HomeMy WebLinkAbout0041 BREZNER LANE - Health 41 Brezner Lane
Centerville
t
A = 230 140
No. 4210 1/3 ORA
Pendaflex'
10%
.....................
�_�
N..2W-41�
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: "
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01pprication for Biopoml bpgtem Cow5truction 3permit
Application for a Permit to Construct e,0epair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,aTdd e d Tel.No.
Assessor's Map/Parcel Sal o,
Installer's N e,Add ss,and Tel.No.b 08_y2O—��3 Designer's Name,Address and Tel.No.
�svr�o5
Type of Building:
Dwelling No.of Bedrooms -3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of-Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answ r when applicable) I 3 - 40 -
GU M 5 J,2D —
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Board of H alth.
Signed Date
Application Approved by Date 13 G
Application Disapproved or the following reasons
Permit No. ?—CEO Date Issued g 1 ta3
No. G�3 '.«• Fee
a THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
;• PUBLIC HEALTH DIVISION -TOWN'OF BARNSTABLE, MASSACHUSETTS
01pplication for Migogal 6pe;tem Con!Aructiou Permit
Application for a Peru,mt to Construct pair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
Assessor's Map/Parcel.% 2 3O 4U
Installer's Name,Address,and Tel.No. q2o — 7 Designer's Name,Address and Tel.No.
/ /�✓f � r. T>>✓1 j9 'fS r
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(An r when applicable) Z,i-s>'!4//
e
Date last inspected:
J Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Booaro of Health.
Signed t�sf /5 rdiL,iTi Date
A
Application Approved by Date_ 2 G
t �
Application Disapproved or the following reasons
Permit No. 2-00 3_-0 L Date Issued 2-L 63
---------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ,�._)-Repaired( )Upgraded( )
Abandoned( )by b1„s>,�� 42, 121 _:�7
at - ��i' F3y'i �=r /_rJ (�-,.aPi ,-�,f�,� has been construct d in a cordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.`2�?-qq dated �l�`Z U
Installer d v s f,��i l�, /�' rr � Designer
The issuance of this permit shall not be construed as a guarantee that the system will func goon-as desiped.
Date I U! r Y`> Inspector /-/ �71
------ ,—(--------------------------------
No. 2 6U 3-q f!7y Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
lit pogal 6pg;tem Con5tructioTYPermit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at 41 1511i
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. J
Provided:Construction�st be completed within three years of the date of this perFfut
Date: Approved ed by
l
TOWN OF BARNSTABLE
LOCATION �, t�/E 2i11E� L �i� SEWAGE # Z�°3 ' S`71
VILLAGE ASSESSOR'S/MAP & LOT
INSTALLER'S NAME&PHONE NO-5A- /l 0 172 Y
SEPTIC TANK CAPACITY IS�D
LEACHING FACILITY: (type) (size) 3'52, X y
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: L,"6 b3 COMPLIANCE DATE: l0 S 2
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
'I within 306feet of leaching ffaaciility) Feet
Furnished bya /rY �i^✓'* �'
I
o �
�f
-
A
CAPE COD
BVIL®INC Richard Davis IRECEPfED
INSPEC�10N MAY' 1 5 1992
1230 Newtown Road t HTHo
CotUit, MA 02635 BIOFBARNSTABLE
508-420-0260
LETTER OF INITIAL LEAD NON-COMPLIANCE
DATE
Dear lJd a J e� de.(A
This—letter_ s to certify that I inspected the property located at
'apartment no. , and relevant common areas, in
the city or town of ezC�� , for dangerous levels of lead
according to 105 CMR 460 .730(9)`through(F) : Procedures For Initial
Inspection,Regulations for Lead Poisoning Prevention and Control, and
determined that there were VIOLATIONS. The inspection was conducted on
Please be advised that Massachusetts law requires that only certain
residential surfaces be free of lead paint . (Deleading must be done by a
licenced deleader MASS. state law) NOTE: A copy of the report must be on
site at the time of re-inspection which is after the deleading process .
STRIP ALL WINDOW WELLS OR COVER WITH FLASHING. SEE NOTE FOR FURTHER
REQUIREMENTS. DO NOT PRIME OR REPAINT UNTIL THE INSPECTOR HAS SEEN THE
BUILDING. NOTE: MASS. GL CHAPTER 111 S.S . 190-199 Requires that : On both the
interior and the exterior of any dwelling, loose offending paints or putty,
regardless of surface or height, must be removed. The surface should then be
sanded, reputtied and repainted with a non-leaded material in order to
reduce further deterioration. Any chewable surface within (5) five feet of a
standing surface must be stripped to the bare wood and repainted with a non-
lead paint . FEDERAL LAW 24CFR Part 35 Dated 1 April 87 requires stripping be
done to the (5) -five foot level and as above.
** As of above date of regulation Sin erely,
it will be the responsibility
of the owner to be aware of
any future changes in the law.
Richard Davis I 1074
Inspector Licence #
Report # U a 0141-.
At the time of inspection children under 6 were living in the house DYES O'NO O INCONCLUSTVE .
TOWN OF BARNSTABLE
LOCATION ZAI,E ' Lohis SEWAGE # Z403 ' `y`7y
VILLAGE ASSESSOR'S/MAP & LOT 23d— (4'O
INSTALLER'S NAME&PHONE NO. ,SdFS-yi.o —973,7
SEPTIC TANK CAPACITY /SDO
LEACHING FACILITY: (type) (size) .32, A
NO. OF BEDROOMS 3 / /
BUILDER OR OWNER 91Ci141, 1 • /ol�)/Y/ de.
PERMITDATE: 9-ZG 03 COMPLIANCE DATE: _ /Q�
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 f�aciilityy)y Feet
Furnished by
�f
� a
iSSESSORS NIIAP 111ti0:
.7� 'ARGRL W.;
THE COMMONWEALTH OF MASSACHUSETTS
BOARD ®F HEALTHG ---....OF...!( AQi--------------..........................................
Appliratiou for Disposal Works Tonstrurtiou Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair (*) an Individual Sewage Disposal
System at:
p�k ...Q. Location Address Lo N
:- -----------------------------•••• ..................................
......-----.....---....--•--------
W Owner n ddress�
Installer Address
U Type of Building Size Lot-•-_--__•••-•--__._.••------Sq. feet
Dwelling—No. of Bedrooms........... .............................Expansion Attic ( ) Garbage Grinder ( )
PLOOther—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ......................................................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
1:4 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
Disposal Trench—No. .................... Width----___---_-_______ Total Length.................... Total leaching area--------------------sq. ft.
3 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-.___--_--___-__.._--._-
(i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a •-•-•-••-•----------------••----•••--••••---•-•-•-•--•--......-••--•------------•-----....--------••.........................................................
0 Description of Soil........................................................................................................................................................................
x
U -•-•---------------------.................................................................=...........................................................................................................
W ------------------------------------------------•--•-••---•----•--•-•--•-------•----•----•-••--••-•---•----•------•••--••••••••--------•-•••-•-•-•-•---••-----••----r -----------....................
UNature of Re air or Alterations—Answer when applicablez'�zv ¢/_lr�a_o_ G[uLYz_ 7a�Ky �
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of.L T
p 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 the board of health.
i ned. � ._817
_._..
Date.
Application Approved B ••-••......--••••-••--•' - = �.
y ..._
Date
Application Disapproved for the following reasons:..............................................................................................................
._-•-•-•---••---•-•-•---------------------•----------••--••••......•-•-•---•------------------.......-••-•-•--•-•-------------•-•-------•-•---•--••---•-----•----------•-•-•••-•-...•-••--•----••----•--
g� Date
Permit No....... _ /. �-_�...... Issued =
Date
r
M
No.... .1 .._; Fimic .....................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
l-.GU .--- .OF.&4,4�U.1C: 10-
--------------------------------..-_........----.----
Appliratiuu .fur Biupusal Works Tonstruriiun 1hrutit
Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal
System at:
....`..... 1 tt!?'�ar Cr�rt,4: C�o rttr.�l. ............................ .•---------.......................................................................................
_-.._-----.. •---•- ..
Location-Address or Ldt,No.
....... ...... ....•--......................Owrer....--•-•---------------------•---------- --•-------------i�------- --- -----Address ----------------- ---•----•----_--------
r�1 t� lilt 1►tfu. �?a� tii✓�1�itt���
---- -•-• u-••- -- drle--- •------••-•-
Installer Address
d Type of Building Size Lot............................Sq. feet
V Dwelling—No. of Bedrooms..........��.................... _Expansion Attic ( ) Garbage Grinder ( }
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ............................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
9 Septic Tank—Liquid capacity------------gallons Length................ Width................ Diameter................ Depth................
Disposal Trench--NTo. .................... Width.............._..... Total Length.................... Total leaching area________________.._-sq. ft.
3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed bY.......................................................................... Date........... -----------................
Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water_________________-_____-
G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-------- --------------------------------------------•--------__---_-----------------------•------•----------------...-------------------------------
ODescription of Soil.......................................................................................................................................................................
x
U ...-••-•-•----•-------------•-------•-----....--••--...-•---••----•-•-----•--•-------.........-•---------------•---••-•------------•--•----•-•-----•-•--_..........--•-•••---••-------•-••--------••-----
W -------------------------- ----------------------•-----------------•-•-•-•-••---••----•..._...._......-•--•---...--•------- ---•--------....--- ------ = -------------
UNature of Repairs or Alterations—Answer when applicable.! t- l!_- �?pf�.o�--��t--�-'?� -- __...-cr jt'r��___••__•
-P,,,X t - <�n Gz c�S r..��r��r�� U
Agreement: V
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of i T'.i._� j 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 the board of health.
2- 7-
Application Approved B �............ -` " _r/ �P `.......................... ................ .........
Date
Application Disapproved for the following reasons:--••••--•••----•----•-••----------•-----•---•-•-••-• ...........................................................
...............•-•--•----------------••-.....-•-•--•••-••-•-•------------------------.........-------------•---•••--••---------------•-------•---------•-----------------•--••---------------•----------
Date
PermitNo.................................... _._.... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
C?cau,?j.......:..........OF. �Cii'f7 u .::..................._..........._........_.._.__
Tntifiratr of Tompliatta
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (+•}
C: -�-w�?? ----------------------------------•-•-_-------------------
_ Installer
at
has been installed in accordance with the provisions of TTT E j of The State Sanitary Code as d scribed.in-the
application for Disposal Works Constriction Permit No.. ..................�_____ `"`dated �'
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM WILL FUNCTIONp SATISFACTORY.
DATE............. . Inspector... -------------------------------
V& THE COMMONWEALTH OF MASSACHUSETTS
-` BOARD OF HEALTH
� � c!�q ^� ��7aYt....................OF .....►....r`��10.
o.......................... ...-_.
T C�
— FEE...--------........____
Disposal urkv TUoustrudiott pamit
Permission is hereby granted.........
:........... -
to Construct ( ) or Repair ( -, an lndividual STm ge Disposal System
Street r i dt? 3
57
as shown on the application for Disposal Works Construction Permit No -. I _-'Dated_._.__'_,_.•:'_::t....................
F. .......................................... - .4 ----•______________________________
Board of Health
DATE 1 ✓ V v
FORM 1255 oMOSES & WARREN. INC.. PUE3 6SHERS
L TOWN OF BARNSTABLE 7 t
LOCATION CE1,A6gvd lC- SEWAGE #
VILLAGE y/ �QZNC--2 _ ASSESSOR'S MAP & LOT` 4'a-�-1-`dto .
INSTALLER'S NAME & PHONE NO. t B CGiN'C �° 7 b
le, �7l�vr�.trj�..q Zgo3
SEPTIC TANK CAPACITY a� I, �Oy G P
new s s5»
LEACHING FACILITY'Atype) 3 G W H -if (size) /s 00
^ NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER 0 H-0
DATE PERMIT ISSUED: J Ap a
DATE .-COMPLIANCE ISSUED: 3 q
Af-
VARIANCE GRANTED: Yes No �(
- �
�7��
38� .��
���
�?�� � x
_�
SITE PLAN Wecluaquet
Lake
SCALE: 1 "=20'
BENCH MARKCORNER OF Number of Bedrooms: 3
BULKHEAD ELEV.=IOO.DD' (ASSUMED)
Garbage Grinder: NO, GRINDER NOT ALLOWED WITH THIS DESIGN
Leaching Capacity Required: 330 Gal./Day
Leeching Area Required: 330 Gal./(0,74 GcI./Sq.FQ=446 Sq,Ft, 0�
Proposed Leaching Structure: 1-321 X 9'W X 2'D Leaching Trench
Leaching Area Provided: 452 Sq.Ft,
paved driVe"10Y Proposed Leaching Capacity: 334 gpd > 330 gpd. req'd.
d
7
SITE s ,�
LOT 55 feet °
AREA 9,500± SOFT. CENTERVILLE'
19 GENERAL NOTES
X\
1. AD-DRESS: 41 BREZN-_R LANE LOCUS
2. ASSESSORS NUMBER: 230-140 NO SCALE
99,961 1 DEVELOPER'S LOT: LOT 55
4. TOPOGRAPHIC INFORMATION WAS COMPLIED FORM AN
ON THE GROUND INSTRUMENT SURVEY.
5. TOWN WATER 15 PROVIDED TO SITE & SURROUNDING PROPERTIES.
6. REFERENCE PLAN� PLAN BOOK 122 PACE 89
7. NO WETLANDS ARE LOCATED WITHIN 100 FEET OF SAS,
0 8. NO POTABLE WELLS ARE LOCATED WITHIN 150 FEET OF SAS.
�s�TTo��� c�
CONSTRUCTION NOTES
X 99,88, X 99.6
%
Contractor is responsible for Digsafe notification
c, 6
and protection of all underground utilities and pipes,
2, The septic tank and distribution box shall be set
,P
9936' BA. level on 6" of 3/4"-11/2" stone.
3. Packfiii should be clean sand or gravel with no
stones over 3" in size.
DECK 4. This system is subject to inspection during installation
by Olen E. Harrington, R-S.
Q9E5, The contractor shall install this system in accordance
with Title V of the Mosscchusetts Environmental Code
0 l
and the Regulations of the Town of Barnstable.
0 6, Provide an Acme Precast H-10 5-hole D-Box and
1109 G 3 H-10 500 gal. chambers or equal.
7. No vehicle or heavy machinery shall drive over the
sPq 9554' septic system unless noted as H-20 septic components.
8. Install gas baffle or equal on septic tank outlet tee end,
4,
9. All existing inverts and site conditions shall be verified by contractor,
c' 0
10. Existing leach pit to be pumped and backfilled,
0
q">, 4`1111
0 7 1
tl .3 21 X 9'W X 2.0' D
X 98 83' leaching trench using
3 H-10 500 gal. chambers witi-
2' of store an sides & 3.25' on ends.
1-20"01AM.ACCESS MANHOLE
5
SOIL EVALUATION
v,
DATE: SEPTEMBER 23, 2003
PERFORMED BY: GLEN E. HARRINGTON, R.S. it
0" :r: FC=-31 Kr=39 =-T24,, 34"
2
FILL
97.9 1
Ab STEEL REINFORCED PRECAST CONCRETE
rn oay sand
18" 1 GYR4/3 989, PLAN VIEW IF3 H-�10 -500 `g,l �chambers
Bb END-SECTION
canny R6/6son
10Y i< H-10 500 GALLON CHAMBER
28 196.57'
NOT TO SCALE
C1
1013MY f-C
sand USE ACME PRECAST OR EQUAL
66 11 10YR6/6 93.4'
C2 OF
f-c sand PROPOSED SEPTIC SYSTEM UPGRADE
120" Z5Y7/4 88.9' LEGEND L PREPARED FOR
no groundwater encountered ER RICHARD F. TOBIN, JR. ET UX
EXISTING LEACHING PIT TO BE co AT
0"" PUMPED & BACKFILLED 0 41 BREZNER LANE
4 A.
10' min. from *NOTE: ALL PIPES ARE TO BE 4" DIA. SCHEDULE 40 P�V.C, PROPOSED 1500 GAL. 'y1TAt0' BARNSTABLE (OS7ERVILLE), MA
house to septic tank *NOTE: INSTALL GAS BAFFLE OR EQUAL ON SEPTIC TANK OUTLET TEE. H-10 SEPTIC TANK
Septic tank covers, must be
within 6" of finished grade Finished grade over systern=2% zlope away X 104.46 DENOTES EXISTING PREPARED BY:
—Existing House 5 HOLE SPOT GRADE
EXIST(YGNACE DIST. BOX ExIsb,g Grade Etc98,8'±
GLEN E. HARRINGTON , R.S.
full cover must be Min, 2`-1/8"-1/2" 1 charrb�, c—er be 95�------------ EXISTING CONTOUR
O�02' within 6" of finished rode double washed stone vithir 6" of frished grade ode 12 min.
, be
cellar ,ug,;X. 9 LEDA ROSE LANE
ad, _1,2
S-.01 Level for 2' :tone Elev.=96.2'
10.5 EXISTING Tot) Pecs ---------- ---------- APPROX, LOCATION
1500 GAL, 3' vY EXISTING WATER LINE MARSTONS MILLS, MA 02648
Bs,t. PI. El93.92' ' 1-� I I '. 20' invert Ffev
SEPTIC TANK 0 X
if H-10 In
r:, 24"MIN.
a, tn M E=cm -3 Bottom of Leach
GAS SA FILE It 'i it (o -------------- APPROX. LOCATION TEL: 508-428-3862
Trench Elev.= 93.69'
OR EOUAL > 32' — EXISTING WATER LINE
LEACH TRENCH FAX: 508-428-3862
c lz,
6" OF 3/4" it-11/2" STONE
I_V_Adju.��ted per BOH Mops
SCALE: 1 "=20' DRAWN BY: GEH AUG, 20, 2003
SYSTEM PROFILE 0" OF 3/4"-11/2" STONE
4 Not to Scale C DATUM: ASSUMED FILE: TOBIN SHEET I OF 1
----------- -------