HomeMy WebLinkAbout0114 TARAMAC ROAD - Health 114 TARAMAC RD., CENTERVH LE
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NoC12543
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HASTINGS, MN
TOWN OF BARNSTABLE e �.
LOCATION g I L� �f`M aC SEWAGE # 33
VILLAGE ASSESSOR'S MAP & LOT ?
INSTALLER'S NAME&PHONE NO. .Mi tk Cay,OC 5C,Q1H C
SEPTIC TANK CAPACITY ®l14 �I So
LEACHING FACILITY: (type) �1'Pi 'CC% a+c k `a1A�'1� lstze) l
NO.OF BEDROOMS 3
BUILDER OR OWNER r4m j k:l— P-4.o-t—
PERMTTDATE: COMPLIANCE DATE: 5 — 29 ' ' P
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
.f
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
10
a
0 30`
2.-CIS
3
® 53 P
No. i/ � Fee i
THE COMMONWEALTH OF MASSACHUSETTS
Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., SSACHUSETTS
2pprication for 33i5pozat bpotem Construction 30ermtt
Application for a Permit to Construct( )Repair( )Upgrade(Abandon( ) 7 Complete System ),Individual Components
Location Address or Lot No. t`l.A'�,G q-c�_W-4�v__9-0- Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
141 - OF 7 jr-OLV.,v..l &\C\.e-
In er's ame,A ss,and Tel.No. Designer's Name,Address and Tel.No.
ogees' `l
:>u 64Kt-&✓
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow '5'— 33 d gallons per day. Calculated daily flow '3AGI gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank t 0?Yn Type of S.A.S. .fit cd � _G`--
Description of Soil t=.s A:14
Nature of Repairs or Alterations(Answer when applicable) =t—c.a-cr to r"409
(/6-I 1--k, O t - S i fly f T
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 b i He
Signed Date
Application Approved by
Application Disapproved for the following reasons
Permit No. 7 Date Issued C`
TOWN OF BARNSTABLE
'::LOCATION r�r r n qr, SEWAGE # 3
ASSESSOR'S MAP dz LOT
INSTALLER'S NAME&PHONE NO. .M I Cl C
SEP ITC TANK CAPACITY QQ 0.,a is
`LEACHING FACILITY: (hype) ZS j(
NO:OF BEDROOMS 3
BUILDER OR OWNER kg
PERIvITTDATE: -I `._COMPLIANCE DATE: _
Separation Distance Between the:
W:xiium Adjusted Groundwater Table to the Bottom of Leaching Facility
Pn-Vale`Water Supply Well and Leachin Facili Feet
g ty (If any wells exist
?:::.on site or within 200 feet of leaching facility)
F�.#of Wetland and Leaching Facility(If any wetlands exist Feet
.:::within 300 feet of leaching facility)
Fu*ffushed by Feet
1 OE - ,
r
o �
o
No. � '✓ Fee
GZ�
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, M SACHUSETTS
ZIppYication for Migomt *p5tem Congtruction permit
Application for a Permit to Construct( )Repair( )Upgrade(Abandon( ) O Complete System .individual Components
Location Address or Lot No. 'tLl�' Owner's Name,Address and Tel.No.
Assessor's Map/Parcel I lac OF 7 Lr'�T emywkA.l � O\Ce-.
Ins e,r ame,A s,,and Tell.No. Designer's Name,Address and Tel.No.
0 �e✓ SOo>- _S r 9
6 Y4XYe-�_, tRQ wt�wti C }
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. ,Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 33 C? gallons per day. Calculated daily flow 3m gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank + S`►�� t�.T1 Type of S.A.S. 0,�,C c��` �l—
Description of Soil 0--c.2 S 1A✓0
Nature f Repairs or Alterations(Answer when applicable):i= A..!5T t4, t �r uw- l�K.Ln < e, i
O tom-
Date last inspected:
4
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 ya- hi Heal
Signed Dater�}7�l� pp
Application Approved b Date 7�
Application Disapproved for the following reasons
Permit No. '' 177 Date Issued ` c"
------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of ((Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded,(4, ) a
Abandoned( )by ('L O—(,A C,e— -e O'�,C
at 1 kLA 'K-c-,c C,tMq,\L_�c 0, C eti'c�rv�`�. has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. -� dated ':- 0 -^`
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the system wi function as designed.
Date -� Inspector ,u
—o. Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -,BARNSTABLE, MASSACHUSETTS
Bi� ogaY p5tem Construction Vermit
Permission is hereby granted to Construct( )Repair Up rader (�)Aba� (
System located at
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: Cons�tru'ction«must be completed within three years of the date of thi rmit.
Date: h/ 'r' F'1r Approved
101'9191
,
1
• o Be Used For the Repair.Of Failed
NOTICE: This Form Is T
Septic Systems Only.
N OF SKETCH AND APPLICATION FOR A
CERTIFICATIO (WITHOUT
DISPOSAL WORKS CONSTRUC1"ION PERMIT
ENGINEERED PLANS) i
. i
1 4
a
' I
P sal works
I,
hereby certify that the a placation for dispo
si
concerning the
construction permit Bn ed by me dated F
meets all of the
property located at ``��'following ctitedr. 4
I
• There of*no wetlands located within 100 feet of the proposed leaching}itcility
f
•�'• There weno private wells within lso feet of the proposed septic systern
/ in now and/or change in use proposed j
There Is no Maease f
"dances requested or needed.
• There are 110
wet
if the proom Of the
posed leaching facility will be located within 2ouri�°14)feet aibove the maands,the x mum adjusted
proposed leaching facility will nd be located less than fourteen( !
groundwater table elevation•
Please Complete the followings �(
(according to the Engineering Division O.I.S.Map) 3?- y
A)Top orOround Elevation( g .
ter Table Elevation(according to Health Division well map) =�
B)observed t7roundwa
G
I i
DATE:
31QNED
LICENSED SE SYSTEM
INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
A1�•IttM 11•NIMd InNatl•t pMNrM®ewifled Plot plans
tAtt eh 8*01 ale"ardo prepoMd•pNwn• ; : !
this plan should be submitted). '
q:taft Mhr.ON
i
IV I ,
Health Complaints
04-Nov-97
Time: 10:00:00 AM Date: 10/30/97 Complaint Number: 1077
Referred To: JEROME DUNNING Taken By: K.S.
Complaint Type: TITLE V SEWAGE
Article X Detail: UNSANITARY CONDITIONS
Business Name:
Number: 11* Street: Taramac Rd.
Village: GEN-TER-VFLL-E , - Assessors Map-Parcel:
Address:
Telephone Number:
Complaint Description: Open the septic on the property. Terrible
smell. 10/31/97- .. Murphy called to correct
the address t 114 nd not 110 Taramac. Dr.
Murphy stated it was not the property with the
campers. Glen is going out now to investigate.
Actions Taken/Results: GH inspected 114 Taramac. No breakout or
odors were observed. A ditch was found
however, no effluent was found in ditch. There
is no 110 Taramac. 18 Limerick Court also
checked. 18 Limerick is a corner lot next to 100
Taramac. No problems observed or odors
found.
Investigation Date: 10/31/97 Investigation Time: 4:20:00 PM
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No. F�s...d2.......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
T�44- ......OF.................. /ASTdf6LG.
M
Apli iralwn fur Biquisal .vark� (fousuartion Urrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
\� System at:
1.d)= 70 - T�9��- ..Y.�r ..;:...�f..�:.., �-t�7�� ..II.G . ... 9 ...:........,.
. Location-Addres- or Lot No.
........:a.:U..�!........... .. !J„-� ....,.........:..... 13/:......:%' �rz:.:.. T.....-..................t� fT 1..............
...
.............................................................Address
Installer Address
Type of Building 2� Size Lot............................Sq. feet
�-. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
pa-, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures _______________________________________________
WDesign Flow......... .. ..........................gallons per person per day. Total daily flow...-......7_Qf!...._.__.............gallons.
WSeptic Tank—Liquid capacity_/jO40gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No.______.__ 4._ W*dt Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No.__�QD!>__ iameter.........L,6.1CY13epth below inlet____________________ Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date.......................................
Test Pit No. 1................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 water_____________._______
1:4 •-•••--•••••-----------------------•----....----...._.-----------------------------------------••-•........................................................
0 Description of Soil----------------- C019/S 1AIAL �_ :
x ���
----------------------------------•--
w
VNature of Repairs or Alterations—Answer when applicable................................................................................................
------------------------------------------------------------------••-----------•--••-•-•-•--- --••---•-•----•---------•----•• -••------•-------•••--•---......_......------------•---•-------•--•--
Agreement:
The undersigned agrees to install kii'e aforedescr' Indiv' ual ewage Disposal System in accordance with
.the provisions of Article XI of the St e Sanitary e e signed further agrees not to place the system in
operation until a Certificate of Com fiance has e i he board of lth.
......... -•- .........................................-----------• �0 .......- ..............
Date
Application Approved B .� -Z__
ate
Application Disapproved for the following reasons:............................. -11�--------------------------._..--------•-•----------._._..._.....•--............
---------------------••------------------------------------------------------••-•-•---------•----.-•-----
Date
Permit No...... ............... Issued....../_.!2 ....
Date
No-------_.`-'..: ----• Fn$ .......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
sti
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
. ,
r'�w.'vr ' d ✓t gt'��t•1`- ^�d fa`.p,}:1',ft;+' *!!.ryY. ✓� 1, uui .,"tr.�+� � ,/(a g,�•t✓ ucx
.............. ............ ..................... .. a-._....a._..........i.4.... ......_. d...w_.."l ....w.- .._J.L:�.6 J .r...... .L.(..piL.�°..............
Location-Address or Lot NO'.
..............5. +. F.I:n...E.... t ..Zvi.................................. ............: ._.... ........ .....w.__........................
.,,.
Address
W ........... ri�,.:.:+ .... .kr 1... <........................ ............................................. ..................................................
Installer Address
UType of Building ,. Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
P-4-, Other—Type of Building ._.__........................ No. of persons-,....................... Showers ( ) — Cafeteria ( )
fS, Other fixtures .........................................................
W Design Flow.........=:._ F�`..........................gallons per person per day. Total daily flow.. c_..;r= _........_....._...gallons.
9 Septic "Tank—Liquid capacity..ZQr,'Z gallons Length................ Width................ Diameter................ Depth............
x Disposal Trench—No.............:....... Width_..._.._.._. . Total Length Total leaching area..______........_...s ft.
--•- g g q•
Seepage Pit No.__ r ...{9ia`meter'._.`�__� _. '. Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( `) Dosing tank ( )
`-t Percolation Test Results Performed by............................ .............................................. Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____-__________________-
a' ---------
Description of Soil__________________
x ` rim ✓
W
UNature of Repairs or Alterations—Answer when applicable.. :......:........................................................._.__.___................_...
•-- ----•-----------------------------------•----------------------------------------.............._•--••-•••-•---------_...__......•••••---•--•------•--•---•--------------------•--•-•--•----...-•---•
Agreement:
The undersigned agrees to install aforedescr• d Individual wage Disposal System in accordance with
the provisions of Article XI of the St . Sanitary e unle�"signed f rther agrees not to place the system in
operation until a Certificate of Com iance has eyt�iu y the board of alth.
1 ar J."`� x._......................................... ..-------
A __ '2•�`a _
j Date
Application Approved BY ,r . _: � . .. _.�-�.
. �v Dte
te
Application Disapproved for the following reasons:...........-----------------• ......----------------------------------------------•-----•.........•----...._...
---------•---•--- •--••-••-••-••--••---..! ................•-••--•-•---••----•-•--
Date
Permit No...... ••i••� Issued.. -
f.
t- ......................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O HEALTH
rf" ..............OF... ....................
• ��er�ifir��r rrf �� ��i�nrr
THIS S;TO� RTIF That the Individual Se g �ispo � System constructed ) or Repaired ( )
by --Z.-•- '
� Installer t -»�,.�.�..�.
at_ ..�_rr=� _... ._....-• . --•- 4 � ^. � �$. .d .�� �L. l__l . '
has been installed in accordance with the provisions of Article Xj of The State Sanitary C as described in the
application for Disposal Works Construction Permit No.____. _ - �- ___.__.. t dated. f_ _. .. ................
THE ISSUANCE OF THIS CERTIFICATE SHALL HOT BE CO RUE S A GU RANTEE THAT THE
SYSTEM WILL FJJNCTION SATISFACTORY. - t �' !
DATE----- �...::. - Inspecto` _ f -r
'`
%
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 9R HEAI,tTt
qF..C�`..." t"'!..................OF....... ...... .,
No............. ............. FEE. .--,...............
�i �r frrtYt ram'
Permission) hereby grante ..............................._ . ._. ::.: Vi a. .. ".'.................
to on tr r epal f v 1�.1}•�idy il�ewa�g posal Sy ems — ,
at No..1'..cam`..... .. fA
, ..,.. _, .- •._- _•�- --• --Street r _.... ......... r � .........
as shown on the application for Disposal Works Construciio Street
61t , - Dated.............................:...........
a�� e
• � -----------------------------------
I3oard ot h
DATE........................................................ .................
FORM 1255 HOBBS & WARREN. INC.. PUBLISH ERS i�`•.".1�' _