The URL can be used to link to this page

Home My WebLink About0343 OAK STREET (CENT./W.BARN) - Health (3) 343 Oak Street Centerville A= 194—044 sm pendaftwe' OEM& L 42101/3 0RA 101/16 P4 i S No. ?—� — �3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: / PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftPliCation for Misposal 6pstem Construction 3permit _ ^ pplication for a Permit to Construct Repair cReepair(�Upgrade( ) Abandon( ) ❑Complete System individual Components Location Address or Lot No3430w�'[- A Ownneer's�NamA`,Address,and Tel.No. �prc1Q,WA�1 @1 Assessor's Map/Parcel �g�� C �2� V�+ DR' ed -3 .1 Installer's Name;Address,and Tel.No. L c vrA.n\C Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms y Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided eA gpd 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 applbV - 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 this Board of Health. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. )_0 J G Date Issued 6 d t # �vhn, No. 20 d In� Fees, r ;. THE COMMONWEALTH OF'MASSACHUSETTS Entered in computer: - - PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zippiitation for Misposal 6pstem Construction Permit application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components �L ocation Address or Lot No. OF Owner's Name,Address and Tel.No. ( � ' 3�13 f?�►tiG S�0, Dos't�^le�fli/�,/A��A r.e. Assessor's Map/Parcel #Aj �Q ,.b 3"6CNA` C R/t v1 Installer's Name,Address,and Tel.No.S. � Vrct e► - Designer's Name,Address,and Tel.No. w ,r. Type of Building: Dwelling . g No.of Bedrooms A S4 Lot Size sq.ft. Garbage Grinder( ) + Other Type of Building l No.of Persons Showers( ) Cafeteria( ) 't Other Fixtures Design Flow(min.required) olk gpd Design flow provided y1/�f�- tgpd Plan Date Number f h �r`o sheets 12 Revision Date Title Size of Septic Tank Type of S.A.S. u-'-Description of Soil f. t t , ! Nature of Repairs or Alterations(Answer when appllb y 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 this Board of Health. Signed Date Application Approved by _ Date III t' Application Disapproved by + Date for the following reasons I Permit No �� - 3 G Date Issued /'1 1 l- - - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance A THIS IS TO CERTIFFtY,that the On-site Sewage Disposal system Constructed( ) Repaired,( Upgraded( ) Abandoned( f�by at , �, I'14t�� has been constructed in accordance with thefprovis ons of.Title 5 and the for Di�o§41rstegConstruction Permit No.'o 'j'-.7 t dated r�/ �i Installer` s Designer #"bedrooms ,/U /1- Approved design flow ) and The issuance of this permit �shall no be construed as a guarantee that the syst i`1444nction<a`�s designed. Date �n/i>--) f Inspecto _ � 1 �2 .-_- --- -- -- ---___ - -_ . -.._m----. .-._..__ -_. ----- No. '7 O J /- 361 Fee 'I ,0o THE COMMONWEALTH OF MASSACHUSETTS ® PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS .. Misposal &pstrm Construction permit Permission is hereby granted to Construct Repair(� UpStade Abandon ( ) System located at �. and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 ►y Approved b � . Y d i ./...... Fims...117 .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH LO.0 ........ ........OF..... Appilration for Uhi uiiaal Works Tonstrurtinn rautit Application is hereby made f a Permit to Construct ( ) or Repair ( ) aA Individual Sewage Disposal System at: ..- ... K. ------- a Location_Add �- or Lot No. .............!1�5.....1�,...S!'' I.�.. ............ ... ... ....... ►�. .i .............................................. caner . Address Installer Address UType of Building Size Lot............................Sq. feet �., Dwelling—No. of Bedrooms............... .........................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type e of Building p� yp g ____________________________ No. of persons............ .............. Showers ( ) — Cafeteria ( ) Q, Other fixtures .................................................. --•............... W Design Flow..............��.......................gallons per person per day. Total daily flow-.-__-_-�-----o'_--_..........•....._gallons. WSeptic Tank—Liquid capacity(QQO.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 (X) Dosing tank ( O �� ,` D 44- P_-/G 7 .- ~" Percolation Test Results Performed by....._./�A s�.._.�� 1 x�1.......J ....5-..... Date.....-f...:..? ............. a Test Pit No. 1....._Z.. minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...._._ riq Test Pit No. 2---_-----.-_.-minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ••••-••••••.................................•--••••--•-•--...•-•....-•-••----•--.....•-•-•----...............••••-••••-•---•••---•-••-•-•-•--.....------•... 0 Description of Soil-• --.�.V..--Tc;;tp ki------------ r-----M4EO---- k _Pkk_ x 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 TITLEE 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. Signedcc _ ...•-• ...1. .�_�, ate Application Approved By.......-. ._ _ 27 Dat Application Disappro r the llgwivg reasons:............ ��!.._ _�.._.1. ......e...f- 4?_ __ .... --•.s......... YA ,Py Date PermitNo......................................................... Issued.................................... .................... Date 707, lb No......................... Fimic .1�.1�...`............... THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH --•-----r....... .................OF..... --.h ........................I............................................... , pphration for Piipos al Works Tomarurtion Prrutit Application is hereby made for a Permit to Construct (/�) or Repair ( ) an Individual Sewage Disposal System at: � - Location-Address .. � ��.. K. »�►. _ s Rfa Lo t No. . . _. -- . . ........._•..... . :--------------------------------------------•--•- Address . a _m . - ...... Installer Address Q Type of Building Size Lot.................... .....Sq. feet U Dwelling—No. of Bedrooms............ ....................._ .Expansion Attic ( ) Garbage Grinder ( ) 04 Other—T e of Building No. of persons........... _____________ Showers — Cafeteria Q' Other fixtpres .............................................................. W Design Flow....•......_... ....................•..gallons per person per day. Total daily flow..........`. 6 _.__.__.__...........gallons. WSeptic Tank—Liquid capacitylgP9_gallons Length-------t------- Width---�......... Diameter................ Depth................ 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 (X) Dosing t nk ( / 1 p�� !] �'�' "�G' 7 7 Percolation Test Results Performed by...._._�e�+��f_:....i 4:Y !_...... _:.5.__-._ Date.... �`....... .�.........._.. aTest Pit No. 1________________minutes per inch Depth of Test Pit----------......... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' •-------------••---------------------•---------------------.........-----------•--•-----•---•-------......................................................... 0 Description of Soil.-C)----\•E'' T C� 7t`- I ' I-`t4 �-1G d__..0��i2 ............................tJ --.(_��}� x w -----------------------------------------------•------------------------------------------------------•-------------------------------------------------•--------•--------------..........••-----•-_... V 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 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 the board of health. Signed��t Iz r _��--�-----C---------`-'=L:-----------•-:------- ----------------- Date �. i�� Application Approved By--...... Y! 1 �� ---••- 77 Date Application Disapproved for the following reasons:.......................... ............................................ •••......_.... -•----------------------------•••--.••----••••-•••••••-•-•------•••--•-----••-••------•-••••-••••-•---....-••----••-•-•---•-•--•- ••-••-••-•-----•----............................................ Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... I0.lrJQ................OF.... )z ..L. . ,?I.C............................... (9rdifiratr of ToutpliFanrr THIS IS TO CERTIFY, That the Individual ew is oral S�ste �structed (�or Repaired ( ) _ _ --- -. .... � .._ —Instalder �V ...3 . at �` ..� j ,�� ............... .......F.?!.1 FY y!--.. --------------------- has been installed in accordance with the provisions of T �of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......__S_____`�-----------_...... da.ted.__.._ .'_l_�l.'. _7................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....:.........IZJ....-.... Z.Z............................. Inspector....-- w _..... 61•---------.-----------------------•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -� 701 WJ .... •................................. � Z No......................... FEE.--I`---L.0 io Permission is hereby granted. • •-•... ........:............ �'............... ...... to Construct ) or Repair ( ) an Individual Sewage isposal System _ at No. ,-` -•`••••-•- �.... ....._ IZC C- T 1�ti Street p as shown on the application for Disposal Works Construction _ _i_t N . _ Dated 7 ... . . ............------------- • DATE_ ---•----•.............•--..........---------•--............................._. Board of Healt FORM 1255 HOBBS & WARREN. INC., PUBLISHERS LOCATION —AGE PERMIT NO. VILLA r ,v VIV- c4rmi I _ �� 444-,h�-&) INSTA LLER'S NAME i ADDRESS B UILDE OR OWNER ��./A XO.ttr.[ AJ71 DATE PERMIT ISSUED S 7 DATE COMPLIANCE ISSUED . . � �G . U �- r TOWN ff-BARNSTABLE LOCATION-�1 J wl�- 1. SEWAGE 2(YA)J VILLAGE �C ASSESSOR'S MAP & OT QS?AtLERM HO -J•NOR SEPTIC TANK CAPACITY 0-1 0 LEACHING FACIL=: (type) C ssiz'efJ1 .$ NO. OF BEDROOMS -7 BUILDER OR OWNER !Acld(wc�nd (�OU2 . PERMITDATE: E L—U1 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 ia" of a 37- 7-Y AsBuilt - Page 1 of 2 TOWN O BARNSTABLE LOCATION Uk SEWAGE VILLAGE ntu C{ ASSESSOR'S MAP& OT-�� S'T' , E HO N0 _ SEPTIC TANK CAPACITY 151,co N 10 LEACHING FACILITY: (type) (Z� .'lar(As (size � NO.OF BEDROOMS_ � BUILD5R OR OWNER PERMIT DATE:�rS--r-D) COMPLIANCE DATE;-5- Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom ot'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 i A 8 p\tjipl O A. S. 3 ti i7 ,a ' � J/ b Z. IT2. � �/ G / S- U Z Li � � y http://issgl2/intranet/propdata/prebuilt.aspx?mappar=194044&seq=1 4/3/2017 __ Town of Barnstable P# _ RECEIVED Department of Health,Safety,and Environmental Services n �~ Public Health Division Date 0, 367 Main Street,Hyannis MA 02601 --Date- cheduled Time Fee Pd. ( / �.' Soil S?tability Assessment for Sewage Disposal Performed By: 'r- AN1El- A 103Ao.A PIL6,Se Witnessed By: 7A-7,ONnJA lv\l Lt CATION & ;ENERALINFORMATION Location Address Owner's Name Address e/p (-Rm'B-f BVM . Assessor's Map/Parcel: 1 Oy f�3 Engineer's Name 7>0 WrZ C!'rf%E- E"I`►4�/`�f fil�K- NEW CONSTRUCTION REPAIR Telephone# 1509-Pro Zr� Land Use VA CA P''T Slope q s(%) 1 5�o Surface Stones ^�W r Distances from: Open Water Body ,✓IA ft Possible Wet Area ft Drinking Water Well /`llPf ft ► Drainage Way ft Property Line ft Other 'ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) '7,y5 Pc- . Lows CA _.. 1- �� V Parent material(geologic) "j 1\,L-/oVT'tr a PsS 1i Depth to Bedrock Depth to Groundwater: Standing Water in Hole: C'1, U6 4 NCAII> I N Weeping from Pit Face ,y 1*1 (low art}V) 't'tYT'40\C- 2 Estimated Seasonal High Groundwater TH �2Vv.f� GIS� 3E �MON. OSSONAT F Method Used: /1/ Depth Observed ding ._.._..... in obs.hole: "r n. Depth to soil mottles: in. Depth to weeping from side of obs.hole: - n. Groundwater Adjustment ft. Index Well#__._.__. .Reading Date:._____._ Index Well level....-.--- Adj.factor Adj.Groundwater Level PERCQLATION TEST Hate o Time "'� y Observation � .� Hole# .1 4\ Time at 9" Depth of Pere 00 d )t 1,0C: " •I I y $R\ f0Vr4 Time at 6" Start Pre-soak Time @ 0;Do: =4 Time(9"-6") G „� �'•C� �;?y in t 1J -7:29 Wen End Pre-soak LZ L.2 Rate Min./inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) N Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant a DEEP OBSERVATION HOLE LOG Bole# 7H' { �, , !ao r Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.% ravel r 2 p A L•r-J I�Y(23/2 361 US ?•57►��8 7- 6 F►CLM•�V N 5�►JA$LE 5ANVy LOAM 1 oyo, 4 7 2-150" G2 M/F 5Ar1D 2 .5y 19/2 iA/ C tay►IV- $A 1-41 DEEP OBSERVATION HOLE LOG Hole# T1� �tiv ►o I + l, Depth from i Soil Horizon SoiI Texture I Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. C nsistenc %Gravel 6-3G i3 L_S -7-5yo6/3 `f G1 5At-JWLeAM loYftb/6 Ft aJA )VNsUfYA151-E P- I°12 C?- M/F5AND 2.5y8I2 . nr. ftNE wH►T>" �4ND _ N6 VNbWA7f`1-FoVt-h ..__.. __ .._.. __ __. _ I?EE OBSERVATION HOLE LOG Hole . •!-2. Depth from Soil Horizon Soil Texture Soil Color Soil - Other Z Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. j Con istenc .%Gravel) `(�• c.►.°lti � L L7Y SAtJD -78 73-14 CZ_ '51►TLONA UM'VI'1743LS LF T142 t,S tALV ' '56 --77- C-\ WATEn. 5EGPIN AT $Lt" I^ 77- 1OS L'Z 41yrLpHA VN`7Vrrq L� DEEP OBSERVATION HOLE LOiG Hoie# � q Depth from Soil Horizon Soil Texture Soil Color SoilOther 2 Z Surface(m.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. p Consistenc %Gravel) lL O ►�3 0--1-7 o/A/r3 Ls ' W 3'7 ^%4 C. 5t�7Y SAND 7-5-/rZ5/k ',- 132 L Z 511-T Lei AM V N 5 V I-rJ NIS - - 1 rjG L ,5. LO Army 54Nb V. fka. Q tA 1 Flood Insurance Rate Mau: / Above 500 year flood boundary No— Yes'• " Within 500 year boundary No_ Yes Within 100 year flood boundary No_ Yes Depth'of Naturally Occurring Pervious Material i Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed-fof the soil absorption system? TT )'i :} 7-W 55 -IPT E . a A L If not,what is the depth of naturally occurring pervious material? Certification , I certify that on k/OV '0I5 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature - `_� \ "` / Date t D I ZIOZ/9Z/II 1=bosVU09IZ=jLdduwz dsL,•,�tIds'PWH/�3uissassd/sn-Lw-olgLIsu.zL'q•umol•mmm//:dllq G LOCATION k0-T SEWAGE PERMIT NO. VILLAG INSTA 6U LLER S NAME & ADDRES ------------ ,y ce u o r S B U IL D E R ON OWN ER C-'[AC,tQ� DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 1t9 `7-7 13O I aOled spmo IImg-sV SuissossV �V3 owe HOLE L(�T ck a ELEV RJx _ a-i8" Tof-CAD IL 5 4 f I6' t]i51' � f�Eu XtSt ,� L. sox ?3 A �.� �� rxll vEL PI v o+�.S' Ft113iap.. "�c ? LEAG.t✓ Y . - jK t N f aJ A T E R � 7J95 Fi t. 5 U/4.D1"G S F_7-0 1C,� F� '20NT 1 S'�ICE. T2E4;e 50 . - • ,.� tBE_Dt20oti15' SEPTIC 5V57I&M CONST2UC7V0AI J SHA G L_, CpNF02M TO MASS, DES/ N FL O tt/ . ,�_. GAL.IDA Y E N✓/Q On/M,EN TAZ_ CODS, Ti TL E .2r . 'E1115E�7 . #R1135��9 tf LEAC,cV ,2AT4 oZ M/A/ //A/CN TOP OF �/E,nLT"�/ QE=�[JLA T/DNS ,a'20F�OS Z7 L ACAI I!;,-� '° FULiMPAT/ON i :£ iR'# i f =' 150 D r BOTTOM �� Q 7• 50 /MPe,2✓/OUS CO VE. MAA11W OL6 j CO✓E;� TO EX 7-&A/ZD-,-rO •- - .- TO ,a2E VE></T //vG-5 WtTf-//N / OF F/I�/JS//AID G .aDLC. .C2OM'/A/f/LTi2A1T/AIC, // / 57"ONE ).84 tr? a tt.„Go t/G-.e,5 r(N i 5 N t !� D/S T. ' 1 .7 1 CoV ' G R A A 4"cAsT I; �ox + Z/"G1//D 2 ?� 11 P M/A// 6 M,A► -JI 4 17/A, 7ERL a . MUiI./ 3"Mrn/ -x--- —�=- - ~-s— iGvr 4` o1A. /O'LCAG•c/ p/TAN F�Cw LiwG' M/N OiTGH __ '". ,. "�x" M.M/ A r'cH A P/T B14#_ �Z D/A. �¢ FOOT 'Y- I OCjQ MiN • 4"/X'o�OT l'VASH�17 -r- /,vv T 40 3*9 C Sro wE , t, 4;66 ae GA4-LO^J /ti✓EAt 7-- 0) A4-�- /A/VE.2T CA PA.0/T y EZE A.e 04w4:) S _,oT/C 7"A A/.e -}} � v oC �r� BoZTgM of 3'3 ( WA TETzT/GHT)•• //VVE,2T /N VEST N O GA)e8AGE' Gtrl/h.JZh"P : t 17.^� c- S/ TE AL A.Al PRO DOSE b -, SEWCTE LocA7-/o/v E ST 7fiT?Aj VTR Pki h'A s �2EF�2E:nfc� aT ti , or � nA Lei 5 SE•T�7'tG T<1Jv,�, a/ r•2/BUT/ON 80X /: F � -,a►cs,//.vG �O� ,rn, �yTO ,t3� O.F Q�/NFO�CED CO.VGIZETE RONALD � ARTHUit � OJ�/C'2ETE ST,2EAt/G7; J000 �/ M/N. GIPFf3RD 20000 Rom. TL'EL /O. LOA D//VG U 8� Yt//,L d-0W 5 T,��C-7_ --.--` 0Z VE WAY, NOT TO E54_ LOCATED 0✓Et2 SYSTEM UNL�55 -!/- 20 I�E.S/GA1 LOAD/AvG /S [JSED, -Z HER MY CERiT1~Y THAT THE EX4-'S'i'ihifx f 4a�tHOFy�'!s, FOUNDAT-i6w- LOCATION is CO�'RecT.. As': A ► L1 DOES C O Nf O R M W 1714 � taor, TF�E • GjU1LDlNl�r SE�'i3i�CK RE0.viR�1�E1�T'S ; ��'� o - t4 T i/E "7"O W hi OF Ci R til STfi L E F��JsT � ,�# pA TE f-/E Q L Tf-/ AGE T L1RV A PF�,eO✓AL