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HomeMy WebLinkAbout0129 WARWICK WAY - Health ff 129 Warwick Way Centerville ' f= A= 148 112 TOWN OF BARNSTABLE LOCATION l Z g &Ja ru-)i C k- G)(',-q SEWAGE#26-06 VILLAGE deh-�e-rVt(le ASSESSOR'S MAP&PARCEL !lf 81/i2 INSTALLERS NAME&PHONE NO. M.C. M-.Zn-�wre- - 5��B-385-1?407 SEPTIC TANK CAPACITY /OUO 6 LEACHING FACILITY: (type)-7�r&-hcA (size) Cz) 2 5'X.4,3' NO. OF BEDROOMS 3 OWNER i,Tobn (fie&�00 PERMIT DATE: Z-/0 -06 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility n! a- Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) n/Q Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) & Feet FURNISHED BY . 4T i riser 2=47 5�' ri ser 3= ?Z'6" ri se.r 4= 7(' insp. �rf 3 = G6' 4 t7o# o r I 541 q No. o')-oo(D "' ` Fee 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIppYication for Digonl 6pgtem. Construction Vertnit Application for a Permit to Construct( ) Repair 0� Upgrade V Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. !Z / 400-rw2Ck Owner's Name,Address,and Tel.No. ee Y1__rVc6/re �"ohn Wes-fan 50$ QZS-�So Assessor's Map/Parcel 14 pj ! /,(Z <z I ccAQrW,C lk way Installer's Name,Address,and Tel.No. 6 00-�$5-god Designer's Narpe, dressUdTNo. 'n Xfr,71-- 1),p7 of Building: Dwelling No.of Bedrooms 3 Lot Size �-`', o�ysq.ft.!Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3o gpd Design flow provided 3 -3 2, to gpd Plan Date l o f Z oO& Number of sheets ` Revision Date Title �51 P" -4 r /z f "fwi C�� C,--"Iry Size of Septic Tank 10©� 6; (eK/S±,) Type of S.A.S. Description of Soil 6efe gam Nature of Repairs or Alterations(Answer when applicable) In � / I1�►J �C S f. -box K Z 5 ' ±ice"e_5- 061 ta 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 Certificate of Compliance has been issued by this Board o Health. Signe Q Date Application Approved by Date C15�- ' l0 Jo Application Disapproved by: Date for the following reasons Permit No. 0 G ��� Date Issued (O � Fee THE COMMQNW ALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Digponl *pgtem Cougtructiou Permit Application for a Perniit to Construct( ) Repair(0 Upgrade(� Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Z 9 1,00, g..)Jc C Cc�aY Owner's ame,Address,and Tel No. 5^U $ C'e"t7`--rV/!/e / t7&ph�n wes �n 9Z8 Assessor's Map/parcel /,tit Pi //� 1Z / Installer's Name,Address,and Tel.No.. 5"p0—3g,>—17407 Designer's Name, Jdress and Tel.No. d. Ajo qf Typk of Building: Dwelling No.of Bedrooms J� Lot Size �5, oUGsq.ft.y Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 5c> gpd Design flow provided '3 3 2, 6, gpd Plan Date a Z o O& Number of sheets / Revision Date' Title Slfc — :Vm"a-ye p&Z, 46 r /Z f Iry r 1(,� Size of Septic Tank Gl G � �c ,1_Type of S.A.S.'f r Description of Soil 54Z& ' Nature of Repairs or Alterations(Answer when applicable) -/P/ T{—r, jj/ A e� �(S 77�, Fj o W 7 5 ' -7'y--e [>S r 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 Certificate of Compliance has been issued by this Board of Health. -yy� Signed Date Z - /o - Q (o Application'Approved by Date c5 I ►O /b Application Disapproved by: Date for the following reasons ——— Permit No-------------------- o — " Q ——————Date Issued -C)- I y THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance '` f THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( Upgraded Abandoned( )by M. Ik C' -lr,7 4Z4 re at /Z q_�,� /�_�u� ��-� �� ),2E�Q-f eo-`2/ oe has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. Q=1 nK_ Qo dated a 110 Installer /� M e Z_✓i—f t�r ff Designer #bedrooms _2, Approved design flow `3�3© gpd The issuance of this pen-nit shair not be construed as a guarantee that the syst t fu tions esigned. 1 Date t I -7 Y' Inspei ———————————� ^�—————————————————————————— No. � �5 / Fee �G THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS �fgpogar *pgtem Cougtructiou Perron Permission is hereby granted to Construct ( ) Repair (,/,') Upgrade ( ) Abandon ( ) System located at / 2 g t'.c� k>tc� lit)uc/ C -f�erv� l�Y and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special con ' ioff . Provided: Construction must be completed within three years of the da of this Date / I b Approved by 03186/2006 14:17 50677507554 WELLER ASSOC PAGE. 02 Town of Barnstable Regulatory SeMecs t i Thoom F.GdIer,I1ireMr Pu blk Hea th]Division 'T'hows Mey-tw Ddreetor 200MWM Street,Synals,lA 02601 Ofte:.30S-962.4644 Fay: 509-7W6304 sty De:lamer Ceica8ie�n T'otr '° YSeingpem: t��c-�E� � !�,:5 ��' • - _ i�st311iet�e :`�•G•�l`t`'.1n6�,es _ Address: . �G4;� � via Mo .r°c,,X 4C Address,, !v3 �A¢' 15<+� h'n, A e; . on ../ra f G _( t :�u nrAg wan issued a permit to install a (date) (installer) septic systean at ® L)� .'c.�l�+�C(,f}f9 y 1_,Jwsed on a desiga d vm by iaddress� GEC' fq 6--Oc - - dated. 2- ! o -0 ( csa�nts _ I certify that septic system refaromeed above was itisealled substantialy according to the desiga, which may include vkinor approved changes such as lat=W relocation of tLe distribution box sndfor septic tank. I certify tat the septic system refemamd above was installed with major ebanges (i.e. Salem than 10'laseral relocation of the SAS®I may vertical relocation mf airy component of&c septic syatctn)but in accosdamce with State do Lo W Iations. Flan revisaosa or ceati5ed as- uilt by designer to follow. • .� a 221 STRUCTURAL (I�4aZiec a a ) 4 NO 38595 �. IgT 3ignat> y -e A x Wirk 's tamp—ffete�_ PLEASE . 5 LEC IAI� CA AS- S Al<TH ISFVISTQN Q.HsaJ*/'Sapti*J[MMpa Ca en Pemn T 'd 9109-29E-f30S 9d uewea � 8 '3 IaSweO dEI :EO 90 90 jew d f I HP6 MAR -7 Ali 9: 33 ii �i f 02/.1.0f:aEo 13:43 5087750754 W£L_LER ASSOC PAGE 01 r 9116 1 �I'OtICi•: This Form Is To Be Used For the Repair Wkd septic systems Only pMC®I.ATI,D'4 TEST AND SOELF-VALUAMN FIfJEl1 FTI0l4 F(D hereby Certify that Ow etWeeasd Plan sited by cis dated /a- cancerr�sat6 the proper 'locite�at meets of the, following criteria: a 'Phis.called spKm is Mmected to a residential dwelling early. Thant arc no comonercisl of business uses gssmated with the dwellmg. a 'flat soil is ala w.fied an CLASS I sod the p=olatiatt rate is less than or equal to 5 tninufts leer twb. The applicant my use hastarical data to conclike this fact of allay carsduct deep hest holes and percolation taste.At&e sii�t without a}tealth agent present a 11sem is no increase in;low and/or cmange in use propsed These are no vassances requested or tom. The bo"m of the psvposed leaching(wility will be located.no leas.thats five feet above tht tstaxmu m adjusted gXoundwa:ter tattle elevation. (Adjust fte.gmimd%ester table usmg the l"rimpW metes when applicable] please compide the iollotb$; A) 'Top of Cround Surface Elevahm, (gig GM information) BD G.W.Elavotion °�'u�'�.a jse��rreot for high G'W.� Ian CE RETWED4 A and B SIGNED-.4 DAM Based upon the above iudormaticm;a repair pen uit will be issued for bedrooms rnatximum,: No additiorta9 bedroom am aut2wized in the fiame without engate=d septic syratcm Plans. 1 'd 91O9-•29F_-909 3d ueweJA •3 Tatuea 016s :20 90 OT qad r i s � , y . e e , YA AA 00 YAA - v n , • M1 ' � 6 r r N : f , ° i ' + LOCATION : Z6 ' SEW&C,E PERMIT k10. It�lSTQLLER 5 1JQPIl j &DRESS BUILDER 5 �1J NlE ADRErSS M,TE PERMIT ISSUED - D ATE COMPLI &KICE . ISSUED : -2 b a No.......... •---•. Figs.f .................... THE COMMONWEALTH OF MASSACHUSETTS BOARDe�FF H OF.... .................................. ... ------------..--... -- ......... I� ,���Iirtt#iun ���ar �i,��u�tt1 �xk� Cn>axt��rurtt�Yt �rr�tit 45-' Application is ereb made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: or Lot No. �� lil0 Address a = -�-� Installer Address d Type of Building Size Lot....Z* Sq. feet U Dwelling—No. of Bedrooms.______ -___.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) Cafeteria ( ) Q' Other ures --------------- ------------- d ------------ W Design Flow......... ._ ........................gallons per person per day. Total daily flow__._________._____-_..___--gallons. WSeptic Tank—Liquid c ------ga ns Len -------- ------ t --- ......... Diameter---------------- Depth---------------- x Disposal Trench—No.. ............... ............... Total leaching area..__ —sq. ft. Seepage Pit No 9 -------------------- ept below inlet........------_..... Total leaching area.---_---------•--sq. ft. z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by--------------------- --•--------------------------•--................... Date....................................... a Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water...____..________.__.... �14 ....-... h Depth of Test Pit.................... Depth to ground water------------_-__-__.... 9 Test rt o. .-minutes per me ^._ _.......�... p d _ ec 3� FL Description of Soil �° --------- _ �r`'a✓?�`f_ .. . - x ---------- --------------4----- .r...... = -- ,� 1 I. .-1 , w' J' . ----------- U W ---------------------------- -------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable................................................................._------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the afor scribed Individual Sewage isposal ystem in accordance with the provisions of Article XI of the State Saitit y de The undersigned fur -er r not place the system in operation until a Certificate of Compliance h bee issued by e b of hea h. Sign --- ........ -• .........................----• ................................. ......._"Z --��--- � ate Application Approved By---------- ..... -- ••-- - ........... -- --- ------------------- ........ 'Z` 7 Date Application Disapproved for the following reasons:----------------------------------------------------------------------------.................................... .� J-- X -5+ 7� Date Permit No. Issued -------------------••---••-•-. -•--------- Date _ ____. ---------------------------------------- No......................... Fic:c.,. ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD F H H s Appliratiun -fur Uiipuuttl Works Cnunitrurtiun Vrrntit Application is ereb "made for a Permit to Construct (L' or Repair ( ) an Individual Sewage Disposal System at ---------------------- or Lot No. ,pw r 0n Address - ... Installer Address UType of Building Size Lot......... Sq. feet .1 Dwelling—No. of Bedrooms__----_ ______________________________Expansion Attic ( ) Garbage Grinder ( ) pa-, Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other tires _______________•__-______ _ W Design Flow_________ _ ( ______________________gallons per person per day. Total daily flow......_ ....7.�_.__..-.._____.--------gallons. WSeptic Tank—Liquid cir _-)-----ga ons Len --------------- �Wdt ............. Diameter----------...... Depth-----__•-------- x Disposal Trench—No_ _ _________ ______ %______ - �81P)Melo&w ____-- Total leaching area..___-�.._.-� sq. ft. Seepage Pit No.------; ----------r----•-- Inlet--------------•----• Total leaching area------- ----------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0, - ;I- -/?` ;;IC- Percolation Test Results Performed by----------------------------------------------------------------.......... Date-----_--__-_-_-_---_-------------------. Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-_-__________.-_- Depth to ground water__-____--_____--_-__---- r14 Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-_--_-_-_______--_-_---. �---------------•---------- ------- / - x � C �W / \c2escrption of Soil----- . ....v _'_ _`; U - o`!--'------- --- W x ----------------------------- ---------------------------------------------------=------------------------------------ ----------•-------------------------------------------------•------------------- V Nature of Repairs or Alterations—Answer when applicable......_----------------------------------------------------------------------------------------- -------------- ---------------------------------••-----------------------____-----•------------------•----•-----------------------•-•-------•-----------------------------------•-----•---- -------- Agreement: The undersigned agrees to install the afor escribed Individual Sewage isposal ystem in accordance with the provisions of Article XI of the State Sanit, y (tode— The undersigned futhi. er r not place the system in operation until a Certificate of Compliance h beeyi issued by - e b rd of hea Sign y {'� � ._-r4X 76 f r �J i ate Application Approved B �-_Gl-tit:-- .• (/ I __.... . r __--....�.q-_-__7e, Date Application Disapproved for the following reasons:................................................................................................................ ----------------•--•------------------------------------••-------------...-----------------------------...__---•---•-----------------------------------------•-••--•----------•---------__---•--•--_----- PermitNo......................................................... Issued........ ...... Date THE COMMONWEALTH OF MASSACHU ETTS BOARD �`� HEA ...............OF..... G .......................--......-...........-.............. Ulrrtif iratr of f�untpliatta THIS IS TO C wage Disposal ystem constructed ( r Repaired ( ) by... ---- -- •-•---------•--- -�--�-�--- I ---- - at. -. has been installed in accordance with the provisions of Ar7 e XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No--- b--_t_/................... dated--____ _..'. ..`./-71�............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.------- ___)�_:Z.----�4.•...........................••-- Inspector--•-f....-- ------------ ............................................ E COMMONWEALTH OF MASSACHUSETTS b - ....BOARD �CHEA 7 H .......................... .. ... ......... OF..... /. - No...... ,, qq--------- / �r FEE........................ fur Cnungtrurtiun rmit Permission is herby granted----- - _61- ------ ... ti / ---- -----------------------------•----•--•----------- to Construct ( or e r an Indi i iial .ewage DispS System }� J at No--------------•-----•---------- --_ _ ............G ....... ---- -----------------------_-___----- r treet as shown on the application for Disposal Works Construction e it N ...______._. ----- ._ Dated_Z _z y_-_7_G................ DATE........�..--a------�------------------------•---------------------- Board of Healthy FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS y kr � L ) % Z-0 7 1 3 '1r Y -. Mi, All y S Y Y t(� i ? LQ �J7"/0�61. �E•t/TF 2 /L LG- TLo IS �.qcl-.l F>/T H✓iTs,� / . 4 ' " r t fiY Ct}�"7'/.41 7:i-VJ+A 1 AkO' aAv X?A./ la L OC.9 T'E D o.v rNE � +� P 19:5 sA,/o w.V h/�E@oA✓ .4A.:/D TA-/AaT /T e s COA✓A✓O�"ti7 710 71,14'Er— .2--o.U/.t1 G ' i �' .<aays oA= rc✓E �vw/v o.c ��.`'Ac./sTABtE N j �?►/e4le��./ G'O.tOST�UC TE a. q�' N'g h r `WiPI Y R. �n9�ne�r/r�� fCPJALA�o? .•:a`��, n t Y J `HE rp�y Town of Barnstable BARNUABLE,. ' Regulatory Services Department 9 HASS. 1639. Public Health Division PTFD MA't a 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO February 7, 2007 Massachusetts Dept. of Revenue RE: 129 Warwick Way, Centerville To Whom It May Concern: This is to confirm that the attached copy of permit#2006-053 for 129 Warwick Way, Centerville, MA, owned by John and Nancy Weston, was issued because the septic system was in failure and the septic system was replaced by a Title V system. The installer initially errored in checking off as repair. This was an upgrade to Title V. The permit shows the acknowledged Certificate of Compliance for the Title V. Please feel free to contact me if you have any further questions. Sincerely, Sharon Crocker Administrative Assistant Enc. JALETTERS\Let 129 Warwick Way Cent-Condo.doc Y TEL: (508) 432-0530 08410 ROBERT B. OUR Co, Inc. GREAT WESTERN RD. P.O.BOX 1539 NO.HARWICH,MA 02645 DATE NAME JA 4iior-0 rj STREET / i CITY t;,/? Q•2i/ !/� So.� . 73 °7 59 3 G� CESSPOOL TANK(S)PUMPED: $ EXTRA HOOKUP: Y✓ LINE SNAKED: 4� SERVICE CHARGE: l� LABOR: DUMP FEE: CASH REC'D$ / TOTA $ This company will not be responsible for damage caused by trucks beyoLsnt . "NOT RESPONSIBLE FOR SPRINKLER SYSTEMS" —THIS IS YOUR BILL— CAPE BUSINESS FORMS-SO.YARMOUTH,MASS.-TEL. 1-800-892-0572 198066-BN �' Weller & Associates P.O. Box 417 Centerville MA 02632-0417 (508) 775-0735 INVOICE NO C, Date Previous Balance ITEM DESCRIPTION CHARGES CREDITS BALANCE i A—) fJ� Go cam- 80',oa l DON MCINTYRE 103 Bray Farm Rd. No. Yarmouthport, MA 02675 385-9407 Date)5Fo c rJG • I Terms L) C5 Re: !�jG� Date Description Amount L8 51-167�M 47 A-&Ov45 &Z>l 5)oo, d� Feb. to Z)�Pe6 PT- I L;e-Z> i r r , k' A Division of Barnstable County Construction Co. I: Proprietor P 71 Beth Lane Hyannis,MA 02601. Fully Registered Jim L.eBoeuf Telephone 508-775-0707 Licensed&Insured t` Builder's Lic.#060349 SOLD TO: 1 INVOICE DELIVER TO: IIVVOICE DATE DATE SHIPPED ` a®� CUSTOMER P.O. SHIPPED VIA SPECIAL INSTRUCTIONS QTY. DESCRIPTION ORDER NO. ORD'D. REFERENCES UNIT. AMOUNT PRICE SUB-TOTAL BALANCE DUE ` `, ✓ { ..� PAY THIS AMOUNT i i F ' N TEST HOLE LOG � NUTS: EXTEND COVERS OF — ���� c� SEPTIC TANK TO WITHIN DATE: - G" OF FIN15H GRADE PIPE TO BE LAID LEVEL TEST BY:Gv'�GC.,G-.O `-}SsC�C✓r� 5 e U �` FOR 2' OUT OF D15TRIBUTION WITNESS: Q BOX 2" LAYER OF 318" PEASTONE PERC RATE:. 4" 5CH 40 PVC PIPE OVER 3/4" - 1 1/2" DOUBLE pA Q(} WASHED 5TONE ALL AROUND # y TEST HOLE # I TEST HOLE 2q T.O.F. �m TOP e EL. -' . O IN5TATL GA5 BAFFLE BOTTOM � EL. �, IN OUTLET TEE y ' J ,r V GALLON PRECAST 6" STONL to 4 qtt� SEPTIC TANK y,8 LOCATION MAP SEPTIC SYSTEM PROFILE DESIGN DATA DAILY FLOW: (3) BEDROOMS x I 10 GPD = o GPD SEPTIC TANK: 331:=' GPD x 200% = GPD GALLON PRECAST SEPTIC TANK DISTRIBUTION BOX: � SOIL AI35ORPTION SYSTEM: f ` USE:. � cU7ca 2c—c, ,�cr�s CAPACITY: 7 �q 51DEWALL AREA:---.,5" ,r�= X z �C©.7,1 53 2 BOTTOM AREA._ V, 3'�c GENERAL NOTES I . CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION --`N N OF ALL UTILITIES, ABOVE * UNDERGROUND, PRIOR TO ANY EXCAVATION OR CONSTRUCTION. ./ '' �` J d ''9�.r 2. SEPTIC 5YSTEM IS TO BE INSTALLED IN COMPLIANCE WITH 3 10 CMR 1 5.00: TITLE V. p '' C�� 3. TH15 PLAN IS NOT TO BE USED FOR PROPERTY LINE r �,J DETERMINATION. � 4. ALL DISTURBED AKEA5 ARE TO BE LOAMED * SEEDED. \ 1 5. CONTRACTOR TO PROVIDE 48 HOUR NOTICE FOR ANY \ / REQUIRED INSPECTIONS*. G. THIS SYSTEM IS NOT DESIGNED FOR THE USE OF A a ' = GARBAGE DISPOSAL. � SfTE --- SEWAGE PLAN Qj LOCATION: ./Z GG'�J,2Gcaa'�'", '"l,✓r?Y' C��/�= ✓1GGc= tiGALE: DA1 E: DRAWN BY: �., NUMDER.: )HEM NUMI �, W of t,zssS�..,� OF Mq �� � J013 REVI:iION: ` 3EI�: ' `� J ANICL E. Gs y _ GIB/IL c�j IE j`i7E' M .No. -� WELLER ASSOCIATES f !!ONAL ' I G45 FALMOUTH RD., SUITE 4C P.O. BOX 4 17 CENTERVILLE, MA 02632 " � Su„J},:%' 2 WINDY WAY, #232 NANl-UCKET, MA 02554 ' -L�j O (o TEL: (506) 775-0735 FAX: (506) 775-0735 - k tp — O(. EMAIL: trlswellereconicast.net x `PRO ESSIONAL ENGINEERS * LAND EYO RS