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Home My WebLink About0024 POWDERHORN WAY - Health CENTERVILLE 4 pOWDERIHORN WAY 190 009 LOT 41 a • a a 1 01-23-2003 11 a 58ct COPY DEED RESTRICTION WHEREAS, Theodore Lukac and Patrycia Lukac, of 24 Powderhorn Way, Barnstable (Centerville), Barnstable County, Massachusetts 02632 are the owners of 24 Powderhorn Way, Barnstable (Centerville), Barnstable County, Massachusetts 02632, hereinafter referred to as Lot 41 and being shown on a plan entitled "Subdivision of Land in Centerville- Barnstable MA, Property of Alan E. and Dorothy A. Small" duly recorded in Barnstable County Registry of Deeds in Plan Book 204, Page 117; WHEREAS, Theodore Lukac and Patrycia Lukac as owners of said lot have agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which are included in the home built on said lot in accord with the disposal works construction permit in compliance with 310 CMR 15.000, State Environmental Code, Title V, Minimum Requirements for Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health granted a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and is authorizing the issuance of a • building permit, it is requiring that the agreement for the restriction on the number of bedrooms in the house constructed on the lot be put on record with the R=!3tiRT I.)�?NaFti_E Barnstable County Registry of Deeds by recording this document; (. I � �� • ,� ' TOWN OF BARNSTABLE l.( rATIONI x' r��, ,.?�a+✓n SEWAGE # �s�� VILLAGE_ ASSESSOR'S MAP & LOT/-&- !3 INEZALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACII.TTY: (type) �� 2-Us. NO.OF BEDROOMS OR OWNER �-+ f PERMTTDATE: 15�"-;Zr� COMPLIANCE DATE: ""' �' f� 22`� 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 o? ching faci Feet Furnished by - y�, i t NOW, THEREFORE, Theodore Lukac and Patrycia Lukac do hereby place the following restriction on the above referenced lot in accordance with their agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 24 Powderhorn Way has constructed on it a house containing no more than three (3) bedrooms. Theodore Lukac and Patrycia Lukac agree that this shall be a permanent deed restriction affecting Lot 41 located at 24 Powderhorn Way. Barnstable (Centerville), Barnstable County, Massachusetts 02632 and being shown on the plan recorded in Plan Book 204, Page 117. For title of Theodore Lukac and Patrycia Lukac see the following deed: Book 5497, Page 139. Executed as a seale41t A�mentthis 3 day of January 2003. Theodore Lukac Patrycia Lukac COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. January a3 , 2003 Then personally appeared the above named Theodore Lukac and Patrycia Lukac know to me to be the persons who executed the foregoing instrument and acknowledged the same to be their free act and deed, before me, 10KN ry A i'i.ii<- Notary Public My commission expires:' �4 &P<- I i i 1 1� i� j� 1 i� f i f i E i i i s i f j ! i f ! Ll 0 ! � I e i i I� 1 M 0 1�uc� aV.\ A-rtc, New moor J ' �'-- 1 l�^�0 4��'.• n 1.vF '�`�A'� - t L Ll PCr Li 5--eC4svcA Al 9 ,7 ---- I _.- �o S, 0 . I - I 14. ! - 7eFeec%` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipphration for &&pool 6r6tem CVormplete ctiott erm�it {� Application for a Permit to Construct( . )Repair( )Upgrade( Abandon( ) System Individual Components Location Address or Lot No. lAaXkXQ1Q4Vr6j �4er's Name,Address and Tel.No. Assessor'sMap/Parcel Q C_4RA:i `V c t� D0�1 r Lor t4� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. .Type of Building: Dwelling No.of Bedrooms 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. ,�ri L. Description of Soil Q .S Nature of Re airs or Alter 'ons(Answer when applicable) c nth. Lev w 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 h issue y f H Signed Date io dc� Application Approved by Date - �2 Application Disapproved for the following reasons Permit No. " Date Issued 4c� !Z �.. `.f No. ;G✓C1 '` Fee 1. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1 s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 3ppricationfor Migpogal *pgtem Conglr ction 'Permit V Application for a Permit to Construct( )Repair( )Upgrade(Abandon( ) omplete System `.Individual Components Location Address or Lot No. �l �� f f ner's Name,Address and Tel.No. Assessor's Map/Parcel G OYt Ot%jp C Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms_ Lot Size sq.ft. Garbage Grinder( ) r 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 _ t2 cie. S►`) y f t Nature of Re .airs or Alter ions(Answer when applicable) C .ST`Uu,� t74ti, i kW C j k Date last inspected: Agreement: The undersigned agrees to ensumthe construction and maintenance of the afore described on-sit sewage disposal system in accordance with the provisions of Title 5W thg,�Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has issued by iM Signed ' — - Date !9 Application Approved by ;•. Date '06, Application Disapproved for the following reasons a I Permit No. ' Date Issued �' '� --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed Repaired( )Upgraded Abandoned( )by N at cZ L)o.e e rJ has been construc ed in accordance with the provisions of TitIA and the for Disposal System Construction Pe Wjg e. dated > *"' W " Installer Designer The issuance°.f this hall not be construed as a guarantee that the � ill functio as designed. Date G /G ��' Inspec r- � G✓�� wd' '1, ------------------------" No Fee r THE COMMONWEALTH OF MASSACHUSETTS t PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS t ` Miopooar 6potem Congtruction Vermit Permission is hereby granted to Cons ct( ) epair( )Upgrade(V5Abandon( ) System located at C. i1? 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 e completed within three years of the date of thi rmit. d Date: ti ' '` Approved b ' "" 1i6i99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CER=CATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) . hereby certify that the application for disc works , osal orris construction pe.,nit sigmed by me dated conce.*mnQ the property located at aA �Ow \�IoNeJAJ C��- meets all of the following criteria: fr The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwellins. • Tne soil is classified as CLASS I and the percolation rate is less chart or equal co 5 minutes per inch. ,; i`here are no wetlands within 100 feet of the proposed septic system ✓There are no private wells within 1J0 Fee;of the oroposed septic srse:n There is no increase in floww and/or change in use proposed 10 There are ao variances requested or6�7 Herded fie bortotn of the proposed leaching,Fac.Iity will not be located less than five Fe_;above the tnaamttm adjured�oundwater table e'.evation. (Adjust the a-oundwa[er table using the;^rimntor method when applicable] the S.A.S. will be located with 250 Fer;of anv vegetated wetlands, the bartom of the proposed leaching facility will net be located less than Fourteen(14) Fert above the ma urnum adiused z,oundwater table elevation, Ple2se complete the following,: A) Too of Ground Suracr Elevation(using, GIS ituor nation) E) G.W. Eltration the"L-t.Y. :sigh G.W. a.djusrnent� D(h^ERE CE E E -�VEEv a,and.3 SIGNED D ATE. (Sketch proposed plats of system on bac:1.1. q: c3ich ioldcr .cc �. 3x� �� ` ` �ii 0.`�� 0 v w i TOWN OF BARNSTA.BLE LOCATION — !y ,+O,,� �crynL SEWAGE # (fllj� VILLAGE -o—� ASSESSOR'S MAP & LOT - INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) _ NO.OF BEDROOMS '� j OR OWNER PERMTTDATE: H. �-- � COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet ` Private Water Supply Well and Leaching Facility (If any wells east. on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of Chi;facirh� Feet Furnished by- r zC/ r/ d ��N rr LOCATION SEWAGE PERMIT NO. g4l en u, ,v P 1 'VtLLAG r I N S T A LLER'S NAME t ADDRESS d'UILDER OR OWNER DATE. ..P'.ERMIT ISSUED DATE COMPLIANCE ISSUED -f- � d-- �g 6P� i � ' o� CV c a Qf �Al _ _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWT1...........OF.....Barn.S.talb le....................................................... Appliration for DhipwiFal Works Tonitrnrtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair/( x) an Individual Sewage Disposal System at: Pocvcierl�orn Warr -Ceneryille-x..M . ........42 --.w e ---...n....... Location-Address or Lot No. Mrs. Jeanne S. Duggan 24 Pop e.xjiQr_lx...ay_..........--•-•-----------•---...----•---••--. Owner Address W A & B.Canc o- ..........a5a._xa1n---5 ._..lnl....5t2r?mou t�s a.------------ Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms................. ........................Expansion Attic ( ) Garbage Grinder 0C?) Other—T e of Building No. of persons............................ Showers — Cafeteria as Other fixtures ................................. W Design Flow............................................gallons per person per day. Total daily flow......................._:--__--___--_.------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---_--------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank. ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit---_-__-_•-_.--_-•-- Depth to ground water........................ ••••----•-----------••------••-•----••••••••--•••••••••••••••••••••••••••........-•••••••-••••-•••.......••••-•....•-•-•.......•-••••..............•--.....-- 0 Description of Soil......................................................................................................................................................................... •••••••••••••••----•-•••-•••-•.............•---•.....--•••.• -•••••••••••••••--...-••-••-•••••-----••••••••••••••••••-•••-••--••••......-••••-......-••••••••••••-•••••...........................•--- W - ---------------------------------------------------------------------------------------------------------- ----------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.1000---9a1-1tin.---sep i.c...taDk... ith...tao3;..__. and 1000 gallon leaching- pit.-stpn�--�a��e� ............................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iiT!.;,,. 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 :... o U fin'. r"r-------•-------------•----- .........3.....-�- A A e PProved B y.....- Application -----------------_----------- ---------------------------------------- Date Application Application Disapproved for the following reasons:--•--------------•--•--•--------.......---------.....---------------------------•--------------•••••.......•---- •••••••.......•••••-••••••••••••••••-•••••••••--•••................••••••-••-••••••••••••••••-••••••••••--•-•••-••-•-....---•-••••••--------•---••••-••••••••-••-•••----••----•-----------••........... Date ��- 'z Issued-------•------------------------•-•-•...........-••----Permit No..................... ....... Date No .. -.. FER a.c4..0.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... TQWA..........OF....Barnstable--------------------------------------•---•.----------.. Appliration for Di,apaii al Workii Tontrur#ion amit Application is hereby made for a Permit to Construct ( ) or Repair/(X) an Individual Sewage Disposal System at: k?©wcierhoz_. _W_?3t....C ' �4V l:le,. ............... ......#24................................................................................... Location-Address or Lot No. Mrs, Jeanne S. Uuan ..... P>Dwcierhou..t�1r. ......................----• -- ... -• -- Owner Address W A & F3 CenCo Q.. '�3...e�i ra.WA---YarIAC?1X4f1_�--Mt'�a a ................••••......-••-•-•••. Installer Address QType of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder �b) p, Other—Type of Building ............................ No. of persons_-_.-_---_-____-___.___--_-. Showers ( ) — Cafeteria ( ) Q' Other fixtures ............................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................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-_----------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by......................................................................... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..-__----__-_-____-_--. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •---•-••••-•----•....•------•---•--•-•--••••-•-•••-•-•-•-•-•-•-••-•...........................••.............................................................. ODescription of Soil....................................................................................................................................................................... "� ------------------------------------•------------------•---------------------------------••------------------------------------------------------------------------••-----.........-••-•-•-•-•--••----- U Nature of Repairs or Alterations—Answer when applicable-IQ---gAX;&;M_Sept C___tank_ and 1000 -gelr og . �---------� ------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT 1.;,. 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........................................................................................ .......................... JY Application Approved By----R-`-=--•-=-==�=-------a...v/.��....c�t--=-- .................... _ Dace............... Date Application Disapproved for the following reasons:------- -------------------------------------------------------------------------------------•••.....------ ••--•-•-•-•-.........•-••••••••--....•-••-••••-••--•-----•••-••-•--••---•-••----•--•-••-•••-••••---••-•-----•-•--•••-••-•••-•--•-•--------•-•--•-•---•---•••--••--•---•---•--•-•-...•--•---•-----•--•--- Date PermitNo....S(�� ?.`.. ........................ Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town................OF......Baal stable................................................. Tatif iratr of Toutplia tta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ) by-A-§-B..Cancv-•--------•----350__Mai_n.•S.t........W._..?�amowth................................................................................. • Installer at...24 Powderhorn..Way•-_-_-••_-_ Ce�ntervillei Ma, _._-___.. Mrs.__Jeanine--S*---Dugga><?...... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......�`. -------------- _'.=I..... dated_..... --- -_' 3 �'�............ ..-•-------•-••-•- THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL UNCT)ON SATISFACTORY. �/��> _ t 14 DATE............ �..................•-----•---•--•---•-----....__..__. Inspector----•--•--------------------•--____..----------•----•-••------..._..---..:..-•------ THE COMMONWEALTH OF MASSACHUSETTS Jeanne S. Duggan BOARD OF HEALTH T.oen................OF......BarnsUhle.................... ....................... $15.00 No. FEE........................ Uispooatl ork �onrnrion lertni� Permission is hereby granted__._ J .r. . y''c).C�c.--•••--•-•-----........................................................ to Construct ( ) or Repair ( ) an Individual Sewage Disposal System _J Street i 1 1 - as shown on the application for Disposal Works Construction Permit No:�.:'2�7.._ Dated:......................................... Z DATE-------I--- ( Board of Health -- -------•-----•--•----......------.....----.........._....----....---- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ..- -.