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HomeMy WebLinkAbout0022 DUNCAN LANE - Health Duncan Lane Centerville A= 147 - 024 UPC 12534 ' No.2�153L2 ft No. oCVVIy`" 3f/ Fee < OD THE COMMONWEALTH OF MA,SSACHUSETTS Entered in computer: l� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 21ppYication for Mi5po.Zal *p6tem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) ❑ Complete System YsIndividual Components Location Address or Lot No. 7Z- ���� ,�" Owner's ame,Address,and Tel.No. C° AI-%"-r'N �. 0* 0 ce Assessor's Map/Parcel yv, "\k n IS4AIV-141 Installer's Name,Address,and Tel.No. Desi ner's Name,Address and Tel.No. 36k(_4 CCIIIAIV�!2 2-by Type of Building: Dwelling No.of Bedrooms Lot Size OT70 sq. ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date m� r . .,�Wtl��--tuber of sheets �,,,. Revision Date 2(�b Is Title Size of Septic Tank -Type of S.A. C1 Description of Soil J IL 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 Certificate of Compliance has been issued by 14Ls Board of Health. / Signed Date _�C2 Application Approved by Date o Application Disapproved Date for the following reasons Permit No. Iry "`3j/ \ Date Issued o� V No.F - Fee Ia0 * Entered in computer: THE CCUMMOPXWEALTH kOF MASSACHUSETTS Yes PUBLIC HEALTH,DIUISION --TOWN OF BARNSTABLE, MASSACHUSETTS "Zipplicationf for �Dtgpogal *V demo. Cow5truction Permit Application for a Permit to Construct(�) Repair,( Upgrade( Abandon Complete System kindividual Components Location Address or Lot No. 7-7— �,c�t"�'� �" Owner's Name,`Adddress,and Tel Nof Assessor's Map/Parcel V\r, \y T-7 P _(3�k�� Installer's Name,Address,and Tel.No. Desi ner's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder (N� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date !Ren X— M7 2CJ't5Kmber of sheets. Revision Date G 'Z.I^d S Title Size of Septic Tank..- M0 Type of S.A. Description of Soil X ,2 f Nature of Repairs or Alterations(Answer when applicable) k 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 Certificate of "T Compliance has been issued by his Board of Health. Signe �� Date Application Approved by . *u �.y Date / U Application Disapproved Date for the following reasons Permit No. fro 3 Date Issued ? /"tr / THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( V) Upgraded ( ) Abandoned( )by 1A\-CAL (_Z vJ s n at `., has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 006 -311 dated 71 a dZ ` Installer Designer c ` #bedrooms 3 Approved design flow gpd The issuance of this permi shall not be construed as a guarantee that the system willfunc�Lopas designed. Date / 1 Z J�I� _ Inspector t • � -- - b �► / U� No. � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS =t5pozar i§pgtem f 5tructton Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date/t1 of is p rmtt. f r �(� fZ r Date �// O � � Approved by - 1 jr SAS 7 3r 4U("A' /C= J j-FRO _:down cape engineering inc FAX NO. :15083629880 Feb. 12 2007 03:12PM P1 Town of Barnstable Regulatory Services Tkkomas F. Geiler, Director • Public Health Division 639 A`� we Thomas McKean, Director 200 Main Srreet,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer d Designer Certification Form Date: Sewage Perm it* 2D 6 / Assessor's Map\Parcel Designer: _3>0�,,,, �� _ Installer: �rc/7 Ca M Sol— Address: 13 I"t��-' _ Address: 13`8' Qnyy-­r • On `1 l o o<o r-E. was issued a permit to install a date) ( staller) septic system at 7-?-- ��-•-� - � based on a design drawn by (address) dated (desi er) 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 (i.e. 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. f� • �.S�S Sou- ,"��"��'� AR (installer's Signature) =�i >, E (Designer's Signatur ) (Affix Des - p Here) PLEASE RETURN 7'O BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH 'i'IJIS FORM kND AS-BUILT CARD ARE RECEIVED BY THE BARNSTARLF PUBLIC HEALTH DIVISION. THANK YOU. Q: Hcalth/SepticMesi8ncr Ccrtification Farm 3-26-04.doc iFRL-1down cape engineering inc FAX NO. :15083629880 Feb. 12 2007 03:12PM P2 .......... 616 0 0 DECK EXIST, ST N GAS EXISTING ME I ER DWELLING Tr-45.2' 00, LOT 47 15.000 SFT 05-213 ............ SEPTIC AS"-BUHT LOCATION 22 DUNCAN LANE CENTERVILLE PREPARED FOR: SCALE DATE : AUG. 21, 20013 NORM LAGUE REFERENCF- ASSESSORS MAP 147 PCL 24 off 508-362.-4n+1 ARN E cm tax 500 .342-9880 H. 1 OJA Clow) cape oltigevering, Inc. C:CVTL ENGIM -7,:ERS LAND SURVEYORS \0 19mairl St. yQe'moLj'LI,j, r1a DATE RFG, N R TOWN OF BARNSTABLE LOCATION DjH.dc7 1, /-4p,,- SEWAGE IQZ- J VILLAGE �q?�v►r� ��� ASSESSOR'S MAP&PARCEL M I ►7 y INSTALLERS NAME&PHONE NO. /,,-//, , SEPTIC TANK CAPACITY LEACHING FACILITY:(type) fr-f�S �/ (size) c• NO.OF'BEDROOMS 1 WNER PERMIT DATE: COMPLIANCE DATE: 2 (I6 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 Lea chin Facility(If any wetlands exist within 300 feet of leaching c Feet FURNISHED BY 6 t No. k Fee $5 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIpprication for Migooal *pztem Construction Permit Application for a Permit to Construct( )Repair( X)Upgrade( )Abandon( ) 11 Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 22 Duncan Lane, Centerville Normand Lague Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P O Box 1089, Centerville . 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 S a n d Nature of Repairs or Alterations(Answer when applicable) Title—5 l e a e system ryn_n s i s t; n g V Date last inspected: 17 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b this,894d 9f Healt LJ�� Signed o' Q, Date Application Approved by _ _ Date Application Disapproved for the following reaso v Permit No. Date Issued - - - -----------r------------------` --------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Lague (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( X)Upgraded( ) Abandoned( )by Wm. E. Robinson Septic Service at 22 Duncan Lane Centerville s b constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No,,,na dated Installer Wm^E Robinson sr-- Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. I _ `� '- Fee m c w 1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: i es - s PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ' � s 01pprication for Mbpaal *pgtem Cowaruction Permit Application for a Permit to Construct( )Repair( X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. A2t2nor'SMgggjgl Lane, Centerville Na;rmand Lague Installer's Name,Address,and Tel.No. Design's Name,Address and Tel.No. Wm.. E. Robinson Septic Service P O Box 1089, Centerville 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 Sand Nature of Repairs or Alterations(Answer when applicable) Tit.Le-5 Ieachsys em cons s ng chambers • Date last inspected: Agreement: The undersigned agreesto 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 Bo d of Healt . Signed n Date Application Approved by J , Date Application Disapproved , the fo lowing`reasof� V Permit No. Date Issued LA THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Lague Certificate of Comt fiance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( X)Upgraded( ) Abandoned( )by S Wffi� et�v�e' f - PRh P ET—� eST— a,. at as Dun- aa^ Lane, Centervil' a has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. .. ated1'.,, Installer _ Designer The issuance of this permi?s a no�Ve construed as a guarantee that the system will function a designed. Date Inspector i No. " 1 � � „s � -------------------Fee mc�� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE S IAASSA^HUSETTS -_ Lague Oigpogar *pgtem Congtruction Permit - Permission is hereby granted to Construct( )Repair(X)Upgrade( )Abandon( ) System located at 32 nu-ga€LLane and has 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: Con;icfio must a completed within three years of the date of th' Date: Approved by rt r . / :. it6194 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICAMON OF SMMTM AND AMWATION FOR A DISPOSAL WORKS CONSTRUMON PERMIT{WiTHUUT DESIGNED PLANS) William E. Robinson.S Certify'L6 dw application Lor disposalworks, construction permu signed by the dated Ll 6 Z , concerning the PropatY locatedat 22 Duncan Lane, Centerville meets all of the Mowing criteria: • The failed system is on a rest dwelling only. There are no commercial or business uses associated with the g The sal is Bassi as 1 and the percolaUM rate is lrss than or equal io 5 minutes per inch There sre no vriettarrds too feet of dtr proposed sopaw stiaetn — There arc no private tits within 150 feet of the proposed septic s1stem � I There is no i in flow and/or chaaW in use proposed • There are no mquened or nodded. The bottom the proposed f wft will abbe located less than Eve fee above the may.mum grot:ndvva>er table elevation:JAdjnst the PUMUtwater table using the Frimptor metbod w applicablej If the S- S.will be-located with 250 f=of ay vqpamcd wetlands.the bottom of the proposed b:i1hy will not be located kss than founeen 4141 fact above the maximum adjusted eater table devatim Please empkee the totiarbW A) Top ofGtonnd Sttrfaoe l GIS ) 3�; " B l G.W.Elevation +the MAX WO G.W.aldjuuim '--_ f/ J 0 DIFFERENCE BETWEEN a and B S SIGNED: ✓ DATE: (Skacb pmPosed pba of system an bacicl. .r tratd�fotd�:�� e < ,,. 1` . ` s_ J /� J .� . � �> J����� Y SO �Qn/ M No........�.� .. � Flmit.......f........:�.. THE COMMONWEALTH OF MASSAC USETTS BOARD OF HEALTH . $,Ct .....OF....... --------------------------- , Appliration -for Btspniittl Worko C onotrurtton Vrrulit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .. .. , .. ,. ---------------------------------------------------------------------------------- fio or of Y 00 Owner _, O`� e� es / �nstalter Address Type of Building Size Lot...A`J__/_O-0___Sq. feet Dwelling—No. of Bedrooms._.____-_--- ________________________Expansion Attic ( ) Garbage Grinder.(A/0) a4 Other—Type of Building ----- No. of persons............................ Showers (/ ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ W Design Flow______________________________ -_.._gallons per person per clay. Total daily flow........,.........._3_®.b------------gallons. WSeptic Tank—Liquid capacity/___gallons Length_________ ______ Width................ Diameter---------------- Depth............... x Disposal Trench—N .............. Width.................... Total.Length.................... Total leaching area------------._.-----sq. ft. Seepage Pit No..................... Diameter/AOQ>54 Depth below inlet.................... Total leacliiyg area----F? _X_.sq. ft. z Other Distribution box ( ) Dosing tank ( ) dvy e I a ,2 77 - �" Percolation Test Results Performed bY.......................................................................... Datt ........------------------------._.. a a Test Pit No. I................minutes per inch Depth of Pest Pit-------------------- Depth to ground water........................ G% Test Pit No. 2................minutes per inch Depth of Test Pit--______-__________- Depth to ground water__._._---_____-_-__-.... a - �7 ---•••------ ----------------•-. Description of >1. - --- ..eJ4 _ -r._ ;r" � ' U --------------------- -- ..--• f�r .... t.`.`........._...... - - W U Nature 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued by the board health. Signe _ . .... .......�� /' --------------------- Application Approved B ---._.... .... - `� �e -�. PP PP Y 1 ,/ Date Application Disapproved for the following reasons-------------- �?� .. - __-_ F_ U.--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- - Date PermitNo......................................................... Issued........................................................ Date ..... ................... ...................................................................�........ .. .................. THE COMMONWEALTH OF MASSACHUSETTS" BOARD OF HEALTH. ..... ..OF....... . .............................................. Tntifirate of QVITUmpliaurr T S I TO C 1 Y, the Individual Sewage Disposal System constructed (Z-1--Or Repaired ( ) by------- - - - - -- •------•-• - --- ....................--•. -- - --------- - ---------------------------- --- -- .taller _ _ '--•--•------------ has been installed in accordance with the provisions of A is VXI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. ............ dated__. "=_1 _-__�7................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... +1 b No......................... .............................. THE COMMONWEALTH OF MASSACHUSETTS Yw BOARD F HEALTH OF ..r ........ . .. Av*firafinn -flan Ditipnntt$ lVarkii Tonstrnrtion Vani t Application is hereby'made for a Permit to Construct ( ) or Repair,-(( } an Individual Sewage DisposaN System at oc n- d ess - - or of - ' --_ .. Owner r � W . . IInstaller Address � P* d Type of Building Size I; _ + .dpa...Sq. feet' U Dwelling—No. of Bedrooms____------------- ____ ._-- ___Expansion,Attic ( ) Garbage Grinder (.06) Other—Type of Building p S. __ No. of Persons hoovers (/ )---:' Cafeteria ( ) a' Other fixtures ------ ------------------ ---------- ` - -------------------------- ------------•-•-••••••-• ---------------••••-••-------- W Design Flow____.__.____•_..•____..._._________gallons per person per day. Total daily flow___________________rVoo............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 :. Diameter400' Depth below inlet.................... Total g area._-..�!_�_�__sq..ft. Other Distribution box ( ) Dosing tantt a Percolation Test Results. Performed by--------- ________________ Dat __..___._.__.------_ ---___.---- Test Pit No. 1................minute's per inch Depth of Test Pit-------------------- Depth to ground water.:.,____-____--__- G4 Test Pit No. 2.................minutes per inch Depth of Test Pit_________________,_: Depth to ground water.........._---------__.. --=------------ - . ; ..................... D Description of iL e� ` 4 - '` Yy��,,�� �_` ,�f w V '�'r� k Ir7r�'1�1 s.. ----- ------ ---••--••---------- W x U ;,.Nature of Repairs or Alterations—Answer when applicable__________ _ ____________________________________________ ----------------- --- ---- --...--•----•._...._...... ----------------------------- •-••---- ------- ------------ ----------- Agreement: a The undersigned agrees to install the aforedescribed Individual Sewage* System ill 'accordance,with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the syst&g.in operation until'a Certificate of Compliance has b en issued by the-board health. Signe . Application Approved B ! `Gt ' ' ' PP PP Y Date Application Disapproved for the following-reasons: ---l--y--••--•------ --------------------------------------------------------------- ---------- ________________________________•----..._•-•---------------•••--••-- Date PermitNo. ............................... Issued.....................--................................. Date THE COMMONWEALTH OF MASSACHUSETTS fr" ` BOARD OF HEALTH ....... 6... Z'd•..:.:::0F....... . .............................................. Qlrrtifiratr of f91rmplitturr ; T S I TO C I Y, t4,e Individual Sewage Disposal System constructed (Z,-or Repaired ( ) by ----• - ........................ taller ... u atc ` { -----•-•-••-------•••... has been installed in accordance with the provisions of A c.}r XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No _____________ �'.___.:_. . dated__..`� _�...?Z______.._________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM wiLL FUNCTION SATISFACTORY. DATE........................................................----------------------- Inspector---------------•-----•---'-=-------------------------•-•---------------•••-•--_---••. t THE COMMONWEALTH OF MASSACHUSETTS 6;� BOARD O,f HEALTH 1 ..:..... ..OF.........A 1�..-...................:.: No............................. FEE...•%5-----•--...... Uinijn�'41 lark .(n idrurfinil pamit �jJPernusston,.;s. hereby granted ; .}�``f _ -.. to Construct ( !�) or Repair ( a IAividual . e lie Disposal S s m �L./1 _SI e l -7 7 as shown on the application for Disposal Works,Construction P✓rlt No Dated___ _-."� ________________________ r DATE_ 7 7 Board of Health FORM 1255- HOBBS & WARREN. INC.. PUBLISHERS y b 0 Z4 44 � ic�c.t� Ga ti✓ O SEF'j"t4 'f74f.JK. f; v 44, _ , v} 1 - r C S ZTIF%at:) PL©T' pt_.A yj t C.6LZTtF14 T14AT' TNt= FEU U� Uta� 5ttow►.J pi-A" SZ �cREti.IG� L V--ZGCI-A CO&APLYS W tTN TI-tE 51Dit_C.t�� AWi' SET$AC14 2t=4viQeAAeI.WTS o� Tµ. 11.'� '{OWU OF eibmt1.aSTA(3 1�Ut,,.1GA,t~3 �?2tV aax-rcu. , REGIS'ty-zaT> LA"o SUt�Vc`fo2� Tt-1i5 Vt_AW IS LJOT BASE'(? 064 A�.t OSTEw-v% r- a MASS+ I k14,9MtJAAU-k-I i SO ZVe�( � TNT oF�S�rS �it�owta APPt_t GAt.iT � C� A�� C.C� '�► �r tJ6T BG VSC17 To D c e:� eM'tW& LOT" LlWaS a ' x' � any,', Logged In As: Parcel r eta i I Wednesday,July 5 2006 Parcel Lookup Parcel Info _..... ... ....... .. ..... Developer .,..,,,, _.. ..., ._..,. Parcel ID 147-024 Lot LOT 47 Location 22 DUNCAN LANE Pri Frontage 100 ..............._.-____. . Sec Road Sec Frontage Village CENTERVILLE Fire District I C-O-MM Sewer Acct. Road Index 10457 Owner Info . _....... ....._..... ... ...._ ...... ...._.. .. ......_......... . _............. owner;LAGUE, NORMAND W Co-Owner;SUSAN J LAGUE Streetl '22 DUNCAN LANE Street2 _...... _w__-.---- .. _.......... ..._...... .. .._......_.._...... __ _ ._-. ._ _.._.. .. __.._ city'CENTERVILLE State MA zip 102632 Country USA Land Info ........ __.... Acres 10.34 use;Single Fam MDL-01 Zoning RC Nghbd 0104 Topography Level Road °Paved - utilities?Public Water,Gas,Septic Location Con11 I'llstruction Info Building I of I Year,----.._.... __.. Roof ... Ext, Built i 1977 struct Gable/Hip Wall Wood Shingle Effect Roof g Cover Roof AC Area Asph/FGIs/Cmp Type#pe;None �. 1 i Int .. as l Style,Coonial � Drywall �- -.._ Bed __� st l y wail Rooms 14 Bedroomsn Bath Model =Residential Floor Rooms 11 Full 1 H , Grade!Average Heat Hot Air _ Total 6 Rooms N Type I Rooms _. Heat _._._ Found- Stories;2 Stories Fuel teas ation Typical Permit History Issue Date Purpose Permit# Amount Insp Date Comments 5/1/1987 B30723 $23,000 1/15/1988 12:00:00 AM CE ADD'N - Visit History Date Who Purpose 1/21/2000 12:00:00 AM Paul Talbot Meas/Listed 2/15/1988 12:00:00 AM M - Sales History ......... ................................... _..__ ......... ............. Line Sale Date Owner Book/Page Sale Price 1 LAGUE, NORMAND W 2563/1 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel ValueV 1 2006 $156,200 $2,600 $500 $108,400 $267,700 2 2005 $145,200 $2,600 $600 $135,100 $283,500 3 2004 $117,800 $2,600 $600 $135,100 $256,100 4 2003 $105,400 $2,600 $600 $44,600 $153,200 5 2002 $105,400 $2,600 $600 $44,600 $153,200 6 2001 $105,400 $2,800 $600 $44,600 $153,400 7 2000 $77,500 $2,600 $0 $30,100 $110,200 8 1999 $77,500 $2,600 $0 $30,100 $110,200 9 1998 $77,500 $2,600 $0 $30,100 $110,200 10 1997 $83,500 $0 $0 $26,800 $110,300 11 1996 $83,500 $0 $0 $26,800 $110,300 12 1995 $83,500 $0 $0 $26,800 $110,300 13 1994 $83,500 $0 $0 $33,200 $116,700 14 1993 $83,500 $0 $0 $33,200 $116,700 15 1992 $95,100 $0 $0 $36,800 $131,900 16 1991 $93,200 $0 $0 $53,600 $146,800 17 1990 $115,400 $0 $0 $53,600 $169,000 18 1989 $115,400 $0 $0 $53,600 $169,000 19 1988 $66,300 $0 $0 $19,200 $85,500 20 1987 $66,300 $0 $0 $19,200 $85,500 21 1986 $66,300 $0 $0 $19,200 $85,500 Photos ..f..... THE COMMONWEALTH OF MASSACHUS.ET-TS-' APPROVED BOARD OF HEALTH rns le Conserva ' Depa ent 41 /9TPWN OF BARNSTABLE 0 igned ppliradPau fur itnpasal Murk, Tontitrnrtiun trrmit Application is hereby made for a Permit to Construct ( ) or Repair 4 an Individual Sewage Disposal System at: . -.......®Un1CAr�D...-----C..�nJ�..... -G�-.�✓f�.t�-----------------------------------------•-----....-- jV0yt/,,4.,,..j Loc/aticmL A dress ............................................ ................._.................. ..._ V/V �.PAS/'1(rV-_____•_ �._._.•__-_....i........'...._...__-. Owner ddress aQS/1i11i—D 1-�t� �71e�" i�Y1 ��Yl l 1/LS ---------------------------- ------•--.. ...W '.... � Installer ---------- Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------______Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Builditi ............................ No. of ersons.----_.____________---_.____ Showers a YP. g P ( ) — Cafeteria ( ) 04 Other fixtures --------------------------------------------------------------------------------------- ---------------------- ---------- W Design Flow.................% ................gallons per person per day. Total daily flow....._._-_--___ ................gallons. WSeptic Tank—Liquid capacity A�q..galIons Length___.___-_-_-._ Width_________ ______ Diameter................ Depth................ x Disposal Trench—No. ......./........ Width.....&._......... Total Length..... Total leaching area....................sq. ft. 3 Seepage Pit No--------------------- Diameter-------------------- Depth below inlet....Z.g... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by.......................................................................... Date........................................ ' Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water__._-..._._-_-________- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 94 ._..----•-•--------------------•-•-••--------------•---••-------••-------•••-•---•-••-------............................................................ Descriptionof Soil...................................................................................................................................................................••..... W __ _ x Nature of Repairs or Alterations—Answer when applicable-- -_ _..4 �TJ�hC."UT eSTZ/:�1c^ --------------'TIC----...? '�......---�15...... �� �� _ � 5 _.Cr S# 1 Agreement: 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 Compliance s b en issued the b -d of health. Signed .... .. ..... .. ... .. ...... -.......... .- ....... i Dare Application Approved By ----A .............. . ................ ... . .... .. ............................................... ................. Application Disapproved for the following reasons: ...... ..... .... .......................................... ......... ...... . ............ --------------------- ..... Date Permit No. ... Issued ....... Dare .tea THE COMMONWEALTH`OF MASSACHUv6TTt;�� BOARD OF HEALTH ``TOWN OF BARNSTABLE AV h tttiun for Diupuutti Works Tunutrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (/") an Individual Sewage Disposal System at: ------------------•----••-----•--•---•-•-----.....----------•-----------..`........... ._._•-------•----•-----•-------•••--•----...------•-•............_..--•- - dl�)G/Lm _ y Lb c tiot address or Lot No. .................._.......................................................................... --•----•-•----••----------------------•----------•-•--•....-•------...•--•---•------•••-•-•--•---- Owner ddress Installer Address llType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------_-----Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures ---------------------------- ------------------------------•-----------'--------------- ---------._....----------•------------•----••--..__....--•--• wDesign Flow.................. ,�....______.___..gallons per person per day. Total daily flow...............-�M................gallons. WSeptic Tank—Liquid capacity Aq1?-_-gallons Length---------------- Width---------------- Diameter---------------- Depth................ xDisposal Trench—No. ......./......... Width----- -------- Total Length...... J._._.._ Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter--------------------- Depth below inlet----1- ..... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by................................................................ ------•-- Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ fs Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ C4 ----------------------------------------•-•---•--•-----•----..._._...._._-•---------....._----------......................................................... 0 Description of Soil..................................................................................----------------..._._._.__._.-----------------------------...._.._..-------------•-• x U w U Nature of Repairs or Alterations—Answer when applicable.-.A� __________ _______�N L�_r._./4' --------------------------------- (Ab -I T/-{ OU l _S ZJs.3 E" ��) %� � �}. �STiill� i 1TL� _V SnM -••--------•............................................... •-----•--•------•--••----•--•-•-•----------------•-------------•-••-----•-----....__.._._.------------._........._..._-- Agreement: 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 Compliance h s been issued by the b a-rd of health. Signed -----------1�-�--;--` f-----------------------[4t -✓� ----------- ----���/G1/ � ,gyp f ' Date Application Approved By --------------- ? _. �. �I�, ... �!V. Z //� ........................................ r.l Date Application Disapproved for the following reasons: .............................................................................'' '"-'. ........... ' ' ...... ...............1^------I -- ' ------------------------------------- --------------------------------- ...... ...D----- . Permit No. 1..._r.,, ' `7-- - ._. Issued . Date ------------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH TOWN OF BARNSTABLE 101-ertifi ate of C�omplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by ............... ... c=� .�.. .`.::`?�...... - ,=....w.5.-' :%L--lc�'r�-k,,.,1...... ...................--------------- ---- m,t:diet at ............. � r�(�t'v�,• nJ C av C �,.�i C2 tJ I t k:c - ... .---- ------------------------------------------------------�.............. ............................................................. has been installed in accordance with the provisions of TITLE 5 6 The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........ ..........-."'_ � dated .--..--.. ...... ........ . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTOR . DATE...' r.". /� c ...... Inspecto ��'/ - _. . ----------------------------------------------------------------- ------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /y7 � y •- - ' TOWN OF BARNSTABLE - No._ ....I...-------•-=`-� F __ EE..... .;�®..`.:.... Ropuoat Works Tunutrurtiun "ami is hereby granted...................... 2 ............................. . "�s 5-- Permission to Construct ( ) or Repair ( � an Individual Sewage Disposal System_ at No. 7l Jr-u �— 9 � ��--fj -------- G ---_rJ� 1�L-��-------- Street " 'i P ` // fj1 q ti7, .._.._. as shown on the application for Disposal Works Construction Pe mtt No-_t_______ ___ Dated_._ J 1 f ==� . ...__ - ---- L" _... e/ Board of H7ealth DATE----- --- - .._!--- ------------------------------------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS JUL-06-2006 15:43 From:BORTOLOTTI CONST 5084289399 To:508 790 6304 P. 1/1 LA ev Ll .............. ...... ...... TOWN OF BARNSTABLE LOCATIO?q VILLAC SEWAGE # ASSESSOR'S WAP & LOT INSTALLER'S NAME PHONE NO. clo 94. SEPTIC TANK CAPACITY�C� K) c LEACHING FACILITY.-ftype R- ize) NO. OF BEDROOMS -.:>—PRIVATE WELL'b UBL.]C WATER BUILDER OK:o w R.. DATE PERMIT ISSUPI), DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes TOWN OF BARNSTABLE LOGATION � �g���tv, SEWAGE.# / © VILLAGE C�Vjlp- ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE SEPTIC TANK CAPACITY LEACHING FACILITY:(type) NO.OF BEDROOMS OWNER PERMIT DATE: 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 t i t , *THE INSTALLER SHALL VERIFY THE LEGEND 24 AssEssoRs MAP 147 PARCEL LOCATIONS OF ALL UTILITIES AND ALL „ BUILDING SEWER OUTLETS AND ELEVATIONS J� 100.o PROPOSED SPOT ELEVATION PRIOR TO INSTALLING ANY PORTION OF `�'t�i� 1ooXo EXISTING SPOT ELEVATION SEPTIC SYSTEM `(� a' ! 100 PROPOSED CONTOUR THE INSTALLER SHALL CONFIRM MIN. SEPTIC TANK 44,08 SIZE AT 1000 GALLONS AND ITS SUITABILITY`FOR 100 EXISTING CONTOUR L0 us -� RE-USE QI QO DOG v6 �QQ PEN / F 4.10 i �( 4 EXIST. SHED SAS�` 5.06 44, 42.97 42.20 I f `-Y44.70 44 4 .29 BOARD OF HEALTH X\ MA 4.27 APPROVED DATE - ,-4-42.45 'c CCU / 3.04 7. rt p j i + 2,06 BENCHMARK LOCATION MAP 47.08 p� 40.91 5.06 � - COR BULKHEAD r +4 0 -� �•� er ELEV=45.2' NOTES: b.5 44.77 3.99 \ �s � F 46. �� DECK d� O 1. DATUM IS APPROX. NGVD �cF + 3, f O I 9 45,75 TH1 v 45,00 O' 2. MUNICIPAL WATER IS EXISTING EXIST. ST ++ N 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. + .47 4 . 0 GAS 4 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 i 5. PIPE JOINTS TO BE MADE WATERTIGHT. PUMP AND REMOVE +44.77 EXISTING METE 36.571 DWELLING 6, CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS, �� EXIST. LP, D'BOX AND � 44.46 ENVIRONMENTAL CODE TITLE V. LEACHING FACILITY. TF=45.2' 1.2 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE REMOVE ALL 44,88 USED FOR LOT LINE STAKING. CONTAMINATED SOIL 38.8 WITHIN 5' OF NEW SAS O�G� 'L S. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. AND REPLACE WITH --44 OJ Q 04 i 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT CLEAN MED. SAND 43,6 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 5.20 FROM BOARD OF HEALTH. 43.23 41. 3 G, 10. PUMP & REMOVE EXISTING LEACH PIT & LEACH FACILITY. 9.1 s�43 5q ' �C/ \ ' G) 11. WATER-TEST D'BOX FOR LEVELNESS - N 40, 99'LG� LOT 47 � SHEET 1 OF 2 0 15,000 SFt ` �\ , 7 �1+34.97 7.13 �,���73 TITLE 5 SITE PLAN 40.37 a OF O � 34.6 38. 22 DUNCAN LANE IN THE TOWN OF: 3784r''' 35.66 ��, ,-QP�� _( CENTERUILLE) BARNSTABLE \ T OFI PREPARED FOR: NORM LAGUE of so 362-seeo `� ARKIN 3�.74 �QG , 33.90 , own cape engine ,� �,ZH OF M4 20 0 20 40 60 dE'r%Y]CJ, inc.inC. 09 59 A\ TEL y33 77 �P� moo`' ARNE tiG i CIVIL ENGINEERS RISER 34.25 3 -{ H. LAND SURVEYORS 9 -� P.� � � OJALA CA 34.12 �- A\Cj SCALE: 1" = 20' DATE: SEPT. 30, 2005 'F 3,3cb9 \V No.26348 939 Main st, yarmouth, ma 02675 1 ' "� REV 6/21/06 (SAS) 34.00 �,� Q Fg 0+ 05-2133.Ss _ ARNE If. OJAI Y, P.E., P.L.S. DATE r TOP FNDN. AT EL. 45.2' SYSTEM PROFILE Nor To SCALE) ACCESS COVER TO WITHIN 6" OF FIN. GRADE ACCESS COVER (WATERTIGHT) TO PROVIDE INSPECTION PORT WITHIN 6" OF FIN. GRADE WITHIN 3" OF FINISH GRADE MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 0�45. fTANK ELEV. 43.12' RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE FOR FIRST 2' XISTING 1000 LLON SEPTIC 41(H— 10 ) GAS BAFFLE 41.05' 41.22' ���� �o oaoo C oc� oa 40.9' QED ED o 6" CRUSHED STONE OR MECHANICAL ooa a a a = 0 DEPTH OF FLOW = 4' COMPACTION. (15.221 [2]) MIN ��� 2' 00 38.9' TEE SIZES: ss ( 3 % SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASHED STONE INLET DEPTH = 10 OUTLET DEPTH = 14" FOUNDATION— EXIST. SEPTIC TANK t5' D' BOX 12 LEACHING FACILITY *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL THE INSTALLER SHALL CONFIRM MIN. SEPTIC TANK TEST HOLE LOGS BUILDING SEWER OUTLETS AND ELEVATIONS SIZE AT 1000 GALLONS AND ITS SUITABILITY FOR 5' PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM ENGINEER: LISA LYONS, RS WITNESS: D. DESMARAIS, RS DATE: 9/27/05 SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) PERC. RATE _ < 2 MIN/INCH DESIGN FLOW: 3 BEDROOMS ( 110 GPD) = 330 GPD 33.9' CLASS I SOILS P# 11089 USE A 330 GPD DESIGN FLOW Q ELEV. Q 46.9' SEPTIC TANK: 330 GPD ( 2 ) = 660 0" A 45.4' 0" RE-USE EXISTING 1000 GAL. SEPTIC TANK (SEE NOTE) LS 9„ FILL LEACHING: 10" 10YR 3/2 A BOTTOM AREA: 469 SF x 0.74 G/SF = 347 GAL 8 LS PERIMETER: 89.8' x 2 x 0.74 G/SF = 132 GAL LS 10YR 3/2 14 TOTAL: 647 S F 479 GPD SHEET 2 OF 2 tOYR 4/4 25" 43.3' B USE ( ) 500 GAL. LEACHING CHAMBERS WITH 3' LS STONE BETWEEN UNITS AND 4' AT SIDES AND ENDS TITLE 5 SITE PLAN C 10 YR 5/6 , OF �� `yW1" PERC 26". 44.7' ' 22 D U N C A N LANE MS C i IN THE TOWN OF: �xl"A "�SSI (CENTERVILLE) BARNSTABLE 2.5Y 6/4 PERC MS ��p�S� O ALAcyG� PREPARED FOR: NORM LAGUE U CIVIL 2.5Y 5/6 No. 30792 & STe SEPT. 30, 2005 138 33.9' 120" 36.9' �NAL NG Q/'7 G REV 6/21/06 (SAS) NO GROUNDWATER ENCOUNTERED ARNE H. 0 ALA, P.E„ P.L.S. DATE REV 7/7/06 (DESIGN CALCS) 1