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TOWN OF BARNSTABLE BAR-W 3803
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager �_ ,� :?� , �26
Address of Offender k.,oqr9q _ 1 I MV/MB Reg.#
Village/State/Zip W45S---r"
A&S�9 . C, M.A41%4AS#
Business Name am pm!,' on 20
Business Address
Signature ofEnforcing Officer/
Village/State/Zip j
Location of Offense
�ff / Enforcing Dept/Division
Offense
Y'jnV Tf
Facts V i1r - O 01U) dabw
W101U)Ntro(AV-61 M0,-�-rLL6AA1 V lh,�-In� olzlolw Y
This will serve only as a warning. At this time no legal action has been taken:
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
I
WHITE-OFFENDER CANARY-ORD./REG.-PROG.. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. .
r..r.. _..,,,..,rve.:ry"!tr'"`^...+.',`. -r..,r.:...e.+-r�..:<•.-- •.;;�•-�...,n- *i`^,o..r:: a-:,.,,,y ,...-'+,.:- .7`"..._..,- .T. --r , •17:. .._ -r#.f' ^ ^s'":.•'<s"r'-^." t ,. _,._
TOWN OF BARNSTABLE BAR-W ,*
Ordinance or Regulation
WARNING NOTICE ; `
Name of Offender/Manager ? # r'` ..-' , ` .? 3 . '+
Village/State/Zip I.V,6 S-I- l k1 +: `1, ,
Business Name am/pT, on; 20_
40
Business Address /tf
Signature o nforcing Officer/
Village/State/Zip
Location of Offense
{ C �"'" r, Enforcing Dept/Division
Offense. # AN ttj
,
Factsf7jA I
fit f l aY� � 1 —r� � t.� £ t"i.��. 1 r'.� �� ll . .• �i G #f j #",I t
This will serve only as a warning. At this time no legal action has been taken. wl
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts. and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
` t
361 Woodside Road
West Barnstable, MA 02668 n
August 28, 2002
Robert D. Smith
Attorney
367 Main Street
Hyannis, Ma 02601
Dear Mr. Smith:
This letter is written with much trepidation. Neither my husband
nor I wish to get involved, however, due to an incident occurring
on August 26u', we have no choice.
One of my neighbors, William Durken, Jr. Of 329 Woodside Road, has
an array of broken, dirty toilet bowls, sinks and other kitchen
and bath items on his lawn directed at another neighbor, James and
Gena Hourihan of 170 Plains Road. Mr. Durken most recently
directed some of this junk toward my home. This was done after he
saw me talking with Mr. & Mrs. Hourihan on the day a woman from
the Board of Health came out to investigate the array of toilet
bowls.
I am not writing to tell you about the filthy, old, broken items
directed at my home. My purpose in writing is to let you know
that Mr. Durken has threatened me.
Around 11:30 AM August 26u', I was going for a walk with my dog
when I saw Mr. Durken. I- said "Hello, Bill. How are you doing?"
Bill glared at me and mumbled something. When I told him I could
not hear him, he said he saw me talking with the Hourihan's when
the Board of Health was looking at his yard. My response was to
ask him why I could not talk to them. His response was that he
was receiving notices from the Town and I should know better. I
do not know what that means.
Then I told Mr. Durken I thought he was being vindictive and it
was not fair to our neighborhood. He shouted, "Vindictive! Damn
right I'm vindictive! I want that road open!" He pointed in the
direction of the road that was closed nine years ago. I reminded
him that this incident occurred nine years ago and it was the
Town's decision, not his neighbors. He looked so angry so I
started to walk away. I then heard him say "I'm going to put
flashing lights directed at your house". I turned back and asked
him if he was threatening me. He said, "Just wait until next
summer. I'll put flashing lights on your house". Again I asked
if this was a threat. Bill answered very sarcastically that he
would not threaten such a `nice' neighbor, especially one with a
Doberman pinscher. My dog is a mix breed with no resemblance to a
Doberman. I walked away after he nastily asked what kind of dog
`it' was.
My 5 or 6 encounters with Bill- Durken in the few years I have
lived here have been by chance. Each time he has chronicled the
`closing of the road' , a.nd the toilets on his lawn directed'at the
Hourihan home. He told me. this was a 'pay-back to them for being
instrumental in having the road closed. Also in his rantings, he
has admitted to me that he has to have marijuana as he is a
f
Vietnam veteran. I am wondering if this is true. There are many
Vietnam veterans who do not need marijuana.
When I first met Bill Durken, he told me that he put up the toilet
"shrine" and directed it at the Hourihan's home to let them know
what he thought of them. He has cast aspersions regarding the
character of Jim and Gena Hourihan and their son which I believe
are libelous.
After the August 26t�' encounter with Bill Durken, I really do not
know what he is capable of, or how far he will go with his inane
sense of `right' , and what will be his breaking point where he
might end up physically harming someone.
This is not artwork, Mr. Smith, and everyone knows it. The First
Amendment rights are not the issue. Mr. Durken lied about his
"shrine". He told me why he put up this foolishness, out of his
anger and to get revenge.
I am afraid of him now and I do not want you or anyone to tell him
that I have written to you about my conversations with him.
Please see what you can do to assist us. Do not hesitate to call
me (508) 428-2343. By the way, Mr. Durken has now put up a large
spotlight over the toilet bowls. This is getting out of hand.
Very truly yours,
Susan Shur-Thompson
cc: John Klimm, Town Manager;
Board of Health, 200 Main St.
12
�� >>
o COMMO. E.gLTH OF MASSACHLSETTS
r r7" EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS 1�
�., DEPARTMENT OF ENVIRONMENTAL PROTECT rz
�i ONE WINTER STREET. BOSTON. MA O'_108 617-292-5j00 `l11L
1998 w
WILLIAM F.WELD TROY C
Govemo:
N 1,
ARGEO PAUL CELLUCCI B. HS
Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner
PART A
CERTIFICATION
Property Address: '3?9 WOO Al;-- RO1 w )�I-_X' � Address of Owner:
Date of Inspection: 4/6-10 (If different)
Name of Inspector: tl,.,
I am a DEP approved system inspector pursu nt to Section 15.340 of Title 5 (310 CMR 15.000)
Company Name: "tO�+N %a/t �7i,k1"e _t;/'L,c d
Mailing Address: /SU Wu/.,,,, ' S;f,
Telephone Number: '622 8. ypd- 9S'91-
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate
and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems. The system:
_ Passes
Condnnonaliy Passes
Needs Further Evaluation By the Local Approving Authority
—/� Fails
Inspector's Signature: Date:
The System Inspectors /Isubmit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this
inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit
the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
INSPECTION SUMMARY: Check A, B, C, or D:
A) SYSTEM PASSES:
I have not.found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303.
Any failure criteria not evaluated are indicated below.
COMMENTS:
Bj 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.
Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why riot.
The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of
Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or
the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank
failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank
as approved by the Board of Health.
(revised 04/25/97) Page 1 of 10
DEP on the World Wide Web: http://www.magnet.state.ma.us/dep
Printed on Recyded Paper
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 31q'
Owner: j�;//,a.+^ '7 �r�/�J•, -1✓.
Date of Inspe�catito�n.•
. ate*
B] SYSTEM CONDITIONALLY PASSES (continued)
p Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the
Board of Health). Describe observations:
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass
inspection if(with approval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the
public health, safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER
WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT
THE SYSTEM 15 FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE
ENVIRONMENT:
The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet to a surface water supply or
tributary to a surface water supply.
_ The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a
private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that
the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm. Method used to determine distance (approximation.not valid).
3) OTHER
(revised 04/25/97) Page 2 of 10
f
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Propertv Address: ��'`'�®, 8W 7u4/,
Owner: if/,%/ia.>
Date of Inspection: U
D] SYSTEM FAILS:
You must indicate either "Yes" or "No" as to each of the following:
I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis
for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct
the failure.
Yes No
Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool.
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or cEMed SAS or
cesspool.
Static liquid level in the distribution boa above outlet invert due to an overloaded or clogged SAS or cesspool.
J _ Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped J�
Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
v Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface waver supply.
Any portion of a cesspool or privy is within a Zone I of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water sup*- well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well waver analysis for
coliiorm bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E] LARGE SYSTEM FAILS:
You must indicate either "Yes"or "No" as to each of the following:
The following criteria apply to large systems in addition to the criteria above:
The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significara'threat to
public health and safety and the environment because one or more of the following conditions exist:
Yes No
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area - IWPA) or a mapped Zone 11 of a
public water supply well)
The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program
requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 04/25/97) Page 3 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address:
Owner:
Date of Inspection:
Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following:
Yes No
Pumping information was provided by the owl occupant, or Board of Health.
v _ None of the system components have been pumped for at least two weeks and the system has been receiving normal
flow rates during that period. Large volumes of water have not been introduced into the system recently or
as pan of this inspection.
As built plans have been obtained and examined. Note if they are not available with N/A.
The facility or dwelling was inspected for signs of sewage back-up.
The system does not receive non sanitary or industrial waste flow.
The site was inspected for signs of breakout.
/n J J,11
All system components, the Soil Absorption System, have been located on the site.
_✓�. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of
baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum.
The size and location of the Soil Absorption System on the site has been determined based on:
_ The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of
Sub-Surface Disposal System.
Existing information. Ex. Plan at B.O.H.
Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is
unacceptable) [15.302(3)(b))
(revised 04/25/97) Page 4 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
D, SYSTEM INFORMATION
Property Address: �3�
4f/v�0� Srr�� Gt ux
Owner: ��/iti„-, J ���'IfC�n T-
Date of Inspection:
FLOW CONDITIONS
RESIDENTIAL:
Design flow: :J�La p.d.Pbedroom for S.A.S.
Number of bedrooms:_
Number of current residents: 1
Garbage grit der (yes or no):_,yy
Laundry connected to system (yes or no): S
Seasonal use tees or no):-�/—o 1 j
Water meter readings, if available (last two (2) year usage (gpd): zbi h"'k.� C)
Sump Pump Ives or no):-AIL?
Last date of occupancy:
COMMERCI.AUINDUSTRIAL:
Type of establishment:
Design flow-: aallons/day
Grease trap present: tyes or not_
Industrial Waste Holding Tank present: Ives or no)—
Non-sanitary waste discharged to the Title 5 system: (yes or no)_
\Vater meter readings, if available
Last,date of o cupancv
OTHER: ;Describe;
Last date of occupancy.
GENERAL INFORMATION
PUMPING RECORDS and source of information:
Alo&,A?97 �'v ,6 gB
System pumped as part of inspection: (yes or no)4 1
If yes, volume pumped: 2SW gallons �+
Reason for pumping S'r .�w a(i•If� Agwlo,�
TYPE OF SYSTEM
_ 4:::::� Septic tank/disu+ftrar�soil absorption system
Single cesspool
Overflow cesspool
Privy
Shared system (yes or no) (if yes, attach previous inspection records, if any)
I/A Technology etc. Copy of up to date contract?
Other
APPROXIMATE AGE of all components, date installed (if known) and source of information: 5
Sewage odors detected when arriving at the site: (yes or no) y1�S
(zevieod 04/25/97) Page 5 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner: Or 91,-Av.
Date of Inspection:
BUILDING SEWER:
(Locate on site plan)
rr
Depth below grade:
Material of construction: _cast iron _40 PVC _other (explain)
Distance from private water supply well or suction lip(,
Diameter
Comments: (condition of joints, venting, evidence of leakage, etc.)
SEPTIC TANK:_
(locate on site plan)
rr
Depth below grade: `3
Material of construction: Cconc�retemetal _Fiberglass ,_Polyethylene _other(explain)
If tank is metal, list age _ Is age confirmed by Cenificate of Compliance _(Yes/No)
Dimensions:_ r/
Sludge depth: 4"1
Distance from top of sludge to bottom of outlet tee or baffle:
Scum thickness: y d
Distance from top of scum to top of outlet tee or baffle:
Distance from bonom of scum to bonom of outlet tee or baffle:
How dimensions were determined:
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc. k
.a l!7 c.0
7 :r+ e 7" Y tG f
GREASE TRAP:
(locate on site plan)
Depth below grade:
Material of construction: _.,concrete _metal _Fiberglass _Polyethylene —other(explain)
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc.)
(revised 04/25/97) Page 6 of 30
C.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
p n StY�STEM INFOR�M—ATION (continued)
Property Address: 3�yt"/fn O'jSitl.' l5(x r'r'' IAp
Owner: VIOL, J� A"'ki 1 Vr
Date of Inspection:
TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time, of inspection)
(locate on site plan
Depth below grade:
Material of construction: _concrete _metal _Fiberglass _Polyethylene _other(explain)
Dimensions:
Capacity: gallons
Design flow: gallons/da\
Alarm level. Alarm in working order_ Yes, _ No
Date of previous pumping:
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:_
(locate on site plan)
Depth of liquid level above outlet invert:
Comments:
(note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.)
PUMP CHAMBER:_
(locate on site plan)
Pumps in working order: (Yes or No)
Alarms in working order (Yes or No)
Comments:
(note condition of pump chamber, condition of pumps and appurtenances, etc,)
(revised 04/25/97) Page 7 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner: (,�///ij��,., J. 1��c+✓1t,'. �r
Date of Inspection:
6
6
SOIL ABSORPTION SYSTEM (SAS):_
(locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods)
If not determined to be present, explain:
Type: `
leaching pits, number:_
leaching chambers, number:__
leaching galleries, number:
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
Alternative system:
Name of Technology:
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
CESSPOOLS: _
(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater:
inflow (cesspool must be pumped as part of inspection)
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
PRIVY:_
(locate on site plan)
Materials of construction: Dimensions:
Depth of solids:
Comments:
(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
(zevioad 04/25/97) Page 8 of 10
Y
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner: (��/�A.+„ 7, Dc/rh:• Tr,
Date of Inspection:
6.4
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100' (Locate where public water supply comes into house)
V" Q
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(revised 04/25/97) } 1 Page 9 of 10
" 4
S
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: '3 W,,h�a��
Owner: L!/��u.� J, vw.,k4" J.
Date of Inspection:
Depth to Groundwater 3yFeet
Please indicate all the methods used to determine High Groundwater Elevation:
Obtained from Design Plans on record
Observation of Site (Abutting property, observation hole, basement sump etc.)
Determine it from local conditions
1' Check with local Board of health
Check FEMA Maps
Check pumping records
Check local excavators, installers
Use USGS Data
Describe in your own words how you established the High Groundwater Elevation. Must be completed)
9 y '
�jS c�sSO�'s NIW,f J�s 910
My S4 f j_ 't�,,
574/
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(revised 04/25/97) Page '10 of 10
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TOWN OF BARNSTABLE
LOCATION i_ � )cI '51 I4e SEWAGE #?do SO S
VILLAGE ASSESSOR'S MAP & LOTL� +019
INSTALLER'S NAME&PHONE NO. V O►r1 q
SEPTIC TANK CAPACITY Spa GA
LEACHING FACILITY: (type) y '�Z�, -rR/�or3
(size) _/OX 30
NO.OF BEDROOMS .3
BUILDER OR OWNER C`�r- \A/i I I i fl M I ► 'Cn ►,�
PERMTTDATE: ' y — COMPLIANCE DATE:_ X
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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Town of Barnstable pvta
Safe of Health,
Department De , and Environmental Service
. .� p ry,
RAIMSTARM MA98. Public Health Division
7
t439•
Eon" 367 Main Street, Hyannis MA 02601
Office: 308-790 6263 Thomas A.McKean R8;CHO
FAX: 309-790-6304 I)iredor of Public Health
TO: /10, JUG ATE.
n, T
D
)oS P16CA
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL
CODE, TITLE.5.
The septic system owned by you located'at",-3?-9 )',J S,PL I&A �-
was inspected offv,tcq, by a Massachusetts licensed
septic inspector.
The inspection of your septic system showed that your system has failed under the
guidelines of 1995 TITLE 5 (310 CMR 15.00) a to the following:
Ile
fh Jn
—Cl _�o z• c�ref(o�d� cY
As
You are directe to'hire a licensed professional engineer (PE) to design a system that will
bring the septic system in compliance with 310 CMR 15.00, The State Environmental
o e, i ' hin t ) days of your receipt of this letter.
'�"�� You are also directed to hire a licensed septic system installer to install the system
components within r days of your receipt of this order.
'd.o u 9
You are further directed to maintain the system by hiring a licensed septage hauler to
pump the septic system to prevent discharge of sewage or effluent into the buildings, onto
the surface of the ground, or in to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to
any court of competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health -
lip
v S0 Complete ENDE Rems 1 andtor 2 for additional services. lt4
122 7 �'� I also wish to receive the
q ■Complete items 3,4a,and 4b. following services(for an
■Print your name and address on the reverse of this form so that a W return this extra fee):
card to you.
d ■pAttach
rarn t this form to the front of the mailplece,or on the bads if space does not 1. ❑ Addressee's Address
of ■Wnte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery fA
$ ■The Return Receipt will show to whom the article was delivered and the date ..
C delivered. Consult postmaster for fee. a
z 3.Article Addressed to: 4a.Article Number
z 203 SoD ZP
E KWi"(//Qi1�?i �� 4b.Service Type «2
0
uQ/ ❑ Registered certified 0
W 'v ❑ Express Mail ❑ Id S
o� /lam Insured
c / �� /�i 4 ❑ Return Receipt for Merchandise COD
7.Date of Delivery
z
5.Received By:(Print Name) 8.Addressee's Add a (On! tf requested
and fee is paid) _
6.Sign to : (Addressev orA a t) ~
X d,
PS FoK 3811, De mber 1994 102595-97-e-0179 Domestic Return Receipt
UNITED STATES POSTAL SERVI 0 7Q"C
�, d"s a'gr&-Fees_Paid
NA
+ . P&rmiTida-EwiA-
Print your' rrtd¢rss, an8'z1Pin this b `
_...j...
public Health Div. -Won
TOM of Bamstable
P0. Box 534
HYannis, Massachusetts 02601
Z 203 500 287 �
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail See reverse
Sent to 1' 9
Street&Number
P ce, ate, ZIP Code
Postage $
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
LO
rn Retum Receipt Showing to
Whom&Date Delivered
Q Return Receipt Showing to Whom,
Q Date,&Addressee's Address
0 TOTAL Postage&Fees $ 77,
co) Postmark or Date
0
tL
Stick postage stamps to article to cover First-Class postage,certified mail fr and
I charges for any selected optional services(See front).
1. If you want this receipt postmarked,stick the gummed stub to the right of the return
address leaving the receipt attached, and present the article at a post office service
window or hand it to your rural carrier(no extra charge). In
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m
cc
return address of the article,date,detach,and retain the receipt,and mail the article.
LO
3. If you want a return receipt,write the certified mail number and your name and address rn
on a return receipt card,Form 3811,and attach it to the front of the article by means of the
gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a
RETURN RECEIPT REQUESTED adjacent to the number. Q
4. If you want delivery restricted to the addressee, or to an authorized agent of the O
O
addressee,endorse RESTRICTED DELIVERY on the front of the article. M
5. Enter fees for the services requested in the appropriate spaces on the front of this E
receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti
6. Save this receipt and present it if you make an inquiry. t o2595-97-B-ot 45 a
MMSWABL = Town of Barnstable
M
059. a�
Bo Department of Health,Safety,and Environmental Services
Public Health Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6265 Thomas A.McKean,RS,CHO
FAX: 508-790-6304 Director of Public Health
William Durken,Jr. July 9,1998
329 Wood Side Road
West Barnstable,MA
ORDER TO COMPLY WITH 310 CMR 15.00,THE STATE ENVIRONMENTAL CODE,
TITLE 5.
The septic system owned by you located at 329 Woodside Road,West Barnstable was inspected on July
16, 1998 by John Aalto, a Massachusetts licensed septic inspector.
The inspection of your septic system showed that your system has failed under the State Environmental
Code TITLE V(310 CMR 15.00)due to the following:
• Backup of sewage into facility or system component due to an overloaded or clogged SAS or
cesspool.
• Discharge or ponding of effluent to the surface of the ground or surface waters due to an
overloaded or clogged SAS or cesspool.
You are directed to hire a licensed professional engineer(PE)to design a system that will bring the septic
system in compliance with 310 CMR 15.00,The State Environmental Code,Title 5 within seven(7)days
of your receipt of this letter.
You are also directed to hire a licensed septic system installer to install the system components within
fourteen(14)days of your receipt of this order.
You are further directed to maintain the system by hiring a licensed septage hauler to pump the septic
system to prevent discharge of sewage or effluent into the buildings,onto the surface of the ground,or in
to surface waters.
Ilk
I
r
Any person aggrieved by any order issued by the local approval authority may appeal to any court of
competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
Thomas A.McKean,R.S.,C.H.O.
Agent of the Board of Health
cc:T. Gailer
J. Aalto
TOWN OF BARNSTABLE
LOCATION. 39 Ip.jC�va S1 �c, SEWAGE# / o' To
I , � 04-
VILLAGE 1 Y'SACtl5��c a ASSESSOR'S MAP&LOT S'a: a�
INSTALLER'S31-
NAME&PHONE NO. CJ'"l� M40 A21-CI 5
SEPTIC TANK CAPACITY G-A
LEACHING FACILITY: (type) (size) I X 3C�
NO.Of BEDROOMS 3
BUF,DER OR OWNER f'(�;'. M i A fh
PERMITDATE: ' 1 �f COMPLIANCE DATE: X
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility --Feet
Private Water Supply Well and Leaching Facility,(If any wells exist -
PP Y g � �Y.
on site or within 200 feet of leaching facility)';,
Edge of Wetland and Leaching Facility(If any wetlands exist'=:
within 300 feet of leaching facility) Feetr,g
Furnished by
1
F
1
Y : ;,
ASSESSORS MAP Nk./."w.k ---
�' � PARCEL IIIO• - FEE��l�
t No. r'
THE
60MMONWEALTH OF MASSACHUSETTS 1
,MASSACHUSE S v�
�ppliration for Ptoposal 4gstent (gonetrurtturt 1hrutit
Application is hereby made for a Permit to Construct( ) or Repair(Kan On-site Sewage Disposal System at:
Location Address or Lot No. Owner's Name,Address and Tel.NoCL
tr ,4
Installer's Name,Address,and Tel.No. Designer's Name;Address and Tel.14o.
.A o" AA(,'T"p STEPHEN J. DOYLE & ASSOC.
42 Canterbury Lane
Type of Building: Telephone: 5 0 8/54 0-2 5 3 4
Dwelling No. of Bedrooms Garbage Grinder(/1/0
Other Type of Building No. per Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow .540 gallons.
Plan Date �1a1,� Numbe of sheets Revisi n ate
Title �t-�`�t� �i �1�d\ - f ►(1 . + '�Qtl1✓ \l \fin
Description of Soil - �" _
Nature of Repairs or Alterations(Answer when applicable) ' S 7,-en.i
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site sewage disposal
system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a
Certificate of Compliance has n is ed by this Board of He
Signed Date AV, y �
Application Approved by Date
Application Disapproved for the following reasons
Date Issued
i
1 ,
No. — FEE
THE COMMONWEALTH OF MASSACHUSETTS
�i�L�► t-r , MASSACHUSETTS
�yyltirafivn for is u ttX item C onotrncttun jhrmlit
Application is hereby made for a Permit to Construct( ) or Repair(Kan On-site Sewage Disposal System at:
Location Address or L°°jj No. Owner's Name,Address and Tel.NoCt
Installer's Name,Address,and Tel.No. Designer's Name;Address and Tel.No.
44 AAL7V STEPHEN J. DOYLE & ASSOC.
42 Canterbury Lane
Type of Building: Telephone: 5 0 8/54 0-2 5 3 4
Dwelling No. of Bedrooms Garbage Grinder( )
Other Type of Building No. per Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow -3.30 gallons per day. Calculated daily flow -3-4 0 gallons.
Plan Date ,,_tA%-ki -V t 1 (4b_ Numbe of sheets t Revisi n ate
Title Z>t
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned.agrees to ensure the construction and maintenance of the aforedescribed on-site sewage disposal
system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a
Certificate of Compliance has been issued by this Board of Health.
Signed ZI Date
Application Approved b Date _
Application Disapproved for the following reasons
Permit No. /,eO " Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
MASSACHUSETTS
Certificate if (9umplittn,re
THIS IS TO CERTIFY, that the On-site Sewage Disposal System installed( )or repaired/replaced( ) on
for
at s been nst�tcted in
accordance with the provisions of Title 5 and the for Disposal System Construction Permit No dated
Use of this system is conditioned on compliance with the provtsions set forth below:
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. This
Certificate expires on
DATE Inspector
THE COMMONWEALTH OF MASSACHUSETTS
No. 9 MASSACHUSETTS FEE
is usttl iVotem Gustrurtiun 11ermit
Permission is hereby granted to CJ/.5
to construct( )or,rep )an On-site ag
_�egtem located at
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her
duty to comply with Title 5 and the following local provisions or sFecial conditions.
All construction must be completed within three years of the date below. %`
DATE Approved
—�
FORM 1255 Rev.3/95 A.M.SULKIN CO.-BOSTON,MA
Town of Barnstable P#
Department of Health,Safety,and Environmental Services
eve Public Health Division Pa
367 Main Street,Hyannis MA 02601 " (�
� a
BAMSTABIE.
MABS
°rfo,P. Date Scheduled '� 28— 8 Time '2':ot7 Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By: / Witnessed By:
LOCAON & GENERAL IIVFORMAT
TI ON �
Location Address �Z� ���stir ��� Owner's Name ��v-4_ 0
�0�C�-\—ax A�' Ts z- Address j?C�,
A.
Assessor's Map/Parcel: (�Z
Z Engineer's Name p Lr- Sbt:(,IN.``LS
NEW CONSTRUCTION REPAIR �t Telephone# -d
Land Use (%) `1C`� Surface Stones G Z yt
Distances from: Open Water Body Nc &ft Possible Wet Area \� _ft Drinking Water Well Aa.&�Tft
kl�o 6ec-k4
Drainage Way_12p w1wiA�ft Property Line vY.j ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
7Y I ��
O Izg 0 ?
J� U
Parent material(geologic) Q_ Depth to Bedrock�P
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face 1
Estimated Seasonal High Groundwater I L 4P
D TERM[INATION FOR;SI(AS. IIIGH'WATEI2'I'A I
Method Used: Ap
Depth Observed standing inobs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# •Reading Date: Index Well level._.__ Adj.factor Adj.Groundwater Level
I'ERC®LATION`I ES'T nAte Ttme.
Observation
Hole# � Time at 9" :SJ 3•.3
Depth of Pere ��� 'A�!( Time at 6" 3 to Z 3: 4S�
Start Pre-soak Time Q z'aA Time(9"-6") rf_Ml� -
End Pre-soak �� ��s�o
Rate Min./inch
Site Suitability Assessment: Site Passed_ Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back—�
Copy: Applicant
r
DEEP OBSERVATION HOLE LOG
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,° Gravel)
MAIku
�9
L s 2 V-�OW5- z L
DEEP OBSERVATION HOLE LOG <Hole'#
Depth from Soil Horizon Soil Texture Soil Color Soil Othe
Surface(in.) (USDA) (Munsell) Mottling (Str Stones,Boulderes.
itnGravel)
a
� a Z�
DEEP OBSERVATION HOLE LOG Hole# .
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel)
DEEP OBSERVATION HOLE LO;G Hole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,°
Flood Insurance Rate Map: /
Above 500 year flood boundary No_ Yes V
Within 500 year boundary No_ Yes
Within 100 year flood boundary No_ Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervio s material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on 3 G 5 (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was erformed b me consistent y p y s stent with
the required training,expertise and experience described in 310 CMR 15.017.
Signature � _ Date I—Z$--Q'6
- 1
�.. '9 w
No.=r---- -f----- - Fee-- --`�----- --------
BOARD OF HEALTH
TOWN OF BARNSTABLE
application-for Vrll Con!5truct ion Permit
Application is hereby made for a permit to Construct ( ), Alter (��or, Repair ( V)an individual Well at:
Dr. sTA/Q -------------------- --
- - ---------------------------------
Location — Address Assessors Map and .arcel
I g � /
1--------0u KcN -------------------------------- ---t---- sE:+_-----Ar:-----'�"`
------- -------- -
n cc ` O/wner/� Address
----
Installer — Driller f Address
Type of Building
Dwelling---✓---------------------------------------------------------
Other - Type of Building---------------------------------- No. of Persons---------------------------------------------7------------
Typeof Well—�� - -�cr. e//---------------- - Capacity--------------------------------------------------------------------
Purpose of Well--ao_iv_ttCsT"ic_-------------------------,
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town'of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate of Compliance has been issued by the Board of Health. `
�dm - Ga7rr S`—� ---------
Signed �--------------------------------------------------
/17 date
l�
Application Approved B --------------------- -------- -----a e - -
--
Application Disapproved for the following reasons:------—--------
----------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------
date
-- - 3�
Permit No._-�.�- -'---- ------------------- Issued - --- - -- ----f-----------------------
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( )
-----------------------------------------------------------------
Installer
at-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. ------------------------Dated--------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--------------------------------------------------------------------------- Inspector-------------------------------------------------------------------------------
Fee—
BOARD OF HEALTH
TOWN OF BARNSTABLE -
a
ZippricationiforlVell Con5tfuction3permit ,
Application is hereby made for a pe/�rmit to onstruct ( ), Alter (' or Repair ( Y)an ' dividual Well at:
I 30V .1,)ooc�S/j� Dr, W !Ja/NsT �P 1 5 2- -
—J ---------- --------- ------ - -- - - -= - -- -----
Location — Address Assessors Map and Parcel
- n
- ------------------- -----
Owner ' Address
e'. �JGa• �U—i�'1ljj :'(� fLl�� Gd[ �--
Installer — Driller 7— 1 Address
Type of Building ✓
Dwelling —--------------------
_
____---------------------
--------
Other - Type of Building--------------------------_-------- No. of Persons----------- ------ -----
Type of Well— a --3 c7 W e/I —----— Capacity------------- -_------ - —- -
Jo/AeSjJc
Purpose of Well -------------------------------------------- - —
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed &,,,-, --___-------- --------- ------� /��_"'___
date �"•
Application Approved B �� �
Application Disapproved for the following reasons:-
date _
lea
Permit No.--r"�--- _i �_----- Issued----- — �- ---
r date — --
• r
BOARD OF HEALTH
TOWN OF BARNSTABLE
Ceftifrate Of Compliance
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( )
Installer
at--------------------------------------------------------------- =——___--- ---— -- ---- -- —has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. ---- Dated-- --
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
Ins _—_--_---- ——DATE---------------------------------------------------------------------------------
BOARD OF HEALTH
TPW'N OF BARNSTABLE
Vell Con!5tructiouP fmit
�- 9-�-- _
No. 9-- Fee-
Permission is hereby granted----�✓__- --�C�G-��,!'v�' C —---- ----——-------
to Construct ( ), A,��telr ( ), or Repa' (�n Individual V
Yell at:
No. __''3� r� v�'__�l_'`� -- - � - � _/l�l -7--�'—!4—_---- ----------------
Street
as shown on the application, for a Well Construction Permit
NO. - - - ---- --- Dated--
Health
Board-of Health
DATE ------- ---- -- —- —_ �'-' -
T
�f
0
C,) ell
aC- b` b0
r
C�
�Yo
4
s
2
o .j x o� 4�00�
Le4c�
�i�' DLA,-
�o
r�'
PLOT PLAN
Indicate location of garage or accessory building
Additions with dashed lines - ----------
Sewerage disposal (cesspool) --
Well
I
I (Lot....................ft. rear) I o
Abuttcr's Abuttor's
dame ( Dame
' Lot M
Lot M Rear Yard
.......tt.
I
If this is a If this is a
.caner lot, v
corner lot,
write is
_ writc in
w "name of name of
_
Dther street. HOUSE Sideyard other strcct.
Sideyard
• _— rt. f t I
• r
O I
Set Back
.................ft. t
i � l
I
(Lot....................ft- Montage)
0
\ ----------------------------------------------r -E---------------
\ / ("Jame of street)
(\ In o:rr,ation
/ I SU:17111'd `.
!�1arl. Nc h Point
Fee-
BOARD OF OF HEALTH
TOWN OF BARNSTABLE
2(ppYication- orWefr Con5tructionVertmt
Application is hereby ma a for a permit to Construct ( ), Alter ( ), or Repair (,Tan individual Well at:
^-'---- -------------------------------------------—-------------------------
Location — Address Assessors Map and Parcel
----- 3�g sJ -------�=_�_�__�,�__
- ------------------------------------------ ----- -------------- ---------------------
Owner Address
--------------------------------------------------- --------------
Installer — Driller Address
Type of Building
Dwelling--------------------------------------------------------------
Other - Type of Building--------------______ No. of Persons---------------------------------------------
Type of Well 'Po G -- ---- -------------------------- Capacity----------------------- -------------
Purpose of Well_ a^"cS T/C ��J`��---------------------
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation until a Certificate, of Compliance has been issued by the Board of Health.
Xje
Aj
Signed- _
f date
Application Approved -- —_—__—_____
date—-------
Application Disapproved for the following reasons:---------------------------------------------------------------------
---------------- --- -- ----— - -- --------------------- ----------- - ___ --- —-
�— date
JIssued-------� -- - mac-- - -- - -= - --Permit No.-__------------____--- ----___- --
date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of COMPliance
THIS IIS TO ERTIFY, That the Inndivvildugl Well Constructed ( ), Altered ( )-or Repaired
by----0 �tf'�✓•`y�/_W P/t f/_�L�j-—- -—- -- - - — —--
Installer
at-3—,)-7— -- - -- -- - 2�n= -- --- -- - -- -- -- ------------
has — ---
been installed in accordance with the provisions of the Town of Barnstable ofHealth Private Well Protection
Regulation as described in the application for Well Construction Permit N64�_'` '- -'- bated, -L
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE--------------------------------------------------------------------------------- Inspector---------------------------- - --- — ---- --
BOARD OFF HEALTH '
TOWN OF BARNSTABLE -,
Zipplicat ion-for lVell Con5truct ion Permit
Application is hereby/ mad/e for a permit to Construct ( ), Alter ( ), or Repair ( ')an individual Well at:
N )t_<.(, — A-1— / �_ /" /,) ------------
--- ----------------------------------------------------------------------------
Location — Address Assessors Map and Parcel
---------------------------------------- —5,�1__LacIS'i J p �� =— f.)__ O/ — —
Owner Address
-------------------- - - `
Installer — Driller Address d 11,�'
Type of Building
Dwelling-- -------------------------------------------------------
Other - Type of Building ---------- No. of
' F
Persons------------------------------
Typeof Well— A ------------------------------------------ Capacity----------------------------------------------------------------------------------------------
Purpose of Well----- /A 1-j"I= ---------------------
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed --J JA.t _ �.=. �_ ---- — -—- /J 7 ff
-- ---- — -
date
�
Application Approved y'-_ _. —— ---------- ---- -- — --- ---
f date
Application Disapproved for the following reasons:--------------------------------------- --------------------------
------------------------------------------------------- ------------------------------------------------------------ ----f------------------------------------------------------------------
�, date
Permit No. - ----- - - ! ------------------- Issued- - -— �----------—--
date
" BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance.
THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired
by------- L�,��,� _ __U�P// /J�,_//__ -----------------------------------------------------—-----------
--------------------
yy q Installer
3V 1 ��� J$r� �J /r c( / ) • Giv.)
at '
has been installed in accordance with the provisions of the Town of Barnstable Board off Heap Private Well Protection
Regulation as described in the application for Well Construction Permit No. ---��----- -----? Datec)------- -------`?�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEKWILL FUNCTION SATISFACTORY.
DATE-------------------------------------------------------------------------------------- Inspector— - ----- - -- ---------------------------
— - -
9
BOARD OF HEALTH
TOWN OF BARNSTABLE
lVell Cootruct ion Permit _
No. ---------------------- Fee-------------------
Permission is hereby granted-----'-----------------------------------------------------------------------------------------------------------------------------
to Construct ( ), Alter ( ), or Repair ( )-an Individual Well at:
No, 3 Jc✓_= �-�cf S r r✓— r�1 G..> OG,
--------------=-- ------------------------------=------------------------
- ----------------------------------------------------------------------------------------------------
Street
as shown on the application for a Well Construction Permit --
0,��.E- r ---------- Dated--------- - - - -- - - - — — -
Board of Health
DATE - —7- / - -!-=��- --------------------—
. .��o" C1w e�.1z oV>�TZ,
-- t 1 ! , GENERAL CONSTRUCTION NOTES
-t�x�s'C; 5�.v1�Yt. t-�c•°� � 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5
AND THE TOWN OF RULES AND REGULATIONS FOR
r
THE SUBSURFACE DISPOSAL OF SEWAGE. -
WATFR TiG1iTr COVERv '
FLOW LINE r 2. AT LEAST ONE ACCESS PORT OVER TANK TEES SHALL BE ACCESSIBLE
V_T1
wN. ifl• INV. EL. , x.-- WHITHIN SIX INCH F ES 0 FINISH GRADE WITH ANY REMAINING ACCESS
PORTS BROUGHT TO WITHIN TWELVE INCHES OF FINISH GRADE.
' � �' d�� Pt=_'2Fa�ATE•D "(�1LoLic�lr�oL1' 2. MIN. - 1/8" TO 1/2' WASHED STONE .
-10' MIN. -- -- 4' LIQUID DUTH
3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF
Mir,. e• WITHSTANDING H-1
{, 0 LOADING UNLESS THEY ARE UNDER OR WITHIN 10
INV. EL qp . � 6 � I .
_`� SUMP I LTRATOR CO)° OF DRIVES OR PARKING. —
_ �a4 2 � I G. H 20 LOADING SHALL BE USED UNDER OR WITHIN
r --- O y
_ C' EFF. DEPTH 10 OF DRIVES OR PARKING UNLESS NOTED.
3/a' - 1 t/2' WASHED STONE
4. THE EXCAVATOR -CONTRACTOR SHALL VERIFY THE LOCATION INV. Et_. _8q� �o' � � Etr,4»'C.� � L ON OF ALL
INV. EL. 89 7 --` SITE UTILITIES PRIOR TO ANY EXCAVATION.
-`AP �x�sf. sral4mit- 1500 GALLON PRECAST REINFORCED CONCRETE SEPTIC TAroK
- 5. SEWER PIPES SHALL BE 4" SCHEDULE 40 PVC LAID AT 0.02 SLOPE.
_4.LONG x -_ 1NDE x _ EFF. CEP �• �
oyT���� �at,�H�-rXp1,,i .A.S. � 3 10 Z �
WITH ( HiGH CAPACITY INFILTRATOR CHAMBERS �UIo1.',S . %tIL /
PRECAST REINFORCED NCR T ECASCONCRETE
E ,
MINIMUM CONSTRUCTION MATERIALS PER 310CMR 15.22s(2) r 6. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL HE
DISTRIBUTION BOX
TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND ; MORTARED IN PLACE.
SHALL EXTEND A MINIMUM OF 6" ABOVE THE FLOW LINE ,
OF THE SEPTIC TANK AND BE ON THE CENTERLINE OF THE
INSTALL ON A LEVEL BASE �L•BZ.�-\�i7 A ct 7.-FINISH GRADE SHALL HAVE A MINIMUM SLOPE OF 0.02 FEET PER FOOT.
SEPTIC TANK LOCATED DIRECTLY UNDER THE CLEAN-OUT MINIMUM WALL THICKNESS 2" /
MANHOLE.
MINIMUM INSIDE DIMENSION = 12"
THE INLET PIPE ELEVATION SHALL BE NO LESS THAN 2' NOR INV. EL.
EL. 89, SZ
MORE THAN 3" ABOVE THE INVERT ELEVATION OF THE OUTLET INVERTS SHALL 13E EQUAL TO EACH �,�'�
OUTLET PIPE. OTHER AND AT 2" MINIMUM BELOW INLET INVERT.
/ 8
SEPTIC TANK SHALL BE INSTALLED LEVEL AND TRUE TO GRADE
I THE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX , \ , exlsting T 0 T
SHALL ALL HAVE EQUAL INVERTS AS DETERMINED BY FLOODING
,' ` storm drains ` '
ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY \ �
COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE THE DISTRIBUTION BOX TO THE HEIGHT OF THE DISTRIBUTION ,' ��
HAS BEEN PLACED TO ENSURE STABILITY AND TO PREVENT LINE INVERT AFTER ALL LINES HAVE BEEN SEALED IN PLACE. ,'' R�s6 \ ``
SETTIJNG. INVERT ADJUSTMENTS SHALL BE MADE BY FILLING WITH DURABLE 6
AND NON
MATERIAL PERMANENTLY FASTEN[) TO THE
SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9'. 1
LINE OR RECONSTRUCTING THE LINES UNTIL ALL INVERTS ARE OF �2p g�.a ,� O exlsting well
EQUAL ELEVATION. '�,' ,' .! ' �`9' 9 `�
THREE 20" MANHOLES WITH READILY REMOVABLE IMPERMEABLE
COVERS OF DURABLE MATERIAL SHALL BE PROVIDED WITH ACCESS '� +
PORTS BEING PLACED AT THE CENTER AND OVER THE INLET AND
OUTLET TEES.
THE OUTLET TEE SHALL BE EQUIPPED WITH GAS BAFFLE. l +�
+
r t
DEIGN DATA:
STRUCTUREX,
TYPE NO. BEDROOMS GARBAGE DISPOSAL
DESIGN FLOW i
3 35,251 sq.ft. 1 \ a� 1� j
+
mac. e�
SEPTIC TANK -3�p oo = LSO dal' �1—fin
_ -t-- -- existing well --" o \ ; • M
---c ���-`� �� �,o,�� -- _ o GRAPHIC SCALE
LEACHING FAClUTY _
20 0 10 .20 40 so
�a x�.�._����1-. ,tea . . , , , . • . ,,, ; ;- g -��______ _ � �
IN FEET )
1 inch = 20 ft
`00 denotes existing light poles00
existing veh. tracks over Dawn `� "—existing ', Plan View \
3 bedroom '
concrete dwelling � ; CID
�
(00. x patio I ' I 99 37 CV
S3
L0 \
l �
B. '
,
Z i
proposed 1500 gallon H-20 load tank R. of op ,
existin 1000 gallon tank (dotted) N F �e N ; TjOT
2
pump and remove) '
5 / °s
proposed dist/box � � Uz `�4s � �
' �k, 10 + ,
9 � existing leach pit (dotted) Q _
50��0�• \ �� (pump and remove) ''•.. w..
•
F existing shed to be relocated
\_ Proposed S.A.S.`inflltrotor Trench
exlsting well
O rr 2
X '
i
E \
\ rooYZ 90.00
/OZ 9c dst ng well
Note: Remove wind replace unsuitable material ("B" Horizon)
from el.•8'9-,5 to e. B- a minimum of fivefeet laterally in i BENCH MARK: TOP EXISTING STING S1K. �` s' o�WiA OF,y�s
Y � � S �.
0 all directions beyond the S.A.S. outer perimeter. Replacement qD ,
15 material shall be comprised of dean granular sand, free from ; ? WILLIAM �� � STEPHEN
DATUM: NGVD o o,
organic matter and deleterious substances. i IIEBERMAN J.
90.3 �, rJ911 o DOYLE y
9e. �. ,oN�0. 37559
49�ffsSl' 41 EQ
t �q0 qNO SU
SOIL LOGS
SOIL EVALUATOR: STEPHEN DOYLE T 0 "T 2
DATE: JULY 28, 1998
SEPTIC - SYSTEM REPAIR PLAN
existing well EXCAVATOR: AALTO CONSTRUCTION I,
ZONING DISTRICT: RIF
PERC RATE: 3 MIN/INCH of Lot 24 Woodside Road — House #329 — Located in the Village of
REFERENCE MAP: OVERLAY DISTRICT: GP
Nate: WEST B AR N S T AB LE
CAPE COD Upon completion of S.A.S. excavation, prior to system installation MASS .
WATER TABLE CONTOURS contact Town of Barnstable Health Department for verification that ASSESSORS MAP 152/29 G].1.J
AND soils are consistent with data as outlined below.
PREPARED FOR i
PUBLIC WATER SUPPLY FEMA DATA: ZONE "C" PANEL 250G1 0015 C
'��,9 o�i >`C..�Z.1 op MAP REV. 8/19/85
WELLHEAD PROTECTION AREAS st_ AF- Io.iR 33z.-� AE ioyR t�i, SL. � R . V 1Y � ��� A� � 'LJ R � u � � �1
s�PTo�eex i"5 DEED REFERENCE: 4240 142
f �8 5 PLAN REFERENCE: 239�37
WATER RESOURCES OfFlCF 4flN �•S 'F� 10yR S Qg,, „i " '$ 10VR S
DATE: J • M = '
"K coo ca MI-13 r, ULY 29, 1998 SCALE. 1 20
FAN � N
. '11n•;'t'r:+t F..L.. C�..Q i �- z.Sy L�� C z.yY L�4. MUNICIPAL WATER NOT AVAILABLE
oN „ sr'0
-Prepared by:
existin well
9 Stephen J. Doyle and Associates
�L, 42 Canterbury Lane, East Falmouth, MA 02536
V 0 At
Telephone: 508/540-2534