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3885 MAIN ST./RTE 6A(BARN.) - Health
3885 Main Street/Rte 6A (Barn) Barnstable U A = 335 052 e o � i o o i Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � 3885 Main st Property Address -" Mary McSweeee __ Owner Owner's Name _ -- information is required for every Barnstable __ Ma. _ 02630 _ 7-13-20 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. Inspector Information 51 14 p(Q filling out forms M Q on the computer, use only the tab Michael Sears key to move your Name of Inspector — cursor-do not Jim The Inspector Man use the return key. Company Name - --`- _P.O. Box 784 r�S Company Address - - West Yarmouth Ma. 02673 City/Town State Zip Code � 508-364-4398 _ _ S114430 _ Telephone Number _ License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 0��������ZN OFrM ��,. q. 2. ❑ Conditionally Passes �`�� sgiicy° MICHAEL %u SEARS 4 3. ❑ Needs Further Evaluation by the Local Approving Authority SO.: No.SI14430 4. ❑ FailsRTI0G�o`���` 5rn INS P1,,,���° 7-13-20 Inspector's S' nature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 3885 Main st u— Property Address �— -- —-- Mary McSweeny _ ____ Owner information is Owner's Name ----- — required for every Barnstable _ _____ Ma._ _02630 _7-13-20 page. City/Town State Zip.Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2 System Conditional -- —'--------- --- -- -- --- Y 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): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form.- Not for Voluntary Assessments 3885 Main st Property Address ----" — Mary McSweeny -_ Owner Owner's Name ---— — information is required for Barnstable q every _ ________ Ma._ 02630 7-13-20 page. City/Town State Zi __ p Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health).- ❑ broken pipe(s) are replaced El ❑ N [I ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form 1� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3885 Main u� Property Address — - Mary McSweeny _ Owner Owner's Name — -- - information is Barnstable _ _ required for every Ma. 02630 _ 7-13-20 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 9 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts ,ip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ............ /% 3885 Main st Property Address Mary McSweeny Owner Owner's Name information is Barnstable Ma. 02630 7-13-20 required for every _ _ page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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 '/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. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® 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 I� ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ the system Is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 Commonwealth of Massachusetts 1 Title 5 Official Inspection Form I, 1= S ubsurface Sewage Disposal System Form - Not for Voluntary Assessments 3885 Main Property Address — —— Mary McSween ry Owner Owner's Name — -- information is required for every Barnstable __ Ma. 02630 7-13-20 _ 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 a//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 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3885 Main st Property Address Mary McSweenL_ __ Owner Owner's Name information is required for every Barnstable _ Ma.. 02630 7-13-20 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 4 - Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Description: Number of current residents: 1 — 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 NA Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: present Date t5insp.doc rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 16 l Commonwealth of Massachusetts Title 5 Official Inspection Form 1 - 1 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u— 3885 Main st Property Address VlaaMcSweeny _ Owner Owner's Name information is required for every Barnstable _ Ma. 02630 7-13-20 page. City/Town 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: NA - -- -_ Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped.- gallons - How was Y uantit pumped determined? — -- — Q Reason for pumping: - -- t5insp.doc•rev.712612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments. 3885 Main st Property Address Owner Owner's Name information is required for every Barnstable _____ _ __ Ma. _ 02630 _ 7-13-20 page. City/Town State Zip n 9 p 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 co of the current operation and 5Y PY p maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 2-27-02 #2002-063 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 31 feet - Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): ----- - Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 II Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t, 3885 Main st _ V _ Property Address u Mary McSweeny _ Owner Owner's Name information is Barnstable Ma. 02630 _ 7-13-20 required for every _ _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 2' Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) 1500 gal If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gal Sludge depth: --- Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 0 Distance from top of scum to top of outlet tee or baffle 8„ -- Distance from bottom of scum to bottom of outlet tee or baffle 18" tape How were dimensions determined? Sludge gudge, � Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1500 gal tank with in and out tees, both covers at grade t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 L Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3885 Main st Property Address Mary McSweeny Owner Owner's Name - information is Barnstable required for every — __-_ — Ma. 02630 _7-13-20 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 da 9 P Y t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3885 Main st Property Address Mary McSweeny Owner Owner's Name information is Barnstable Ma._ 02630 7-13-20 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.): D box is 16x16 with 1 outlet pipe, cover at 3' below grade _ t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 1. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3885 Main st Property Address Mary McSweeny Owner Owner's Name information is Barnstable Ma. _ 02630 _ 7-13-20 required for every ._._ _ _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * 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: 3 - ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: --- ❑ overflow cesspool number: — ❑ innovative/alternative system Type/name of technology: --- -- t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 f Commonwealth of Massachusetts - ,IF Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^,A 3885 Main st Property Address Mary McSweeny Owner Owner's Name information is required for every Barnstable Ma. 02630 7-13-20 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.): SAS is 3- 500 gal dry wells, clean with 1" of water No sign of failure 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 Title 5 Official Inspection Form Z Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3885 Main st Property Address Mary McSweeny Owner Owner's Name information is required for every Barnstable _ Ma. 026_30 7-13-20 page. City/Town T 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 I Commonwealth of Massachusetts Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � 3885 Main st Property Address _Mary McSweeny Owner Owner's Name information is Barnstable Ma. 02630 7-13-20_ required for every - � _- _ _ _-_- page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately + b.A G O 3 3-q® 3 - ya t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of IS Commonwealth of Massachusetts Title 5 Official Inspection Form ' I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 3885 Main st Property Address Mary McSweeny _ Owner Owner's Name information is Barnstable Ma. 02630 7-13-20 required for every — page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope p ® Surface water ® Check cellar ® Shallow wells 1.68" Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record 3-32-00 If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers- (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Plan, no ground water, 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 Commonwealth of Massachusetts I@ Title 5 Official Inspection Form 7 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 3885 Main st Property Address Mary McSweeny Owner Owner's Name information is Barnstable Ma. . 02630 7-13-20 required for every _ _ page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® 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 i �I AID drat,°n� tM fifer t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 _w d ° � ig o7 &1 W a .� ^a�r a 0 Von �A oM E"gd ti G a1 b8 R 8A �ogLO� G YYY mm qQ r--� c It O 5 Js "' • �.rfit 9�s. q,s�*s4�4+ r °� ��� is'���s•'3.s'� ,3�Z ¢,� i"'''�s '�, a �...�� �'�'%�, �"y�,�ty3.�yrsaS.,P,,es >J-r'�, r't,c v-�rr 3 *4�`F�ff�M,a,..���r->ac.� ��g�a o /•/� k`2 r �- ,. Sal NP 110 - � W p� N 7 cn TOWN OF BARNSTABLE f LOCATION I�° r��o»5 �a SEWAGE$ !q a _ VILLAGE rNs .. ASSESSOR'S MAP G LO'1; Q'Do2D INSTALLER'S NAME 6 PHONE NO�� � r�ItT 477 SEPTIC TANK CAPACITY L®bv LEACHING FACILITYgtype) L, ?,-� (size) 106o NO.OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 4 O-k,e—vv' DATE PERMIT ISSUED- 10—25 9 8 DATE COEIPLIANCE ISSUED- 'D''e u-1-1 VARIANCE GRANTED-. Yes No TOWN OF BARNSTABLE �^ D LOCATION �4��Oi� ST �J�i lo,OL) SEWAGE # 0l,0007- O VILL AGE_ Crrgft ,ASSESSOR'S MAP & LOT-3 INSTALLER'S NAME&PHONE NO. ��1`e%rig/ r�es�s�no� P-�916 SEPTIC TANK CAPACITY LEACHINGIt FACILITY: (type) 57»!/ GoLL/ ei+ 3 �31 (size)l;3 33.s` 1.2 NO. OF BEDROOMS 11 y BUILDER OR ViNER J� Sa'J PERMIT DATE: o?-0/'U 2 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility s� Feet t,, Private Water Supply ella Wnd Leaching Facility (If any wells exist on site or withiri30rfeet of leaching facility) ""— Feet Edge of Wetland and L eaching Facility(If any wetlands exist within 300 feet of leaching facility) `s �® Feet Furnished by �� �� M� h .ny. r �� j � _ i '� � � �. W .. I ` ��. � ' l y ['' 7 s. ♦ r( .. .: } � ,� 4. � _ _ __. now No. ¢C �1/ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[pprication for ;Digpogar *pgtem Congtruction Permit Application for a Permit to Construct( )Repair(V)Upgrade( )Abandon( ) /Complete System ❑Individual Components Location Address or Lot No. 3 Z— mQ'//f j r Owner's Name,Address and 1.No. Assessor's Map/Parcel „®,V/ ,x/"45S Vhl&- Installer's Nagi e,Address and Tel.No. Designer's Name,Address and Tel.No. 7 7/ Type of Building: Z ��✓e Dwelling No.of Bedrooms Lot Size Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures l Design Flow gallons per day. Calculated daily flow �D gallons. Plan Date Number of sheets Revision Date q Title Size of Septic Tank 46S M z�r%5Z'7�9 Type of S.A.S. : 0 4 G Description of Soil V_ 4 j t-.J'- f EER MUST A 15 LLPIT ', tlYY f, '€',K6 SYSTEM wWAR INRTAw i rn psa c,r,'- Nature of Repairs or Alterations(Answer when applicable) 7- 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 b is o of Bealth. -/ Z fJ Signed Date S` Application Approved b iC Date Application Disapproved for the following reasons Permit No. Date Issued c �" e_— No. 4 &V'i + N��% i Fee-a THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: y s� Yes F� \PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pprtcationlor �Digogar 6pgtem Cot gtruction Permit Application for a Permit to Construct( )Repair( Y)Upgrade( )Abandon( ) U Complete System ❑Individual Components Location,Address or Lot No. �'//J 5)' Owner's Name,Address and Tel.No. Assessor's Map/Parcel ~, � 71f r Installerts Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 77/— Type of Building: Dwelling No.of Bedrooms Lot Size Z Zy .st�fi Garbage Grinder( � Other Type of Building. �(rS%Ke No.of Persons Showers f yp ( Cafeteria( )t Other Fixtures Design Flow / gallons per day. Calculated daily flow gallons. Plan Date Number of sheets / Revision Date //7/Zip Title &jalll!" )A->7�1�P ,�S/� �iljil' _ Size of Septic Tank Type of S.A.S. 5 ,3-'S45t {yAWC rl w Description of Soil1 Nature of Repairs or Alterations(Answer when applicable) rj 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 is o •d of • ealth,. l �. Signed ,-v _ Date ` Application Approved by t Cd Date Application Disapproved for the following reasons f 14 ' Permit No. fR- 4:r-0 _Z Date Issued .<'P�- 'd --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (tertificate of (Compliance THIS IS TO CERTIFY, that Oie On-site Sewage Disposal System Constructed( )Repaired(`')Upgraded( ) Abandoned( )by D/ o' D O'd at A/i✓ _1 Aias been constructed in accordance 1, with the provisions of Title 5 and the for Disposal System Construction Permit No'.W ' ,�✓GrdaYed Z — Q'�' Installer Designer The issuance of this permit shall not be construed as a guarantee that the syst\ willjuntction as estgned. Date - 2-1- C) Inspector V��tl� "ty r --------g--r�----------------------------- No. '-,.' r./ i+ 7 Fee -THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Migpogat6pgtem C. ngtruction Permit Permission is hereby granted to Construct( )Repair( grade( )Abandon ) System located at 5` / k0/i_— e!!�� xo'/iJS.�`. and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this emit. Date: �"4 �" �'�' Approved i 02/19/2002 14:35 5083629001 KINLIN GROVER GMAC PAGE 02 BIFS 14833 Ps?S 015471 DEED RESTRICTION WHEREAS,Michael D. Browne, and Mary P. McSweeney of 3885 Route 6A, Cummaquid,MA is the owner of 3885 Route 6.A,located at Cummaquid,MA(hereinafter referred to as the property)and being shown,on a plan entitled"Subdivision of Land in Cummaquid MA,property of J. Raymond Boyle, et. Al,which is duly recorded in Barnstable County Registry of Deeds in Plan Book 187,Page 45." WHEREAS,Michael D. Browne, and Mary P. McSweeney as the owner of said lot has agreed with the Town of Barnstable Board of Health to a restriction as to the number of 1st as a cesdikic�s to obtaining a variance from the 31d CMR•15.214, State Environmeutal Code,Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this lot is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW,THEREFORE,Michael D. Browne, and Mary P. McSweeney does hereby place the following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable Board of Health.,which restriction shall run with the land and be binding upon all successors in title: 1. 3885 may have constructed upon the lot property containing no more than four(4) bedrooms Miehael.D. Browne and Mary P. McSweeney agrees that this shall be permanent deed restriction affecting the property locatgd on 3885 Route 6A, Cummaquid,M,A,and being shown on the plan recorded in Plan Book 187,Page 45. ` For title of Michael D. Brown and Mary P. McSweeney see the following deed:Book 14129,Page 326. Executed as a sealed instrument this ft+—rg, ,•-. day of FcW vAR,1 "`- (date) Af tf?V�rRYD�G`pU •' `.. M w BAR TABLE REGISTRY OF DEEDS r� MAR-01-02 08:33 AM DOWN CAPE ENGINEERING 508 362 9880 P.01 939 main street rl 6a t let.(508)362-4541 Yarmouth port mass 02675 fax(SOt3)382.9s80 down cape engineering structural design civil engineers&land surveyors Arne H.Ojala P.E.,P.L.S. land court Timothy H.Covell,P.L.S. surveys Daniel A.01ala,P.L.S. February 28, 2002 site planning " swage system Thomas McKean, R.S. di'`g"` Barnstable Board of Health 147 Main Street inspection Hyannis, MA 02601 permits Re: 3885 Route 6A, Cummaquid Dear Tom: Down Cape Engineering, Inc. performed inspections of the newly constructed septic system at the above-referenced location. The septic system is hereby certified to be installed in substantial compliance with the approved plan. : If IRY Vktions, please 4o not hesitate to call me. Yours trul r . Arne K, 0jala, PE, PLS Down Cape Engineering, Inc, cc: L. Anderson • Y. TOWN OF BARNSTABLE LOCATION 3 V4'S Airl 404 SEWAGE # ae:% Q Z: VILLAGE L J ASSESSOR'S MAP & LOT 3 3- INSTALLER'S NAME&PHONE NO. 00 0/w, 074w,� yo P-Tyw/ SEPTIC TANK CAPACITY //L-- LEACHING FACILITY: (type) 6—RVGs L L/wA-s 1 (size)/,3 X 33,S` 1-2 NO. OF BEDROOMS y BUILDER OR R l95®✓ PERMITDATE: 2 COMPLIANCE DATE: Separation Distance.Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply`Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) �� Feet t Furnished by /9 s Aram i � i Town of Barnstable Board of. Health 200 Main Street, Hyannis MA 02601 Office:..508-862-4644 Susan G.Rask,R.S. FAX: . 508-790-6304_ Sumner Kaufrnan,MSPH Wayne Miller,M.D. January 25, 2002 Mr. Arne H. Ojala, P.E., PLS Down Cape Engineering, Inc. 939 Main Street Route 6A Yarmouthport, MA 02675 RE: 3885 Main Street Cummaquid Dear Mr. Ojala, You are granted a variance on behalf of your client, Leroy Anderson, to construct an onsite sewage disposal system at 3885 Main Street, Cummaquid. The variance granted is as follows: PART VIII SECT. 1.00: The soil absorption system will be located only 70 feet away from the wetland, in lieu of the 100 feet minimum separation distance required. This variance is granted with the following conditions: (1) No more than four (4) 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. (2) The applicant .shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four (4) bedrooms maximum. A copy of the recorded' deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the engineered plans dated revised November 1, 2001, signed by the designing engineer December 5, 2001. Ojala5 �(4) The designing engineer shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the submitted plans dated revised November 1, 2001, :signed by the designing engineer December 5, 2001. This variance is granted because the physical constraints at the site severely restrict the location of the soil absorption system due to the proximity of wetlands (adjoining the property on three sides) and due to the presence of poor soils observed at this site. It is the opinion of this Board that the proposed new.soil absorption system is designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sincerely yours, Susan G. Rask, R.S. Chairperson Ojala5 aom�m- SECTION . 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. ■ Print your name and address on the reverse so that we can return the card to you. C. Sign a re ■ Attach this card to the back of the mailpiece, X �, ❑Agent or on the front if space permits. °?❑Addressee D. Is delivery address different from' m 1? ❑Yes 1. Article Addressed to:Jed MA 0ti If YES,enter delivery address elow: ❑ No C/a o Q� ,9D ( uCj 3. Se ice Type N` v Certified Mail ❑ Express Mail b Registered ❑ Return Receipt for Merchandise Insured Mail C.O.D. Cun1� M El Insured O&h3 9 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number / 0 �1 (Transfer from service label). t�Uo�, s / Vi j 00V yi 5 % '�-�,i`, P//S��Formna'3811, Wrch'2001 Domestic Return Receipt 102595-01-M-1424 III j UNITED STATES POSTAL SERVICE _ •1 .� First;QIass-MaiL—_9 USES e&Fes,.. Permit No�G10 Sender: Please print youct�n ,'e,.-address,I andsZl.P.�+i_in`thin q�s 6i,,',` I' i Down Cad Engineering, Inc. 939 main St. — Suite C II yarn th Port, MA 02675 I' I � lii,,,,;j,I,•fi„�„�i,i.i,,,, f .,,I(i„; ,I„;,{„i,i,,.I,i,i N SENDER: COMPLETE THIS SECTION COMP�iTE THIS 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. ■ Print your name and address on the reverse so that we can return the card to you. C.Sig atuM ■ Attach this card to the back of the mailpiece, X, ❑Agent or on the front if space permits. ❑Addressee D. 14 delive address driffe-Mn om item 1? ❑Yes 1. Article Addressed to: If YES,ent i'delivery` elow: ❑No o a 11-7� 3. Service Ty• �� Certified Cb ss Mail y a h ,v�,o /"( � ❑ Registered ❑ Return Receipt for Merchandise ��� ❑ Insured Mail ElC.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 'look fi�o 000ry -?3� `` 6°10a (Transfer from service lab I) i t 1 1 t ( # y, i, ��� , t t ! I i i 1 � II PSAo^rm 811, March 2001 Domestic Return Receipt 102595-0f-M."", 4 � HI i:.1f, it 1 Ii 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 • Down Cape Engineering, Inc. 939 Main St. — Suite C Yarmouth Port, MA 02675 OSENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION N 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. ■ Print your name and address on the reverse so that we can return the card to you. C. Signature ■ Attach this card to the back of the mailpiece, gent I or on the front if space permits. Addressee D. Is delivery address different from item 1? Yes M1. Article Addressed to: If YES,enter delivery address below: ❑No a 3.1S..._.,e,/rrvice Type 'Certified Mail ❑ Express Mail //�/ Registered ElReturn Receipt for Merchandise ✓u ��Q`j U-1 e I ❑ Insured Mail ❑ C.O.D. l �? 4. Restricted Delivery?(Extra Fee) l ❑Yes 2. Article Number; :�QQDi : �c�V Q MY,, i 9 i 47 q (Transfer from service label) j J, -et?:iie 3=i 6i ii iiiii �ttiii ? `?tf it 0 PS Form,Pl 1�,,March 2001 Domestic Return Receipt 102595-01-M-1424 Q✓1 UNITED STATES POSTAL SERVICE .First-Glaq,5 Mail -Postage LISPS 'Permit Nd.'&10 • Sender: Please priq S.�,.�Q�Aoe�address, gd'ZIP+4-in'thi b6x--;-- Dorn Cape Engineering, Inc. 939 Main St. — suite c ya(Mouth Port,MA 02675 III I!Midi III AH 11 11!1!Hid 11-111 11111-111 II.-Ild SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY ;■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. D to of elivery item 4 if Restricted Delivery is desired. � A lel7l ■ Print your name and address on the reverse C. S&ure so that we can return the card to you. Agent ■ Attach this card to the back of the mailpiece, X or on the front if space permits. /❑Addressee D. Is delivery address different fro em 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No C�D /`��✓��ck, 0 )611 JeMQ�CQ 3. Service Type / Certified Mail ❑ Express Mail )Q U VJ a 0 1, �(1�fj l� ❑ Registered ❑ Return Receipt for Merchandise U �,1J ❑ Insured Mail ❑C.O.D. Lj Df ee,-fj! b) 0k 4. Restricted Delivery?(Extra Fee) ❑Yes 2. ArticleNumber / ^� ransnsfer from service label) 7 0m /s,30 OL /Y y PS Ford 3-811,March 2001 Domestic Return Receipt 102595-01-M-1424 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid ' LISPS N Permit No. G-10 li • Sender: Please print your name, address, and ZIP+4 in this box • I( i Down Cape Engineering, Inc. gag Wn St. — Suits C Yarmouth Port, NIA 02675 I i ap SHE Tp� DATE: FEE: BARNSCABLE, y HHASS. �7 i639• s REC. BY CEO Mpi Town of Barnstable SCHED. DATE: Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R-S. FAX. 508-790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION `1 Property Address: -VN,-h Assessor's Map and Parcel Number: ��✓" �jZ- Size of Lot: Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: Li420,{A*Jigg: 2 - Phone Did the owner of the property authorize you to represent him or her? Yes *— No PROPERTY OWNER'S NAME CONTACT PERSON Name: r�t[M�t/� I v�d..y,t + �1t.1-�"1 Name: 00vu" WQ— GDtC-f--7 SJLlL Z4,,JLN I-J— ►'��.SwC.�Yt c Address: M5,, ,rm, lri ST Address: `93C7 e-n.41,j S 1 t%uw• L��. Phone: ' Phone:- !!,�,Y-- k�g+) VAR AINCE FROM REGULATION(List Reg.) REASON FOR VARLkNCE(May attach if more space needed) Pa.-,et vet 1 yEvno� c , vo NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)_copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals(same owner/leasee only],outside dining variance renewals(same owner/leasee only],and variances to repair failed sewage disposal systems (only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan 0.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/'AP/VARIREQ r DEC 21 '01 15-©7 FIR OCEAN SPRAY 15089476852 TO 151067-5623880 P.02 02 Michael Browne ' Mary McSweeney 3935 Main St Barnstable I••IA 01637 12 21/01 To Whom It May Concern: This memo is to confirm that the current residents of the above address,3885 Main St.are represented by Down Cape Eng.in the attached application,, sincerely 1 Apt Michael Browne u�k: TOTAL PAGE.02 Ww: tel.(508)362-4541 '939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cope engi/leering civil engineers& land surveyors structural design December 1, 2001 Arne H.Ojala P.E., P.L.S. Timothy H.Covell,P.L.S. land court Barnstable Board of Health Daniel A.Ojala, P.L.S. surveys 367 Main Street Hyannis, MA 02601 site planning Re: 3885 Main Street, Cummaquid sewage system Dear Board Members: designs The enclosed represents a variance filing for a septic system upgrade from an existing failed (via real estate transfer inspection) septic system. No addition of habitable space inspections is proposed and this lot does not he within a well protection district. permits The following local variance is requested from Part VIII, Section 1.00 -the"100 Foot" Regulation: proposed septic system to be at a minimum, 70' from a(perched)wetland. The elevations of the shallow wetlands vary, with the one to the west of Mary Dunn Road at 37.0'and the one east of locus at 26.0'. As no groundwater was found in the test holes to elevation 18.6', it has been determined that the wetlands are perched. The groundwater elevation has been estimated at elevation 17.5', per the Barnstable groundwater map. The base of the leaching facility is proposed at 8.76' above this elevation. We have provided a 40 mil liner at 5' off the perimeter of the leaching facility to mitigate any chance of migration of untreated effluent. To confirm suitable soils for the extent of the proposed leaching facility, additional test holes were performed in that area and they indicated suitable soils and no water encountered to a depth of 14'. We feel that by granting the variance, the same degree of environmental protection can be attained without the need for strict adherence to the Town of Barnstable regulation. Very truly yo s, rne .A Oj a, PE, P L S Down Cape Engineering, Inc. cc: Leroy Anderson tel.(508)362-4541 •939 main street rt 6a yarmouth port fax(508)362 9880 mass 02675 d/Own Cope enfineerinf civil engineers& land surveyors structural design Arne H.Ojala P.E., P.L.S. Timothy H.Covell, P.L.S. land court Daniel A.Ojala,P.L.S. surveys December 12, 2001 Leroy Anderson site planning 82 Lakeshore Drive Centerville, MA 02632 sewage system designs Dear Mr. Anderson: A public hearing has been scheduled for the Barnstable Board of inspections Health to take action on a request for a variance from a Barnstable Board of Health regulation for the failed septic system at 3885 Main Street, Cummaquid. The variance requested is as follows: permits Town of Barnstable Regulations: Proposed leach facility to be less than 100' to a (perched) wetland (30' variance requested) Said hearing will be held in the Town Hall conference room, 367 Main Street, Hyannis, January 23. 2002, at 7:00 pm. Please check with the Health Department to confirm date and time. Sincerely, Sarah B. Ojala Down Cape Engineering, Inc. cc: Abutters file Barnstable Board of Health r A t ABUTTERS LIST FOR ANDERSON MAP 335 PARCEL 21 LINDA CROSBY C/O TERENCE MOYLAN 25 ROCKAWAY STREET MARBLEHEAD, MA 01945 MAP 335 PARCEL 44 JOHN & LAURA HODGSON C/O ASDIS HODGSON BOX 56 CUMMAQUID, MA 02637 MAP 335 PARCEL 43 KATHLEEN FIORENZA C/O KATHLEEN NEWMAN BOX 24660 ST. CROIX, V.I. 00824 MAP 335 PARCEL 53 MALCOLM BRENNER BOX 794 HYANNIS, MA 02601 MAP 335 PARCEL 8-2 JAMES COWAN C/O MIRICK, O'CONNELL & DEMALLIE 1700 BANK OF BOSTON TOWER 100 WORCESTER, MA 01608 MAP 335 PARCEL 8-1 DONALD & BARBARA EVERHART BOX 558 CUMMAQUID, MA 02637 4 s � I05Ac u QQ e`►c s 2y _« j1•v el PC J z QI u .79 aC ' Z M1 10 :•tt) \ `It`y 1 ^-m 69 AC ►• se e 2e 1 - 19\ a seO T A,\- ���}Ji t` 72 ,r, ; 9e lae ao :• ' P ` Ar. �,.. >. SO 49 SI •61 AC 41 K IV .38 PC .0 b .0 e4 ` \ m r 1 1 � y 44 y 1 1.02 AC p 49 'a Is In vfL—o D' 52 C \ A uR*'' s4r e ENO 1' i e /� 7• �O 4s _ eb tl 41A4 p.a ¢ .� i a 1 ( 43 l4ee �✓ / .72 AC I.r3 v too 42 1'o 11'1 r 53 )44C IAZPL N n _ 1AC �4/ IN •4C ~« ,• a0 .89 1 IM .J cs O 1 `r`� Q .55 AC 2.05�- 8 4 Ac `—� • CO o z .e6 -c o 4 - e3Ac-5 o =_ n 55 6 24AC-5 ` 00 3 R 94 Ac r �7 410 I.SS.t-• ` n 7q61 �� r - 7 c 23 4yt e�iMlT�e�a ll A _ O 0 A 5,4 IV N Z n 1.12.�• 4�v 1` All .1 M o0 � i i • � W e 1 v o Z�-2• N 4 1 N 1 t - 1.03 AC ^ 1 z . .1 c E E hem• TARED UNDER THE DIRECTION OF M VA BARNSTABLE BOARD Of ASSESSOR• «I'�sa•• AVIS AIRMAP INC. I E i E LL L cr 8 � I r� ti rl- I Q t Town of Barnstable Board of Health �p tHE Tp� P.O.Box 534,Hyannis MA 02601 y � s a - • BARNSfABLE. MASS. 039. ATED MAC�' August 29, 2001 Sarah Ojala Downcape engineering 939 Main Street Yarmouth, MA 02675 RE: 3885 Main Street, Cummaquid Dear Mrs. Ojala: You are granted a variance on behalf of your client Leroy Anderson, from Part XIII, Section 1.00, to install a soil absorption system 75 feet away from a vegetated wetland. You are granted permission to construct a replacement soil absorption system with a Bioclere Unit at 3885 Main j Street, Cummaquid, with the following conditions: i (1) The engineering plan shall be revised to show all of the variances requested. (2) An innovative/alternative wastewater treatment unit shall be installed as proposed. I (3) The wastewater effluent shall be monitored, for the full nitrogen series, once every six months for a period of two years. (4) A written monitoring plan shall be submitted to_the Board of Health prior to obtaining a disposal works construction permit. (5) No more than four(4) bedrooms are authorized. Dens, study rooms, finished attics, sleeping lofts and similar-type rooms are considered"bedrooms"according to the Massachusetts Department of Environmental Protection. This variance is granted because the existing septic system failed and this proposed replacement soil absorption system appears to meet the maximum feasible compliance standards contained in the State Environmental Code, Title V. Sincerely yours, Susan G. Ras".S. .Chairperson Board of Health Town of Barnstable Q:HEALTH/WP:oialandr "ram TWETp� f�Dail `-- .Z.Z G�� . ■ FEE: * RMWgrAa[,E, .� MASS. CC s639 ��� REC. BY, G Town of Barnstable ` SCHED. DATE: ✓y�Y �� I Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S: FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION �! Property Address: 3 �t j 111y4 51-, Assessor's Map and Parcel Number: Size of Lot: • Z7 d Wetlands Within 300 Ft. Yes h Business Name: No Subdivision Name: APPLICANT'S NAME: 'g �,,r��� �hone Did the owner of the property authorize you to represent .im or.her? - Yes No PROPERTY OWNER'S NAME . CONTACT PERSON Name: I I-eq �! r3�f� Name: 3�rre? 0,�4. Address: 3 f o,>I-,- 1 rX/ Address:. G 37 Phone: 3 401 z ' 113.7 5-- Phone: VARL,kNCE FROM REGULATION(List R K.). REASON FOR VARI NCE(May attach if more space needed) � J s NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System Checklist(to be completed by office staff-person receiving variance request application) _✓ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request ✓ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense S (for Title V and/or local sewage regulation variances only) C�c—&`091 t _✓/��/ Full menu submitted.(for grease trap variance requests only) Variance request application:fee collected(no fee for lifeguard modification renewals,grease trap variance'renewals[same owner/leasee only],outside dining variance renewals[same owner/lease.only),and variances to repair failed sewage disposal systems / [only if no expansion to the building proposed]) ✓ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT.APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. �. Q.:/WP/VARIREQ tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 y�.rmouth port mass02675 down cape engineering civil engineers& land surveyors structural design ' August 7, 2001 Arne H.Ojala PE., P.L.S. Daniel A.Ojala, P.L.S. land court Barnstable Board of Health Timothy H.Covell, P.L.S. surveys 367 Main Street Hyannis, MA 02601 site planning Re: Continued hearing for Anderson, 3885 Main St., Cummaquid sewage system Dear Board Members: designs Enclosed please find a revised plan for the above-referenced site. We incorporated the inspections changes as requested by the Board, which included the design of a pressure-dosed system in accordance with the remedial approval requirements by DEP. We also have provided additional detailed topography, located the fill area and large maples in the permits front yard and have extended the wetland line. We performed additional exploratory test holes at either end'of the proposed leaching facility in order to confirm suitable soils and no groundwater. The test holes were consistent with the original results found at test hole 2. The observed water found in test hole 1 is believed to be seepage from an adjacent leaching facility. We feel that the combination of the nitrogen reduction system, pressure-dosing and the addition of a 40 mil liner around the system will serve to adequately address any possible environmental issues. Ve truly yours, ) Q Arne H. Ojala, PE, PLS Down Cape Engineering, Inc. i F RECEIVED Laura A. Hodgson } AUG 2 0 2001 PO Box 41 TOWN OF BARNSTABLE Cummaquid,Ma 02637 HEALTH DEPT. August 18,2001 Barnstable,Board`:of Health Dept Town Hall Barnstable, Ma 02601 Re: 3885 Main St(Rte 6A), Cummaquid- septic variance To Whom It May Concern: ' . I am writing in support of our neighbors,Mr. and Mrs: Leroy Anderson,in their effort to obtain a 30' variance and install a bioclere septic system,ontheir property. at 3885 Main Street(Rte 6A)in Cummaquid. As indicated by Mr. Anderson the fiend involved would only be I O'x30'"and would not appear to disturb much,of the growth.in the area. According to Mr. Anderson one White Pine tree would be removed. It would also be a very good system that would be better for the environment. My brother,John 1. Hodgson and 1,as abutters (at 25 Bayberry Lane)to the Anderson property, would like this letter to be part of the public record at the Board.of Health hearing on August 21`,2001. Sincerely, Cues s� ` Laura A. Hodgson J n 1. Hodgson 939 main street rt 6a yarmouth port mass 02675 I s down cape engineering, inc. civil engineers&land surveyors C3 w � s 0 C7 o Er t� CO Cy pi zr XN 0 ON ON c v z c t m -- �t•,. -- P-q 00 C t� Z— N z 4�- ry. i �PRE t I N b b►o�` ,ape W; '•. ' ttt wrrrrrt�►rssrs�+* aaW�m o d _ SENDER: I also wish to receive the a ■Complete items 1 and/or 2 for additional services. following Services(for an j ■Complete items 3,4a,and 4b. =� y ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address u 1 y ❑ Restricted Delivery permit. 2. ■Write"Return Receipt Requested"on the mailpiece below the article number. ry N r ■The Return Receipt will show to whom the article was delivered and the date .. i delivered. Consult postmaster for fee. a o 3.Article Addressed to: 4a.Article Number d9 .3�v0 00 G �}/off a 4b.Service Type " h�// /O ❑ Registered Ca'G�ertified cn OG`�Ot9 ❑ Express Mail ❑ Insured c I w � t El Return Receipt for Merchandise El COD oV•,.lr. 7. Date of Delivery o a U t-c�V ;, 5. Received By: (Print Name) 8.Addressee's Address(Only if requested j and fee is paid) I MI 6.Signature:(Addressee or Agent) I ;, X {( ii 2 PS Form 3811 December 1994 102595-98-B-0229 Domestic Return.Receipt i iei If �I1( 1' — tel.(508)362-4541 939 main street rt 6a yarmouth port fax(508)362-9880 mass 02675 down cane enfineeriag civil engineers& land surveyors structural design Arne H.Ojaia P.E., P.L.S. Daniel A.Ojala, P.L.S. land court surveys June 29, 2001 LeRoy and Clair Anderson site planning 3885 Main St. Cummaquid, MA 02637 sewage system designs Dear Mr. and Mrs. Anderson: A public hearing has been scheduled for the Barnstable Board of _inspections Health to take action on a request for a variance from a-Barnstable- -- Board of Health regulation for your failed septic system. The variance requested is as follows: permits Town of Barnstable Regulations: Proposed leach facility to be less than 100' to wetlands (30' variance requested) Note: Bioclere alternative septic system proposed as mitigation. Said hearing will be held in the Town Hall meeting room, 367 Main Street, Hyannis, July 17, at 7:00 pm. Please check with the Health Department to confirm date and time. 4LSincerely, Sarah B. Ojala Down Cape Engineering, Inc. cc: Abutters - Barnstable Board of Health ti� a e a a o SENDER: I also wish to receive the 0 ■Complete items 1 and/or 2 for additional services. following services(for an ) ■Complete items 3,4a,and 41b. N ■Print your name and address on the reverse of this form so that we can return this extra fee): card to Y d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address y permit. 2.❑ Restricted Delivery to '- ■Write"Return Receipt Requested"on the mailpiece below the article number. ry t ■The Return Receipt will show to whom the article was delivered and the date COSUlt postmaster for fee. p +• deliveredConsult 0 3.Article Addressed to: 4a.Article Number I C✓ZS' y ° 'Nov- vavt 4`�5 os 4b.Service Type a E ❑ Registered — Certified C>?.5 �o ar�f ❑ Express mail ❑ insured rn UJI M / c/,,,_ D ❑ Return Receipt for Merchandise ❑ COD 3 4 p �a✓�`�-� ' �/ p 7. Date of Delivery Q a 01,9 0 4 1 k m 5.Received By: (Print Name) 8.Addressee's Address(Only if requested Y and fee is paid) @ r 6.Signature: (Addressee or Agent) ~ \' • '. L Y 1 O _,... 98-B-0229 tDomes Ic Ret av ry o t V ir JUN29'0i O 7 •� ! '� 'f M A y 5 METER TA •� E ` 1ST NOTICEUS.POS GL t 7�99 34Q0 0001 4785 �582 'ME)NOTICE _ . . . RETURN ETURAP S h 4, s ao p REFUSED `+ Oa its e. . LINDA,G. BY Y STREET OSARBL$.HE v ca 3 , ` oLo S o N L c:) - E c`a E - - ? !4il1 !i! !i!i! 4 t ii t t !!! tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 dGW/J cope engineering civil engineers& land surveyors structural design Arne H.Ojala P.E., P.L.S. Daniel A.Ojala, P.L.S. land court surveys June 29, 2001 LeRoy and Clair Anderson site planning 3885 Main St. Cummaquid, MA 02637 sewage system designs Dear Mr. and Mrs. Anderson: A public hearing has been scheduled for the Barnstable Board of --inspections _, Eealth..to take.-action- on .a-request-for a.variance.-from a Barnstable Board of Health regulation for your failed septic system. The variance requested is as follows: permits Town of Barnstable Regulations: Proposed leach facility to be less than 100' to wetlands (30' variance requested) Note: Bioclere alternative septic system proposed as mitigation. Said hearing will be held in the Town Hall meeting room. 367 Main Street, Hyannis, July 17, at 7:00 pm. Please check with the Health Department to confirm date and time. incerely, Sarah B. Ojala Down Cape Engineering, Inc. cc: Abutters file Barnstable Board of Health ) SENDER: I also wish to receive the B ■Complete items 1 and/or 2 for additional services. following Services(for an y e Complete items 3,4a,and 4b. w ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. at ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressees Address 2 perm■Writ e"Return Receipt Requested"on the mailpiece below the article number. 2•❑ Restricted Delivery N 4$ ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. a 0 3.Article Addressed to: 4a.Article Number m p SOT pau I Y US Oaf- a Wa., 4b.Service Type G� /y r a 160V ❑ Registered X Certified ❑ Express Mail ❑ Insured Cn LU cc pg IjR/<< Return Receipt for Merchandise El COD a UU 1fSQ,`.j[ ��(fy._.-we_ 7. Date of Deli ery Z litJ a✓'cl� - It9�4 G 160� v O T 5.Received B : (Print Name) 8.Addressee's Address(Only if requested and fee is paid) 6.Signature: (Addressee or Agent) i X ' f ' I 1 ittttt' ! i;lff`i f!a [ y �t PS Form 3811 December 1994; 102595-98-B-0229 Domestic Return Receipt tttltt -it UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS I� Permit No.G-10 O Print your name, address, and ZIP Code in this box o Down Cape Engineering, Inc. 939 Fain St. — Suite C Yarmouth Port, MA 02675 11ll;lllii1llilililli:il1lllllltllfllfll fill HII11J., fl11111 ai SENDER: e r to I also wish receive the ■Complete items 1 and/or 2 for additional services. following to (for an H ■Complete items 3,4a,and 4b. at ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ai N ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address 2 ■Write permit,r e"Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery w 4)s The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. fl 0 3.Article Addressed to: 4a.Article Number �-/a�l for,-..70? 30 00 0[ S o 4b.Service Type c �Ox �` ❑ Registered Certified coc u rn ❑ Express Mail ❑ Insured Cn ❑ Return Receipt for Merchandise ❑ COD U) cc 7.Date of Delivery 0"°a 0437 0 cc 5.Received By: (Print Name) 8.Addressee's Address(Only if requested and fee is paid) IC t 6.Signatur (Ad resseeorA n t) 'o X` A y: PS Form.3811,December 1994 ; i s' !t, 1o2sss-se-a-o229 Domestic Return Receipt 'lil 11 HII if' HIIH fl t i t 81 { + UNITED STATES POSTAL SERVICE First-class Mail I Postage&Fees Paid USPS 11 Permit No.G-10 0 Print your ame, aches ,And,ZIP Code in this box O Dorm Cape Engineering, Inc. M min St. — Suite C Yarmouth Port, MA 02675 111E!!!ft??f!�?Ell?f�f�Ilfllt!fr 'I SENDER: DELIVERY ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Da of elivery item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse C. Signature so that we can return the card to you. � ❑ see ■ Attach this card to the back of the mailpiece, `� dres or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No N SSA- 3. S rvice Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise LA, � /✓t� ❑ Insured Mail ❑C.O.D. 0�37 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number(Copy from service label) ����(� `' ii i i 9O W 101it 010A:I i(V 1 �i ii iii 4 ill �i i it i PS:FOrm,3811,,;July 1999; i; ; Domestic,Return Receipt 102595-99-M-1789 i{if 1l 4 {iil Iiilliiil i iii ii 1 UNITED STATES POSTAL SERVICE First-Class Mail A� Postage&Fees Paid LISPS C, Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box ' I Dow Cape Engineering; Inc. gm Wain St. — Suite,C � Yarmouth Port, MA 02675 I EEjjj ff !! { j ( v.. i?:ro 11idfltt!!Fllillilt!1tifi.tlfi7ilffllitttiiitltilitfilfi!!!il�i 0-4& rM ai SENDER: I also wish to receive the ■Complete items 1 and/or 2 for additional services. following services(for an rn ■Complete items 3,4a,and 4b. d ■Print your name and address on the reverse of this form so,that we can return this extra fee): card to you. at d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address 2 rmi■Wr et i "Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery Q r ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. fl, 0 3.Article Addres -- 4a.Article Number a 70 J$100 Ooa y;7J5 0131 °4 CL 4b.Service Type E co i C ov �� J ,. ❑ Registered Certifiedcc rCn n r. ❑ Express Mail El insured ¢ . , /y ❑ Return Receipt for Merchandise El COD Date of Delivery 'o m 5. Received By: (Print Name) 8.Addressee's Address(Only if requested m and fee is paid) w M 6. ure: �,V#essee ent) f" o y PS Forn. � 811 December, Domestic Return Receipt i t � i - t' l i i i f j i f 1994 1o25s5-sa-a-o22s Dom Y f It fill (ill! Hi f if IIfffllf f low UNITED STATES POSTAL SERVIC First-Class Mail 711,A O� Pastae.laid t� cP � F'�rrrrit�R1A,�G:,10 ® Print your rpc,cadt�res and ZIP feint7i o Dm Cape Engineering, Inc. m main St. -- Suite C Yarmouth Port, iA 02675 Qtf ai SENDER: I also wish to receive the ■Complete items 1 and/or 2 for additional services. following Services(for an y ■Complete items 3,4a,and 4b. t) ■Print your name and address on the reverse of this form so that we can return this extra fee): n card to you. d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address 2 ■Wri el t"Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery N t ■The Return Receipt will show to whom the article was delivered and the date r delivered. Consult postmaster for fee. a 6 3.Article Addressed to: `- 4a.Article Number c°'i �or/�Zct 70 3�d0 voi �7�s u/E� a 4b.Service Type 0 C/O / Ge t,,J/'Y� ❑ Registered , Certified '' (n 13O� 01?��`Q ❑ Express Mail El insured c LLI ❑ Return Receipt for Merchandise ❑ COD 0 a �.���I v 7. Date of Div o r. DU 0 0 Z 5.Received By: Print Name) S.Addressee' Address(Only if requested Y r I and fee is paid) r 6.Signature: (APdresse or ent) T X I ' i H �PS Form,38 1!,December 1 94 i i i 3 i j i 102595-98-B-0229 Domestic Return Receipt ff t tf t Et ttt{tf i tt fti eft �1 Ml UNITED STATES POSTAL SERVICE7�� First-LIUp os eeai 11 p M 0 p C' er 0 W ®Print our AMEO"�\ies and ZIPyGle Down Cape Enginee6ng, Inc. SN Main St. — Suite C Yarmouth Port, MA 02675 I.It. H SENDER: I also wish to receive the :2 ■Complete items 1 and/or 2 for additional services. to following Services(for an ■Complete items 3,4a,and 4b. d) ■Print your name and address on the reverse of this form so that we can return this extra fee): r card to you. ai > ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address 2 rmi■Wr et i "Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery N w ■The Return Receipt will show to whom the article was delivered and the date postmaster for fee. delivered. COr1SUlt P a 0 3.Article Addressed to: gp1 Article Number u YOU &VO0 000 '/W 0PXM 4 8frvice Type c 4ginte red Certified Ox ?9YprssMail ❑ Insured LUur Receipt for Merchandise ❑ COD 3 G NYQ„gyp /—r/T Date of Delivery 0 i ' I1 5.Received By: (Print Name) 8.Addressee's Address(Only if requested Y and fee is paid) W t M 6.Sign e: or segrent) � X�j 2 PS Form 381.1,December,1994 102595-98-13-0229 Domestic Return Receipt '. 1 �i I iflfl� l( fi l i i iit i UNITED STATES POSTAL SERVICE First-Class Mail 11111 Postage&Fees Paid USPS Permit No.G-10 o Print your name, address, and ZIP Code in this box o Daum Cape Engineering, Inc. , 939 Main St. -- Suite C Yarmouth Port, MA 02675 __ ill43t�4{3i31133l3i31ii4l34i14i 34 iii1433ifi4331 ii1 i14�433 i131{ cs 3 � m d _ OD a OD= O KxO D�m O N N 0 W 3 \ W V G! Z y c 3 2 c V Town of Barnstable of THE 1p� Board of Health BARNSCABLE, ► P.O.Box 534,Hyannis MA 02601 y MASS. i639 AjFD��A Agreement to Extend Time Limit for Acting Upon a Variance Request In the Matter of a variance request form received on the Petitioner(s), regarding the property at jwo c G rv. the petitioner(s) and the Board of Health agree that the Board of ealth has until r 2 Z-.b) (insert date) to act upon the Petitioners' completed application for a variance. In executing this Agreement, the Petitioner(s) hereto specifically waive any claim for a constructive grant of relief based upon time limits applicable prior to the execution of this Agreement. r Petitioner(s): Board of Health: Signature: Signature: e9ye L L g etitio�(s)or Petitioner's R resentative Ch 'man Print: ::544-A4,j Print: Susan G. Rask, R.S. Date: Date: ?!1 Ole) Address of Petitioner(s)or Petitioner's Representative Town of Barnstable Board of Health Town Hall gy,.•rY• .'�.� 0'1,(,-7 — Public Health Division Office 367 Main Street, Hyannis, MA 02601 Phone(508)862-4644 Fax(508)790-6304 file q:extend.doc JUN-21-01 07 :41 AM DOWN CAPE ENGINEERING 508 362 9880 - P. 02 Jun-21 -01 03: 58A P.02 LE ROY"ROY"and CLAIRE ANDEASON June 20,2001 Sarah OJOS Down Cape Engineering,Inc. 939 Main Street Varmouthport,Ma o2675 Dear Sarah, I hereby authorize Down Cape Engineering and ,or Bortolotti Construction to represent us at the upcoming Board of Health meeting. Thank you. LeRoy F.Anderson Claire Anderson ` 3889 MAIN STREET, ROUTE 6A, BOX 526,CUMMAOU10, MA 02637 TEL.(508)302.4395 tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 dOW4 Cape engineefiag civil engineers& land surveyors structural design August 7, 2001 Arne H.Ojala P.E.,P.L.S. Daniel A.Ojala,P.L.S. land court Barnstable Board of Health Timothy H.Covell, P.L.S. surveys 367 Main Street Hyannis, MA 02601 site planning Re: Continued hearing for Anderson, 3885 Main St., Cummaquid sewage system Dear Board Members: designs Enclosed please find a revised plan for the above-referenced site. We incorporated the inspections changes as requested by the Board, which included the design of a pressure-dosed system in`accordance with the remedial approval requirements by DER We also have provided additional detailed topography, located the fill area and large maples in the permits front yard and have extended the wetland line. We performed additional exploratory test holes at either end of the proposed leaching facility in order to confirm suitable soils and no groundwater. The test holes were consistent with the original results found at test hole 2. The observed water found in test hole 1 is believed to be seepage from an adjacent leaching facility. - We feel that the combination of the nitrogen reduction system, pressure-dosing and the addition of a 40 mil liner around the system will serve to adequately address any possible environmental issues. Ve truly yours, ) �. Arne H. Ojala, PE, PLS Down Cape Engineering, Inc. tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 Gown cape engineefing civil engineers& land surveyors structural design _ August 7, 2001 ' Arne H.Ojala P.E.,P.L.S. Daniel A.Ojala,P.L.S. land court Barnstable Board of Health Timothy H.Covell,'P.L.S. surveys 367 Main Street Hyannis, MA- 02601 _ site planning i� ' r Re: Continued hearing for Anderson, 3885 Main St.; Cummaquid sewage system Dear Board Members: designs Enclosed please find a revised plan for the above-referenced site. We incorporated the inspections changes as requested by the Board, which included the design of.a pressure-dosed system in accordance with the remedial approval requirements by DEP. We also have provided additional detailed topography, located the fill area and large maples in the ',permits front yard and have extended the-wetland-line.- We performed additional exploratory test holes at either end of the proposed leaching facility in order to confirm suitable soils and no groundwater. The test holes were consistent with the original results found at test hole 2. The observed water found in test hole 1 is believed to be seepage from an adjacent leaching facility. We feel that the combination of the nitrogen reduction system, pressure-dosing and the addition of a 40 mil liner around the system will serve to adequately address_any possible environmental issues. Ve truly yours, Q Arne H. Ojala, PE, PLS Down Cape Engineering, Inc. r r � .LCCATION 00, S F W A C F PERMIT NO. JYILLAGE IWST L.LER' NAME i ADQRESS l Q R OR O N P 0 TE PERMIT ISSUED DATE C0MIPLIANCE ISSUED ����� 0 15 PIP) _ r OWN OF BARNSTABLE LOCATION�(J � g kin SEWAGE oY CU Yr yy (I u I c� VILLAGE1 I � ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE.NO. SEPTIC TANK CAPACITY ,J 6-po LEACHING FACILITYe(type) � �Y'fq S � (size) NO. OF BEDROOMS �� PRIVATE WELL OR PUBLIC WATER B OWNER U DATE PERMIT ISSUED: 2—�4-9-c/ DATE COZIPLIANCE ISSUED: VARIANCE GRANTED: Yes No i i i d C t TOWN.OF BARNSTABLE LUCA7ION,3SSff5 l?%(- G z9I SEWAGE # ��/• v �P3 .VI,,oLAGE Tc, hIr- ASSESSOR'S MAP 6i LOT INSTALLER'S NAME & PHONE NO. J•9/ bla,�r,,,-, 7-So,,, Grc, SEPTIC TANK CAPACITY h:Sr7 , $44 LEACHING FACILITY:(type) 520J/P ul.J (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER �^ BUILDER OR OWNER A '(S"I. r rem DATE PERMIT ISSUED: - I C Y DATE COUPLIANCE ISSUED: VARIANCE GRANTED: Yes No W � i � �� � � l L� \` / _A _)\/� �/ ` �i ♦ v \\ { `�/ �� � i / +V � � 1 \ 1�� � � � � � � � � \ � ,`� \ � � ,` i ., �- `� � t ;i y a 3.3 S O S o2� er _Y............ No 3... X THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...........T.own....................O F.....Barns.t.ahis.....------------.....-----------------.........._.... Applirtaftan for UWpatiFai Works Tonstrnrfinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (X)� an Individual Sewage Disposal System at: .........Anderson Acres 3.8.85 Route 6a �un►Llle.�tu d........... ...... - ___. ...• ...6 ._ ......-•--...... Location-Address or Lot No. ........1`exz_y ..Andy.s on-------------------•----...----...--------........ .................................................................................................. Owner Address a ................................................. -----••---....-----------•--------....----...--------------------........................--------- Installer Address Type of Building Size Lot............................Sq. feet Dwelling-*No. of Bedrooms--------------4------_----__----..-_--_Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building� YP ---------------------------• No. of persons............................ Showers ( ) --- Cafeteria ( ) dOther fixtures ................................-....................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length_............. Width................ Diameter-------........ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----------------_-- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date_...................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ frq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 --------••----------------------•------------------••----------.....--------.......--------.................................................................. 0 Description of Soil-•------------------------••••......-- --•- x c-� Sand. - - ............................... •--------------- •------------------------------------ "------ •---------- ------------- ------------------------- ---------------------------------------------------------•-----------------•-- U Nature of Repairs or Alterations—Answer when applicable......1,15.QII---g-allan.---tank....................................... .....................................-----------............................................................2:71_Q.0D...ga11Qn...P i.ts......------------------............_.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of lT�l E 5 of the State Sanitary Code— The ndersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued y e and of alth Signe __: `------------------------ - /1/8.9.............. '9 Date Application Approved BY----- ..... ........... . -•-•-• v Date � Application Disapproved for the following reason ................. ......................................... _ ________••__.- .....................•-•---•-------•-•••...--••••-••....•-•-.- °�, Date Issued.......... Permit No......?.. ._. 11 ..� _. 9.................... e n f� No.L1./. '' f�V Fps.."......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ry.:... s OF.... Appliration for Disposal Works Tonstruriiun rrnti# Application is hereby made for a Permit to Construct ( ) or Repair (N. ) an Individual Sewage Disposal System at ...............................Location-Address or Lot No. a..._..._—Owner............. ................... ------------------ --......Address---••------------•-....----......---------- W - �r R..... ........................................ --.......-•-•-•------•........---•---------•-•-------•.......•-----••--------............-----•--- Installer Address Type of Building Size Lot............................Sq. feet n �-, Dwelling=No. of Bedrooms............. ............................Expansion Attic ( ) Garbage Grinder ( ) e of Building ........ No.- of a Other—T YP g ----•-•-•-----•----- persons_......................... Showers ( ) — Cafeteria ( ) Other fixtures .................................... W Design Flow............................I...............gallons per person per day. Total daily flow............................................gallons. W Septic Tank—Liquid capacity............gallons Length.,.............. Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ►-' Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-__-_______-_----_-_.._. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 P4 .---------••--------••-•-••---•-•...•••-•--•--------------•..-------•-------.....-------•-•-•------.......................................................... Description of Soil---------•------------•..............................•---•--------...--•--------------------------------------------t W l UNature of Repairs or Alterations—Answer when applicable.-____ _-_1'-5Q0---Q:P-_'4 it ----------------------------------------••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLZ -5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu d',bytt9 board of,eaIth�' o; Signedc�""r�i ell O... ........................By..... ................. _.__._ _ .........._......___._..-.__............ re Application Disapproved for the following reason ................`.........._....._....__.........__.__......___.....__._._..._.____..__Date-------•-'•... -•----------------------------------•---......-----...------............--...----....----...-------------------------•••--------------------- -------- ........ (�j / i Date q Cj L/Jf- �> Permit No..-. i = .. Issued------•--- ----•-• ------•---•------------ D to THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH va ..........`�C3 ... ....I.OF..........E .. .............................................................. 0rr#if irate of TompliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired Y'( ':) by = ...`.' 1t rs_Fi-�=- `tJ . -------------------------------------••--^-• •----------------•------•---------------•----------•--•----------------....-----•-•••--......... Rolltey ., Installer ................................................... ..............^................._............................................................ has been installed in accordance with the provisions of ?'?m r� 5 of tye tate Sanitary Code aidte nthe application for Disposal Works Construction Permit No._,...F;_ ".._ � �S__.... dated-...._-_ //_._ ... ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE T AT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................... ..'...L. ......A. ............... Inspector.............-- r ................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r--, , (7, Tc)-wri .......................................... , No.... � FEE..... ... - Disposal Works Tonstrnainn rrntii Permissionis hereby granted.............................................................................................................................................. to Construct) ( r)„or.Repair(? ) an,Individual Sewage Dispos, System at No.......................................v .:.,.......:_u s.L t 1 ...... Street-. .� ��---•-•l(��---•--•.................f._e -•- ................ - as shown on the application for Disposal Works Construction Per 't No. �...� V � � ted... �^- .. M Board of/tYealth DATE----------^--- 6. f - ---------------------------------------• V FORM 1255 HOBBS & WARREN. INC., PUBLISHERS z n SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED TOP FNDN = 34,59` SYS'� E A PROFILE TEST HOLE LOGS _ n, TO SCALE) ., ACCESS COVERS TO WITHIN 6" OF G:-.,;�iE ( __ ._. DESIGN FLOW: T BEDROOMS ( 110 GPD) 440 GPO ACCESS COVER (WATERTIGHT) TO A. OJALA, PE & M. F'ARIA, SE 100,0 PROPOSED SPOT ELEVATION A 440 GPD DESIGN FLOW . 2`o SLOPE REQUIRED OVER SYSTEM ENGINEER; _ USE MINIMUM .75 OF COVER OVER PRECAST WITHIN 6" OF FIN GRADE 2" DOUBLE WASHED PEASTONE 32 WITNESS: DONNA MIORANDI, RS SEPTIC TANK: 440 GPD 2 880 , 10OX0 EXISTING SPOT ELEVATION (---) y I �7 (EXIST) RUN PIPE LEVEL 2' DOUBLE WASHED FEASTONE MARCH 23, 2000 1G0 USE A 1500 GALLON SEPTIC TANK (EXIST.) _ FOR FIRST 2' DATE: - o PROPOSED CONTOUR EXIST. 1500 ` LEACHING: 3 MAX• PERC. RATE = 5 MIN/INCH (MS) GALLON SEPTIC �� ROUTE 6A U�29.75 'i 30.19' I & III - -- 100 EXISTING CONTOUR SIDE: 2(33.5 + 12.83) (2) (.74} = 137 GPD � TANK (H- 10 > a CLASS SOILS P GAS �' 5 29.38 m, BOTTOM: 33.5 X 12.83 (.74) - 318 GPD .� REw-USE BAFFLE 29.55' �� � -- C7QClC7 � I� L� C7C7 TOTAL 615 SF -- 455 GPD d 29,36' IO CJ �M0 C_7 rC^l Cl r�--1� BCD � 4' AROUND P` 6" CRUSHED STONE (?R MECHANICAL L.J o i..,J d � 0 CI 0 0 "-LOCUS USE (3) 500 GAL, LEACHING CHAMBERS (ACME OR COMPACTION. (15.221 (2)) g, 2' ® 0 C�I CI 0 0 M_ C� a 27.36' 1 ELEV. � ELEV. EQUAL) WITH 4' STONE ALL AROUND DEPTH OF FLOW = 4 2.5 1 0" Q 35.0' .' Q 33.01 TEE SIZES: 10, ( % SLOPE) (_..._.,; SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE -- -0- INLET DEPTH m O/A O/A OUTLET DEPTH 14'__' 12" SL SL _ 12 LOCATION MAP NO scAic LEACHING 8.76' 9.86' raoarzn or H>Sn�.Tt� SILT LOAM � ' SILT LOAM FOUNDATION-- EXIST. SEPTIC TANKS' D' B ?� ` 4 FACILITY .Al'PRO�11:D� DATE MA ��� 60, 57.39' 2.5Y 6/6 2.5Y 6/6 ASSESSORS MAP 335 PARCEL 52 STR 24.„ 2.5Y 6/1 24" 2.5Y 6/1 r �Qv1� 6A BOT. TH 4 = EL 18.�' Cl ESTIMATED G-W EL, 17.5' C SILT LOAM SILT LOAM 2.5Y 6/4 ., 2.5Y 6/1 I 90" obs_water. .. 27:5ay,. 90 25.5 seep* *JUDGED TO BE FROM r perc ADJACENT SEPTIC SYSTEM C2 SINCE NO WATER OBSERVED MS i IN OTHER TEST HOLES 2.5Y 6/4 i 2.5Y 6/1 2.5Y 6/4 yy ( i, 168" 21.Q' 156" 20.0' NO WATER FOUND CO NOT } 1 `- o L01� AREA t 3&4 7/23/01 A. OJALA SE , 24 ORES VARIANCE REQUESTED UNDER TOWN OF BARNSTABLE REGULATION PART VIII, SECTION 1 . DATUM IS NGVD PER BARNSTABLE GIS ' 1.00: RECGJCTION IN SETBACK, SAS TO (PERCHED) WETLAND (100' TO 70').AND ELEV. ELEV. 1 SEPTIC T.=VK TO PERCHED WETLAND (100' TO 80') Q Q , 3 32.6 2. MUNICIPAL WATER IS EXISTING Q" 33.5 _ , 0�. , 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT, W i O/A O/A J 4• DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 6" LOAM 6„ LOAM 5 PIPE JOINTS TO BE MADE WATERTIGHT. I > B B 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. SANDY LOAM SANDY LOAM ENVIRONMENTAL CODE TITLE V, .V10YR3 2 1 YR 7• THIS PLAN IS FOR PROPOSED WORK ONLY AN NOT T/ 0 3/2 L D 0 O BE USED FOR LOT LINE STAKING. 30" 2.5Y 6/1 30"': 2.5Y 6/1 p; 4; Cl -, .PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC, ° , .. ,; ;s 9. 'COMPONENTS NOT t r w� FILL AREA �' l BENCHMARK: USE TOP -'. ' _._._ .w.. . .. E S O TO BE BACKF LLED .QR C11NCEALED WITHOUT ClC1 c� A A !;T ,Dann _.__ _ -_1NSf'._.CTION BY ,B A ?1l T?� , :AF rrr p�RMr r I rl °. !OF FOUNDATION AT .�. . , __ .. -_ � _.._::.� _ �.. _Q__ F _ r7. AI` , - ,_ :SS1,-��. r., I �lTar....1? ELEV. 36.6' AT THIS 2,5Y5/4 2.5Y5/4 FROM BOARD OF HEALTH: _. . i OM W►RES, EXISTING `Y' ,_j LOCATION 10, CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR HOUSE s6., 25.5' 108" 23.6' TO COMMENCEMENT OF WORK. ( ^- G TF=36.6' j EXIST. GALLEY , C2 perc ml 11. PUMP AND REMOVE EXISTING LEACHING FACILl TIES LEACH FACILITY PAVED DRIVE, MEQ $AND G2 (PUMP AND -__., 4 S. C MOR_ Q 10YR6/6 1 REMOVE), r 14" OAK rP�rlo ( 0' R SA � � MS PI "TE AN Q 1 EXIST 7 7 rrj 50" 210 OF TH1 `� NC WATER FOUND 3885 MAIN ,STREET NO WATER FOUND [] i EXISTING r� > L V IN THE TOWN OF: GARAGE � ) � , IT PINE A NOTE: 5' REMOVAL OF UNSUITABLE SOIL REQUIRED AROUND #1 i ICTRE ` {."�I ;' 4 ` PERIMETER OF LEACH FACILITY DOWN TO MED.-SAND LAYER. NOTE: GROUNDWATER EXPECTED A'" ELEVATION 17.5't (CU,II✓IMAQUr�,D) BARNSTABLE - .. -��24��I { , I REPLACE WITH CLEAN MED. SAND. ENGINEER TO INSPECT AND PER TOWN OF BARNSTABLE GROUNDWATER MAP 10" HOLLY >;' CERTIFY REMOVAL. PREPARED FOR: p i CROWN " -LOCUST ) � T�+a_ l LL"R�Y ANDERSON PROVIDE 40 MIL LINER AROUND PERIMETER OF LEACH FACILITY, 5 OFF f- .. LEACH FACILITY (AT LIMIT OF REMOVAL). TOP AT EL. 30.2', BOTTOM AT EL. J 'WORK LIMIT LINE (STAKED SILT 25.2 30 � 39 60 CJ'Q FENCE) -- ,� 1" = 30' APRIL 4 2000 EL. 37.0` 2 � # v- coM SCALE. DATE: REV, 3/15/01 rl w: REV. 11/1/01 (SAS) w; #3 % AVOID DAMAGING ROOT SYSTEMS OF SYCAMORE AND FIR TREES DURING REMOVAL WSTALLATION PROCESS o B 1 N o t t, % 91 O F AI�IvF H. \ ; o,F,LA , REFERENCE PREVIOUS. PERMIT #89-390 A°RNF :N. o�Ai ~ s. 17,E?'E i - j off 50f3-362-a5af lox 508 362-9NO 789.8 9, clown cape engineering, inc. CIVIL ENGINEERS LAND SURVEYORS 939 main st. Yarmouth, ma 02675 _.I i 1 n NOT ALLOWED SYS 1 A PROFILE _ LEGEND SEPTIC DESIGN: (GARBAGE DISPOSER IS ) TOP FNDN = 34.59 (ADD) 3 DESIGN FLOW: 4 BEDROOMS ( 110 GPD) = 440 GPD ACCESS OVERS TO GRADE ( SOT To SCALE) 100.0 PROPOSED SPOT ELEVATION 440y � ACG;Sa COVER (WATERTIGHT) TO 2% SLOPE REQUIRED OVER SYSTEM MINIMUM .75 ' ///"' - USE A GPD DESIGN FLOW __ � WITH'! 6' OF FIN. GRADE ' OF COVER OVER PRECAST 2" DOUBLE WASHED PEASTONE 34 4 FEMALE ADAPTOR R THREADED PLUG SEPTIC TANK: 440 GPD 2 = 88 (EXIST) P� �.� Poo GAP REDUCER 1.5-. THREADED END CONNECT" 1OOx0 EXISTING SPOT ELEVATION (_.___) 0 PE � IDRRL LAST HOLE RJ EACH 5CH 40 PVC , USE A 500 GALLON 5EPTIC TANK (EXIST.) _ - -- \QG J�Q �Q ,-scH 4o PVC eo E180W LATE ON TOP TO VENT 32.0PROPOSED CONTOUR t LEACHING: ST.' 1500 " " .. _- POUR 1.5 CV. FT. MM. AIR --- TAUT--- FILLS EXISTING CONTOUR LON SEPTIC 31.75' p�" �PSI - ° rs•escr+4G uTERAL Cg ° °�8° ° 100 SIDE: N A ! (c/ �- -°_-- - - - --- - -- -_ _-- --- ------ 0 31.0' PROP, 40 MIL LINER, 5' OFF / I TANK (H- 10 ) �c� aRourro coNNECrroN eRl$$��R -°� - - - - -- -`e -�'- - - GAS (y (TyP,) VARIES t 4. ORRICE ALTERNATE TOP Ae BOTTOM INVERT LEVEL at 11.3 PERIMETER OF LEACH FACILITY. TOP © PROP. BIOCLERE UNIT BOTTOM: 34 X 9 (.74) = 226 GPD i RE-USE BAFFLE �� T:' 4:.T E 60' O.C. WITH SHIELDS �aottDH LEACHING LEVEL at EL, Il.o AT EL. 32.0', BOTTOM AT ELEV. TOTAL 306 SF = 226 GPD 11' 27.0' � Locus '; 4'eSCH 40 PVC MANIFOLD 6" CRUSHED STONE OR MECHANICAL COMPACTION. 15:221 2 a'OSCH+o PRE SURE LUG FROM PUMP PIT SIDE ELEVATION VIEW 4 BEDROOM SYSTEM = 600 SF MINIMUM REQUIRED ( ]) PITS, BOT. TH 2 = EL 20.0' Z 600 x .5 = 300 SF (ADDITION OF BIOCLERE DEPTH of FLOW - 4 ( 1 q SLOPE) -1 005 "��' "'" (Nrs> � NITROGEN REDUCTION SYSTEM TEE SIZES: (� _% SLOPE) FAILED ) INLET DEPTH 101, (FAILED) _ - ELEV. ELEV. 2 33.0' I; USE 34' x 9' PIPE AND STONE LEACH FIELD OUTLET DEPTH = 14� 0" Q 35.0' 0" 4 LOCATION MAP NO SCALE BOARD OF HEALTH (SEE DETAIL) ----� - X T ,, LEACHING T 0/A j � 0/A FOUNDATION EXIST. SEPTIC TANK 4 BIOCLERE 1 PC 6 MA FACILITY 12" SL 12" SL ASSESSORS MAP 335 PARCEL 52 APPROVED DATE � �O C�� 5 7.3 g' B B ------___� BIOCLERE SILT LOAM SILT LOAM �0 0 , , - 18" ABOVE GRADE 2.5Y 6/6 2.5Y 6/6 TEST HOLE LOGS �� '� �. 24" 2.5Y 6/1 24" 2.5Y 6/I SE i ENGINEER: A. OJALA, PE & M. FARIA, i RECYCLE LINE Cl WITNESS. DONNA MIORANDI, RS i INTO SEPTIC TANK C SILT LOAM DATE: MARCH 23, 2000 �.- SILT LOAM 2.5Y 6/4 G 5 MIN INCH (MS) W / 29.22 28.93 2.5Y 6/1 PERC. RATE = / i obs. water I & III ,- 90 27.5 90 25.5 CLASS _ SOILS P# P r� v C 2 24" MIN, 2.5Y 6/4 MS �� LOT AREA CONCRETE r: ;.• �` SURROUND ENTIRE BIOCLERE (BELOW GRADE) 2.5Y 6/1 c r ! .1 ;� :. '.,' ..•*�: WITH 3/8" PEA STONE OR CLEAN SAND. 2.5Y 6/4 2.24 ACRES STEEL LIDS I AT GRADE 1 21.0' 156" 20.0' � ; 68 NOTES: ;1 PRECAST MOUNTING PAD NO WATER FOUND p 1 . DATUM IS ASSUMED -� 3&4 7/23/01 A. OJALA SE I FAN HOUSING LOCKABLE - �' ! 1-I/2' scHo ao PVC ACCESS COVER ELEV. ELEV. 2• MUNICIPAL WATER IS EXISTING I 4 4'_2. 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. RECYCLE LINE 33.5 0' 32.6 _ 1 ELBOW 90 0 - 4• DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H 0 � h\ 1 FILTER 0/A 0/A 5. PIPE JOINTS TO BE MADE WATERTIGHT. 32 It- 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. ;I 1/2 LIQUID a'-o 1/8. a' scHn ao PVC 6 LOAM 6„ LOAM ENVIRONMENTAL CODE TITLE V. FNDN >, 33 DEPTH 3" OUTLET COUPLING B B 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE ' J 3554 ` �i-1/2" RECYCLE LINE SANDY LOAM SANDY LOAM USED FOR LOT LINE STAKING. (SCHD. 80 INTERIOR PIPING) 10YR3/2 14YR3/2 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC, 0; Ly 00 I ' 2.5Y 6/1 30" 2.5Y 6/1 I w; FILL AREA r„ 4 SCH0 ao 34' _ . 9. COMPONENTS NOT TO $E BACKFILLED OR CONCEALED , WITH UT q BENCHMARK: USE TOP 1500 GAL PRECAST SEPTIC TANS( L - �; Pvc. aupLrNG INSF�'ECTION BY BOARD L"1.F HEALTH AND PERMIS,,,AbwOBTAI dFD OF FOUNDATION A I I --.. ;.<: Cl Cl FROM BOARD OF HEAT, TH, Z T THIS R �. L- ..,.,.. . - .. ° f ,,: r 5 I F\I t 1 - , tx,:�5�1N� � � LOCATION SEPTIC TANK DETAIL SUMP � 1u. �;:ul� l / LOC 0 SE .... � , ., .: , �_�t� 2.5Y� 4 5Y5 4 LOCATION ❑F ALL UNDERGROUND 8, OVERHEAT) �i �l_.I 1 `'R�L31' ✓� _ , HOUSE ~ ; � c:/ .. �'' t TF=36.6'. TO COMMENCEMENT OF WORK. 3'�' EXIST. GALLEY o;' 96" 25.5' 108" 23.6' 11 . PUMP AND REMOVE EXISTING LEACHING FACILITIES LEACH FACILITY " -- PAVED AND FILL PAVED _ ry �` 4 °s �`CONCRETE C2 DRIVE. / 1'p, ° h A erC WITH SAND). ; 4' S C MOR p , • •° a • • BASE PAD MED SAND P C'.2 REPAIR + r� >1 A ( CRUSHED STONE IOYR6/6 Q �' a4�4 K x T 1' ,'. MS TITLE SITE PLAN (Q EIS T 2.5 Y 4 T 3 7 Cp a'0' OF __ T Z ' 6 � 3885 MAIN STREET n MODEL 16/12-350� 150" 21.0' 168" 1$.6' 0 ri EXISTING ( � )j 14 PINE NOTE: 5 REMOVAL OF UNSUITABLE SOIL REQUIRED AROUND - IN THE TOWN OF: GARAGE ) l) J q PERIMETER OF LEACH FACILITY DOWN TO MED. SAND LAYER. NO WATER FOUND NCr WATER FOUND I t" i �-- _ REPLACE WITH CLEAN MED. SAND. ENGINEER TO INSPECT AND (CUMMAQUID) BARNSTABLE Q ' 2 TRE� t' 6,. IR 24" FIR ` CERTIFY REMOVAL, ,,o COOLLY 8" LOCUS) ) PREPARED FOR: LEROY ANDERSON Z' rrj TH AVOID DAMAGING ROOT SYSTEMS OF SYCAMORE AND FIR QI TREES DURING REMOVAL/INSTALLATION PROCESS 1�+ WnFICE 9HRt_D OSr ...�:w '- 100' P P. 40 MIL LINER AROUND ,.e-e sal-w PVC u1Ela1 PH�,-346- �,. ,-�-,b-�• 30 0 30 60 90 RIMETER OF LEACH FACILITY, �p l� ! 5' OFF LEACH FACILITY (AT #2 ! M n LIMIT OF REMOVAL) �y(� 'ALtv*Tor SHIELDSw- + or REFERENCE PREVIOUS PERMIT #89-390 EXACT DNMETER SEMENHOLES SHIELD „ - i SCALE: 1 = 30 DATE: APRIL 4, 2000 SHOULD St SHOP DRILLED WITH A DRILL PRESS TO ENSURE ca% /'�'' LMROIWDY_ RENME SURFS REV. 3/15/01 (ADD BIOCLERE) ca; PRXM TO PLACING APE. ORIFICE 5HIELD DETAIL REV. 8/1/01 (PRES.DOSE) 147T TO SCALE 2 ; #3 / �/ ZH OF C �o�' ARNP Hey ARNE OJALA ( \\ �WETLANC' " CIVIL �', U OJALA PRESSURE DOSE SPECIFICATIONS No. 3 2 No.2 as �. IR PERFORATION SIZE: 1/4 DIAM. -- j PERFORATION SPACING: 5' O.C. A H.~OJALA, P.E., P.L.S. DATE LATERAL DIAM: 1.5" ALARM AND CONTROL PANEL ---v, i TO BE INSTALLED INSIDE �` ` MANIFOLD DIAM: 4" . ' ;. � PERFORATIONS ON ADJACENT - BUILDING. ALARM TO BE ON INV, IN 31t -I ►, LATERALS TO BE STAGGERED SEPARATE CIRCUIT FROM PUMP 2" PRESSURE PIPE TO MANIFOLD 1000 GAL, H-10 S/ I R 700 GAL.+ � � SLOPE TO DRAIN BACK TO PC ALARM ON RESERVE `f, WEEP HOLE / PUMP OM FLOAT SWITCH SETTINGS PUMP ON r CHECK VALVE CHAMBER ti 1 4" WORKING MANGE 8" ? 34' ZOELLER "WASTEMAT_E" 4" SUBMERSIBLE MODEL M282 1/2 HP PUMP PUMP OFF 8" SYSTEM (OR EQUAL) 9' '' p 000 ooc>o or1508-362-4Sa1 6" CRUSHED STONE OR � � fax 508 362-9880 COMPACTION 4" SCH 40 PVC MANIFOLD I,PUMP C AM 11.E down cape engineering, inc. r � 1.5' SCH. 40 LATERAt_:3 '+•�,_789 , TYP PRESSURE �9 (NOT TO SCALE TEST/c.a. To FIN. LEACH FIELD DETAIL GRADE FOR ALL CIVIL ENGINEERS LATERALS - PROVIDE N.T.S. LAND SURVEYORS SWEEP ELBOWS �.. 939 main st. yarmouth, ma 02675 89--3,24 NOT ALLOWED TOP FNDN - 34.59' ADD S 1 ►J� �M PROFILE 'EST HOLE.,' LOGS LEGEND SEPTIC DESIGN: (GARBAGE DISPOSER IS ) C 4 11a _ ' ACCESS OVERS TO GRADE (NOT TO SCALE) DESIGN FLOW: __ BEDROOMS ( GPD) _ 440 GPD ACCESS COVER (WATERTIGHT) TO A. OJALA, PE & M, FARIA, SE 10a.0 PROPOSED SPOT ELEVATION 440 I FLOW 'talrHN s" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM ENGINEER: USE A GPD DESIGN LO MINIMUM .75' OF COVER OVER PRECAST 2" DOUBLE WASHED. PEASTON[ 32 WITNESS: DONNA MIORANDI, RS 100x0 EXISTING SPOT ELEVATION SEPTIC TANK 440 GPD ( 2 } - �O �¢� MARCH 23, 2000 (EXIST} P 9 RUN PIPE LEVEL DATE: G FOR FIRST 2' I 100 USE A 1500 GALLON SEPTIC TANK (EXIST.) .' ExIST. �500 / 0�G PERC. RATE _ < 5 MIN/INCH (MS) PROPOSED CONTOUR f �r 29.0' ROUTE 6A LEACHIN -. GALLON SEPTIC - -------- 29.75 p�" __ ' I & P I I 100 EXISTING CONTOUR SIDE: 2(37 + 7) (.96} (. "4) = 62.5 GPD TANK (w- 10 ) GAS ,;! 28.63` 28.46' L•1 m u , AROUNDCLASS �.._ . SOILS P# a, BOTTOM: 37 x 7 .74 = 191,E GPD -:. w 28.80 E -_^._ _ ' 5 { d PROP, BIOCLERE UNIT ( ) RE USE BAFFLE 0.96' CI © �7 Ca ``� LI �G 1 27,50' ��` TOTAL 343 SF = 254.1 GPD 6" CRUSHED STONE OR MECHANICAL _ _ (FAILED) 4 BEDROOM SYSTEM = 600 SF MINIMUM REQUIRED COMPACTION. (15121 (2]} 3/4' TO 1/2' DOUBLE WASHED STONE ELEV, ELEV. DEPTH OF FLOW 4' 33,p' 31.0' 600 x ,5 300 SF (ADDITION OF BIOCLERE ( 1 SLOPE) 1 SLOPE) -� } TEE SIZES: NITROGEN REDUCTION SYSTEM) INLET DEPTH - 10' 9.95` ��A O/A OUTLET DEPTH 141, 1 2 `L 1 2 SL 1 USE 4 FLO DIFFUSORS WITH 1,5' STONE AT SIDES _ _ OF HEALTH AND 2.5' AT ENDS B LOCATION MAP NO�"`� � BOARD HE LEACHING B FOUNDATION--- EXIST. --- SEPTIC TANK 20` BIOCLERE 13' D' BOX 19' FACILITY SILT LOAM SILT LOAM MA ASSESSORS MAP 335 PARCEL 52 APPROVED DATE ET �jO 57., 9 2.5Y 6� c 2.5Y 6/6 VRE 80• 2.5Y 6/1 MAIN S ~--------- _ BIOCLERE BOT, TH 2 EL 18.0' 24" 24' 2.5Y 6/1 ��u1E 6 A , 18 ' ABOVE GRADE Cl C SILT LOAM i RECYCLE L'NE ' SILT LOAM 2,5Y 6/4 2.5Y 6/1 INTO SEPTIC TANK 90" abs. water 25.5' 90" 23.5' 29.21. 28,93' pert C2 2.5Y 6/4 MS 2.5Y 6/1 + 2.5Y 6/4 24" WN. CONCF ETE SURROUND ENTIRE BIOCLERE (BELOW GRADE) WITH 3/8" PEA STONE OR CLEAN SAND. 168" 19.0, 156" 1$.O' NO WATER FOUND : LOT `AREA STEEL LIDS PRECAST MOUNTING PAD NOTES. AT GRADE W 2:24 ACRES 1 . DATUM IS ASSUMED s. 2. MUNICIPAL WATER IS _EXISTING 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT, 9� 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 5. PIPE JOINTS TO BE MADE WATERTIGHT. H-I ELBOW 90 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS, Z t ENVIRONMENTAL CODE TITLE V. BENCHMARK: USE TOP >; OF FOUNDATION AT / ELEV, 34.6' AT THIS _._/ 1/2 LIQUID �--- 7, THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE FNDN DEPTH z.,� FAN HOUSING L[]GKA3LE USED FOR LOT LINE STAKING. " LOCATION 1-1/221 SCHD 40 PVC ACCESS COVER LL-; , - $. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. �� ~1+-1/2" RECYCLE LINE RLc�r.LE LINE9. COMPONENTS NOT TO 3E $ACKFI LED RCONCEALED w� A L O WITHOUT �. (SCHD. 80 INTERIOR PIPING; INSPECTION BY BOARD OF HEALTH AND PCIRMISSICN OBTAINED W 2 FILTER FROM BOARD OF HEALTH, r p .. I �.,: ... ^ 1.{.1 1 (". - _, a .i , OH RES; Q 1500 GAL PRECAST SEPTIC TANK .. 3'" : '6' a n �!,. 1 ! I c EXISTIIJG n f .:_. ..,:. ---..: . ,,. : . ,,_...;..__ ,.<.., ,._. .-.. ..,. a ,�. ; $ sCN., PVC '.,. -0...._.,L.�TRA�1Tl�.. S. .,... .. ..[F. -L1�.__ 1 .. 6 HOUSE :; '' � O, y t-U�H i �IJI'u L!f r� 1 ✓ � ., L+c.T_Er C�.UI L,N� �L U' L�Kuk�.,IL,I'�a1J '.K q_�V �.��.,.�. �� �, y.[ i iL :, r1u gait u c G TF=34.59' SEPTIC TANK DETAIa TO COMMENCEMENT - _ CIF WDPK 11 . PUMP AND REMOVE IXISTING LEACHING ACILiIIE_S ru EXIST. GALLEY PAVED LEACH FACILITY FACILITY (PUMP AND DRIVE. ry 24" SYCAMORE Q _ T REMOVE), PATIO 4 S"HB 4J .. - (50'CROWN)SAVE I":(:. CC}1PLING t�s 6u""PA")i `� A 5'-7 112' i4'-5 112' " O �-. :A4" OA EXIST ST � b I SUMP I i -.. T5 t�0 a .-=z. . of 3885 MAIN STREET TH1 {� s� NOTE: 5' REMOVAL OF UNSUITABLE SOIL REQUIRED AROUND I'o� CONCRETE 19 EXISTING TH2 14 WHIT PINE PERIMETER OF LEACH FACILITY DOWN TO MED. SAND LAYER. ---�-- � � GARAGE {�� {� � VASE f'i1D IN THE TOWN OF, , {�'' cii A REPLACE WITH CLEAN MED. SAND. ENGINEER TO INSPECT AND �rrr ^ TTT #1 8 TREE {1 J 24" FIR ( (.,.! MML�QV 1 D) BA. RNS T.�BLE "'�'I 6" FIR CERTIFY REMOVAL. CRUSHED STONE r r - k Q 00" HOLLY v PREPARED FOR: " o; ;zo' CROWN 8" Locus �� AVOID DAMAGING ROOT SYSTEMS OF SYCAMORE AND FIR . LER Y ANDERSON Q TREES DURING REMOVAL/INSTALLATION PROCESS 4'0'- 1 100' MODEL 16/12-350 30 0 30 60 90 2r M #� 8' SCALE: 1,> - 30' ATE: APRIL 4, �'00'J O I REV. 3/15/01 (ADD B10CLE`-RE #3. / �� REFERENCE PREVIOUS PERMIT #89-390 �° �1N OF `�`� AFtNE H. �� ARNE WETLAND oJALA r I�� 2i O a S GI\JIdJ / 9JAL Iv G No. DC, 2 a� No 2� 2 �- �_ OJA E., P.L.S. ���"E : off 508-362-4541 fox 508 362-9880 down gape engineering, inc. 189.89, c CIVIL ENGINEERS LAND SURVEYORS t 939 man St. yarmouth, rY1a 02`y75 89-324 r eem'.r:DIY[.. +,s"rYMl�r'FSWY:.�:Yo,v�frsww.,MYIFWYIr'.�ea.:N1Y�WraYFrvr�W.wsY�W ar.w+"wiFwe (;az,.0 ... .f "nrbx+rwwnsal i 1 a ...............+., a.-+ ,...! - -- - - •. - _. _. __ _.. __-_.. _.__._- _ _-__-_-__-_ ..._.._.�_.__. - -_....- __-... -. - I