HomeMy WebLinkAbout1120 OLD STAGE ROAD - Health 1120 OLD STAGE RD. , CENTERVILLE
A=173-021
No. 42101/3 ORA
ESSELTE
10°/®
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7
TOWN OF BARNSTABLE
LOCATION I `"'� 0 0 T_ SEWAGE #
VILLAGE �', t K- I ASSESSOR'S MAP &LOT 2 3 -61
INSTALLER'S NAME&PHONE NO.e _2 �� -7
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size) lei—47 C
NO. OF BEDROOMS
BUILDER OR OWNER 29ZAc �- 1L
PERMITDATE: ,!� "J/_7 COMPLIAN DATE: C
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
'I Furnished by
�b
36 �v
No. A Fee$5 0 •0 0
1
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN, OF BARNSTABLE., MASSACHUSETTS Yes
ZIppYication for XDigpogaf' Azpgtem Corigtruction Permit
Application for a Permit to Cons ct( )Repair(x )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Old Stage Rd Owner's Name,Address and Tel.No. 4 2 8—6 6 8 3 J
Assessor'sMap/Parcel Centerville, MA Lance MacEnerney MA CeI1159-N'61
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No.
WM E Robinson Sr, Septic Sry
PO Box 1089 , CEnterville, MA 0263
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(no
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)_ Title 5 septic repair c o n s i s t i n g
of a 1500g tank, d—box, and 3 stonepacked infiltrators.
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 oar f Health. ? n
Signed � B ,i Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. 7 2W7 Date Issued
TOWN OF BARNSTABLE
LOCATION f 1 "'� U [�ice' � SEWAGE # _lam S
VELLAGE_C =r- 1 _ II ASSESSOR'S MAP&LOT -INSTALLER'S NAME&PHONE No.
SEPTIC`TANK .CAPACITY b�
LEACHING FACILITY: (type) TA-S J'' (size)
NO.OF BEDROOMS Z
BUILDER OR OWNER ' A-
PERMITIATE: oZ '�! COMPLIAN DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private'-ater Supply Welland 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
G�
�b
.,� 36
J I
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iT✓t'n,? '.,wr '.�,. .,..�; r � - cs-s :t.,, .r. ..ly,�.r,.,.,�� ri:.}: -= y M,;..:�✓S...r� '.tip, :'t(,�.°%;. .-3„ .. _ .e
A�No: Fee$5 0.0 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
YesV/
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
Application for Mi,5 wal *p5tem Con!6truction Permit
Application for a Permit to Construct( )Repair(x)Upgrade( )Abandon( ) El Complete System O Individual Components
Location.Address or Lot No. Old Stage Rd Owner's Name,Address and Tel.No. 4 2$—6 6 8 3 j
Assessor's Map/Pazcel li
Centerville, MA Lance Ma@Enerney Ce4Eg
f�I
i
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. j
WM E Robinson Sr, Septic Sry
PO Box 1089, CEnterville, MA 0263 !
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size n a sq.ft. Garbage Grinder(nc)
Other Type of Building Nof Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
_. Title ,": I
Size of Septic Tank Type of S.A.S.
Description of l/ sand
Nature of Repairs or Alterations(Answer when applicable) Title 5 septic reapir consisting-
of a 15,0,Gg tank, d-box, and 3 stonepacked infiltrators.
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 oaz f Health.
. Signed �> 1 I � i_ Date �• —
Application Approved by Date
'Application Disapproved for the following reasons
Permit N c- te�ss}�e�d
------ t ——— — -- --- ---
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
MacEnerney
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded ( )
Abandoned( )by
at 1 120 Old Stage RN Centerville ha b e constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. "' ated
Installer Wm E Robinson Sr Sept Srv. Designer
The issuance of this pe t shall not be construed as a guarantee that the system will function as designed.
Date ' ,t ; / Inspector
——— /— ———————————————————— -——————
No. Fee $5 0.0 0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS.. :,
*acEnerney - Migogal 6p.5tem Construction Permit
Permission is hereby granted to Construct( )Repair,( x)Upgrade( )Abandon( )
System located at 1 120 Old Stage Rd
Centerville, MA
Installer: Wm E Robinson Sr Sept Sry
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:Copstr Etion ust be completed within three years of the date of t is p it. o
Date. Approved by f'
9
NOTICE: This form is to be used for the r0air of failed
septic systems only
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS)
I,William E. Robinson, Sr.,hereby certify that the application for disposal works
construction permit signed by me dated � —.2 , concerning the
property located at 1120 Old Stage Rd Centerville, MA meets all
of the following criteria:
4ere,are no wetlands within 300 feet of the proposed septic system.
* ere are no private wells within 150 feet of the proposed septic system.
* bseved groundwater table is 14 feet or greater below the bottom of the leaching facility.
here is no increase in flow and/or change in use proposed.
V
* There are no variances requested or needed.
SIGNED: ,� 1 �, �^-•� DATE
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 60
(Attach a sketchplan of the proposed system. Also if the licensed installer proposes a certification
plot plan,this plan should be submitted).
6
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Town of Barnstable
• Department of Health, Safety, and Environmental Services
R►tNAM. Public Health Division
y NAM.
i639.
367 Main Street, Hyannis MA 02601
Office: 508-790-6265 Thomas A.McKean
FAX: 508-775-3344 Director of Public Health
May 2, 1997
Mr. Lance Mcenemey
126 Mid Tech Drive
West Yarmouth, MA 02673
NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.00 THE STATE
ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE
SUBSURFACE DISPOSAL OF SANITARY SEWAGE, AND 105 CMR410.00
STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR
HUMAN HABITATION.
The property owned by you located at 1120 Old Stage Road, Centerville listed as Parcel
173 on Assessor's Map 021 was inspected on April 30, 1997 by Jerome Dunning, Health
Inspector for the Town of Barnstable, because of a complaint. The following violation of
310 CMR 15.00, the State Environmental Code, Minimum Requirements for the
Subsurface Disposal of Sanitary Sewage and 105 CMR 410.00 State Sanitary Code
II- Minimum Standards of Fitness for Human Habitation was observed:
REGULATION 310 CMR 15.02 (207) AND 105 CMR 410.300:
Overflowing sewage onto the ground. This violation is a serious public health hazard.
1) You are directed to hire a licensed septage hauler to pump the overflowing cesspool
within twenty-four (24) hours of receipt of this letter.
2) You are also directed to keep the on-site sewage disposal system pumped as many
times as necessary to keep from overflowing onto the ground.
3) You are further directed to contact and hire a licensed Disposal Works Installer within
seven (7) days of receipt of this letter in order to repair this system or connect to town
sewer.
You may request a hearing before the Board of Health if written petition requesting same
is received within seven (7) days after the date the order is served.
Non-compliance could result in a fine of up to $500.00. Each day's failure to comply with
an order shall constitute a separate violation.
P ERJOF T E BOARD OF HEALTH
omas . McKean
Director of Public Health
111i'! Z&f v-.2-s f r L
a_ 0
NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.00 THE STATE
ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE
SUBSURFACE DISPOSAL OF SANITARY SEWAGE AND 105 CMR 410.00
STATE SANITARY CODE II - MINIMUM STANDARDS OF FITNESS FOR
HUMAN HABITATION.
The property owned by you located at /JAo Q l,� d,m, PAl Cs.Zn"SL
listed as Parcel 17,3 on Assessor's Map Oa l , was inspectAd on
4 -30. 97 , 199 , by p �,,,r,,,, NG , Health Inspector
for the Town of Barnsta5le because of a complaint. The
following violations of 310 CMR 15.00, the State
Environmental Code, Minimum Requirements for the Subsurface
Disposal of Sanitary Sewage and 105 CMR 410.00 State
Sanitary Code II - Minimum Standards of Fitness for Human
Habitation were observed:
REGULATION 310 CMR 15.02 (207) AND 105 CMR 410.300:
overflowing sewage onto the ground. This violation is a
serious public health hazard.
1) You are directed to hire a licensed septage hauler to
pump the overflowing cesspool within twenty-four (24) hours
of receipt of this letter.
2 ) You . are also directed to keep the on-site sewage
disposal system pumped as many times as necessary to keep
from overflowing onto the ground.
3) You are further directed to contact and hire a licensed
Disposal Works Installer within seven (7) days of receipt of
this letter in order to repair the system.
You may request a hearing before the Board of Health if
written petition requesting same is received within seven
(7) days after the date the order is served.
Non-compliance could result in a fine of up to $500.00.
Each day's failure to comply with an order shall constitute
a separate violation.
pan ORDER or was BOARD OF HEALTH
Thomas A. McKean
Director of Public Health
o '
PAR Real Estate System - General Property Inquiry Help
Parcel Id: 173 021- - Account No: 103408 Parent :
Location: 1120 OLD STAGE RD Neighborhood: 36BC Fire Dist : CO'
Devel Lot : Lot Size : . 72 Acres
Current Own: MACENERNEY, LANCE A State Class : 101
126 MID TECH DRIVE No. Bldgs : 1 Area: 1250
Year Added:
WEST YARMOUTH MA 2673
Deed Date : 050188 Reference: 6255/144
January 1st : MACENERNEY, LANCE A. Deed MMDD: 0588 Deed Ref : 6255/144
Comments :
Values : Land: 34300 Buildings : 60300 Extra Features :
Road System: 1110 Index: 1174 (OLD STAGE ROAD ) Frntg: 112
Index: ( ) Frntg:
Control Info: Last Auto Upd: 050695 Status : C Last TACS Update: 082290
Land Reviewed By: Date : 0000 Bldgs Reviewed By: Date: 0000
Tax Title : Account : Taken: Account Status : Hold Status :
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Owners Name
Road Index Road Name
Parcel Number 173 022
RCV F (GE) 1
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Public Heaith
o Dfvtslop
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Barnstable
I P0•Box 534
Hyannis, Massachusetts 02601
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