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HomeMy WebLinkAbout0159 PARK AVENUE - Health 159 PARK AVE. CENTERVILLE A = 187 031 003 Owrford, NO. 1521/3 ORA 10% i TOWN OF BARNSTABLE LOCATION 59 NY, 14UF. S EW AGE # ZOO 73S VILLAGE ASSESSOR'S MAP & LOT 77"1/-3 INSTALLER'S NAME&PHONE NO. '774,-10-S14 SEPTIC TANK CAPACITY I5-60 LEACHING FACILITY: (type) (size) X q ,, NO. OF BEDROOMS BUILDER OR OWNER )l SU,,i,.o CCS%,%T. PERMTTDATE: 7?— Z Z--0/ 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 A - A y= n, z-�4 r 61 i �r - THE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE BOARD OF HEALTH N I AN NOTICE TO ABATE A U C —� 1 f r owner As occupant of you are hereby notified to remedy the conditions named below within 24 hours of the service of this notice, according to Massachusetts General Laws,Chapter III,Section 123: ® S Zvi-- i Alc>zd� ec.0 o41i4,, .CA'"4,. 1S ' ovd d�- df 01 C- da cvz i 4.s XO.Q .L rem If at the expiration of time allowed these conditions have not been remedied, such further action will be taken as the law requires and a fine of$25.00 per day may be charged. Hazardous Waste $50 . 00 By Order of the Board of Health Inspector i f' No. F a<) -7 1 Fee /eo to THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS v ZippYtcatton for Mt5po5al *pftem Construction permit Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) N Complete System ❑Individual Components Location Address or Lot No. I S'j 'P4.-k lie I (_t K!eru i I(e Owner's Name,Address and Tel.No. "I Gca.w_ ec4,rC 'veA�ti Assessor's Map/Parcel Y►&,p 1S7 , Pei Si-3 #qG. 4 Z9� Dsderu. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. '4 2S-`3 13l, r-K+ 13 S A W tsc, Pts 13wc(zr ticdc F. I-to Iv+3va- E3tz me cryr SFvr..r , OS}rruille f MA 67,69.5 Type of Building: Dwelling No.of Bedrooms 1ln r-cc Lot Size 3 1,Z.&3 sq.ft. Garbage Grinder(Al®) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gamer-day. Calculated daily flow 3 3® gallons. Plan Date ii�3�� Number of sheets TcArn Revision Date Title S/c-F ser//zc Size of Septic Tank tsars 4ollaMA Type of S.A.S. l�c�el.,T.ry►cr1 5� �C�F xZ1 Description of Soil PC c e.se- ram.- At> sdi I toa e , 12 tr,•N P- 7 to 6 � 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 issued by this Board of Health. Signed Date `'� l •. Application Approved b y � Date Z � Application Disapproved for the following reasons Permit No. Date Issued e TOWN OF BARNSTABL;E ` LOCATION`I -? tK Qf a: SEWAG 7.7 ', VILLAGE, ASSESSOR'S MAP & LOT /77 INSTALLERS NAME&PHONE NO. 1 p_�c%st'i ti s"' 77G� `tcti`; SEPTIC TANK CAPACITY 156:C; - LEACHING'FACILITY: (type) `"s (size) 5��. X L/ r. 1 NO. OF BEDROOMS - 1 BLTII.D,ER OR OWNERr Cc PERMIT- DATE: Z Z © COMPLIANCE DATE: Separation Distance.Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Prion site or trr Supply Well and Leaching Facility' (If any wells exist F within 200:feet.of leaching facility) eet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility,) Feet Furnished by s ri _. -- — s L 3> 34��. 79- A Z Fee �✓�"�✓ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for ]0igpo,5al,,*p!6tem Construction 3permit Application for a Permit to Construct(X)Repair( )Upgrade( )Abandon( ) N Complete System ❑Individual Components Location Address or Lot No. 15, Pa v+c ) Ct ti kro'I Owner's Name,Address and Tel.No. 3 ��c 42q OS<cru.%/cam 02G SS Assessor's Map/Parcel Mro 1p 187 , Pc 1 3 I-3 Al'G, Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. A Z8—51-3 Stcp►+., A D X,Irv- hide S m OS ire vil le MA o"SS Type of Building: Dwelling No.of Bedrooms 111 Lot Size 3 t i Z&3 sq.ft. Garbage Grinder,(A/o) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow CT galigsrer•day. Calculated daily flow 330 gallons. Plan Date Number of sheets 7Z-'n Revision Date Title Sc/>h Q/c-1 Size of Septic Tank t Soc, ctra(I or v Type of S.A.S. Description of Soil O c use rEk, 4,> SGi I ta%q 12 tc w% !�- 710 6 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 issued by this Board of Health. Sig Date Application Approved bned Q Date/ Application Disapproved for the following reasons Permit No. 6 Date Issued -----------------------r--------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS ; `i ! Certificate of Compliance � �. THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by T m at T `; , PA/-/< A e n - V�i�� �� has been constructed in accordance with the p ^ions of'itle 5 d the for Disposal System Construction,P,ertri} �� ^dated�. "f���006 Installer - �I Y�'esi�g er The issuance of this permit�ltal�` oeb g construed as atiar�ait e that the ili ftte i s des�i ned! Date �j/ / V / "I, Ins , ctof� �' ------------- 5�� --————————————————————— No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS .1wi5pozal *pgtem Construction permit s Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at Ce�z k— /c- 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 be completed within three years of the date of thisfelmit. s^ Date: .,J ..�. � �� ��y � ' Approved by� C �,�. / D i�SZ(�N DATA 581v31c. Far► alas. -3 Bcalroar" Tofx;I /�o6�rba�c Gr�ndcr s�b�o;1 Z61i..l Daily Flow = _x 11,0 spdA.*M z 330 Sef-he.7anic _ 33o x Zc07o USE 1500 GALLON TskMW_ L�hGN1UG SYSTEM DESZ6IV m�a��M _7�"�- -�,�-" gpptrcafson Ar<a: R V►>'L� Sah.l d 111cd�...� 6►74 GPD = 44(, SF G r.Vc I Sa.a.p AMItcat-►c►+ Arca pcsiIn Lcach lrzvicL� �J►rfCWaII ^Ka Ski/ X. Z K Z elv. U&lcl Arca P rZe r-i=sT -DATA Pcresisf►an R��c � S ww►�1wcL� G1�Ss T S�i13 P- 7t0(o lO�tB "$� 'j 2 wii��tnch S,.LAN iISCxl W tv,css; .J�.Y�VIA riI L L°<LCH/N6 7-,eE.i1CK Fe Pvc,5ra.40 2''pc�sFa•.o 3 1,00 �clipr Fnflr f'G 29i5 2'7.90 25:2Ow ?Sr$ 1506 . L , 46 C- � TAwk II•SCTP 1) fJ� 1 I 30 -2o0�. I Ccr�a� Tl%a4 Thc, Pr�wpese-A Dwc1�►w� SLtowrt SITE . 5EPTrc PLAN Ncrecav► Co►..PI�S Wild► "f1+e S�.te1►ne A►.d Set= LOCATION 15R. PKRw_ Ave Ce'irn-cteVttLE bocEc fRC rlr•cw►cnfi5 Of T1�c- Tour► :o f SCALE= ._I"=:,4U`. DATE Barns+ablc Ar►d. Sm, Locv+aaQ 4f►*k;,% A` ' PLAN REFERENCE: L.C.C.- 1,75(34 Special FI�•+� Nzz Zoge . A55LSSORS MAP: 187 PFIRCEL: 31-3 APPITCANT= }114SL►or,c - CuxsMuciw✓► -30.2"° Baxter,.Nye & Holmgren, Inc. �C: Sur►." ei- Z?�lGc . .►.� in Street 12 Ma Osterville, Mass. 02655 QffScfS.,�t`o.m build► xaS.3ke%)tsl net be- UScj Sob No Z000 16 T -{� c s�Io!�s 1. .�roper� �►r1 cs- SN�rT !o G Z L At Sf/EET.Z o� Z ZU�I� rz2 D— I ; AP? hh s 5 a �� 2 St. . P w d � r tor 3 - z4� \\\ 31,283;S.fr \NN \\\ \\\ \ \ ♦ \\ \\o \\N \ Prop. HQVSC n \ fy. T=PNEN i `i f ! I / / , �:; \ \ Flop. Warm hL r'` r 61TE PLAti1 L L = o ii_ 3o-2000 c\c DtSSr�-►N DATA S;•,gt�. F'a.+�.l�.! Bcclrnory: io��o;i.E �oP�o:� f /(Jo6arba�c Gr�r+�lcr s�b�o�I g,,las.�l Daly Flow = —x Ua z 33a_ - A /1 meJlUM Scpi�a 71nlC a . 3 3� X 200'fQ = / ( C� Sa:..t USE !Soo GAt1oM -TAyk G•� -f " L�hc'NWG SYSTEM DESL6N m�dt�M _ TZI: Appircatton Area: R�ViIIcQ '. Fina h?Ieoll..n 33o GPD 6�74"GPflJ = 446 SF Appla,ofioa+ Arce pcsi�n Lc«c�1 Trzvidl S(o� . S.dewsf1 Ae=� S4& (w< rcrG,kr _ /4m t is 6p X 41 . Z Z"^w T Toi.►1 =I Area' — Pcreslacfia.+ "R.�c .�' S rlw.w�1.KH - Yze Glss Tcs.i S,.W+Isc�1 LJ,J-vtcss: 'J. Y)utir�i -4-H11l6 7-RE7A1CK ' T.0-F Pc 4� Pvci 5d.A0 z''p�56-0 31,00 z 51,o,u I' Fn Flr 29i$ t, `G 2 q1 S r ti . , .. I5o6 . / Z5;2 25r 5 _, z T L cc cLiiK /�cr�ci� YUc GAL_ 25.£3 " , .ld m i rig. 2 3.0 Tr Ayk i 1 -30 -20o G. I Ccr++j, Ti%a.1 The-. Pr-pose! "Dwclltw� 511own SITE SEPTIC PLAN Ncncon eot~.Pt�s W Ilh Ti+c" S.A40+ne Afta Sct= LoCAT10.N ? 15`I. ppiq c /�VB Cr�rrt Jf1-t H bo�Fc' (-Zc�wKrncnfi5 T�� TTo-n :o f- SCALE= ...► =:.4U DATE I Berrss+abfc Alnd. Ss Loc-a-+aacQ, 41.t1.:+n A ' PLAN REFERt=NGE: �-. .c,. L�Sa4 SPcci:I" Fla�o-� ''Nz� Zones - ASSLssoR5 MAP: IS7 PARCEL= 31-3 APPLICANT- M454G11<. . �SFYu ha-1 Baxter, Nye & Holmgren, Inc. i ,c&AW s(�a1CTr6/- 812 Main Street Osterville, Mass. 02655 Offs�ts. �ro.m b��ld..1$s.atio�l� net be Tob.W ZOGO— 16 to c s b! s a oPcr I Ines_ SNe'CT i or Z SHEET Z o1 Z Z0IQE R D- I ; AP V? r, 424 s y e a �W ,•�-5�'y - o 0 Ng� Lor 3 - x►t \ \\\\ 31,2s3t S.Fr � \ \ \ \ \\ �\\\ \ —�\ \\ \ \ �\ \�►�\ \\\' Dfs1, 'fox. �-- \\\ N7Z, w�`a� \ �\ \ �\�\y Prop, Hcwsc a � ~'~''N Rr • ' w. NAL l x a 61TE PIANJ c , 14-0 �Nar�: �acw f//ap ii�f'aF�cl /Z'/��lvcr z000- 167