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HomeMy WebLinkAbout0160 HORSESHOE LANE - Health 160 HORSESHOE LANE CENTERVILLE -- A = 207 129 Owrford, NO. 1521/3 ORA ;►� 10% pp SNE Tp� DATE: FEE: Z BAMSTABM MASS. 9Qj i639• `0� REC. BY A,F1659 Town of Barnstable SCHED. DATE: Board of Health 367 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION / ��// / l Property Address: � 19 110 r5ifs 1©e cl or e Assessor's Map and Parcel Number: Size of Lot: Wetlands Within 300 Ft. Yes ✓ Business Name: ,�Q/�/,� j°�',p�'S7L✓�1G7`70 Nott Subdivision Name: APPLICANT'S NAME: 10�,o Ja"�1Q/9y/ l�G/fd l i� `Phone 7 71 r-? Did the owner of the property authorize you to represent him or her? Yes ✓ No PROPERTY OWNER'S NAME CONTACT PERSON Name: �rGI 7k *C-6M eQ' Name: fa n /Ii�Oi'nrlrr���Dr�ol��/G���T .Address: 46) &,00f5e40e 119, Ge/1/elftlleAddress: Phone: -7 7g �ZS Phone: 7 7/ "✓3 y VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) /Vo fAS" b✓I`7' °'� ZS`�° �1 had i 5' / G� �� a2 v✓o�- eef- s e eea, &owl NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/leasee only],outside dining variance renewals[same owner/lessee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Ralph A.Murphy,M.D. Q:/WP/VARIREQ l�� �� �.� � 0 u 3�---J z .�, `-------�-�,� 3 � � � , i � � �, ,r�t '��,x ry`s' -7ywx .✓r ,�� !'d a a �•fit; � > > v g,£+ m^w f. -, . LYS � .D w �aal�aka„gLa, GJ ei } i ICA N . ,Eflt� t✓ f CC> . cr Pz 00 i t .'l ._.. c 1 4 0 _ a � RZ CP ate', .p x �� �j�,'! X•,, p ''�� ID/, � ^� \ t AE 1 - 09Z I I r� f •'.x �,:�• .. .• .. f"_ ..'mow,"�• �,a�,. ,� ..��/,ti BORTOLOTTI CONSTRUCTION INC. DRAINAGE LAND DEVELOPMENT SEPTIC SYSTEMS This septic system's leaching will still have a minimum-of 5' separation to groundwater.. If the homeowner,is,required'to hire an engineer; this will cause a financial .hardship on a retired elderly couple: Neighbor at 152 Horseshoe Circle was granted variance of similar nature. y P.O. BOX 704'• MARSTONS MILLS,MASSACHUSETTS 02648,• (508) 771-9399 • FAX(508)428-9399 • u NO. Q„ DATE i sA�txer�at.e. ! rtnsa FEE s6J9 A, lFa 'own of Barnstable REC. BY Board of Health 367 Main Street, Hyannis MA 02601 Susan G.Rack,R.S. Office: 508-790-6265 Brian R.Grady,R.S. FAX: 508-775-3344 Ralph A.Murphy,M.D. VARIANCE REQUEST FORIi� All variance requests must he suhmittcd at least ortep(u)days prior to the scheduled Cioar d of licalth meeting. ` 1 NAME OF APPLICANT c� TEL. NO. ADDRESS OF APPLICANT NAME OF OWNER OF PROPERTY SUBDIVISION NAME _ DATE APPROVED ASSESSOR'S MAP AND PARCEL NUMBER_�(� Sr �Pv lAt c LOCATION OF REQUEST WETLANDS WITHIN 200 FT.YES SIZE OF LOT a a` SQ.FT NO VARIANCE FROM REGULATION (List Regulation) S l00 w� A �6; -S REASON.FOR VARIANCE (May attach if more space is needed) PLAN - FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED Susan G. Rask, R.S., Chairman NOT APPROVED Brian R. Grady, R.S. REASON FOR DISAPPROVAL Ralph A. Murphy, M.D. spa Y Town of Barnstable = BARNSTABM Board of Health b 3a � 367 Main Street, Hyannis MA 02601 �prFD MIS office: soAWt 19,1997 Susan o.Rask,R.S. FAX: s08-790-6304 Ralph A.Murphy,M.D. Brian R.Orady,R.S. Mr. Scott Frank 24 Plant Road, Hyannis, MA 02601 Dear Mr. Frank, You are granted variances, on behalf of your client John Camey, to install a replacement on site sewage disposal system at 152 Horseshoe Lane, Centerville. The variances granted are as follows: • 310 CMR 15.220: To utilize a sketch plan prepared by a licensed disposal works installer showing the proposed septic system location in lieu of submitting engineered plans as required. • Part VIII, Sec -tion 10.00: To utilize sidewalk areas in the design data calculations in lieu of this Board of Health Regulation which only allows the bottom area to be used in the design data calculations. The variances are granted with the following calculations: 1. The septic system shall be installed in strict accordance with the submitted sketch, by a licensed disposal works installer. 2. The existing cesspools shall be abandoned in accordance with Title 5, the State Environmental Code. This means, the installer shall either fill in the cesspools with sand . or remove the existing cesspools. The variances were granted because the existing cesspools were malfunctioning The proposed replacement septic system meets all the requirementsYofTrtle`5, theTState � Environmental Code. ��_ Sincerely yours, eu saa Cn G. ilsk, R.S. Chairman j Board of Health Town of Barnstable i ,r frank FRANK USNEA 160 HORSESHOE CIRCLE Centerville,MA 02632 March 1, 2001 I, Frank McShea, do hereby authorize John T. Norman.of Bortolotti Construction, Inc. to represent me in may application for variances for the septic system at 160 Horseshoe Circle, Centerville, MA. Sincerely, Frank McShea RECEIVED MAR 5 2001 TOWN OF BARNSTABLE HEALTH DEPT. ' b i i E TOWN OF BARNSTABLE CE THE Tp OFFICE OF HARIgTAM$ ? BOARD OF HEALTH y Mp6t of op,e�1639. \�� 367 MAIN STREET 'eaMP3 HYANNIS, MASS.02601 April 9, 2001 John Norman Bortolotti Construction Co. 45 Industry Road Marstons Mills, MA 02648 Dear Mr. Norman: You are granted variances, on behalf of your client Frank McShea, to install a replacement on a sewage disposal system at 160 Horseshoe Lane, Centerville. The variances granted are as follows • 310 CMR 15.220: To utilize a sketch plan prepared by a licensed disposal works installer showing the proposed septic system location in lieu of submitting engineered plans as required. • Part Vill, Section 10.00: To utilize sidewalk areas in the design data calculations in lieu of this Board of Health Regulation which only allows the bottom area to be used in the design data calculations. The variances are granted with the following calculations: 1. Prior to any construction work, a test hole shall be excavated for viewing by a health inspector for the purpose of determining soil conditions and the groundwater table elevation. 2. The septic system shall be installed in strict accordance with a pre- approved sketch by a licensed disposal works installer., 3. The existing cesspools shall be abandoned in accordance with Title 5, the State Environmental Code. This means, the installer shall either fill in the cesspools with sand to remove the existing cesspools. norman The variances were granted because the existing cesspools were malfunctioning. The proposed replacement septic system meets all the requirements of Title 5, the State Environmental Code. Sincerely yours, Susan G. Rask, R.S. Chairman Board of Health Town of Barnstable SGR/bcs norman Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0[pprtcation for Migpool *potent Con6truction 3permit Application for a Permit to Construct( )Repair(✓)Upgrade( )Abandon( ) El Complete System P'6 ividual Components Location Address or Lot No. lip /,,,� � ��r Owner's Name,Address and Tel.No. Assessor's Map/Parcel G Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1-Z3W Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building >el!CC No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow it G gallons per day. Calculated daily flow �77j gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank �G-A S2t4 ----Type of S.A.S. j > > Description of Soil Nature of Repairs or Alterations(Answer when applicable) ��/ <L� i �� 6ev, 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 b his oa of Heahh. Signed Date GL> Application Approved by Date q-1 o1 Application Disapproved for the following reaso s Permit No. 74V I—Z Z�] Date Issued 4'l� No. 7.� r z Z o �- i z °� �, ✓,, _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 2pprication for �)igpooal *raem Con!5truction Permit Application for a Permit to Construct( )Repair( ✓ Upgrade( .)Abandon( ) ❑Complete System LJ'Khvidual Components Location Address or Lot No. / J,, )®� /�/ Owner's Name,Address and fd'No. Assessor's Map/Parcel o /7(/ ibf / �G J� �a Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. i-93W Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder(11(0 Other Type of Building S B6fl�fNo. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow //G gallons per day. Calculated daily flow , g g p y y J7�D gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /w0094/ .6i1' Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) /� L� !2° ,j,r J�p 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 is Boar f Heal / Signed i� Date Application Approved by Date #-/?o/ Application Disapproved for the following reaso �e � R 1 I Permit No. 74V I-- Z 7-1 r Date Issued 4`I F ----------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERT Y, that thf On-site Sew age Disposal System Constructed( ) Repaired ( t4Upgraded( ) Abandoned( )by �/ vZo&Z (_ ST at �/Pf > �' H_ P..h P(//� �' has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 74 I- 2 Z 1 dated 4 -I 7 01 Installer Designer The issuance of this t fi laall not be construed as a guarantee that the syst 11 fun ivn s esigned. Date Inspector 1 �_.S ' -4V em s/+ No. ?�z� -z. Z'-� �-U / a�Z.� --------Fee 5 _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS -Mioaaf *pmem/�Cott.5truction Permit Permission is hereby granted to Construct( /)Repair(✓)Up rade( )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 5 and the following local provisions or special conditions. Provided: Construction must a com leted within three years of the date of this i. Date: �� � Approved by -'� NOTICE: This Form Is To Be Used For the Repair Of Failed septic Systems.Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) zor ereby certify thit the apolication for disuosal works construction permit signed by me dated l/6�0�' concerninz the property located..at /�Q ®�J��f meets all of the rollowinz cnteria:. C�Tne failed system is conneted to.a residential dweii Q e ,*,�oniv. _nre a, no commerc'.al or btsiness Uses a.5sccated with the dw i ing. ae soil.s c!assin zs Gr ASS I and he ro— iarion • ce ' - . m is .e ttan or eauai :o. mmute5 der =CM The:e are no wetlands within 100 et:of ine aroa_esed S.-o_do system n,c=are no prvale we?s within.1=0 .of rile Jr0--- posed SepIIC SySte.^.h. is no inc--use in flow and/or c an-,e in se propcs.-d 1✓ s"ne:e are no v-sanc�.:.�us�e3 or nee+ T'ne bottom.of the proposed 3eacaing:acuity will not be located less Iran five feet above tae uP—'dn1 adJ=ed,,—,Mmdwater table e3evarion. (Adjust the ?TOund-mater.table.usinz the:rinithtor ethod when a=..dcablej_ if he S.A_S,will be lo(--ted with 250 lee:of arty the bosom of the propose leaching facility will not be located less than ioureea(11)fee;above he tttamum adiused �-oundwater table elevation, Piece complete the foilowin; A) Top of Ground Surface EIevation(tying GIS information) � 3) G.W.Elevation —the MAX Mgn G.W. Adjusnneat. DIrr—EREN=- BETWEEN A and 3 �t SICKED : DATE: [Sketch pnuPosed plan of VSZC n on tom]. ¢hattth folder:oat 3 -Or?r,DROOMs=,wT�u j i WALL' length /2�✓�_I wid�,i no. sides Ienzth X wid n Z Z = lO 0 5z M. x- m area lv6 2 / - X V1 —7 = J l �r design-a:d (appE:"On i=t) '3LIai 5/u�jr N j ' 1 ' � � •. � � ' 1 4 f ���� _ I i i f. € i __"_,_ I r � _ � d�j � .%�,,� r �� ,( a e �,. E �� � � 3 4---J� � �. ti` �-----�--.t 3 � �_�-�� �. /�i^�� ��� � � � .Y�C..y -... ..; <r .4..r tt z•n,��a 1;.4J T pYi l , po TOWN OF BARNSTABLE LOCATION SEWAGE # ,60/ - �a27 VILLAGE ASSESSOR'S MAP & INSTALLER'S NAME&PHONE NO._&6M'-tf trvi L s -2-7 / SEPTIC TANK CAPACITY /.SD Cl LEACHING FACILITY: J (type) t4 � � (size)/21' j NO.OF BEDROOMS BUILDER r1r, Oxvxmp v v C e—T-�r+ .. PERMIT DATE:_ //c�Ql COMPLIANCE DATE: 17, Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feer Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet-of leaching,facility) A-� fT Feet Edge of Wetland and Leaching Facility.(If any wetlands exist - within300 feet of leaching facility) R ��Lf � Feet Furnished by. { f �� .f.3�� �y �� t ' N' F y W N f'vn F f _ O