HomeMy WebLinkAbout0096 CRANBERRY LANE - Health 96 Cranberry Lane
Centerville
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TOWN OF BARNSTABLE
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LOCATION y� ��NL� z�2 Y/ �R' SEWAGE00 s
VILLAGE C NJ L Q !///�� ASSESSOR'S MAP & LOTv2`r ai.3'
INSTALLER'S NAME&PHONE NO.Akcf�
SEPTIC TANK CAPACITY / °UX• r . ^'f
R ,e s.ti a. %Tr2A70`c./ 5-6 r x5-/ xi7��
LEACHING FACILITY: (type) d -'��a.o�.,?s (size)
NO. OF BEDROOMS d
BUILDER OR OWNER i v
PERMIT DATE: , / � � 3T 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) IA Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by .
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No. 5 � ' Fee / 0 0 /
THE COMMONWEALTH OF MASSACHUSETTS' Entered in computer. i✓
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,MASSACHUSETTS
9(pphrartion for Miopool *pztem Conotruction ermit
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) O Complete System 7 Individual Components
Location Address or Lot No. ner's Name,Address and Tel No.
76
Assessor's Map/Parcel c 07C✓7t tZ'0 /C
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
/nEY€ k
Type of Building: _
Dwelling No.of Bedrooms S 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(Answer when applicable)
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 ' 5Fby this Bo f Hea _
Date
Application Approve b Date 5
Application Disapproved for the following reasons
Permit No. "� 5 Z�5 Date Issued
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, e
No. � � t"'^ Fee D y /
THE COMMONWEALTH OF MASSACWU$E-#S Entered in computer: ✓/
W
PUBLIC HEALTH DIVISION - TOWN OF"ZARNSTABLE., MASSACHUSETTS Yes
01ppYication`for'Mi!pogal *pgfern Construction Permit
Application fora Permit to Construct( . )Repair( )Upgrade1(` )Abandon " ) O Complete System ❑Individual Components
Location Address or Lot No. ei's Name,Address apd Tel.Now
Assessor's Map/Parcel 3 c F. ✓74 211 Ile
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
eG .y .,� S/� �FJ2 r$ EA.-, /7 1jryJF 6L
13ej 3G.2
Type of Building:
Dwelling - No.of Bedrooms 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(Answer when applicable)
r
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., this Board-of Health =
S gv Date S S d
Application Approved. Date
Application Disapproved for the following reasons
h
Permit No Date Issued
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 r7 4!�/1 2 AC Y L ��., 7 g 1�
at 14 12—C //-" has been constructed in accordance
with the provisionsfqf Title 5 and the for Disposal System Construction Permit No. �X a q 5(v dated 15
Installer. Designer t
The issuance of this 7 ermi�t sfhall not be construed as a guarantee that the sykstem ill funct on a flesigned. �
Date i V Inspector
--. - ... No.--�—� (P "---- _f—------------------Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Oigozaf *pgtem Con5truction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at S,S <- I.✓-Z� 2 rL % 4/r✓_ ���✓T.
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: Construc,hon must be completed within three years of the dat of this pe it.
Dater_ Approved by
f
Notice: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM
I,DI &f'rtA �"l � ,hereby certify that the engineered plan signed by me
dated q17 0 S ,concerning the property located at
c kD CJMN bE" LANL meets all of the
following criteria:
• Two soil evaluations excavated for detailed examination(no hand angering) and two
percolation tests shall be conducted.
• This failed system is connected to a residential dwelling only. There are no commercial or
business uses associated with the dwelling.
• The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes
per inch.
• There is no increase flow and/or infuse proposed p
• There are no variances requested or needed.
• The bottom of the proposed leaching facility will-be located no less than five feet above the
maximum adjusted groundwater table elevation. [Adjust the groundwater table using the
Frimptor method when applicable]
Please.complete the following:
. e
A) Top of Ground Surface Elevation(using GIS information)
e
B) G.W. Elevation +adjustment for high G.W.2.7 = 7,7
p2 /
DIFFERS CE BETWEEN A and B d 7
SIGNED : DATE: es 18/0
NOTICE
LBase�dupo.n�the above information,a repair permit will be issued for bedrooms
o additional bedrooms are authorized in the future without engineered septic system
gASeptic\percexemp.doc
Town of Barnstable
y���°Ftwg r Regulatory Services
Thomas F.Geiler,Director
+ BARNSThBLE. �
Public Health Division
arEp ;�a Thomas Mclean,Director
200 Main Street,Hyannis,MA 02601
Office:.508-862-4644 Fax: 508-790-6304
Installer &Designer Certification Form
Date: Zz✓ /or
Designer:, Installer: A— e-If 6z%'. o S%
Address: U 'evx Address: 13 ax S /e
SA 4W�t*
�-2-
On i s� OS �2G h �..j> was issued a permit to install a
(date) (installer)
septic system at based on a design drawn by
(addreso
dated 9 7 OS—
(designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (Le:
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system)but in accordance with State&Local Regulations. Plan revision or
certified as-built by designer to follow.
N OF MgSsao
DARRE
� J
(Ig aller's Signa re) 40 Cn _
LISTER
SgNITAR\PN
(Designer's Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNS ABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY TIME BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Designer Certification Form -
/ TOWN OF BARNSTABLE � d
LOCATION 6 [ !2-� jz� �' L-v✓ SEWAGE #206 'V<
VILLAGE C F -C Ji v ille ASSESSOR'S MAP & LOTaY
INSTALLER'S NAME&PHONE NO.191ZGI�
SE T KAr CITY l_�y�oa�o
/`�C f 1C S) '7 Xr TI�.A D<L S �o� l' 3C r7it
LEA HIN FACII.jj''jj''}}((: (type , % �/7QATO'�� (size)
NO.OF BEDROOMS —�
BUILDER OR OWNER
PERMITDATE: 5 ,�0 �— COMPLIANCE DATE: 11 a3 0
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility `5- 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) x� Feet
Furnished by J�A2 r2'6 Al
• OL
��, � �� cam ( '�
le
PIP l I:Z3
CRA)-+V�e:RkY Z—Al
z. m' TOWN OF BARNSTABLE
LOCATION SEWAGE# `100 s"
VILLAGE C 'j` °� � ASSESSOR'S MAP & LOTL�e%
INSTALLER'S NAME&PHONE NO.� �� �° ''' S�n "� i J3 6 Z
SEPTIC TANK CAPACITY ScU x• s"' ^�
LEACHING FACILITY: (type) (size) �/d'X X J •�
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: / �^ 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 , /
Feet
within 300 feet of leaching facility)
Furnished by 17 �*
�id
C %vim/�r2f�T�•2 J `--� 7 //✓F/S $is.JLQ�, vP `l
13
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C u2 �ivy 2 k'% Z-
eq, e4.+n+. 1 ;,._::s r '�).m�s .,.:M7<*€"i�.,,' ^e :; r-- •`.ea""`sTw^.'>''7cr .-'s'.r--*w.0.'nr.�,sw`ir.^Tr±rr�F ..a,,., ;.,�,.,,.,n,.,,..R,.,r•.`.- f
TOWN OF BARNSTABLE BAR-W 3943
Ordinance . or Regulation
WARNING NOTICE
Name of Offender/Manager a�VoV V k jNA. A Pic'V f/
Address of Offender � '' c ,r- MV/MB Reg.#
Village/State/Zip. 1' 7 Vl" l_, � IM1 14 /`/' //7
Business Name 1- "Se/pm, on 1 j4020
Business Address
Signaturd `of Enfo"rcing Offder
Village/State/Zip t , r� `�'
Location of Offense / "�1f Wri. . �1( r -,aiA���i'��Y (7 �.•+' R
/ forcing (Dept/Vivision
a (2400 AOffense � / � � n
'� I
Facts
This will serve only as a warning. At' this time no legal action has been 'take
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GO D-ENFORCING DEPT.
-a .:`.:;r.'-.o•�..-...+:..r-.*.rr_:-4..+,.., ....'vr .•--_• .r1•';--'-.ten . r -..•...c -7 _
TOWN OF BARNSTABLE vvv
BAR-W .vv �
Ordinance or 'Regulation
WARNING NOTICE
Name of Offender/ManagerNo tt ,�_,,.,,, A 1 I�D � 1 1 1'd fi
Addres's of Offender , �^s � �,:.,,. MV/MB Reg.#
Village/State/Zip� � �'�: Il,- +, #:: tf�
Business Name j am/1pm on4. t_, �
i c
Business Address ""�g''� t _ r
Signature' o,f Enforcing Officer
Village/State/Zip
f }
Location of Offense t... fir. Cxnil 4h, �..�--�'+� ��.������ .���°��..1�".l-ok
Enforcing Dept`/D"ivision
Offense. 3"� �t + �� �' � r Gov 1 '�f]
Facts , 2 t a �`,' �'y�` 1`rf r" j ;: ;4�." Y ►��" ,`�
c /i ,,ace `dam' .
This will serve only as a warning. At this time no legal action has bebn 'ta`ken
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GO D-ENFORCING DEPT.
MAP
PARCEL : 3
1"
LOT
Health Complaints
15-Oct-02
Time: 12:30:00 PM Date: 10/15/2002 Complaint Number: 3770
Referred To: SAM WHITE Taken By: PEGGY ROTHMAN
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detaii: UNSANITARY CONDITIONS
Business Name:
Number: 96 Street: CRANBERRY LANE
Village: W. HYANNISPORT Assessors Map-Parcel: ANONYMOUS
Complaint Description: HAS COMPLAINED ABOUT RUBBISH
C.
BEFORE ON SEPT. 24, CHECKED DATA-
BASE, DONNA CHECKED PROPERTY AND
FOUND RUBBISH WAS COVERED.
COMPLAINANT IS CALLING AGAIN SAYING
IT WAS COVERED BECAUSE SHE WENT
AND COVERED IT. NOW THERE IS STILL 5
BARRELS AND A SIXTH HAS APPEARED
AND THERE WERE 3 CARS THERE THIS
WEEKEND, BUT THEY DID NOT CLEAN UP.
THERE ARE 3 FLOORS IN THIS HOUSE
WITH 3 APARTMENTS BEING RENTED
DURING THE SUMMER, LOOKS AS
THOUGH THEY ARE SUMMER RENTALS IN
A SINGLE FAMILY HOME NOT MEANT FOR
RENTALS.
Actions Taken/Results:
Investigation Date: Investigation Time: `
1
!ry
Health Complaints
24-Sep-02
Time: 2:30:00 PM Date: 9/24/2002 Complaint Number: 3728
Referred To: dt ffEDO t'X&/j Taken By: Rita
Complaint Type: rubbish
Article X Detail:
Business Name:
Number: 96 Street: Cranberry Lane
Village: W. Hyannisport Assessors Map_Parcel:
Complaint Description: 5 rubbish barrels outside#96 on edge of lawn
and no one living there for some time.
Actions Taken/Results:
Investigation Date: Investigation Time:
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IVnq Mapy arcei 246013 Find Owrner
P[el Id 246013 Del DV Account No 001494 ' Parente 0000000
y a � Neighboflluo 55AC £
Lot Size
N
,bevel Lot LOT 86&9A i r 0 19 Cres cn�
Rue r Own RIVKIN ZINOVY& State C lass 101Wli"a= w � y �
ZINAIDA RIVKIN _`� d NoBldgs Area 00001961
50 GREEN ST AYearAdd d% 00
................ x,1 &c y Y Y 3 .....!. �
BROOKLINE MA�02146 '`= seweracct
Deed Date, 000000 z `f Referen�C,eF,3144 322 € y
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Condo�Complex �BuElding �Un�t I �
Januarylst _RIVKIN ZINOVY& Deed A.E.
0000 ®es Ref 3144/322
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Values Land 000041100 Buildings 000154100 Extra Feau es 0000000000
FtLoca rt q 96 CRANBERRY LANE Road Index 0373 rntg 0148k
f F 4 Dist CO CENTERVILLE AVENUE W Sec Index 0274 Fr tg 0078 � z
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Py a Lzt ASSESSORS MAP : 2`t't0 TEST HOLE LOGS NOTES:
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PARCEL : (� �j 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH
I THIS' PLAN,_ 1995 MASSACHUSETTS TITLE V & TOWN OF
y� S01 L EVALUATOR :_�- 1 v l�l�(e �� u / BOARD OF HEALTH REGULATIONS.
� FLOOD . ZONE ND� (-��Z�C�-I�
ke WITNESS : 2h �I -
vNor J1
� -
hz�h REFERENCE: Pj� DATE: S 2) THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES,
.b
AY q E L M ,N SEWER [NVERTS AND SEPTIC COMPONENTS PRIOR TO
PERCOLATION RAT._- Z i NC,i•�}
D p 527 P v INSTALLATION.
CC.A,,D5 's 5o1Lt7 I.TAI2..- O,�y
Q �
� Q TH-I (� TH-2 L_ rS-6D 3) THIS PLAN SHALL BE USED FOR SEPTIC-SYSTEM INSTALLATION
a ,� ONLY, AND SHALL NOT BE USED FOR� PROPERTY LINE
co c
A [TW-y LpA^^ DETERMINATION.
,� p �3/ l 0 3�
0o Cavell
W 5ktAo Y v �g Y� v
�� o►---cam��_ W,✓u.�� A-�S�-, -i5. io i ,-�
_: 4 ALL PIPING TO BE 4 SCHEDULE 40 1/8 ! FOOT. (UNLESS
SIB � '' ``''� )
MEMO1CT 0 V J (c�12�� U t� ( � SPECIFIED OTHERWISE)
_ -- _ILL -, ftN► �
-, i` 5 ($
3� l3• 36 12 c�
- 5 THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A
MAP O-`fs� V�I�DcU�1 _ )
LOCATION � � ,;, ►�►JI U'� � GARBAGE DISPOSAL. j
► c,2
3S C S� c
�O ( 11_bZ 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED)I 2Y��
MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON
A BASE OF 6"OF CRUSHED STONE. i
I
c �T ) c 7 7 �X I ytt N L-60. IT Cf1Tt NxNd wru F w►?
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G 7.� Ez •47 n2 v r
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�� iLl r� 29 SEPT I SYSTEM DESIGN � � � R�►��-�c,� ' ��
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&4,r-_)I VM SPr -
FLOW E TIMATE
�• N0 t,howl
DAY ED OOM GAL/DAY I
7 5 BEDROOMS AT � GAL/ /B R ��
H 2 10 -_No weTi. wbiv rSo' oi-_ pgoP. (,clpfc�nN4 !
SEPTIC ,TANK 11 /kl-L L.� H? C MPon S To 8G N Za (�A-b
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USE !! �Q�GALLON . SEPT 1 C ..TANK E1(,lSTI1� �LXG� � 1
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SOIL A;380RPTION SYSTEM N I3, �'$ N Uf1(.tr rOk- (6kT.
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SEPTIC TANK
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W - SITE AND SEWAGE PLAN
A
J rb r a LOCATION : C'0�7V,t�..�kl
BENCH MARK ` , . Z
Div►� NI
� � ,��� � SI�igT Alt
TOP OF PK NAIL � i r,,
ELEVATION s 14.16 1 1 •�
1 I G3) 34 , A' Lc;� . �J�{� PREPARED CDR: i..II
���N of ass BARNSTABLE GIS' DATUM + j/V 1�I y� N
qc � e hb 15 � 2•� 6
9' DARREN tiG ��/
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SCALE: —
a DARREN M. MEYER R.S.
o �0 DATE:
o a� P.O. BOX 981
z /STE
k,zAR EAST SANDWICH, MA 02537
3 DATE HEALTH AGENT h: 08 362-2922
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