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0083 BUTTON WOOD LANE - Health (2)
" • Bu'rTON WOOD LANE West Bamstable oii I 1 Barnstable OftHF T Town of Barnstable �MAniMcaMr + BARNSTABLE. ' � O D : ,0g Board of Health 1639�Fv►�'°i 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 Paul J.Canniff,D.M.D. John Norman Donald A.Guadagnoli,M.D. July 26, 2019 Mr. Peter McEntee, P.E. Engineering Works 12 West Crossfield Road Forestdale, MA 02644 RE: 83 Buttonwood Lane, West Barnstable A = 217-044 Dear Mr. McEntee, You are granted variances on behalf of your client, Lori Giblin, to construct an onsite sewage disposal system at 83 Buttonwood Lane, West Barnstable, Massachusetts. The variances granted are as follows: 310 CMR 15.405: To construct a soil absorption system 4.5 feet above the maximum adjusted groundwater elevation, in lieu of the minimum five feet vertical separation distance required. Section 360-1 of the Town of Barnstable Code: To construct a soil absorption system 79 feet away from the northerly wetland, in lieu of the minimum 100 feet distance required. Section 360-1 of the Town of Barnstable Code: To construct a soil absorption system 82 feet away from the southerly wetland, in lieu of the minimum 100 feet distance required. 310 CMR 15.255: To provide a three feet reduction to the required five feet strip-out boundary, for a two feet strip-out in the area of the large boulder. These variances are granted with the following conditions: (1) The engineering plan shall be revised to show a 4.5 separation distance between J the bottom of the soil absorption system and the maximum adjusted groundwater Q:\WPFILES\McEnteeGiblin Buttonwood Variances 2019.docx i S table. To achieve this requirement, the bottom of the soil absorption system shall be at elevation 105.4. (2) 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. (3) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms maximum. A copy of the recorded deed r/ restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (4) The septic system shall be installed in strict accordance with the revised engineered plans. (5) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised engineered plans. Physical constraints at the site severely restrict the location of the septic system due to its proximity to wetlands on two sides, private wells, and high groundwater. The proposed septic system will be redesigned to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sincerely yours, i Chairman QAWPFILES\MCEnteeGiblin Buttonwood Variances 2019.docx 1` �TfiE r DATE O•e t $95.00 FEE*: BARNSTABLE, 1 ��, ,�e� ,� 9 MASS. $ h ! l Ji� `^'i639, ,� �, REC.BY: try Town of Barnstable SCHED.DATE: J 3aot� Board of Health Ui 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 '�f Paul J.Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. Junichi Sawayanagi VARIANCE REQUEST FORM LOCATION 1 Property Address: 83 So kA-av%W occ L ply%-e-l W, 12G4'y►S t-CO\ � Assessor's Map and Parcel Number:: 217 —0'6r'4�- Size of Lot: 4rOt 8-70 +1—SF Wetlands Within 300 Ft. Yes ✓ Business Name: No 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 Name:J0 Name:Jetw T M C C►�1 ee p C� Address: Address: \Z w •C-A-VS&P,,kCk F�SA Phone: .5-08--Z-7 4 --C3 S`t k Phone: .g,[l ??--S3 %3 EMAIL: ee+e e-, r-►c-e v-1e., t • c c,A-, VARIANCE FROM REGULATION(fnd.Reg.Code 4) REASON FOR VARIANCE(May attach separate sheet if more space needed) 3td CM fL- I S . 40 -T-6)(►^) \.acc.t jZeq Ptnqe�-. 3t..0 l4rOgz1E 1 S's-- a(fc- f^Qf Id C I'�iCZ ►S. ZsSC�� l e I�-e— NATURE OF WORK: House Addition House Renovation LJ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit first four on list as 5 collated packets. A. Five(5)copies of the completed variance request form B. Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: health a town.barnstable.ma.us D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant must notify abutters by certified mail at least ten days prior to meeting date at applicant's expense(fir Title V and/or local sewage regulation variances only). Full menu—Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted*$95.00 for the following variances: 1) New construction, 2) Septic repairs with increase in flows, and 3) New owner/new lessee applying for food, pool or body art variances. Exemptions from Variance Fee: 1) Septic repair without an increase in Flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Donald A.Guadagnoli,M.D. C:\Users\decol1ik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\QDLJENHC\VARIREQ Rev APR 4- 2018.docx i q6vqkr / now-A ff O A C C�,n C�� PP�'•rocfl gz'PL\ Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508) 477-5313 June 6, 2019 Revised July 17, 2019 Town of Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 83 Buttonwood In., West Barnstable, MA (Assessors Map 217, Parcel 044) Upgrade of a failed soil absorption system Dear members of the Board: On behalf of my client, Mr. Kevin Reilly, the following variance requests are being made for upgrade of a complete septic system. • 310 CMR 15.405(h)— CONTENTS OF LOCAL UPGRADE APPROVAL 1 A 1' reduction to the required 5' separation between high groundwater and bottom of S.A.S., for 4' of separation. • LOCAL REGULATION Chapter 360, Article 1-Setback Requirements 2. A 21' variance, S.A.S. to the northerly wetland, for a 79' setback. 3. An 18' variance, S.A.S. to the southerly wetland, for an 82' setback. • 310 CMR 15.255(5) —CONSTRUCTION IN FILL 4. Request a 3' reduction to the required 5' stripout boundary, for a 2' stripout in the area adjacent to the existing boulder, to allow the S.A.S, to be 2' from the boulder. Leaching calculations for the proposed S.A.S. are based on bottom area only. Variance requests are being made due to site constraints. ely, � C Peter T. McEntee P.E. ■ Complete items 1,2,and 3. A. Si ture ❑Agent ® Print your name and address on the reverse XC� so that we can return the card to you. ❑Addressee ■ Attach this card to the.back of the mailpiece, B. Received by(Printed Na e) C. Date of Delivery or on the front if space permits. r I 1E 1. A[ticle.Addresserl„rn; -- -- D. Is delivery address different frcYn item 1? ❑Yes If YES,enter delivery address below: No �. Prop 1'0:217004 I SAUNDER9`'JANE D j Jf/ 1780 ROUTE 6A WEST BARNSTABLE,MA 02668 II IIII�I I II I�I I II IIII I I I IIIII I II I I I I III I I III 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered MaiIT"^ ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590:94 2,4464 8248 141:0 35 .216Certified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for i' ❑Collect on Delivery Merchandise 2...A.ticle_Number(Cransfer.frnm service_/ahell._ ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation- 7 018 0360 0000 3 917 3505 ured Mail ❑Restricted Delivery ture Confirmation ured Mail Restricted Delivery rY r$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRAS #. ;.h t•1'4' ; tV `4 x_, First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 940 446y4 8248 1410 35 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service -- �� � Works, Inc. Engineering 12 West er 26 d MAo44 ,Forestda , F 1111;j,I,/Will Jill Ii1,11l Jill;;�1,,;i�i1;;Il;ri;;;�;�;i,il�jri • MOMs a o . . ® Complete items 1,2,and 3. A. Signat re ■ Print your name and address on the reverse ❑Agent so that we can return the card to you. ❑Addressee o Attach this card to the back of the mailpiece, B Receiv y( rinted Name) C. Date of Delivery or on the front if space permits. 1 D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: No ' g-� )jf '1 wv�UO I, Prop ID:217008 I HAMM, GREGORY P&CAROL II j 120 BUTTON WOOD LANE WEST BARNSTABLF,, MA 02668 �7fJ IIIilllilIIIIIilIIIIIII IIIIIIIIIIIIIII IIIIIIII 3. Service Type ❑Priority Mail s8 ❑❑Adult Signature Registered MalITM ' � ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 4464 8248 1410 66 9=ertified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number 0rqrlsfer from service label) ❑Collect on Delivery Restricted Delivery D Signature ConfirmationTm -- --— _dlnsured Mail ❑Signature Confirmation 7 18 0 3 6 0 i 0 0 0 0. ,3 917::5= b: jred Mail Restricted Delivery Restricted Delivery ;r$500) PS Form 3 .l 1,July 2Q15,PSN 7530.-02-000-9053 Domestic Return Receipt First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 9590 9402 4464 8248 1410 66 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service Engineering works- Inc. N 12 West Crossfield"-Road Forestdale, MA 02644 1,,,if jJ.11 ['11iij,114 r; COMPLETE • ■ Complete itemg.'t Znand 3. A. Sig re .,,M ❑Agent ■ Print your narrie7Aa-i address on then.reverse X so that we can`retirn the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B• R eived by(Prin d Name) C. Date of Delivery or on'the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No kri ?/ q II I Ililll IIII III I II III II II I I III I I I IIIII I I I I III 3, Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered MaiITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted Certified Mail® Delivery 9590 9402 4784 8344 0950 42 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number_fTransfer from service_labeh—-_,._ Collect on Delivery Restricted Delivery ❑Signature ConfirmatlonTM - ' l `' ❑Signature Confirmation 7 18 113 0. 0 0 0 0: 0 4 8 6, 3 9 Z Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt,€ USPS TRACKING# First3C#3M ` :r I Pos, Paid I USPrf 3 Lj 9590 9402 4784 8344 0950 42 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service . Engineering works, Inc. I 12 West Crossfield Road I =orestdale, MA 02644 I I I I ja.i�paljflleaajl�a�ljlsa�;aa{�Il.tj.Ja'.�a�j��+tF:faesattja��rl�a�lj� i §ENDER: COMPLETE THIS . COMPLE TE THIS SECTIONON DEL VERY, ■•Coriplete items 1,2,and 3. A. Signature ■ Print'your ame and address on the reverse X / ❑Agent so that we can return the card to you. �ij ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed N e) C. Date of Delivery or on the front if space permits. 1. Article Addressed-to: _ _ D. Is delivery address different fro item ❑ s ` If YES,enter delivery address below: ❑No� Prop ID:217043 I 3ARN-STABLE CONSER FOUND INC '0B.O-X224 f/ A :OTU F,"MA 02635 y II I Illlil loll III I II III II I6I I III I I III I II I II I III 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered MaiITM =❑❑A�°It Signature Restricted Delivery ❑Registered Mail Restricted 11ified Mail® Delivery 9590 9402 4784 8344 0951 34 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 11 Collert.on Delivery Restricted Delivery Signature ConfirmationTM il ❑signature Confirmation (, , , ,7 0,_ 18. ,1 , ,13 0..,,0 0 0 0 0 4 8 6 387 3 'iil Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt L _ Uw # First-Class Mail I Postage&Fees Paid USP I # Permit No.G-10 I 9590 9402 4784 8344 0951 34 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service _ 'Engineering Works, lnc. 12 West Crossfield Road forestdale, MA 02644 I I I ptt f 3 j `ii } f I t i r\ ■ Complete items 1,2,and 3. 7ASign a Print your name and address on the reverseAgent so that we can return the card to you. Addressee o Attach this card to the back of the mailpiece, by(Print Napney C. Date of Delivery or on the front if space permits. / N 1.. tr,__ _ _ _ D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: p No Prop ID:217044 r) ,I REILLY, KEVIN W � ./oGIBLIN, LORI A - 83 BUTTONWOOD LANE A WEST BARNSTABLE,MA 02668 I � i � I Il I�liill I'll ill I it IIII l l I IIIII I II I I III I i li III ❑dul3. lSignature ice pl Restricted Delivery ❑Registered Restricted 9590 9402 4464 8248 1410 42 0 Certified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for collect on Delivery Merchandise nlr t or?ranster frnm_servireJahell_ El Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM l ❑Signature Confirmation 7 01 B 0 3 6 0 D O D O 39.17 .3 512 tTaaiil Restricted_Delivery Restricted Delivery I PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACIUNG# j First-Class Mail I Postage&Fees Paid USPS .t Permit No.GUSPS -10 ! I 9590 9402 44�lf 6248 1410 42 United States •Sender:Please print your name,address,and ZIP+4®in this box** Postal Service Engineering works, Inc. 12 West Crossfield Road 'Forestdale, MA 02644 I I ! I n oD -0 0. , o D ' o 0) s ■ Complete items 1,2,and 3. A. Si lure ■ Complete items 1,2,and 3. A. Sign Ln - 7 A D c 0 � '.� fu � o ❑Agent I Agent w n = r•o ■ Print your name and address on the reverse X � ■ Print your name and address on the reverse Co i *yCD m so that we can return the card to you. ❑Addressee I so that we can return the card to you. Addressc o D --I C) A 0 w w m t .. o Attach this card to the back of the mailpiece, B. Received by(Printed Na e) C. Date of Delivery 1 p Attach this card to the back of the mailpiece, eived by(Print N e C. Date of Deliver N z Z m , i z a 3 3 or on the front if space permits. rT� . ' or on the front if space permits. / C n o 5 a p �� � 1. Article Addressprt f.t• D. Is delivery address different fro item 1? ❑Yes 1. ^H'^'����'����_+rn• D. Is delivery address different from item 1? ❑Yes y O O w - a M If YES,enter delivery address below: No If YES,enter delivery address belo ❑No ? 17J p o m CD lv 0 Prop ID:217004 n 0 C t-n o m o a SAUNDERS,JANE D ye lJ0Cif �� I Prop ID:217044 /,i,,. �t/CC912 5R (D E 6A �� I REILLY, KEVIN W LA G ) ' — y R° 3 0 lv N G' 1-780 ROUT :/oGIBLIN, LOR1 A y z n 5 - (0 o ':M WEST BARNSTABLE, MA 02668 83 C)�'z CD ,° (�i1 3 WESTBRNS BUTTONWOOD AOTAOBLE,MA 02668 o rn O 3 o tD �J cc -a m 3. Service Type ❑Priori Mail Ex resss 1 3. Service Type ❑Priori Mail Ex resss n N a II I IIIIII IIII III I II IIII I I I IIIII I II I I I I III I I III ElAdult Signature ❑Registered Mail- I II I I IIIII IIII III I II IIII I I I IIIII I I)I I III I I II III ❑Adult Signature ❑Registered MajlTM SD tD . . ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Adult Signature Restricted Delivery ❑Registered Mail Restric 9590:94 2 4464 8248 141:0 35 ertified Mall® Delivery I WCertifred Mail® Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for 9590 9402 4464 8248 1410 42 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect an Delivery Merchandise ❑Collect on Delivery Merchandise 090054 { 2. Article Number/Transfer from servirp lahPI) ❑Collect on Delivery Restricted Delivery ❑Signature ConflrmationTM i c nHrrlP nh-h-ITmncfpr from sPrvirp lahPI) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation o m a a Co 0 t, 03 �( D } ured Mail ❑Signature Confirmation fall ❑Signature Confirmation a z c c m G� . 7 018 0360 6 0 0 0 0 3 9],7 3 5 0 5 ur�$500)I Restricted Delivery Restricted Delivery ' 7 018 0 3 6 0 0 0 0 0 3 917 3 512 'all Restricted.Delivery Restricted Delivery = ^»Z y 7o to ! �mrnv,-. m , n w m m i (� N Q 2. d PS Form 3811,July 2015 PSN 7530-02-000-9063 Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receip �r3yJ m - ---- ZM ID i j a it p .n..• ` , N N I I • / • 1 SEN.�. • 1 • • 71 1 C V C y ° W fna A. Signature a j ■ Complete items 1'h'2-and 3: A. Sig re ■•Corrlpf�td it ems 1,2,and 3. ■ Print nametarti address on the reverse ❑Agent ■ Print your name and address on the reverse X ❑Agent z a 3 your' X � ❑Addresse S y . so that we can return'the card to you. ❑Addressee so that we can return the card to you. �fJ ` rn 011 B. Received by(Printed N e) C. Date of Deliver Cr3 ■ Attach this card to the back of the mailpiece, e. R ceived by(Prin d Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, ❑❑❑ p am m-00 M or on the front if space permits. or on the front if space permits. <00,2 �•o, 3 n 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes 1, Article Addressed to: D. Is delivery address different fro item ❑ s om m ^� If YES,enter deliveryadd ess below: No ���� p If YES,enter delivery address below: /�❑No J/� J R /J7�q /y/�j 3 w m d- ❑ o ❑ ❑ - G' Z �1,(,�"'D�O V/ )If D 'I�LI,L�Ct (.••/ `.L'.F� a o y LtJ1 _ Prop ID:217043 y o a ' _� (2441 C,^ 3ARNSTABLE CONSER FOUND INCCD CA ' 0 BOX 224 CD l a m 7/-* :OTUt'I, MA 02635 • cJz� � � , 3, Service Type ❑Priority Mail Expresss 3. Service Type ❑Priority Mail Express® II I IIII II IIII III I II III II II I I III I I I IIIII I I I III ❑Adult Signature ❑Registered Mail 1 II II IIIIIIIIIIIIIII(II(IIII ❑Adult Signature ❑Reg istered Mai ❑Adult Signature Restricted Delivery ❑Distered Mail Restricted Signature Restricted Delivery ❑Registered Mail R estrict Certifed Mails very =lrtfed Mails Delivery 9590 9402 4784 8344 0950 42 ❑Certified Mail Restricted Delivery ❑Return Receipt for 1 9590 9402 4784 8344 0951 34 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 10 Collect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation'M I❑Collart on Delivery Restricted Delivery ❑Signature Confirmation ❑Signature Confirmation 1 ul ❑Signature Confirmation . 7018 1130 0000 0486 3941 Restricted Delivery Restricted Delivery 7 018 113 0 0 0 0 0 0 4 8 6 3 8 7 3 61 Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receip 171 • .,: -- , Inc. _ ;Engineering I ------ Works ;12 West Crossfield Road Forestdale, MA 02644 ? f G U.S.F LETTER E PALD—� =—=,7 02644 DALE, MA 02644 { 701-8 0360` 0000 3917 3529 ° AMouNT9 Y 1000 6.8 5 02668 - - R2304P1190.88-03 Prop ID:217045 MANZO, NOREEN M PO BOX 846 't WEST BARNSTABLE, MA 02668 1st Ns � '� �i�:�ce. 2nd �� 11 UNCLAIMED UNABLE4 els IB�ifli 1s � '93g1 e�9O� W I ■ Complete items 1,2;4nd 3. rB.. Signature. Print your name and address on the reverse ❑Agent I so that we can return the card to you. ❑Addressee® Attach this card to the back of the mailpiece, Received by(Printed Name) C. Date of Delivery »� ! or on the front if space permits. 1 D. Is delivery address different from item 1? ❑Yes 1 J i If YES,enter deliv ry address below: No I �,op ID:zl7o4s c3 ��'?v'°� 4 l�cl,b I I MANZO NOREEN M I PO BOX 846 i WEST BARNSTABLE, MA 02668 '71,0), 1 II I illlil IIII III I II IIII I I I IIIiI I II I I I IIII I I III ❑Adult Signature ❑Registered MaiITM S gnaturre Restricted Delivery ElRegistered Mail Restri ❑Adult tedl } I�Certified Ma l� Delivery 9590 9402 4464 8248 1410 59 1 I ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise l ' 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑.Signature ConfirmationTM I Mail ❑Signature Confirmation } I : 7 018 Q 3 6- AJ3.11 Q:, 9.7,7 3 5 2 9 fail Restricted Delivery Restricted Delivery 4 i PS,Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt i Engineering Works, Inc. 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 July 6, 2019 Re: 83 Buttonwood Ln., West Barnstable, MA (Assessors Map 217, Parcel 044) Upgrade of a failed Soil Absorption System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and Local Regulations have been submitted to the Barnstable Health Department for approval. The following variances are being requested: • 310 CMR 15.405(h)—CONTENTS OF LOCAL UPGRADE APPROVAL 1. A 1' reduction to the required 5' separation between high groundwater and bottom of S.A.S., for 4' of separation. • LOCAL REGULATION Chapter 360, Article 1-Setback Requirements 2. A 21' variance, S.A.S. to wetland, for a 79' setback. Mass. DEP requires a 50' setback. • 310 CMR 15.255(5)—CONSTRUCTION IN FILL 6. Request a 3' reduction to the required 5' stripout boundary, for a 2' stripout in the area adjacent to the existing boulder, to allow the S.A.S, to be 2' from the boulder. Leaching calculations for the proposed S.A.S. are based on bottom area only. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, July 23, 2019, at 3:00 p.m. The hearing will be held at the following location: Town Hall Hearing Room —2nd floor 367 Main Street, Hyannis, MA 5 ereIy, Peter T. McEntee P.E. TOWN OF BA I S,TABLE � m LOCATION LI !SEWAGE# I a 2` j 77 � s• VILLAGE ,?&ncl ' ' -pp SESSOR'S MAP&PARCEL �y INSTALLER'S NAME&PHONE NO. N • SEPTIC TANK CAPACITY [X;S17'ryQJ LEACHING FACILITY:(type) 9 (size) 15 1 x 3 NO.OF BEDROOMS — Reed OWNER 6 r aiblin PERMIT DATE:_ g- J •- I g 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 IT ` 11yai 12, j 5- qV o w -�H° as ® z -82`�" SQ q v`` 3 -3�'�rr i 6 I-J211 2 — � 1'16 3 ► ®� (���' Pbr+ No. o�?t/!q—o-2% 3- e Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for ]Disposal *pstem Construction permit Application for a Permit to Construct(. ) Repair( ) Upgrade Abandon( ) ❑Complete System Individual Components; Location Address or Lot No. �V .7 AO(1 J)wner's Name,Address,and Tel.No. 63 BU140Ow044 Gn, w8 Ke Ra i I kK Assessor's Map/Parcel 2 I - d �- Installer's Name,Address,and Tel.No. 501 Designer's Name,Address,and Tel.No.509"�11- &c U,k.cohs},iu.c ,ova E i Sze"- kS rr-- ® F-0 1 2- e �d d 11t Type of Building: -6,e-vdA C6Lk4. Dwelling No.of Bedrooms 4 of Size + sq.ft. Garbage Grinder( ) Other Type of Building 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3o gpd Design flow provided-333 I d Plan Date 0 ' Number of sheets Q Revision Date 7 23 oil Title 1 S ii Size of Septic T ype of S.A.S.16x � &18w 3-'t y sch q0 Pe! . Description of Soil P1� d i6hr buhm I i a6 IN Iff-0 chl Nat re of Repairs or Alterations(Answer when applicable)t�s� w1�cfiniaf imbl kd a af Pln Date last inspected: Agreement: The undersigned agrees to ensure the constructi and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Envi ental Code and not to ee-the system in operation until a Certificate of Compliance has been issued by this Board of He Signed Date '(p - Application Approved by _r./VL�/ ,/JA,� j � Date �� f G! Application Disapproved by Date for the following reasons Permit No. o` -0 Date Issued ,[--•;•«..ur-.,-.,n....rv..•..-.s+,+.« --�-•-.+-+-...-...w--r.+N,-.v,.a..w.-a.....^7n+..r4.�,.w7io,.nau.w+a4.�v'""..+--+...c,..,+.r..M+- way� + M q No. G l -/ Fee z 1 3 Entered in computer: THE COMMONWEALTHA0F MASSACHUSETTS Yes PUBLIC HEALTH DIVISION,.,TOWN BARNSTABLE, MASSACHUSETTS }„ floficatlon for MispoBal *pstrm Construction VerIIYtt q Application for a Permit to Construct(. ) -Repair( ) Upgrade Abandon( ) ❑Complete System , O'Individual Components; Location Address or Lot No. `„p-1( buA 0Oow om p wner's Name,Address,and Tel.No. µ ' �j� 1-�U�rL(1fJLl1 Cal, lU�j NCY 11� R¢ Assessor's Map/Parcel Installer's Name,Address,and Tel.No. d Designer's Name,Address,and Tel.No. �$ 9-1-1-S a R7,C3ev!Iac cc co��S# �c on E�x{ extrt ularkS Lj?b 12n r —Forek4 02 1L4 t2-*j P. % i id Ad rda(-� qb 1 A62 Type of Building: Rabt -r31_1v i 1A r-6S t t 4 (, Dwelling No.of Bedrooms i ' 4 Lot Size 7t }' sq.ft. Garbage Grinder( ) � p t Other Type of Building 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided s� a i /gpd Plan Date-' -2 p - I P Number of sheets L I% Revision Date -7 ! 7 f 1 1r-3!1 Title Size of Septic Taril ,q( 'a*"1 GG���_ Yl b6 Type of S A.S. ��d I tat 6 ICI IA! ?a'y � �f �aP/#•��� Descri tion of Soil�,.Pl l�I l. 5"i '1 t` j ;w'.U3 I r ' % $ })�"� t}�,�/t I i/IGS W Iffpat1ok) p o Nature of Repairs or Alterations(Answer when applicable)10,A-&jhn;/) - [ fr) WI ran 0()(4 �4 r►1�1fd fie, nit Dls3Yl Date last inspected: Agreement: The undersigned agrees to ensure the constructioWand maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviir oaental�Code and not t.<pla the system in operation until a Certificate of Compliance has-been issued by this Board of He/aith. Signed // v - Date Application Approved by M M-t-111 AAi-^7",d Date 9,--;q Application Disapproved by Date for the following reasons Permit No. a 0! Date Issued 5 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by r at {�,�_,,7 r71/ n (., i has been constructed in accordance r - with the provisions of Title 5 and the for Disposal System Construction Permit No.af} ...,a et dated r -r- Installer Designer is#bedrooms Approved design flow 50 gpd The issuance of this ermit shall not be construed as a guarantee that the system will function as(tds ,esigned. Date 1/(� Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS I ]Disposal Opstetn Construction i3ermit Permission is hereby granted to Construct( \i)�f Repair( ) Upgrade( ) Abandon( ) System located at S 2j Qb' �fD(,J6n,1_f L in / IA,)t j r i 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. y, ` c Date l f !' Approved by Town of Barnstable to `c Inspectional Services z public Health Division Thomas McKean, Director ''�Dtub 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&,Designer Certification Form r �7 Date: �' Sewage Permit# a_i�'���Assessor's Map\Parcel ! " �- Designer. Installer: d Address: Ug r,:S�;�'-t4.I�J BRA . Address: P6n r 1 On was issu a permit to install a (d fe) (insti, ). H-tt Ch 0 n septic system atp bibased on a design drawn by r dated J1 1 ( esigner k 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 I0' 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 were found satisfactory. . I certify he system referenced above was constructed i ice with the to rms of the AA royal letters(if applicable) t OF►a� PETER T. McENTEE staller's Signature) No ss os (Designer's Signature) (Affix Des amp Here) PLEASE RETURN TO BARNSTARLE 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 DIYISIQN. THANK'YOU. AtoaldepMHEALTMSEWER conma6SEPT1ooniper Certification Form Rev 8.14-13,00C � Bk 32205 P-s 272 -37168 08-06-2019 a 10=54" GRANT OF TITLE 5 - BEDROOM COUNT DEED RESTRICTION r�y This Grant of Title 5 Bedroom. Count Deed Restriction is made as of this ay of August, 2019, by Lori Giblin ("Grantor"), of 83 Buttonwood Lane, W. Barnstable, Barnstable f , County, MA, pursuant to M.G.L. c. 21A, §13 and 310 CMR 15.000 (collectively, "Title 5"). ' WITNESSETH WHEREAS, Grantor, being the owner(s) in fee simple of that [those] certain parcel [s] of land 83 Buttonwood lane located in Barnstable, Barnstable County, Massachusetts, [with the buildings and improvements thereon], pursuant to a deed from KEVIN REILLY to Grantor, dated May 28, 2019, and recorded with Barnstable County Registry of Deeds in Book 32047, Page 99; and WHEREAS, Grantor desires to restrict the number of bedrooms, as the term bedroom Is defined at 310 CMR 15.002 ("Bedroom"),through the granting of this Title 5 Bedroom Count Deed Restriction; NOW,THEREFORE, Grantor does hereby GRANT to Town of Barnstable of Barnstable County, Massachusetts, a municipal corporation located in Barnstable County, having a mailing address of 3195 Main St# Rr6a, Barnstable, MA 02630, and acting by and through its Board of Health ("Local Approving Authority"), for nominal and non-monetary consideration, the l� sufficiency and receipt of-which are hereby acknowledged, with QUITCLAIM COVENANTS, a TITLES BEDROOM COUNT DEED RESTRICTION ("Restriction") in, on, upon, through, over and wader the Property.. Said Restriction operates.to restrict the Property as follows: 3V7 1. Restriction. Grantor hereby restricts the total number of Bedrooms in on upon, Oda 1�^�� S�� �o through, over and under the Property to Three (3) Bedrooms, such that at no time shall tli'ere4 r� exist more than Three(3) Bedrooms in, on, upon, through,over and under said Property. — - Y 2. Severability. Grantor hereby agrees that, in the event that a court or other tribunal determines that any provision of this instrument is invalid or unenforceable: S a. That such provision shall be deemed automatically modified to conform to the requirements for validity and enforceability as determined by such court or tribunal; lli or b. That any such provision, by its nature,cannot be so modified, shall be deemed deleted.from this instrument as though it had never been included herein. In either case,the remaining provisions of this instrument shall remain in full force and effect. 3. Enforcement. Grantor expressly acknowledges that a violation of the terms of this Restriction could result in the following. a. upon determination by a court of competent jurisdiction, in the issuance of criminal and civil penalties,and/or equitable remedies, including,but not limited to,injunctive relief, such injunctive relief could include the issuance of an.order to modify or remove any improvements constructed upon the Property in violation of the terms of this Restriction;and b. in the initiation of an.enforcement action and/or assessment of penalties by,the Local Approving Authority and/or the Massachusetts Department of Environmental Protection,a duly constituted agency with a principal office located at One Winter Street, Boston, MA 02108 (DEP), to enforce the terms of this Restriction pursuant to Title 5; M.G.L. c.I 11, §§ 2C, 17, 31, 122, 123, 125, 127A-O, inclusive, and 129; and M.G.L c. 83, §11. 4. Provisions to Run with the Land. The rights, liabilities, agreements and obligations created under this Restriction shall run with the Property and any portion thereof for the term of this Restriction. Grantor hereby covenants for herself and her executors, administrators,heirs, successors and assigns; to stand seized and to hold title to the Property and any portion thereof subject to this Restriction. The rights granted to the Local Approving Authority,its successors and assigns,do not provide, however, that a violation of this Restriction shalt result in a forfeiture or reversion of Grantor's title to the Property. 5. Concurrence Presumed. It is agreed that: a. Grantor and all parties claiming by,through,or under Grantor agree to and shall be subject to the provisions of this Restriction;and b. Grantor and all parties claiming by,through, or under Grantor, and their respective agents, contractors, sub-contractors and employees,agree that the Restriction herein established shall be adhered to and shall not be violated, and that their respective interests in the Property shall,be subject to the provisions herein set forth. 6. Incorpoartation into Deeds,Mortgages, Leases and Instruments of Transfer. Grantor hereby agrees to incorporate this Restriction,in full or by reference, into all deeds; casements, mortgages, leases,licenses,occupancy agreements or any other instillment of transfer by which an,interest and/or a right to use the Property,or any portion thereof,is conveyed. e 7. Recordation. Grantor shall record and/or register this Restriction with the appropriate Registry of Deeds and/or Land Registration Office within 30 days of receiving the approved Restriction from the Local Approving Authority. Grantor shall file with the Local Approving Authority and the DEP a certified Registry copy of this Restriction as recorded and/or registered within 30 days of its date of recordation and/or registration. 8. Amendment and Release. This Restriction may be amended only upon the approval and acceptance of such.amendment by the Local Approving Authority. Release of this Restriction shall be granted by the Local Approving Authority upon(i)Grantor's request of such release; and (ii) the Property being connected to a municipal sewer system and the septic system serving the Property being abandoned in acccirdane with 310 CMR. 15.354. Any such amendment or release shall be recorded and/or registered with the appropriate Registry of Deeds and/or Land Registration Office and a certified Registry copy of said amendment or release:shall be'filed with . the Local Approving Authority-and the DEP within 30 days of its date of recordation and/or registration: 9. Term. This Restriction shall run in perpetuity and is intended to conform to M.G.L. c.184, §26, as amended. 10. Rights Reserved. This Restriction is granted to the Local Approving Authority. It is expressly agreed that acceptance of this Restriction by the Local Approving Authority shall not operate to bar, diminish, or in any way affect any legal or equitable right of the Local Approving Authority or of DEP to issue any future order with respect to the Property or in any way affect any other claim,action, suit,cause of action, or demand which the Local Approving Authority or DEP may have with respect thereto.Nor shall acceptance of the Restriction serve to impose.any obligations, liabilities, or any other duties upon the Local Approving Authority: 11. Effective Date. This Restriction shall become effective upon its recordation and/or registration with the appropriate Registry of Deeds and/or Land Registration. Office. WITNESS the execution hereof under seal this day of August, 2019. Lori Giblin COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. : August 5 , 2019 Then personally appeared the above-named Lori Giblin and acknowledged the foregoing instrument"to be her free.act and deed before me. � '.' ►.z � •� Notary Public <q y BARN T SI .�EG1S�tlf arm John F. Meade, Register. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 1J (� Fill in please: It" Al ; APPLICANT'S YOUR NAME/S: �,(�I t� �i►l(�.!^I rr�_.w� �R"21 BUSINESS YOUR HOME ADDRESS: b TELEPHONE # Home Telephone Number Kh�f � 054 as�x;�.�a -a•. w I rt I[ NAME OF CORPORATION - E; NAME OF;NEW BUSINESSTtle +( 'emu° TYPE OF BUSINESS Ut.TAcl.ln nV IS THIS A$HOME OCCIJPATION� YES N0` _ '' ADDRESS OF BUSINE„SS. 83"$uc.'[2it1UF7i0�p.D,.Lh�LE....WT> QhB1QVIAP%PARCEL NUMBER �. 1. �'U -,I [AssessmgJ When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has een i r e i f,,the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: f T Town of Barnstable Barnstable O Inspectional Services ftcaer BntildsrABLL M'' i639. Public Health Division Q7 �� m Are° Dy a 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas A.McKean,CHO FAX: 508-790-6304 CERTIFIED MAIL#7015 1730 0001 4987 7633 May 1, 2019 REILLY, KEVIN W 26 OPEN SPACE RD SANDWICH, MA 02563 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 83 Buttonwood Lane,West Barnstable,MA was inspected on 04/12/2019 by Brett Hickey, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching facility with standing liquid level at or above the invert pipe (per Town Code 360-20 h). You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH T oma cKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\83 Buttonwood Lane West Bamstable.doc Town of Barnstable Regulatory Services Department rfD MA'S Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 REPAIR FAILED SYSTEMS DEADLINES TO S S (Town Code §360-44 and Title V: 310 CMR 15.000) An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) eaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc air- c Commonwealth of Massachusetts �m Title 5 Official Inspection Forma, v.,rl li Subsurface Sewage Disposal System Form -Not for Voluntary Assessmentsx �a11 83 Buttonwood Lane Iw'+ Property Address t Kevin Reillyy Owner Owner's Name information is required for every West Barnstable y Ma 02668 4-12-19 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information 51 137+41 on the computer, Brett Hickey use only the tab key to move your Name of Inspector cursor-do not B&B Excavation use the return Company Name key. 374 Route 130 Company Address VQ Sandwich Ma 02563 City/Town State Zip Code r (508)477-0653 S113747 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. X Fails Brett Hickey DN9""" "° ems—W o,..�:;9� a 4-12-19' Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 v c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 83 Buttonwood Lane Property Address Kevin Reilly Owner Owner's Name information is West Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND :below (Explain ) t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 cam, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 83 Buttonwood Lane Lv� Property Address Kevin Reilly Owner Owner's Name information is West Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 c Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments l; 83 Buttonwood Lane Property Address Kevin Reilly Owner Owner's Name information is West Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health', safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No El El clogged of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ O Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 83 Buttonwood Lane Property Address Kevin Reilly Owner Owner's Name information is required for every West Barnstable Ma 02668 4-12-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ El Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Q Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow ❑ Q Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ El Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ a Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ El Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ El Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ El The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. Q ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 1 c Commonwealth of Massachusetts �a Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ` 83 Buttonwood Lane u Property Address Kevin Reilly Owner Owner's Name information is West Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No 0 ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ El Were any of the system components pumped out in the previous two weeks? El ❑ Has the system received normal flows in the previous two week period? ❑ O Have large volumes of water been introduced to the system recently or as part of this inspection? Q ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ❑ 0 Was the facility or dwelling inspected for signs of sewage back up? ❑ ElWas the site inspected for signs of break out.? 0 ❑ Were all system components, excluding the SAS, located on site? El ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: El ❑ Existing information. For example, a plan at the Board of Health. ❑ a Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 c Commonwealth of Massachusetts �n Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments /9 83 Buttonwood Lane Property Address Kevin Reilly Owner Owner's Name information is West Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: 3 3 Number of bedrooms(design): Number of bedrooms(actual): 330/GPD DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Description: 2 Number of current residents: Does residence have a garbage grinder? ❑ Yes No Does residence have a water treatment unit? ❑ Yes ❑. No If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes FE] No Seasonaluse? ❑ Yes 0 No See below Water meter readings, if available (last 2 years usage(gpd)): Detail: ***WELL WATER*** Sump pump? ❑ Yes ❑■ No current Last date of occupancy: Date t5insp.doc-rev.7/26/2018 Tile 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 83 Buttonwood Lane Property Address Kevin Reilly Owner Owner's Name information is west Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: NA Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? Yes No D ❑ If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Owner- last pumped about 10 years ago Was system pumped as part of the inspection? ❑ Yes ❑■ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 1 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r 83 Buttonwood Lane Property Address Kevin Reilly Owner Owner's Name information is west Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: El Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 2-2-1989 per COC Were sewage odors detected when arriving at the site? ❑ Yes ❑■ No 5. Building Sewer(locate on site plan): 11411 Depth below grade: feet Material of construction: ❑ cast iron 0 40 PVC ❑ other(explain): >100' from well to SAS Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): f l5insp.doc-rev.726/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 cam, Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 83 Buttonwood Lane L Property Address Kevin Reilly Owner Owner's Name information is West Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 4" Depth below grade: feet Material of construction: FE] concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No 1 Dimensions: 500gallons 15If Sludge depth: 16of Distance from top of sludge to bottom of outlet tee or baffle 6" Scum thickness 2n Distance from top of scum to top of outlet tee or baffle 1311 Distance from bottom of scum to bottom of outlet tee or baffle measured How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank was in working order at the time of inspection. The tank is in need of pumping at this time and should be pumped every two years for maintenance. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form 17 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 83 Buttonwood Lane u Property Address Kevin Reilly Owner Owner's Name information is West Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): NA Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): NA Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page11 of 18 c Commonwealth of Massachusetts �m Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 83 Buttonwood Lane v Property Address Kevin Reilly Owner Owner's Name information is west Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): 0" Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The d-box was in poor condition at the time of inspection. t5insp.doc-rev.7126=18 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 ,oil Commonwealth of Massachusetts �m Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �n 83 Buttonwood Lane u � Property Address Kevin Reilly Owner Owners Name information is West Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): NA * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: (1 ) 6'x4' pit leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form ii Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u 83 Buttonwood Lane Property Address Kevin Reilly Owner Owner's Name information is west Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The leach pit was full to inlet invert at the time of inspection. Pit is in hydraulic failure. 12. Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): NA Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 83 Buttonwood Lane Property Address Kevin Reilly Owner Owner's Name information is West Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): NA Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 i 4 Commonwealth of Massachusetts Title 5 Official Inspection Form i� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 83 Buttonwood Lane Property Address Kevin Reilly Owner Owner's Name information is West Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: 0 hand-sketch in the area below ❑ drawing attached separately 3� 1'C)WN[3P riAR23ST.Ali1:Ci' e..d .-oS.1�7 Vy`tz-J Si3W1,08* YILLAC,t�i �✓ lrt�vs`i'ir:GL' `. $. � J►BSL�Sl50sg•�".t4iAY' a LOT.-& S�. Li�iatTALI..>r3R'S NAY>a� I�t•Itc�rlllH mac.�� � , �6'3!�? SEPTtC1':TA,Nx CAPACITY i$ACHIi+IG- CiLIT1r hype) '%�� �-' y ' (uc�ae) dy tj14 0P ISI3i7R0Oa1ts PRIVATE. WELD.. OR PURL11= W11TER ��-`r�� 'EIZIiLT!£'Yi. C7R C7W2�tER. '.•%*�%C'..'..,. 7��jn .y,.•".t"r-�'+��+�;�r-iVSG'J"�;_ l7AIL PBR141T..MSWSD TM,:-66aAPLIl►'IYiL'$ YARIANCFt GRANT>liD Y ✓ ,.. N" t rrA s t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 c� Commonwealth of Massachusetts Title 5 Official Inspection Form °l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v 83 Buttonwood Lane Property Address Kevin Reilly Owner Owner's Name information is west Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: 0 Check Slope ❑■ Surface water ■❑ Check cellar ❑M Shallow wells No GW 4' below SAS Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: FX 1 Obtained from system design plans on record 11-20-87 If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: A plan on file at the local Board of Health was used to determine high groundwater. Before filing this Inspection Report, please see Report Completeness Checklist on next page. l5insp.doc•rev.7/2 612 0 1 8 Title 5 Offidal Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 c Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 83 Buttonwood Lane U Property Address Kevin Reilly Owner Owners Name information is West Barnstable Ma 02668 4-12-19 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: M A. Inspector Information: Complete all fields in this section. FOR B. Certification: Signed & Dated and 1, 2, 3, or 4 checked C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and.6(Checklist)completed M D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 Greg and Cokie Hamm Border Bay Junction Farm 120 Buttonwood Lane k, West Barnstable, MA 02668 r*A, 25 February 2006 u•} M -Q Barnstable Department of Health 200 Main Street , Hyannis, MA ' Dear Department Manager, This letter is being written, as a petition, to voice our distress with regard to the proposed relocation of the new septic system at 83 Buttonwood Lane in West Barnstable. Our artesian well is one hundred and twenty feet from the proposed site of the leeching field. Our well was dug in 1987 and is capped four feet below the surface of the ground. It has operated perfectly for the last 19 years without a problem.We would be devastated if this well became polluted from effluent run off from the site in question. Mr. Fred Clifford, owner of Clifford Well Drilling in South Yarmouth, who originally dug and still maintains our well, has reviewed the proposed plans and tells us that because of the structure of the soil in this area, any effluent will likely sit on top of the clay and slowly pass through the sand, leeching into our well and in short time, polluting it. He added, even thought law allows septic to wells approved at 150 feet, the lay out of the land and soil structure of these two properties, even at 150 feet, could still run the risk of eventual pollution. The proposed 5000 plus square foot structure advertises five bedrooms and nine bathrooms. Add to this, the regular daily use of laundry and kitchen facilities for a household of that size, and the obvious potential to create a good deal of human waste and leech field activity will exist. An added concern of ours is that 120 Buttonwood Lane, and in particular our well area, in relation to the proposed septic system, lies physically lower than the raised property at 83 Buttonwood Lane and this most certainly will add to an already dangerous scenario. In addition to our well concerns, there is the fact that our farm is our livelihood.We not only raise natural lamb and organic vegetables for ourselves, we sell these products to friends and business acquaintances. In the late spring, summer and autumn months, we supply to three major restaurants in the area. This is what we do to earn our living.Working this farm as hard as we do, we will not graciously allow it to become destroyed. We ourselves use no chemicals or fertilizers anywhere on our property in best efforts to keep the well clean and our farm organic. We respectfully request that the matter be carefully studied and reviewed.We are available should there be any further questions.. Sincerely, Greg and Cokie Hamm 7 G i Ak r. ` G`N.G. •d. e'..s I g--n -1 n c Magnificent Estate to be constructed on a quiet northside lane. Stunning archi- tectural detail will enhance this tranquil and scenic location. Enjoy over 5,000 square feet of living space designed to anticipate your every need. This lovely home boasts an Observation Level with Commanding Views of Cape Cod Bay, Gourmet Kitchen, Open Floor Plan with Multiple Living Areas on Several Levels, 1st and/or 2nd Floor Master Suites. Each of the Five Bedrooms is ensuite with Private Bath. Relax on the 2nd floor Deck and watch the ships on Cape Cod Bay. Also available is a Home Theatre and Wine Cellar in the lower level. Quality construction and old-world craftsmanship are apparent in the Hardwood Floors, Custom Built In's,Crown Moldings...Highest Quality throughout. A Superb Prop- erty in a Remarkable Location. Beautifully landscaped. Yours to enjoy at $2,250,000. • 5 BedroomSuites • Elevator • Heated Garage • Several Balconies • 9 Bathrooms • Library • 2+Fireplaces • Gourmet Kitchen • 5,000+SF Multiple Decks • CentralAir Conditioning • 0.93 Acre Call Chuck Tuttle IUTTLE IE 508.375. 1000 of ' Observation Level 1 1 Bath 2 Balcony 3 Bedroom Suite 4 Wet Bar _ 5 Observation Room MI � i -' 6 Balcony 7 Elevator Second Floor - - - I Bedroom Suite 2 Bath 3 Laundry 4 Half Bath 5 Master Bath �' � a • �,.v' 6 Walk-in Closet -" 7 Master Bedroom 1 8 Stud Is �a 9 Elevator 10 Bedroom Suite 11 Bath First Floor 12 Walk-in Closet 1 Garage 13 Walk-in Closet 2 Kitchen 14 Stair Hall 3 Dining Room is 15 Deck 4 Powder Room 4 _ 16 Game Room r' 17 Bath 5 Bath __.._. g 6 Bedroom Suite — 7 Living Room 8 Reading Room — 9 Walk-in Closet 13 10 Elevator 11 Entry ''`' `• 12 Family Room , 13 Mud Room �'• 14 Covered Terrace 15 Deck Lower Level f, s 1 Elevator a e 2 Mechanical Room 3 Storage -- — - 4 HalfBath 5 Wet Bar __..........._ 6 Home Theater* 7 Wine Cellar *Additional Available Options 508.375.1000 Chuck Tuttle,The Tuttle Team at Realty Executives Chuck@TuttleTeam.com CERTIFICATE OF ANALYSIS page. 1 Barnstable County Health Laboratory Report Prepared For: Report Dated: 09/05/2002 Order Number: G0217093 Daniel F.Gallagher P O Box 676 West Barnstable, MA 02668 4��C �r T Laboratory ]D#: 0217093-01 Descri do !Water�Drinkin[water G/2� 1, Sample#: 17093 Sampling Location: -Buttonwood-L'ane,West Barnstable y�q?QB� lcted: 8/26/2002 T Rti ollected by: Daniel Gallag y�FATgeReceive 08/26/2002 Routine ITEM RESULT UNITS MDL MCL Method# Tested LAB:IC Lab Nitrates 2.7 mg/L 0.1 10 EPA 300.0 08/26/2002 LAB: Metals Copper 0.1 mg/L 0.1 1.3 SM 3111B 08/30/2002 Iron <0.1 mg/L 0.1 0.3 SM 3111B 08/30/2002 Sodium 23 mg/L 1.0 20 SM 3111B 08/30/2002 LAB:Microbiology Total Coliform Absent P/A 0 Absent P/A 08/26/2002 LAB: Physical Chemistry Conductance 378 umohs/cm 1 EPA 120.1 08/27/2002 pH 7.1 pH-units 0 EPA 150.1 08/27/2002 Note: Sample has higher than average levels of Sodium.Clients on a low sodium diet may wish to contact physician. Approved By: (Lab Director) r y. . tg ra�'u,q yT.- ffl�. •kd� _ - t) .. ar - '.$._�x,Z' - - - �:�r-• - art a 1`;7 �,�;.. - # Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 r Page: 1 CERTIFICATE OF ANALYSIS - Barnstable County Health Laboratory Report Prepared For: Report Dated: 07/13/2001 Order Numbe RMNED Daniel Gallagher P 0 Box 676 JUL 2 S 2001 West Barnstable, MA 02668 TOWN OF BARNSTABLE Laboratory ID#: 0110594-01 Description: Water-Drinldng Water Sample#: 10594 Sampline Location: 83 Buttonwood Land,W.Barnstable Collected: 07/09/2001 Collected by: Daniel Gallag Received: 07/09/2001 Routine ITEM RESULT. UNITS MCL Method# Tested LAB: IC Lab Nitrates 3.6 mg/L 10 EPA 300.0 07/09/2001 LAB:Metals Copper 0.2 mg/L 1.3 SM 3111B 07/10/2001 Iron <0.1 mg/L 0.3 SM 3111B 07/10/2001 Sodium 24 mg/L 20 SM 3111B 07/10/2001 LAB:Microbiology Total Coliform Absent P/A Absent P/A 07/09/2001 LAB: Physical Chendstry Conductance 424 umohs/cm EPA 120.1 07/10/2001 pH 7.4 pH-units EPA 150.1 07/10/2001 Note: Higher than average level of Sodium. Persons on a low sodium diet may wish to contact their physician. Approved By: (Lab Director) -7l13IzoGi Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 Page: CERTIFICATE OF ANALYSIS Barnstable County Health Laboratory RECEIVED s�csn'sw. Report Prepared For: Report Dated: 7/17/2003 J U L 2 3 2003 Order Numb r: G0320871 WN OF BARNSTABLE Daniel F.Gallagher HEALTH DEPT. P O Box 676 West Barnstable, MA 02668 Laboratory ID#: 0320871-01 Description: Water-Drinking Water Sample#: 20871 Sampling Location: 83 Buttonwood Lane,West Barnstable Collected 7/1/2003 Collected by: Daniel Gallag Received 7/1/2003 Routine ITEM RESULT UNITS MCL Method# Tested LAB:IC Lab Nitrates 2.6 mg/L 10 EPA 300.0 7/1/2003 LAB: Metals Copper 0.4 mg/L 1.3 SM 3111B 7/10/2003 Iron <0.1 mg/L 0.3 SM 3111B 7/10/2003 Sodium 10 mg/L 20 SM 3111B 7/10/2003 LAB: Microbiology Total Coliform Absent P/A Absent 309 7/1/2003 LAB: Physical Chemistry Conductance 414 umohs/cm EPA 120.1 7/l/2003 pg 7.1 pH-units EPA 150.1 7/1/2003 Note: Water sample meets the recommended limits for drinking water of all above tested parameters. Approved By: (Lab Director) � ,j Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 I COMMONWEALTH OF iNVLJSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIVED MAY 0 6 2003 TOWN OF BARNSTABLE TITLE 5 HEALTH DEPT. OFFICLaL Ii SPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEl1 FORIM PART A CERTIFICATION Property Address: �ti �v)woo� 'Z_— b 6� Owner's Name: c n i e O•vner's Address: OsJ Z f�4r Dd 6 6=� es ,•ems P �� Date of Inspection: � Name of Inspector- ( le se print) Ga/'l� /"O� Company Name: — C-C MAP ZIT Malllne Address' U ! PARC 0 44- Telephone Number:�Scy LOT CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site seNvage disposal systems. I am a DEP approved system inspector pursuant to S�ctioa 15.3-t0 of Title 5 (310 CINIR 15.000). The system: ses Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fail Inspector's Signature: Date: / ve p The system inspector shall submit a copy of this inspection report to the Approl-ing Authority (Board of Health or DEP) N iOdn 30 days ofcompleting this inspection. !f the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report, to the appropriate regional office of the DEP.The ori�,rtal should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authoriry. Notes and Comments w***This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. OFFICL-kL NSPECTION FORM — NOT FOR VOLUNTARY ASSESSy1ENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM IYSPECTION FORjtiI PART A CERTIFICATION (continued) Property Address: Ol� Z—/V Owner: 4on* Date of Inspecti Inspection Summary: ChLck: A,B,C,D or E/ALWAYS complete all of Section D A. S vs Passes: e not found any information which tnd.Ees that any of the failure criteria described in 310 C�LR 1�.;03 or in 310 CiVQ� 1�.30-t exist. Any failure criteria not evaluated are indicated below. Comments: B. Sys m Conditionally Passes: B. or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or tcpai.r, as approved by the Board of Hcalth, will pass. Answer yes, no or not determined(Y g,N,ND) in the for the fbllo%�in o statements. If"rick determined" please The septic tank-is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infilLmdon or e.- iltration or tank failure is in cnt. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank«ill pass itu�e on if it is structurally sound not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water lei el in the distribution box due to broker or obstructed pipe(s) or due to a broken, settled or uneven distribution box. S,.•stem will pass approval of Board of Health): Inspection if(with broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed i Pass inspection if(«ith approval of the Board of Health): p Pc(s)• The s<'stem «ill broken pipe(s)arc replaced obstruction is removed ND explain: OFFICLaL INSPECTION FORIM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEitii INSPECTION FORM PART A CERTIFICATION (continued) Property Address: �� � U�L✓coo G/l� Owner: 61�—'// Date of Inspection: ai O C. Further Evaluation is Required by the Board of Health: 14rConditions e-xist which require further evaluation be the Boar is failing to protect public health, safety or the em�iroru-ne d of Health tit order to determine if the system 1. System will pass unless Board of Health determines in accordance with 310 Citi1R 15.303(1)(b) that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or pricy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. S}stem will fail unless the Board of Health (and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic lank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water suppl}. The Sti stem has a septic tank and SAS and the SAS is'% ithin a Zone 1 of a public water supple. The S%stem has a septic tank and SAS and the SAS is «ithin 50 feet of a private water suppiv well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply weIl••. Method used to determine distance "This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that faciliry and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 pprrt, provided that no other failure a itena are triggered. A copy of the analysis must be attached to this form. 3• Other: OFFICLaL LYSPECTION FORIM — NOT FOR VOLUNTARY" ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM L`rSPECTION FORINI PART A CERTIFICATION (continued) Property Address: 1-523 �� j�7C ooei 1-141 Owner: G,�re, , S G ��� Dod 6 6 Date of Inspection: / D. System Failure Criteria applicable to all systems: You must indicate"yes" or"no" to each of the following for all inspections: Yes No� ; /Backup of se•.vage into facilicy or system co aponent due to overloaded or clo-ed SAS or cesspool t/ Discharge asp pondin0 of eiiluent to die surface of the Bound or surface wate /clogged SAS or cesspool rs due to an overloaded or Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or ' cesspool Liquid depth in cesspool is less than 6" below invert or available volume is less than'/:day flow Required pumping more than times in the last year N OT due to clo��ed or obstructed t f times pumped p pe(s). Number Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface %ti3ter supply or tributary to a surface water supply. —. Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, perforn c ° DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates u.... me well is free from pollutioa from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria /��� arc triggered.A copy of the analysis must be attached to this form.] � � y (Yes/No) The system fails. I have determined that one or more of the above failure criteria exist as described in 310 Ci%a 13.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a farce s-.Qte r, the system must serve a facility ►.ith a design flow Of 10,000 gpd to 15.0w) gpd. You must indicate either"yes" or"no" to each of the following: (The following criteria apply to large sti-stems in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a rua-ogen sensitive arcs (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well Lf you have answered"yes" to any question in Section E the system is considered a significant "yes" in Section D above the 1•:,3'e system has failed.The owner or operator of an large ��� or answered significant threat under Section E or failed under Section D shall u y g system considered a 15.304.The system owner should contact the appropriate regional omc o f thesystem to accordance with 3 IO CNiR Department. OF'FICL-kL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSLNIENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR,ti1, PART B CHECKLIST Property Address: J 4C"7 U✓Coj li Dute of Inspection: Check-if the follo«in;have been done. You must indicate`ves" or"no" as to each of the followinz: Yes No ; Z'mFmo information was provided by the owner, occupant, or Board of Health were any of the system components pumped out in the revious two o w ee.t,S L'�- Wze the System received normal flows in the previous two week period large volumes of water been introduced to the system recently or as part of this inspection ere as built plans of the system obtained and examined? (If they.were not available note as N/A) TWas the facility or dwelling inspected for signs of sewage back up 4 Was the site.inspected for signs of break out Were all system components,excluding the SAS located site Were the septic tank manholes uncovered.opened, and the interior of the tank inspected for the condition of the battles or tees, material of construction, dimensions,depth of liquid, depth of sludge and depth of scum _ Was the facility owner(and occupants if different from owner) provided%ith information on the proper maintenance of subsurface sewage disposal systems The size and location of the Soil Absorption System (SAS) on the site has been determined based on: Yes no Existing information. For example, a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of dis=cc is unacceptable) (3 t0 CNM 15.302(3)(b)j cabc o ui i i OFFICL-kL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS SU 3SURF ACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C 7 SYSTEM IINFORNLATION Property Address: �j ��, 14" ,vcv�-J G411 Owner: Date of Inspection: RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): Number of bedrooms (actual): DESIGN flow based on.310 CNtR 15.203 (for example: 110 gpd x#of bzdreoms): 3Jb Number of current residents: O Dees residence have a garbage grinder(yes or no):yC Is laundry on a separate sewage system (ves or no)�J (if yes separate inspection rcquircdj Laundry system inspected(yes or no): d Seasonal use: (,yes or no): a� Water meter readings, if available(last 2 years usage(Zpd)): Sump Pump(yes or no): Last date of occupancy: C O NLVIER CIAL/LYD USTRLkL Type of establishment: Design flow(based on 310 CIviR 13.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title S system(yes or no): _ Water meter readings, if available: Last date of ec::!ipancy/use: OT;IER c, bc): Pumping Records GENERAL LNFOR.NL-MON Source of information: It D �— /�� ems/ Z Was system pumped as �c.rS part of the inspection(yes or no): _ If yes, volume pumped:_ gallons —How was quantity pumped determined' Reason for pumping: T �F SYSTEM eptic tank distribution box, soil absorption system Single cesspool Overflow cesspool _Pricy _Shared system (yes or no) (if yes, attach previous inspection records. if any) _Lnnovative/Altemative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system ow-ner)* -_Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all com vents, da 'riled(if knf wn d source of information: -�- o Were sewage odors detected when arriving at'he site (ycs or no): � rJ" OFFICLA L INSPECTION FORINI - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTENL I INSPECTION FORM PART C SYSTEM II fFORINIATION (continued) Property Address: c tf /J L'IX S J`�tin Owner: s (J--� /�4 Date of Inspection: B UILDLNG SEWER(locate on site plan) Depth below grade: Materials ofconstrurt__n:_cyst iron (,140 PVC other(e-xplain): Distance from private water supply well or suction line: Comments (on condition of joints,venting,evidence of leakage, etc.): SEPTIC TANI{: —(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene _other(explain) — — If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: X Sludge depth: r,1 Distance from top of sludge to bottom of outlet tee or baffle: az 9 Scum thickness: Q Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: O How were dimensions determined: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels 7lated to outlet invert,evidellI//itce/of leakage etc), etc,.):/ J _ / / v1✓'� n ✓!C 7",1 2 C G,T T�1lS / T l✓'q P� . G rn�Y O��n 1 bar N r r m yr f--Z' GREASE TRAP:,�ocate on site plan) Depth below grade:_ ivtaterial of construction: concrete metal fiberglass_polyethylene other (explain):. — — —' — Dimensions: Scum thiclatess: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels g as related to outlet invert,evidence of leakage, etc.): C.l 6l; J V1 \l OFFICLkL INSPECTION FORM— NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEivi INSPECTION FORM PART C ��S/Y//STEM INFORMATION(continued) Property Address: �� ly" J110v4 t✓v0'1G411- Owner: Ga/� .r�c Cy �� ��66-Y Date of Espcctiou: oti TIGHT or HOLDING TANK: must be pumped at time of inspection)(locate on site plan) ) Depth below grade: Nfaterial of construction; concrete meta( : fiber° °lass_polyethylene other(expfain): Dimensions: Capacity: goons Design Flow: gallons/dav Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments (condition of alarm and float Twitches, etc.): DISTRiB(;lii�,l �0A; L/ (if present must be opened)(locate on site plan) Depth of liquid level abo,._ .. invert: / Comments (note if box is lc*.cl =cd distribution to outlets equal, any evidence of solids carryover,any evidence of leakage ' o or out of box,etc.): PUIIP CELMNMER:�!/ (late on site plan) PUMPS in working order(yes or no): Alarms in working order(yes or no): Comments (note condition of pump chamber,condition of pumps and appurtenances.etc.): OFFICIA-L, INSPECTION FOR1N1—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM IINSPECTION FORD PART C SYSTEM LYFORNLATION (continued) Property Address: WopCj Owner (�✓eS „� �� �/� G�6 6� �Dute of Inspe0 So[L ABSORPTION SYSTEM (SAS): (locate on site plan,a=cacation not required) If SAS not located e.Xplain why: Ty y leaching pits,number:L % e leaching chambers, number: leaching galleries, number: leaching trenches, number, length: leaching fields,number, dimensions: overflow cesspool, number: innovative/altcrmtive system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of etc.): / po ndin�„damp soil,condition of vegetation• �t �0 S CESSPOOLS: (cesspool must be pumped as part of inspecti WOcate on site plan) Number and configuration: Depth—top of liquid to inlet invert: iteptn of solids layer: Depth of scum Iayer: Dimensions of cesspool Materials of construction. Indication of groundwater inflow(yes or no): Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation etc.): P �: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,g n,etc.): f OF'FICL-kL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFAC E SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM LNFORINLATION (continued) Property Address: J� �ek? Cvv0 L / !/ 6 Owner. e,/ Date oC Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEiYI Provide a sketch of the scwa�c disposal s.ste:n including tics to at least two Permanent referent.-landmarks or benchmarks. Locate all wells within too feet. Locate Where public w-ater supply enters the buildin,. L�J ' , v 0 w0ad OFFICL-�L INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM LYFOFLNIATION (continued) Property Address: GO wqc.,� Owner. �Le- Date of Inspection: of SITE E?C��I Scope Surface water Check cellar Shallow wells / Estimated depth to groundwater feet Please indicate(check) all methods used to determine the high ground water elevation. Obtained from system design plans on record-If checked.date of design plan rc�,lewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Hcalth-cxplain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You ust des be hoyv you e=blished e high ground water elevation: H �N �` / / CJ OLV �c,�. S�•� is G, l a. o ©4�-e- � c�-otih wa ev- Of J q , O Ci U 6 a� 4-0 r 3 TOWN OF 13ARNSTABLE � O�}� � q 1 LOCATION /� 1%�'?�UJ®�® I-Alflf c SEWAGE # L� g- 7& VILLAGE fig✓• "Ef19-f"'E 2'6 'o � 2 2 ASSESSOR'S MAP 5t LOT INSTALLER'S NAME & PHONE NO. �.%� ,9 3.2 SEPTIC TANK CAPACITY 5"y LEACHING FACILITY:(type) p2L'C,c+S y (size) NO. OF BEDROOMS �. PRIVATE WELL OR PUBLIC WATER ���� BUILDER OR OWNER �,wv&Z- DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes f No , r �(a�v � 1 1 a a 3 ASSESSORS MAP NO: No... ....Z� PARCEL NO: Fss...... .......� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH r _ D..c•�.rv-------------------OF..................laf-M..S_716 4_716S.LS...................... Appliratiutt for Diupuual Worku Tont3 union truti# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: pLocation-Address ue _ ® or Lot No. �y�,� .............................. ..• �>!r✓ia�i6/ �z 1...ee#_f � % r-�;/.tf......... - Owner Address W .. —�..... ................. ....... .......................................................... R (Ingalls C � � Address Type of Building C� dd Size Lot4,,P .,PA..--..Sq. feet Dwelling—No. of Bedrooms.......................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Pa .Other fixtures --------------•----------------- .-. W Design Flow................................' .t ...gallons per person per day. Total daily flow__.'. .._._._._.____. _____.___..gallons. -- WSeptic Tank-Liquid capacityl5r4W_gallons Length./,O.`c.". Width__6.'........ Diameter------- Depth._5_.'.44r.6_. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----------/........ Diameter.__/_2!__-•-__- Depth below inlet...It.>........ Total leaching area..Z4:.s.._...sq. ft. z Other Distribution box ( ) Dosing tank ( ) /!2®.f7 Percolation Test Results Performed by___444- -�N !oop_•Pi ��................. Date-_�" = `� �' ' Test Pit No. I......Z____.minutes per inch Depth of Test Pit______--•-i;�p' p g____ Depth to round water.___..(:;-_ __________ (i Test Pit No. 2....._.Z......minutes per inch Depth of Test Pit---------j;:W----- Depth to ground water-------- .......... x5�16 •--------•------------ ---------------------------------------------------------------- 0 Description of ---- -.- � ...................................... W --•----•-`---••' -_'� jr =�= ......- q LED ° _ 6------F'-- U Nature of Repairs or Alterations—Answer when applicable______-__`�'. r •n 1 �L ' _"1 V` s'N 1 M,� d: �. a_.... .-• i 3 sr1Ca Et "� r -_ lid STRIC.C 1 ii_ ct Agreement: kCCORDANCE TO PLAN. The.,undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITITE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certifica of Compliance has been issued by the board of health. �? y � Signed . -••- - !^t-s ---- ....+�--- ".. _ ---- Date Application Approved BY----•-------•, -- --------l l .. Date Application Disapproved for the following reasons------------------•---------•-------•----._..._._....------------•-•----------------•---••-••••-•----......_...-- --•-.....-•-••-••-•-•--•--.•-••••----•---•••--------••••---•------•----•--•-•---••-•-••--...•---••-•••--.-••---•----••-••--•-----•--------•-----•-----•--------•-----•---------------------••--••---•--- Date PermitNo.......?-r. 3.........--•-------. Issued....................................................... Date L— No. .... .� FEE.....Z.�-��............ � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF.......................................----------------•-............--••--------........ Appliration for 3lispatial Workfi Tnmunrfiou ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: J ...................................... ..................................................... 1 Location-.-Address y or Lot No. �.��.r`�.... ! ��.:: l3��i!,�.._...---•-••-•-•--. ....F#•: �1-i n/.:7.t1 . "..... P!_+''.,lJ!L'! .�G!-�/?!- /i „C, ................ 7'...__ ..._._.... __.'_____._...."'_'.....'. ... .. ......__- Owner Address W Installer r'" _ "1 c„ Address d Type of Building _ .4 d i q.Size Lot �____ �,..-._....S feet Dwelling—No. of Bedrooms............. ...........................Expansion Attic ( ) Garbage Grinder ( ) p 1 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) al Other fixtures ...................:.............. d ------------------------------------•------------------ Design Flow................................`. __.gallons per person per day. Total daily flow.._3_a.�_._.......__._............._ gall ons. Ions. WSeptic Tank—Liquid capacity/ d�._gallons LengthZ-:`.'�.`.. Width."? .-_-..:.. Diameter... �'..._. Depth_ :_- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area___--___-.-_--------sq. ft. Seepage Pit No----------/--------- Diameter...L;?_!........ Depth below inlet.._ _:_`_. _._. Total leaching area.Z5%........sq. ft. z Other Distribution box ( ) Dosing tank Percolation Test Results Performed-by...A 1•_r :.........:�z. r' ��i _ Date... aTest Pit No. L._..?......minutes per inch Depth of Test Pit.........ta...... Depth to ground water......(.,,,.............. Test Pit No. 2...... .......minutes per inch Depth of Test Pit.........r: ..... Depth to ground water.......<;... P4Sum _ ....-•'--'••--------••-•-••y•'•-••-•••••......••••'-•'-••..............."'-•"............••................................................................. ODescription Of . :� 5�.�n1> ! i -'---'--"-••'....................•--- W .................:----•---------------------------•-•'-•••---•---•••--'--••---•'••'•"-'••'••'••"----'-'••-••----------------------•'----•'..................-•------------------------------------- UNature of Repairs or Alterations—Answer when applicabl _____-------------------------------•._-_--_______-_..__-_____---_-_--_•-_.:e. _:_...._........__. ..-----•--•-••'---------------'----••-----------•--•-----••--•-'--•-•..-•'-'•'•'•-••................----••--•-'-•'•••---•---'-•-----•''••••••••••-----•---------------•--•--•••-••"••••...._.......' Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. JI1,C.! �✓/ � � Signed----------"•-'...................................."•...----------•-------•-•-"----- ------------. Date Application Approved BY 1 . Date Application Disapproved for the ollowing reasons:......................................----'--•----•--------------•'---•--••"-"......._...................... -'...............'--........------............--"--'----"---•-----'-•--••'-----•------'--••'-----'-----...-•----.........•-------•'-----------.................................=..................... _ Da Permit No. .-. Ll Issued Date --•--- te Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........./I.........1:J.(..............OF........ :--'""C................................... Trrtgf irab of Tomplianrr THIS IS T t the Individual Sewage Disposal System constructed �) or Repaired ( ) .�... �, bY......."--........--•�O�CERTIFY . ....--. .......... '� ...... = ---------------------- Installer a at.........' ? -3--•--- -_._ ........ .. ---•-"----- .................................................. has been installed in accordance with the provisions of TIT�LF- 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No------ .... dated_________________________----__-___.__-•-.-__-. THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................................................................•.•••--....... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - " �� ,......' t•:�..............OF.....�� P.� r...i..�.•�� ...�....----'-`. �. NI=ER MUST IF— ............ No.0..)� . ... 1. �'" � "'":S fNSTA�LED•��• Mips l Works Tnntrnl' .rt : anitit - TO PLAN. Permission is hereby granted'-..... ` .::--`*. y r V to Construct `lS� ) or Repair ( ) n nd/iv�idual Ser ge Disposal System 7`}— ?� 4,fFl� �iw,-�rif... _*- —�PJ`......................... at No............ ......f. �... -....:... ; Street as shown on the a 7 application for Disposal Works Construction Permit rmit NQ P 1--3--- Dated------------------------------------------ / "-"X. /�, Board of Health DATE. ---4/ ------'--....---'- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 30 9 35.3 2240013-6814 deep hole ®t-eAt 88 L ao: Uacant -pot 13 i Oacarr t !, �itt to 3 i,9 o z9.o 40,870*S -9 cove't 4qa teri 270 '?enroue att un4uitabte ria"te&,i_at as r atoussd . N 15 0 and 2eptace with.cCPcwz O0% 2 i2Ga J7, bayn� ® API 3�Z.a z7,0 r-6 4 =26 3 -- z 490 Gop w C� 6uttonOOd Jane r t A- `1 0 I wide -''l 3ate L1=548 end. 7,1.01 / Rtv. 1�.t V. 8 /8 tlt Cape C.ru� 49 IZo t hoad. /V yan ;,i, A'a. 0260r NA No. Gedwomd. 3 Jvo' no 37,s ?at. `ftow 330 c�p'd f�20 •�Ce No Scc�e eacl�� a� 26,3. ,d I C?eaehue " 26T �4. t l — Co✓.s.z� 5- — i�L_ �'apactt�1 :�n' rid 1500 it H. P. 3' 3' Sk e&A /)tan o f And in ',)e d t /' aan��t t e, an Gatt*et, ise tot 13 a�, alrown on a plan teco,,ded .in 6o 222 pie 57. iI Ctevat i onnd; u&ce on avz ad4u*a_d datum. , , l : Jea.t Pit,P-6790 t lade r r-20-87 F 4 � Wale& encounte&ed .0 ate: sent: 6aAvjtab& 1'o o ' , Mh Pe,tc. 2 nun p Ph l" (lade 5-2-88 Wit. 9. ('li`cKean 4 l' r 1' 2 `7 P 3 /�.:�1 3. pe m. 2 miA p et r '1 y . 3Z.9 31.7 37,E 3za- l� peicc. S min pez 31,g 30.7 ,_: _T 4 S = coax e coa44e rrecGiu rm-ditm !�.cwz is � i . d Sul Sul "Anda' o F n�A'�, . pce--. 1� P��� 5S.,, I� I //� C',�at, II� !- Z7•b Pc,n. 28,Z EDWARD �' ..''. �,`�N Of I f iJ.CiI'LL� 7.Ct1 LU. ' � \ � � M P' - � •fq�, i �3Cu2d `<]� (ivld 2605 �', . H. `r^t I rvVC r,'u>C MtIN� �j= i rxtx j nu�C F 6rST�'L�:�• 0.32,lcJ JONAL s��ON ISTE� �,�1r Z6.9 ( wArcz -5•7 1wrr�,�4:� .-- t Rti' t putt tmts, n,t„ n r ni r„,n m•n,,,,n,,,,ift„:,:,n,,,,,,n,tm,n,,,,,n,,,,,,n,::„:n,,,r„n,a:,t,,,n,r,n::n,tn,:,mm�„f„:s�,u m,,,ifn,,,,,,ntititin}nirin i,iTTnt:„ti,TT:f f TIT! :,,i:,,i:,::,:::,T:,i,::,i;,,;;,;,;,,,;;;,;, , T,, :,:::::: ::::::, :.:,:: : ;:;;;i ;, , .,.,,1. ................. ,.. . . . .. ...�..1....... . . .... . .. . . . .......�. Ill"! _m __... ......... ENVIROTECH LABORATORIES - 449 Route 130 Sandwich, MA 02563 • (508) 888-6460 CLIENT: Casey Homes Inc. LOCATION: Lot 13 Buttonwood Ln. = = ADDRESS: Box 242 Barnstable S. Dennis, MA 02660 COLLECTED BY: Desmond SAMPLE DATE: 11/29/88 TIME: 10:30 AM ` DATE RECEIVED: 11/29/88 SAMPLE ID: ET 354B JOB #: New WE11 WELL DEPTH: 6/79 ft : la RESULTS OF ANALYSIS: Parameter Units Recommended limit Result Coliform bacteria/100 ml (MF Method) 0 0 pH pH units 6.0-8.5 5.98 = Conductance umhos/cm 500 172 Sodium mg/L 20.0 12.8 Nitrate-N mg/L 10.0 2.86 Iron mg/L 0.3 05 ` Manganese mg/L 0.05 Hardness mg/L as CaCO 3 500 Sulfate mg/L 250 Potassium mg/L 20.0 Alkalinity mg/L 200 Chloride mg/L 250 - FE; — Turbidity NTU 5.0 Color APC units 15.0 - Background.bacteria _ COMMENT: z YES No WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS T TED. i~ lax "L DATE �/ - 6 ii r fi331lUIIIIUlIIIIlIIIiII{3lililiiliiltiJllIII33131JItIFltllll iiiii Lit"is Iiiiiliilill IIIII32tliiititiit:i23331U33titlliitti1IL11ittI3it!Uiiiitiiiiiiiiiii3i 373t1i31ail 13 73 11113 11ii�iltiti11t1i1:ililitlitl1 3 11 3 1111II1I111ti1il;i3lt1t111,`� ALL CAPE-' ENGINEERING REGISTERED ENGINEERS AND LAND SURVEYORS 49 HARBOR ROAD HYANNIS. MA 02601 -/ TEL.: (617) 778-0058 9eh 61 1�89 �OG/tcl Oj- %iP�th /dyan-ems, /, 02601 �C: Dan G,at fa0et .Cat l3 �'vttorwood .la..rze Jo 10wa Pt Aiay Conce&4s, ghe d.ept i e �ulAe h at the above nte-,Woned ad(-.ems, waw. ivvi.ta f-ed accoad�inc to ti tte, S, and the, p� deJ.i a,sw-d 6 -th 4, og°Pb`-ice. excep t io t the La that wary. moved -towaird the i�wti.on bo-,G, Gecach.e o f the add on o f a b tee�,ewa y and gadcar e, Vent/ fit d y yo' tA, Q #' Bohn id. N ne,p. —P. S. nu Cap e nee&in yPPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION /„ d T / '� ,�e/p�,�e,«rrr� _ NO. P 6 79,,� VILLAGE la s �-,�� DI�� _ _ DATE APPLICANT ��^a �$ FEE_ e; ADD;:ESS. ti p TELEPHONE NO. 63�2 (Non-refundable) ENGINEER ., _ �. TELEPHONE NO. 97716 DATE SCHEDULED (Applicant' s signature) . . . . . 0000000 . o . 00aoo . ., 00 . . . 000 . 000 . . . . . . o . . . o . . . . . . . . 000 . . . . . . e . . . . . . . . . . . . . . . . . ASSESSOR'S MAP & LOT NO Z1`7 144 SOIL LOG SUB—DIVISION NAME ��,�, ;E ��7' DATE_ 11-2 ,—09 TIME ` c) EXPANSION AREA: YES ✓NO _AC i> AL'id if.t/� ,/ ENGINEER:N TOWN WATER PRIVATE WELL X / �j, y>✓ s.� <17 BOARD OF HEALTH EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and .percolation tests, locate wetlands in proximity to test holes ) NOTES : 0 T.P.f�Na J� r t-791 �• � Zr�,� P h p' 00, PERCOLATION RATE: � >�/�,2 TEST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: 1 � 1 LO GGII✓� 5 ,� Sa iJ A " 5 5 - 7 tit/4 rAE/t ?o _� A r-4 2 ai ea 8 8 9 9 10 c 10 11 11 12 12 13 13 14 7 14 15 15 16 16 SUITABLE FOR SUB—SURFACE SEWAGE: LEACHING F CHI PITS LEACHING TREN: __ UNSUITABLE FOR SUB—SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT _�----- ���(�(� 4 oF`"E'bwti Town of Barnstable U.S.POSTAGE>>PITNEY BOWES p Public Health Division BARNS AeLe. prED MPS a� et Hyannis, MA Oannis02601 ZIP 02601 $ 6.80' 7015 1730 0001 4987 7633 i 02 aw 0000336455 MAY. 01. 2019. i i f REILLY, KEVIN W 26 OPEN SPACE RD .IS lbiFE i 42HI00e5 %-z ty� l2EILLY 'KEVIN W 4 -WINDY ?I-NE LN �. I g a 9R"Eg'T1j'R'N ly TO SENDER B 1igt 8 ....-. .'02.6•0.1>4 ,0 . .- ..._��ff�i 8�65�i9.!• f�l ''�91 II�y��lgl ,�l9ivf�1��88-i.�f'�f,�ff3IIi11�I I . 7 ■ Complete items 1,2,and 3. 7Signat ■ Print your name and address on the reverse ❑Agent so that we can return the card to you. ❑Addressee B. Received by(Printed Name) C. Date of Delivery e Attach this card to the back of the mailpiece, I or on the front if space permits. I 1. _— D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No I pREILLY, KEVIN W I 26 OPEN SPACE RD I. I SANDWICH, MA 02563 i I I _ a 3. Service-Type ❑Priority Mail Express® �� IIIIII IIII II 1 II IN III I III III 1 II 1 III 11R III ❑Adult Signature o Registered MailT I I Adult Signature Restricted Delivery ❑Registered Mail Restricted) 9590 9402 4798 8344 8568 68 Certified Mail® Delivery I i ❑Certified Mail Restricted Delivery turn Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery Signature ConfirmationTM i 2—Article-Number(Transf.-from-service-label)--- _-,�—-- ❑Signature Confirmation ' - 11 7 01-5..,17 3 0 0 0 01 4987 7633 ,la)il Restricted Delivery Restricted Delivery f 114i I(I I I I C PS Form-381 t1,July;2015 PSN Z530 02 900 9053 I I (I Domestic Return Receipt ! 4 _-.>... Iv._.. VE Town of Barnstable Barnstable Inspectional Services ' -MecaC I.F BARNST`ABC.E, Y MASS. Public Health Division Ar�Os s, 200 Main Street, Hyannis MA 02601 .20C)7 Office: 508-862-4644 Thomas A.McKean,CHO FAX: 508-790-6304 CERTIFIED MAIL#7015 1730 0001 4987 7633 May 1, 2019 REILLY, KEVIN W M ` `26 OPEN SPACE RD--- - - SANDWICH, MA 02563 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 83 Buttonwood Lane, West Barnstable, MA was inspected on 04/12/2019 by Brett Hickey,certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching facility with standing liquid level at or above the invert pipe (per Town'Code 360-20 h). You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH T oma cKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\83 Buttonwood Lane West Bainstable.doc 1 uwll ut Bi fustabic Department of Health,Saiety,and Environmental Services Public Health Division Date /-2k t-(9 7 367 Main Street,Hyannis MA 02601 ! RALMRABMMAWL 1 1°�� • Date Scheduled — r1 Time Fee Pd. n ---2 _ Soil Suitability Assessment for Sewage Disposal �� salt fd�?G. WltnessedBy: 3' 6 7Ju.✓ v'rf4, �O/ �eeuT Performed By: S�� LOCA T JM &`GENERA INI�ORMAT10 e l/� Location Address �SsF�Sa/�s -ygp Z/-7 &7- 4-14-/ Owner's Nam �� �N��4 gco„ry2��rit' . 8U7-7an/sv0f)0 C,13n/tr Gyp✓ j'�-V! Cyr' N9� uaZ /ti. r3s3rz�IJTg�cl-, /?lq, Address SU BS L���Bf 9) R/�k 232 PG s9 .S �UI'V6:'y ZNG• ' �; SZ Engineer's Name _ Assewr'S Map/PerC Q6fa/C o H�/N�d, /ous� S9No W/fN!"F4 Eq Sm �'Aacp�s v�C V 7 Telephone 0 L9 B 8- 361 9 NEW CONSTRUCTION X REPAIR '"44- �� �,�-�Ly - Slopes(%) O�3� Surface Stones ! Land Use — Distances from: openWater Body ft Po slble Wet Area ft Drinking Water Well r S� 6 17 / ft Property Line ft Other 5— Drainage Way / 3v //Losses�T` SKETCH:(Street name,dimensions of lot,exact locations o est holes do pert tests,locate wetlands in proximity to holes). �z t •7 — �l (O_PV`� A) o Parent material(geolog c) ��9le'5 4 wr Depth to Bedrock �� 9d" Weeping from Plt Face Depth to Groundwater: Standing Water in Hole: //�/,�'%�— Q�CMG.T�-92-�0� o; ���,,.� /✓r��2 urnated Seasonal High�Gr ndwate go Z/ a ,Z Al s®��Z�8.��L 5 }' g DETERMINATION FOR SEASONAL HIGH WATER TABLE d� 2-�/ � � Methcd Uscd:� ���� � ti /�` Tb7��/3�G�T -je-Depth Observed standing in obs.hole: 9/v�� �4'� in. Depth to soil mottles: Depth to weeping from side of obs.hole:h/Rf�b i Groundwater A')ustme�it ft• �' TAB �Z- j —� � Index well N SOV SZ-Reading Date:D r ex Well�evel Ad.factor/•6 Ad.Groundwatf�r Level EL= 4• �c`r PERCOLATION TEST Observation Time at 9" Hole N Depth of Perc Time at 6" Start Pre-soak Time Q Time(9"-6") End Pre-soak 2 �� s�sSdyi �uifu��a;d0&l 'Sa Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) �y D ".t .Y/1�far l�Ti�f 2 :�lv"fi72Aj !�2/r6' 41c,L�`FUS�L Original: Public Health Division Observation Hole Data To Be Completed on Back--� Copy: Applicant . t)1bIC# I)I:EI' 011SEItVATIUN IIOLCLOG Sail other Soil Ucplh from I lorizon Snil'T Soil Mottling (Structure,Stones,Boulderes. (USDA) (Munsell) Surface(in.) 46- 1 VA " ell L SW O ` LS Lo4- Jv i2 S6 M ti ' �4 " aaz2 wte7zH�¢ ��y SG �� Fi Tst.9Ei� � �o2 p' 7. S Y2.31 107E UCEP 0I35EIt'JATION )1 L'i LdG Soil Color snit other Depth from Soil I lorizon (Munsell) Mottling (Structure,SIQr.el,Bouldercs. Soil Texture Surface(In.) (USDA) • Z G,S L�� 1 ¢�2 lvlg 'v ' � � ,�v�O� �iC� / Q JAL. � �/1-�I��LfO �7//1 /{lE-!✓.y-�'2 tr/�2/��'[/� f�iPE2y- 2`y- qD`' Cad/ J� r"l-rye r�groe�G�lo" c,s_Go'gQ5 /a 2 y eEG.9 iz7 «�c 9� �5� G a, - 7. rya �.94/0 ttole# .;...... . DEEP OYIS RVVAT'ION 110LC L +Cf Soil Other I)cptlr from Soil I lorizon Soil Texture Soil Color Mottling (Slrtrclure,Stones,Boulderes. (USDA) (Munsell) Surfnce(in.) ---------------- llEEI' OI3SE IVATTION IIOLE LUG Role Al oil color Soil other Ucpt11 from Soil Ilorizon S(U Texlure SSDA) (Munsell) (U Mottling (Structure,Stones,Botlldercs. Surfnce(in.) ------------- ____--- -------------- rr_ h=rance Rate atz. 2 (2- Above 500 year Hood boundary No— Yes Within 500 year boundary No Y Yes Within Io0 year flood boundary No Y Yes Dedth o[Naturally Oc�Q Pervious Material Does at least four feet of naturally occurring pervto s material exist in all areas observed throughout the area propo sed for the soi l absorption system? ��y _ If not,what is the depth de th of naturally occurring pe rvious material? t"prtiflcatlon .M I certify that on&'tz7—A 'C?5 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me cons//ist nt itl the required training,expertise and experience described in 310 CMR 15.017. d ,n, 99.76 -99 --EXISTING CONTOUR LOCUS N Ir. ca ; x 100.98 EXISTING SPOT GRADE Uq 106 PROPOSED CONTOUR 1 a1l PK7sET ' _ W EXISTING WATER SERVICE g �oo.00 UNDERGROUND WIRES ode :' WoterA S 1246,�5' W \ 99'9�Sg' N G EXISTING GAS SERVICE o �^ 1g' _ ♦ EXISTING WELL °n _ 13 9.95 o W�98 p WETLAND FLAG ' C: N EXIST, WELL M � WETLAND SYMBOL l 102.28 of °IQy n +100.28 0,54� g R e ra m TEST PIT OUt..:,. O r ` WETLAND e LAMP -24 � BENCHMARK x 6,q ,.:.... W o 33 N LEGENDpox F�• WF-23 WF-22 WF-21 OO CO 100.29 103.26 ."+105,76 � x BOULDER OF e.V.W- LOCUS MAP NOT TO SCALE GENERAL NOTES: 105,07, \ o ) `LOT 13 \ O 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL ,'..1 0 �1oa13 1 5.77 101.28 �` BOARD OF HEALTH AND THE DESIGN ENGINEER. x BOULDER 1 o3,s1 / : 4U; 70±SF y 1�, TBM-2 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS PK. NAIL SET OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE j� LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: x 105.33 �� �p 3 Q EL.=101.80 O -310 CMR 15.405(1)(h): .�.�''\1 �r ^a� 1) A 1' variance to the required 5' separation between maximum 839seasonal high groundwater elevation and bottom of S.A.S., for �\ ' BUFFER TO 8'V'w 0� a 4' separation. -LOCAL REGULATION Chapter 360. Article 1 - Setback Requirements 0 1(}8- � los.00_ LA - �4 2) A 21' variance S.A.S. to northerly wetland for a 79' setback INSTALL A 40 MIL POLY LINER 3) An 18' variance, S.A.S. to the southerly wetland, for an 82' setback. a \�1 io9so:> ^': DRI ? .: : TOP OF LINER, EL.=106.2 -310 CMR 15.255(5): CONSTRUCTION IN FILL 109,30 x `....:...• .w BOTT. OF LINER, EL.=103.7 4) Request a 3' reduction to the required 5' stripout boundary, for x Q" uo,1 10 52 30 1� + 102.20 a 2' stripout at the location of the existing boulder. Proposed _��_�� ��,• S.A.S. are based on bottom area only. 0 .71 _ '•75 BUFFER TO B.V.W. y• +1a • tU� �� � ( � P RO •- --- 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR x 109,7z . _P '�7 ° PORCH Q �, ,1 O � TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE /EXISTING • --_�.S. ~��!9 i DESIGN ENGINEER. ..�� HOUSE (#83) .� P4 / 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING N\ TOF=110.8f' 309.6 107 75 �11RUBS �a FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN a; N . x �• 3 / , 102.86 �/ ' ENGINEER BEFORE CONSTRUCTION CONTINUES. j, 00 ` 10 js/ BOULD R �% 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM.. NP O \ eg x % - / / 9 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF DECK ��24 �-<- % _ / THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF � x y88.35 111_ _ _gM/SONO -10g 7 / HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. - �� 108.69 i, TP_1� x 1 .7. ; 7. WATER SUPPLY PROVIDED BY PRIVATE WELL. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED SEPTIC SYSTEM. o _ _ TP-2��� 105.99 ' ��i ./� 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS -�' � 104.16 O ��G,� 'A�� AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 104.29x �ls•� 10 \_ ,I <9 ♦ < S DIRECTED BY THE APPROVING AUTHORITIES. / +105.66 i V�i�1M\( -- h �'p %�� �S 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY led wOR�` r ��SO. 5,,�1z- x THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ' ' ' ' ' ' ' ' ' ' ' • 9e of/ow + CONSTRUCTION. +,1oa.62 ?. +103.08 14 =oa,z_a �O���G� ` 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 104.02 WF I FOO �L%' IN THE AREA BENEATH AND FOR 2' ON ALL SIDES OF THE S.A.S. AND 103.23 ` REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). / EXISTING LEACH PlT d i O� TO BE REMOVED �� STRIPOUT BOUNDARY FROM 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE . - ,�' ORIGINAL INSTALLATION WF-19 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. OWNER OF RECORD 103.31 WETLAND F-16 � 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 1o2.a7 L 51g, IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. GIBLIN, LORI \/ 29- , c TBM-1 ± 83 BUTTONWOOD LANE N �5.4050�. ORANGE DOT ON ROCK ; PARCEL ID: 217-044 W. BARNSTABLE, MA 02668 F-15 EL.=108.69 WETLAND CONSULTANT 101,79 _WFF-14 - Al ��� °f MAssq PROPOSED SEPTIC SYSTEM SITE PLAN SABATIA, INC. 1o2,1s 1ozs1 , ��P �yo +1o1,4s 21 Observatory Ln o PETER T. 83 BUTTONWOOD LANE, W. BARNSTABLE, MA Pocasset, MA 02559 McENTEE Poca 5t, VIA 09 EXISTING SEPTIC TANK CIVIL Prepared for:. Bevilacquo Construction, P.O. Box 628, Forestdale, MA 02644, MA (TO REMAIN) WF 123.2s No. 35109 Engineering by: SCALE DRAWN JOB. NO. FLOOD ZONE DESIGNATION TOP OF TANK, EL.=109.15 1"=30' P.T.M. 185-19 MAP NO. 25001 CO553J INV.(OUT)=108.80f PLAN REVISION 7/17/19 Engineering Works, Inc. EFFECTIVE DATE: JULY 16, 2014 1) ADD VARIANCE TO SOUTHERLY WETLAND I 12 West Crossfield -Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. ZONE X (NON HAZARD) 2) CORRECTION TO SOIL LOG NUMBERING ( �� (508) 477-5313 6/28/19 P.T.M. 1 Of 2 �E NOTE: TO PREVENT BREAKOUT, CONTRACTOR SEPTIC TANK SHALL INSTALL A 40 MIL POLY LINER L TOP OF LINER, EL.=106.2 INSTALL RISERS & COVERS OVER INLET & PROPOSED D-BOX BOTTOM OF LINER, EL.=102.7 OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & WATERTIGHT T.O.F.=101.64E COVER SET TO 6" OF GRADE PROPOSED S.A.S. INSTALL INSPECTION PORT (MIN.) T.O.F.=100.5t F.G. EL.=109.7E F.G. EL.=107.6E F.G. EL.=107.5 to 106.8t MAINTAIN 2% GRADE (MIN.) OVER S.A.S. + 4" DIAM. INSPECTION PORT, L = 24' 714SS& '(MAX) 15' x 33' LEACHING FIELD W/3-4" PERFORATED IN S.A.S., SOLID S=1� (MIN.) % (MIN.) SCHPVC DISTRIBUTION ABOVE S.A.S., WITH SCREW CAP 4"SCH40 PVC 0 WIN.) pEgF SET TO WITHIN 3' OF GRADE. 6" CAPPED ENDS 10"I 6 14" EXISTING 48" LIQUID I SLOPE OF PERF. PIPE = 0.5% I INV. EL.=105.50(END) LEVEL ADD INV.=105.90 PROPOSED 30' EFFECTIVE LENGTH DECK GAS BAFFLE .= 05.73 bh INV.=108.80 �� SOIL ABSORPTION SYSTEM (PROFILE) ENTRY ENTRY W/INLET TEE SLIDER BATH EXISTING SEPTIC TANK INV.=105.65 BEDROOM DINING KITCHEN 170tSF ENTRY BATH ESTABLISH VEGETATIVE COVER 3/4"-1 1/2" DOUBLE WASHED STONE HALL APPROVED FILTER FABRIC ENTRY LDY. FINISH GRADE GARAGE PORCH LIV. RM. BEDROOM EL.=107.5 to 106.8t 120,SF 130±SF NOTES: BEDROOM 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE :'._ _•"= INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=106.00 (MAX,) ENTRY 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND ENTRY TRUE TO GRADE ON A MECHANICALLY COMPACTED BOTTOM ELEV.=105.0 SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 4' MIN. SEPARATION TO G.W. 72-9, 5' 5' 2.5' FLOOR PLAN 310 CMR 15.221(2). (WITH VARIANCE) AND 4' OF NATURALLY 15' EFFECTIVE WIDTH 3) INSTALL INLET & OUTLET TEES AS REQUIRED. OCCURRING PERVIOUS SOILS SECTION) 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE EST. HIGH G.W. EL: 100.9 SOIL ABSORPTION SYSTEM ( AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE SOIL LOG I DATE: APRIL 3, 2019 (REF#15,954) SOIL EVALUATOR: PETER McENTEE PE(SE#1542) WITNESS: DAVID STANTON R.S. HEALTH AGENT 1.6 7 1T_ DESIGN CRITERIA ELEv. TP- 1 DEPTH ELEV. TP-2 DEPTH ELEV. TP-3 DEPTH ELEV. TP-4- DEPTH W 1 PROP IT 107.1 °„ 104.8 °„ 107.0 ° 107.0 °„ /EX�$TINIi PORCH �.� 71 2'1 S.A.SSE ho D FILL FILL FILL FILL HOUSE (#83) Q 5 2 SOILBTEX ER 0 R BEDROOMS: CLASS BE(OROOM.74 gpd/sf) 103.6 A 42" 102.7 A 25" 106.7 4" 106.6 5" (D 45�/19• TOF=110.8E DESIGN PERCOLATION RATE: <2 MIN/IN SANDY LOAM SANDY LOAM 73'6' DAILY FLOW: 330 GPD 103.4 10YR 4/2 50" 102.1 10YR 4/2 32„ bh DESIGN FLOW: 330 GPD B B 1 DECK GARBAGE GRINDER: NO- not permitted with design SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 10YR 5/6 10YR 5/6 MED. SAND MED. SAND 101.6 - 66" 101.6 = 38" 2.5Y 7/3 2.5Y 7/3 .74 GPD/SF Cl - Cl S.A.S. LAYOUT EXISTING SEPTIC TANK: 1000 GALLON CAPACITY SILT LOAM 36"/54" SILT LOAM PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM) 2.5Y 6/4 2.5Y 6/4 ADJ. G.W. = ADJ. G.WD PROPOSED SEPTIC SYSTEM UPGRADE PLAN INSTALL AN 15' x 30' LEACH FIELD 85•7 C2 FINE 120" 96.$ Cz FINE 11 ss" OBS. G.W. S=Z= 72" OBS. G.W� _72" 83 BUTTONWOOD . LANE, W. BARNSTABLE, MA SIDEWALL AREA: NOT APPLICABLE SANDY LOAM SANDY LOAM r BOTTOM AREA: 15' x 30' = 450 S.F. 2.5Y 7/3 2.5Y 7/3 g7.o I' G.W.t2o" 72" 120" STANDING Prepared for: Bevilacquo Construction, P.O. Box 628, Forestdale, MA 02644, MA TOTAL AREA:.....................................450 S.F. (SAMPLED) (EL.=100.7) 80.4 168" 92.8 14.4" USE INDEX WELL, AIW-247 Engineering by: SCALE DRAWN JOB. No. PERC RATE 30 MIN/IN. "C2" HORIZON WATER LEVEL=21.0 (MAY 2019) Engineering Works, Inc. 1N�3D' P.T.M. 185-19 LEACHING CAPACITY = 0.74 GPD/SF x 450 SF ZONE At ADJUSTMENT=0.2' EL.=100.9 PER SIEVE ANALYSIS, CLASS II, .33 'GPD/SF ( ) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. 333.0 GPD PERCHED G.W., EL=101.6.• PERC RATE <2 MIN/IN. ("B" HORIZON) (508) 477-5313 6/28/19 P.T.M. 2 Of 2 .. $ 99.76 99 --EXISTING CONTOUR CB LOCUS N @4 x 100.98 EXISTING SPOT GRADE 106 PROPOSED CONTOUR 1 •4� g PKOoE W EXISTING WATER SERVICE ore t ) �6,5„ w \ } --fJG -UNDERGROUND WIRES WaterA 2 � nNiY G EXISTING GAS SERVICE �-r 5 7 18 99,9E , o JI = �t ♦ EXISTING WELL °o ? 9.95 C: W6 98 O WETLAND FLAG 3 r Of +100,26 EXIST. WELL 102,28 , : WETLAND SYMBOL ✓ o WETLAND TEST PIT Root ' ' \ \ LAMP r WF-24 BENCHMARK � e 6 100.33 ._�L �� q A 1 WF-21 LEGEND WF-23 WF-22 \ t 76 103,26 •� aa� \ 9co � ��C 100.29 �+ x BOULDER OF B.V.W • \ .� LOCUS MAP O 0�•, \ o Ul NOT To SCALE GENERAL NOTES: I 105,0�1\1 5.77 LOT 13 � 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL f o BOULDER o3s1 7OfSF 101.2e TBM-Z 2. BARD WORK ANDLTH MATERALS SHALLAND THEI GN CONFORM TO THE REQUIREMENTS \ > o PK. NAIL SET OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE �06� GS105,33 EL.=101.80 O \ ��� �3 LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: 612 -310 CMR 15.405(1)(h): V n 1) A 0.5' variance to the required 5' separation between maximum o 8.39 \ - : B V W seasonal high groundwater elevation and bottom of S.A.S., for TQ a 4.5' separation. \ \ 1oe �` / ' \ 50' BUFFER -LOCAL REGULATION Chapter 360. Article 1 - Setback Requirements LO �- LAMP, . 2) A 21' variance, S.A.S. to northerly wetland, for a 79' setback. IN STALL A 40 MIL POLY LINER 3 An 1 8' variance S.A.S. to the southerly wetland, f'i eor an 8 k, 2' setback. 109.70 '', - TOP OF I -\� .. LINER, EL. 106.5�DR , -• / /V '4y'1os6 310 CMR 15 255(5): CONSTRUCTION IN FILL 109,30 x "' " 102,20 BOTT. OF LINER, EL.=103.5 4) Request a 3' reduction to the required 5' stripout boundary, for x �Q 110.E 10 .52 3pti 11 a 2' stripout at the location of the existing boulder. Proposed +1os.71 �� . \\ I _ 75 BUFFER TO B.V.W. S.A.S. are based on bottom area only. PORCH x 10972�� PROP y� �' �" 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR • iEXISTING _ - TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE HOUSE (#83) Q �'- TP 4 DESIGN ENGINEER. N TOF=110.8f' 109.6 �� ``� SHRUBS 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING N 107,75 '/� FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN '. 10 . - �' 102.86 ENGINEER BEFORE CONSTRUCTION CONTINUES. N mod? �BOULD R �/ p( 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM.. DECK N09.24 %� Q i GCS 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF x W8.35 L� - � THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF fn BM/SDNO ( �� ' �� �a✓� - -- - 1 � TP-1 �•�7� � y. � HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 108,69 _ _ -®' ��, 7. WATER SUPPLY PROVIDED BY PRIVATE WELL. �` 105,99 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED SEPTIC SYSTEM. Off_ _ _ `TP-2 ,� 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 104,29 x \ 104,16 / �G,c•T 'A�� AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. +105.66 1 IY v�K � 1s 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY d ed e w0R ��`SO. S s. x THE LOCATION OF ALL UNDERGROUND UTILITIES PRIOR TO BEGINNING +,104,62 ' ' F-18 • n +103.06 - 104.24 } r>��`� �� - CONSTRUCTION. 104,02 F� • • • • • • • - p �,T� 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS WF-I03,23 •� ` ��'A IN THE AREA BENEATH AND FOR 2' ON ALL SIDES OF THE S.A.S. AND EXISTING LEACH PIT REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). O TO BE REMOVED 1.2. AREAS REQUIRING • '`� � STRIPOUT BOUNDARY FROM STRIPOUT OF UNSUITABLE MATERIALS SHALL BE WF-19 , ORIGINAL INSTALLATION INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. ' OWNER OF RECORD 103.31 WETLAND F 16 mL 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND GIBLIN, LORI 1o2.a7 `ty 225 19 „ E TBM-1'' IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 83 BUTTONWOOD LANE N 55.40'S0 ORANGE 'DOT ON ROCK PARCEL ID: Z17-O4•'4 W. BARNSTABLE, MA 02668 F-15 ''�. EL.=108. 0 101,79 •�..�.�. .; OF Ml A WETLAND TANT WF-Ia _ S CONSUL WF 1 �� s 102.15 �l q� PROPOSED SEPTIC SYSTEM SITE PLAN 102.91 1 SABATIA, INC. +1o1.as � � yG 21 Observatory Ln o PETER T. �, 83 BUTTONWOOD LANE, W. BARNSTABLE, MA Pocasset, MA 02559 McENTEE 508 563-5349 EXISTING SEPTIC TANK N REVISION 7 3 19 ! CIVIL "' Prepared for: Bevilacqua Construction, P.O. Box 628, Forestda►e, MA 02644, MA ( ) PLAN /2 / 103.25 FLOOD ZONE DESIGNATION (To REMAIN) 1 VARIANCE 1 TO 0.5 REDUCTION W�Fll 2 No. 35109 9 9) '# h Engineering by: SCALE DRAWN JOB. N0. TOP OF TANK, EL.=109. 15 fr;/S1E �` „MAP NO. 25001 C0553J INV.(OUT)=108.80f PLAN REVISION 7/17/19 Engineering Works, Inc. 1 =30' P.T.M. 185-19 EFFECTIVE DATE: JULY 16, 2014 1) ADD VARIANCE TO SOUTHERLY WETLAND " I 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. ZONE X (NON HAZARD) 2) CORRECTION TO SOIL LOG NUMBERING (508) 477-5313 6/28/19 P.T.M. 1 Of 2 I'a NOTE: TO PREVENT BREAKOUT, CONTRACTOR SEPTIC TANK SHALL INSTALL A 40 MIL POLY LINER INSTALL RISERS & COVERS OVER INLET & PROPOSED D-BOX TOP OF LINER, EL.=106.5 OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & WATERTIGHT BOTTOM OF LINER, EL.=103.50 COVER SET TO 6" OF GRADE PROPOSED S.A.S. T.O.F.=101.64t INSTALL INSPECTION PORT (MIN.) . T.O.F.=100.5f F.G. EL=109.7t F.G. EL.=107.6t • F.G. EL.=107.5 to 107.2t I MAINTAIN 2% GRADE (MIN.) OVER S.A.S. ' L = 24' 4" DIAM. INSPECTION PORT, L = 8'(MAX) 15' x 30' l EACHING FIELD W/3-4" PERFORATED IN S.A.S., SOLID S=1% (MIN.) ® S=1% (MIN.) SCH 40 PERF, PVC DISTRIB ITION LN S ABOVE S.A.S., WITH SCREW CAP 4"SCH40 PVC 4"SCH40 WIN.) SET TO WITHIN 3' OF GRADE. " CAPPED ENDS +a"EXISTING8" LIQUID I SLOPE OF PERF. PIPE = 0.5% INV. EL.=105.90(END) LEVEL ADD INV.=106.37 PROPOSED 30' EFFECTIVE LENGTH DECK GAS BAFFLE INV.=106.20 + INV.=108.80 D-BOX SOIL ABSORPTION SYSTEM (PROFILE) ENTRY ENTRY bh W/INLET TEE INV.=106.05 SLIDER BATH EXISTING SEPTIC TANK + BEDROOM DINING KITCHEN ' 170±SF j ESTABLISH VEGETATIVE COVER ENTRY BATH 3/4"-1 1/2" DOUBLE WASHED STONE HALL APPROVED FILTER FABRIC GARAGE ENTRY LDY. BEDROOM FINISH GRADE PORCH LIV. RM. NOTES: EL.=107.5 to 107.2 r 120±SF 13O±SF 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BEDROOM I INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=106.4 (MAX.) A..Y. r.`" ENTRY 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND ENTRY TRUE TO GRADE ON A MECHANICALLY COMPACTED BOTTOM ELEV.=105.4 SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 4.5' MIN. SEPARATION TO G.W. 2.5' 5' 5' 2.5' 310 CMR 15.221(2). (WITH VARIANCE) FLOOR PLAN 3 INSTALL INLET & OUTLET TEES AS REQUIRED. AND 4' OF NATURALLY 15' EFFECTIVE WIDTH OCCURRING PERVIOUS SOILS 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE SOIL ABSORPTION SYSTEM (SECTION) AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. EST. HIGH G.W. EL: 100.9 . SEPTIC SYSTEM PROFILE SOIL LOG DATE: APRIL 3, 2019 (REF#15,954) SOIL EVALUATOR: PETER McENTEE PE(SE#1542) ' WITNESS: DAVID STANTON R.S. HEALTH AGENT 1.6' ���_30' DESIGN CRITERIA ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH ELEV. TP-,3 DEPTH ELEV. TP-4 DEPTH W 7 P S 107.1 0" 104.8 0" 107.0 0" 107.0 0" 1EXIST�NG PORCH s �� 1 ROPpSEp T NUMBER OF BEDROOMS: 3 BEDROOMS FILL FILL FILL FILL Q IN 2' S. S �to SOIL TEXTURAL CLASS: CLASS I 0.74 103.6 42" 102.7 25" 106.7 HOUSE (#83) y� Z __ �- ( 9Pd/sf) A A 4" 106.6 5" TOF=110.8f' DESIGN PERCOLATION RATE: <2 MIN/IN SANDY LOAM SANDY LOAM ' 453 DAILY FLOW: 330 GPD 10YR 4/2 10YR 4/2 73.6' DESIGN FLOW: 330 GPD 103.4 B 50" 102.1 B 32" bh GARBAGE GRINDER: NO- not permitted with design SANDY LOAM SANDY LOAM DECK LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 10YR 5/6 10YR 5/6 MED. SAND MED. SAND .74 GPD/SF 101.6 Cl 66" 101.6 Cl = 38" 2.5Y 7/3 2.5Y 7/3 = - EXISTING SEPTIC TANK: 1000 GALLON CAPACITY SILT LOAM 36"/54" SILT LOAM S.A.S. LAYOUT PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM) 2.5Y 6/4 2.5Y 6/4 ADJ. G.W. = ADJ. G.W INSTALL AN 15' x 30' LEACH FIEL 85.7 96.8 PROPOSED SEPTIC SYSTEM UPGRADE PLAN D 120" 96" OBS. G.W. __ 72" 0BS. G.W 72"FINE I FINE SIDEWALL AREA: NOT APPLICABLE SANDY LOAM SANDY LOAM 83 BUTTONWOOD LANE, W. BARNSTABLE, MA BOTTOM AREA: 15' x 30' = 450 S.F. 2.5Y 7/3 2.5Y 7/3 97.0 120" 97.0 120" Prepared for: Bevilacqua Construction, P.O. Box 628, Forestdale, MA 02644, MA TOTAL AREA:.....................................450 S.F. (SAMPLED) STANDING G.W. @ 72" (EL.=100.7) 80.4 1 168" 92.8 1 144" USE INDEX WELL, AIW-247 Engineering by: 1 SCALE DRAWN JOB. NO. PERC RATE 30 MIN/IN. "C2" HORIZON WATER LEVEL=21.0 (MAY 2019) Englneering WOYIZ.S, Inc. 1NFT3n' P.T.M. LEACHING CAPACITY = 0.74 GPD/SF x 450 SF , 185-1.9 PER SIEVE ANALYSIS, CLASS II, .33 GPD/SF ZONE A, ,ADJUSTMENT=0.2' (EL.=100.9) = 333.0 GPD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. PERCHED G.W., EL=101.6 PERC RATE <2 MIN/IN. ("B" HORIZON) (508) 477-5313 6/28/19 P.T.M. 2 Of 2