HomeMy WebLinkAbout0288 HUCKINS NECK ROAD - Health (2) a88' { 0111113 nfuk !�A_� lend,
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
I �,4a�116'��9 6.7....0F.............. 4 7" ..................................------.
�-! A.Ppliratiou -for 4%ipoiitt1 Works Touitrurtion Vrrutit
Application is hereby made for a Permit to Construct (p4l"or Repair ( ) an Individual Sewage Disposal
System at:
......... O. ! .1 ,. '_. 6 -------RD------------- ---------•------------------����1------
Location-Address or Lot No.
Owner Address
w � ' _..-� n�i"40--------------------------- --•--...5`0.... ./ ���om.....F//B��_.. ------t�.4.L
a Installer Address
W
Q Type of Building Size ------Sq. feet
U Dwelling—No. of Bedrooms----------- ---------------------------Expansion Attic ( ) Garbage Grinder
PL4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
44 Other fixtures ---------------- -------------- --
w Design Flow--___-__•__--•-----���______--_•__..gallons per person per day. Total daily flow...........330....................gallons.
WSeptic Tank—Liquid capacity/.,�ed_?).gallons Length/4 Width. 57??..4... Diameter---------------- Depth.--.145_77_.55-
x Disposal Trench—No..................... Width-------------------- Total Length-------- ......_.. Total leaching area-----.-._---...___--sq. ft.
Seepage Pit No-------------1.... Diameter/d.-__...... Depth below inlet.....� Total leaching area..;Z.19_4¢__sq. ft.
z Other Distribution box ( 9 ) Dosing tank ( )
aPercolation Test Results Performed by.............................--•--•-------•••--.......--�•T-•---••-•-. Date--------------------------- -----------
Test Pit -No. 1..... !,. _.minutes per inch Depth of "Pest Pit..I__. _- r Depth to ground wafer.Vd-A��e
--- -
(.� Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground wat��_...._..__.___.____.-..
n; -------------------------------------------------------------------------------------•---------........------••------------------------------------•---•----
O Description of Soil _ eft P.--...1: k14
------------------ .............. ----------------
x
hl
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 of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the boar of health.
Signed I /y�- --- ..2�l"
�pp Date
Application Approved By-------.?--f
= C ................................................................. ........t�- ";- .l-----��---
Date
Application Disapproved for tllowing reasons:.-•----------------------------•-------•-------•-------------_---------•----------•----•--•---------------------
--••-•.............•------•------•----------•-----------•--•--------•--...-------•---..........------•---•--------------------------•--•--••---•--•.-- -•-------------------••---------------•---------
s• l
Date
Permit No.------.�--/-�-•---------------•----------_____ Issued-----`l 1 -------.._...---•-------
Date
..•••.••....••••.•.•••.-•.•••••........................•♦...........•.......••.•.••••...•:.•.....••.,•..•.•...///..................••.�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH `�
- a <
.- 4
C�rrtif irate of Tomphattrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (-)I ) or Repaired ( )
by..............trey-4 C------..... a.�`��e�-•--
Inst ller
at ��f.........Gl�' � UGfC��'S ke C/C lee
•-----------------------------------------------------•-------------------
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No-----ell.:...................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE . Inspector ` ------------------------------------------------------------
-
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a �
No.--- .. ._.... Fes$....... G
.............a
THE COMMONWEALTH OF MASSACHUSETTS
ry BOAR® OF HEALTH
—'-..OF.............. 4..7 ...............................
Appliration -fur ]i.4poottl Works Tonstrurtion rruld
1 lication is hereby made for a Permit to Construct ( 114r Repair ( ) an Individual Sewage D'sposal
System at':
Location-Address or,Lot No.
-72
-d �
....._ -----------------
a _ .Owner .. Address
. - � .•-•--•••••.. `y 7 //.& ......................... _el ..... .......
Installer Address
U Type of Building Size Lot...93_`JO......Sq. feet
.-, Dwelling—No. of Bedrooms---------._-,�........................Expansion Attic ( ) Garbage"Grinder
aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
04 Other fixtures _______________________________ _ _
--------------------------
W Design Flow____________________!-�-------------gallons per person per day. Total daily flow------------23.0_--_____----......gallons.
WSeptic Tank—Liquid capacity/6-i'4-Q_gallons Length_lo Width-.-5r..-.A.. Diameter---------------- Depth.--.�:.d
x Disposal Trench—No- -------------------- Width-------------------- Total Length--------
_- ....._... Total leaching area....................sq. ft.
Seepage Pit No............. .... Diameter-d_".-{-�-..... Depth below inlet............. Total leaching area._96!4 .scl. ft.
Z Other Distribution box ( I ) Dosing tank ( )
aPercolation Test Results Performed by--------------------- --•------------------------------- .p :-----•---- Date---------•----------------------------
Test Pit No. 1....../.:_.fir_ _minutes per inch Depth of "Pest Pit-. .:. __ _. Depth to ground water: Sfh!/ ,<1G
rs, Test Pit No. 2:...............minutes per inch Depth of Test Pit._--._- _-____ Depth to ground water--.--------Caci �c L�
W .._.. ................. ------------------------------------------•-•-------------•--•--------....-----•---........._...------------------------•-----...---
Description of Soil "S'c E .^9c v / J1.1 T�•��A,i..._................................................. ----------
--------------------------------------------------------------
W
V 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 Article XI of the State Sanitary Code— The unde'r'si'gned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
1
Signed.---_-' ;Il'S »t r = !¢+ ' '»�^p✓'$- — -------------------- ...................2
--------
Date
Application Approved BY / - ' -------------------------------------------------------•------ a:
--
te
7-
Application Disapproved for tl following reasons:----••-------------•---.._.._......._....--•--..............----•---------------........_...._......•-=------•--
.................................................. .......................................... --•------...----••----•----•-••-•----•---.•----•------.---••--_..._..----------•---••-.....----
r:
Permit No. Date
-�---7--------------------------------- Issued........................................................
Date
THE COMMONWEALTH OF.MASSACHUSETTSj`'
BOARD OF HEALTH
' " "" "�rrtifiratr of f TUMVI tturr
THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ( ) or Repaired ( )
byfG° --------- $ ..
Ins ller
at------------•----1.-«-� ' ✓�Gt��'✓��. .... C..c
. --------------------------------------------•-•--•------••--•---
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Cobh tr�uction Pertriit`NAr} yl►` y
PP P J --------------- dated ----------------------------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS'A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE-,y t s.--• 1 �¢ Inspector.•-- ...---•-------------------•---••----••---•------------•----•------
-
f. v
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OIF�'}HEALTH
.........:. .. 0 ... ... . O F........./ Sly sr�rdc t
...............................
No.------ = ...`--•. FEE ......-- •-----.--
Bi-nVotittl ork,i Tooitrurflon Prrmit
Permission is hereby g ranted------------(,feo __ '"_.___._.._..._ 4Ir �11fe
------------------------------•--•-----------•---------
to Construct O or Repair ( ) an:•IndividuSewage Dis oral System
at No.....---------t 1' '
w 4 Street
as shown on the application for D> p'o'sah cta Works Constru �nPrr>iit: No---- 7..... Dated_ry_ 1l__.7ig
' ... .. ..
r 1
� K --------------------------- ........................
7� ��.
�._ --- ' .. (Board of He alth
DATE_ _.. ,
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
-� ."4......_.,......'^�,..._.:.. :.........: �•.._�::.i.:a».�.a"a,,.w::,a,:... s'.,�3'.',:r�,�''fac "`�*w,,,.-�'.S�n�7«':.."�"y,�:. .. -
THE CO ONWEALTH OF MASSACHUSETTS
ORDEFe'
WETLAND PROTECTION ACT
G.L. CH. 131, S. 40
FILE NUMBER: SE3-253 PROJECT LOCATION: Lot 97, Lakeside Drive
Centerville, Mass.
TO: Holly Development Corp. CEl.'1': :1IA1L: NO.: 516387
P.O. Box 395
E. Falmouth, MA 02536
1V`,: NOTICE OF INTENT AND PLANS DATED: DATE OF RECEIPT BY THE COMMISSION :
July26, 1977 ....................July 28..........1977.. . .. . ......................................................................
DATE OF PUBLIC HEARING
August 9, 1977 DATE TYPED ....Aus;st....15,.....1977........................... .
Pursuant to the authority of G.L. Ch. 131, S. 40, the BARNSTA13LE CONSERVATION COMMIS
SION has considered your Notice of Intent and plans submitted therewith, and has determined that
the area on which the proposed work is to be clone is significant to one. or more of the interests
described in the said Act. The BARNSTA13LE CONSERVATION COM—A:IISSION hereby orders that
the following conditions are necessary and all work must be performed in strict conformance there-
with:
CONDITIONS:
1. Failure to comply with all conditions stated herein, and with all related statutes and other regula-
tory measures, shall be deemed cause to revoke or modify this Order.
2. This Order does not grant any property rights or .any exclusive prij-ileges; it does not authorize
any injury to private property or invasion or private rights.
3. This Order does not relieve the permitee or any other person of the necessity of contplyitig with
all other applicable federal, state, or local statutes, orcinances, by-laws and:/or ordinances.
4. The wort: authorized hereunder shall be conpleted within one (1) year from the elate of this
Order. The Order may be extended by the issuing authority at least thirty days prior to the
expiration date of the Order or its extension.
5. Any fill used in connection with this project shall be clean fill, containing no trash, refuse,
rubbish or debris, including, without limiting the generality of the foregoiug: lumber, bricks,
plaster, wire, lath, paper, tires, ashes, refrigerators, motor vehicles or parts of any of the fore-
going.
6. No work may be commenced until all appeal periods have elapsed front the Order of the Con-
servati-on Commission or from a final Order by the Department of Natural Rescources has elapsed.
i. No work, shall be undertaken until the Final Order, with respect to the proposed project, has
been recorded in the Registry of Deeds for the District ..in which the land is located. Copy to
be furnished to issuer of this Order showing book and page.
S. Upon completion of work described herein, the applicant sl►all fortliwith request, in writing, that
it Certificate of Compliance be issued stating that. the work has been satisfactorily completed.
9. A sigti shall be displayed at the site not less than two square feet or more than three square
feet bearing the words: "Massachusetts Department of Natural Resources File Nuniljer3,-253
10. Where the Department of Natural Resources is requested to make a determination and to issue
it superseding Order, the Conservation Commissions shall be a party to all agency proceedings
and hearings before the Department of Natural Resources.
11. Prior to any work being done at the site, all legal advertising bills incurred by the petitioner
in relation to the Wetlands Hearing held on this project shall be paid.
12. Prior to any wort: being do►ie at the site, it copy of these orders as recorded at tie Barnstable
Ilcgislry of Deeds and showi►w the book ,u►d rutd page mmibet-., mid ►.lane of eecording slhill he
delivered to the Barnstable Conservation Commission.
CONDITIONS CONTINUED FILE NUMBER. ...:SE3-253..................
fr1.3. .Notice shall be given to the Barnstable Conservatio�ir Commission or Conservation Officer no
Nor e than two weeks nor less than two days prior to the commenceirient of the work.
1s1. .A copy of these orders shall. be posted at the project site at all times during the course of the
work.
15. 'fire ii-ork shall conform to the fo.11oiving described plans and additional conditions:
A. Plans Cited
"Plan Showing - Proposed Dwelling and Proposed Sewerage System
Scale 1" = .40' July 20, 1977
Owner: Holly Develot-rent Corporation
Norman.Grossman, P.E.
226 Holly Point Road
Centerville, Mass."
B. A buffer strip of natural vegetation shall be maintained a minimum
of 35' from the pond's edge.
C. Upon completion of the work, the project shall be certified by the
project supervisor, in writing, to be as pe; this Order of Col., itions .
and delivered to the Conservation Commission.
D. This order.is. issued under both Gen. Laws Ch. 131, sec. 40 and
Article XXVIII of the Town of Barnstable by-laws.
The applicant, any person aggreived by this Order, any owner of laud abuttirr.g the land upon .
which the proposed work is to be clone, or any ten residents of the city of town in which the land is
located, are hereby notified of their right to appeal this Order to the Department of Natural Re-
sources, provided the request is made in writing and by certified mail. to the Department of Natural
Resources within ten (10) clays from the issuance of this Order.
ISSUED BY
k% ......: / ............. ............ ..... .... ............................... ............ ..i.. .... ...................................... ... ....__
...... ......................_..,......... .......... .,...... .... ........... ..............................................._..
. . .............................................................................. ........... .... ................
...................................................
On this ...........seve.nteent.,b....:..... day of ............:..Augtdst......................... 19.7..7............. before me personally .appeared
AY'letle ....... ilsOn to me ]mown to be the person described in and
N010 executed the fom—oina instruurent and acknowledged that he executed the same as his free
act and deed.
u... .....June 4 1982
....r .......................................................................
\ot �r 1'ulrlic 1l Comui«siorl. Expires
IGN CRITERIA
,io. of Bedrooms - z "
No. of People/Bedroom = 2.
Gal/per/Day = 15r5 GAL/peAT4*
Garbage Grinder *6070 -_ -- - --- r
Total Daily Flow
2 People/Bedroom x z BR x Ms Gal/Day/Person = ?._2D Gal/Day X/S= 33o G.r�D•
Leaching Area Required = SF/Gal x Gal/Day x Kam. ; j — .;x .•.
425 Z
I Leaching Area Provided -
23,3 T 7 d Af A�F'Ers 97 9 761PZ>
Indicates Test Hole Lucation
Indicates Perc. Hole No.
Indicates Perc. Hole No. 2 ''r'�` -- - -
- --- - -
1t
I d
LIQUID LEVEL
Indicates Existing Contour t 1
Indicates Proposed Contour f T -___ _ ---,
48X0 Indicates Existing Spot Grade" I ��}
5 Po 14"
48XO Indicates Proposed Spot Grade ► Es �►
� 1
� � ~e4 V14"
GENERAL MOTES
1. Wft Gal reinforced concrete septic tank and concrete TYP%CA.L SEPTIC -rXj w_ ,-yP' CA-L_ CXST-e_(VEt)T'I Ot�l Box
distribution box by American Precast Concrete, or equal . " To -/►LE Nor To sGA L_E
2 . 9AMMg &L.0 Board of Health must be notified when system
is nearly complete and prior to backfilling.
3 . Elevations based on UmC40% Datum Plane.
4 . Unless otherwise noted all system components shall be
installed in accordance with Title 5 of the State
Sanitary Code dated . _- }u:�y ; 1'977' and any local rules
applicable.
• :� .s/)(%S Crr.,rsN �a2�n.: � O�CQ F��..►�sr.1 �a�o� F�naisa �ae.o.-o�
--- OVWW_ T-A.N k= Z CWWW_ D17
5, Any deleterious material must 4e excavated and removed
to 3" below the surface of the natural permeable soil . Tclp Oc V'ouWjo
Backfill as required with a caravel or sand fill material,
having a percolation rate in its original 10CAtlOn Of 2 �;� �� ��� \
\ '''
min. per inch or better. , and 'Tree from f hies, clay, �\ `� \
\ \ r
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3
organic material , and large boulders. 4„ V.C
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