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HomeMy WebLinkAbout0417 CRAIGVILLE BEACH ROAD - Health 417 GRAIGVILLE Beach Rd. ,$yanni r` l f F TOWN OF OF BARNSTABLE 0/7 A LOCATION �/e;gQq�//L(F jE 410AP SEWAGE# VILLAGE ASSESSOR'S MAP&LOT 7_1 INSTALLER'S�NAMEE&PHONE NO. SEPTIC TANK CAPACITY 61(t 671,& i 1406 !F LEACHING FACILITY:(typez'//.x1PO&AAfor 3056,x (size) dSk 1,1 t4j X NO.OF BEDROOMS tj BUILDER OR OWNER PERMIT DATE:. COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility PrP141 Feet Private Water Supply well and Leaching Facility (If any wells exist f on site or within 200 feet of leaching facility) 1" Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) AIM Feet Furnished by C'/A C U 1 - i. h � IS o r �> No. 12005--- 3—It Fee X0111 THE COMMONWEALTH OF MASSACHUSET.TS Entered in computer: Y� es P1.16LIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS l01ppritation for Migaal *potent Congtrurtion Permit Application for a Permit to Construct( . )Repair( )Upgrade( Abandon( ) El Complete System ❑Individual Components Location Address or Lot No.1-07 0,,q,7,, a - ��e� N�e,A 'Xd rr i Te_LS eY Assessor's Map/Parcel�((6 .. 17 3 [AM"5. — 'n-e— /,/ Installer's Name,Ad dAs T r��`►0. Designer's Name,Aess and Tel.No. 350 Main Street /here r //'1"?'(( W, Yarmouth, MA 02673 0 - 6 Type of Building: Dwelling No.of Bedrooms--�3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building lCe3• No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow .3 3 gallons per day. Calculated daily flow 330 gallons. Plan Date %a - Number of sheets 1 Revision Date �.Z t Title % c Size of Septic Tank in 16 o Type of S.A.S. W ?O 01 -Z; Y Description of Soil 7) — )/. Nature of Repairs or Alterations(Answer when applicable) &Z r /��4✓l 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 by th' )oar of ealth. Signed 1 Date /c'3 Application Approved by Date B Application Disapproved forte following reasons Permit No. 24d,5 — 3` k Date Issued 74 .. f ___ _____. - N —_.-. ._— _ •tr Y-- a., rW��K Rl .•._.4 . .. ,� a. ti�Xr .t {✓�e. 'R.'+.+-.. .n�.. _-. -rr -— • ;,q - r Fee /n r) TIA COIb MONWEALTH OF MASSACHUSET�T�SXt L3 4' Entered incomputer: - � Yes _. PUBLIC HEALTH DIVISION -TOWW'OF BARNSTABLE., MASSACHUSETTS ZippYication for 0i5pont *p5tem ion!gtru' rtion Permit Application for a Permit to Construct( )Repair( )Upgrade( Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.<117( /A+9v;1-e 4 c L1 Ownec' Name,Qc dress and Te.Noy / IrC // 1afPiSC'/ Assessor's Map/Parcel _ 173. Installer's Name,Address,and Tel.No. Designer's N e,A��s_and Tel.No. k /neye G(j u -Z `Qs a- Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building kf.5• No. of Persons Showers,( ) Cafeteria( ) Other Fixtures p Design Flow 3 3 y. / (� gallons per day. Calculated daily flow 1330 gallons. Plan Date Number of sheets / Revision Date ��✓"� r Title .Si fe ` 2,,�a L Size of Septic Tank i'x;34ir /Uo Type of S.A.S. 30 Description of Soil /- �(A 1 i r Nature of Repairs or Alterations(Answer when applicable) �P r /)L4✓l 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 by ar th S o of ealth. € p Signed ' \ Date 1e r Application Approved by 4j_ 44� � Date "7 1l4 D Application Disapproved for the following reasons h 1 Permit No. 200-5-- 33k Date Issued 19 AS— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired( )Upgraded( Abandoned( )by I at 4117 /2 _ has been constructed in accordance with the provisions Aide 55+and the for Disposal System Construction Permit No. 206 S t3 � dated -7111 C Installer A-3 a�C] Designer / v The issuance of thine pit shall not be construed as a guarantee tha the syste u cti n as designe Date 7AW 5 Inspec r ——————————.————— ———————————-——————--- No. Fee VDU THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Digogal *p!6tem Construction Permit Permission is hereby granted to Co 3struct( )Repair( )Upgrade(-iJ Abandon( ) System located at ���7 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:Construct on must be completed within three years of the date of thi p it.. Date:__ 7 , j?A S Approved by 9/16/03 Notice: This Form•Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, hereby certify that the engineered plan signed by me dated « Z06S'-concerning the property located at R-0- meets. all of the. following criteria: 0 This failed system is connected to a residential dwelling only. There.are no commercial or business uses associated with the dwelling. • The.soil is classified as CLASS I and the percolation rate is less than or equal to S minutes per inch. The applicant may use historical data to conclude this fact or may conduct deep test holes and percolation tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information). o B) G.W.Elevation B,0 ,+adjustment for high G.W. = a D5TERENCE BETWEEN A and B 17 SIGNED : DATE: NOTICE Based upon the above information,a repair permit will be issued for bedrooms maximum.. No additional bedrooms are authorized in the future without engineered septic system plans. q AS eptic\percexemp.doc IAJ co ' I .I J V P ; 77, vL , • t l i r O f 1i f : i v t 1 d I n _ w ` �} �• s CI ) 20 / y'• ryy C O i CJ `. HOT 17.1 � I I fIto,I/NDrzf F,,o� i -• '..7 7 Town of Barnstable s"E'° �: Regulatory Services Thomas F. Geiler,Director 1ARNSTiRBLE. HAM ' Public health Division aTFp `°' Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Designer: � �/�' `�� �` '" v � Installer: - Address: . V �b Address: 350 Main Street W. Warmmuth—, MA3 zS3? On k__ was issued a permit to install a at (installer) �1 se tic system at 417 �A '�'JcL'� aF, 6 based on a design drawn by (address) dated �_" �q '0;� }� (designer) '\ I 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 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 ons. Plan revision or certified as-built by designer to follow. It A OF 9 ARREN O M. Y R (Ins t all e s Yignature) N 40 ►sTf S4NITARI�`a (Designer's Signature) fix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WELL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DMSION. THANK YOU. Q:Health/Septic/Designer Certification Form i r ANNIS FIRE DEPARTMENT ' 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 Paul D. Chisholm S�j+vf.��' etectvrel �Clve .`iUe� BVSiNE-SS: ;75-13c0 CHIEF EMERGENCY: 775-232 l3 To / Town of Barnstable , Board of Health - T. McKeanVVV Town of Barnstable , Conservation Commission - From ; Fire Prevention Bureau, Hyannis Fire Department Subject The installation of above ground storage tanks . Date a Persuant to the applicable sections of 527 CMR - Fire Prevention Regulations , this Department has inspected the following location for above ground storage . ADDRESS 417 Craigville Beach Road MAP 246 PARCEL 173 OWNER/OCCUPANT Joseph Morrissey PHONE : 778-4364 SIZE OF TANK (S) 275 gal. BASEMENT COMMODITY STORED : J fue oil PURPOSE FOR STORAGE : Heating THIS INSTALLATION IS : PRE-EXISTING A REPLACEMENT NEW X This installation complies does not comply with the required installation regulation listed below. FIRE .PREVENTION OFFICE For: PAUL D. CHISHOL:1, CHIEF HYAN'NIS FIRE DEPART:kfEN;T ■ TOWN OF BARNSTABLE - UNDERGHUUND FUEL AND CHEMICAL STORAGE REGISTRATION MAP NO. 7 7 PARCEL NO. TAG NO A 3 ADDRESS OF TANK:_ G � C a-m t el y )Li. G,)Gp Gib VILLAGE: I-��!i v )AX u Nmb r m Otrwfwt MAILING ADDRESS ( IF DIFFERENT FROM ABOVE ) : k 4 OWNER NAME: ►6eJ A L T- P- a PL i PHONE 5 0 � 1 ? -13 6 !> ,giAT'/3,41110 fitol f E HEA /I7 f " INSTALLATION DATE: / "" �5 BY: 90i� �,�� C-40 �77f' � 02-q 974/ INSTALLER ADDRESS: 1.5 P L T O Q lyoafo ► N6Lt> I it d� 6I -CERT.NO. - � 80 *TANK LOCATION: ABOVE w (owscR IOC TANK LOCATION W I TI-1 /�QOPQCT TO >U I LD I NO) CAPACITY�if TYPE OF TANK �u 7'K1�� AGE A_ e&' YRS. FUEL/CHEMICAL 1� Z TESTING CERTIFICATION [, ] PASS [ ] FAIL DATE LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION [ ) YES [ ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED [9C] YES [ ] NO DATE q7 CONSERVATION [>r] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ 1331 ] DATE �i� 7 * PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD TOWN OF BARNSTABLE t UNDER,G'FiUUN:D4;FUELS AND I;HEMjI C.AL STORAGE REGISTRATION {_ MAP NO. 7-7 / PARCEL NO. 0 TAG NO. /33, 1 ADDRESS OF TANK: k c.,O-A ►of 1/ )2..�_ F I)"r I� y� V 1 LLAGE: 111 af;aA.o,cs 1 4�a�,Y MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : ar43 OWNER NAME: lh! i) rz P_I 0_- Y -PHONE' 6,6r A r/2./v tv:9 71/4 ' INSTALLATION DATES / a5 BY:t0a,1,-/asA 4 n2 �t -71/ INSTALLER ADDRESS:_2.5 a>7 T O to I(1b�i 5T � (a� �r d I`'i� -CERT.NO. *TANK LOCATION: ABOVE &k---@W _ZeAl - (owncp%I=K TANK LOCATION W zi-rii a ll LwdmixC TO nU I LD I_N0) CAPACITY TYPE OF TANK STIR I. AGE JIZ- YRS. FUEL/CHEM I CAL TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION 4[),]. CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBU;T�I.ON,!__[_] YES.,,,..,,.,[,,,,_]_..,NO ,DA.TE.---TO—BE REMOVED- FIRE DEPT. PERMIT ISSUED DZI YES ~ ~[~ I NO DATE CONSERVATION CHECK IF N/A DATE BOARD OF HEALTH TAG NO. C 11331 ] DATE /.2- PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD TOWN OF BARNSTABLEJ`i Ur4d kf.�GBUli'f4- FUG El-( 4N-M ,_NHE"(I 1PWL STORAGE REGISTRATION n � MAP N0. 7I l PARCEL NO. TAG NO r 3 3 1 ADDRESS OF TANK: t . l",/1V UALw t P p V I LLAGE : tl f './ "'Ali � 7 Ivumb�r •tr��! MAILING ADDRESS . '( I F DIFFERENT FROM ABOVE ) : U k ' OWNER NAME: , L T[. 1 _ __ 17�1� � .' PHONE• -a ` INSTALLATION DATE: / '" 47 BY: 0<3//7z.14.5 C °.9 01a '6�'?`7-'r �e INSTALLER ADDRESS: 5 G`� 7" 0�► �dlbll�' 5 T N15t t7b1.3 �3At, �``b -CERT€NO. It 3 ABOVE B (3w J//I/ (� /�/f,� STANK LOCATION: _ (aaocn I ac TANK LOCATION W I 1-0kR 01P 06T TO au I LD I4N0) CAPACITY 2 74' TYPE OF TANK 57 TKQ- AGE Alta) YRS. FU �AL-7`EHEM I CAL TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE LEAK DETECTION CHECK IF N/A TYPE/BRAND ZONE OF C ON T R I B U ION _[—]Y E Se -[1—N.O-----DATE---T G--BE�77 tEMQV'E-D t FIRE DEPT. PERMIT ISSUED ISSUED [ ] YES [ ] NO DATE r i r 1 CONSERVATION [>rl CHECK IF N/A DATE i . BOARD OF HEALTH TAG NO. [ 11331 ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD i (�S 7 � n cl— T� S' v p nr chi �CJ IM s ' ,� ASSESSORS MAP : IU4 TEST HOLE LOGS NOTES: SANDPt� DNA AV ? PARCEL: 1) THE INSTALLATION MUST BE IN SUBSTANTIAL COMPLIANCE WITH PATRICIA ST ° RISCIILA SOIL EVALUATOR -D . MNex HIS PAN, 1995 MASSACHUSETTS TITLE V & TOWN OF FLOOD ZONE : q0N Rkzkf� BOARD OF HEALTH REGULATIONS. wlcK ao 2oc WITNESS : NOT �EtnUl�fl REFERENCE: DATE: .0 2 THE INSTALLER SHALL VERIFY THE LOCATION OF UTILITIES, BttcB PERCOLAT I N RATE: L # Y A Hyanm port i p"i �t'J� MI�n1 l SEWER INVERTS AND SEPTIC COMPONENTS PRIOR TO clu U.-kSS�' INSTALLATION. + t ` Kilo Ki �^' =1 n TH- I EL=2�i�.gt7 TH-2 3) THIS PLAN SHALL BE USED FOR SEPTIC SYSTEM INSTALLATION WE E s� I.Gmu as �` P l.. p ' ?LAW c1,' ONLY, AND SHALL NOT BE USED FOR PROPERTY LINE Y NNI < 1 ITN ©� `� (�jY _._.._v.vY. . A (DYQ.3�y DETERMINATION. i H AY UGT I-]I I1IOh_ ___.___ —._- C.OPNNy S� - .off 4) ALL PIPING TO BE 4" SCHEDULE 40 @ 1/8 "/ FOOT. (UNLESS � � $ ZL• LOCATION MAP(N_T5 SPECIFIED OTHERWISE) 1 NlF 6� qul„` F C 2•SYb� 7-1113 5) THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A Ta" i SMJO Io ' o,3a GARBAGE DISPOSAL. CZ SIP I( �S/3 t)I�SU RI,E 6) SEPTIC TANKS AND DISTRIBUTION BOXES (WHEN INSTALLED) I IT — yD1 L4 j MUST BE PLACED ON A MECHANICALLY COMPACTED BASE OR ON Keoi M ., A BASE OF 6"OF CRUSHED STONE. 3 Srrf4o 2.� �� -t.)�uST[NC� (,�A� _..YIT TD J3E�--_Pvm f_cso WEP_ [4ki -1+.4-7 �l_._UP _ 4t - w(CLGkd N-D S I+Lo 1/t) r 't"e 8 "N _P_I#V T9 u�r�i W11 n1 150 0�Prf._Lk-Ac4t,� . I _ . I . 9 NO WrnAv MS SEPTIC SYSTEM DESIGN Io�.�NtavE r+t->v Urv_�vtT7�V� ��1 ��GZ�S q�ou�lp FLOW ES"I•i MATES- %Iktt"t - _._El.. Z01 3b__ fib _EL 12-_ . . &Y-1571NC+ C► -Sobs L�VL,�5V1Db*Af -IV U BEDROOMS AT IIU GAL/DAY/BEDROOM - 330 GAL/DAY 11- o V_ - F SEPTIC TANK �r�R-t9-NcG��F1�o_-nit T►r�r _v ae -_ -© ---8M5. ?"o GROUNDWATER AT 8.0 G�loO GAL -F0—HV-0F (-�-AvT} _f1, VLA� / 50 l / GAL/DAY x 2 DAYS gttl�-EMI--. PER GIS MAP I o USE (� GALLON SEPTIC TANK-EXtST70i-Ke-PLA t P_ Wl 1)SUU 6a11o,� `"�9'" ayj G SEfnC, TwwK c 1G F-&i ,En , D*Al 1►�S�r CT1�I�S,_ BENCH MARK ��'�/ Zoo E� � i SOIL AB.ORPT I ON SYSTEM TOP OF DRAIN GRATE ELEVATION -_2586 , v oGG 0 4i �2 � n1-11:1` katZU UNIT wI i•33 STbN� -�� 1��__ USES DATUM ASSUMED --.. 6 E B �' , i �/ ON EUI>?`_ g'I si-0Nti 0 L SIpES �ZS�t Y. IZ-I6 vJ X ZID) 1¢') CDMloQ11L _ V11Ga<ID_� _V1�1P f f,1 r L 0 1 2 S I' E AREA:EL 2I X 2 X 0.7y i k V 8 g 1 +-, BO►TOM AREA: x p,') 2 ; AREA /I356 s ti a 25 I Z l h X 4 - 2 2 , I 354,46 C7P_0 J SEPTIC SYSTEM SECTION � 330GP0 r '� Erg T 2 Cw 7 \ 6 � � 0J� Zm R�, -_ �tJG � _ -- J� Yade Ii� - X - Molly Pof�hv hn to rr x M Ae EL7ns� t" 3 2 SOP 2 BO 000 GAL I D .�� • S / (1�ST�YLt�12�T0 SEPTIC TANK ,"A -RA� IV 11 1111 Jill 11111111 Eilsnrr�, �t b bB'3 �— ( 'max 12JG'W x ZId ll u� � _ Io00Gkuoa o J 46 E T o$ [�A'C.lf iN D��iL N�r. s. 7.13 WK A _ _ 9 2� ' � $ 2 �° » ?xmm or- %�ST�+oW- el, 14.47 S ,���tov.�-c. p A 2 M 3/ Dote SCALE: 1 in 20 {t - S*e SITE AND SEWAGE PLAN LOCATION : 417 CL1§yia.E $EAco IeoA-Q 4S 6b �8 G kI }-}� -ivnliSPo�r-. MA- PREPARED FOR /� pp G,�/ �Q C HOFM ' IZ-16' i "!� � /�--Y /��U �.' '•" CO A /I oz pA ti SCALE : DARREN M. MEYER, R.S. ER No. 1140 o P.O. BOX 981 - -�- DATE: M4 /Z ?1�S EAST SANDWICH, MA 02537 W �gNirnatra � DATE HEALTH AGENT Ph: (508) 362-2922 3 2