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HomeMy WebLinkAbout2604 MAIN ST./RTE 6A(BARN.) - Health 2604 MAIN STREET;BARNSTABUK A=258-004 1. Q Sir 4 it �y. r , , • c Q, .,r ., � •,. ilk. .: ,' .. f J ` . r . , , , a' ' r k Commonwealth of Massachusetts ale-doh Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 2604 Main Street Property Address Eileen Farrell Owner Owner's Name s�Ce information is West Barnstable MA 02630 9/4/2018 required for every page. Cityrrown 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 SI-ir t 3aq 0 on the computer, use only the tab Nicholas Geneseo key to move your Name of Inspector cursor-do not Wind River Environmental use the return Company Name key. 46 Lizotte Drive r� Company Address Marlborough MA 01752 Cityrrown State Zip Code (973)830-6126 SI 13988 Telephone Number License Number B. Ce., t 11c_ation 1 certifythat: t am a 13EP approved°,system:inspector in full cornpliance with Section 15.340 of Title:5 (310 CM.R IS,000j, I have personally inspected the�s.ewage disposal system at the property address listed above;.fhe rnformationreported below is true accurate and complete as of`the time.of my 'inspection, and'#he�inspection was performed`based on my training and experience in the proper function. and mante .nce of on site sewage-disposal°systerns.Afterconduchngthis rnspectioi 1 have.determned that the s tern: 1. Passes 2 [] Conditionallymasses 3 0 Needs:Further Evaiclahorl by-the'k oiaal Approving Authority 4. ,0. Fails Lf Ins __. pector's Si nafpre. Date. The:sys#erri.irtspector shallsubmt acopy of tfiis inspection report to°tfeApproving Authority(board of Health or DEP)'withm:;30.days of compieting.this inspection,.lf the system.hes:A design flow of 10;000 gpd or greater,#lie inspector and'tfie sys#ern w6e'r shall submit the report to the Appropriate regional office of#lie DEl?.The original form stiff uld be sen#to.the system o#rvner artd cppies sent to` the`;buyer if applicable,.ard the approving authority, Pleiise,00W Thrs repair only describes -ond1,ions at the time ctf inspection;and under the, eondrtionsof use'atthat'trme:This inspection doe"s n�ot'address flow the system vitiil perform in the future U1%n rthe samebr drf#erent contlitions-of use;, tsinsp:pc*rev 7/2b12Qt8 T€tle S:Offiaei:_fi9spBgron Pam:Substsiace.. D' sel S .am .P Commonwealth of Massachusetts Title 5 Official Inspection Form r' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .� 2604 Main Street Property Address Eileen Farrell Owner Owner's Name information is West Barnstable MA 02630 9/4/2018 .required for every page. Cityfrown 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: The system is working properly at this timer Pumped down the tanks as part of the inspection. 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(Explain below): l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2604 Main Street v Property Address Eileen Farrell - Owner Owner's Name information is West Barnstable MA 02630 9/4/2018 required for every ' page: Citylrown State Zip Code , Date of Inspection C. Inspection Summary'(cont.) 2) System Conditionally Passes (cunt:): ❑ 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(§)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 j "` w ❑ Y ❑ N ❑ ND(Explain below):' ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ Tlie system required pumping more than 4 times a yeaCdue 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 ❑ar ❑ 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' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2604 Main Street A u- Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 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 ❑ ® Backup of sewage into facility or system component due to 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 c Commonwealth of Massachusetts r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments e / 2604 Main Street Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 page. Cityrrown 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 - ❑ ® 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: ❑ ® Any portion of.the SAS, cesspool or privy is below high ground water elevation. ❑ Z Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. El ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply 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,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.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000-gpd- 10,000 gpd. ❑ ® 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 15insp.doc•rev.1/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 cam, Commonwealth of Massachusetts Title 5 Official Inspection Form r' I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 2604 Main Street Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 page. Cityrrown 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 ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of . this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition 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: ® ❑ 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 distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7/26/2018. Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of"18 Commonwealth of Massachusetts Title 5 Official Inspection Form. r Subsurface Sewage Disposal System Form - Not for Voluntary Assessments / 2604 Main Street Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 GPD Description: } Number of current residents: 0 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 ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage- d 23 GPD 9 ( Y (gP ))� - Detail: .Usage: 17,000 gallons/"730 days =23 GPD. See attached report. Sump pump? ❑ Yes ® No Last date of occupancy: January 2018 Date t5insp.doc•rev.7/28/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Printed on.8123/201812:04.32 PIN: Customer.;Flle Inquiry Page No:1` Account Number 454 Acoount Status, B tooation 2604 MAIN ST wEST Type R01. O*no.r FARRELL EILEEN Section 1 Streets, 271AKEVILLE RD. Ct.y JAMAICA PIAtN State.Mq Zp 02134-2010i Witer $00 Late Ghrg $:00` Past 666 $.001'" Totars g;00; Qatc' Aatioq Usage: Amt Pali Amount Balarfoa ; 8/,1512016 PAYMENT 4100 '0.00 00 1014120.16 BILLED 8 ;00 81;$i5' 611 , 11l1412018 PAYMENT 51:80 000 00 , 14/2017 `BILLED 00; 4100 43 00 211t3/20 7 PAYMENT'' 43.00 t.00 :60' 4/612077_ s` BILLED;. 5 00: 5875: 5815''. 5/16/2017 PAYMENT 58.75' 0>00 OU: .7/6/2017 BILLED' 00 44.QOs, 4400 8l14/2017 PAYMENT" 44011 6♦00' 10/5/2017, BILLED 2' :00 . 50 70 5016 11/13/2017 PAYMEW 50:70` 0 00 00 119/201'$' SILLEt) 00` 44:00' 44 00 1/3112018' PAYMENT 44`04' 000 00: 4/412D18 BILLED: 4" 00 57;40' S7;40 6117/201ffi: ;PAYMENT 20180517843542:1 57:4U O:QO 00.. 7/2/2018; ::BILLED' 00 4500; 4500 Zi25/20:18` <,PAYMENT` 45.00 .00' 661 Aw c Commonwealth of Massachusetts �r Title 5 Official Inspection form I; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments >t . 2604 Main Street u Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: 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 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:' Wind River Environmental -See attached record. Was system pumped as part of the inspection? ® Yes ❑ No If yes,volume pumped: 1,500 gallons How was quantity pumped determined? The quantity was measured by the pump truck. Reason for pumping: To check the structural integrity of the septic tank. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 f Work Order# 0217067223 Cust# 1509358 Customer Since: 2 013 Tax: 6 . 2 5 0 0 Job Comments Tech Comments 09/4/2018 Title 5 Inspection (No closing date) (WRE has Cover(s) secured. Fri 31st August llam 2018-350-4895. pump Records) Customer will be on site with all required 6/26/2013 Heavy solids; heavy sludge; normal levels; paperwork CC on file -RC recommend 2 bio-boost combo and annual pumping. (SG7) jmp 08/22/2018 Rescheduled per customer ct please try for afternoon ct RESCHEDULED per dispatch CALL EN ROUTE 617 755 8501 SVC 1000 gals. cover in side yard. lite digging. home or gone. cc on file (ML) rescheduled per customer - would like to be home - will call back with better time (ec)07/20/2017 rescheduled per cust had a scheduling issue (bc) 07/12/2017 *CALL ENROUTE**Service 1000 Gals;-OUST HAS DIAGRAM; COVER SIDE YARD 30 FT 10 IN FROM TREE; LITE DIGGING; No Alt#; HOME; CHECK; EMAIL REC W/O-Leonard (Carol) 6/26/2013 WED PM. service system gallons unknown. digging Ci8p varri. minY.Prl fPPC. hnmo/chock. nn all.. (ma) System Owner System Location Eileen Farrell Primary Home 2604 Main Street 2604 Main Street Barnstable, MA 02630 West Barnstable, MA 02668 (617) 755-8501 Farrell (617) 755-8501 Service Date: TUB 09/04/2018 as:oo AM Frequency: Call to Confirm: Contact 1 hours ahead Eileen (617)755-8501 / Service Type: Standard Previous Service: 08/28/2018 Approx. Gals: 1500 CCLS: Location Details: Depth Below Grade: Custom Clean .. y Cust Home: No Filter Township: ,lnS ion/,YT5":` County Barnstable l3ul[ld1 Up k Inspection Title 5 (not lncluciln um xn } 1 0 $ 365 0000 P Q 5 �$ 365 Oo u Inspection (Labor/Exp9Bure fees}per hr 1 $ 1849990 $ l85 0 � 3lMI $ 33 �2+00 85Pumping 1001 1500 Fuel / Energy Recover• • "'y' 1k0A•_F$.. 73,,8,69, ^ . y73..87 - Inspection Title 5 BOH Fees 1.00 $ 25 0000 $ 25.00 R, - ;. total $ - 9s7.3g We suggest these 3 keys steps to keep your system healthy: Taxx $ 0.00 • Regular servicing • Use CCLS bacteria additive Total $ 987.39 . Use a filter ' Disposal Site: Disposal Volume: Payment Detail: Waste Code : 0.0000 Amex xxxxxxxxxx1001 04/2020 Sales Rep : CSR : Ryan Council Due on Receipt Truck :sloo Technician Nicholas Geneseo On Site : 10:17 AM P 0 Number: Tech Notes System Operating Fine. Normal water level. Light top solids. Light bottom sludge. Both baffles are intact. Main line Clear. No filter is present on the tank; current tank can be outfitted with a filter. Recommended Installing a filter,Installing a riser. Cover(s) secured. Title 5 is a pass. Tank is at operating level with tees intact and is water tight. Box is 18" bg and is level - and water tight. SAS is showing no signs of hydraulic failure at this time. Recommend pumping yearly. NG. Customer Signature ENVIRONMENTAL Remit payment to 46 Lizotte Dr Suite 1000,Marlborough,MA 01752 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 2604 Main Street Property Address Eileen Farrell Owner Owner's Name information is West Barnstable MA 02630 9/4/2018 required for every - page. City/Town State Zip Code Date of Inspection D. System Information (cont:) 4. Type of System: - ® 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 b system operator under contract P Y Y Y P ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe)- Approximate age of all components, date installed (if known)and source of information: 2000, Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line. N/A feet Comments(on condition of joints,venting, evidence of leakage, etc.): Main line is clear with good pitch. Plumbing is in good condition with no leaks and area is well vented. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments >r 2604 Main Street V� Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cone.) 6. Septic Tank(locate on site plan): Depth below grade: 189 feet Material of construction: ® 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 Dimensions: 10'x 5'x 5' 3„ Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 34 0' Scum thickness Distance from top of scum to top of outlet tee or baffle N/A Distance from bottom of scum to bottom of outlet tee or baffle N/A How were dimensions determined? The dimensions were determiend by sludge judge, rod, and ruler. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank appears to be in good structural condition with tees intact and liquid level normal. Recommend installing risers to grade on tank and pumping annually. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments c � 2604 Main Street Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan)- 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): 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 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 Commonwealth of Massachusetts �n I0 Title 5 Official Inspection Form h Subsurface Sewage Disposal System Form-Not for Voluntary Assessments e � 2604 Main Street v Property Address Eileen Farrell Owner Owner's Name information is West Barnstable MA 02630 9/4/2018 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): Depth of liquid level above outlet invert 0" 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 distribution box is 18" below grade with three outlets taking equal flow. No corrosion or carryover present. Recommend installing a riser to 6" below grade on the box for future access. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 2604 Main Street v Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 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.): * 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: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: (1) 16'x 28' ❑ 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 2604 Main Street V Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 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.): There is no sign of hydraulic failure at this time. No ponding or breakout observed. Soil is dry, sandy loam with normal vegetation over the SAS: 12. Cesspools (cesspool must be pumped as part of,inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ 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 , �1 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �n 2604 Main Street V� Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface�Sewage Disposal System Form Not for Voluntary Assessments 2604 Main Street Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 page. Cityfrown 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 af` hte boxes:below: ® hand-sketch:in the areabalow El .drawing attached separately Ar dr�V . ') A, (vu, earA. tsinsp coo:.rev.trzsrzata Ti :S Ofrat Inspearen Fortre;.$ubwriaceSe vege dispo5a}:Sym:;Pege'16'of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection form ' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments. « � 2604 Main Street u Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 8'6' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date 000 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: Soil logs on original design plan. See attached. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 AsBuilt: Page l of l,_ oGbta4" 12a 6 A OWI3 OF BAR2JSTABLE Ir LOCATIOt�T. n , bb �JB� r t 75►:6' ►419 vII.I:AGE na t. �A ASSESSORS N LQT ;4a,f r tb +oa INSTALLERS•T3AI�&;P.Fi0NE1V0,,� rsr�.... �4�1��, _�,yy�'-•a5�;- SEPTIC TANK CAI'ACTIY; zEacHINGFACR:rrY (type)t6'xasj` +lQ<r"Q (sncj,. t� t S . car r• NO'.DF BEDRtJOMS BUII DER OR O,WNEI2 cwi c I� C�c� Al'*', it. • "� Sepatauon Distance 9ctweenihc: Maxitrtutn Adjusted.,rottndwatcr Tabie to the Bottom d each ng Facility' rl�e� Feet:: Pnr ae Water Supply Well and L eachmg Facility (If any wells ewst N on site or within 20Q";feet of kaslung facility) Feet. Edge of Wetlsud and L caching Facility{If`any wcdands`exist within Soo feet of aching n s. 'Famished by- x..w =-,r+na�i r 0 S: http //issgT2hntranet/prppdat*,prebuiit aspx?mappar-258004&seq "1` 8t14/2018 SPIL. TEST PIT: ATA P 94 [ -R TEST PIT TEST PtT �GRD .EL 90 2 90; GRD EL. AQJ �C;W. EL ADJ 828 CW. .. EL. �k SANDY i:OAlvi 25 `lR4/ : ,r a SANDY:Lt7AN. r 1p SANDY 4 25y.YR4J3` `�; N SANDY ;LOAN 22„ lr asap z2~` StLT:LOANt 2 5 YR6/2 Sill LOAM 2 Y EL 4- 81 0 _ EL 81.0 _ . . • L'OARSE SAKI. C COAR SE SAND 2.5'YR6f4' " SIEVE::TE AT QEYA' 'EL, 777.3EL 77 3 !N©ICATES": 't1N5U6-Ag1.E MAir.ERIAL DATE.: JANUARY t0: 20a0: FEBRUARY 1,4: 20Q0>_ . TEST BY TEST BY E esc cRoup UK INDICATESTHE,:eSC GRau .. INC y OSS£RNED WI.TNESSEd 6Y . GRdfi1Na:wATt WITNESSED :BY DONNA. M1OR--ANd1 -D0 A MIt3RAN[3f PERC R°ATE PERC RATE; ,** SEE WAI1. . _MIN N H ttVt)f:CATES. EsNtAIED MIN: /INCH; SAIL EVALUATOR sa=AscyNAL 'r�ttw SolL EVALUATOR: SIEvz' {u GROUND WATER>.PETRIN A MiORANOt ,RESt . SOlL CLASS..: C!ASS SOIL. CLASS< _ 3" La T.AR tL A /s . o 7a c .F ,38,'.52s 29 6°bG ooi D .0 VERTICAL :DATUM ASSUME: BENCH:, MARK SET. TQF' O F STONE BaU�iD EEVATI:U1 „= 9 4i 0 AIEDED4 UC T0 X,fV E TY:. � lc4 3 BEDROOMS AT 1..-10 G Pg p 33Q C p`� l REQUIRED SEPTIC'° TANK ; 330 X 2007 , 6,60 . GAL SEPTIC TANK PR41lIDED: �< =- - GAt=: GO SIZE OF LEACHING FA 'TY RE ..U1REI3 Q -DESIGN PERC. RATE:.: MIN:j INCH 657. ROUTE 28 (UI T 6 !"OtVG TERPd APPt, RATE Q.;74. `EST YARtif(J- MA P ojs ;. 025 7.3 508) 778 ;491 g PROJECT SIZE OF ,. LEACHING ,FAC)LiTY' PR{1VIDED TLE 3U D SF , 6 sF............. ............................. 30 GP SEQD 40.74 L J ` xVU N DA { ,. AKE 4 . D ._ F448 V48S,F` A . G D SYSTEM: COMPE,IES: WITH BCIFF tZEG. i6+ ) x 493 S.F: REQ_AREA, PEt? 1,14 _33:30,75 ET L'OCC1 PLA1V, scL E BARNSTggLE RNAg HARBOR 'HINKLEYSMk ` AS �- tND N PR£¢ Rya �bR!: LAURtE CROP. 6A _ 309 :MAIN STR ER E ET YARMfJUTHp ;T MA 2fi 75 r+rt _ DATE; FEBRt1ARY 9, 2000Y c DESIGN K HEAl.Y C.HECK Di cRrsPEN 1.38 r.19 „ K H Commonwealth of Massachusetts �y Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments / 2604 Main Street V Property Address Eileen Farrell Owner Owner's Name information is required for every West Barnstable MA 02630 9/4/2018 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of:this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® 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 ® 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.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 2(.,O4r Al 6 A OWN OF BARNSTABLE >�rJla.iro Ski LOCATION ''-SEWAGE # 20 —5 7,� •viLLAGE ,r�s� *` f� c t 50 W LO ?AcC-o iW6 _ Y . �A ASSESSORS L °c LOTOt3 / iJ INSTALLER'S NAME&PHONE NO �c•� icre'r ` r15R"n.s R'��5 �rraoa�+w' ?7 - 5ei3 SEPTIC TANK CAPACITY I Ob (;jatt,04,j.! LEACHING FACILITY: (type) Z,.q cr:d , (size) 4S '6RU4rt- � NO 'OF BEDROOMS BUILDER OR.OWNER , 4 k4na h. C'6 Anm` j ' a Gr Lkhfft �Y e✓ PERMITDATE: �en�'emr Sfc3COMPLIANCE DATE: ��b�✓ �� o Separation Distance Between the:. Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility r-ljc Lt22' Feet Private Water Supply Well Leaching Facility (If any wells exist N on site or within 200 feet of leaching,facility),_�_ l� Feet Edge of Wetland and Leaching Facility(If anywetlands exist within 300 feet`of eaching fac' 'ty) w Feet Fumished by i -�® q� ZMA �M ' 00 �f i'a. .000 cc�� IVCC No. // ttilil , IG _a I THE COMMONWEALTH OF MASSACHUSETTS�r Entered in computer: e PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Zippitration for ligpogaf *pgtem Cow5truction Permit Application for a Permit to Construct( )Repair(,4 Upgrade( )Abandon( ) NComplete System ❑Individual Components Lo ation qddress or Lot No. 11 ner's ame,A ress and Tel.No. 1 z(0,2 IY,Al?0 �� cry bA) `�fy,�,��r�� t+<— � � T1 raJ 1' 1 ,1AY) CYIOC. qP-' Assessor's Map/Parcel { `, 4 C7 lfi 0-f b 39 - �F1 S Installer's Name,Address, d Tel. o. ��ji 3� Des' ner's Name,Address and Tel.No. /Isl 0141 H1CQ1-4.9— C-n0WJ=_ t. Kotio 65 mc,,r+ �+: Type of Building: Dwelling No.of Bedrooms Lot Size , : (6'0 sq.ft. Garbage Grinder( ) Other Type of Building -� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow f ® gallons per day. Calculated daily flow gallons. Plan Date Vc Ci yi 4 r��.c"� Number of sheets 1011 jZ_ Revision Date Title 2 IV 1 S J;k2S)A L Size of Septic Tank �a�� C iJlf,�.-�s Type of S.A.S. Ve.1c* Vi n Description of Soil �C, z Nature of Repairs or Alterations(Answer when applicable) Y2 = 5� 185 MUST sup-­,. AND CERTI r a.� ... �Ys TEM WAS IN SIP Date last inspected: ACCORDANCE TO PLAN' Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. 1-It Signe r J Date jr r a Application Approved by Date �0 Application Disapproved for the following reason Permit No. Date Issued 000 -.J1•.. No. / /� � e i o 114 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: e PUBLIC HEALTH'DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS` 01pprication for iniopozal braem Construction Vermif Application for a Permit to Construct( )Repair(--'I Upgrade( )Abandon( ) (complete System ❑Individual Components { I LoFagof)jddress qrrn qj No. S.f (,Z,6 ame p� erns) �e � ,Addrer s L Ni 15 �.1nY1 7L p Assessor's Map/Parcel Installer's Name,Address, d Tel. o. ' ��35 Des' ner's Name,Address and Tel.No. 14-) 41a],-4s- C,2owlr�_/� Xo►iyo 6S� 1Y)C., S'�' � 11,;�.�t lT� WrS� \/Afw\7-,VL 1r11A .G• t .. \�Y�Yrnow/, n Type of Building: i Dwelling No.of Bedrooms 1` �-i �:4 4Lot Size��3;�7 O sq.ft. Ga base Grinder{ ' ) Other Type of Building !1 ' o.,of.Persons -4 Showers( ) Cafeteria( ) Other Fixtures x Design Flow /#�t J gallons per day. Calculated daily flow �J� gallons. Plan Date Fch Gl r�' c?"J� Number of sheets .�J Cam. ,st,# Revision Date Title c-1 p 1 rC ie ` i S�'crn., t s ..rC�4tiZLL s ... L-.rty t' j Size of Septic Tank (�e7-�""""�YC Y�Ly>-� Type of S.A.S. Description of Soil �,` ,x al ' �"�Y r " �0 I ' 1 � Nature of Repairs or Alterations(Answer when applicable) 7'.�� C�l�l.(rJ�✓ 1"��J� l -���fFt � I-�}r..:��iv� �` Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until,a Certifi- cate of Compliance has been issued by this Board of Health. 1 C Signed r �C'c�, {1 , } Date Application Approved by U / yf `> Date 5 oc) Application Disapproved for the following reaso Permit No. �.- Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-sit Sewage Disposal System Constructed Repaired( )Upgraded( ) Abandoned( )by .�- at 0 G U.� 'P� ri s w b ha pSn constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No C7-&(ed Installer See 610r t ON)' Designer 13 SL Csr; .r; The issuance o this pe t}s all no a construed as a guarantee that the system mill function designed. Date ` 4 �% 1 Inspectoe.a..� A / , No. --�-�l ----------------------Feed ....�"" THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLE, MASSACHUSETTS liopo5al bp$tem Con0truction Vermtt Permission is hereby granted to Construct( )Rep r(tee!)Up rade( ) E NG,ENGINEER MUST SUPERVISE System located at ��o l+ t �� �j�, '` "-�TIbN AND CERTIFY IN �. C, 11(rs �? •, ��� ACCORDANCE To PLAN, and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Co Rion is ee c/ompleted within three years of the date ot rus eDate: % ! J �>t/ Q Approved byf �J R r BV-: 1:D089 PG21 1 :B3240 06-23-2000 e 12 = 29 RESTRICTION We, PAMELA D. BROWN, also known as PAMELA W. BROWN, of 82 Lombard Avenue, P.O. Box 729, Barnstable (West) , Barnstable County, Massachusetts 02668, and LAURIE M. CROCKER, of 309 Main Street, Yarmouth (Port), Barnstable County, Massachusetts 02675, in conformity with conditions imposed by the Board of Health of the Town of Barnstable for the installation of a onsite sewage disposal system for property located at 2604 Main Street, Barnstable, Barnstable County, Massachusetts, and the variances necessary therefor, all as described in File No. A=258-004 of the said Board of Health, which said variances were reviewed and approved by the Department of Environmental Protection of the Commonwealth of Massachusetts in its transmittal No. W010747, hereby restrict said property to ,no more than a three bedroom dwelling discharging no more than 330 gallons per day into said disposal system. This restriction shall be appurtenant to and run with said land and shall be ein perpetuity or until further order of the Board of Health of the Town of Barnstable or the Department of Environmental Protection of the Commonwealth of Massachusetts or its or their successors and assigns. For title, see the deed of Beverly S. Counsell to Pamela W. Brown and Laurie M. Crocker dated May 17, 1999, and recorded with the-Barnstable County Registry of Deeds in Book 12274, Page 148. Executed as a sealed instrument this 4�; day of June,. 2000 . Pamela D. Brown L urie M. Crocker i EIK laoss PG21 2 -!92 4s COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. June ice, 2000 Then personally appeared the above-named PAMELA D. BROWN and acknowledged the foregoing instrument to be her free act and deed, before me, N&a-ry Public My commission expires: Jo-Anne F.Hatfield, ;ota., ut c = '-.`• My Commission Expires JarLjW7.19,2007_. '`..•`. r�0 ��• COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. June 2000 Then personally appeared the above-named LAURIE M. CROCKER and acknowledged the foregoing instrument t Leher free act and deed, before me, ota Public My dommission expires: ' BARNSTABLE COUNTY REGISTRY OF DEEDS 2 A TRUE COPY,ATTEST JOHN F.MEADE,REGISTER BARNSTABLE REGISTRY OF DEEDS COMMONWEALTH OF MASSACHUSETTS F EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 508-946-2700 p� SYOV ARGEO PAUL CELLUCCI BOB DURAND Governor Secretary JANE SWIFT LAUREN A.LISS Lieutenant Governor Commissioner May 24, 2000 Mr. Thomas McKean, Director RE: BARNSTABLE--Subsurface Sewage Health Division Disposal-Proposed Variance to 310 P.O. Box 34 CMR 15.000 "Title 5 of The State Barnstable, Massachusetts 02601 Env' Co for Laurie And rocker,2604 Main Stree Tran No Ms. Laurie Crocker 309 Main Street Yarmouth Port, Massachusetts 02675 Dear Mr. McKean and Ms. Crocker: Pursuant to Title 5 of the State'Environmental Code, 310 CMR 15.412, the Southeast Regional Office of the Department of-Environmental Protection has completed its review of the above referenced application for approval of variances granted by the Barnstable Board of Health. The application contains a copy of the Board of Health's grant of a variance from the following provisions of Title 5, 310 CMR 15.00 310 CMR 15.104: Percolation Testing 310 CMR 15.105: Procedure for Performing a Percolation Test As part of the application, the Department received plans consisting of one (1) sheet, titled as follows: SEWAGE DISPOSAL SYSTEM UPGRADE`:A c _ x; 2604 MAIN STREET (6A) BARNSTABLE MASSACHUSETTS This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://www.magnet.state.ma.us/dep i�a Printed on Recycled Paper 2 PREPARED FOR: LAURIE CROCKER 309 MAIN STREET YARMOUTHPORT, MA 02675 DATE: FEBRUARY 9, 2000 COMP./DESIGN: K. HEALY CHECK: D. CRISPIN DRAWN: K. HEALY FIELD: P.H./A.D. FILE NO. 8142-SEP.DWG DWG NO. 5195-01 JOB NO. 4-8142.00 SHEET 1 OF 1 Based upon its review of the application, and in accordance with 310 CMR 15.410, the Department has determined both of the following: a) The applicant has established that enforcement of 310 CMR 15.104 and 105 would be manifestly unjust, considering all of the relevant facts and circumstances of this case. A percolation test performed in strict adherence with 310 CMR 15.104 and 105 is not feasible at this site. The use of a sieve analysis is the only option to provide a basis of design for an upgrade to the existing failed system. b) The applicant has established that a level of environmental_ protection that is at least equivalent to that provided under. 310 CMR 15.000 can be achieved without strict application of 310 CMR 15.211. The applicant has established equivalent environmental protection as follows: The applicant has complied with the Department's "Title 5 Alternative to Percolation Testing Policy". Accordingly, the system has a rational basis for design which meets the intent of Title 5 for providing subsurface treatment and disposal of sanitary sewage. The Department, therefore, approves the Board of Health's grant of a variance from 310 CMR 15.211 subject to the following: 1. There is to be no increase in sewage flow to the repaired subsurface sewage disposal system and no increase in square footage to the existing structure served by the sewage disposal system which will result in an increase in flow. This approval limits flow to 330 gallons per day. 2. The existing dwelling is limited to three(3)bedrooms. 3. A Disposal System Construction Permit must be obtained from the Barnstable Board of Health prior to the start of construction. r, 3 4. Approval for the proposed system will be dependent upon the recording in the appropriate registry of deeds of a notice that discloses the existence of a variance and conditions of the variance for the sewage disposal system and the involvement of the Department of Environmental Protection in said system. An attested copy of this notice shall be submitted to the Department and the Board of Health prior to the issuance of the Certificate of Compliance. This variance determination is an action of the Department. If the applicant is aggrieved by this determination, s/he may request an Adjudicatory Hearing in accordance with 310 CMR 1.00 and M.G.L. C.30A. A request for an Adjudicatory Hearing must be made in writing and postmarked within 30 days of the date of issuance of this determination. Pursuant to 310 CMR 1.01(6), the request must state clearly and concisely the facts that are grounds for the request and the reliefsought. The hearing request, along with a valid check payable to Commonwealth of Massachusetts in the amount of one hundred dollars ($100.00), must be mailed to: Commonwealth of Massachusetts Department of Environmental Protection P.O. Box 4062 Boston, MA 02211 The hearing request will be dismissed if the filing fee is not paid, unless the appellant is exempt or granted a waiver, as described below. The filing fee is not required if the appellant is a city or town (or municipal agency), county, or district of the Commonwealth of Massachusetts, or a municipal housing authority. The Department may waive the adjudicatory hearing filing fee for a person who shows that paying the fee will create an undue financial hardship. A person seeking a waiver must file, together with the hearing request as provided above, an affidavit setting forth the facts in support of the claim of undue financial hardship. Should you have any questions regarding this matter, please contact Brian Dudley at (508) 946-2753. Very truly- yours, Elizabeth Kouloheras, of Cape Cod Watershed K/BAD cc: The BSC Group, Inc. 657 Route 28, Unit 6 West Yarmouth, MA 02630 9 DEP Wastewater Management, Title 5 Section, Boston P:\bdudley\wpapp\bamstable\crocker.doc Public Health ®avl�scq Town of Barnstable PO. Box 634 �WMIls,Massachusetts 02601 i Z 279 516 738 4 US Postal Service : Receipt for Certified Mail- No Insurance Coverage Provided. Do not use for Internati 1 Vai1(Sea reverse Street&Number 1 q Lon . Post Office,Statee 211 P C Postage Certified Fee Special Delivery Fee Restri l5eli e 0 L Ret eceij�t(howing t _ Wh Date De' ered 0 Re eipt Sho to%Vlgi0 DatA ressee's Add' 0 TOTA Postmark or-Da 0 M LL a Stick postage stamps to article to cover First-Class postage,certified mail fee,and 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). 2. It you do not want this receipt postmarked,stick the gummed stub to the right of the m 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 on a return receipt card,Form 3811,and attach it to the front of the article by means of the i gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a i RETURN RECEIPT REQUESTED adjacent to the number. Q M 4. If you want delivery restricted to the addressee, or to an authorized agent of the OC I addressee,endorse RESTRICTED DELIVERY on the front of the article. M E 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. 102595-99-M-0079 a Z 279 511. ?37 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to TY1 rs.3 h St eet&Numbero Oa Post Office,State,&ZIP Code Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing Whom&Date Delivere � r� n Return Receipt Showing t o , N . Q Date,&Addressee's Addr — ry �7 0 TOTAL Postage&Fe Q 0 Postmark or Date \yd o L U) n. Stick postage stamps to article to cover First-Class postage,certified mail fee,and 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 I address leaving the receipt attached, and present the article at a post office service m window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. I LO i 3. If you want a return receipt,write the certified mail number and your name and address rn i 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 j, RETURN RECEIPT REQUESTED adjacent to the number. j4. If you want delivery restricted to the addressee, or to an authorized agent of the I addressee,endorse RESTRICTED DELIVERY on the front of the article. co I Cl) 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. 6 6. Save this receipt and present it if you make an inquiry. 102595-99-M-007e d Z 279 516 736 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse • Sent to Strre�e�N3umber Post Office,State,OPP C e Postage $ Certified Fee Special Delivery Fee LO Restricted Deliv & dS rn Return Recei t S wing to Whom&Da � ivered Q Return Receipt g to o Q Date,&Address A re3�s�� 0 TOTAL Postage 0) Postmark or Date E `o LL a Stick postage stamps to article to cover First-Class postage,certified mail fee,and 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 m window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the a) return address of the article,date,detach,and retain the receipt,and mail the article. cc Ln 3. If you want a return receipt,write the certified mail number and your name and address rn I on a return receipt card,Form 3811,and attach it to the front of the article by means of the I gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article n RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the I 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. 102595-99-M-0079 a Z 279 516 732 US Postal Service Receipt for Certified Mail . No Insurance Coverage Provided. Do not usp for International Mail See reverse Sent to Vir�or1° SSA► Street&r4umber ockm CA k Vto L>�l Post Office,Sta e,&ZIP Postage $ Certified Fee Special Delivery Fee �trigeill @r l Fee etum Receipt\ ing to Whom&D" D`20 d e ip ho it I Whom, tn- ddressee kdr ss TAL Pos e� ees $ ch stroabc r e E — 6 tL U) a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). I 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 a window or hand it to your rural carrier(no extra charge). - 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) 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 n RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. Go 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. o u_ 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 d T Z 588 343 797 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to ,r-MrsoJA-mes ft,��,�ll reet&Number Post Office,Stale,&ZIP Code Postage $ Certified Fee Special Delivery Fee Restricted Deli Qe�T LO rn Return Re c lS ova Whom'&D livered�� n Return Recei Vb rig to Q Date,&Addr Addco 0 TOTAL Post e�r Go Postmark or Date 0 •o_ L _ Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). I 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 your rural carer(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the a) return address of the article,date;detach,and retain the receipt,and mail the article. • ui 3. If you want a return receipt,write the certified mail number and your name and address � 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 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. ``8L 6. Save this receipt and present it if you make an inquiry. 102595-98-B-P0o5 U) Z 279 516 734 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to s rD Me Street&RN`,umber a J� � J Post Office,State, IP Cod r Postage Certified Fee Special Delivery Fee Restricted Delivery Fee in oO1i Return Receipt Show' d�n Whom&Date Del eyed Q Retum Receipt Sh iftg Q Date,&Address ress R7 t� WTOTAL Posta --ees M Postmark or Dal �nq\z� E EL Stick postage stamps to article to cover First-Class postage,certified mail fee,and 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). P I 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the CE return address of the article,date,detach,and retain the receipt,and mail the article. LO `I 3. If you want a return receipt,write the certified mail number and your name and address M 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 addressee,endorse RESTRICTED DELIVERY on the front of the article. c o 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. li 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 a Z 279 516 731 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to S• Street&Number Post Office,St te,&ZIP Code bc +' Postage Certified Fee Special Delivery Fee Restricted Deli er �� a' Return Recei owing to r _ t3 Whom&Dat ivy Q Return Receipt i om, X Q Date,&Address ess 0 TOTAL Postage e Z 9 co th Postmark or Date E `o u_ o_ Stick postage stamps to article to cover First-Class postage,certified mail fee,and 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 laddress leaving the receipt attached, and present the article at a post office service .window or hand it to your rural carrier(no extra charge). m '2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) 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. O 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. u`o- 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 a Z 279 516 735 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Se ` • (.}o ` St et r .� 4 3 P st Office,Stat ,&ZIP Cod Postage $ i Certifi to Spe al 4 ivery Restricted Delp ery Fee gti' � \ C5 Retum R�eipt �g t ti Whom&Da 0 0 ire Q Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees Postmark or Date r l O LL rL Stick postage stamps to article to cover First-Class postage,certified mail fee,and 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). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m 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 M 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 C 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 ;_ receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. �`6L 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 U) Z 279 516 733 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to Street&"Per '%sa Gximu P t Offic ,State, ZIP Code 3 nai cl Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee to Return Receipt Showing to Whom&Date Delivered Q Return Receipt Showing to d Date,&Addressee's Add W�n 0 TOTAL Postage Fes 00 ch Postmark or Dat ' ip ti i9� bv�� Q U) _ p a bW .HA Stick postage stamps to article to cover First-Class postage,certified mail fee,and 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). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the � return address of the article,date,detach,and retain the receipt,and mail the article. cc 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. 4. If you want delivery restricted to the addressee, or to an authorized agent of the G 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. li 6. Save this receipt and present 0 if you make an inquiry. 102595-99-M-0079 a T Z 585 344 395. US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to MV- `)t`5�0.,1�� reet&Nupiber �� SQ, Post ice, late,&ZIP Code J rmillo' Postage $ . Certified Fee Special Delivery Fee Restricted-Deliver, estrictedDelivery F P Lo w Return Receipt wi o ; �� Whom&Date W ed !e - n Retum Receipt to Who Q Date,&Address to D O 0 TOTAL Posta & $ Go EPostmark or Date < ' I o ibu_ sd Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). t. 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). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. uO 3. If you want a return receipt,write the certified mail number and your name and address 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 Q 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 RESTRICTR +:Jc—f—n the front of the article. M Enter fees for the ss,' :�i ,qu11 a appropriate spaces on the front of this E 14' :eipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. t`oL 4 Save this receipt and present it if you make an inquiry. 102595-98-B-POO5 Z 588 343 796 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided: Do not use for Internatio al Mail See reverse Se tto RCN oN ® O eet&N ber .Ot Post Office,State,& IP Code 4 -Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fe u') Retum Receipt obi S' Whom&Dat Qpli red n Retum Receip ng to Whom Q Date,&Addr ee's Address d O $ TOTAL Po Few CID E Postmark or Da y5 o LL a _ - Stick postage stamps to article to cover First-Class postage,certified mail fee,and 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 m window or hand it to your rural carrier(no extra charge). 01 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. N 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 G addressee,endorse RESTRICTED DELIVERY on the front of the article. M i' 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. U. `i 6. Save this receipt and present it if you make an inquiry. 102595-99-B-Poo5 a f Z 279 516 536 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to 1 5. r eb Nu er " 1 Post Office,State,&ZI Code w J� Postage $ Certified Fee Special Delivery Fee LO Restricted Delivery Fee rn Return Receipt Showing to Whom&Date D ' Q Return Rei Q Date,&Ad s es , WTOTAL ggB&-Fees ch Postl Date U b J � f Stick postage stamps to article to cover First-Class postage,certified mail fee,and i charges for any selected optional services(See front). j1. If you want this receipt postmarked,stick the gummed stub to the right of the return I 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). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) yreturn address of the article,date,detach,and retain the receipt,and mail the article. rn i 3. If you want a return receipt,write the certified mail number and your name and address a, 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 i 4. If you want delivery restricted to the addressee, or.to an authorized agent of the C 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. u`o- 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 a Z 588 343 7-89 �y. US Postal Service Receipt for Certified Mail. No Insurance Coverage Provided. Do not use for International Mail See reverse Sentto , r s- .64eet Nytnber I� Post Office,State;&ZIP C e rc» RXA Postage Certified Fee Special Delivery Fee Restrict e li rn Retu ip Showing to. ' r WhoJgat er red n Retu Adc ipt Sho o. Q Date, ssee's Add O 0 TOTAL st Postmark or t`" ''' Loll E o u_ U) rL f Stick postage stamps to article to cover First-Class postage,certified mail fee,and r charges for any selected optional services(See front). r I 1. If you want this receipt postmarked,stick the gummed stub to the right of the return I 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). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the a�i return address of the article,date,detach,and retain the receipt,and mail the article. LO I 3. If you want a return receipt,write the certified mail number and your name and address rn I on a return receipt card,Form 3811,and attach it to the front of the article by means of the _ (I gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article 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. 00 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. to 6. Save this receipt and present it if you make an inquiry. 102595-98-B-POO5 d UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • THE BSC GROUP N 657 MAIN STREET m UNIT 6 W. YARMOUTH, MA 02673 I 1 2`1. . )ff,II,.fill 111.ri11,111 fill I fill 110re.1liibell.fi_,n111111eri1 L SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Deli item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. ign ur 6" ■ Attach this card to the back of the mailpiece, ❑Agent or on the front if space permits. X ❑Addressee D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No/ QN)rX,ok—�Us�i I �Y kv- - aLv,s ��6iJk �/ K Service pe ®O i q� ertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) PS Form 3811,July 1999 i Domestic Return Receipt 102595-99-M-1789' UNITED STATES POSTAL SERV SO N ass I— � Pm • Sender: Please print year-a e, add ress.,_and-ZPP--4,in #bis-box THE BSC GROUP 6 7,MAIN STREET"- UNrr 6 W. YARMrjAl-rr ¢ MA 02673 _I � i j I ��� '{11,�,��{�l�ll�r i;,,1„i{;►'1�l� {�;�t�{1��.1 ;11�1,,1�{,���1:,{{ I SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery., item 4 if Restricted Delivery is desired. 20 '■ Print your name and address on the-reverse C. Sig a r so that we can return the card to you. ■ Attach this card to the back of the mailpiece, X ❑Agent or on the front if space permits. ❑Addressee 1. Article Addressed to: D. ivery address different from item 1? Yes �I ES,enter delivery address below: ❑ No �ll)WV,, MmL(,TA / `7 '7 I-1 o \/L Fes-- kd- o� C. P_ A kyV;lI L N y M Cr o.re rl I Y v 3. a ice Type Certified Mail ❑ Express Mail Ia�04 I ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) + 1�1-611737! 11111 1 i1 1 11 111 t11 it i PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 . 1 UNITED STATES POSTAL SERV1F§t-Cla8!Mai CG o`stage-&Fees PGid P t . I a 1, c _ _ ���� " Pewit-No-.G-1.0r- II • Sender: Please p"\"'-y4fax=na e, address;Sand ZIP+4 in this box •Vn r . I THE BSC GROUP 657 MAW STREET m UNIT 6 W_ YARMOUTH, MA 02673 � I I Cr o : ..`?•��r _.r. -1 ili;:,l,�,1,��►, 11,�i.illil,l,i) It Am 1111111111l11111111111 11 •��t � i j "4if •�]-•• - - • •• - •��• • Print Clearly) B.J:�f,pelivery I ■ Print your name and address on the reverse so that we can return the card to you. C. ig ture 41 ��O t ■ Attach this card to the back of the mailpiece, X (j or on the front if space permits. • Addressee D. I elivery address di rent from item 1? ❑Yes 1. Article Addressed to: n If YES,enter delivery address below: ❑ No I c7�P 3. Se ice Type Certified Mail . ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) ,,; ,; f PS Form 38111 July 1999 Domestic Return-Re 102595-99-M-1789 UNITED STATES POSTAL SERVICE _Eimg-ClassWail Postage-&nFees Paid Permit No.G-10' • Sender: Please print,yggrY�,)pam-e, address,and�.Z1��+4 hls box'.— THE BSC GROUP 657 MAIN STREET m UNIT 6 W. YARMOUTH., MA 02673 i i i C COMPLETE •N COMPLETE THIS SECTIONON DELIVERY I ■ Complete Items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery item 4 if Restricted Delivery is desired. ��f�f�f=_ � ■ Print your name and address on the reverse C. Sign ture s that w can return the card to you. X ❑Agent ■ Attach this card to the back of the mailpiece, or on the front if space permits. ❑Addressee D. Is delivery 1? ❑Yes 1. Article Addressed to: If YES,e e ery address 'I ❑ No MAR 21 2000 ice T e G 15 Certified F !� ail ❑ Registered urn Receipt for Merchandise _❑ Insured_MaiI -n_c^-^ l ( i ❑Yes f f tft! fl iiii i ! !ffff f {S idlj=.',if !t{Ctf if!!!t i it t 's's t it !4<<t `• ii'stt! i4ti4 ! V 'n F ---r uorrestic Ret6rn Receipt 102595-99-M-1789 UNITED STATES POSTAL SERVICE ! First-Class Mail ;Postage&`Fees Paid USPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box • { I THE BSC GR®UP I! 657 MAIN STREET — UNIT 6 �Y We YARMOUT141WA 02673 4 r I i ■ ( 4. D to of D livery ■ Print your name and address on the reverse grt so that we can return the card to you. C. S' ature ■ Attach this card to the back of the mailpiece, ❑Agent or on the front if space permits. ❑Addressee D. Is ry addr diff rent from item 1? ❑Yes 1. Article Addressed to: _ If YES,enter delivery address below: ❑ No qvs.. Wiek�,�gs \\Horn � I 3. S,prelce Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑C.O.D. 4. a t' t d live . (Extra Fee) ❑Yes 2. Articl service labe Z PS Form 38 ,July 1999 Domestic Return R ip�j N� iozsss-ss-M-teas 11 W �, UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • t. THE BSC GROUP 657 MAIN STREET— UNIT 6 W. YARMOUTH, GSA 02673 Lea ��i�fii,; 'still i1fill'i ti....►..�i SENDER716OMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY, I{ ■ Complete items 1,2,and 3.Also complete FA. Re iUby se Print Clear B DatQ f�eybery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse ico so that we can return the card to you. ;C.Aat I ■ Attach this card to the back of the mailpiece, ❑Agent I or on the front if space permits. e" ❑Addressee ` 1. ArticleAddressed to: D. I delivery address different from item 1? ❑Yes ^ 1 ` If YES,enter delivery address below: ❑ No C�gSt�0'%Aej VA 3. S rvice Type l Lr C) Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise I ❑ Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service 1 bel) ;i t, tic Return Receipt 102595-99-M-1789 L UNITED STATES POSTAL SERVICE ��• '"'� � �"' -First-Class Mail Postage&Fees Paid USPS Permit No.G-10 r • Sender: Please print your�nanie,^address, and ZIP+4 in this box • I i THE BSC GROUP I 657 MAIN STREET- UNIT 6 W. YARMOUTH, MA 02673 SENDER: SECTION . DELIVERY ■ Complete items 1,2,and 3.Also complete A. Baceived by(Please Print Clearly) B. Date of e' ery i item 4 if Restricted Delivery is desired. oe ■ Print your name and address on the reverse so that we can return the card to you. t, Si ■ Attach this card to the back of the mailpiece, X ❑Agent or on the front if space permits. ' ❑Addressee i 1. Article Addressed to: res D. Is delivery adds Afferent from item 1P ❑Yes If YES,enter delivery address below: ❑ No (7)i SC- �Y) tz 6 yn . i ©I+�5� 3. ice Type "T ertified Mail ❑ Express Mail S II Registered ❑ Return Receipt for Merchandise {f ❑ Insured Mail ❑ C.O.D. f. 4. Restricted Delivery?(Extra Fee) ❑Yes -.;;.2. Article Number(Copy from service label) PS Form 3811,July 1999 Domestic Return Receipt 102595.99-M-1789 UNITED STATES POSTAL SERVICE First-Class Mail -Po-ita 4'&'Fees-Paid G-10—, • Sender: Please prini ypu,r d, address, and-Zl-P+4-in-th-is'bbx-*;-:- , TH, �6C GROUP 657 fv 4;'IN S TREET — UNIT 6 wc MA 02673 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) 1.B. Date of Delivery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. Signat re ■ Attach this card to the back of the mailpiece, X ❑Agent or on the front if space permits. ❑Addressee D. s delivery dd ess different from item 1? El Yes 1. Article Addressed to: If YES,ent elivery add r'ss below: ❑ No U10 �n 3. Se a Type Qe Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ' ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Articl umber(Copy from service label). PS Form 1,July 1999 Domestic Return Receipt 102595-99-M-1789 UNITED STATES POSTAL SERVIC -Class,Mail "FjP tage�&.Fees L§id U;P Nil 'Permit P�e ni 0.q.�!T_" • 27 Sender: Please print y ra address,yo rd and , .5 THE BSC GROUP 657 MAIN ST,REET - UNrr 6 W- YAPk"?" ­" -H. MA 02673 SECTIONDELIVERY ■ Complete items 1,2,and 3.Also complete A. Received by ease Print Clearly) B. at Delivery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you.. C. "Ur■ Attach this card to the back of the mailpiece, ❑Agent or on the front if space permits. ❑Addressee 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑ No 3. Service Type ❑Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. i 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) i; i Z, f� �Ys)E9F jt: : it i{ iil li iti{ tl t �t 11l I PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 UNITED STATES POSTAL SER _�O\ �` First.Glas§ P M , I JCi Postage&Fees Paid r\pUSPS 2• ' , ti ifs r;, Permit'llo. G-' • Sender: Please print your name, address, and ZIP+4 in this box • THE BSC GROUP 657 MAIN STREET m UNIT 6 W. YAMS- OUTHF MA 02673 N � r _' = 111 1 � 111 li l ,., ,. ,,, ,. _ }}fJi i }1111 Ff iilftf1i!! ! ! -11!f}�}!11 F4 !}111 f3kf. lFi' !!11 Y COMPLETE •N COMPLETE THIS SECTIONON DELIVERY 9 Complete items 1,2,and 3.Also Complete A. Received by(Please Print Clearly) B. Date Delivery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. ■ Attach this card to the back of the mailpiece, ❑Agent or on the front if space permits. ❑Addressee d. s delivery address different fromitem 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address belpvy:j ❑ No ��o�,cam•,����1� �. �0001 � �-- `, C �•r 3. Sery e Type J"l ssQ '`,� Certified Mail :1xp�e �1 o`0— ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label). (t( t r + t z q '�I�p!! '�'a ) i PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 c BSC. GROUP 657 Main Street Unit 6 Route 28 West Yarmouth, MA 02673 October 12; 2000 - Tel 508 778 8gig ; , Fax 5o8-778 8966 Mr. Thomas McKean Barnstable Board of.Health 367 Main Street " Barnstable, MA. 02601 BSC'P•rojeci No 4-8142 00; 2604 Main St West Barnstable,;'MA Dear_Mr. McKean: On.October-,12, 2000, BSC'performed,an.inspection`of thie septic system installed at.the above referenced address and found it'to.be'inaubstarital compliance with the design'plan dated February 9,,2000 Regards, David J Crispin PE PLS 3" <Engineers Environmental. . Scientists 'GIS'Consultants 'Landscape Architects Planners Surveyors n! 6A,C' sOWNOFBARNSTABLE LOCATIONn5.�a �. SEWAGE # 7,2 ogi�o F00L i - VILLAGE j�.S�� L v,Il� U.A� ASSESSOR'S MfAI LOTfl-a �a e,) / 1(6v 10.7 INSTALLER'S NAME&PHONE NO. 6N12 614-r '77<—eZ53; SEPTIC TANK CAPACITY: 4!✓00 1rYW4,0.z,1/ LEACHING FACMITY: (:type) i6'�c;C9' 7,,� (size) !l NO.OF BEDROOMS ' CC-C. \� ` BUILDER OR OWNER B . I\ �,m 1 .1 Gn I e J PERMITDATE: Scn�"cm �y i✓COMPLIANCE DATE: ZOO 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 aching fac' 'ty) Feet Furnished by o�sup_ s A = 3z V, 13 = 1 � y 1 I 1 � 1 n - a •Y t _ �DFTHETob TOWN OF BARNSTABLE OFFICE OF BOARD OF HEALTH BAHd9TAM • - y Mcrae. � 367 MAIN STREET 'ED MAY A" HYANNIS, MASS.02601 April 19, 2000 Craig Field BSC Group, Inc. 657 Main Street Unit#16 West Yarmouth, MA 02673 RE: 2604 Main Street, Barnstable A=258 - 004 Dear Mr. Field: You are granted variances, on behalf of your client Laurie Crocker, to install an onsite sewage disposal system at 2604 Main Street, Barnstable. The variances granted are as follows: Part VIII, SECTION 9.00: To place a soil absorption system in an area where there is not four (4) feet of naturally occurring pervious soil present above the maximum adjusted groundwater table elevation. Part VIII, SECTION 10.00: To install a soil absorption system only seventy-one (71) feet of a wetland (Hinckley's Pond), in lieu of the minimum setback distance of 100 feet. 310 CMR 15.104 & 15.105: To design the septic system based upon a sieve analysis in lieu of the requirement_ to conduct a percolation test. (1) No more than three (3) bedrooms maximum are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. field2 (2) The applicant shall record a deed restriction at the Barnstable County Registry of Deeds restricting the property to three (3) bedrooms. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The applicant shall list the marginal lot variance request on the variance request application form and on the plan. (4) The applicant shall submit the sieve test analysis to the MA Department of Environmental Protection. This variance is granted because a majority of the lot is within 100 feet of the wetland. The existing system is located in close proximity to the wetlands and close to the groundwater table. The replacement system meets the "maximum feasible compliance" standards contained in the State Environmental Code, Title V. Sincerely yours, Susan G. Rask, R.S. Chairperson Board of Health Town of Barnstable SGR/bcs fleld2 r v � -`- _--_-_. - 26p� I 6 A>(m,.,-sa OWN OF BARNSTABLE �^' '�Y �csn .�qb�. -SEWAGE # ZJUa �5 7,2 LOCATION ------ k7 ) U t7e: I 7S� �gCrL ►�$ VILLAGE Q. "` } L.k �,\l. l�A� ASSESSOR'S MAP&LOT ,8 1N�� )J 146 toy u�rSTALLER'S NANffi&,PHONE NO. �;,;�.L&_1 'r ���-3'�`�3 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 1(aJXA� Fre�1 4?5'f '91, (size) 4� Za-.�r� NO.OF BEDROOMS T s ee. �3 BUILDER OR OWNER �� lnr,. ,.111 �� �•� e✓.:: _ . . w - i PERMIT DATE:. e r S} C;COMPLIANCE DATE: e Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching FacilitylUc. Feet a Private Water Supply Well and.-Leaching Facility (If any wells exist /14 a on site or within 200 feet of leaching facility) Feet Edge of.Wetland and Leaching Facility If any wetlands exist f - �jesxr� I. Feet within 300 feet of aching fac Fiirtii'slted by : lam} f y i i J I O Y --- w11 146 1)cparllllcdt of.11ealill,Sltfe'y,qnd [Inv11-.onmcll,nl Services � l'uhlic Ileflllll Division Dille ]G)Will 511cc1,ilynI1111E MA WbUI nAnnarAolx , AIAId ¢ . rely. �S o A � ):Ile ScheduledI Inge 10 00 — ("cc I'll. Sell Suhablllllp Assessinent.jor' aS`E'1VR ae Dls )osrrl ('crfitrored IV: S C— _ Wtulcsled lly:. 1P6 N MA to to L[7CA"kIQiV rYc (;Is1V111W, INrORIV1,gTII�IV I.ocnlion A dress 26014 M,at I N 5 T. (lwncr's Nnule 6ARrtSTABLE 1AA o CUu1aSELL 26 3 O Address 2604 MAIN ST. Assessor's i lup/l'nrccl; LD`T' A e A.e-H 5TAL1'L.0 r MA 026 3 O Enghuer'sNenu: M. PET4I11 NI_w CON "ritucTION REPAIR X 1'slephoue H e 751 j 6 S9- Ti al Laud use _K E S I PENT I A L sltlpea(�;) — � Stir ncc Slnne> N61�1� I)lslnnccs II nu: Optll WnICr I)ody �ADO II pussitd d 111c1 Arcn �1bp q - _ (1 Milking Water well _ fl I)rninngc Wily 'Lb n hupetly Linc —,�11 71her n S K E C1 I:($,reel Ilnluc,dinensiolls of Inl,cxncl loenlim c I 1 t f tesl holes rr<pert Icsrs,(ocnit wcilmlds in p►oxlutily 1�holcsl M A ST- • Tp_I 3 w t j SI�F-EHC— !�'I i x15TIH6 HbVSE PoHD I'nlelll wnlerinl(genlugic) OL TI4/A Stf i/ ------ I)glih to bedrock > 1 55 1)cplh lu(JrulllltltY0ler, SIn11,1111g WDIer n IIOIc: 1 1 b -- weelli lg from I'll fnce 105 I;$linlnitd Scasunnl 11tgh(Irolindtvnlcr 6� r/ PENT, RMiNATION IrUIt.$j VONA1, 111(;Xl.l'VA'X'1�1�.'ji'Al1>l,>✓. NlelhndUsed: 501L MoTTL6`3, I)eplh OLserved slnoding Id uhs.hole: 110'r � ---- ill. Depth to soil"Indies: I)eplh to weeping from side of olts.hole: I6 5,� hnlcx well!! 5Dh/ -Ilnndln 'tole: 12Ja� 11%— III. (inIUIltlrvnlerAd111alnlcnl $� t< n.tx 1Ycil Ierc 4) Ad1.raclo 9, 1.. ., t 1. /t 1 rL..,.ut.�•.r�r .1_ {i, A'i rdly �rsr ; A::; : :•.:. :DgIE I'Intc 1)bacrvnlinn llnle Il — _ 'Tillie DI 9" — Ilcplh of 1'.ert -""- -' -- Time at 6" Slnrt Pre-su"k Tilne On —— ltmc Min.iln�ll Site Suimhilily Assessnlcm: Site Passed�� Slit boiled; _ Addlilonnl-I'es►illg Noerled nrlgbtnl: fohlic Ilcnhh I)I�IEIur' Obse1'I'rl(loll I Ipic DIOR'I,o Dc�pllrlllcicd nu Ilncit- Copy: Appllemq } r - 4 UIZSI;ivilv1'mN 11(�L14 LOC Peplli limit Ski IIJIfIlion .. Smf:t4t!(III,J 5nll 1'exlnre $:tit Gultir Still (l)51)A OIhcr (Mlrprscll) Dlull!Ing (Slulchttc.Shtnes,hnuldcres. O — 16 Y 5 AN v Y T LOAM_ FKI AbL-t 5ANP oAPi - --- vI;9--Y r-AI AUE Ir LOAM 5 Y 6/Z F I W c) 5-155 ---- — - C?- - I)t�I!;I' 013, Ial���r1'I'ION II(,)LI�; LOC I Idle Ileplh lioul Soil lltgiyttrt Suil-I-eshire Steil Ctdtir Swlitcc(in.) Sail Olhcr — —^N— MSDA) Ilthmscll) Aln(ding (Shudurc,tilnhcs Iluuldcics, . — �u5l�lta�si1,�11� DEEP OIDSVIVIATIION IIUI.,II� ILOC Ilolc 1� -- 1lcplh lions Still Iluriztlo $oil 7-cxlntc S soil cslut nrlitcc(in.) Soil Othu —^4 (11SUA) (abuser l) hlnlllioc (Slnrclole,Blanes,Ih dtictct- OIISLItIIATION 1101.1j; I,OC; IllJlt fai Ueplh hook Soil Ilorixon Sall Ic�lnre — SMWC(in.) flail['nlnr Sell .Other (IISI)A) (phutscll) tslnlllin — g (tilnldnre,511111cs,Ilu hlcres. — ��. �lIIlililSJll;y,1i.Si111Y1 b�.,., I I I� nl l.l�wll�1?u1�l.u(t>j 256t>c�I o003 D •� Ahovc 5(IO ycnr Iltihd bnttndnry 1Jo Ycs X Wilhio Sllh ycnr buloltloty Nn X Yes ivlli,'Ii10Tyea�ilnnll Innnulary Wn It.cplllslClYuJlltlllY_.S1sS111'tills_L'�LI.1!l.I,IS�:lill�l'.Ii)1 Ihlcs 111 least Imil. feel of naturally oc6in-rill6 perviaus lim" iol exist in;III areas nwcl-ve(I filrnllbhuul the hl'Ca pl'rrl)Osctl Ibr IIIC soil absydon sysicul'? YE S--�� If uul, (what IS IIIC[leplll t)�Ilhlllrrtll)e ucnn-r'In6 pervious nl;Ilcri;ll'? _ I eerlify that (it) I D�IZ— g q ( PIQ I have Iulssc(I the stlil cvalu;,lor il,;tlio,l nl)l,lt,vc(I I)y Ill( Uepnomcn(of l.,llvirnnnlchlal I'10(e(lioll un[I Illa1 the above oltalysis tvhs perfohltetl by file collsiSlel I will, the reydred Iroininb, expertise oral ex.per Clice tlesel ibed n An C64R 15,017. [)life i�10�60 I Y March 8, 2000 The BSC Group, Inc. 657 Main St. Unit West Yarmouth, M.A. 02673 RE: 2604 Main Street—Barnstable, M.A. I, Laurie Crocker, hereby give The BSC Group, authorization to represent me at The Town of Barnstable, Board of Health Committee meeting. Respectfully signed, t { z/l Date I f Mar-68-00 12:53 BARNSTABLE HEALTH DEPT 5087906304 P.01 I i /f DATE. BARN ABM FEE: �p MASE . sh 9• Town of Barnstable REc. $y SCHED. DATE: I I0 ZED Board of Health 367 Main Street,Hyannis MA 02601 Officc: 508-862-4644 FAX: 509-790-6304 Susan G.Rask,R.S. Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORIN1 LOCATIONProperty Address: 2604 Main St. , Barnstable Assessor's Map and Parcel Number: 2 5 8/4 \ Size of Lot: 21 , 0 0 0+ S.F. Wetlands Within 300 Ft. Yes X Business Name:! No Subdivision Name: APPLICANT'S NAME: Phone Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Laurie Crocker Name: Craig Field, The BSC Group, Inc. Address: 309 Main St, Yarmouthport Address: 657 Main St. , Unit 6, W. Yarmouth Phone: 508-362-3754 Phone: 508-778-8919 VARIANCE FROM REGULATION(Lin Reg.) REASON FOR VARIANCE(May anaeh if more space needed) _A maiority of the lot is within _a cant-; r• c stern to hp the 1001 buffer and also Topographic 1 Pcc than 1 (lf) r frnm a cnn_c dPrati one nnnr� Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of floor plan submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting l !� date at applicant's expense(for Title V and/or local sewage regulation variances only) fs� Full menu submitted(for grease trap variance requests only) s Variance request application fee collected rare.tir � eduvd Modif W ten reee+xb,grme m,vatimcs m"K.r.ls(s�w'vnv4caft a dy AY:�s vrimce re*nr�b Isaree o.nvl4..m Daly[W.von[n m n�pair ra1N � � �e 4uPnsal syuems(only i(ro atyenwn ro da S"i1diM�N,eV�dU tom` Variance request submitted at least 15 days prior to meeting date �4,Q VARIANCE APPROVED Susan G. Rask,R.S,=:!hairt& NOT APPROVED Sumner Kaufman,CM�SIP.H. 4", , �QOO REASON FOR DISAPPROVAL Ralph A.Murphy,,M.D. a:/WP/VARZREQ "' l % a BSC TRANSMITTAL To: TOWN OF BARNSTABLE Date: 06/26/00 BOARD OF HEALTH Proj. No: 4-8142.00 367 MAIN STREET Project: SEWAGE DISPOSAL HYANNIS, MA. 02601 SYSTEM UPGRADE We are sending you: ®Attached ❑Under Separate Cover Via: 657 Main Street ❑Overnight Delivery ❑Taxi ❑Regular Mail Unit 6A, Route 28 ❑ Messenger ❑Direct from printer ❑ Other: Yarmouth, MA 02673 The following items: Tel: 508-778-8919 ❑Change Order ❑Drawings ❑Prints ❑Samples Fax: 508-778-8966 ❑Copy of Letter ❑Photocopies ❑Reports ❑ Specifications ❑ Digital Media ❑ Plans ❑ Other: No. of Copies Drawings No. Date or Revision Description 4 Sewage disposal system upgrade 2604 Main Street (6A) Barnstable This information is: ❑ For Your Information ❑Approved as submitted ❑Resubmit _copies for approval ❑Unchecked ❑Approved as noted ❑Return _corrected prints ❑Preliminary ❑Disapproved ❑Submit _copies for ❑ Revised Plans ❑Returned for corrections distribution ❑ Final Plans ❑Sent for your review&comment Remarks: Note: If enclosures are cc: BSC Files Signed: S • not as noted,please contact us immediately. Document l BK la08 3 PG21 1 39240 OG=-23-2000 e 12 z 23 RESTRICTION We, PAMELA D. BROWN, also known- as PAMELA W. BROWN, of 82 Lombard Avenue, P.O. Box 729, Barnstable (West) , Barnstable County, Massachusetts 02668, and LAURIE M. CROCKER, of 309 Main Street, Yarmouth (Port) , Barnstable County, Massachusetts 02675, in conformity with conditions imposed by the Board of Health of the Town of Barnstable for the installation of a onsite sewage disposal system for property located at 2604 Main Street, Barnstable, Barnstable County, Massachusetts, and the variances necessary therefor, all as described in 'File No. A=258-004 of the said Board of Health, which said variances were reviewed and approved by the Department of Environmental Protection of the Commonwealth of Massachusetts in its transmittal No. W010747, hereby restrict said property to no~more- than' a three bedroom dwelling discharging no more than 330 `'gallons per day into said_ disposal I system.' This rest"riction '`shall be appurtenant-E— and run with said land and shall be in perpetuity or until further order of the Board of Health of the Town of Barnstable or the Department of Environmental Protection of the Commonwealth of Massachusetts or its or their successors and assigns. For title, see the deed of Beverly S. Counsell to Pamela W. Brown and Laurie M. Crocker dated May 17, 1999, and recorded with the Barnstable County Registry of Deeds in Book 12274, Page 148. Executed as a sealed instrument this Ut, day of June, 2000. Pamela D. Brown L urie M. Crocker P0212 SS2 46 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. June /4 2000 Then personally appeared the above-named PAMELA D. BROWN and acknowledged the foregoing instrument to be her free act and deed, before me, N ary Public My commission expires: Jo-Anne F.Natf!e'd, 'bta u: My Commission Expires JarLjWy 19,2007.. iJ01 COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. June 2000 Then personally appeared the above-named LAURIE M. CROCKER and acknowledged the foregoing instrument t e her free act and deed, before me, ota Public My dommission expires BARNSTABLE COUNTY REGISTRY OF DEEDS 2 LA TRUE COPY,ATTESTN F.MEADE,REGISTER BARNSTABLE REGISTRY OF DEEDS I • SEPTIC TANK DETAIL: 1 ,500 GALLON DISTRIBUTION DETAIL. NOT TO SCALE REVISIONS SOIL TEST PIT DRAT P - 9 C 48 LEACHING FIELD DETAIL: NOT TO SCALE NO. DATE DESCRIPTION NOT TO SCALE NO. OF OUTLETS : 5 1. 3/7/00 SIEVE INFO. TEST PIT 1 TEST PIT _-Al- NOTES: 1. SEPTIC TANK SHALL BE STEEL 5• INLET AND OUTLET TEES TO BE CAST IRON, FINISHED GRADE 36" MAX .COVER 2, 4/12/00 BOH APP. NOTES GRD. EL_ 90•2 GRQ. EL. 90.2 REINFORCED CONCRETE. SCHED, 40 PVC OR CAST-IN-PLACE CONCRETE. TEES TO BE CENTERED UNDER MANHOLE COVER. REMOVABLE 2" WALLS FINISHED GRADE 3. 6/26/00 # OF BEDROOMS GW EL ADJ. $2•$' GW EL ADJ. 82.$' 2. SEPTIC TANK TO WITHSTAND H-1O LOADING � I � NOTES: SANDY LOAM 2.5 YR4 2 SANDY LOAM 2.5 YR4 2 UNLESS UNDER PAVEMENT, DRIVES OR 6. RECOMMENDED MANUFACTURER-ROTONDO OR / /� TRAVELED WAYS, WHEREIN H-20 LOADING APPROVED EQUAL. a' •�:.v•;.', 2" 1. DIST. BOX TO WITHSTAND N-10 LOADING DEED RESTRICTION 1 Q" 10„ SHALL APPLY. PW s E UNLESS UNDER PAVEMENT, DRIVES OR - °✓/ CRP ENDS r r a 3. ALL PIPE CONNECTIONS AND CONCRETE T -- TRAVELED WAYS WHEREIN H-20 LOADING » • •-� •_ -�. SANDY LOAM 2.5 YR4/3 a SANDY LOAM 2.5 YI<4/3 CONSTRUCTION SHALL BE WATERTIGHT. 4 PVC y 4• PRF shy 4o gyc s=q.00sre� 15» SHALL APPLY, '�4 °`�rY�Q4g`°�'Q r > n w �j e r 22 22 4. RH ALL UNUSED KNOCKOUTS WITH " `�`�"' �: 'ems ' �$ r�s 4 4a `b '►. s• ra $$ IrL 3 2-24 DIA Cl (60 MIN.) MANHOLE COVERS " " .• 2. PROVIDE INLET TEE OR BAFFLE WHERE ®< o < o+ ti o Y ffi o . 4 C D®. a ®� Q o. o . a< b o� , GENERAL NOTES: a x i MORTAR. 8 , ,� ° a°d° a 3 �Pa ° ' a° BROUGHT TO FINISH GRADE 6 5,5 OUTLETS SLOPE OF PIPE EXCEEDS 0.08 FT. OR C� , � ���,;, ': ,� <� .�,- 1. THIS PLAN IS FOR DESIGN AND _ TEE TO.BE UNDER � � ��- - �,...+ + M.H. OPENING 12" MIN. " �� �� ��, b� �,r ®ea -r- IN PUMPED SYSTEM. LEVEL BOTTOM CONSTRUCTION OF THE SEWAGE- v K ti COVER 3 ;a n� � ° a L- " I-- 28' _ DISPOSAL FACILITY ONLY. / l/i ✓ 2 3. FIRST TWO FEET OF PIPE OUT OF DIST: 2. ALL CONSTRUCTION METHODS AND S1L7 LOAM 2.5 YR6/2 SILT LOAM 2.5 YF6/2 4■ 10'-6" RAISE M.H W/_ BOTTOM ON LEVEL 6" MIN. 3 4 TO BOX TO BE LAID LEVEL SEWER BRICK ; -. a - •`-� �� �._ . STABLE BASE- / " PROFILE MATERIALS SHALL CONFORM To MASS. 1 1/2" CRUSHED D.E.P TITLE 5 AND LOCAL BOARD ELF '` EL 82`$* 1 O'-0" do MORTAR 12» .� CROSS-SECTION STONE BASE 4. RECOMIs END MANUFACTURE R-ROTONDO OF HEALTH REGULATIONS, NORMAL WATER LEVEL OR APPROVED EQUAL _ 36" MAX. - 12" MIN. COVER 3. ALL PIPES LOCATED UNDER PAVEMENT 95" 95 L 3" `= 5. ALL PIPE CONNECTIONS AND CONCRETE OR TRAVELED WAY SHALL BE SCHEDULE EL = $1.0 EL = $1.0 PRECAST SEPTIC TANK 10" 20' --- CONSTRUCTION SHAH BE WATERTIGHT. 2% MIN. FINISH GRADE 4" MIN. LOAM & SEED 40 OR EQUAL. INLET TEE = 4'-9" 30 1/2" S. FILL ALL UNUSED KNOCKOUTS WITH MORTAR. 4. THERE ARE NO KNOWN PRIVATE WELLS COARSE SAND 2.5 YR6/4 _ - _ : LOCATED WITHIN 150 FT. OF THE » » " 311 MAXIMM COARSE SAND 2.5 YR6 4 5-2 4-6 4'-0" MIN. `3�'a iN•d •� 5-4 » PROPOSED LEACHING FACILITY NOR C2 / C2 SIEVE TEST D()NE - - - a eMEr i5 1/2 1s• MI�l--- . _. :- - .• ANY KNOWN WELLS PROPOSED WITHIN LIQUID DEPTH ( } '� 41 �, , » 150 OF ANY KNO%N LEACHING FACILITY.. v C% oom o 0 0 0• otr • w AT ELEVATION 79.0 5'-8» PRECAST DIST. i ' ° A� ��J �� o a� a L2 MIN. OF 1/8 TO a �'Sao o as<+ BOX 6' j ;»gnp '.�°'a ' �a'e �,°�i ` '�` spa '' ' "' 1/2" WASHED STONE 5. WITHIN LIMIT OF EXCAVATION REMOVE 5a `s{ tb 4-�b o a o r- � i Asa �• �`4: a �'a �- ALL TOPSOIL,. SUBSOIL AND OTHER �, ._:�_a�:•:.-•r13.::�.>•:'.::�;�.�-�"ate:•.��:=�'::a » � �-`�k'•'fi`"� 7f%�'�';� �' .+�'�.�"��'�`wf c EL - 77.3 155" EL 77.3 155" 3/4 TO 1-1/2" DOUBLE IMPERVIOUS M:�TERIAL. INDICATES BOTTOM BOTTOM ON LEVEL STABLE BASE 3" -� WASHED STONE (NO FINES) ,�_, 6. REPLACE WITH CLEAN WASHED SAND UNSUITABLE PLAN VIEW 7 1/2 (TYP) DATE: MATERIAL DATE: 6" MIN. 3/4" TO � ` �� � OR OTHER CLEAN GRANULAR SOILS JANUARY 10 2000 FEBRUARY 14, 2000 1 1/2" STONE CROSS-SECTION VIEW PLAN VIEW CROSS-SECTION CONFORMING TO THE FOLLOWING SIEVE ANALYSIS: TEST BY: TEST BY: 10% (MAX) BY WT. SHALL THE BSc GROUP, INC OBSERVES THE BSc GROUP, INC I VE T ELE I TIC S® OF o ®D4S'SIcELE SHALE WITNESSED BY: = GROUND WATER WITNESSED BY: PASS No. 100 DONNA MIORANDI DONNA MIORAND! PERC. RATE: PERC. RATE: *** SEE WAIVER REQUEST LEGEND H I ,� Y' S TOP OF FOUNDATION 91.1 <PA$ o���04o SIEVE SHALL 2 MIN. INCH INDICATES **�` MIN. INCH UNIFORMITY COEFFICIENT 0 No. 4 / ESTIMATED / 50.9 X SPOT ELEVATION 4 INVERT AT BUILDING 9.60 , SEASONAL HIGH 4" INVERT AT SEPTIC TANK (IN) 89.30 SIEVE </=6.0 SOIL EVALUATOR SOIL EVALUATOR SIEVE ANA'..YSIS C.B. o CATCH BASINNGROUND WATER RESULTS �+ 7. EXISTING UTILITIES WHERE SHO)&N, M. PETRIN DONNA MIORANDI BIT. BITUMINOUS 4 INVERT AT SEPTIC TANK (OUT) 89.55 IN THE DRAWINGS ARE APPROXIMATE. SOIL CLASS: SOIL CLASS: CLASS 1 SOILS SMH SEWER MANHOLE � 4" INVERT AT DIST. BOX (IN) 88_85 THE CONTRACTOR SHALL BE RESPON- 1 1 TMH m TELEPHONE MANHOLE ® SIBLE FOR PROPERLY LOCATING AND 3.2% GRAV,_L UPTca., UTILITY POLE / TRANSFORMER � 4" INVERT AT DIST. BOX (OUT) 88.fi9 SOTRUCTION ACTIxVITY PROPOSED II -SAFFE L_T.A.R. L.T.A.R. 85.2% SA,N3 C, UTILITY POLE AND THE APPLICABLE UTILITY 0.74 G.P.D./SQ.FT. 0.74 G.P.D./SQ.FT. 11.6% SILTf'CL.AY -E- ELECTRIC LINE INVERTS AT LEACHING FACILITY; COMPANY AND MAINTAINING THE @ EMET ELECTRIC METER REMAINS OF DIG-SAFEN SHALL BE NOTIF1�EDEPER� T . GMET GAS METER OLD WOOD PIER d" THE STATE OF MASSACi�US;=TTS -G- GAS LINE REMAINS OF OLD STONE INVERT AT BEGINNING STATUTE CHAPTER 82, SECTION 409 OF LEACHING FIELD 88.50 AT TEL 1-800-322-4844. THE VERTICAL DATUM: ASSUMED Gv FOUNDATION of THE GAS GATE ENGINEER DOES NOT GUARANTEE BENCH MARK SET: TOP OF STONE BOUND. ELEVATION = 101.05 G® - ICEHOUSE STRUCTURE �. -- - THEM ACCURACY OR THAT ALL wY UTILITIES AND SUBSURFACE STRUCTURES WATER GATE POND ��. ARE SHOWN. LOCATIONS AND 'EDG-W- WATER LINE -- �- JAN. 12, 200 ---- , ELEVATIONS OF UNDERGROUND UTILITIES -•m� o w .� ELEVATION AT BOTTOM TAKEN FROM RECORD PLANS. THE TEST PIT EDGE OF WETLANDS ° 105 o OF LEACHING FIELD 87.80 CONTRACTOR SMALL VERIFY SIZE, PROFILE-. NOT TO SCALE - os a Q • # AND STRUC AND RES AS REQUIR DLIPR OR #$ ` 82.8 TO THE START OF CONSTRUCTION. '--�� � ADJUSTED GROUNDWATER EL=Si.9 FIRST PIPE LENGTH #7 TOP FOUNDATION CAST IRON MANHOLE COVERS TO TO BE SET LEVEL - - - �- - - - `�'� f _ 2 EL=90.5 FINISHED GRADE. FOR MIN. 2 LL � V � s ' #1 8. Tills SYSTEM IS NOT DESIGNED FOR C� } THE USE OF A GARBAGE GRINDER. • - FINISH GRADE O -- v F- �: EL=89.5 ,�. _ _ a A GARBAGE GRIIa OME IS NOT , '~ -� `; -�- 0 -'`, � �. ; RECOMMENDED DUE TO RECOGNIZED' 2" MIN- a PVC (PERF) ^�1l -'`� �-�_. �..�'' N F d » Y« ? -' r y _„ s �/ r ...�"" r' a / i I TE I AI}4�uR5t IMP ACC 9 S TO THE LEACHING FACILITY._ -� x RICHARD At SUSAN BLOOM u.-_--__ E __-_-._ _. _._ :>- 4 PVC ��,.�~�. DA��ID & Rt1-fHr,NNE ALLEI� � _ - �?- SCH 40 4" PVC SCH 40��. - ,m, •f• _ t_£AEACHii+IG FIEI=.O- - - f iy -- ASSESSORS MAP 25$ f - - `` -. ``" FLI°!C ASSESSORS MAP 258 _.-. TO eE t i ,f - AYSAL / %-� PARCEL 5 RAISEI PARCEL 3 , f ~- - _ Ex , sl , 3 BEDROOMS AT 110 G.P.B./D 330 G.P.D. =� .61a 1=s9.55 - - UP 1.4 » 88.00 87.80 r ,��/ `_ [� n p t =:! 6 I=88.50 r �f�.f-1 11 C E _ - - - 1=89.30 1=88.85 r '� _ R®P �.2:-�I - �! r � R. £ 3 -�, ." -- OUTLET 1-88 6<3 (� -E�- DIST. BOX 5, 50' BUFF i I .i ✓ !_ v`. � 1500 GALLON Ef. 1 I / E�! t -s i ,�, SEPTIC TANK REQUIRED SEPTIC TANK: � �� ADJUSTED GROUNDWATER 82-8 ii 6 STONE BASE �� 'v. 8,' '`� - -' '' -' 330 X 200% - 660 GAL. 77.3 BOTTOM OF TEST HOLE , r. w .. ,r' 'M - The BSC Or r ins R „ SEPTIC TANK PROVIDED: = 1500 GAL, � 4 EXISTING DRAINAGE '' ,I 1 s `'� A ` SWALE APPARENTLY i r BITUMINOUS ' ` "s SERVICING ROUTE 6 ® !� PAVEMENT50' B+SFFER.- ' '•" NO WRITTEN DESCRIPTION ': � � � '�' ` •' SO®/� > � l I / ''' J � fir ` •m, �'�� � �+-- 4'' .,mac .�-.,.�., 4 CURRENT OWNER: BEVERLY COUNSELL C/O PAMELA BROWN & LAURIE CRO=�.KEp FOUND ON FILE ^� rf t` ` �, , -'' SIZE OF LEACHING FACIL!TY REQUIRED: 0 uMt.T OF s 6 GAL,/TANK i I fi57 ROUTE 28 (UNIT fi) TITLE REFERENCE: DEED BOOK 12274, PAGE 148 '� � `� 1 ! DESIGN PERC. RATE: <2 MIN./ INCH ' 1_ `� ; 1 WEST YARMOUTH, MA 02673 / S i LONG TERM APPL. RATE 0,74 PLAN REFERENCE: ABUTTING PLAN 169/103 - > , ti \ ! 1 ., s r f r A EXISTING DRAINAGE G.P.D/S.F. s Zt s " » /f - 8919 ® 1 x u, B0 SWALE GRANTED TO ASSESSORS MAP: 258 100' •1a€2 � �T� 1� _ ' % � ; : ` ,�, ,I '�4z•J, 1� PARCEL 4 �vFFER . -- \ 3- G HIGH. DEPT. r �. ��i MASS. _ _ 1, t 1 - s �` 9 f'20/1923 PROJECT TITL : .`f RESIDENTIAL ZONE: RF-2 -- - .10 -',,,,�.-� f I.,:.. SETBACKS: FRONT 30' f r CATCH CONCRETE SIZE OF LEACHING FACILITY PROVIDED: _ BASIN / BOUND SIDE 15 -- \ \ _ _ �,r`� ' ti FOUND U N _ - , �'� ND REAR 15 DISF6z, 4 I i _ - -_-- ®, DER 330 GPD = 0.74 SF/GPD 4 6 S.F. CD DIRT t _ _ -- _ _ - = UP USE LEACHING FIELD ''/ CD MINIMUM LOT SIZE: 43,560 S.F. PARKIN - � -- " -- �r;"�519 _ • > cn AREA ... -- _ _, r _ ,-, t x 28' 448 S,F-- BDTTBM 16' m GROUNDWATER OVERLAY DISTRICT: AP (NOT A WELL PROTECTION AREA) ` �> `- - L 1 `` --- -� .� _ f CATCH,`' / 448S.F X 0.74 SF/GPD 331 GPI BASIN a - ', 90.10' N8$'47i00"W _, SYSTEM COMPLIES WITH BOH REG. 1.14 n -- - WA `- rn e _ `> - -- =_`� EXISTING 3.5' WIDE CONCRETES.F.E16+17 x C28+1? = 493 S, S" EDGE OF PAVEMENT CAPE COD BcRM�ONE BOUND HEADWALL WITH DRAINAGE PIPE �/ REQ AREA PER 1,14 = 333/0.75 = 440 :OK � STREETIN o VARIANCES REQUESTED FOUND & HELD� No LONGER. IN USE. � -/-� � ,�/ co o� L, (0"A) TITTE5L31QCMR15.104 & 1 105 ( --% To �.. " MAIN STR ` LCCJS PLI NQ SCALE BARNUABLE EET�' SEPTIC SYSTEM DESIGN LONG TERM APPLICATION RATE ESTABLISHED BY SIEVE TE`:T. CAPE GOD BER_-M UPL BARNSTABLE �° � C coUNCOMPACTED CLASS 1, GREATER THAN 85% SAND, EDGE OF PAVE, ENT OHW HARBOR MASS HUS �,TTS LONG TERM APPLIED RATE = 0.74 GPD/SF, -�---- --- i HINKLEYS OHW UP �hI POND I --- k. N TOWN OF BARNSTABLE: K �tl11 o UP ; JI cu rn BARNSTABLE B.O.N. REGULATIONS REQUIRE THAT: NO SEPTIC TANK OR DISPOSAL 4 SYSTEM SHALL BE WITHIN 100' OF ANY WATER COURSE OR WETLANDkPo :q 'lIt r RAILRDAU UNLESS OTHERWISE APPROVED BY THE BOARD OF HEALTH. LOCUS BENCHMARK SET _ TO. OF STONE.BOUND' ';:� (4 C�".IG FE.,.!R71 , ----�-._"-.. ....#-----e PREPARED FOR: C THE SEPTIC TANK PROPOSED IS 53 FEET FROM WETLANDS AND 75 FEET FROM THE POND. ASSUMED DATUM �o �: ELEVATION 1Ot.05 N/F v LAURIE CROCKER -� JOHN & NANCY LINTON THE SOIL ADSORPTION SYSTEM IS PROPOSED 70 FEET FROM WETLANDS AND 95 FEET i " 309 MAIN STREET g FROM THE POND. N/F ASSESSORS MAP 258 t°x: PARCEL 47-1 Y - 6A - C3 YARMOUTHPORT, MA 2675 PASHOIAN FAMILY REALTY TRUST ' ASSESSORS MAP 258 2 �9 'A,A' Vs a SEPTIC SYSTEM DESIGN LONG TERM APPLIED RATE ESTABLISHED BY SIEVE TEST. PARCEL 48 _ _-<<,- .: ,._. �._ _� .. .,,. ..:: C'} DATE: FEBRUARY 9, 2000 C Lu �, COMP./DESIGN: K. HEALY CONDITIONS OF BOARD} OF HEALTH APPROVAL CHECK: D. CRISP#N PLAN VIEW THE SITE IS SUBJECT TO A DEED RESTRICTION (DEED BOOK 13089, PAGE 211 DRAWN: K. HEALY ON JUNE 23, 2000) LIMITING THE PROPERTY TO A MAXIMUM OF THREE BEDROOMS. 132 FIELD: P. H. / A. D. SCALE: 1" = 20 FEET �' THE LOT IS CONSIDERED BY THE BOARD TO BE A MARGINAL LOT UNDER FILE NO. 8142-SEP.DWG co BOARD OF HEALTH REGULATIONS VOTED 12/17/85 DWG NO. 5195-01 SIEVE TESTS RESULTS INDICATE 88.4 % BY WEIGHT PASSES THE 100 SIEVE 0 111 2Q 40' FT. SHEET' f OF 1 THEREBY MATERIAL IS SAND - J OB` NO. 4-8142.00 SEPTIC TANK DETAIL: � ,50o GALLON DISTRIBUTION BOX DETAIL: NOT To SCALE REvfsloNs SOIL TEST PIT DATA. P - 9648 LEACHING FIELD DETAIL: NOT TO SCALE NO. DATE DESCRIPTION NOT TO SCALE NO. OF OUTLETS J 1. 3/7/00 SIEVE INFO. TEST PIT ___#1 TEST PIT 01- NOTES: 1. SEPTIC TANK SHALL BE STEEL 5. INLET AND OUTLET TEES TO BE CAST IRON, FINISHED GRADE 36" MAX .COVER 2. 4/12/00 BOH APP. NOTES GIRD. EL. 90.2 GRD. EL. 90.2 REINFORCED CONCRETE. SCHED. 40 PVC OR CAST-IN-PLACE CONCRETE. TEES TO BE CENTERED UNDER MANHOLE COVER. REMOVABLE 2" WALLS FINISHED GRADE GW EL ADJ. 82.8' GW EL. ADJ. 82.8' 2. SEPTIC TANK TO WITHSTAND H-10 LOADING COVER � NOTES: 3_ 6/26/00 # OF BEDROOMS SANDY LOAM 2.5 YR4 2 SANDY LOAM 2.5 YR4 2 UNLESS UNDER PAVEMENT, DRIVES OR 6. RECOMMENDED MANUFACTURER-ROTONDO OR / / TRAVELED WAYS, WHEREIN H-20 LOADING APPROVED EQUAL. a.;y ,a.•a a.;y ;� ., 2" t. DIST. 80X TO WITHSTAND H-10 LOADING ' e DEED RESTRICTION 1 O 10 SHALL APPLY. UNLESS UNDER PAVEMENT, DRIVES OR r ri CAP ENDS " F T WHEREIN H 20 LOADING D SANDY LOAM 2.5 YR4/3 B SANDY LOAM 2.5 YR4/3 3. ALL PIPE CONNECTIONS AND CONCRETE TRAVELED WAYS - 4" PVC 4' P �F S�t� 4o gyc s=4005'i• CONSTRUCTION SHALL BE WATERTIGHT. SHALL APPLY. o o�ae+ a ¢o+ pe o+ ei o tvi o o a o ` 15" d°a,,��s`a� ,�a,�r d°ae,�°ti3°aa,�p„�a�cII 22" 22" 4. FILL ALL UNUSED KNOCKOUTS WITH " ' rp�c� `��o ° �� ��" r�cb" r�`3 r� '`� 6' Ana EL $8 3' EL 88 3 2-24 DIA C.I. (60 MIN.) MANHOLE COVERS 2. PROVIDE INLET TEE OR BAFFLE WHERE if, e + e + e+ 0. e+ e+ b e+ e+ e e o. e+ e+ e e+ + e. e e GENERAL NOTES: MORTAR. BROUGHT TO FINISH GRADE 6" 5,5" OUTLETS i $ EXCEEDS 0 08 TEE TO BE UNDER » a.^ + v SLOPE OF PIPE FT./FT OR (� 5t�� ��� ,� fief _ _y 1. THIS PLAN IS FOR DESIGN AND M.H. OPENING 12 MIN- + o o q q + e 9 q + e+ T IN PUMPED SYSTEM. LEVEL BOTTOM CONSTRUCTION OF THE SEWAGE COVER }--3" 28 DISPOSAL FACILITY ONLY. e o� SLT LOAM 2.5 YRS 2 SILT LOAM 2.5 YR6 2 -- 2' 3. FIRST TWO FEET OF PIPE OUT OF DIST. ' c / / /. 4' BOTTOM ON LEVELS 2. ALL CONSTRUCTION METHODS AND RAISE M.H W 10'-6" SEW?�tR 6RICK STABLE BASE 6" MIN. 3/4-" TO BOX TO BE LA;, LEVEL PROFILE MATERIALS SHALL CONFORM TO MASS. 1 1/2' CRUSHED D.E.P TITLE 5 AND LOCAL BOARD " 10'-0" MORTAR CROSS-SECTION STONE BASE 4. RECOMMENDED MANUFACTURER-ROTONDO OF HEALTH REGULATIONS EL $2 8 EL I' NORMAL WATER LEVEL 12" OR APPROVED EQUAL 36" MAX. - 12" MIN- COVER - 95" 95" r: CONNECTIONS AND CONCRETE 3. ALL PIPES LOCATED UNDER PAVEMENT 3 5. ALL PIPE OR TRAVELED WAY SMALL BE SCHEDULE EL - 81,0 - EL = 81.0 = PRECAST SEPTIC TANK re 1 10" 20' - CONSTRUCTION SHALL BE WATERTIGHT. 2% MIN. FINISH GRADE 4" MIN. LOAM & SEED 40 OR EQUAL INLET TEE d 4'-9" 30 1/2' 6. FILL ALL UNUSED KNOCKOUTS WITH MORTAR. 4. THERE ARE NO KNOWN PRIVATE YELLS COARSE SAND 2-5 YR6/4 _ _ 311 ��,� �- LOCATED WITHIN 150 FT. OF THE COARSE SAND 2.5 YR6/4 - - 5-2 4-6" � '� 5-4' ° PROPOSED LEACHIN G FACILITY NOR 4-0 MIN. so a Era 15 1/2- ® is" NIN-^ ANY KNOWN WELLS PROPOSED WITHIN C C LIQUID DEPTH oun�r r : = r ... � : • .._.w._.. _• E... :• 2 2 SIEVE TEST DONE - ? = (� CONTROL) � ep a +s o a+ e o 0 0• o+e � v 4 AT ELEVATION 79.0' S"-8» g :_ PRECAST DIST. ? n F �°�•�'d° '�4�.*' ' e �� �2" MIN. OF 1/8" TO 150 OF AN KNOWN LEACHING FACILITY. oho +a o �y BOX 6' 'gyp rQa 3•°a ' a�° a'e �y°p`�gop+ �c'� a wa '' °4 1/2" WASHED STONE 5. WITHIN LIMIT OF EXCAVATION REMOVE c1�`d+,,to A " o o�fa �i �ypfa�za a ALL TOPSOIL, SUBSOIL AND OTHER EL = 77.3 " EL = 77.3 " "`-'' - :�: �:' ' -`: 3/4" TO t-1/2" DOUBLE IMPERVIOUS MATERIAL 155 INDICATES 155 �°D�a BOTTOM ON LEVEL STABLE BASE d 3» ..� WASHED STONE (NO FINES) 4• I 4' I 4' �1 4' I _ 6. REPLACE WITH CLEAN WASHED SAND UNSUITABLE PLAN VIEW 7 1/2 I I (�) f r DATE: MATAL DATE: 6" MIN_ 3/4" TO �'��'�`'�'� OR OTHER CLEAN GRANULAR SOILS `?! JANUARY 10, 2000 FEBRUARY 14, 2000 1 1/2" STONE CROSS-SECTION VIEW PLAN VIEW CROSS-SECTION CONFORMING TO THE FOLLOVAING SIEVE ANALYSIS: TEST BY: TEST BY: 10: (MAX) BY WT_ SHALL �# \ [� '7 OBSERVED INVERT� 4®E I \T ELEVATIONS: <10%OF Ko°4 SIEVE SHALL THE BSC GROUP, INC INDICATES THE BSC GROUP, INC WITNESSED BY: - GROUND WATER WITNESSED BY: ►� IHIINK L E PASS No. 100 DONNA MIORANDI DONNA MIORANDI LEGEND-DS TOP of FOUNDATION 91.1 <5 °, CIF No. 4, C!Mv SHALL PERC. RATE: PERC. RATE: * * SEE WAIVER REQUEST PASS No. 200 INDICATES ** 4 INVERT AT BUILDING 89.60 2 MIN./INCH _ ESTIMATED MIN./INCH 50.9 X SPOT ELEVATION - SEASONAL. HIGH 4" INVERT AT SEPTIC TANK IN 89.30 UNIFORMITY COEFFICIENT � N©. 4 SIEVE ANALYSIS ( ) SIEVE </=6.0 SOIL EVALUATOR GROUND WATER SOIL EVALUATOR C. e� CATCH BASIN 7. EXISTING UTILITIES WHERE sHowN M. PETRIN DONNA MIORANDI RESULTS P 0 IN' D 4 INVERT AT SEPTIC TANK (OUT) 89.55 SIT. BITUMINOUS \ ) SOIL CLASS: SOIL CLASS: CLASS 1 SOILS SMH SEWER MANHOLE IN THE DRAWINGS ARE APPROXIMATE. RES ATE- 4" INVERT AT DIST. BOX (IN) 88.85 THE CONTRACTOR SHALL BE RESPON- 1 1 TM m TELEPHONE MANHOLE SIBLE FOR PROPERLY LOCATING AND 3.2 GRAVEL UPT�a, UTILITY POLE TRANSFORMER 4" INVERT AT DIST. BOX (OUT) 88.69 COORDINATING THE PROPOSED CON- STRUC TION ACTIVITY WTH DIG-SAFE L.T•A.R. L.T.A.R. 85.2% SAND CU, UTILITY POLE AND THE APPLICABLE UTILITY 0.74 G.P.D./SQ.FT. 0.74 G.P.D./SQ.FT. 11.6% SILT/CLAY --E- ELECTRIC LINE INVERTS AT LEACHING FACILITY: COMPANY AND MAINTAINING THE EXISTINGSYSTEM IN S . O EMET ELECTRIC METER REMAINS OF DIG SAFEUTILITY S ALL BE NO REDDER DATU 0 GMET GAS METER OLD WOOD PIER 4" INVERT AT BEGINNING THE STATE OF MassACHUSETTS -C;- GAS LINE REMAINS OF OLD STONE STATUTE CHAPTER 82, SECTION 409 OF LEACHING FIELD 88.50 AT TEL 1-800-322-4844. THE VERTICAL DATUM: ASSUMED Gv GATE GAS FOUNDATION OF THE ENGINEER DOES NOT GUARANTEE BENCH MARK SET: TOP OF STONE BOUND. ELEVATION 101.05 D4 -�--- ICEHOUSE STRUCTURE THEIR ACCURACY OR THAT ALL wy= r -� UTILITIES AND SUBSURFACE STRUCTURES N ARE SHOWN_ LOCATIONS AND WATER GATEEDG P-- _ ELEVATIONS OF UNDERGROUND UTILITIES -W- WATER LINE -- JAN-12, 200� - o w � ELEVATION AT BOTTOM 0 145 t '0 TAKEN FROM RECORD PLANS. THE TEST PIT EDGE OF �'ETLANO Z o OF LEACHING FIELD 87.80 CONTRACTOR SHALL VERIFY SIZE, PROFILE: NOT TO SCALE ® S �r o o � Y LOCATION AND INVENTS OF UTILITIES • '11 #3 AND STRUCTURES AS REQUIRED PRIOR _ ##88 #`' • ' -- ADJUSTED GROUNDWATER 82.8 T9 THE START OF CONSTRUCTION. OP FOUNDATION 91.1 FIRST PIPE LENGTH � - � �-----..-. -- ,-. y - _#7 __._ �� �'" �` � �' #2 "IZHI RON MANHOLE COVERS TO TO BE SET LEVEL -'- -_ �• G EL=90.5D GRADE. FOR MIN_ 2' a Z r #1 8_ THIS SYSTEM IS NOT DESIGNED FOR I THE USE OF A GARBAGE GRINDER. FINISH GRADE - A GARBAGE GRINDER IS NOT 2" MIN. EL=89.5 4� �""'' - _ -� � 4" PVC (PERF) / -,,� Usk - - ^~ \ ,.� N/F D E S I G N CRITERIA:TE R I RECOMMENDED DUE TO RECOGNIZED . ,� N F - ---. LI ADVERSE IMPACTS TO THE LEACHING 4 Pvc � ��. � RICHARD & SUSAN BLOOMFAclLITY_ SCH 4Q4' PVC SC 40 F '�'� - LEACHING FIELD _ - - DAVID & RUTHANNE ALLEN _ o 0 ASSESSORS MAP 258 ; ' , - - - __ �-'- C ASSESSORS MA. 258 DESIGN FLOW: _ • - __ TO BE ' PARCEL 3 ,r !- � , � _ AYBALE/SI FE�. � f PARCEL 5 �"D S A P B P C�RAISED; = =89.60 I-8Q 55 �. t y -- EX r 1 B - - / . 3 T 110 330 UP 1.4 - - i=88.50 88.00 87.80 ► RflflM _. 0. .z i i=89.30 1=88.85 !/ _ `- �� r f 3 OUTLET 1 E' QR©P , �T� ' f . _ _ B ,-88 69 � � � , � DIST. BOX 5 L1 FER I I / � ._.. _ ^ ._. ; -. �''�., � 1500 GALLONFZEd, L'1-i _ REQUIRED SEPTIC TANK ` - �, I t SEP IC TANK ADJUSTED GROUNDWATER 82.8 _ -8t,� r _ 6 STONE BASE U 660 GAL. - 77.3 BOTTOM OF TEST HOLE N �✓ _. EXISTING DRAINAGE s + 1 _ -� _ �w - G SET p 1� = GAL the BSC Groin, „. ti .: SEPTIC TANK PROVIDED: ~ � In- EXISTING - SWALE APPARENTLY ,�v+ ;i , ! _ - BITUMINOUS 1500 1 1 r � ,` �50' BU'� FER,- ' SERVICING ROUTE 6A ;� q r r , PAVEMENT _ f5 NO WRITTEN DESCRIPTION I ; , \ 97 �..-•. ''�� � � \ , �. . 1 � / u.- 500 CURRENT OVrNER: BEVERLY COUNSELL C/O PAMELA BROWN & LAURIE CROCKER FOUND ON FILE n ''I: •�0' ExC GAL TANK \ s i ' SIZE OF LEACHING FACILITY REQUIRED: #�,'`, ` / -- ,\ -� _ _ IN out S 5 6 -7- ,/\ : ` y � � � MIN./ INCH 657 ROUTE 28, - UNIT 6 TITLE REFERENCE: DEED BOOK 12274, PAGE 148 _ � � /• s �- s� < DESIGN PERC. RATE: <Z ( ) 'r , I - \- �, 1 /1 WEST YARMOffTH0 FMA 02673 ,! % _ I .I �� LONG TERM APPL. RATE 0.74 G.P.D/S.F. PLAN REFERENCE: ABUTTING PLAN 169/103 �• Nr�; ` - t� / -� i Qa / EXISTING DRAINAGE .r k � r / > �p W �(50� �778-8919 ASSESSORS MAP: 258 l Op' y11' A2 D' BOXi �t ��,�x r p4 SHALE GRANTED T() t1a• /r� ; BUFFS MASS. HIGH. DEPT. PARCEL- 4 R - \ v£ , CE 5 �\ PROD i -- 2 1923 a _ �� �/� RE j 9/ 0/ : � ECT •� 200 RESIDENTIAL ZONE: RF-2 �`�- - SIZE OF LEACHING FACILITY PROVIDED , f f-- _ _ -- , d � � CATCH CONCR .. w SETBACKS: FRONT 30 - - \ ; � �".,' _ ' - -- ! -- SEWAGEDISPOSAL SIDE 15' a - 2 i s-' i `'`:.BASIN / BOUND _-. Cm REAR 15 FOUND _ _� ND tIGHT� "" 330 GPD 0.74 SF/GPD 446 S.F. DIRT _ R _ `" _ f _ _ ,, '- ro' E USE LEACHING FIELD UPGRADE CD MINIMUM LOT SIZE_ 43,560 S.F. PARKING _ ` ` " � UP 1 � - _ _ __- - _ _ =`-k- --�� BOTTOM = 16' x 28' = 448 S,F / AREA _ ` / m GROUNDWATER OVERLAY DISTRICT: AP NOT A WELL PROTECTION AREA "'+ S - - �. "`- -�... �i _.-� "+ v 448S.F X 0.74 SF/GPD = 331 GPD _ _ _ _ 1 _ � CATCH `- --- 90.10' N88'47,00"W _�- // BASIN a __ 0, = % SYSTEM C❑MPLIES WITH B❑H REG. 1,14 m _ _ ,, - ----`� EXISTING 3.5 WIDE CONCRETE / (16+1) x (28+1) = 493 S.F. EDGE OF PAVEMENT CAPE COD BERM TONE BOUND HEADWALL WITH DRAINAGE PIPE / 604 2 'AS ET FOUND & HELD NO LONGER IN USE. // // REQ AREA PER 1.14 = 333/0.75 = 440 IOK VARIANCES REQUESTED o�� (6A 6A E TITLE 5 310 CMR 15,1 Q4 & 15.145 co STRE (RT, ALOCUS PLAN: N❑ SCALE BARNSTABLE SEPTIC SYSTEM DESIGN LONG TERM APPLICATION RATE ESTABLISHED BY SIEVE TEST. CAPE_ E3ERM-- UPL BARNSTABLE ' Q0 UNCOMPACTED CLASS 1, GREATER THAN 85% SAND, EDGE OF PAVEMENT ----- - OHW HARBOR SS = Ir LONG TERM APPLIED RATE = 0.74 GPD/SF. - -- HINKLEYS 1 ., OHW - - UP POND 41 c L TOWN OF BARNSTABLE: �--'� ;ta.a,II UP N A CT) BARNSTABLE B.O.H. REGULATIONS REQUIRE THAT: NO SEPTIC TANK OR DISPOSAL Cu SYSTEM SHALL BE WITHIN 100 OF ANY WATER COURSE OR WETLAND RAILR❑AD UNLESS OTHERWISE. APPROVED BY THE BOARD OF HEALTH. BENCHMARK_ SET L❑GLIB TOP OF STONE BOUND PREPARED FOR: Lr3THE SEPTIC TANK PROPOSED IS 53 FEET FROM WETLANDS AND 75 FEET FROM THE POND. ASSUMED DATUM „w.,. n, .•. ,,: t_ , . � ELEVA-RON 101.05 N/F q LAURIE CROCKER JOHN & NANCY LINTON Z = THE SOIL ADSORPTION SYSTEM IS PROPOSED 70 FEET FROM WETLANDS AND 95 FEET ASSESSORS MAP 258 CT1 = 309 MAIN STREET FROM THE POND. N/F ti PASHOIAN FAMILY REALTY TRUST PARCEL 47-1 dr� '� 6A S9G o YARMOUTHPORT, MA 2675 Cn ASSESSORS MAP 258 P t DATE: FEBRUARY , 2000 SEPTIC SYSTEM DESIGN LONG TERM APPLIED RATE ESTABLISHED BY SIEVE TEST. 'F PARCEL. 48 �'a�' F ,� a A,FI7►_a #` ���y COMP./DESIGN: K. HEATY CHECK: D. CRISPIN cu CONDITIONS OF BOARD OF HEALTH APPROVAL m THE SITE IS SUBJECT TO A DEED RESTRICTION (DEED BOOK 13089, PAGE 211 PLAN VIEW k. 4A ry DRAWN: K. HEALY N ON JUNE 23, 2000) LIMITING THE PROPERTY TO ,A MAXIMUM OF THREE BEDROOMS. °:` 132 r� 6 FIELD: P. H. / A. D. THE LOT IS CONSIDERED BY THE BOARD TO BE A MARGINAL LOT UNDER SCALE: 1' = 20 FEET a - Z C--�' c� ..x co BOARD OF HEALTH REGUALTIONS VOTED 12/17f85 FILE NO. 8142-SEP.DWG .., DWG NO. 5195-01 C_ SIEVE TESTS RESULTS INDICATE 88.4 � BY WEIGHT PASSES THE 100 SIEVE 0 10 20 40 FT, SHEET 1 OF 1 THEREBY MATERIAL IS SAND JOB NO: 4-8142.00