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HomeMy WebLinkAbout0089 SHEAFFER ROAD - Health (3) 144 Nottingham ' 'UT W c Centerville A= 172 —070 5MEAe I NO.24ULOR UPC 12 4 mm emeaa com • wlmle In USA TOWN OF BARNSTABLE LOCATION 144 SEWAGE# QQJe VILLAGE C42�ji'e✓v o)'e ASSESSOR'S MAP&PARCEL 1.7r'-C Q0 INSTALLER'S NAME&PHONE NO. �C SEPTIC TANK CAPACITY f j,jSti JS j LEACHING FACILITY:(type) (size) NO. OF BEDROOMS OWNERC.z" cl PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility aSc- 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 leachin facility) Feet FURNISHED 1 ,z� 16 ,A-0-NY3 AO 10' IJ 1�3i No. A ' 0 �-S 3 Fee 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ill PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Ve sa pstrm Construction 30Prinit Application for a Permit to Construct( ) Repair(' Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Addres or Lot No.jGjN i^:c4-r t.1 i1o. Owner's Name,Address,and Tel.No. & Assessor's-Map/Parcel 1 :2 ._ -, c, Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. s flu Type of Building: Dwelling No.of Bedrooms 3 Lot Size 1�, 190(Zsq.ft. Garbage Grinder( ) Other Type of Building (e s,r)(,\kW,) No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3�J gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank_� ��}„.« Type of S.A.S. pM G n11r.' h 20 CLICs.fVt�(a(a Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1 N�Vc� �X-26 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. Si Date6' Application Approved byZA-111T X Date — Application Disapproved by Date for the following reasons Permit No. d (9-,2.53 Date Issued ��C—�(� r� No. )V p �s Fee /y y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: YeI/ PUBLIC HEALA DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplication for Misposa 00PYn Construction 3Pffmlt Application for a Permit to Construct Repair Upgrade(+/). Abandon Complete System © //ni vidual Components Location Addres or Lot No./,/i/A)o;-t i rob��n."� Owner's Name,Address,and Tel.No. Assessor's's Map/Parcel 1 c Grp Installer's Name,,Address,and Tel.No. Designer's Name,Address,and Tel.No. u Type of Building: Dwelling No.of Bedrooms -3 Lot Size )5 O0() sq.ft. Garbage Grinder( Other Type of Building t rS,tk No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) n )Q gpd Design flow provided 1.1 f3:'' gpd Plan Date Number of sheets a Revision Date Title Size of Septic Tank N x 1,,},r4,S Type,bf S.A.S. a iSjo"y G a Jr,.) k- 2n CAOM�8( Description of Soil v y Nature of Repairs or Alterations(Answer when applicable) 1 h Srn CAe.))M 1A-:t('') Crl 4 , C4 s Fir 0-, rWX,*3 ri P1" Date last inspected: ^ - Agreement: r 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. ' { Sigped Date)r,�,,ae,-/ep Application Approved by Date Application Disapproved by w Date for the following reasons Permit No. d (rp�� Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Ortifitate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( '^'Upgraded( ) Abandoned( )by�Jr l.S/fig �/ rJ - - - at / L/y /"OF t fe-CL r 4, "0E e-114-r e-,,&rl has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit No..-((�-:2 dated t �' Installer Oz 16-s A { ,y"' N Designer #bedrooms ;4 Approved desi ow -x gpd The issuance of this permit,shall not be con trued as a guarantee that the system ill func'on as e i ,ed. Date 1 Inspector 5---------------q------------------------------------ / No. 2G 19 5_3 Fee /©D THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(!/ Upgrade( . ) Abandon( ) System located at �J A14,F f+yd f &I and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title.5 and the following local provisions or special conditions. Provided:Construction must be 'om©pleted within three years of the date of this permit. Date �� d Approved by � Town of Barnstable Regulatory Services " Richard V.Scali{ Interim Director BARNSTABLE, y . MASS. Public:Health Division 1639. �0 Thomas McKean,Director d 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 F Installer &Designer Certification Form, Date: I 0 (� Sewage Permit# - - � Assessor's Map\Parcel 0 2 0 Designer: �ry;,gee �n� GUo►-bts, 1r,C, Installer: P 4. (Pt_ Address: l Z W, C rb sit-nn ,e iJ f-14 Address: € �Q . 0 X ��S�t�1� �►a �26�y ���►���.ire M-�9-Q2,� 3 z On 8 `- 1 �� ✓OvJ/1 �h L was issu&*d a permit:to install a (date) (installer) septicsystem at I`� /VO/}�/1 {1ak" �✓. ��e�� based on a design drawn by. Y s T(5 (address) a Ev <Cne� nq {�.It,Ati I11 C , .dated � (designer) L1__f certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution. box and/or septic tank. Strip out (.if required) was 'inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e'.. greater than 10' lateral.relocation.of the.SAS or any vertical relocation of any'component of the septic system) but in accordance with State &.:Local :Regulations. Plan revist.on or certified as-built by designer to follow. Strip out(if required) was inspected'and the sofas were found satisfactory. I certify that the system referenced above was constructs nce with the terms of the I\A approval letters(if applicable) THOF PETER T. a ENTEE CIVIL nsta�er'sSignature) ►�•35109 (Designer's Signature) (Affix D signer amp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE .ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 5-14-13.doe SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted-Delivery is desired. �j�'" ❑Agent s Print your name and address the reverse X e ❑Addressee so that we can return the card o you. ■ Attach this card to the back of he mailpiece, "" ())tied Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: t D. Is delbery add Brent from item 1? ❑Yes If enter de address below: ❑No co L5 Lb� 1,2We` prttce treet 3. se�ry eType ;. for A 0 186 1 E ❑ex Certified Mall press Mall e� ❑Registered GWei-um Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number f 3 _� - =, (transfer fnim service label) i i C #i i 7i 0 0 8 1 B 3 0 ;0 0 0�21 i O SO 0 i 7 8 3 6 TO- PS Form 3811;February 2004` i` Domestic Return Receipt 102595-02-M-1540 i UNITED STATES POSTAL SERVICE First-Class Mail ib§tage&"Fees Paid `+• A3".L•:5'`'Ti.6�'`s,'d... 'g'£ 5, .. y.5. J' ,:a ."'.?+..,. ...„ p • Sender: Please print your name, add ress;-aff 1P44""t; d Town of Barnstable Health Division I 200 Main Street Hyannis MA 02601 I I Health Master Detail Page 1 of 1 i r,3 V L s z ^ , s* ;._ogr•d I^ As: Ti),4`Fd`;ec onsteE Health.,i Master Detad Fuesday, Fei,rLi App icaticn Cent?r Parcel Lookup Selection J Marcel Septic ezc Nell j el Tank Parcel: 172-020 Location: 144 NOTTINGHAM DRIVE, C NT RVILL Owner: THOMA , JA ON Business name: . . _... ._._. ___...... Business phone Rental property: Deed restricted: Number of bedrooms ' Contaminant released: l" Fuel storage tank permit: "Save Parcel Changes w Retur=n to L=ookup Parcel Infra Parcel ID: 172-020 Developer lot:LOT I.0 Location:'144 NOTTING AM DRIVE Primary frontage: 132 Secondary road:'- Secondary frontage: Village:CEU ERVILLE AkA Fire district:C-0-MM Sewer acct: �(� n Road index 1104 Interactive map .; Town zone of contribution:GP (Groundwater Protection Overlay District) State zone of contribution:IN Owner Infra Owner: THOMAS, JASON Co-Owner: Streetl: 122 WEST SPRUCE S`(' Street2: City: MILFORD State:MA Zip: 02186 Deed date: 5/23/2005 Deed reference: 19850/294 Land Info Acres: 0.34 Use: Single learn MDL-01 Zoning:RC Neighborhood: Topography: Level Road:Paved Utilities:Septic,Gas,Public: Water Location: Construction Info 25..;ldi g No=.ea, 3tai':t tective. 13=throoms. 1 1972 1767 3 Bedroom 2 Full Buildings value:$125,800.00 Extra features: $2,400,00 Land value: S 141,800.00 http://issgl/intranet/healthMaster/HealthMasterDetail.aspx?ID=172020 2/3/2009 "Cape Cod real estate, Cape Cod vacation rentals, homes for sale Page 1 of 2 Cape Cod Real Estate&Rentals Home 0 : _ A !Pao p ",eap N s z - - [Cape Cod Real Estate for Sale Home Cape Cod Real Estate, Properties for Sale, Vacation Rentals: Search Seaport Village Vacation Rental Property Featured Properties Search All Cape Cod MLS Properties Centerville, MA 144 Nottingham Drive Centerville, MA Search our Non MLS Make Reservation Request Properties View Availability Calendar Search Cape Cod Yearly/ Vacation Rentals Centerville Ranch Property Management I Property No.#841 Nottingham About Seaport Village - Realty Buyers and Sellers Cape Cod Area Information Mortgage Information ,- Relocation Information - --. What's My Home Worth Cape Cod Find an Agent 11031 Exchange Contact Us Login 1Vi S Quick 'Search .I Choose a location Large,Spacious 3 bedroom,2 bath Ranch with g Any ( Pine floors through out add a cozy feeling. Livin! with big picture window and fireplace allows for Choose a price range furnishings! Diningroom has a slider over lookin Minimum 0l and rear fenced yard.Master has private full batt bath was just remodeled with granite Counter,pi Maximum 1= maple vanity and light bamboo floors.New toilet shower also! Basement is unfinshed and huge. h MLS# storage.Washer/dryer available for tennat use.F can be rented with or with out furnishings! Great neigborhood.Close to all Barnstable activities,a Search beaches and easy off-Cape access.Owner is in K of completing repair check list.Available for 10/1 possible sooner.$1500 month plus gasHA heat,, cable and phone. Bedrooms: 3 http://www.seaportvillagerealty.conVcape-cod-vacation-rentals-Listing.asp?Id=652 10/8/2008 N 'Cape Cod real estate, Cape Cod vacation rentals, homes for sale Page 2 of 2 L� Bathrooms: 2 Half Bathrooms: n/a Square Feet: 1320 Heat: Forced Hot-Air, Gas Garage: 1 Car RELIABILITY Interior Features: Washer/Dryer, Bath with Tub,A PROGRAM Conditioning, Fireplace, Hardwo _. • Exterior Features: Deck/Patio, Fenced Yard Amenities: Near Shopping& Restaurants View Map Make Reservation Request Rate Schedule Rates Available Start Day End Day Monthly N/A N/A Start End Date Date Monthly All Other Dates 1,500.00 Fine real estate listings and vacation rentals in Massachusetts,Cape Cod,Barnstable, Chatham,Cotuit, Dennis, Eastham,Falmouth,Harwich, Hyannis,Marstons Mills, M, Sandwich,Truro,Wellfleet,Woods Hole,Yarm Cape Cod Real Estate Home I Cape Cod rentals Home I Cape Cod homes fo Search Featured Properties I Cape Cod Real Estate MLS Listings I Cape Cod Vacation Rentals I About Si Cape Cod Area Information Mortgage Information I What is Your Home Worth I Property Management Copyright©2007 Seaport Village Realty 128 Main Street, Hyannis, MA 02601 • (508)771-1994-Fax: (508)771-1s Email:judy@seaportvillagerealty.com Licensed in Massachusetts Real Estate Web Design by Webtodder http://www.seaportvillagerealty.com/cape-cod-vacation-rentals-Listing.asp?Id=652 10/8/2008 Town of Barnstable Barnstable oFiHE row Regulatory Services o Thomas F. Geiler, Director AsAmmicacity " Public Health Division t BMWSTABLE, 9 MASS. $ Thomas McKean, Director �� �7 16�9 A`� 200 Main Street ED MpV Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 2, 2009 J Jason Thomas 122 West Spruce Street Milford, MA 02186 As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at .144 Nottingham, Centerville . Enclosed is an application. Please use a separate application for each rental unit you own. Should you need . more applications, they -are available online at www.town.barnstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print.out as many as you need, and return them to the Health Division with the appropriate 2009 fees included. This must be completed within (14) fourteen days of your receipt of this letter. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 5.08-862-4644. Thank you in advance for your cooperation. X J. Timothy B. O'Connell; R.S. Health Inspector Health Division Direct#508-862-4646 Town of Barnstable P 4t Departinentof Regulatory Services LX Public'Health Division. Date o 619• �m�. 200.Main Street,Hyannis MA 02601 r ` . :h Date Scheduled —T ! Time: Eee Pd. ^®� d SoilS(u�i�abrizty Assessna:ent f®� e �lspo{{sal gym} Performed'By: �2 �� 1•I C,�li'yQ 5l�'I j�Z Witnessed By: �S LOCATION& GENERAL INFORMATION Location:Address MIA PO-0-�����iq 11.1 1)r^ Ownef's Name rt J-Q 1,,/'i i Le / v& __ _Address /Y Y ,` d l�hq rs t J) Assessor's Map/Parcel: riV �-,A •�2•-—Q� �. Pngineer's-Name t v �� eerzz?-� _ NEW CONSTRUCTION REPAIR �_ Telephone# � �� -5 � L andUse` rzt5" ` \ slopes YO � � p { ) � ' Z' Surface Stones Distances from: Open Water Body 73� `ft Possible Wet,Area �1 40t- ft Drinking`Water'Well..` t2 Draihage Way P S ft Property L ne ZO } ft Other f } SKETCH:(Streetname,dimensions of lot,exact locations of test holes&peretests,locate wetlands in proximity t0 holes) 1 Parent material(geologic) �/y s� Depth'to.Bedrock. Depth to Groundwater. Standing Water in Hole: d Weeping from Pit Ftnee :Estimated Seasonal High Groundwater. 132.t t DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in abs.hole: —_____ In. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. 'Oroundwoer Adjustment_._----:ft. Index Weti# Reading.Date: tndex Well level Aril.factor „_Adj.Groundwater Level PERCOLATION TEST Date- Thne Observation Hole# �� t Time at h Depth of Pere. 2 K�y L T)me at 6" Start Pre-soak Time Q a "' .' 'lime(9"-6") J� End Pre-soak Rate Min:/inch. Site'SuitabilityAssessment: SiteTassed SiteTailed: Additional Testing Needed(Y/rt) Original: Public Heath{Division - Observation Hole Data To Be Completed on Back----------- ***.If percolation test is.to<he.conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\S EPTPPERCT-0RN1.D0C I I DEEP OBSERVATION HOLE LOG Hole# 6 Depth from. Soil`Horizon Soil Texture Soil Color Soil• Other Surface(in:) (USDA), (Munsell) Mottling '(Structure;Stones;Boulders. ConsijtenC)[LL% ravel y DEEP OBSERVATION HOLE LOG Hole# z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (St ructure,Stones Boulders. Consistency.% rave � 1. S lA YYL alb DEEP OBSERVATION HOLE LOG Hole# Depth from, Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones,Boulders: n iste c Grave _ _...... DEEP OBSERVATION HOLE LOG Hole.# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in;) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsi ten ra i Flood Insurance Rate.Man: Above.560 year flood boundary No- Yes Wilhin 5W year boundary No._&_ Yes Within 100 year flood boundary No_!!�_ Yes es Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring material exist►n all areas pbserved throughout%the area proposed for the soil absorption system? X S If not;-what is the depth of naturally occurring pervious material? Certification I certify that on « �q ,(,date)I have passed the soil evaluator examination approved by the Departluent:of EnvironmentalP"r`otection and that the above:analysis was,performed by me consistent with . the required trai ,expertise and experience described in 10 CUR 15.017. Signature ( � Date S� Q%5.EPTlC,PERCF9RM.DOC 203 498 865 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent o t mber ,S Cad Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee LO o°'i Return Receipt Showing to Whom&Date Delivered Retim Receipt Slowing to Whom, Date,&Addressee's Address 0 TOTAL Postage&Fees $ 7 Go fh Postmark or Date LL a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). m Q) 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach,and retain the receipt,and mail the article. rn 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the O O addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. LL 6. Save this receipt and present it if you make an inquiry. r o2595-97-B-oi 45 d Town of Barnstable = Department of Health, Safety, and Environmental Services In"M�� Public Health Division i639• �� �Ec h P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A McKean,RS,CHO FAX: 508-790-6304 Director of Public Health October 17, 1997 Joyce Thamas 122 W. Spruce Street Milford, MA 01757 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE, ARTICLE 51 The property owned by you located at 144 Nottingham Drive, Centerville, was inspected on October 6, 1997 by Edward Barry, Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CMR 410.00, State Sanitary Code H, Minimum Standards of Fitness for Human Habitation were observed: 410.602A: Large pile of debris on left side of garage consisting of old furniture, old mattresses, sheets of plastic, multiple bags of leaves, old carpeting and other debris on the ground. You are directed to correct the above listed violations within ten (10) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE OARD OF HEALTH omas A. McKean Director of Public Health The Town of Barnstable ° Ilealth Department 367 Main Street, Hyannis, MA 02601 Office 508-790-6265 :jr ©y q -_-dw/v 10915 Thomas A. McKean FAX 50b-A'PP344 >22 ��� , �' Director of Public Health N_O_TICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY r, CODE III MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property oiewd by you located at was inspected on O�-`re bA, 6 , ' 199 7 by, VPWW,a rem' 0C, �✓Lt s Health Inspector for the Town of Barnstable, because of a complaint. The following violations of 105 CHR 410.00, State Sanitary Code II, Minimum Standards of Fitness for Human Habitation were observed: You are erected to rrec these olations w' in nty- fou 24) hou s o receipt of is notice. You are also directed to correct a4z—e within Z�4111 days/hours of receipt of this notice. You may request a hearing if written petition requesting same is .received by the Board of Health within seven (7) days after the date order is received. However, these violations must be corrected regardless of any request for ' a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health M1 ` a � THE COMMONWEALTH OF MASSACHUSETTS BOAR® ®F HiE %A/LTH L.15 U✓N.................OF...........RARN5..1�7.(X.�,... ........... for Disposal parks T.�'s. ruudivu V,.ermit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal \� System•at t11N ........................�s. ..................................._............�-�-'�...1A.......�.... -..:_ ....... c- ......................... l�L� .ocation•Address �•�•�•••�••••-- ................... - ..............._.... ... ... � Lot .........,.. ner .. w _ Add ss a ........... .............................. ��" - c . • -•....... -- Installer Addr s UType o Building Size Lot..../ri"..__......Sq. feet �-+ Dwelling—No. of Bedrooms................3.. ...._.__._Expansion Attic ( ) Garbage Grinder ( ) a ._Other—Type of Building __f3 ®ry._.r!✓ No. of persons..._......ft................ Showers ( ) — Cafeteria ( ) d Other fixtures Design Flow•...........................................gallons per person per day. Total daily flow__._________ W P P P Y• y .3.9-0---------------.......gallons. WSeptic Tank—Liquid capacity./..gallons Length................ Width__-__.__._._.__. Diameter................ Depth................ x Disposal Trench—Np..................... Width..............._. Total Length.............. ...... Total leaching area....................sq. ft. 3 Seepage Pit No-------............. Diameter._s � ��F� epth below inlet_._____....---...... Total leaching area...,3g2t....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__________-._.____-____. (� Test Pit No. 2________________minutes per inch Depth of Test Pit__...._......._..... Depth to ground water........................ , Ix ---------- ••... O Description of Soil...___......•- ...... W x ••--•••••-•-----•----------•------------•-••-----•••----•--....------•-----•---------•..............•---•---•...---•----••-----••----••--•----...-•-•....•-•......_......----------••....•..........._.. V Nature of Repairs or Alterations—Answer when applicable................................................................................................. d" ................................................................................................................................................................................................... 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 ed by the bo of -1 Sign .. ....... /�f 1. �-:. ......��Ax Vl�eApplication Approved BY •--•- . •1.... -- • ... ...--�$ /� ..... Application Disapproved for the following reasons------ ---------------------------•-•---------••------•.....--•••---•-•-....-•-••-..................----•-•---•- .........................................•--•-•--•--•---•.........--••-••----•-••......--•--••-•••-................-----......---•---•----•-•-••-----•-•--•---••-•................................------. Date PermitNo......................................................... Issued........................................................ Date ....... No.-\,,.................. Z�. ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........../ t.t !.!"'.................OF'....... J.?�n.& ........................................... Appliration for M.5posal Works Tonotrudivit frrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ...................C ..................................... ......Aid:: ........)�.............................................................. ocation-Address r Lot U, ....... ..... ........... . ..CA............. . ............... ..................... ................... ru ­4....�. .... Add . ... .............(. .......... ... ......... .................. .................................... .....e."rNYS Installer Zd;e" Type o wilding Size L""ot----/Y.00...........Sq. feet U Dwelling—No. of Bedrooms....................... .....................Expansion Attic Gar"b' age Grinder Other—Type of Building .11/vn/... No. of persons.....__4............... Showers Cafeteria Otherfixtures ..................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow.................i............................gallons. 1:4 Septic Tank—Liquid capacity./PW. ..gallons Length................ Width.._........_.... Diameter_...._.._....... Depth_..........._... Disposal Trench—N ............. WidR. Total Length....._.._...__...... Total leaching area--- ................sq. ft. Seepage Pit No..._._.,.....-______ Diameter._'-;r,!e..e,!Aepth below inlet.................... Total leaching area_I!R;��....sq. ft. 6 Z Other Distribution box Dosing tank Percolation Test Results Performed bv.......................................................................... Date___.___._......____..................... Test Pit No. 1.................niinutes per inch Depth of Test Pit........._.......... Depth to ground water------------------------ Test Pit No. 2................minutes per inch Depth of Test Pit.._._............... Depth to ground water...._.._._..__._........ P4 .......... ............................................................................................................... 0 Description of Soil......._.....__ ........ 1 '**....... .............................................................................................................. �4 U ................................................................................................................................................ ........................................................ W Z ........................................................................................................................................................................................................ 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 . 4ed by the b o ith 0 f 7 ................. S . . ......C., ........ ................................ Date atc 7-2— Application Approved By........ ................... ......Da Application Disapproved for the following reasons:............................................................................................ .t-e.............. .................................................................. ...................................................................................................................................... Date PermitNo.......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........4q............................OF......... .. .... .. ..... (9prtifiratr of Toutpliaurr THIS TO CERTLFY, That the Individual Sewage Disposal System constructed or Repaired by- -------------------- ... . .......... ............................................................................................................................... .10 Installer at......................�Tvf.................. --------------r, has been installed in accordance of Article XI of TheS e' Sanitary Code as descyrabed in the application for Disposal Works Construction Permit No.-________________- , dated------ ./.................... Is THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU 9_ D AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................... ......................................................... Inspector------ ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD -OF HEALTH, No...,3 �0-7) ........................................OF _X ...... .............................. ...................... FEV!.�.................. Dispos Norkii (En urtion jJamit ................ Permission is hereby granted--------...... ............ . ........................................................................... I................. wa e to Construct or)Z;pW a n stern Vosal ...... I .... ........ .at No................... 01v........ ........................ ...... ..... ... . .....C a ....... Street 906 as shown on the application for Disposal Wor-s ConstructionP n N ... Dated--- 7-1, ­ilA.-1.................. .................. Z-1 -- ---- -- ................ .1..........—------ Board of DATE................................................................................ FORM 1255 HOBBS & WARREN. INC:. PUBLISHERS � r m SENDER: �m I o wish to recbry the ■Complete items 1 and/or 2 for additional services. l w► ■Complete items 3,4a,and 4b. f0 011YIn�d st�l`vTces fior an i 1 ■Print your name and address on the reverse of this form so that we can return this ext fe¢ card to you. ,. 91 j ■Attach this forth to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. d ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery to ■The Return Receipt will show to whom the article was delivered and the date .. delivered. Consult postmaster for fee. a o d v 3.Artic Addressed to: 4a.Article Number d DLL E /® 4b.Service Type d 0 u ❑ Registered ® Certified °C rn rn u� Z ❑ Express Mail ❑ Insured c W .,l 7 W ❑ Return Receipt for Merchandise ❑ COD 7.Date of Delivery 0 ✓ � . ��-ate-� p 5.Received By:(Print Name) 8.Addressee's Address(Only if requested e U and fee is paid) 0 6.Sig ture:(Addressee o Agent) X Im t PS:F6981 I;Dec• D8 nW4 i':,-A%.'S '%-4 UNITED STATES POSTAL SERVICE (�,AER �Fir" 1aTss -Maif Postage'&�Feesaid=USPS Permit No.G-10 • Print your name, adg rI s nd ZIP Code"n th s�oxa "" Public Health Division Town of Bamstable PO Box 534 Hyannis,Massachusetts 02601 Fax(508)775-3344 Phone(508)790-6265 I f 3 t� 89.57 # --64-- EXISTING CONTOUR x 60.98 EXISTING SPOT GRADE OHO N �`) J EXISTING LEACH PIT -W EXISTING WATER SVC. Y / (APPROXIMATE) -G EXISTING GAS SERVICE �Pa shy TO BE: REMO VED r SEE NOTE 11 -=9H.IV - OVERHEAD WIRES 89.46 r TEST PIT Y j EXISTING SEPTIC TANK BENCHMARK 0 a 9 Y 90.91 (f0 REMAIN) TOP OF TANK, EL.=90.70E LEGEND 89.45 X INV.(OU0=89.35E ° 2 90.11 ti LAM :.. S�.\ 9 a-_---� LOCUS � �e P `• ,::/. •;. .`.: : A �- Q� -'-��-'-�o•.- 8 4 LOCUS MAP 9 A :, : ... oti �0.24 � '•`= 91,31, 7� � NOT TO SCALE 0 ::,... GENERAL NOTES: aye o �� � `:-Ai` ' •. I e O 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 9�-' BOARD OF HEALTH AND THE DESIGN ENGINEER. 89,33 /,�� p� /� �.,, X 92.04 �• ,5�,' TP-1 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS IN � / 92.99 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE O YYYY / TP-2 �L LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: 90.38 -310 CMR 15.405(1)(b): 93,05` 1) A 3' variance to the 3' maximum cover requirement, for up to • 6' of max. cover. S.A.S. shall be H-20 and vented. ::'' X 121 P GARAGE 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR CATCH BASIN . TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 89,05 g 2 . .• ::..� DESIGN ENGINEER. G *� 91,64 7 BM 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING �t 92.64 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER EXISTING, LOT 1 0 5. ALL ELEVATIONS RBASED ONUAN ASSUMED DATUM. C 7�8rtvf� �X� �p FS g«64f, 1 J,000±S•F• 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 88.99 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF / HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. j 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED 91.4 UPON THE APPROVING AND AUTHORITIES.O OR OR AS OTHERWISE OF MAs'p 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING D� o PETER T CONSTRUCTION. 89.91 x ��,• 00 McENTEE ', 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS CIVIL "' IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND No. 35109 REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). X Gj g,� C1E0 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 89.98 POOL '�GJr INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 1 E 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. S 7� (�I 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC BENCHMARK 0� G SYSTEM COMPONENTS NOT SHOWN ON THE PLAN COR./BOTTOM STEP �001 , PARCEL ID: 172-020 EL.=92.64 PLAN REVISION 8f 10/1$. ADD VARIANCE TO DROP CHAMBERS PROPOSED SEPTIC SYSTEM UPGRADE PLAN BELOW SILT LOAM, AND VENT SAS 144 NOTTINGHAM DRIVE, CENTERVILLE, MA F. OWNER OF RECOED Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 THOMAS, JASON Engineering by: l, SCALE DRAWN JOB. NO. 28 HAYES ROAD Engineering Works, Inc. 1"=20' P.T.M. 167-18 CENTERVILLE, MA 02632 9 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. 1 %ACETO, DENNIS J (508) 477-5313 6/27/18 P.T.M. . 1 Of 2 , NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=85.3 PROPOSED D-BOX FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK OF THE PROPOSED S.A.S. EXISTING INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S A S OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE GARAGE HOUSE(7f144) INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=93.64-E T.O.F.=93.64t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=92.1 t F.G. EL.=91.6t F.G. EL.=91.2f F.G. EL.=91.0t VENT MAINTAIN 2% SLOPE OVER S.A.S. a, • ao ® S1=1% (MIN.) 0 SL 1% (MIN.) �, 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/S" TO 1/2" �s S6 6^ DOUBLE WASHED STONE A, 2 'S� N 13 $ 96 (OR APPROVED FILTER FABRIC) ip 14" e" ea®68a6® '�S E2 ^' 00 EXISTING 48" LIQUID aeaaaaa --3/4" To 1-1/2" DOUBLE �, 9• ►� LEVEL A BAFFLEGAS 4' 4.8' 4' WASHED STONE INV.=88.97 PROPOSED INV.=88.80 INV.=89.35t D-BOX EFFECTIvE WIDTH 12.8' EXISTING INV.=84.80 OP. .S. ELt EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN -- H-20 RATED I----25'--�I NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP CONC. ELEV.=85.9t INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=85.30 SEPTIC LAYOUT 2) D-BOX SHALL BE SET LEVEL AND TRUE TO INV. ELEV.=84.80 66BB®® WMM a®aman 0 a®a GRADE ON A MECHANICALLY COMPACTED SIX aaa®aa6®®9a INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=82.80 4' 2 x 8.5' = 17.0' 4' 310 CMR 15.221(2). 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIAL CE3 ®® ® ®®® 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE, 5' (MIN.) ABOVE G.W. AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. LEACHING SYSTEM SECTION ®®®® ®®®® NO G.W., EL=79.3 4 ®®®® ®®®®® 37" c�v > ®®® ®®®®® SEPTIC SYSTEM PROFILE z N.T.S. 102" DESIGN CRITERIA SOIL LOG 4" KNOCKOUT DATE: MAY 24, 2018 (REF#15,663) 20" DIA. COVER NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR: PETER McENTEE PE SOIL TEXTURAL CLASS: CLASS I WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT " KNOCKOUT / 4" KNOCKOUT 58" DESIGN PERCOLAT /ION RATE: <2 MIN IN ELEV. TP- 1 DEPTH 'ELEv. TP-2 DEPTH 90.3 0" 90.3 DAILY FLOW: 330 G.P.D. A LOAMY SAND A LOAMY SAND 0" 0 DESIGN FLOW: 330 G.P.D. 89.1 10YR 4/2 14" 89.2 10YR 4/2 13" 4" KNOCKOUT B LOAMY SAND B LOAMY SAND GARBAGE GRINDER: NO-not allowed with design 10YR 5/8 x 10YR 5/8 88.3 24" 88.6 20" LEACHING AREA REQUIRED: (330) = 445.9 S.F. C1 PERC C1 LOAMY SAND LOAMY SAND 500 GALLON CAPACITY, H-20 LOADING 74 2.5Y 6/4 24 /42" 2.5Y 6/4 CHAMBERS EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 86.3 C2 SILT LOAM 48 as.s C2 SILT LOAM 4s" PROPOSED D-BOX: 1 INLET, 3 OUTLETS, H-10 RATED 10YR 5/3 10YR 5/3 N.T.S. 84.8 C31lf!?:'II 66" 85.3 C3tIN', (TABLE) 60" USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 144 NOTTINGHAM DRIVE, CENTERVILLE, MA MED.SAND MED.SAND SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. 2.5Y 6/6 2.5Y 6/6 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:......................... .. 471.2 S.F. 79.3 132 ; 7s.3 132" Engineering Works, Inc. N.T.S. P.T.M. 167-18 PERC RATE 3. MIN/IN. ("Cl" MORE RESTRICTIVE THAN "C3") 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD NO GROUNDWATER ENCOUNTERED (508) 477-5313 6/27/18 P.T.M. 2 Of 2