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HomeMy WebLinkAbout0089 BLUEBERRY HILL ROAD - Health AQ 77, r wNT 5 .. x ! rc ,r, H¢, kill #89aBlueber Roadt 4{ '1 II 0 a b TOWN OF BARNSTABLE u� LOCATION / (rwl LOk SEWAGE # J VILLAG ASSESSOR'S MAP & LOT y _ INSTALLER'S NAME&PHONE NO. [�?� �-�: 4j IAnL�- SEPTIC TANK CAPACITY I�C� i LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER a / PERMTTDATE: 4 636, COMPL DATE: Separation Distance Between the: VA Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of�leaching facility) a Feet Furnished a � � d No. /L Fee_A THE'COMMONWEALTH OF MASSACHUSETTS Entered in computer:LeL Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIpplicatton for 3h5pont *pgtem Con!5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No Designer's Name,Address and Tel.No. C3 �aQ VQ- C�A, 't� d Type of Building: C Dwelling No.of Bedrooms Lot Size ' Q sq.ft. Garbage Grinder( ) Other Ty g Type of BuildinIL—g No.of Persons Showers(Q-) Cafeteria( ) Other Fixtures Design Flow -5 _ gallons per day. Calculated daily flow \n --gallons. Plan Date 0.\ L2. D Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) h\e-W CA V,cs 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 Enviro mental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by t ' farVth. Signed Date W, Application Approved by Date Application Disapproved or the following reasons Permit No. 900�_- J�71 Date Issued d No. 7 Fee H ''COMMONWEALTH OF�MASSACHUSETTS Entered incomputer:�/ k Yes PUBLIC HEALTH'DIVISION -TOWN'°'OF BARNSTABLE,��'il'ASSACHUSETTS rication for f.5 o!6aY p teat Congtructton Permit Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. 5A A,� k4 Owner's Name,Address and Tel.No. } Assessor's Map/Pazc_el , f Installer's Name,Address,and Tel.No. 101 '�(oa— Designer's Name,Address and Tel.No. Type>of Building: - D,.welling No.of Bedrooms Lot Size�0 sq.ft. Garbage Grinder Other Type of Buildin , No. of Persons — Showers(&) Cafeteria Other Fixtures Design.Flow `S'S e�2 gallons per day. Calculated daily flow - gallons. Plan Date �k \N Number of sheets Revision Date Title Size of-Septic Tank`_ \.�d Type of S.A.S. Description of Soil F - Nature of Repairs or Alterations(Answer when applicable) t-.� vJ A-���� C.A ` j 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 been issued bye oar d of�H alth. Signed Date Application Approved by . a Date 1 Applicati'n Disapproved Rr the following reasons Permit No. Pat 1 — l—7 / Date Issued Ll --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sew ge Disposal System Constructed�)Repaired ( )Upgraded( ) Abandoned( )by �-'r 1 T_ /� at � 1._ Ji /1 has been constructed in accordance with the provisions o Title Yand the for Disposal System Construction Permit No. f 1-7� dated � Installer 81.4n�p) Designer yP _ The issuance of this permit s all not be construed as a guarantee that the&y'§M,,w-1Rf 1 cf1 as designed. Date .a1� -'' Inspector 1 vw� No. �C'�I-71 Fee l r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mqual *p5tem cow5truction Permit Permission is hereby granted to Construct O Repair( )Up gr de( Abandon(� ) System located at t and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and'the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of tki"s-permit. Datc:: � . Approved by o, - _ - J Cs Bk 19759 P91 Y27142 04-26-2005 a 51 -22P DEED RESTRICTION WHEREAS,CHESTER C.BUCK and MARY H.BUCK of Hyannis,MA,("Owners"), the owners of real estate located at LOT 19 Blueberry Hill Road,Hyannis,MA,and being more particularly described as LOT 19 on a plan of land entitled`Blueberry Hill Subdivision Plan of Land in Centerville-Hyannis-Barnstable,Mass. for Robert S.Elliott" which plan is recorded in Barnstable County Registry of Deeds in Plan Book 187,Page 51 which deed is recorded at Book 13177,Page 214 at the Barnstable County Registry of Deeds WHEREAS,CHESTER C. BUCK and MARY H. BUCK,as Owners of said parcel has agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said parcel as a pre-condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; tiWHEREAS,the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR, 15.000 State Environmental Code,Title V,Minimum Requirements for the Subsurface Disposal of Sanitary Sewage,and authorizing the issuance of a building permit for the construction of a single-family home on this property,is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document; NOW THEREFORE, CHESTER C. BUCK AND MARY H. BUCK do hereby place the following restriction on said parcel in accordance with this agreement with the Town of Barnstable Board of Health,which restriction shall run with the land and be binding upon all successors in title: The land described as Lot 19 Blueberry Hill Road,Hyannis,MA as referenced in a deed at Book 13177,Page 214 as Lot 19 may have constructed upon the parcel a house containing no more than one(1)bedroom and OWNER agrees that this shall be a permanent deed restriction. R This restriction,however,shall not prohibit the expansion of the septic system on the premises to accommodate more than 1 bedroom(s)if the system,as designed and/or upgraded,conforms with the provisions of the State Environmental Code, Title V and the Town of Dxs d of Health Regulations. For title see deed at Book 131 , age 14. Bk 19759 Pg 2 #27102 EXECUTED as a sealed instrument this,qlo*day of ,2005. Chester C. uck Mary uck State: County: Date: Sworn to under pains and penalties of perjury by the above-named Chester C.Buck and Mary H.Buck as aforesaid,on this 9i,'day of C1,0 41L 2005, before me,the undersigned notary public,personally appeared the said individuals,proved to me through satisfactory evidence identification(driver's license),to be the person whose name is signed on the preceding or attached document,and acknowledged to me that she signed it voluntarily for its stated purpose. Notary Public: G My commission expires: I- 19 cVOO7 DOROTHEA M.SIMA Notary Public Commonwealth of Massachusetts 1WIMy Commission Expires January 19,2W7 Y { TTEST A TRUE COPY,A JOHN F.ME—ADE,REGISTER BARNSTABLE REGISTRY OF DEEDS �� ���� �3�D��� I �o T`_�' i AND, 2" ^ N a v O � � O ol 7L ' O -� ol — o 14--0 12i_�n n N 4 0 D z N m r O O 4 � N kilo � O w 1�1 a p "O to p i t CA 6p 131-F 2--0 _ e Z 14'_ n -6n N \ 8. 6n Aim D oN � � r D Ll � rnrn 1 A � N AND..2" AND. Z4AG W-W 14'-0' W-p. IF 26'-0' w D PROJECT: T 26'x38' CAPE DEAN F . 57ANL.EY 3501 CAPTAIN LIJAN ROAD CENTERVILLE, MA Lu PL.AN5 PHONE: 508-428-3466 26'-0' 13'..pn 13i—On LI O n I [ I I I� O I r------� i N N I II I I I � I m I I I I I I t I I O I Z I I I I A—J I I I � I I � N I I i—pn I 8'—b t I I it I s I 8 N I 1 I I m I � I N I I I I I I D PROJECT:26'x38' CAPE DEAN F . 7ANLF."r 35q CAPTAIN LIJAH ROAD CENTERVILLE, MA g PLAN5 PHONE: 508®428-3466 . , . . . , . . . . . . . .z . . . . . . , ., . . .....:. . »+ W- \ .\. ,.« «� � 2322,. . . . . . . . . I :�2��-z---��2222 -5 \ w-�---------- . I § . ! I I \ I j } I �Q �A F 24A �KY . ! % »A - . �,� � . . _ . . . . � { , { - � 71 � \ ■® �- I � \ I I / w-----2- ---- � \ , o0 - . IZ � - � \ I �mm | � � ■ � % � � - L_ � � � E -- ---- ----- ---- ------aJ � i � ��«:: •��»�� ��, �2 « ����: � . W- v� a' 2 FRo m . 2 26 X38 CAPE DEAN F . 157 A N L F.%r v j � R . 559 CAPTAIN LIJAH ROAD CENTERVILLE, M4 ) f� . PLANS PHONE: $08-4215-3466 . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . ~ } Ism I I'I �I 11 i�i li i EMM pillll Ills llu iii I I II 1 .1 1�I 'i, I � it IiIIIIVuii4i III ! Vil N 3 0 JLL e � g 03 I ' � DEAN F . SfANYD ROAD CENTERVi a L � i G �N r I rn nl _ m cr ; r = m N `I_ > r a � I � I I I L dN L N PROJECT: m 26'x38' CAPE DEAN F . S7AN L E`r 3501 CAPTAIN LIJAH ROAD CENTERVILLE MA ELEVATIONS PHONE: 508-428-3466 i { . }tmu ))�tfrl G P{�fn7�- 'u�Y -���g,3r �iu �..i9,;�+"`'-!::! `' ,,...•. - - - ', � �o'tnlJ.Rlafr � .. � � i,�*r`{ F'e: .E.: t'•a.. 1 ::; ',5a.i;: o:.•r:;, HI(JG o►J MUMS . RPTERS ' a, � � � �. ��77�..',,:i:r7•q}� Y 3; -n y ��'Ry�'���" :1.:..:: .� t ;Dau66E' : � _ � •. IC'Ilie:_ Al ,�7 t`� �}'0.� }7ij,v.y'(q.::[3.... -�'+�:F'•':S 1 - '"1�:Q�E'. � ��- .. `).;y L� �r.i!f'1,+� k}Z�,• -�^��b '�����4 '�L-�1:,... - .��•� '"r - � � � .. '��'t�1����0.Ci' � � � � � � .. �f s: � : . y •R �0 •;1'' i d, IN , -65 r ���d+ �i 4 �' ,•ti Js .s7!. j: _ I:'� a � 7 � ... .cso-accralA s'.�.- 1 - �I r;l'I,IG't,'.. 1 . 3 a',: '�IS' r 'i. •F'b PI.�D 3'.l!`�OQ}:C71fr�1•� ,'S70.'�ii'Fx,R il.,a -`�' _ 0 1 I_ 6.�: .p;.5•�.JI�K�': .J. _T_''^ I 1 - V .'LJ ii � a,4 `.i'•,,.'•.'','.,'`1'w•-..,--"o. -,t.' ID"u+tbl FooraJ6l•v- .Ir 1 - - ' '14!, li•+a `�'� a•' i;,'v�;?*!'�..�.: i '12' I 1Yl �,, l., 3.1 h ,�y E J'l;r:,:`' , �T•� f ; �.� . O �P t°��°`°Av ��L.ssai�.cr. veo?�— !5 „a • 1� P V yu. �`-�=-------> - :'�''P •l-p. 11 S-�O 77r d l�IFiL; find-""�. - S '•rh�.+i!A:: :f: .- _- - ' is u�rr..'r.. L. �. ;�•�C(3•.•C.� -- r, . —.�..._....,� �Acrou►rf fa�bCfbF4 .._ � -- - � ,� � '. •Ir� it a'• _ I ) co ta/5. Y. - 1 - aalA' v c ILO, hoof~m"wreyow 11=D — r '�a - '—rill-��w --. - • ... .i �L�"� i, , 4 �`�- ,�vcra rare �� ctsi p .� y _r�� ��m� � -Bxuc(. . evlin. .4 Desk® 7 77423. 7 3 Town of Barnstable • Regulatory Services _ Thomas F.Geller,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Jnstaller& Desieaer Certitication Form Date: Designer: P Wnt� Installer• �Inoo 1�C�0/ ,6AAI—& 5v,_-VW1ouy , ,,IC- `,5— 3 r Address: 4 2 LovT� &A Address: L On �6 t��D Ol/��G v�lc5/: was issued a ennit to install a (date) installer) P septic system at 15 W tP b 60-r-h- Ft+LL-' 0--b based on a design drawn by (address) dated '� 1 L a (designer) A.Z- 1 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. I eerfify 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 coWonent of the septic system)but in accordance with State& Local Ikegulations. Plan revision or certified as built by designer to follow. Of tatter' 'Signature) • igner's Signature) (,Affix Designer's tamp Here) PLEASE RETURN TO BARNS ABLE PUBLIC RkALTH A SION. CERTIFICATE F -COMPLMNCE WILL NOT BE ISSUED UNTYL, BO THIS FORM-AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE IPITATTC HEALTH DMSION. AWN CYOU. Q:HaaltffiWhe/Dempa CmIdeatiam Form ACCESS COVERS MUST BE WITHIN INSPECTION 9' MI NI MUM. '� C ! nn ' 1 C /�/ IC T 6" OF FINISH GRADE \ I V� R T EL L_ 114 T / ✓NS • DES / GlY CR ! TER I A : GE rT RAL IVO I E1 PORT /-3 ' MAXIMUM COVER ,'04. 0 / \\ FIRST 2 ' TO f INVERT AT BUILDING: _ QO.:?_r DESIGN FLOW: BE LEVEL-, -MIN 2' OF PEASTGNE- INVERT I SEPTIC TANK: ;0{)��._. 1 BEDROOM AT I10 G.P.D. PER I . THIS PLAN IS FOP THE DESIGN AND CONSTRUCTION I LAVER T OUT SEPTIC TANK: _ 99. 75 _. BEDROOM EQUALS 1 /0 G. P.D. ` OF THE SEWAGE DISPOSAL SYSTEM ONLY. 4�I AM P;Pam— INVERT I N D/S T. BOX 4 7 . i c, .r — — s NO GARBAGE GRINDER 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS "_1�9 2a" - _ - �9. .99. 3� $� 1 p' %0 DCUBLE WASHED STONE IN OUT DI ST. 90X: - 99. /OG O e GAS l/ SET. SEE SITE PLAN s` / 1 e�F�E_ t v9. 47 �' 99.23 . —_—__ �D � ' 4 1.NVERT IN LEACH CHAMBER: 99.23 — 1 4 HIGH CAFAC17-Y INFILTRATOR BOTTOM OF LEACH CHAMBER: 98. 4 SEPTIC TANK REOUIRED: 3 OUTLET laTIM" ,� / 1 /0 G.P.D. X 200x - 220 GAL . 3• ALL CONSTRUCTION METHODS AND MATERIALS AND I D-dOX CHA,wdERS W/3. 5 '' STONE AROUND ADJvSTED GROUND WATER: IJ/A 1500 GAL / 10 'r jr 38 / x /0"d -- -- SEPTIC TANK PROVIDED: 1500 GAL , MIN. MAINTENANCE OF THE SEPTIC SYSTEM SHALL SEPTIC TANK 6 ' CRUSHED STONE OR 09SERVED GIc0UN0 WATER: _ 1I%A � CONFORM TO MASS. D.E P. TITLE 5 AND LOCAL �"- BOTTOM OF TEST HOLE •1 : 92. 1 SOIL ABSORPTION SYSTEM REOUIRED: BOARD OF HEALTH REGULATIONS. —`_ COMPACTED dAsf DESIGN PERC RATE l 5 MIN/INCH PR0/-' l _L � • NOT T9 SCALE SOIL TEXTURAL CLASS - / 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER s 7 EFFLUENT LOADING RATE' • 0. 74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GPEA TER 80, 1 /0 GPI, /' 0. 74 GPDiSF - 149 S.F. REOUIRED THAN 3 ' IN DEPTH SHALL BE CAPABLE OF W! TH- RIM•ro2 02 07 aASIn - STANDING H-20 WHEEL LOADS. PROVIDED: 4 HIGH CAPACITY INFILTRATOR CHAMBERS 013.5 '1 STONE AROUND. A-460 S.F. 5• ALL SEWER PIPE SHALL BE SCHEDULE 4O OP 460 S.F. x 0. 74 - 340 GPD APPROVED EOUAL f jy 6. SEP i-''C T DANK AND -8OX SHALL BE REINFORCED �� ,{J Cl / L- TI-S l P T LEA TA a� PRECAST CONCRETE AND WATERTIGHT. D-BOX SHALL BE WATER TESTED TO CHECK FOP LEVEL WHEN THERE_ _ 1402. 4,� `-�_-"' �r�� I NDtCA TES � 1 ND1CA Tf.S PERCOLA T ION OBSERVED IS MORE THAN ONE OUTLET. TEST - GROUND#A TER 4 H/Gh CAPACr 1Y 9D TP P*I G938 TF t2 Sp E 7. BEFORE CONSTRUCTION CALL "DIG-SAFE-. �-_ �.; I NF I L 7RATOR CHAMFERS-- ��- I oz I O 192 '-888-DIG-SAFE AND THE LOCAL WATER DEP r. JW I L R STONE C APOUNO"V ER.s `' �" ~� `� I FOR LOCATION OF UNDERGROUND UTILITIES. ~T ' HOP ZON— TEXTURE -COLOR HOh'l ZON - TEXTURE COLOR I2. o - --- — 102 1 0' 102.4 02� _ n L OAMY I 0 YR — -- LOAMY I 0 YP o?.; DBox ' � • / A 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE. .y �o' SAND 3:3 'Q SAND 3/3 f -� •" I i DES 1 GN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION 7- GALLOk r01 . 5 7- - IOI . B 150G r " j � __ LOAMY /OYR OF THE SYSTEM TO ALLOW FOR St:HEDt1L ING OF T1�E SEPTIC TANK ! L OAMY 10 YR TPri SAND 4/6 D SAND 4/6 CONSTRUCTION INSPECTIONS t I -1- i. P*2 28 - 99. 8 30' 99 9 \ 4 02 c I COARSE SAND IOYR C It MEDIUM /OYR 9• NO DETERMINATION HAS BEEN MADE AS TO e AND COBBLES 5.'8 SAND 5/8 COMPL /ANCE WITH DEED RES TR!C T I ONS OP ZONING 4r -i- y REGULATIONS. IT SHALL REMAIN THE CLIENTS S£Gj°Ds , -4s RESPONSIBILITY TO OBTAIN ALL PERMITS, SPECIAL. PP E 0 =� PERMITS. VARIANCES ETC FOR THIS PROJECT. �Of4gG�nwE'<C/�yG _ �c4 0 54 - - - - _ /0. IT SHALL REMAIN rHE CLIENT'S RESPONSIBILITY _ TO HAVE THE PROPOSED BUILDING FOUNDATION DESIGNED TO ACCOUNT FOR THE EXISTING GRADE NO WA TER R - AND SOIL COND/T I DN S AT THE LOCATION OF THE 92-1 120 NO WATER 92. 4 PROPOSED BUILDING. • �o / 2 2" �' <3a r DATE. MARCH 3/. 2005 l ;' . THIS LOT /S LOCATED IN A ZONE / I AND IS LIMITS TEST BY: STEPHEN HAAS TO A ONE BEDROOM DWELLING. ,Z o e/s)" p WITNESSED BY. DONALD DESMARA l S PERC RATE: c 2 M;N'I NCH +102.2 02. j % (° Y• { WX LOT / -9 15970 + S. F. a. f 1T �� / L. .4 A/ O L A A/Z::) +102 I /0' 'ROP, ~~ � �a 3 B L CJ E B��R R Y H I L L R O MAP 2 PA Fr C E_�'_ ?S — 2 +,0214 l F�RE-P A ARE-0 F-OR 1 �I 3� 's,�• L EGEND l�DUtF-_,�---""- t ,r�z r Cd CONCRc TE BOt.IND L�-/ t—_ N S I iZ - ...O c `t ?` 6 ---W WATER LINE 5 c-^ E / — 2 O 14 P R L ONUS. i - iI O HYDR4NT G-- 3A S LINE - r-- OHW-- OVER HEAD WIRES \�I LIGHT POST 923 Raga t e 6A UNDERGROUND ELECTRIC LINE M7 �� Y r� -Trio u t in © - t MA 02675 pi —T UNDERGROUND TELEPHONE LINE � � '��� ��_...., � � --- �.��, �/-)r�i, lI\'\ `�`� � S O 8 � 3 6 2--E3 1 3 2 --CTV UNDERGROUND CABLEVISION LINE ,,��� 506 432-5333 -}- 40. 4 SPOT ELEVATION j fi �--'�;?'�) f/ � •_.,_-40---•__ EXISTING CONTOUR (( L Q C AIM P 0 I G ?G 40 -___L40 PROPOSED CONTOUR JOB NO: 05-02/ F i EL D:CFW/E E K C,4 L.C: SAH/CFW CHECK .' CFW DRN: SAH