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HomeMy WebLinkAbout0103 ROSEMARY LANE - Health j Rosemary Lane rville 147 007012 No. 4210 1/3 ORA Pendaf lexo 10% TOWN OF BARNSTABLE 15C. L&CATION /9,3 �oSc?✓ch' L� SEWAGE #o Z. VV-03'7 4 VILLAGE ��.�� w�� ASSESSOR'S MAP & LOT 114�TALLER'S NAME&PHONE NO. k>`a/o��� Cs �i ��dr� y2TT-YaL SEPTIC TANK CAPACITY /3-,m ��L r i LEACHING FACILITY: (type) 1,5, � T,�r4Lr;� o>� (size) �4 X 3u X6 , NO. OF BEDROOMS + BUILDER O OWNER ��•ao PERMITDATE: 2J COMPLIANCE DATE: L i Separation Distance Between the: i 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 Feet within 300 feet of leaching facility) Furnished bye✓ C�Bt /<��rc��•4�r�� �03 777 A Q - 1000 lasts//r�. NY, 79'y� a' LIs9/t�' YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signdtures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Officer, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall. and get the Business C(.�rtific..ate. that is required by law. DATE: ( �� t Fill in please: APPLICANT'S YOUR IN AME/S: 0,01 t BUSINESS YOUR HOME ADDRESS: -776-4L_k� L ef 4aAKv i IYA TELEPHONE # Home Telephone Number. '5!,7 1 NAME OF CORPORATION: F..L/" o ,z 5 5 l Z 0 NAME OF NEW BUSINESS I I 1 Ye,-TYPE OF BUSINESS YL `{ IS THIS A HOME OCCUPATION? X YES Nfol L� J ADDRESS OF BUSINESS a Yl I MAP/PARCEL NUMBER I —00 7`�y1/—(Assessing) When starting a new business there are several things.you must do in order to be incompliance with the rules and regulations of the Town of - —Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &. Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual h e n inform f h 77 it Feq it ments that pertain to this type of business. 11"4 Authorized Si ature* COMMENTS: "." amply WITH ALL KMR0011S MATERIALS REGIJLATIANS 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Hazardous Materials Inventory Sheet Checklist ' .Date -Ph sical Street Address-Check database to ensure it.exists �— Working Phone Number` Actual Amounts.-( ie. gas being used:to'fuel machines;thinner to clean brushes all count-as hazar,.dous..materials-no blanks) n, Storage Information.-location of storage, howlong is storage for? / If none:-note that: S✓ Disposal Information .where and who? If none;:note that Appli cant-Sig nature:-understand what is listed and:noted Staff Initial-.any questions, know who to.ask Vehicle.Washing/Rinsing'?, -..give a vehic.le.wash.ing..policy and . explam:it, ..... Attach the Business Certificate with your sign:off and comments _**The inventory form should explain what the business consists of and.the procedures they are doing. Notes need to be left to explain what you discussed with them. i / S / 2 TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: 4i-�hkmGl l �alorAv-e— **­ BUSINESS LOCATION: Qb INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: 4w — :3 CONTACT PERSON: hl),Yu�&% COILA6 EMERGENCY CONTACT TELEPHONE NUMBER: 1 MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents n Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS PPlicant's Signature t 's Initials Barnstable Assessing Search Results Page 1 of 2 dd b',, w Home: Departments:Assessors Division: Property Assessment Search Results 103 ROSEMARY, LANE Owner: COLLINGS, KENNETH J & KATHLEEN M Property ketch Legend Map/Parcel/Parcel Extension 147 /007/012 Mailing Address 113:i,y COLLINGS, KENNETH J & KATHLEEN M a. 103 ROSEMARY LN r CENTERVILLE, MA. 02632 151 1110 V . 2004 Assessed Values: .£n Appraised Value Assessed Value 11 Building Value: $ 132,500 $ 132,500 Extra Features: $4,600 $4,600 Outbuildings: $0 $0 Land Value: $ 142,700 $ 142,700 Interactive Property Map: Ma requires Plu in: Totals:$279,800 $279,800 1 have visited the maps before 40 Show Me The Man ' April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: COLLINGS, KENNETH J& KATHLEEN M 5/15/1988 6279/139 . $ 171,400 VALAND, INC 5/15/1986 5053/197 $ 1 REL OF EASEMENT 11736/ 133 $0 2004 Tax Information: Tax Rates: (per$1,000 of valuation) Town Tax $ 1,849.48 Town Fire District Rates Other Rates 6.61 Barnstable 2.01 Land Bank 3%of Town Tax C.O.M.M. FD Tax $307.78 C.O.M.M. 1.10 Cotuit 1.52 Land Bank Tax $55.48 Hyannis 2.03 West Barnstable 1.36 http://www.town.barnstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 1/16/2004 Barnstable Assessing Search Results Page 2 of 2 w° �A 1 Total: $2,212.74 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.57 Year Built 1988 Appraised Value $ 142,700 Living Area 1738 Assessed Value $ 142,700 Replacement Cost$ 144,011 Depreciation 8 Building Value 132,500 Construction Details Style Cape Cod Interior Floors CarpetHardwood Model Residential Interior Walls Drywall Grade Average Heat Fuel Gas Stories 1 1/2 Stories Heat Type Hot Water Exterior Walls Wood ShingleClapboard AC Type None Roof Structure Gable/Hip Bedrooms 3 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 7 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value BRR Bsmt Rec Room 400 $ 1,800 $ 1,800 FPL2 Fireplace 1 $2,800 $2,800 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 1/16/2004 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in compute t. Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Miqual *p$tem Construction 30Crmit Application for a Permit to Construct( . )Repair( ✓)Upgrade( )Abandon( ) El Complete System U'Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 103 Ass s o 's a aryl o © O Installer's Name,Address, d Tel.No. Designer's Name,Address and Tel.No. X1�1vlD111- a 71 Type of Building: Dwelling No.of Bedrooms 3 Lot Size � ✓� sq.ft. Garbage Grinder( O Other Type of Building e� G No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Z Number of sheets f Revision Date Title ®7 03 _ Size of Septic Tank O® Type of S.A.S. Description of Soil /U`—X, �y 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 bee ' sued b this I d Qf Health. Sig ed Date /v z Application Approved by Date `® Application Disapproved for the following reasons Permit No. 'V —2 3 7 Date Issued G .. No. —! '— V --- ;»- Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓✓ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 2pprication for Mie;pozal *pztem Construction Permit Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) O Complete System OO Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. /03 �o�s� As ss is ap00 7 �/ �ew/� rUl�/l Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. /0 1poei 01W51 calla 7 71 .4� ,� Type of Building: Dwelling No.of Bedrooms J7 Lot Size 2e157 3,4 sq.ft. Garbage Grinder Other Type of Building Rif 5 No.of Persons Showers( ) Cafeteria( ) Other Fixtures t Design Flow rIAO.) gallons per day. Calculated daily flow 3�� gallons. Plan Date � Number of sheets / Revision Date //Z//6 el Title J D /O> A5 5iss�Q ►%1 Size of Septic Tank 00/3 ?"7 Type of S.A.S. /I/Z/ Description of Soil 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 s_sued by this Board o Health. Signed Date Application Approved by,,-,- Date /0 Application Disapproved for the following reasons Permit No. r!!�L.0 —12 3 -7 Date Issued 1 A L-Z THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that th On-site Sewage,Disposal System Constructed( )Repaired( )--)Upgraded( ) Abandoned( )by /fJ/ ' ® at v Z w 9eAfl'4`/Ile has been cons jcted m accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. b r)U-o Z-7 dated i! 2 3!d(l Installer Designer _ The issuance d this emla pe t shall not be construed as a guarantee that the sy i`l�function designed. Date +� �i) Inspector 1i'1.� IV. — ------------------- -- -- No. CEO ��3 7 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLE., MASSACHUSETTS Mizpoal bpotem Construction Permit Permission is hereby granted to Construct( )Repair( ✓ Upgrade( )Abandon( ) System located at I6 /�il. S�"���%'i'Y �s� , / P e >,e 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 ears of the dat of thh P Y P Date: / 913/D Approved by _� TOWN OF BARNSTABLE if C LOCATION /43 � �� SEWAGE #.VV-07 VILLAGE ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. %�`a/o��� �f�'�i ��d'� 52KIM' SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 'R ���-/��� i eeeA.,/,t3 (size) ,;?o NO.OF BEDROOM BUILDER 0 OWNER PERMITDATE: 3 _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 99/03 CT) � a3` 3r'y• 1 avr=�t 's " -k y 4-y Vex, U,rlr✓ hh TOWN OF BARNSTABLE LCX:AT�t,1 10 ICz LN SEWAGE # VILLAGE Ce' ��,xQ� ASSESSOR'S MAP & LOT ty 7. D6 7-d t W-STALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 10 Q cy _ LEACHING FACILITY: (type) (size) 1! X Q r NO.OF BEDROOMS__ BUILDER OR OWNER Ks?M- PERMTTDATE: -Q- 4 COMPLIANCE DATE: 1 b —26 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 Furnished by ____ � _ � a ,. � x� ,, �, � � � ,Q,,� .� . �� 3 � of �. � tC �� -- ,,. No. " ! Fee THE COMMONWEALTH OF,MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIPPYtcatton for Mtopooal bpoem Con.5tructton Permit Application is hereby made for a Permit to Construct( )or Repair( an On-site Sewage Disposal System at: Location Address or Lot No ® + ; 'Ifs G Owner's Name,Address and Tel.No. C Assessor's Map/Parcel 0— 3`, C"5- Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 90 ��� /6 Type of Building: Dwelling No.of Bedrooms 5 Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow c330 gallons. Plan Date Number of sheets Revision Date Title Description of Soil Mrs Z5 d4vl O,n Nature of Repai.rs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of a Environmental nd not to place the system in operation until a Certifi- cate of Compliance has been is ea Sigge'al I Date Application Approved by Date/6- �L -g6 Application Disapproved for the o owing reasons r Permit No. s5i2 t` Date Issued 00 No. Fee 1 THE COMMONWEALTH OF MASSACHUSETTS Ik PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 01ppYication for Otopooar *pgtem Construction Permit Application is hereby made for a Permit to Construct( )or Repair( 6) an On-site Sewage Disposal System at: Location Address or Lot NYa3 DSlw_ Owner's Name,Address and Tel.No. Assessor's Map/Parcel �h✓f - lti-' l y7- 007,0 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. A'0-.6A eS��r� Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow �330 gallons. Plan Date Number of sheets Revision Date Title 1 /n Description of Soil AR r_ Q 45 AVL ►/ Nature of Re airs or Alterations(Answer when applicable) �U�SJ ip(f 7LA_•+ A t-T~✓`L�U�� lcJ� Date last inspected: Agreement: �2 The undersigned agrees to ensure the construction and maintenance a the afore described on-site sewage disposal system ' in accordance with the provisions of Title 5 of Environmental d not to place the system in operation until a Certifi- cate of Compliance hZn�ed ued-by ar �`ta �� a Date Application Approved by Date/42_ �L -gA Application Disapproved for the o owing reasons t Permit No. 1?/ l L/ Date Issued pt THE COMMONWEALTH OF,MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance / THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( or repaired/replaced(v)on/0� by G/30*. S n/J7'f L.. Installer 1113 LN at ok V1 Vt has been constructed in accordance with the provisions of Title 5 and th or Disposal System Construction Permit No. 0 L dated Date Inspector \--4,_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYS- TEM WILL FUNCTION SATISFACTORY. No.--O— D----------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS ]Bte;pogar *pMem Conotruction Permit Permission is hereby granted to M 1 0 v to construct( )repair( )an On-site Sewage System located at 90.#___06Q 3v 5 r i / Street and as described in the above Application for Disposal System Construction Permit. 9l .e C}1- No. Date The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within three years of the date below. �y Date: f? �-- " 9�7 Approved by ✓"1� Board of Health CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WOIZKS C0NS"1'1WCI'I0N PERMIT(WI'I'110U'f DESIGNED PLANS) 1 hereby certify that the application for disposal works construction permit signed by me dated � ' , concerning the property located at 103 16Ptrt,-Z 11411 /S meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED : DATE: LICENSED SEPT[ SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER (Atlach a sketch plan of.the proposed system. Also if the lice nsedinstall r posesses a certified plot plan, this plan should be submittedj. s ,ry' TOWN OF BARNSTABLE / 3 LOCATION ,or IU ��� se�„a ray �,✓ SEWAGE # t VILLAGE Gy-ter :�v r Ile ASSESSOR'S MAP & LOT 1 ii f Jy INSTALLER'S NAME & PHONE NO. ,� G N SEPTIC TANK CAPACITY 6,9 LEACHING FACILITY:(type) ;"--/G -2 (size) 10X.2 61 NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER (,�. �/-}.✓�,� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: )-a-9 7 VARIANCE GRANTED: Yes No S J J-7- P, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH jj ...............oF...... - �....:......:... ........ .. ... . Appliratiun for Diupu,pttl Works Tunutrurtiun rrrmit Application is hereby made for a Permit to Construct Q/<�r Repair ( ) an Individual Sewage Disposal System at: .........�. _ .. is .�Lewd 1� .... t.. ................. .................... ... ..... ..._... .._. L!a' u•Address on Lot,Ijo. ..........�Cl�:�&M.. .... .................................................... .. .:. 1 }= 1 •Owner Address a ......................................... .............................................•-•• .......--....................................•-••... -•••------••......••-•................••-- Installer - � Address .�- 2 Type of Building Size Lot. �..�'��.�......Sq. feet .., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—,Type of Building .........:.................. No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures ........:............................... ..---.---...----.-----------------------•--•----•--•-----••-•-•---.-................................ Desi Flow.............Q...__..._.....-----.... ]lops er er a . Total dail flow.......—�...___.._-........_.___......gallons. �D W !I Sa P P� Y Y W LSpti ank �;.i`u Scapacity), gallons �Length.�.b.N.:.. Width:. ,!f.A... Diameter—........ Depth..5'•--�.... x —. o......Z-.. Width...,14............. Total Length......�2........ Total leaching area.. ���,.`f---sq, ft. 3 Seepage Pit No..................... Iameter.................... Depth below inlet.................... Total leaching area.................sq. ft. Z Other Distribution box ( Dosing tank ) Percolation Test Results Performed b ...._. .a �, ...a?�............... Date....... .� Test Pit No. I.../-J-...minutes per inch Depth of Test Pit....1A0I......... Depth to ground water.A A t.EL:..X4)11 Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... O S il... :` ? l_ .A'�..�J.°1'' ._....... .......................................................---• --......... ..........y Description of o :- . . �'� G4.�..�.....!8... '.10:. �.�� + �... ...... --.5�,,J..--•.......................................................•----.............---.....-•----......---...------•-----... Uw ....-••---•---------•-•--•............ 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:I I L r 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance een issu y the oard of I lth. J 3�� Signed. .................... ••... . ..Y...- Da, Application Approved B Dat Application Disapproved for the f ollowin re ons:..................::.........................................•..............._.................................. ...................................=.................................................................................................................................................................... � Date PermitNo......................................................... Issued...................Date•••............................... 362-4541 926 main street rt 6A yarmouthport mass.02675 down cape engineering civil engineers& land surveyors structural design January 7, 1988 Arne H.Ojala P.E.,R.L.S. land court Richard R.Fairbank P.E. surveys Board of Health site planning Barnstable Town Hall 367 Main Street sewage system Hyannis, MA 02601 designs Reference: Septic Certification on Lot 12 Rosemary Lane, Centerville inspections Dear Mr. McKean: permits On December 23, 1987, Down Cape Engineering inspected the septic system on Lot 12 Rosemary Lane, Centerville. The construction ccimplies with the Massachusetts Environmental Code Title V, the Barnstable Health Regulations, and conforms to Down Cape Engineering's Plan #83-162A, dated 9-30-87; except that the septic tank is 9 feet away from the inside wall of the foundation. If you have any questions or ccmnents, please call me at 362-4541. Yours truly, Arne H. Ojala, P.E. & R.L.S. Down cape Engineering LKq/1 cc: Valand, Inc. 765 West Main Street Hyannis, Ma 02601 i .� No.. ._... S THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �-� ...----.....oF.` 7 ,: ..:��1� .. Appliration for Disposal Works Tonstrudion rermit Application is hereby made for a Permit to Construct ( °nor Repair ( ) an Individual Sewage Disposal System at: •• •• .- Location--Address or Lot No. -....... .....................•- .........................................I i � ..IK,+ WOwner. Address i M• -���� Installer Address Type of Building Size >v......Sq. feet V Dwelling No. of Bedrooms.............................. ._...Ex Expansion Attic� �— .•--....- p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ...........................................::........._...........-•----..............----.............--•.....---....................._............. Design Flow......... '-�:a........................--gallons per_p�ersond p`peerrday. Total daily flow.._.. .............gallons Septic Tank—Liquid capacity.0M, Ions Length._��-�...U-..... Width_. .1Q.... Diameter............... Depth..�_.._7.... x Disposal Trench—.No.......Z.......... Width...A! Total Length........ .•...2 2....... Total leaching area-2-v1!., ` sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet._.................. Total leaching area.................sq. ft. Z Other Distribution box Dosing tank ( ) _ Percolation Test Results Performed by.......... _ �`- 'u ��-.......2 ..... 2 I.. "N�.............. Date....---...._............................ Test Pit No. 1... ._ ...minutes per inch Depth of Test Pit.... ....-. Depth to ground water.: l�:........:2 t 4 Test Pit No. 2................minutes per inch*o bepth of Test Pit.................... Depth to ground water........................ O Description of Soil...: ........t .... D--�- •' ' a _t _ y f?s.�:_'...A.....1 b_'-- ©.:' S -�I�'- Z'-:' +........................ :.. / -Po vr+c�+t� �� S/A V U •-.... ------ ...........-• .................•---•-•---- ... ...........-• ...-•-•---•---•----•--•----. ........- --•--....................... ----......._......•--•... UW ............................•------........••........_..............----•---......................................---•--•--......--•--............................................•----...--•.._........ 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 TITL: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance , as'6een issued by the board of health Sign �............. 7................... ..........................�' Dated Application Approved By-•-•--- ` ........••••...... ... .............................................. .......... ../... 1 a r Date ' .'P....... Application Disapproved for the following e�gsons:........................................................................... -_._....................._.. ------•.....................•--...------.....-------•-------........................----•---...---.........-•---......--•----•--•-•------•---•--...............---...........----••--•.......----...... Date PermitNo......................................................... Issued-....................................................... Date ------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �U 1V....................OF................ .. ........................................... (9ertif irate of 09-amphanrr THIS IS TO CERTIFY, That he Individual Sewage Disposal System constructed ( ) or Repaired ( ) by...................... ,:...... ._.............. - .... .............. ..... ..... ------ •-_.:... Installer at........La a ........--•••-. -Z`=.. i�-�S•�,0.. W ..........::...................��'...............--•---................. 4V has been installed in accordance with the provisions(ofrTT/�'I'I E 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit ............. dated..........U.=.....Q.....�...� ..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE/* DATE WILL FUNCTION ATIA . �CTORY.•••• Ipector..................._� -.......... ' THE COMMONWEALTH OF MASSACHUSETTS E F t 1 / BOARD OF HEALTH }� \.I�V .........OF............. � No.!,.�....... Z � .................. Fz.$..: ................ Disposal Works Tonstrnrtiort f rrmit Permission is hereby granted----•--• t A) .........../j-V e C_) ..: ...... to Construct (3C) or Repair ( )an Individual Sewage Disposal System _ } + at No...%...............••--�•••�......-- -1J�lY�/l�� l � ./� �-'{, • -....._.....•.•. ---------•-•--;_•.•--•--••....•...............•-•-•--••--•---.............-•--........ Street )/ / ^� as shown on the application for Disposal Works Construction Permit No.Y_6._.-(-_L Dated.._......[-.............................. l _ y Board of health DATE.........2......... ...........•••-•--•--............. P�ppTHE t TOWN OF BARNSTABLE OFFICE OF DAH1lTABLL MAld BOARD OF HEALTH .� 0��w`� 367 MAIN STREET HYANNIS, MASS. 02601 Via? �6 Sewage Permit # -7^ Applicant : VA LAwr-) =,7 ,c Proposed Install ,h P'PC0,M�r^uT The plan for the on-site sewage disposal syste at Lts4- has been approved with the condition that the design engineer must be on-site and supervise installation as well as certify in writing that the system was installed in strict accordance to the approved plan. Approved By Date oPy V A L+A-A) �1��� 7, TOWN OF B1,RNSTABLE LOCATIONi'Yl� '<i/oT! +� SE WAGE �# VILLAGE�'���1?C(�`/� ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO.�,pGLah)U4 � myo I Q 4 SEPTIC TANK CAPACITY ` 600 LEACHING FACILITY:6 pe) low PI yr- (size) 3 3 Y NO_ OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �� 6 DATE PERMIT ISSUED: 7 4Z DATE COUPLIANCE ISSUED; VARIANCE GRANTED: Yes No J S t ' 1 r e it F I 1 1 SECTION - SEWAGE - - -- -- -- $roP � � 9 y SEPTIC TANK - /Q _ ..D..BOX - CJ -LEACH / i/SIr.�F' TOP OF FDGN = � (MSL)• ..2r.OF 1/8TO y2�' WASHED STONE IN" OUt• N• 4�,,e};'�n n -_�"� /lamT lQ�Ir G I OUT• I N• �< .. �/T SEPTIC iEl ELEV. TANK ¢loT 3,G�' ' � L� d 6 ELEV. ELEV. ELEV. ELEV. — . OF I/a".ljh" WASHED STONE TEST HOLE LOG :, TEST BY �F�/� iY ✓-' Cc�iC/LG7�/ �0/7 t" �t* .� TEST DATE WITNESS DESIGN BEDROOM HOUSE t _� T.H. r 1 T.H. � 2 ` —AC ELEV. ELEV. T} r�r .,:hc \ —• ADA►,.IPOLI W NO U G DISPOSER DISPOSER a ` PERC RATE MIN/IN. 5<t ;;mak ELEL1WL CD1/IPALI`(Y No��¢, FLOW RATE/i0/3J(GAL./DAY) 30 �9S >9 '` o` � /B /,3O <SL fl/aa rISEhIIEfII SEPTIC TANK - Pp/.t�!-`.� , REO'D SEPTIC TANK SIZE 2 CY 1( LEACH FACILITY R 1Tjr,! CGL1f FE ¢ SIDE WALL(lZr�oJ =6��(2S) /�3!o BOTTOM 2Z-t�J G/D. TOTALJ'7..3.(�� ZA f/ USE: ��/O LEACHING WATER ENCOUNTERED k, NOTES (UNLESS OTHERWISE NOTED) / I.DATUM(MSL)+TAKEN FROM__.!_ld�/� -S (QUADRANGLE MAP 2.MUNICIPAL WATERw _ __�S---------AVAILABLE OA\ILIJ_-go LlSI 3.PIPE PITCH:'A"PER FOOT ,jN OF 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO. 11�� n 5.MIN.GROUND COVER OVERALL SEWAGE FACILITIES:(I)FT. 44 - �p ARNE W. 6.PIPE JOINTS SHALL BE MADE WATER TIGHT 7.CONSTRUCTION DETAILS TO 8E ACCORDANCE WITH COMM.OF MASS. � OJALA ��� ` STATE ENVIRONMENTAL CODE TITLE_5 CIVICs �7� po SDI � vs SITE PLAN 9 ;LZ 7 ? i /i�1�;(!�/� T /N No. !_o' t F Y - - o win Locus: GZ2�Lfi'�i7�'X REG.PR NGINEER i:: h`�' O O� OJAu ti REF: - '' d c p in in O � " qF� PREPARED FOR: =-_ - en - eer �' e . CIVIL--ENGINEERS = - Q , - - -- .. - -- - LANDSURVEYORS CONTOURS (EXISTING)• — --- 80AR0-OF HEALTH -- (PROPOSED)--0-0-0-0— . 926 McIA$1<.,: REG. L EYOR - APPROVED DATE ^✓^� MA f ALE _ - • GATE TOP FNDN. AT EL. 37.7' SYSTEM PROFILE TEST HOLE LOGS - ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) PROVIDE INSPECTION PORT WITHIN ACCESS COVER (WATERTIGHT) TO 6" OF FINISH GRADE ENGINEER: RICHARD FAIRBANK, PE MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 35.9 - J. CONLON PROVIDE 2" DROP IN SEPTIC TANK BETWEEN WITNESS: I INLET AND OUTLET INVERTS RUN PIPE LEVEL 2" DOUBLE WASHED PEor�: DATE:_2/12/85 I 9,. - FOR FIRST 2' T7 35.1 INCH �tiF PROP. _1500 PERC. RATE = < 2 MIN/ 35.20' GALLON SEPTIC 35.03'* -- _ _ o CLASS I SOILS TANK (H- 10 ) GAS CDCD 34.7 BAFFLE 34.94' ��� 4.77 go 0.58' go $ 34.1' Locus 6" CRUSHED STONE OR MECHANICAL 4 ELEV. COMPACTION. (15.221 [2]) �" DEPTH OF FLOW = 4' ( 1 ( SLOPE) ( SLOPE) 3/4" TO 1 1/2" DOUBLE WA`:>HED STONE ) - TEE SIZES: LOAM & INLET DEPTH = 10 18„ SUBSOIL OUTLET DEPTH = 14 9' LEACHING LOCATION MAP NTS FOUNDATION-EXIST. ST 9' D' BOX FACILITY 5' SILTY ASSESSORS MAP 147 PARCEL 7-12 *REPLACE EXISTING 1000 GAL. SEPTIC_ TANK SAND WITH 1500 GALLON TANK AND RAISE OUTLET 33.90 30" WELL: AIW 230 INVERT ELEVATION FROM WHAT EXISTS AT 1000 GAL. TANK ABOUT 3" TO PROVIDE UTILITY l�\ 'OSEMARYZONE:ADJ: 3.2 GRAVITY FLOW THROUGHOUT SYSTEM, CLUSTER LANE CLEAN ED. (CONFIRM FEASIBILITY PRIOR TO INSTALLATION \ SAND OF ANY PORTION OF SEPTIC SYSTEM). NOTE: \ O � '� USE ADJ. WATER AT EL. 29.1' PLUMBING MAY NEED TO BE RAISED WITHIN .�s DWELLING. tK 33.55 \sus �T/4M M 34,09 332$ 34" OBS WATER 33, 5.98 i 3­, i BENCHMARK HYDRANT F NCE \ TAG BOLT 1551 34 ti 44a LIGHT ELEV = 35.98' 33.49 7POST 25,10 4.06 +34.71 102" ' i +\34.47 ` 33, NOTES: ,+3 ,70 +3 34.96 10 SKUNKN� �oJ�o / SEPTIC DESIGN: (GARBAGE DISPOSER Is NOT ALLOWED _) 1. DATUM IS APPROX. NGVD 3 34.17 i 3 110 = 3'70 EXISTING -\�,� 35.20 �' DESIGN FLOW: BEDROOMS ( GPD) � GPD 2. MUNICIPAL WATER IS -25,3a __. J ��� i , USE A 3:ry ,GPD vESiGN FLOW 3. MINIMUM PIPE PITCH f0 BE 1/8„ PtR FOOT. + o +34, v �i' wry. +35,48 SEPTIC TANK: 330 GPD ( 2 ) = 660 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 RAVEL 5. PIPE JOINTS TO BE MADE WATERTIGHT. *33.81 3� DRIVE 34.54 cos y USE A .Z�Q_Q GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. �o2g9 4 4 3 .97 3 '3 LEACHING: ENVIRONMENTAL CODE TITLE V. ' 114' }c34,25 / �5.50 6 �a� ' SIDES: N/A 7. THIS PLAN IS FOR PROPOSED SEPTIC SYSTEM ONLY AND IS NOT EXISTING 10:.)0 GAL TO BE USED FOR ANY OTHER PURPOSE. / 35.69 0/ SEPTIC TAW BOTTOM. 15 x 30 (.74) -' 333 8. PIPE FOR SEPTIC SYSTEM TO SOH. 40-4" PVC. 64 35_- ; REPLACE WFiH X / Q",7 1500 GAL. 35.21 TANK TOTAL: 450 S.F. 333 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 6.2 �� s� +36. 3, ' USE 30'x 15' LEACH FIELD OF 2 ROWS OF 4 FROM BOARD OF HEALTH. SHED 35,51 ! STANDARD INFILTRATORS EACH, WITH 3' S1ONE AT 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) FAILED SYSTEM -j-24. 8•88 AS 34. 3 SIDES, 3.3' BETWEEN ROWS AND 2.5' AT ENDS 11 , WETLAND FLAGGED BY AM WILSON ASSOCIATES 30.47 2.28 EXISTING METER 36 351E 1 DWELLING LOT 12 <,4's" TOF-37:7' REPAIR 24,830 SFt �b33.76 n� \ +36,43 LEGEND TITLE 5 Sl TLC PLAN ' TOTAL AREA ? DECK +�3,70 0 �25.19 i � 100.0 PROPOSED SPOT ELEVATION OF 1 ROSEMARY A R M LANE 1 3 R O E L E 104x0 EXISTING SPOT ELEVATION DECK � IN THE TOWN OF , +31 11001PROPOSED CONTOUR ( CENTERVILLE) BARNSTABLE a\ ' 100 EXISTING CONTOUR 100 PREPARED FOR: BORTOLOTTI l� O N TR TI N I N TO SKUNKNET RIVER � C S U C 0 /COLL GS 20 0 20 40 60 r -{-30,28 BOARD OF HEALTH •••k24.32 APPROVED DATE MA SCALE: 1" = 20' DATE: DECEMBER 5, 2003 REV. 1/21/04 off 508-362-4541 `\ �4 fax 508 362-9880 f h1g icy � '\H OF MASS, down cape engineering, inc. NE ��, �o ARNE or o OJALA . CIVIL ENGINEERS 634 �_ CIVIL : No.�8348 � No. 3 92 LAND SURVEYORS �a.. o � 939 main st. armouth, ma 02675 -- - -- 03--3 / 7 Y E H. OJALA, ., P.L.S. DATE