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HomeMy WebLinkAbout0296 STRAWBERRY HILL ROAD - Health 296 Strawberry Hill Ave Centerville A = 247 222 F m ord, NO. 1521/3 ORA a;��� 10®/�i • i v 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— JK ;47 RTt om- ow c • I s � x. u z r .R� d ' 'tom, , _,. f "L•. y' �,ff � �ja' �,a;� �, �r wY -5l y -... -�^s,:i � - �f���-.� � ,;2 s�-ti,��,� - �.y ,� � 1t 00, •l - l n r. f. w �. per,- •�� ' .E w.. � ��wr O M -� .. x,Af ,. e ,le " fi rs GET y l ...pp t.�o�6•' Y R x r * s p��r' _, �, 'a{ �,� �.� ,. p�r-3• �� � ': -r„ �r� St L.'.'I�':. .t� F ; w � ia�- � - _ ' • nP+ .�. _� � �#e`�1k �+i Y :� � � `3 yam. •�•"�, �,.« .2 ,y ['.iW.yY. ,+ t V.i a •- '• � 4 ' {• d `. 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"(' $ ,� gyp.�; ;'�.x-— , <'!mow - w TOWN OF BARNSTABLE BAR-W 4899 r .a Ordinance or Regulation �ZZ WARNING NOTICE Y Name of Offender/Managerff,OPA UL Address of Offender <C � �/,/.�'7 '_�Cll�l M/MB Reg.# or94 Village/State/zip Business Name p, Business Address ,/, / Signature of RE-nf�orc nag -Of fic4r,_­ Village/State/Zip Location of Offense Aq10 • r / r �..,,d- - / r //.',}/e)�/ Enforcing �De�pt/Division Offense l�/(.(t4 0_)� AAeA(SMAI_(� AD, Facts M Ali �C7S n-r C �/ t�ll�,t"�,N.�"5�.._ r-5k) ACLOYACC- ��ALS r, 006V� �Y ®/ nr mix IN V FIX6 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 -4(7 on Business Name VOW 2019j" Business Address Signature of E',,r1'f6rd­.ini' r�i�rl- �g 0ffj Village/State/Zip Location of- Offense Enforcing Deptf/9i'v" sio'n a, Offense /Oom/ I Facts ,',, k' AA r-,r-- AA1r4?1) /'AO -D MMIZ: "P 01 A r-) 6 Vr'[A o k fil V'- Mi k)14k? nf PA, 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 t Business Address r, r?� 1 Signature of -Enforcing Officer k Village/State/Zip Location of Offense_;_,_, Enforcing Dept`/Division Offense ! . .�, _ i M . , ' •r' ».: * t � (� `� _.. 1•+ rw^.a ,r -� ." fir'""" ('.M'F i 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: 1 _ • s , f f R g y- ..JJee 77 r .z m r f, " t , r^' S � r w YA , c A { z$ ' Ml 44 P ` y L , , s' + `..ail._ '?� � ;.. � �.� � *,� �� s • ,a� r �a's,,} �. • mow,} .��+} �� � #�'wM'��,�` r � >k `�'. �t?E++► � �� v� ,A« �`3 n,, � A�`' HMS", �r`x` r a���++ '.- ,.;.. •. v. -..': ;,i`- , •�•"_s�� �,,ar ; �. ,n' ��..p'',�#y •*"p;.. �'Mx •k*� �."� ak� ..J'" .;:^ �. `tom: � .>z > .°s.,<. � �'.2;,.• �s. .„ ,,:, gas. „�.. v:. _.r -. �._a'r +w; a: �... - yr, i " " s sArfr �,,. ,., ^w� _ � f°`°�+ ,. �-T�vb.'�' � ,,.a �.e•.;a. r: ;� '� x � x�,+. �'sa", .''�. �-,y�. , '� s x ft i • ,n =k e r' r Y if Pill id r i w g i � 1# ) � ice. ,� 1•(�,, � •_ � -� j•,fir v , _t ,> [f 4 to �l f"- `.` � b � � v"`� p 'r'�:# `' +i< c. ryza - C �� 4'• '.-4 �`� 1 4?�,';, � �� �'..<"� 'dl .,�s yy-Sa° `'': x,,C;•r �,i}^,e b �f'_ ,.., t, �,, "+! yr«,`u' wg€.w,• . - M: '',"'• %1u 7Z, x ,r v IIANAW6 , r m - { .T''f' ��! � �"� �';� _ � ter, �• � � -� ,�' R.. �'�� Imo• ,¢� ,. - � �' _ '• . �� � a».�,�^' '� ,ill, a �„ � �r ,+, - �a �S, i 1 ! , s :• � . Z � .r _ �tea. ..� »•.� 4:� ,k d � :. •M -;a,��� rp� $�.. Vill A - " s p op .. •, —' ' ... - is i y 1 +� r-{�pr .:, .—� �A��` .i. 'P4,� ,,. ,.r . �"� „'tip� ... � �Y '*•' e�• - - "�'" , z m' gee -_.. � r . t r h * � Or :�• -x (` - .;--da' 3 T" y�siw ATM- '[� '�',�, i `'e'.ws. A :.b�` a• �., x .� '• 7• _ T ALM e � a - r n, t i • §i • �j� 3, M , r rc h a M� IIY n IN lw— w � Y e t ' n aqP ^ 4' " .� ..off-• .� y _ - - - -,�„ ,o„-R, .� f� r9. a, CA hR- OCT 21 Z,`;�'- - C •r�ft", .a. w ter•.. .. _«. �mr.,. ,_ «_ ., 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 Furnished by �•tab►c'�-�" � `'� . ° Zi- � F G 1 9L4c.gz i 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 � f i I ' I ' 3 Z - 3o(6 er L? 33— Z(.gz- �4 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 :n 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 I I I I i _r. 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 U7 AX4 110 33o 4.Pt7. mac: t-1c -r'a�► _• �3a,� t=,ro % - A95 6.r?v USf-.• l bC)C 6Q.L. ISP _ P T 10cxo GAL_, Sr;.wAtL AV-EA = (SO s.F. a 41 S-?r> G.P.p. SO S.P D. ToT,A L 'L7 GSI6W x d25 G p 0l �Oa 'TZ>TA L. &.PTD. { �G►�G d3 Diu v,7 1 t-IZCGDL&TIC.? E 1"tc.t htiiJ 0iz 1r--% to 2v � Q {{ 4-1 .�^. `� •. <``4. {. ` {�' � • err � �V. l„_'v/'A •r i _ L,PT Z�3.76 �. To? 1"'uo =i o o.o ;�:; ��,,�11`t7= Ck�o e $650 IL �P �7�j IcN• �A G. V usv. `r`a etc taoQ to LSAGN n t PIT � wa•ru 1�� * •i Inc, i �1 '3TGti1� g0e0 �— -a _ LbCATta �VQ i 76 Ab Wm ra .� (, t-�14TIK`! T14AT T14C-- 1J17Ar'11 N5t �t•t ... .t-:1 rtwC-:r'L.6'iCc. 1 1?'t i l'�1..j Gc:•�rt r'►.�15 W i Tht Ti-Az: -S 1 U S l.,l"Erl � sixa rE.� L'�11tk' *c:Qut�EM>r WP; ar:: TNT i ilf.7[y � ►�)� k..� G B,d,XTC +�`. W-'(C— C_. tzcGts rrr t.�i.tl , ��ur`vEY�►- WOT a,�,c �4.s a•s 0 STF-V-vu..► r-- A ti•! :t �_'J1+�tf.;i�i i f.:c1*_.lt �{ "Ct�C. U�t:�r_ �r �i 1GwL1b A4�1=►1.t GA Litt.. Lee) oAt�f) t j ,' :�r U'�Ln •tv i.�r=1 i..�.Mtw1�.: l p7i' t_iht�:.;., -� SYSTEM PROFILE TOP FNDN. = 47.8' PROVIDE IF NECESSARY TEST HOLE LOGS I°' ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) r LOCUS AccEss COVER (WATERTIGHT) To ENGINEER: BAXTER & NYE MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE ::• 2% SLOPE REQUIRED OVER SYSTEM 44.0' WITNESS: PEARL EL. 45.9' RUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE DATE: 1/23/78 EXISTING 1000 FOR FIRST 2 3' MAX. PERC. RATE = < 2 MIN/INCH GALLON SEPTIC 44 f:t CLASS ! SOILS P I ..� TANK (H- 10 ) As BAFFLE 41 .5 FARM HILL RD. RE-USE 41 .67' o000 41 .5' z 4 .67' 0 E� � M 0 CD El 0 C o 4. AROUND 6" CRUSHED STONE OR MECHANICAL [] 0 CI CO 0 CI [O CJ C ELEV. DEPTH OF FLOW 4 7 ba o COMPACTION. (15.221 [2]) 2' C] [] 0 CO 0 M M 0 C: 3$.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