,,,,,,,, 99 NOTE: 11011 THERE ARE NO SEPTIC S LOCATED OOD ZONE.' 33.5 QU,�,„ t, '1iii:iiiiiiiii AR :4 35199.±S.F ,,,,, ,,,,,, N WITHIN 150' OF THE PROP% ED P EL NUMBER: 250001 0011 D c,? TRI r-- ,,,,,,,,,,,,,� N WELL �( D TED. 07-02-92 A.M 136-25 ,,,,, ,nc°fry L t^n ,,,,,,,,,, w ERA m LOT 10 ,,,,,,,,,, o _ 1� - � a 15 6 RE33.5 SEPTIC PLAN OF LAND 3 LOCATED AT- NOTE- REMOVE S. 22 BURNING TREE LANE ALL UNSUITABLE MATERIAL 5' AROUND A.S. j \ 1 DOWN TO THE "C" LAYER AND REPLACE WITH CLEAN \ _ _ __ _ _\\ `s \ \\ �1 WEST BARNSTABLE, MA. GRANULAR SAND PER 310 CMR 15.255 97 A.M. 136-24 `� 100 CD 99 \�! LOT 9 101 �� �� \ \ PREPARED FOR- THERE --� N �` \ 9� \\ CHAEL LONGO THERE ARE NO WELLS LOCATED S \ WITHIN 150' OF THE PROPOSED ► c SEPTIC SYSTEM. N \ �\\ \ i 1 �► ► � ®® MARCH 02 2007 CD 102 v�' '� r .t ' 95- o �STEPHcN c�N ;REV- J. DOYLE WEV }l / \ / .' `c __ -,oQ -±REV 10 YANKEE LAND SURVEYORS , � 6`1i � - � (F D� b CONSULTANTS �- & GRAPHIC SCALE � �$/ � P o. Box zs5 30 0 15 30 60 ` �, �•( UNIT 1, 40 INDUSTRY ROAD v \ I MARSTONS MILLS, MA 02648 _ .� '(R TEL.• 508-428-0055 FAX 508-420-5553 \ 1- inch = 30 ft. / / U l \\', �\ SHEET 1 OF 1 JOB ! 54183 JF EL=_I_02_._0 70P OF FOUNDATION ' i 20' MIN. 10' MIN. CONCRETE COVERS 4" SCHEDULE 40 P.VC MIN. PI7rH 118 PER FT. 2"LAYER OF FIN. GRADE 100t FIN. GRADE 10 j r 1/8"-1/2" ♦ . , , CONCRETE COVER WASHED S70KE B AlAX i / / B WAX / ♦ ♦ i ♦ / / i FIN. GRADE 101t 6ilfAX/ i i i ♦ / / ♦ i i i i i 4" SCHEDULE 40 P. V.C. / B AlAX MIN. PnrH 1/B PER FT CLEAN FIN. GRADE 101t RISER FLOW LINE SAND EL=97.94 INVERT 1 10" oOEL.= 98 0 _ MIN 14" INVERT lEvOFL� °° o 0 0 o a o o °° No / GAs 6" SUMP ° ° o 0 0 o a o o °o . _ 95.11' INVERT BAFFLE EL.= 97.55 IN ° - -- INVERT ° ° ° EL._��8 EL.= 97.38 EL.=97 21 4' 4. 1500 __GALLONS DISTRIBUTION EL. PROPOSED SEPTIC TANK NOTE• BOX REMOVE ALL UNSUITABLE MATERIAL 5' AROUND S.A.S. 33.5' X 12.8' TRENCH FORMATIO DOWN 70 THE C" LAYER AND REPLACE WITH CLEAN GRANULAR SAND PER 310 CMR 15.255 SOIL` ABSORPTION PROFILE OF DOUBLE WASHED/STONE SYSTEM (SAS) SEWAGE DISPOSAL SYSTEM BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV.= 85.53 NOT TO SCALE OBSER VA TION HOLE I ELEV.= 101.2 PERCOLATION RATE < 2 MINI INCH AT 84"_— INCHES OBSERVATION HOLE 2 ELEV.=-100.5 DEPTH HORIZ TEXTURE COLOR M07T. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 0'-3" A LOAM IOYR 2-2 NONE FRIAR 0'-4" A LOAM 10YR 2-2 NONE FRIABLE I 3"-20" B LOAMY SAND lOYR 4-3 NONE FRIAR 4"-22" - B LOAMY SAND 10YR 4-4 NONE FRIABLE 20"-84" Cl SILT CLAY LOAM 10YR 5-4 NONE FIRM 2"-90" B SILT CLAY LOAM 10YR 5-4 NONE FIRM GENERAL NOTES 84"—,!88" C MEDIUM SAND 2 5YR 6-3 NONE LOOSE 0"-160" C MEDIUM SAND 10YR 6-3 NONE LOOSE 1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF -BARNST ABLE---- RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. NO WATER NO WATER 2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO ELEV.=-!9716 ELEV.= 85.53 WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" - 3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN SOIL TEST P#10,S 21 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. 4) ANY MASONARY UNITS USED TO BRING COVERS TO CRADE SHALL DATE OF SOIL TEST 1012012004 SOIL TEST DONE BY DAVID D COUGHANOWR BE MORTERED IN PLACE. WITNESSED BY: DONNA MIORANDI. 5) NO DETERMINATION HAS BEEN MADE AS 719 COMPLIANCE DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS O H DESIGN CALCULA TIONS.' OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. (4 DESIGN) 6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR NUMBER OF BEDROOMS . . . . . . . . IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS GARBAGE DISPOSAL . . . . . . . . . NOT ALLOWED PRIOR TO COMMENCING WORK ON SITE. TOTAL ESTIMATED FLOW 7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS INSTALL THREE (3) PRECAST CAG/BR/DAY x _4__ BR) 440 GAL/DAY SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. 500 GALLON LEACHING CHAMBERS ( --11-0-- 8) PARCEL IS IN FLOOD ZONE___CL--- WITH FOUR FEET OF DOUBLE PROPOSED SEPTIC TANK CAPACITY 1500 CAL 9) LOT IS SHOWN ON ASSESSORS MAP _136 AS PARCEL _25 . , WASHED STONE SIDES AND ENDS SOIL CLASSIFICATION . I 10) REMOVE 5' AROUND PROP. S.A.S. AND BELOW TO APPROX 90" 33.5 X 12.B DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN. TO "C" HORIZON AND FILL WITH CLEAN SAND PER TITLE V SPECS EFFLUENT LOADING RATE . . . . . . •74 CAL/DA Y/S.F. . � THE EXCAVATOR/CONTRACTOR SHALL CONTACT LEACHING CAPACITY (AREA X RATE) 455 GAL/DAY YANKEE SURVEY 24 HOURS PRIOR TO SYSTEM INSTALLATION INSPECTION. RESERVE LEACHING CAPACITY . . . 455 GAL/DAY ' SHEET z of z JOB NUMBER _ 54183 ______ i� i I! � i ( - a)(1 I V -a 2 O'' --- 7 it I `I I �ph`.�' G V- M, p I, I -'I, � I + LO 1 3 i . - jIn 7t -_ ....,..-w.... , .a.. 10 k L 04 f `7 0 Tt I- L.,. 4-' - Cv ` t ' - 2�'4..; - 4y - C> - o - ---- -- - - - - - - - r A i 1, %D, All - r $ ;"'.7 Li t C. "' �► a: w E.477 F-t) 41P)N' 7-6-6LE-)M A, AIA4:1 poi GF47 C7r P4 h. W lei $ ' Vow !.z U C} & T-- 'T rL IL 10 a%k Cl (ID co Em Ilk NOTE 1) THERE ARE NO WELLS WITHIN 150' OF LEACHING FIELD 2) THERE ARE NO LEACHING AREAS WITHIN 150' OF WELL 3) ALL ELEVATIONS BASED ON NG VD TAKEN FROM REFERENCE MARK RY 22 AT INTERSECTION OF SANDY NECK ROAD AND LEONARD ROAD GRAPHIC SCALE A. M. 136114 - 2 20 ? 10 20 40 80 LOT 10 A. M. 136125 (VACANT) PAUL A. MEWMEW No. 32096 BRUCE G. t.1URPHY Z3 No. 749 CAPE COD BAY zl�SANDY NECK BEACH LOCUS GRADING GREAT 16, MARSHES •1610 IN FEET Ql) I inch = 20 ft. IRON PIPE 6 (FND) A L z AL (OFF 3 A Af 136152 EXIST. LEA CHPIT LOCUS MAP INSTALLED 1988, + 1$9 9 1 l< (TO BE REM?VED)�,--.\` ' ! / / / . , / ASSESSORS MAP 136 53 41 Qz ZONE. RF RES. ,, I ( cn 0� PLAN REF 2491107 OLV 06 -------- ---- LEACHPIT INSTALLED 1972 MO VED) 00 04 (TO BE RE SHED SITE PLAN (TO BE MO VED) 1119 OF LAND A T. 000 PROP. 26 BURNING TREE LANE' ----- SEPTIC o 10 TRE E 1 TANK 0 1N BA RNS TA BLE, MA. ---------- 0 ----------- GA RA GE �F 57 9' PREPARED FOR. - (ON SLAB), Ap- pf?o" 4%p 0 4TO-519 110N ovgp) JOB' GILL O-C �f ` � __ - _�6• , ems, �' �. O �po (TO 'E'A02 % APRIL 8, 1998 Z 14