HomeMy WebLinkAbout0296 STRAWBERRY HILL ROAD - Health 296 Strawberry Hill Ave
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Health Complaints
31-Oct-05
Time: 11:45:00 AM Date: 10/24/2005 Complaint Number: 18530
Referred To: DONNA MIORANDI Taken By: Ellen Wadlington
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 296 Street: Strawberry Hill Road
Village: dt3— Assessors Map_Parcel: — Z2 2—
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TOWN OF BARNSTABLE BAR-W 4899
r .a Ordinance or Regulation
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WARNING NOTICE Y
Name of Offender/Managerff,OPA UL
Address of Offender <C � �/,/.�'7 '_�Cll�l M/MB Reg.#
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Village/State/zip
Business Name p,
Business Address ,/, /
Signature of RE-nf�orc nag -Of fic4r,_
Village/State/Zip
Location of Offense Aq10
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//.',}/e)�/ Enforcing �De�pt/Division
Offense l�/(.(t4 0_)� AAeA(SMAI_(� AD,
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This will -serve only as /a warning. lAt this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance.. ' Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
TOWN OF BARNSTABLE BAR-W 4t899
Ordinance or Regulation -
WARNING NOTICE A-7 2 Z Z-
Name of Of f ender/Manager,() r
Address of Offender #)MV/MB Reg.#
Vl�llage/State/Zip
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on Business Name VOW 2019j"
Business Address
Signature of E',,r1'f6rd.ini' r�i�rl-
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Village/State/Zip
Location of- Offense
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Facts ,',, k' AA r-,r-- AA1r4?1) /'AO -D MMIZ: "P
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This` "will serve-only as la 'warning. iAt tlhi s timeno legal action' has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
TOWN OF BARNSTABLE BAR-W 4899
Ordinance or Regulation
2-2
WARNING NOTICE
.. k
Name of Offender/Manager
MV/MB Reg.#Address of Offender I F '; F -.3
Village/State/Zip t °` 4 ,•l s - !
Business Name "am/pm, on /: 20/a
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Business Address r, r?� 1
Signature of -Enforcing Officer
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Location of Offense_;_,_,
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Offense ! . .�, _ i M . , ' •r' ».: *
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Facts
: ' � ;` f .F c f, :�#'ti s f t'rw %
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
Health Complaints
21-Oct-05
Time: 9:05:00 AM Date: 10/21/2005 Complaint Number: 18526
Referred To: DONNA MIORANDI Taken By: ELLEN WADLINGTON
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 296 Street: Strawberry Hill Road
Village: CENTERVILLE Assessors Map_Parcel:
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TOWN OF BAMSTAKE
296 STRAWBERRY HILL ROAD 2603— 2,0
LOCATION SEWAGE #
VILLAGE CENTERVILLE ASSESSOR'S MAP & LOT247-par 222
1.�
INSTALLER'S NAME&PHONE NO. ELL I S RROTHFRC rnni�T. Cg, 5-4 362 62;z
SEPTIC TANK CAPAC=
LEACHING FACILITY: (type) �2� Ck-a-•• s (size�2
NO. OF BEDROOMS
BUILDER OR OWNER A. ZELECHOWSKI
PERMITDATE6/6/03 COMPLIANCE DATE: f� D
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
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No. Fee
i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZIpprication for ;Dizpoal *p5tem Construction Permit
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Add ss t No. Owner's Name,Address and el.No. ti
03 �`�` �Ll S�f
Asse sor's Map/Parcel /
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
L I I is 6 6- _ C0,2s -
36nMr- 1 &0)') 7
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )00
Other Type of Building D —No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow ( O � 3 n i J gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank )ODC) t: 15�• Type of S.A.S. a
r
Description of Soil See-51�1 La$ gm"-j
�1 Nature of Repairs or Alterations(Answer when applicable) 5?-P �e�(1 �C Sf- bh
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 itl the Environmental a and not to place the system in operation until a Certifi-
cate of Compliance has been iss o d H lth.
Sign V Date
Application Approved by Date'
Application Disapprove for the following rea
y
Permit No. Date Issued
Nd. Z/ r f~. . . >. .. ,..e, _. Fee - a—'�
Entered in computer:
THE COMMONWEALTH OF MASS.�C,HUSETTS ,'
PUB_LIC�,HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS e
ZIppli action for M_igpozaY *raem tongtruction Permit 1L/
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) El Complete System 0 individual Components
Location Add ss or,Lot No. Owner's Name,Address and Tel.No.
Assessor s Map/Parcel Q f
71
Installer's Name,Address,and Tel.No.
Design's Name,Address and Tel.No. 3 Gd ct Si,�l
Ills
Type of Building: �G
Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( )/G
R
Other Type of Building i No.of Persons Showers( ) Cafeteria(
Other Fixtures /
Design Flow A U i`. ^ ::I i;r. gallons per day. Calculated daily.flow gallons.
Plan Date Number of sheets Revision Date
Title '� '""
Size of Septic Tank 1 00 0 :-: I.S4• Type fof S.A.S. a ao ti i L-O ti C�± Chin "� -
Description•of Soil SPP , Lo S ,
r
t Nature of Repairs or Alterations(Answer wheri applicable) S P f EPA-,
i Date last inspected:
Agreement: '`
r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
i in accordance with the provisions�Titler5Vf the Environmental de and not to place the system in operation until a Certify- s
cate of Compliance has been—isss dd b` t is o d Health.
Signed A � 7 � Date
Application Approved by=v 708 _ .l Date
Application Disapproved for the following ream /
Permit No. nJ Date Issued
------_-- --------,----------------- ----
THE-COMMONWEALTH-OF MASSACHUSETTS -
BARNSTABLE, MASSACHUSETTS
4 � "
Certificate of Compliance �w
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed Repaired( )Upgraded( )
Abandoned( S,by J_kP4.5 C^II 1'
at / f r`y'v ?((� � !1 has berme constructed in accordance -
with the provisions of Title 5 and fhe for Disposal System Construction Permit No. �,/dated
Installer (: 11 is (lj�c7;"rS CZ �� Designer ' t9�� L` r'drr 01
The issuance of t i)is pgrmit shall not be construed as a guarantee that the syste2"Irfu -ti s��gned�
Date �+ l S� y3 Inspector !s
No.. ��'—`i7i� / 1-----------------------Fee
THE'COMMONWEALTH OF MASSACHUSETTS,
k, PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
M.igpogar *pgtem Construction Permit /
Permission is hereby granted to'Construct( ')Repair( )Upgrade( )Abandon( ) t{
System located at `� �n sf r cj k;6-,-r;�
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 this pe it /
Date: l/1 /47 Approved by
E r' �
TO
296 STRAWBERRY HILL ROAD SEWAGE # Uo3� 2jU
LOCATION
ICENTERVILLE ASSESSOR'S MAP &LOT
VILLAGE 247-par 222
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY DOD /
l 2� C -'S (size�2 .
LEACHING FACILITY: (type) z/r.5, .
NO.OF BEDROOMS
A. ZELECHOWSKI .
BUILDER OR OWNER f3 0
6/6/03 COMPLIANCE DATE:
PERMIT DATE:
Separation Distance Between the: Feet
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility
Private Water Supply:Well and Leaching Facility (If any wells exist Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist . Feet
within 300 feet of leaching facility)
Furnished by
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3 Z - 3o(6
er
L? 33— Z(.gz-
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FROM AJZ BARN.MA PHONE NO. 508 3623016+ Apr. 03 2003 04:08PM P1
Satli Vv�litc, itS Health itispectul' �kpci12, 2003
Town of Bantstable Regulatory Services
runic Hcalth Division
200 Main Street. Hyannis, Ma. 02601
Re: 296 Strawb:ny Dill.Rd.-Septic Systen±,Repair
Dear Mr. 'Whitt
As a follow up to our 1/1103 telephone conversation the Faipose of this N—.iting is to
request time extension for work involve with the repairs of the subiect septic system.
As the reasons for this request are:
Formal notification was received on 2/19/03. Due to two snowstorms in March our hired
engineer was unable to make proper investigations and test pitting due to snow cover and
frozen gt-ounds. Piesentiy the enguieering work is i i progress and as soon as the plans
will be available the construction work will follow.
In addition plcasc be advise that tic tcrartts vacated tic premises du iag the weekend of
Feb 15,2003. Septic tank was pumped out. Effluent is stopped. House is unoccupied and.
we infant to keep it like that until completion of repai-s. Please refer also to our
engineer's letter of March 31,2003.
Thank you in advance for your understanding.
Truly Yours
Mr.& . A.J.Zelechowski
Cc: Coler and Coiantonio Inc.
COLER ��c ivED
COLANTON10 ? APR
0 2 2003
ENGINEERS AND SCIENTISTS
TOWN OF BAFNSTABLE
HEALTH DEPT.
March 31, 2003
Mr. Thomas A. McKean, Director of Public Health.
Town of Barnstable Regulatory.Services
Public Health Division
200 Main Street
Hyannis, MA 02601
RE: Septic System Repair. 296 Strawberry Hill Road
Dear Mr. McKean:
On behalf of the owners (Antonio &Krystyna Zelechowslci), Coler& Colantonio, Inc. is
sending you this letter as documentation that we will be working with the owners to
facilitate the repair/replacement of the existing failed septic system at the above
referenced property.
An.engineer from our.-office metm' 'ith`the,owners on the site on Friday, March 28, 2003
to`inspect the system and the site. It is our understanding, based on your letter to the
owners dated February 5, 2003, that a new system was to be designed and installed by
April 7"'. The owners understand that the work must be done as soon as is reasonably
possible but will not be able to meet this deadline.
At the time of our inspection, there was no break out of effluent to the surface. The
existing septic tank has been pumped and that the dwelling is now unoccupied. It is our
understanding that the dwelling will remain unoccupied until the situation is corrected.
I will be contacting your office to discuss repair options and any specific requirements for
this repair.that you may have.
Thank you for your patience and understanding in this matter. Please call me with any
questions or concerns you may have.
Respectfully,
COLER & COLANTONIO, INC.
o
a0',li�:, i:�J� ' i ... �.. ir ... ,� .?i 'i�: `it, ; 'i� ,I: .,t`?•. r: ..S frz,l. r�. t Jt�'f�fit.
Stepli'eh'-JjSi'1Vd,Igc7J ui.j a: v: ZT,r-(;' Fj
Project.iManager,Civi'1>Engirieering[Diu sign'
Cc: Mr. &Mrs. Zelechowski
101 Accord Park Drive 781 982-5400
Norwell, MA 02061-1685 Fax:781 982-5490
LO recycled paper
U.SaPostal Service
CERTIFIED MAIL RECEIPT
Er
r-qoRF F I C I A �/�Q
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Ir Postage $ 0 3-7 6'� �pp3
r' Certified Fee Z- 301 fl I
f7l Retum Receipt Fee ' P7 Postmark
ul (End ement Required) ( `_�
C3Restricted Delivery Fee , �SPS
0 (Endorsement Required)
O Total Postage&'Fees
Dom. Sent TO r
Street Apt No.;
Qor PO Box No. P p• X r1 3
O Clty,State,LP+4 p f
Certified Mail Provides:
m A mailing receipt
In A unique identifier for your mailpiece
■A signature upon delivery
`■A record of delivery kept by the Postal Service for two years
Important Reminders:
■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail.
■Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail. .
e For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS postmark on your Certified Mail receipt is
required.
■For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement Restricted Delivery".
■If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
ieceipt is not needed,detach and affix label with postage and mail.
IMpOPTANT:Save this receipt and present it when making an inquiry.
PS Form MO,January 2001 (Reverse) 102595-M-01-2425
SENPER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ womplete items 1,2,and 3.Also complete ;=A9��
item 4 if Restricted Delivery is desired. nt
■ Print your name and address on the reversedressee
so that we can return the card to you. B. Receiv by tinted Name) C. Dat of D livery
■ Attach this card to the back of the mailpiece, :Z � `. d
or on the front if space permits. `�7
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
// If YES,enter delivery address below: ❑ No
57yj . Ze%e4o'
Q �S 7�1 3. Service Type
�v r Xertified Mail ❑ Express Mail
§�$gistered Return Receipt for Merchandise
lrrsuAMail ❑ C.O.D.
4. Restri ted' elivery?(Extra Fee) ❑Yes
2. Article Number 7.0,01 19!+0 0 0 Of 3�f�1 �,� 19
(Transfer'from service l'w
PS Form 3811 August 2001 bomestic Retur`R Ieipf dkm 102595-02 r
. 1
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
I
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oF� r Town of Barnstable
do
Regulatory Services C�
9' `M esB`E'� Thomas F. Geiler,Director ��e ' Wv-e.5-s
�A 0 9. �0
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
February 5, 2003
Antoni and Krystyna Zelechowski
P.O. Box 736
Barnstable, MA 02630
NOTICE OF VIOLATIONS OF 310 CMR: 15.00 THE STATE
ENVIRONMENTAL CODE TITLE V: MINIMUM REOUIREMENTS FOR THE
SUBSURFACE DISPOSAL OF SANITARY SEWAGE
The property owned by you located at 296 Strawberry Hill Rd., Hyannis, was inspected
on February 3, 2003 by Sam White and David Stanton, RS Health Inspectors 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:
105 CMR 410.300 AND 310 CMR 15.02 (207):
Septic system is in hydraulic failure. Raw sewage has been observed at ground level and
some seeping down driveway along with sewage odors. Puddles, possibly from sewage
overflow, were observed at bottom of driveway on dirt road.
1) You are directed to hire a licensed septage hauler to pump the overflowing septic
system 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(daily if need be) to keep it from overflowing onto the ground.
3) You are further directed to contact and hire a professional engineer to design a septic
system which meets local and state regulation requirements within fourteen (14) days of
receipt of this letter in order to repair this system or connect to town sewer.
4) The newly installed septic system shall be completed on or before April 7, 2003.
You may request a hearing before the Board of Health if written petition requesting same
is received within ten (10) days after the date the order is served.
f
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.
PER ORDER O HE BOARD OF HEALTH
Thomas A. McKean
Director of Public Health
cc: Patricia Abbruzzese, Tenant
LOCATION a2�,� SEW G E PERMIT NO.
VI-LLAGE
I.NSTALLER'S NAME & ADDRESS
BUILDER OR OWNER
-77RysT--
�J�j9ir.� Si- ���Ji....✓�s
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
i
� `
� r����
R
����G %emu � '
.,
r 1�
No.-- 8 Facia .. ...............
THE,C,OMM_iONWEALTH OF MASSACHUSETTS y
BOARD OF HEALTH
Apphri ation for Disposal Morks Tonstrnrtion ramit
P
Di Sewage r an Individual S
Repair�pplication is hereby made for a Permit to Construct ( ) or Re s osal
P ( ) g
System at: r
.... . 1 .................. ............... ......---............ ----- ------...... -....-------
...............•------ ._....... ....-----------••-------
a --•-••......------•-• = .............. .. 4..----......_.._..
ddre
Installer
• � `� o � Address
Type of Building Size Lot__Zd�r_ ..Sq. feet
�., Dwelling—No. of Bedrooms..........2..............................Expansion Attic ( Garbage Grinder
04 Other—Type of Building No. of persons............................ Showers ( ) — Cafeteria ( )
04 Other fixtures
d
WDesign Flow............... ...................gallons per person per day. Total daily flow.............:..............................gallons.
WSeptic Tank—Liquid capacity__-/a .gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No.... .............. Width......._............ Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No----__:4.x.g.. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ()N) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
• Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
r1:4 Test Pit No. 2............:...minutes per inch Depth of Test Pit.................... Depth to ground water........................
a' --------------•---••-••-------•--.......----------••-•••---•-- •-------••------.....--------•••----........---..........•------••-----._............--•_----
0 Description of Soil.....................................................................
�-�h4s`- ---•-.S�r�s-�P /'�, . Jai-'--r T-----------------•---------------------•----------------------------•-----....----
V -••------••-•-•-•-•--------•-•---•-._...--- . -----...••--•---.....-•----••-----•---•-•----........
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 ofiII'LL 5 of the State Sanitary ode— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b is ue/�1 by the/board of health.
igned-- • �? !_-.. .. .f.. . -�. .'"7
Date
ApplicationApproved By...... `---------------•-•----•-•--....----•-.......-----...------..............•..--•-- ........................................
..................•--------------•----------.Date •...........
Application Disapproved for the following reasons____________________________________________._
----------------•--....--•---•------•--------•---••------•-------•--•-•-------•------•-----•-••--•---••--••---••---------•--•------••-•-------••----•-•-..............................................
DatePermitNo.----- ---•--------••-••---------•--•------------ Issued.......................................................
Date
3
No._.......... Fmic r...................
THE COMN^ONWEALTH OF MASSACHUSETTS
BOARD OF .HEALTH
..........................................OF..........................................................................................
�ial irk
Wii Tonstrurttin,ramit
ppliration for Dispo,
Application is hereby made for a Permit to Construct or Repair an Individual Sewgg!,Disposal
System at: ✓
........ ............... ............................. .................................................................... .........................
pr j 04 MD.
................ ......m.......... ........ .............................
7 Add
__1 .Z.... ........................................................... N- -------------- ........ ....................
�.&� # Address
Installer
Type of Building Size Lot..''��,t_4----------Sq. feet
Dwelling—No. of'Bedroom) Z.,___________________________Expansion Attic Garbage Grinder CPJ41'W-
. ..... .....0. ........
Other—Type of Building. ......I .............. No. of persons-----------_--------------- Showers Cafeteria
Otherfixtures .........................................................................................I.......................................--------------------
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
Septic Tank—Liquid capacity............gallons Length................ Width....__..___._... Diameter................ Depth................
Disposal Trench—No. ................... Width.................... Total Length......_......._..... Total leaching area....................sq. f t.
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. I................minutes per inch Depth of Test Pit..........._..___... Depth to ground water----------...........
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground watei.........................
P4 .............................................................................................................................................................
Description of Soil
0 ' .......................................................................................................................................................................
W
U -
.................................................................................................. .......................................................I...........................................
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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 T I T ILE, 5 of the State Sanitary hode— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b is Ued by the oSd of health.
Signed. ...................................................................... .....................
Date
ApplicationApproved By.....'0........................................................................................... .................... ...................
Date
Application Disapproved for thejt!owing reasons:....;_4F..........; io.......................................... .....................................
.................................................................................................. ..................................................................... ..............................
Date
PermitNo......7.�.................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O)� HEALTH
Z�4
. ...............77.4 777'72�.�. ...OF...... .......... ..................
Tatifiratr of Tompliaurr
THIS JS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired
by.............f,�.Jtfe,(............ ..............................i.....................................................................................................
Installer
.............. .......................................................................................................
at........6r......../......... �&,410ey /zz
..................
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as descri d in the
application for Disposal Works Construction Permit No.__?Z)............................... dated....; - ,P11'- 77-------------------- .....................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.W---ePI,7- .. -------------------------------- Inspector....4 ..................
/of-
IA�kSSACHUSETTS
OF THE COMMONWEALTH`
BOARD' F H L
-7 .... ........................... ....'OF...... ...... .... .E.A ...TH .......................
No.......4,0............. FEE........................
Disposal Workii 01MIngtrurtion "rrufit
Permission is hereby granted...... ........loe-el—y"441-------------------------------------------------------------------------------------- -
to Construct or, Repair. an Individual Sewage Disposal System
at No........1_,u........_/--------- .......
.......................................................................................................................
Street
as shown on the application for Disposal Works Construction Permit. No.......Z�'........ Dated.... ..........
Board of Health
............ -------------------------- --------------------------------------------------------------DATE..... .... ...........e .................................... ................
FORM 1255 HOBBS & WARREN,-INC..-,PU.,,s,S,iiis
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SYSTEM PROFILE
TOP FNDN. = 47.8' PROVIDE IF NECESSARY TEST HOLE LOGS I°'
ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE)
r LOCUS
AccEss COVER (WATERTIGHT) To ENGINEER: BAXTER & NYE
MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE
::• 2% SLOPE REQUIRED OVER SYSTEM 44.0' WITNESS: PEARL
EL. 45.9' RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: 1/23/78
EXISTING 1000 FOR FIRST 2
3' MAX.
PERC. RATE = < 2 MIN/INCH
GALLON SEPTIC 44 f:t CLASS ! SOILS P
I ..� TANK (H- 10 ) As BAFFLE 41 .5 FARM HILL RD.
RE-USE 41 .67' o000 41 .5' z
4 .67' 0 E� � M 0 CD El 0 C o 4. AROUND
6" CRUSHED STONE OR MECHANICAL [] 0 CI CO 0 CI [O CJ C ELEV.
DEPTH OF FLOW 4 7 ba
o
COMPACTION. (15.221 [2]) 2' C] [] 0 CO 0 M M 0 C: 3$.67' 0" ELEV.
""_'-" ( % SLOPE) ( � q SLOPE) a
TEE SIZES: 3/4" TO 1 1/2" DOUBLE WASHED STONE
INLET DEPTH 1 2
OUTLET DEPTH = 14" LOAM & SUBSOIL
LOCATION MAP NO SCALE
FOUNDATION--- EXIST. SEPTIC TANK 37' D LEACHING 2'BOX 11 FACILITY 43.0 ASSESSORS MAP 247 PARCEL 222
*ThE INSTALLER SHALL VERIFY THE 5,67'
LOCATIONS OF ALL UTILITIES AND ALL
BUILD114 SEWER OUTLETS AND ELEVATIONS
PRi 'R TO INSTALLING ANY PORTION OF MED. SAND
SEPTIC SYSTEM
INSTALLER TO CONFIRM SUITABLE SOIL" IN AREA SOME
OF PROPOSED LEACHING FACILITY PRIOR TO STONE
INSTALLATION OF ANY PORTION OF SEPTIC SYSTEM 33.0'
43.4 4
12'
5 ` NO WATER ENCOUNTERED
NOTES:
I ----47 + 47.6 ,� J SEPTIC- DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED )
I 4 . D46. + 46.6 DESIGN FLOW: 3 BEDROOMS ( 110 GPD) = 330 GPD
1 . DATUM IS APPROX. NGVD
!_ICE A 330 rp EXISTING*
( + 46,5 ?� O - D (7ESIGN FL 7W 2. MUNIC`PAL WATER I$
I + 47,4 `�•.,�` SEPTIC TANK: 330 GPD ( 2 )
660 3 " MINIM-".A PIPE P T C- 1 O BE �311 -ER ; GwT.
�
4. DESIGN LOADING FOR .ALL PRECAST UNITS TO BE AASHO H-- 10� 43.0 . 10
LOT 1 40 USE A- 00_ GALLON SEPTIC TANK (RE-USE EXIST.) 5. PIPE ,JOINTS TO BE MADE WATERTIGHT,
10,672t SQ, FT. LEACHING 6. CONS?RUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
ENVIRONMENTAL CODE TITLE V.
44.3 SIDES: 2(25 + 12.$3) 2 �.74) - 112 7. THIS FLAN IS FOR PROPOSED WORK ONLY AND NOT
I 25 x 12.83 74) = 237 USED OR LOT LINE STAKING. 0 TO BE
BOTTOM: �•o
4 7' 4 7.0
l G G 46.s TOTAL: 472 S.F. 349 GPD 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
a 6 46.7 •USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR
9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
w I ,� - INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
EQUAL) WITH 4 STONE ALL AROUND FROM BOARD OF HEALTH.
4z'$ BENCH MARK - EXIST. 3 BR 43.4 10. LEACH PIT TO BE PUMPED AND FILLED WITH CLEAN SAND.
rl-
CORNER OF STEP DWELLING + 45
►" EL. = 48.O LAN CAPE TIES k 'r
�j TOP FNDN °e_ LEGEND
47.8' + 4.0
., 100.0 PROPOSED SPOT ELEVATION
T,I TL E' S SITE PLAN
TH 9 + 4 10'
42.6 100x0 EXISTING SPOT ELEVATION* / a6. 2�, 42.5
100 PROPOSED CONTOUR OF 296 STRAWBERRY HILL ROAD
� + 45.6 + 45.5 W A6.3 4 6.6 � + 2 5
5 IN THE TOWN OF:
2,4 0 �` � � 100 ExtsTlNc colvTouR (CENTERVILLE) BARNSTABLE
/
S 0�,� �C, / 44 EXISTING LEACH PIT
6 .4 � 5.6/ PREPARED FOR: A ZELECHOWSKI
�{0
GRAVEL/ ep �9 ,_--7 BOARD OF HEALTH 20 0 20 40 60 Feet
GE OF 4.9 O/f?RO / APPRDVED DATE MA
�Z4.1?z ! -1-4a 3.. _ _+ 44 42.1 SCALE: 1„ T 201 DATE: APRIL 22, 2003
Y U�� PROVIDE (1) 10' SECTION OF RAIL FENCE AT EDGE OF
SEPTIC TANK AS SHOWN TO PREVENT VEHICLE LOADING off 508-362-4541 REV 5/12/03
ON SEPTIC TANK fox 508 362-9880 REV 5/14/03 (FENCE)
"APPROX. WATERLINE LOCATION. CONFIRM PRIOR TO ANY EXCAVATION � m�� BAN OF MaS
down cape engineering, inc, ,N
ARNE �y �� AANE H.
CIVIL ENGINEERS H. OJALA ,
LAND SURVEYORS 8 CIVIL
� No. si34F3 0. 792
939 vain st, yarmouth, ma 02675
z
60 0. - 3
03-091 RNE H. OJALA, P. s., P.L.S. DATE