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HomeMy WebLinkAbout0085 ALLAN ROAD - Health 85 Allan Road, Centerville = 194 - 001 -006 J�aEcvaEeco ritFlll�o = 'zm UPC 12543 Do- No. 53LOR HASTINGS, MN C� a M -� TOWN OF BARNSTABLE GLOCATION 3- 5 A I k Gill \-M� „ _ _ SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY (—) (l LEACHING FACILITY:(type) 7 e " 14 - . e 18H� ,� C� f-�+ �w ' NO.OF BEDROOMS aa OWNER _L�Ctt91f�X Gr rryf'fai n.C�Y1 PERMIT DATE: JL11C7 C%C�G: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet . Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY nk i4f '�d Z Tly ec+icy) Vi/ 4 P 165 534 273 T+ - RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVE99GE PROVIDED NOT FOR INTERNATIONAL MAIL"' (See Reverse) S nt to t L ` Street and No. P.O..State and ZIP Code Postage S Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered W) m Return Receipt showing to whom, 41 41 Date,and Address of Delivery C TOTAL Postage and Fees S 2- 2-t C Postmark or Date E 0 LL fN d E STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) i I 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) I 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. i 3. If you want a return receipt, write the certified mail number and your name and address on a return receipt card,Form 3811.and attach it to the front of the article by means of the gummed ends if space per- mils. Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. I 4. It you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. - 6. Save this receipt and present it if you make inquiry. o U.S.G.P.O.1988-217-132 'P 412 500 595 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) N S ntr Vavtd Lr�� �fle— N m Street and No. TsS tta�1 Ro a P.O.,State and ZIP Code y e+r> IJIa.c 2(a6ir' Postage S Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered a Return Receipt showing to whom, Date,and Address of Delivery TOTAL Postage and Fees S� 0 C0 Postmark or Date M E 0 U. N a , STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. II (no extra charge) I 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. I 5. Enter fees for the services requested In the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in Item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. U.S.G.P.o.1989-234-555- _ c No. R Fee C� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETt'S ZIpprication for Migpogar *pgtem Construction Permit Application for a Permit to Construct( )Repair(4Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. 85 ��� 2p qp( Owner's Name,Address and Tel.No. �(�f�.io �.il Ma—c4.hcn Assessor's Map/Parcel I /-6 —aal lve�T �e....Tebl� Installer's Nam Address, d Tel.No Designer's Name,Address and Tea.No. �cc ca�c�ll'.si� �-+�g_ 'Doc.. C`Yr- Er 5`cc `J 5+�8' &,I?o� S-t. �{�,-aS34 Riot h6c., sr. 3601- ysyi Type of Building: Dwelling No. of Bedrooms --- Lot Size_ sq.ft. Garbage Grinder(,VO Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow —1143 .rs5=9 " gallons per day. Calculated daily flow - 'i'�4 gallons. Plan Date_&e4Z .;181 doo6 Number of sheets Revision Date Title Size of Septic Tank /SOO Cosy- —�'xi3c/N4 Type of S.A.S. 16r15' G%AeCc� 'dP1%.�-TA5 Description of Soil k 4n /4 n Nature of Repairs or Alterations(An wer when applicable) s7A ^ f�o2D � h co/ TiaTPJ e r v S�� 1`� " ST n in J� G Date last inspected: Agreement: 1 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 a b t i Bo of HSig Date 0 6Application Approved b Date Application Disapproved for the following reasons Permit No. ' b Date Issued No.` a _ Fee / 0 y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS— h Rporication for Mizpaaf &pgtem Construction Permit Application fora-,Pe dni t to Construct( )Repair(1 '_'�Upgradj( )Abandon( ) O Complete System O Individual Components Location Address or Lot No. a S ��ad Owner's Name,Address and Tel.No. Assessor's Map/Parcel S R 11 ta,� w1.. lgL/' /-6 !� .-o6t we "C' sTr.to�c ` Installer's Name,Address,and Tel.No. Designer's Name,Address and T@l.No. 5'�jCVrc 1"kC�CC_kLS—c!, \)C F?'1 low 1S"I- Sat%•SS39 �3q hl,�, ST- O�Ter. ;\1c �T(A Type of Building: Dwelling No.of Bedrooms — Lot Size 6 sq.ft. f Garbage Grinder(X/Y) Other Type of Building No.o Persons Showers( Cafeteria( ) Other Fixtures Design Flow '? -1:6:0 gallons per day. Calculated daily flow gallons. Plan Date ��Dl��', 8,a Oo6 Number of sheets Revision Date- Title _ Size of Septic Tank 15U0 6, it�irf� Type of S.A.S./46/t CAPAc, /`f Description of Soil A3—d b Nature of Repairs or Alterations(Answer when applicable)Zns7// '�- H' Ot1� �1 C r7(•/ j �r�TP-� j�s 5'10 VC 9j C t' v S,,; I)X_P 44 'e N ST ar e/! -5,,9! ol Date last inspected: Y -, 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 be;."ssued by th Board of a�l Sig ed H C Date K)A e' Application Approved by Date (0 1 1 Application Disapproved for the following reasons . I ! Permit No. - ` ©b Date Issued 4 , --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Urtif irate of (,Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (1. ' pgraded( ) Abandoned( )by 5 HU 2 C �_ CU n 7 T at gS R-k," \ 1 l�l e S'i.. C.c \.cil has be n construe//ted ' ?�c•rdance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated W f Installer Eryct FtC.C:C�_ y,yT(- Designer1GU- The issuance of this P e t sjjh 11 not be construed as a guarantee that the stem ',I ft� ction as desi.ned. Date 1 1 l� Inspector y No. � —" crt��.-------------------------Fee _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS I=igpoga[ *pgtem Cougtruction Permit Permission is hereby granted to Co� uct( )Repair( Upgrade( )Abandon System located at 85 A�F�1•� ,nstf , a 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 permit. Date:_ (0 Approved by Nola-lay ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH APPROVED /F:E TOWN OF BARNSTABLE� "stableConsetvtiott Appliratiuu for Disposal Works Tuuu Ur t e �a , Application is hereby made for a Permit to Construct ( ) or Repair xXX) an Individual Sewage Disposal System at: .85 Allan Road Center:ille -•....................•-------•-•-•--•-------------------------------------------......---....._.. Liimatainen Location-Address or Lot No. a J,P.Macomber Jr. Owner Address ---•--------------------- ----------------- Installer Address UType of Buildin Size Lot............................Sq. feet �-, Dwell4 No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ...........:................ 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. I................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........................ a -----------•----•--------------••••-•••------•------•--•------------------------••••......--.......•......................................................... 0 Description of So' ..__._.--- --------------------------------------------------------------------------------------- U --------------------------------••---•------•--...•---------•-----------------•-••--------...•••-••---...--•-----•-•---•-•--•-•---------•----•------••-•------------------......._...---•-•------------ UW -------- • . -----------•-•-----•-•------••----••------•-----......•----------------------••------------•-------------•••-••--•---•---------.......----•.... at r off Re a' or A erati ns—Answ r when applicable._ ' ..._ ......................... 1- �00 Ka ron eacning pit. f -------------------------------------------------------------------------------------------------- . Agreement: � 'Tl The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia e has b'en issued by the board�of ealth. Signed 'L ------ 12/18/92 Dace Q Application Approved By ........................................................... .1.,'�- ..-../----- Date Application Disapproved for the fo owing reasons: ..._- ------------ --------------- --------------------------------- ----------------- - ----------------------------- ..... . . . .................................................. .../--...----..............--- --.....---....-----------------........------.... ------- ----- ----------------------.. ...---....---------------------------- Permit No. ly .................. Issued ...-----------------------.............------. ------.Date • Dare No. - -- � 9 Xcz-... 30.00 h THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applutttiun for Disposal Works Tunutrixrtiuwrrrutit Application is hereby made for a Permit to Construct ( ) or Repair YM an Individual Sewage Disposal System at: �35 Allan Road Center, ille Liimatainen Location-Address or Lot No. •W -J.P.Maomber Owner AddressJr. - -- Installer Address f Type of Buildi C� 3 '-$&-Lot------------- - --- ----Sq. feet r Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) i ` I Garbage Grinder ( ) `4 Other—Type of Building No. of ersons---------------------- P+ YP g ---------------------------- P __-_-- Showers ( )�= Cafeteria ( ) a t d Other fixtures -------------------------------- '' r ---- W Design Flow--------------------------------------------gallons per person per day. Total daily flow__i---------------------------------------gallons. P4 Septic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter----------------Depth---------------- xDisposal Trench—No--------------------- Width-------------------- Total Length--------------------Total leaching area------------------.sq. ft. Seepage Pit No--------------------- Diameter----------------_--- Depth below inlet----r------_-----:Total leaching area-----------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date-------------------------------------- Test Pit No. I________________minutes per inch Depth of Test Pit-------j----------- Depth to ground water------------------------ G%4 Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-_---___----•_---------_ a / O Description of So' ------------------------------------------ - --- - c ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ----- w - ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ -- ,I U Mature o Repa' s or Alteratio s.—Answer when applicable_ _________ _________________________________ (,� N ff -- - - f 1-Y000 Paton leaching pit. / 1f> _.--_--__--------------------_-_--_-____-_---_-_----___-_-----_-----_-___--_---_------__--_- ___- ______ ___._ .�__._�� .��_z .__..____._._..._._...__--- 'I U Agreement: v i� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ce has en issue by the board of health. _ -St aed = -2/1V92----------- 1 Application A roved'B PP PP Y 'f-� "' -1-------------------------------------------- �� Application Disapproved for the fo owing reasons- -------------------------------------------------------------------------------------------------------------------------------------- ----- ---------------------------------------- ----------------------------------------------------------------------------------------------------------------- -- Permit No. .-___ ---------------�--'------------ ---�----------------- Issued ----------------------------------------------------------- -- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (ger#ifirak of (ffomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( XX ) by J.P,Macomber Jr. - at -_-_-_-___`Q_-_5-_Allan Road Centervlblle Insrdikr ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. -------5-1a=----6_3_-L/--_ dated ------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTI� S S�f CTORY. DATE------- 1 Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �iu�ruuttl Turku �unutr�rtiun ��erntit J.P.Macomber Jr. Permission is hereby granted -------------------------------------- ___-_-- to Construct ( ) or..Re r 6X) an Indi idual Sewage Disposal System atNo..blan iKo` a Center iYe - C ... -------------------------------------------------------------------------------------------------- street G as shown on the application for Disposal Works Construction Permit No._1.- �Dated-----------------------------_-------__ -----------------------------°--L-------------------------------------------------- -' Board of Health DATE -�== -� ''-.. --- FORM 36508 HOBBS R WARREN.INC..PUBLISHERS nstable The Town of Bar -J Health Department --- 367 Main Street, Hyannis, MA 02601 rwa d '67q. ` �0■AY k• Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health May 14, 1992 Mr. David Liimatanen 85 Allen Road Centerville, MA. 02635 NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.00 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE AND 105 CMR 410.00 STATE SANITARY CODE II - MINIIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION. The property owned by you located at 85 Allan Road, Centerville, listed as Parcel 194 on Assessor's Map 001, was inspected on May 13, 1992 by Jerome Dunning, Health Inspector for the Town of Barnstable because of a complaint. The following violations of 310 CMR 15.00, the State Environmental Code, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage and 105 CMR 410.00 State Sanitary Code II - Minimum Standards of Fitness for Human Habitation were observed: REGULATION 310 CMR 15.02 (207) AND 105: Overflowing sewage onto the ground. This violation is a serious public health hazard. ( 1) You are directed to hire a licensed septage hauler to pump the overflowing cesspool within twenty-four (24) hours receipt of this letter. (2) You are also directed to keep the on-site sewage disposal system pumped as many times as necessary to keep from overflowing onto the ground. (3) You are further directed to contact and hire a licensed Disposal Works Installer within seven (7) days of receipt of this letter in order to repair the system. You may request a hearing before the Board of Health if written petition requesting same is received within seven (7) days after the date the order is served. Non-compliance could result in a fine of up to $500.00. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health • SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the "RETURN TO" Space on the reverse side.Failure to do this will prevent this card from being returned to y �Iou.The return recei t fee will rovide ou the name of the person delivered to and the date of deliver For a ona ees the following services are availaole.Consult postmaster or tees ana c ecK box(esj for additional service(s) requested. 1. ❑ Show to whom delivered,date,and addressee's address. 2. ❑ Restricted Delivery (Extra charge) (Extra charge) . 3. Article Addressed to: 4. tcle Number Type of Service:. Allan 1 l Registered El Insured 8S A�l lan R� J+SI Certified yr. ❑ COD (___ ❑ Express Mail'. ❑Return Receipt ��T �S�e i � dise Always obtain signature of addressee V 2, �r or agent and DATE DELIVERED. 5. S' ature.—Addre _ 8. Addressee's Address (ONLY if X requested and fee paid) 6. Signature — gent X ' 7. Date o Delivery PS Form 3811,Mar. 1988 * 11. .A P.O. 1988-212-865 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SE.RVIC IV! _. OFFICIAL BUSINESS �F� �g _ SENDER INSTRUCTIONS '2 —• Print your name,address and ZIP Code M the specs below. • CompMte Items 1,2,3,and 4.on the U SMAIL reverse. *.Attach to front of article N space. permlfs,otherwise affix to back of -article. PENALTY FOR PRIVATE • Endorse article "Return Receipt US.E, $300 Requested"adjacent to number. RETURN. Print Sender's name, address,and ZIP Code in the space below. TO Town of& rdt" D A aw s" Hyannis,Mas�etRaf Fxs............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN.. ---------------OF.....--......-.BARNSTABLE............................................... Applira#ion for Uiiposal Works T.nstrurtion Vamit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Lot 6A Allan Road Centerville ................_---....._ •--• - ...._..... ........................ -------•----.....-----------------•--.........-------•------------------------•--...........------ Location-Address or t No.. John C. Mc Keon P. O. Box 545 Cen erville ......................------- ....._............--•--•-•-------------------------------- ----•------•---•-----------........--•---......--••------....----•-----------------------........ W Robert Our Co., Inc. eT Great Western Road address Harwich Installer Address 46,674 Type of Building Size Lot.................... .....Sq. feet N/ X Dwelling—No. of Bedrooms........... ........THREE.......................Expansion Attic ( �' Garbage Grinder ) Other—Type of Building .............N......./A........ No. of persons......WA.............. Showers Cafeteria�/A) Otherfixtures ------------------NSA---------------------------••-----••---•--•----••--...-••••-.--•---------------------•-------------.................•--••- W Design Flow........... 8-...5.....................gallons per person per day. Total daily flow____.........................................41...5 gallons. WSeptic Tank—Liquid capacity.1500_gallons Length__--8 6��.. Width...4'10"- Diameter---N/A..... Depth..?.:_'.'..... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------- Diameter........ Depth below inlet........§.......... Total leaching area..;2 .!6....sq. ft. Z Other Distribution box (X ) Dosing tank (N'/j '_4 Percolation Test Results Performed by------- Conlon 65•_85 - ----•--- Date -- `�a Test Pit No. 1_---2........minutes per inch Depth of Test Pit.._.13.......... Depth to ground water__NONE---------- (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ •---•--•-----------------------------------•----..........-•---•----------------....-•-------.---•••......................................................... O Description of Soil....... 0=X.)...loam &--subsoil;_._�3'--13 I). medium to find sand with gravel V W ---•--••••------------------------------------•-•---------•-•-------••--•------------••---------------------------------••--------------------------------------------------------------•----------•---- UNature of Repairs or Alterations—Answer when applicable._-____-_-N/A...............................• ............................................ ----------------------------------------•-•--••------.....------------------------------------------------------------•------•------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu d by the b and health. ----- -.- -•-•-••-•- ---_-•----_----•- tate Application Approved By-•-•------- ••--•-••. --••= -------•----. -- ---��. - .••---...----- Application Disapproved for the following reasons---------------------••----------------------------------------•-----.....---•------------------------.....----- ------•-------•--•...............•----------------------•-•--......_.....-•-••-•-----------•------------•---•-••------------------•--•--------•----•----------------••------•-•-------•-----•----------- Q 2 Date 4� / Permit No........... J � ---. Issued-....................................................... Date N ....V Rs.........`.:::............ 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN..........................OF..............BARNSTABLE ...._.....-------•-------•................................•. .Z' Apure#ion for Disposal Works Tontrurtion rrnti#.- Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Lot 6A Allan Road Centerville, ................_--.............................................................................. ------••----••------------•-•----.....--------------..._.....--...------•----•--•--•-----••----•• �G John ,p.`IMIC KeonLocation-Address P. 0. Box 545 Cefit'6'chlle, _'^• .... ............................................. .................................•----..................---.....---•-----........-----.......----••. W Robert Our Co., Inc:ner Grdat Western Road'dd96rth Harwich Installer Address U Type of Building Size Lot.....6.''�74._._____...Sq. feet Dwellin THREE 1-1 .g—No. of Bedrooms........•___________________________________Expansion Attic /� Garbage Grinder ) Other—Type of Building ___-___-_��A-_-___.-_ No. of persons.....���_______________ Showers �/� — CafeteriaN�`�) Otherfixtures .................N/A............................................................... W Design Flow..__.....68..�5......................gallons per person er day. Total daily flow.._.......-._4��•.........._...._._..._gallons. WSeptic Tank—Liquid ca.pacity1500 gallons Length----8_�6`�.._ Width__ �.1�".-• Diameter.-NIA__.__. Depth.5.8--�_..... x Disposal Trench—No. .................... Width..... .............. Total Length...........•........ Total leaching area--------------------Sq. ft. Seepage Pit No _._.________-- Diameter.......12........ Depth below inlet..__._.6��___..... Total leaching area.32 '6.....sq. ft. Z Other Distribution box (X ) Dosing tank `-' Percolation Test Results Performed b P. Mils/J. Conlon Date.._�-5` Test Pit No. 1—.1........minutes per inch Depth of Test Pit....1..----------- Depth to ground water.. (Z, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................___-__-. P4 .-•••-•-• •---------•---•••••-••••............••-••-•.....•-•-••- -------------------------------------------------------•-•...__..._.....--------••- D Description of Soil.....�d 1-3 9.._loam..&_subsoil; (3'-13' ._medium to find sand with gravel x w -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable._.___.._��A ----------------------------------•-•----------------------•---•--------•--•-••------•--•--------....---•------------------------ ---------•----------•------------•--•----------------....---•-----•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a.Certificate of Compliance has been issued b the and of health. -..rJ Application Approved BY•••• ----•m6L "= ••-- ---- Date Application Disapproved for the following reasons---------------------•-----------------------------------------------------------•---------------------•--------- ......••••-•-•...--••-•••.....•••-----••..............•••--•••-•--•••-•••'-•----•-••--•----•-•-•-•--•-•--'--•'-••••-••••--••••••••••----•••-•••-•-•-•-•-•••---••---•--•--•------•....----••-•-•-•••----- • Q Date PermitNo........... / `-,`-- ------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ..TOM .............:O F.:............BARNSTABL.E............................................ Trrtifirtt#r of Tontlilianrr THISIS TO CERTIFY, That the Individual Sewage Disposal System constructed (X ) or Repaired ( ) obert Our W., Inc. Lot 6A Allan Road Centerville Installer at.............--------•------------------------•-----•------------•-•------------....•.-•------------' has been installed in accordance with the provisions of T F 5 f Th State Sanitary i d in the application for Disposal Works Construction Permit No.__..` � dated__________ _ __t .__.._..._.._...__... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GU ANTES THAT THE SYSTEM WILL FUNCTIO19 SA 1 FACTORY. DATE.....--•................. ILV ........................ Inspector..._I. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN -BARNSTABLE �3 OF..................................................................................... ' Nam. FEE ........... 1 Dispsal Works Cron rttr ion rrnti� Robert. Our Co., Inc. Permissionis hereby granted.............................................................................................................................................. to Construct ( X) or Re air ( ) an Individual Sewage Disposal System at No... ------. --•-- ._... ---- --•-- ----- Lot 6A Allan oad Centerville ---------------•-- Street C as shown on the application for Disposal Works Construction Permit No..................... Dated....... _.: _ G___.....____...__. ............................................. -r Board of Iealth )SATE.••---•-••-- ----•-•• -/1.. .-c. FORM 1255 A. M. SULKIN, INC., BOSTON , - Nt�-. .�..... FEB. `..... . THE COMMONWEALTH OF MASSACHUSETTS ( our BOARD OF HEALTH ax15�3 .......Z .......... ....................OF...............BARNSTABLE............................................... All iratiott for R.BVa-ml 111orlai Tattotrurt'tuit Farm# , . Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual S age Disposal System at: Lot 6A Allan Road Centerville .....John C. ....................iaz..... naa�.s................................... .............................. .......... h Mc Keon P. 0. Box 545 ceneetrVille ......................_........................Owner.......................................... ........................................... ..ddr..�........................... ..... . IRobert Our Co. , Inc. Great Western Rosa Borth Harwich.................................................................................................. ..................................................................�................. ........... a j Installer Address Type of Building Size Lot....46. 674 S feet Dwelling No. of Bedrooms.........THREE.•. � g— ...................Expansion Attic (N�� Garbage Grinder Other—Type of Building ............WA........ No. of persons......W!A.............. Showers ��� — Cafeteria /A) i Other fixtures � DScptgc Tank—Liy68••uid aplctty.1500.�gallons per person 8i 6��y. Total 4ir10ly flow...........•••4N�A5.........p....'.ga8ons. 11 Disposal Trench—No. ............:....... Width.................... Total Length.................... Total leaching area....................sq. ft. 111ons Length.......... . . . Width................ Diameter...... A..... De t11............. .. i Seepage Pit No.....1............. Diameter........1....... Depth below inlet........6......... Total leaching area..R2 .!6....sq. ft. Other Distribntion box (X ) Dosing tank (NI Percolation Test Results Performed by....... !it.-Milts/J. Conlon 6-5-85 Date........................................ Test Pit No. 1.-..2........minutes'per inch Depth of Test Pit.....1:.......... Depth to ground water..NONE....•.•.... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............................................................................................................................................. i Description of Soil.......�0!-3'_�_..loam ...,_subsoil, ... .. . medium t.. find sand with. gravel........................f i .. ......... ........................................................................................................................................................................................................ i Nature of Repairs or Alterations—Answer when applicable..........WA.............................................................................. ................................................................................................................................................................................ Agreement: The tindersigned agrees to install the aforedescribed individual Sewage Disposal System in accordance with the proN isions of TITLE. 5 of the State Sanitary Code -- The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by he and health. / f 1- Application Approved By... : . _... ........ % r_ P ...................... Application Disapproved for the following reasons:...........................................................................................Date............_ ................................................................................................................---........................................................................._ a Date .G......... Permit No........... . Jam........ Issued..........-•-••........................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................O F. f3ARNSTABLE ..... ........................ ............................................................................... Tertifirate of (lrouyliattrle THI �S TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( ) oDert Our W., Inc. by.................................................................................................................................................................................................... Lot 6A Allan Road Centerville Installer at..................................................................................................................................................................................................... has been installed in accordance with the provisions of r1.THF' S f T1 State Sanitary e d in the application for Disposal Works Construction Permit No ...... 'A�...... dated....�. ..� .................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RANTEE THAT THE SYSTEM WILL FUNgTIO SA I�FACTORY. f DATE.........................1...� ..�� �....................... Inspector. /1.. .............................................. r I y �� 'gym ^ � M � a � 3 0 � y � yn < •t,` .;• D, Cer 0 M r=10 o °a�' 10 coM,y���� Doti yy � y h �► p � h � � � ' • (4 y r U1 m y I _ 1 a � o0 s l l3s�� lr \ r 1 N n 11 co G O C ° V\ � (it Fh 4� • f y � coCj � 0 � . • . :yn . . . � hmti � 0 0 . . . • m � � r IL yJ rn ba 1-4 td � y,z I' �� y ,C � � ►�. �� Ck �lfip i _RkltAr. Ot`T CALCS 1120 = /S% t1ope— r:.4, /S%X /SOs 12,5'p,;,, (© 0 , i� go S'o— - 1 St L O-r %A no- 134 m �jt _ to F i .+ •v�r......r4o� MA 40 PAUL A. 1 • LEVY ^,t 1 �• �� H OF IN,!ss � No. 10 7 y !3 r ? o \f• l cpa LEV ti S j Iti` No.1 50 ��� STE LEGEND 7/� �`�ss1ONAL E� EXISTING SPOT ELEVATION 00 ' _ EXISTING CONTOUR --- 0 - 4 C E R D P.' 0T PLAN FINISHED SPOT ELEVATIOt-, FINISHED CONTOUR 0 LpT6 RAO bOot 2 -)y NOTE: The location of any existing underground sewerage, wells, or other ut i 1 i t i es shown on t;i.s pl un is approx_ I N imate only as determined from records and/or verbal A j?AS"I t, !) 1 .� \AA-SS information. The C011trctctor is responsible for the r` ••+: ��: + verification of the existing locations in the field. SCALE) //-"6o y DATE LEVY & ELDREDGE ASSOCIATES, INC. CLIENT. I CERTIFY THAT THE PROPOSED ENGINEERS•LANDSCAPE ARCHITECTS JOB NO. bUILDINO SHOWN ON THIS PLAN PLANNERS•LAND SURVEYORS DR BY t '' 11 i CONFORMS TO THE ZONING LAWS . OF BARNST LE , MAS 712 MAIN STREET CH. By, + �� / / NYA NN I S, MA$S. ourr•r nr L _..- - P' r i r / � 1 � - --- -- i SYSTEM PROFILE , >~, -r-- TEST HOLE LOGS Y, TOP FNDN. AT EL. 94.6' NOT TO SCALE) ACCESS COVER TO WITHIN 6' OF FIN. GRADE ( PROVIDE NSPECTION PORT WITHIN .;� 6" OF Fl SH GRADE DAVID FLA RS R1E 8 ACCESS COVER (WATERTIGHT) TO ENGINEER: MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 8 p' - 88.0' D DESMARt•S, RS WITNESS: sERv�cE Rojo 2" DOUBLE WASHED PEAsroN�; DATE: 4/2 /06 EL 91.6't RUN PIPE LEVEL ,� /I FOR FIRST 2' 8 .0' 8y PERC. RATE - EXISTING 1500 ' , /� LOCUS GALLON SEPTIC 90.2f* I CLASS OILS P# TANK (H- 10 ) GAS TEE 83.53' ' RE-USE BAFFLE o000 83.54 yn 83.71 2' t_IttE(Z 0 6" CRUSHED STONE OR MECHANICAL "` COMPACTION. 15.221 [2]) 14 � � 82.T SIDE. �-� EL " p„ `�' 88.0" 0 84.0 DEPTH OF FLOW = 4 ( 14 % SLOPE) (-1_% SLOPE) 3/4" TO 1 1/2 DOUB WASHED STONE - TEE SIZES: FILL FILL INLET DEPTH = 10" 39" 24" " �. 60.._ LOCATION MAP NTS OUTLET DEPTH = 14 A A/B LS LS LEACHING " 10YR 5/1 48 5 YR 4 6 ASSESSORS MAP 194 PARCEL 1-6 FOUNDATION EXIST. SEPTIC TANK 45 D BOX 3 FACILITY 41 / ZONE &NOT �oNEa� *THE INSTALLER SHALL VERIFY THE Cl LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS FS LS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 5 YR 4 2.5Y 5/4 gp" 0' 66" 78.5' - BOTTOM TH 2 73.0' _ C2 C PERC M F$ FS, PERC 241.81, 2.5Y 5/4 10YR 6/8 _ r.F 126" 77.50' 132" 73.0' NGWE NGWE NOTES: LOT 6A 46,674 SF S P IC DlsPosER Is NOT ALLOWED 1.' DATUM IS, APPROX. NGVD E T DESIGN. (GARB GE ) : 5 BEDROOMS ( 110 GPD) 550 GPD 2. MUNICIPAL WATER IS EXISTING DESIGN FLOW. 5 550 ITCH TO BE-1 8" PER FOOT. poi USE A GPD DESIGN FLOW 3. MINIMUM PIPE P / o -. _10 ._.._�- : . r..• � � nn � .� _ R CAST- KNITS T�_ __. AA•..H__ I-. ,o �;�-� TANK: '- ---. :.,�., ___ �,,.._.__ --.�:. . FOR .ALI._ _ ,.�:.-:.._ +io0. -SEPTIC ir,Nn. .5.,v' rD (2) - +100.30 ( 5. PIPE JOINTS TO 'BE MADE WATERTIGHT. 99.35 - - 1500 - - USE A _ GALLON SEPTIC TANK (RE USE EXIST.) 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. 0 99 I LEACHING: ENVIRONMENTAL CODE TITLE V. 00 9 ° 2(47.75 + 10.83) '2 (.74) = 173 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT • 5 ge SIDES: TO BE, USED FOR ANY OTHER PURPOSE. 1 0) BOTTOM: 47.75 x 10.83 (.74) 382 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4 PVC. PAVED I g> 2 DRIVEWAY I+ 3 ss+ w TOTAL: 750 S.F. 555 GPD � ,j 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT EXISTING DWELLING I gs 0) INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 91.57 TOP FNDN = 94.6 USE (7) H-20 HIGH CAPACITY INFILTRATORS FROM BOARD OF HEALTH. 91.17 - 3.�0k6 9 .1 gs } +88 \ + 3s� 75 WITH 4' "STONE AT SIDES AND 2' AT ENDS 10. PUMP & REMOVE (OR FILL ,W/CLEAN SAND) EXISTING SEPTIC SYSTEM O 11 + 3.4 34 91.651 89.43 93.5 t 2 9 94. 8 9 W RLI 9 I 18. LEGEND �+ 9.3 APP X.) e TITLE 5 SITE PLAN as G as 1 +88. 5 ELEC. BOX _100.0 PROPOSED SPOT ELEVATION `" OF �s 87.20 1 -� LLAN ROAD 85 A + .64 +8 . 4 86.s 10ox0 EXISTING SPOT ELEVATION s3 85146 I i IN THE TOWN OF: B2 .� 8 8 8 . 84.30 MO PROPOSEDCONTOUR 8 1N2 8 (WEST) B A R N S TA B L E .01 G� 4 85. 85.99 5 s 4.0 7 ._.� a3.as 510 100 EXISTING CONTOUR PREPARED FOR: D A VI D LI I M A TAB N EN + I _-+7s- - - BENCHMARK: 'sue e ss-- CATCH BASIN AT 30 0 30 60 90 - ELEV. 83.0' +�zss A� BOARD OF HEALTH AL LOCATION OF LEACH PIT APPROX. ONLY L A 1 � ROAD O 5' REMOVAL OF UNSUITABLE SOIL (AS-BUILT UNCLEAR) ' REQUIRED AROUND PERIMETER OFF , MA " _ ' 2006 LEACHING FACILITY, DOWN To SCALE: 1 30 DATE: APRIL 28, SUITABLE SOIL LAYER. REPLACE APPROVED DATE WITH CLEAN MED. SAND. ENGINEER r TO INSPECT AND CERTIFY _ REMOVAL off 508-362-4541 ., IJOMJL.LINQ1 CL•sti.0 -EL.90.E fox 508 362-9880 SIDE oNL7 /tS S�rownl '!H OF 144SSq �,Zt1 OFANN M,IS� - WATERLINE MUST BE RE-ROUTED TO down Cape engineering, inc. �� OJALA �° ARNE a� BE 10' FROM SEPTIC SYSTEM - H. CIVIL OJALA COMPONENTS; SLEEVE WHERE WITHIN 10' OF COMPONENTS CIVIL ENGINEERS No. 3 792 No. 6348 LAND SURVEYORS °r� �G rep ��� ° XO� EEO 939 main st. yarmouth, ma 02675 ARNE H. A , P.L.S. DATE 06-087