HomeMy WebLinkAbout0072 PINE STREET Page 2 of l l '
OFFICIAL INSPECTION FORM=Nd'I' 'OR VOI:UNTARY:ASSESSMENTS
,SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
A ., PART A n
CERTIFIGATIOM(continued),
Property Address:
f ' y1hrs
Owner: l�.1wil
Date of Inspection: 9— J 7—0 F
Inspection Summary: Check<A,B,C,D'or E/ALWAYS com letAi e�Saltios'6 f r
p ;
- � J• 4-.:.' tJS¢1F-.. .� .i Mk r.# • •f.Y, .. L }tea
A. System Passes:
l�I have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below.
Comments:
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass section need to be replaced or
repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. -
Answer yes,no or not determined(Y,N,ND)in the 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 immineaL 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. 2. _
ND explain:
Observation of sewage backup or breakout 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): _ _ -
�, t' ►xl,,t., broken pipe(s)are 2eplared
obstruction is removed r r -
,' .,distribution box is leveled er replaced„f« y • X..,
L r:•I ^4t z'
ND explain:
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
obstruction is removed
-"?.. �" 1' F(7 b. .�. �.3a,p, fi''1`F�' .9„, :�r iPR•`�i;r.:2i.As1 �ti' �Ir'11_ `!T1i {. .-'13A-'1._*1 Ce'.r` Sdt•i�'�"�` ��;¢.�, . . '
lRj -3:01.3,;t 9 i
1{Tk.
ND explain:
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• 1,;.�";e'i '2
i
r COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL:PROTECTION
77
TITLE S-
OFFICIAL-INSPECTION FORM—NOT.FOR.VOLUNTARY ASSESSMENTS
S
SUBSURFACE'SEWAGE DISPOSAL SYSTEM FORM
PART.A 1
CERTIFICATION01 ,
Property Address: 72 ll�
Owner's Name: ?
-Owner's Address:---
Date of Inspection: g'— 7•o 8
Name of Inspector: (please print) JA
Company Name: Aa 77o 04itha SQrvo'c. -
MailingAddress:
Telephone Number: gyp$-LI? 5-77?fir
Y1a.it..�As:1• • 'F �� _ .> .., A
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information ieported
below is true,accurate and complete as of the time of the inspection.-The inspection,was performed based on my
}training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).. The system:
i'.%. �.. ', °' a„ t'_t;S. °: � ..a.:+ ��re.`r' �, t.�� •t. !�F. ' ei, r .l i' t '1^.. .� '.l . C 's? ,. . . ' - .�; f
I/Passes .`.
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority.,
Fails,
"i.t .. . . JJ ..5:.. .? .}r:� � ..:,:.. '.f1 }. a ..1•. .0 ^;.� .�:i a. .. (' ^.--'' .r taw^.' «.....-
Inspector's Signature: ,Date.' n•�!/. ld' `.rr-,
The system inspector shall submit a copy of this k ection're`port to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner shall iubmit the report to the appropriate regional office of the
DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving
authority.
Notes and Comments �Lt u�'3� , , _=y_�+ s _..c. " ►. -, }1,n `�a...k r: tE
'� er{,:+€i`G�'"i Lt! .' 1�`.0 i'..a1"yF•':a.� ..S!SJ :3(12.- '.;( .r'
****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.
(o
Title 5 Inspection Form 6/15/2000 page 1
s
'Page 3of11
•OFFICIAL INSPECTION FORM=NOT FOR-VOLUNTARY,ASSESSMENTS
• SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART "
'CERTIFICATION.(coritinued)
Property Address: 72s,
Owner:
Date of Inspection: ! —O
C. Further Evaluation is Required by the Board of Health: ILI
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.
r
1. 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:
Cesspool or privy is within 50 feet of a surface'watei t. ".r r�. ' •-�' ''`_�11 ri�:�e _ --
_ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marshc q
•'4 die. .., u'� 'a gC.`I;f'�{i c_•.t. ... ..- i : aJ:,._iy ..,. r,,. ,"� a J i.Ji;_S3 4'!r� M
.�'.'.'"}.1 _�• :.,tT:i'.'� ;^7 :S= 4:"(? i•i° ,i l;.a'C -Z` fy�7.3.Iyr..�': •,� _
.J1aJ t.nk r l t�4.1L I{,yil d:.:y #1 a,:
,.J, 'v : GL> ':ji•+r 21 '( :1' lut
2. System will fall unless the Board of Health(and Public Water Supplier,if any)`deter`mine_s that the
system is functioning in a mariner ttiat'proteets the public health,safety arid'enviroument: -- - .
-�` x: .i,.,';� . :G .«J. t"_, rit. a i'`• . , u.'n J .. .a -1-''� .tit.�i
The system has aseptic tank and soil absorption`system(SAS)and-the SAS'is withiri>100 feet of a--
:�ic'f `surface water.supply or tributary to a'surface water'supply- - a;r cr, (I _
' :J'.�''`7i..it.t trs' ,'��:ij]_.. Vic' . .... .'t lie iJ�1,.. ��•�_�. .. .. � ,'_. .S. �.rj�r ! i f .. .y j�... �
4 'Jbi system has aseptic tank aid SAS`and the SAS'is within a-Zotte l"of a public water supply.
.'�. ...s�-�X.�-!ra• ^- _N �, ii r���" (:"�{:t"4, ^,, ,.l;s, a !�. .• .-j �� . ' '.+2.1:�".,I:?'t.�i . ,.?T.'?. -T'fki'i ;r•
_ The system has a septic tank'andSAS and the SAS is.within 50 feet of i private water supply well.
The.system has aseptic taiik 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 coliform
bacteria and volatile organic compounds indicates that the well is free from pollution_from that facility,and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other
.failure criferia are triggered.'A!copy of the'analysis must be attached to�this`forifi y'. ' - `'' i = ° '
,:. �'� anti as:...{�1;I13'�' yr, E°:3° "'• s.� �a7,� .i_ i," �. i "t�;
3. Other:
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°i�/ i c6i,ziil 't� "s'.' 1.4;I}i;'nri,r;, Pf,e _n.,'ri�t nt :: T'"til� . 1f• —`
ao
3
Page 4 of 11
OFFICIAL INSPECTION FORM, NO.T OR VOLUNTARY ASSESSMENTS
SUBSURFACE+SEWAGE DISPOSALSYSTEM:INSPECTIONYORN, :-
"iPART.A }.
CERTIFICATION..//��/,yy��,,,,,,,,��/��\
Property Address:_72 _5 A.0
Owner: f""ih t i�i/��as I ------•••� ..___.�-..._�_..,._ .�� _ _ _ _
Date of Inspection: ! •_17—®
> .
D. System Failure Criteria applicable to all systems:.
You must indicate"yes",or_"no"to each of the following for a8 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 '
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 K day flow
✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
of tunes 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.
- -'F". .. 1 �. q.i�1 gall. '�!_ 9, r 7�. [ .+, •
Any,pomon of a cesspool or pr vy is within a Zone 1 of a public well.
/ Any portion of a cesspool or privy is within 50 feet of a private water supply well.
Any,portion of a cesspool or privy is less than 100 feet but greater than'50 feeffromzprivate water
supply well with no acceptable water quality analysis.[This system passes if the well-mazer analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other faikav criteria
are triggered.A copy of the analysis must be attached to this form.l 2 ,
IYJ . (Yes/No)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 toconw the failure.
;;o.i 1r 'ff
L Large Systems:
T' r
To be considered a large system the system_must-servt a facility,with a design flow of ID,000 gpd to 15,000
gpd•
You must indicate either`yes"or"no"to each of=ftfollowing:
(The following criteria apply to large systems in addition to the t above)
yes no
the system is within 400 feet of a surface drinking water supply
the system-is within 200 feet of a tributer�tYto a surface drinking wateir supply _y
_ 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
If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered
"yes"in Section D above the large.system has failed.The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304.The system owner should contact the appropriate regional office of the Department.
E4
Page 5 of 11 '
' OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY.ASSESSMENTS
- ' SUBSURFACE SEWAGE DISPOSAL-SYSTEM INSPECTION FORM
CHECKLIST
Property Address: 72 191A.0 .57P_-v_A1_ "
Owner. kevj ti V-1 ) -e . . _ r- . - - - 7—
Date of Inspection: 9--l'7 -OX - _ _. -_ _���_�� .t .+� ` •'
Check if the following have been done:Yourmust indicati"yes"of-`no"as to'each`of the following: r-
Yes No _._.:•_' -� -- �:-" .�,�... '� .,� K '•: ..a
1� Pum ininformation f.: #ro-.y.vide.. _ .. :A .t._ } ,� x., a� . _, �,,' .�r•► L � � ... ��
p g was pd by the owner,occupant,or Board of Health
_ V 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 backup
— _ Was the site inspected for signs of break out,?
V _ Were all system components,excluding the SAS,located on site? °' `��' ,•
V__ 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?
r r�-, • .- .y.t .r. .
The size and location of the Soil-Absorption System JSAS)on the site has beeni determined based on:
Yes no
_ Existing information.For example,a plan at the Board of Health:+
Determined in the field(if any of the failure criteria related to Part C is at issue appro.'xunation of distance
is unacceptable)[310 CMR 15.302(3)(b)J
.,`,.G%%�3.�..fl:ICl: �•',:tom?2Tf:�.'1~:•t+. :r.(1Lf:r� L�]4��..�.'.`.:. � .►1.µ`:.'T�., t: ..:..ice v.` S fi .. >n,t lv..t..�. C
yam,(
t 5
Page 6 of 11
OFFICIAL INSPECTION.FORM-NOT.FOR' OI,i1�iTARY ASSESSMEA"'t'S ,
SUBSURFACE.SEWAGE DISPOSALLSYSTEM.INSPECTION FORM
PART C',�,•, . ., . •a ...
Ms t'S.d
SYSTE.-DOORMATION ; •
Property Address: 71 .plh p
Owner. kPol" 0' arre
Date of Inspection:
FLOW CONDITIONS--__.
RESIDENTIAL V4r,"an C a ' v6o'd cv-A3 .P u S e. S eA 11#" op C #at s
Number of bedrooms(design). Number of bedrooms(actual):
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd zj#of bedrooms):
Number of current residents: 0 _
Does residence have a garbage grinder(yes or no): AIV
Is laundry on a separate sewage system(yes or no):AO [if yes separate inspection required]
La system ins d es or no ' ' }, °
Laundry Y 1 (Y )� .�.
Seasonal use:(yes or no):_RV _
Water meter readings,if available*(last 2 years usage(gpd)):
Sump Pump(Yes or no): AD - #
Last date of occupancy: C u'rrem tr O 't" .•'" _ {
COMMERCIAIANDUSTRIAL ,. ...�`. "r ::, '`*; •..j
Type of establishment:
Design flow(based on 310 CMR'15.203):' pd r `
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no): " : .. • . _. _...-_
Industrial waste holding tank present(yes or no):—
Non-sanitary waste discharged to the Title 5 system(yes of no):
Water meter readings,if available:
Last date of occupancy/use:
OTHER(describe): 11 c,.4.. .• ,F . .r , _ . ,; r .
GENERAL INFORMATION i
Pumping Records .; ,., .�z j •�+. :.;: .
Source of information:;W.� ekh. u V $•'/vr�O B
Was system pumped as part of the infpectio6(yes or no): No
If yes,volume pumped:_gallons--How was quantity pumped determined?
Reason for pumping. �Y9Q�.qtasQh
TYPE OF SYSTEM
Septic tank,distribution box,soil absorption system ,
_Single cesspool
Overflow cesspool ,
_Shared system(yes or no)(if yes,attach previous inspection records,if any) '
_Innovative/Alternative technology.Attaoh'a copy of the current operation and maintenance contract(to be
obtained from system owner)
_Tight tank _Attach a copy of the DEP approval
_Other(describe):
Approx a e age of all components,date installed(if known)and source of information:
�hS �¢d AC', -2-, J9>7 oo:0j 6.ullt Ca ed From town Iit C0110 S
Were sewage odors detected when arriving at the site(yes or no): No
6
Page 7 of I l
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE INSPECTION
POSAVSYSTEM FORM
4 _ PART C
SYSTEM INFORMATION(_continued)
Property Address•
hryis
Owner: h6vin
Date of Inspection: 9-J-7-
ji
BUILDING SEWER(locate on site plan)
Depth below grade:
Materials of construction: cast iron _40 PVC other(explain): '
Distance from private water,supply well or suction•line: 1
Comments(on condition of joints,venting,evidence,of leakage,etc.):
SEPTIC TANK: '(locate on site plan)
Depth below grade: 2
-Material of construction: /Concrete metal fiberglass _polyethylene ' .^.�= k�:j: ��4:• '
- other(explain)If tank is metal list age:-., _Is age confirmed by-a Certificate of Compliance,(yes or,no):_(attach a copy of .
certificate)
Dimensions: !op 915 =x.5 _
Sludge depth: v
Distance from top of sludge to bottom of outlet tee or baffle:
Scum thickness:
., Distance from top of scum to top of.outlet tee or baffles '!o'� '.' . '�� �.• . "=�".r ..,T�1-�w.."'yo-
Distance from bottom of scum to bottom of outlet tee or baffle: !s''� •.:' " ` '. '' '
.How were dimensions determined: /4 ea s 44 r1 11 9. r
-Comments(on pumping recommendations,inlet and outlet tee or baffle.condition,,structural integrity,liquid levels
as related to outlet invert,evidence ofleakae,
{'une r PH r'.1i� Salrs 'tic�or y 4. et,e 1
GREASE TRAP:_(locate on site plan) c ". r,`` �-•'£- s�c.tr
_.Depth below.grade:
Material of construction:—concrete metal fiberglass_polyethylene other _
(explain):
Dimensions:
Scum thickness:
Distance from top.of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.)-
7
. . . . ........
Page 8 of l l
OFFICIAL INSPECTION FORM NOT!' VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPO�SnAL.SYSTEM.INSftCTION FORM:"
-SYSTEM INFORMAIION foontinuedj
Z .
a a
`/ �,p/J ./jam.�y� • ^
S'r K.iC� •'a...•.-r..� ..�r....�.. _ ._,w.. j 'fit`
Property Address: /1- ,./ � ��_.y .:.:..�;,__ � • '
pits
Owner: vt V �' kke _
Date of Inspection:
TIGHT or HOLDING TANK: (tank must be pumped at time of inepegsos<j(loeate 4m site plan)
Depth below grades
Material of construction: concrete metal fiberglass polyethylene ot6er(explain):
Dimensions: _
Capacity: gallons
Design Flow: ¢allons/day
Alarm present(yes or no): +_, -; • -
Alarm level: Alarm in working order(yes or no):*
Date of last pumping:
Comments(condition of alarm and float switches,-etc.):
DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan)_
Depth of liquid level above outlet invert:
Comments(note if box is level and distribution to outlets equal;any,evidence of solids ciiryover,any evidence of
leakage into or out of box,etc.):�s _ u_•. "n ,,;,�� ... ,--�1 / y
A01 vuKcaA --* /110 ✓1
tj
x
_ PUMP CHAMBER: (locate on site plan)
Pumps in_working order(yes or no):
Alarms in working order(yes or no):
' Comments(note condition of pump chamber,condition of pumps and appurtenances,"' 4. .
......�.«••••„.°._..w°'.tS.fl'•.�-'-`•P�;:'�tl r.}Sa}ti"<i�t:TtS. �...A��..•4:»:+ "•1
._. ....-.w..,.•„ ;r t�.:1 ,.•: °.j!;`� �a rtt 7'.`ii.;.,�i."� w. 'r_'�».,7a.�. (:f' i.. .
_1.t• '� r .,j lr +•a•Ctrs r�1d-'+�! ''.",SJ`.a:,�y "f _.: t tt,�...,+.f .. ;.qk nr i•j tip.w••.gs�� •. ` -
Page 9 of I
OFFICIAL:INSPECTION.FORM NOT.FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM
r PART C
SYSTEM INFORMATION(continued)
Property Address: 7-2 A/ ,� SXe-e I'
Owner: kPLI,N ®• fr e -
Date ofinspection: 9—/7-0S5
µ
SOEL ABSORPTION SYSTEM(SAS):./ (locate on site plan,excavation not required)
If SAS not locatod elcplain why,—y 1�::K.i+- <. •.'. - -'1 .c3 E r�4 ,.;
.irt•F ' e, � .f die} 7:�,a.'•r' .t ..
Type '
leaching pits,number. > lvoo 9a W �ti
I eaching chambers,number.
leaching galleries,number
leaching trenches,number,length:
leaching fields,number,dimensions:-
overflow cesspool,number.
iwnovative/alternative system Type/name of technology:
Comments-(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,
etc.):
�Qath ��1� �f D Si7 ns T�ilani e&,ver -2 9
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 or no):
Comments(note condition of soil,signs.of hydraulic failure,level of ponding,condition of vegetation,etc.)' .
PRIVY: (locate on site plan)
Materials of construction:
Dimension's: .
Depth of solids:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
9
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- Page 11 of 11 � f •, :,
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
4. - . ._-SUBS,IJRFACX.SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:
Owner. k-BviH O a>r8
Date.of Inspection: 9 7
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water 22 feet
Please indicate(check)all methods used to determine the high ground water,elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed
Observed site(abutting property/observation hole•within 150 feet of SAS)
V Checked with local Board of Health-explain: o a n � r Coy
Checked with local excavators,installers-(attachdocumentation)
Accessed USGS database-explain:
You must describe how you established the high ground water,elevation:
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N�.."^d 1 + f..+ ,'• 14{ •y Y •.. a --.! .�- 4 Aly.rw..�ri�l' '•_ _ .�,1, •/ t• IJJ'5. f,
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Notice d this heirlag'wee'given by mail, postage prepaid, to all persons deemed ageated and
Cape Cod Nesisi
by publiahing•in=�r tabli Y---+ "t 'newapaper�published in Town,.ot�Bariatable`h copy o!`
wbioh iu attachad,to the%mora-,of these proeeadinge'Sled with_low, Claris..
•..1'"'i! img.t �•'-`.-a. �'l� i• '.`�. i'. y r i � ..� � - -.r. ,= ; ..� ,.�t-�• rj ,-."�.' '>,'s.�r...'.�.".L.»_� .t_1.:..1 I E .
Aypublio'heie Dy the Board of Apposh oi'thGGTown oi. Barnatabls was-held at ,the tTa"
'._O;t
Offies Building,'°Hpaaiiis,'Ma e, at 1:30 'm P.M. — _ Noye4at`24"' "'yT ' 1'
Upon said petition.Hader soming bylaws,
�Y ,... a. Strnaar��re _ ���ITi��:�Y ..� � '• '•'G$i iAhti�galr,�_ r
I0•d ab619LL 01 w0dj £2'1ZI. 8061,/ve/88
X.759 11/10 '00 PM�01:06,1D FD-3500 .�;•FAX:5087751945 ,.., r PAGE 3
of the hearing, the Board took acid
e Board. potation under advisem..nt._A view:of the
. .a
tw r� :r, .� far '•�: y,3z; "} Page of 3
On
The I3oarel•
of-Appeals fohd
o &LI-@y an axis Curley presented his Petition which is a t'�to a11°°� an Qxi�tingrsiagle-famil - Quest for a Wriunce
office. Tlie house is now, yf vacant t'Asidencee to be used :o.1.1y, ae a I w
a wal><rout bus has newer been occupied, and � a ot�•story ranch with
and attached garage. The. potitionar hue this
purchase and sales-agr�ent-and the topographypTQpertY under a
close proximity of this Pr�rty to bus of the lid togatber with the
for use " a rtsid had 8 usees makes this house undeaireable
Bane. The owner has had
house 'fOr sa14 for more than one
year and has not been ahlea to-find a'btryerr. •
any external changes to the home and . The petitioner dass not p� to make
occupy the bsild' 8 +end-do not• lau'. ley and his assoc3atd Mr—schvlz will
present bass, t; two full` to add tuy mere prolesG'onal •QMPIOYees. At the
they have time secretaries, one part-time seezet
aoakes $ tote]. Of five•peraoas--'wIw wottld•occupq "xlzie Office at ary and this
use will not generate noise or eougestAOA and Mr. Curl one'time._ The proposed
retain its re�identlal"•appearance-'--Par t ,. QY said -the building will
Petitioner suggested a stipulation similar to tat requ3r d for .thh professional ..
d the
residential district• in•Hyaanis which YQquires four ar -
amplogeu, The petitioner is agreeable to a reatzictPara Parking
for each professional
on the property.-which would be-reached`by`a drivevay'Ieadiag teatrpa �g spacEs
Par king area,
Mr. and Mrs. Catignani .were prestnt-to voice theiz`Obeetions to the _ . _ . .
petition and said they own property, imediatel abuts granting of the
feel the proposed,use would-be-det y in$ the_locus in question send "
an abettornLul to tbQighboxhood. Mr. R.irhard Could,
'$poke in favor"Fie the stition and "id,he had observed-.thsa rxaffic
s:iLvttion at Mr.,„Ctrley'e;prase�at. Zav office an east Mein St.*' B
that there +ere at the must, three or four cars • yannis and had found
no objection to .thee granting of the petition:' g Parked there at,'one 'tame d he had
, Arz
no
of the peti,tfon and the Board rectived se eral lecNictors aiaoiabuttars°spot in
proposed use. )'r.- Curlrey-did nct-wish a rebuttal -to answer Mr. ti$nani's objections
and the Board took the matter and
@X advisement.
The Bird found that the proposed use as a law office would serve as.a dasiraable
buffer betw@en..the business use.whichi.is`'on one`side of the loeti 'in"'
residential use which is on the other side.. This dsof.isloca question and the
a, tad on -property which
•- L'ierk of the 'nuwa of ont.)
county, MaUA0husetts, hereby ce B+u'ntt�ble, liarrsetgb�e
, tthAL 'twenty:yrjp, (21) days be►ve i1apaid• MOO the Roatd of
Appeals reade�red lLs�de�on in the above entitled petition and that ao a been filed in the ofSoe of^the Town-Clerk. .?� y� 1?1�eai of,said.decision has
v'!f"Qd AAd Stale'd two
penalties of pejuo. =t1J1.@ y Ig nr►der -this
Q + ., Pew and
Distribntioi�s--- .�.:W .r •r � .
13"IP412tr
Town Clerk
Board of. A
�pp84ilit ' ' �'• s.r pPralm .. ,
F •_; Town of Barnstable
BoH&ff j=peator '' "'� r '�'.a -
Pubiio Laformation'
. B
y
Board of Appeals •.f s. .•. ' _,�,�.Qma .
• .U. • .._ ,,••�+_rr �rM. .. - 1.
11/10 '00 PM 01:06 ID:FO-3.500 FAX:5087751945 PAGE 4 y
• " Ie'd 1tl101
Fur a]Jr
WARD OF APPEALS
Appeal 110. 1978-78 Papa 3 of 3
be""* of its taPWaphy, dace not find itgelf to use its a residsace. The house
has been built vary Close to'a 1ki4v117 travelled road and therefore has w appreciable
front yard. The land to the rear of the house slopes sharply d000mmrd and cannot
be considered desizeabls for a bockyard. The topogr*phy of the laud together with
the location of this Property. which dirmtly abutts many business uses makes it unique
fsc the residence 8 son" district in which it is located, and hardship does exist as
avideaced by the fact 'thst this property has been for sale for more than a year as
a raaidenra and hag not been sold, The Board found there would be no•datrimant to the
neighborhood nor derogative of the zoaix* by-lava if tUe vacant house in used for a
law office and voted uaanimvaly to 41109 the petitioner's request for a variance
subject to the ftUoWing restrictions:
1. No mra. than two professionals shall occupy the building.
2. Wherever •posaibla, pervious uatsrial such Am gravel or crushed stone
shall be used instead of paving for the drrveway and parking area.
3• Eight parking sWAS shall be Provided at the rear of the 'proparty.
-r ~7 K 0/IIAie01d'/1��:•." „�'1�i+1t NO.0100dna for a
ECARp M AMFALS,•• • •VMIUWW to 4MV4—t 02Wdaa
E' 1CrMOFrALlC Cr.OWasANTIOMamp at
J. !}ltOiR ZCNW¢�.• Q�M MAIN STREET. WEST
1 Oil Fatsalli atwt�t*Olttltt A AFA=A LS to a NAOMI=F..
4.ire tswtllgrl�agErsd�ptW� ADHM 011MC!
� OndaY Ste,.1i 9t ap of A FUKM mARINm Unu Rd
't1rltliM f awn•a<B>• :GIVI N ON TMi VEIrt110N AT
IMatfth'tl 1�lnatteYwatts and a>Y •fA Am
Im 4" APP509.440.JR&M " .
htwq/additd tine •. AIIOMOCTUMLQONSWk-
" AM�AL No.1074-M VATIOH TAW FOR W4EM-
1110 to BOARD OF BOARD OR. AfPIJti•8 bail a
Md. PsdMm-for a baafaleA of th* BUILDING
T.VAIYANC1E.b1 am,& AO�, r'OR'WM OPOWA IOr a'
t 11100 QFl70E SI n P*mt 4rE01AL PERMIT IO amow
' STNEEt.'. la•a .aw+twalon'd a NON•OONFORA&
1 A PLWJC HFAM4 JNLL Sg NOI=ST0Ra4IFACILI7 tom
' x TliS 16T1r30N AT •tlNrrB 61 MIRE
FAMMI.L e.►ADCUMON Is* MORO DISTRICT
appsaNd to -" . CAM Of A PUBLIC HfIARINO W LL ga ,
APMMS atMl asMtlwg for' a GMAN ON T)m PETMON AT !
t SPrdMAL lElall!(Odnotara*no S13 PAL
AN.af a M 31-1- FOR IlNo TIm 110NOOd"M bt►hold MI Ow .
.smam AND= UU at an HLWNO ROOM,T*m HALL.
SOM STIMW.MVAM4 Ih a'M MAN$•tMEr.WAN"*a
R=D&S?ANiDDM" p=. MIiUNUDAY. NOVt11tSM 96,
A Pt7!•L10 NEARM W4L fa 1�a .•.
�i1VEN QK TM FMn09 AT: Ytw M 1.lwlud'to ve o ".m By
y 2mr4t + Now OtawbOARDOEAPPtiALL
A NO.107i RICHABD L.Bor.
o` %
o IND 0. it*K oN his � C161%
t0•d Sb61ttG of
• WOild bT tsi 086iiytl�*8
4�77.z- l e t>
L,O-C AT ION -�. SEW GE PERMIT NO.
VILLAGE
� INSTA L ER'S NAM & ADDRESS
BUILDER O/R� OWN
DATE PERMIT ISSUED
DATE COMPl1ANCE ISSUED l� - 7 �
-�
��
� '�
Y � '�
v
� r
' .."„��.
'^�.�
`4
C7)/ 1�>;�2
No........... :. !r Y,t Fws.../ ...............
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
.V. .d`�....................O F......�
a Appliratinn for llispaa al Works Tnntrnr#iun rantit
1` Application is hereby made for a Permit to Construct ( V/ or Repair ( ) an Individual Sewage Disposal
1 System a
... � _ .............. ............. ...... _y . ! ...--------- ... .......... _ ..................
a Ad or Lo tion• dress . t o.
....._. - . - .C . � -.. ._...
....... ..�rrn. j... 1 - 1� .%.�.........._.....
LOwner Address
-- ....
E... _ .....................•-- .....�
� nstaller Address
Type of Building 6j- / ZF ;r, L`� Size Lot__�d.���___ •--._Sq. feet
{ Dwelling—No. of Be rooms--- -------------------------------------Expansion Attic (/4p) Garbage Grinder QYp)
p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures -------------------------------- ------
w Design Flow.....tt.Q..............................gallons per person per day. Total daily flow------ ?0_Q..........................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./QED......_.... Diameter.................... Depth below inlet..... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( ) v+�' �' /a 77
Percolation Test Results Performed by--- __1 .._!} .................................. Date...9l-!�4z/.7_7..............
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........................
O Description of Soil �0jA.......5c? .. �t.4............................................................................................................
v --------------------------
--.............. -L�--.1.`-y.......8I ------.JAt.(d----------••-----.
w
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITLL 5 of the State Sanitary.Co e—The u rsigned further agrees not to place the system in
I operation until a Certificate of Compliance has b e s ed b rd f health.
'Sign d •••. vV �/ 0�/77
Date
Application Apprbved By••----• - -•------•--------•--------- ----- ------•---
Date
Application Disapproved for the following reasons:--••-------------•----•--------••-•--------------•-•---...-•--•-•-----------------------•-----.....•••-••....._
•--------•-----------•------- ---------------
----------------------
..._._.......----------._..... ---------------•-----.........-•-------•----------------•--...•--....-----•••-•-- ......
Date
Permit No..............................-.......................... Issued._..._ :..' _ .....
Date
�1
No.........._7G ... AV Ruic ./. ...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
....................OF...... .-----.----------------
Appliration for Disposal Works Tonstrurtion Vrrmit
Application is hereby made for a Permit to Construct (L/f or Repair ( ) an Individual Sewage Disposal
System at:
... -
Lo ation,.Address j or W.o.
Owner ddress
.............. -•••••--
nstal eCA Ir Address
Type of BuildingL
1 � 11�. /'S1 '� Size Lot Sq. feet
Dwelling—No. of Bedrooms-__-: ....... ...................Expansion Attic'.:40). Garbage Grinder Ao)
Other—Type of Building _.._.. No. of persons........................... Showers
P� YP g -----�-;�= ------ P ( ) — Cafeteria ( )
Otherfixtures -------------- ---- ---------------------------------------------------- ----------•----------------------------------
Design Flow-•---A1.0.... ,= ...gallons per-person per day. Total daily flow____. .
W � �--------------------------gallons.
WSeptic Tank—Liquid capac>ty -gallons "" Length.__.__. Width................ Diameter:-_____._____.. Depth................
Disposal Trench—No. Width_... ......... Total Length.............•....._ Total`leaching.area_._.__._________..sq. ft.
Seepage Pit No.l o_-_ Diameter Depth below;inlet......_: /,... Tp�l leaching area................_.sq. ft.
Z Other Distribution box ( ) Dosin tonk�( )
a Percolation Test Results � Performed�b - ......
Test Pit No. L/-.`":-_-minutes per inch Depth of'::Test.Pit.................... Depth to ground water....................
Gz, Test Pit No. 2................minutes per inch'.. Depth of ;Test Pit :___---•-___---. Depth to ground;'water...........................
-•--
O Description of Soil....................Q k . .. gar G.
•... •--•-••. ...-----
cU. -•_..... �t _ �.......�.Al. -• --•---•• -•-----• -----------•-•------•-••--••--•. ................................W
4?'
Nature of Repairs or Alterations—Answer'when:applicable_:___._:___.__.__._. .
Agreement
The undersigned agrees to install the aforedescribe'd Individual.S.ewage. Disposal;System in accordance with
the provisions of TITL% ' 5 of the State Sanitary o —The u rsIgned further agrees not to place the system,in
operation until a Certificate of Compliance has b s ed b rd f health
S>gned_ ..... •�
// a? 7 1
•. ..............•... ........._ --! ----------------------
Date Application Approved B - /
-----------
Date
Application Disapproved for the f ollouiing reasons;: ................... .................... ......... :-..::_...:.___-..._
-••----•--.•....................................•-••----------------•-•--••----......------......--........---•--.._.._....---------•---••---------------------.................... -- ........
Date
PermitNo......................................................... Issued...............................................r------
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 'OF HEALTH
...."("lalc�.. ............OF...... C?. ..........
....................
(9rdifirafr of Tontp -attIr,
THIS IS TO RT FPY, That th�f Innd; 1 Sewage Di sal S;�ste co t ucted ( r Repaired ( )
by......... . ........ ± {°(. r 3 ""�- . ..-•------ . : -1 ;4....
o 73 �F, ' ,gyp1-4
has been installed in accordance with the provisions of T 5 of Th- State Sanitary Code as described in the
application for Disposal Works Construction Permit �'o.__ _.:''_.._ G v - �`' '_"
'ur
= ----------•- dated--- - ----------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.. ............................................... Inspector.................. - =
'-THE COMMONW'I ALTH OF.MASSACHUSETTS e
BOARD OF HE LTH
�a I
r`
No....................... .
.. FEE.....'.•..... ........:
Disposal or ;Tonstrurtion rrmit
Permission is hereby granted_.._.. ----- .._
-- - --•-_------_-----..._.. -
to Constructyy( � o Repai ( ) an divldua Sewage' isposal System
at No..." it-cs: __...../;�,,, " � I---........r�L,,e_ : ..:--_. ?r:-�.''�
Street
as shown on the application for Disposal Works Construction Permit No A Dated
_. ...............................—
Board of He.
DATE............................•-------------•-•---•---........................••.
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS =+
i. .
c
uc- �Art;EsAC:.� :-,•rat��.rL = h � a � ,
r.at�Y FI G\ti 1ta3o h
��.�r'tc `t't�•t•..rk. = 330,. tSo % = 4�i5�Pn, � ^�r-� '
IISF c d� >✓t�" - (-JSE Iocc) GAt.._, S
T-�*r-r-c>.c� neon._ � s�t= l�• � � � - - .3ES 1� �
Sd s.PD. 4�
TCSTAL -1-->ESIGe,I = 425
L�D\&/ = 330 6.w
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