HomeMy WebLinkAbout0439 CRAIGVILLE BEACH ROAD - Health 439 CRAIGVILLE BEACH RD., HYANNIS
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' TOWN OF BARNSTABLE 61 C—"
LOCATION 7 �% �f la SEWAGE #
VII:LAGE ' /���'�e� .��� ASSESSOR'S MAP.:& LOT
INSTALLER'S NAME&PHONE NO. � i�o/�7�i
SEPTIC TANK CAPACITY 1,.6a6
LEACHING FACILITY: (type) Iff-J ��/ (size) is`AVA,7`
NO.OF BEDROOMS 3
BUILDER O OWNER �ua
PERMITDATE: COMPLIANCE DATE: `
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 5 ,f 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) �'!/�� Feet
Furnished by CZ
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01ppYtcation for Dtgpogaf *pgtem Congtruction Vermtt
Application for a Permit to Construct( )Repair(/Upgrade( )Abandon( ) 0&omplete System ❑Individual Components
Location Address or Lot No. /` //�!(p 4W% ,j Owner's
d//�Name,Address
C�� .No.
Assessor'sMap/Parcel a. �Gfi������c/},/T /y
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Ceos1,/-.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder
Other Type of Building CG No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date 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)
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 b his d of Health l
Signed Date M'1/P�
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued •'��
�e� Fee y' [
- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PU `LIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
Z(ppYication for ]Di6pool *potem Construction Permit
Application for a Permit to Construct( )Repair(, )Upgrade( )Abandon( ) 0?fComplete System ❑Individual Components
Location Address or Lot No. ��/,fi^�Q��✓�/`p �PQ„I�� Owne���e,�r���.No.
Assessor-s Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
QD�yO�O�i CO�sf ,
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( D
Other Type of Building 1L• No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow 33el gallons._
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank /SQL Type of S.A.S.
✓ s �
Description of Soil /Di1'"S�Xz
Nature of Repairs or Alterations(Answer when applicable) 7_)/_1_
{
Date last inspected:
Agre�m ent:
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 b his o d f Healthy
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. �' A Date Issued r/ '
---------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
i
Certificate of Compliance
F` a
THIS IS TO CERTIFY,that the On-site Sewage Disposal,:System Constructed( )Repaired( )Upgraded( )
Abandoned( )by /� re T
at /ZOP has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. Z< dated AO' ' 9
Installer Designer
The issuanc of ' pe shal of be construed as a guarantee that the a will function s dew ned.97Y
�' /(✓Date i Inspector
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---------------------------------------
No. l F b ?,� `V-4J. DD/ Fee �,ft
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
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Mopogal *p!tem Construction Permit
Permission is hereby granted to Construct( )Repair(✓�Ypgrade( )Abandon( )
System located at N R 9 t-lQI9U% f',0' /""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 dateyof thijgrritit. y
Date: `Q'"/� Approve
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NOTICE: This Form Is To Betsed For the Repair Of Failed
Septic Systems Only.
CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL
WORKS CONSTRUCTION PERNIIT(WITHOUT DESIGNED PLANS)
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1ta�e��T�D��a� / , hereby certify that the application for disposal works
construction permit signed by me dated concerning the
property located at meets all of the
following criteria:
/The failed system is connected to a residential dwelling only. There are no commercial or business
es associated with the dwelling.
The soil is classified as CLASS I and the percolation:ate is less than or dual to minutes per inch.
There are no wetlands within 100 feet of the oronosed septic system
/There are no private wells within 1-40 feet of the proposed septic system
I/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 not be located less than five feet above the
ma�dmum adjusted groundwater table elevation. (Adjust the groundwater table using the rrimptor
shod when applicable]
If the S.A.S. will be located with 250 feet of atiy vegetated wetlands, the bottom of the proposed
leaching facility will not be located less than fourteen(14)feet above the maximum adjusted
groundwater table elevation,
Pie-, complete the following:
A) Top of Ground Surface Elevation(using GIS information) 45-
B) G.W.Elevation c) +the MAX Ffgh G.W.AdJtstment.Z '7 '
DIFFERENCE BETWEEN A and B 1 g o
SIGNED : DATE:
[Sketch pmpoud Plan of system on back].
(F health l older.=I
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NAME: -T i r+no-1hLA oor-NcW
ADDRESS: 51 /teary Ann .Dr LJorccsqc r MA o 1G O&
PHONE #: 508 - 83S -P333 cx4 Q;a
RE. J439 C'raicju►'IIc Scoch Rol. W. J4uann;sj2orj
#BEDROOMS: TOWN OR WELL WATER: #TREES:
LOCATION&ELEV. OF EXISTING SEPTIC: L'c�5000�S - Aso r1�
GAS-ELEC.-WATER LOCATION:
SPECIALIZED LANDSCAPING:
HOMEOWNER NOTIFIED WE WILL NOT BE HELD RESPONSIBLE OF CRACKS IN
DRIVEWAY IF NEEDED TO DRIVE OVER:
SKETCH OF PROPERTY:
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TOWN OF BARNSTABLE
LOCATION %J C� � I�/��/_F' � l/ �f' SEWAGE # r ''�
VILLAGE ' ��Y�'/�fi ,G /'�' ASSESSOR'S MAP &
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) <v C (size)
NO.OF BEDROOMS 3
BUILDER O OWNER
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �y/ 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) r !'i Feet
Furnished by 1. C
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d ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
permit.
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PS Form 3811, December 1994 Domestic Return Receipt j
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UNITED STATES POSTAL SERVICE '"
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Permit No.G-10
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f Town of Barnstable
I PO Box 534
j Hyannis,Massachusetts 02601
I Fax(508)775-3344
I Phone(508)-T99-6�
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Restricted Delivery Fee
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Whom&Date Delivered
Return Receipt Showing to Whom,
Date,&Addressee's Address
TOTAL Postage&Fees s
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Stick postage stamps to article to cover First-Class postage,certified mail fee,and
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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 ofiice service m
window or hand it to your rural carrier(no extra charge). m
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m
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return address of the article,date,detach,and retain the receipt,and mail the article.
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3. If you want a return receipt,write the certified mail number and your name and address 0
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 n
RETURN RECEIPT REQUESTED adjacent to the number. Q
4. If you want delivery restricted to the addressee, or to an authorized agent of the C
addressee,endorse RESTRICTED DELIVERY on the front of the article. co
5. Enter fees for the services requested in the appropriate spaces on the front of this
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6. Save this receipt and present it if you make an inquiry. a
THE Tp Town of Barnstable
Department of Health, Safety, and Environmental Services
* BAMSTABLE,
MASS.
i639. Public Health Division
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AlfDfA°sA P.O. Box 534, Hyannis MA 02601
Office: 508-790-6265 Thomas A.McKean,RS,CHO
FAX: 508-790-6304 Director of Public Health
August 6, 1999
Mr. Timothy Cooney
51 Mary Ann Drive
Worcester, MA 01606
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL
CODE, TITLE 5.
The septic system owned by you located at 439 Craigville Beach Rd., W. Hyannisport
was inspected on August 3, 1999 by Donna Miorandi, health inspector for the Town of
Barnstable.
The inspection of your septic system showed that your system has failed under the
guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• According to DPW records, the septic tank or cesspool was pumped on June 24, 1999
and August 1999. Sewage was observed overflowing on the ground.
You are directed to hire a licensed Town of Barnstable septic system installer to submit a
sketch diagram of a proposed system to the Town of Barnstable Health Division Office
(Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance
with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of
receipt of this notice.
You are also directed to bring the septic system into compliance within thirty (30) days of
receipt of this order letter.
q/wp/cooney.doc-KS
��� 7
You are further directed to maintain the system by hiring a licensed septage hauler to
pump the septic system to prevent discharge of sewage or effluent into the buildings, onto
the surface of the ground, or in to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to
any court of competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF TH OARD OF HEALTH
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
q/wp/cooney.doc-KS
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ed�Date�,� 110185 �r „ ,�';ReferenCe 4815066 ��
J u rjrN t GOONEY,TIMOTHY J JR& Der M Y 1185 .:sbeed Ref 4815/066
al s Land 34800 i 65000 xt ea re 0000000000
oca io 439 CRAIGVILLE BEACH ROAD /
Eir Rts HY tg, 0087F
FOURTH AVENUE
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From The Desk Of
Tim Cooney
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G� a pterCetral Massac u ett
eyNationa Council Route 12.186 West Boylston Street•West Boylston,MA 0 583
Tel:(508)835-2333•Fax:(508)835-2359 CJ /
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BORTOLOTTI CONSTRUCTION INC.
DRAINAGE LAND DEVELOPMENT SEPTIC SYSTEMS
August 10, 1999
Timothy Cooney
51 Mary Ann Drive
Worcester, MA 01606
Telephone: 508-835-2333 Ext. 22
RE: 01C aigv ille Beach Road
West Hyannisport, MA
Bortolotti Construction, Inc.,proposes the following Title V Septic System Repair as per the
Town Of Barnstable Board Of Health Requirements for a Three Bedroom Application:
Furnish and Install a 1500 Gallon (H-10)Septic Tank, an (H-10)Distribution
Box, and 4 High Capacity Infiltrators with Washed Stone surrounding and
beneath (Leaching Area: 10' W x 30'L x 2'D) connect to the Existing Sewer "
Line at the Front of the Dwelling.
INC. Permit Fee, Sketch Plan Design, Tree Trimming and Removal as necessary,
Pumping and Filling or Removal of the Existing Cesspools,All Materials
and Labor, Backfill and Grade, Removal of Excess Fill, Re-Loam and Seed
the Disturbed Grass Areas.
NOTE: Soil Conditions and Ground Elevations are assumed to be suitable and
will be varified at time of Installation. Any Removal of Unsuitable Materials
and Replacement Sand will be at an Additional Cost..A Pump Chamber is
not included within this Proposal.
The Total Price for the above stated work will be$4,590.00, with Payment Terms as follows:
50%Deposit Upon Acceptance, Balance Upon Completion or Other Suitable Arrangements
Can Be Made.
Thank you for the opportunity afforded us in offering this Proposal.
,:CCEP NCE: Respectfully Submitted,
Robert G. Gilfoy
of y Co oneyl Cost Estimator
Bortolotti Construction, Inc.
P.O. BOX 704 • MARSTONS MILLS,MASSACHUSETTS 02648 • (508)771-9399 • FAX (508)428-9399
LUCATION SEW#/GE PERMIT NO.
LIM
I N S T A I. R'S NAME i ADDRE$,S
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e U I L 0 E R OR
D''A T E PERMIT ISSUED
DATE COMPLIANCE ISSUED
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CENTRAL MASS CHAPTER NATIONAL SAFETY COUNCIL Wachusett Plaza 186 West Bo Iston Street Y
West Boylston, MA 01583
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Massachusetts!
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THE COMMONWEALTH OF MASSACHUSETTS
/ BOAR® OF HEALTH
.................OF...
......... ,,Q/� �� '
Appliratioat for Uiopoii al Works Tonstrurtioat rantit
Application is hereby made for a Permit to Construct (<) or Repair ( ) an Individual Sewage Disposal
System at:
at: 6 / c�'" /
...��...7...��•!-` �,��!//z- --. c�6.... ' s��= ..............................
ca' Address o Lot N.
Owner Address
49
Installer Address
d Type of Building Size Lot/ _ q. feet
Dwelling—No. of Bedrooms___-.. ...............................Expansion Attic ( ) Garbage Grinder ( )
p, Other—Type of Building ............................ No. of persons---_--_-_-____--_____-____ Showers ( ) — Cafeteria ( )
a' Other fixtures ______________________________
W Design Flow....................Ill-----.-----__gallons per-peF&@;a-per day. Total daily flow--------------.3.�_._.... ......_.___gallPs.
WSeptic Tank—Liquid capacitvlAr ....gallons Length_____..._.. Width____��.._.__ Diameter--------- ---- Depth...!°..........
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.........._---------sq. ft.
Seepage Pit NO*--------/______-_ iameter-----/0d.......
Depth below inlet-----A.......... Total leaching area..i2_�.�..sq. ft.
Z Other Distribution box (� Dosin tj�n�
a Percolation Test Re$uultsf Performed by. l. C.�._. � h4._.11�_ h!. �.I.... Date_ ®U ql 199F �
II
Test Pit No. 1....�_......_..minutes per inch Depth of Test Pit-------1.�2..!...... Depth to ground water________________________
Gr, Test Pit No. 2.....a_._._minutes per inch Depth of Test Pit....... �...... Depth to ground water........................
' 7..----- ----.---,-----------------5- --------r--=A ... . ----- ... .........`,...... ... .......---•--------
O Description of Soil-----�� i ��"' ------....r............................................................� � G ..�.---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
..
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'T`:L
p 5 of the State Sanitary Code— The un ersigned further agrees not to place the system in
operation until a Certificate of Compliance has beeV's�e t e oard of health.
Signed....._`
/`-JDt
Application Approved By--......... ------F�/ ' -------------- ----- ---------
Date
Application Disapproved for the following reasons--------------------------------------------------------•--------------......----------------------------•-......
----------------------------------------------------------------•-----------------••.._.._.....
Date
PermitNo.......................................................... Issued.......................................................
Date
� H ,
No.. �. '�.......
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
,���Iir�t#gian f.u� �i��,���1= nrk,� C�nn��rnr�irrn rrnti�
Application is hereby made for a Permit to Construct 00 or Repair ( ) an'Individual Sewage Disposal
System at:
,9v lO.c _. ��...... ...................................
Address o Lot No. _
,`V.. ._� G.....-----•--- 7' �i 1-�- ------ r ... ..............
✓%'` ' .rim' j
Owner Address
W � /
Installer Address
QType of Building Size Lotf .............Sq. feet
U Dwelling—No. of Bedrooms___-_ Expansion Attic ( ) Garbage Grinder ( )
�+
Other—Type of Building ..:......................... No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ----------------------------------
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length............._...... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by........................................-------•------------------------- Date.........................................
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Gil Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
tx ----------------------------------•------------------------•----------------.............._......---.........................................................
0 Description of Soil..................................................................................=----------------- --------- ---------...........................................
x
U. --------•-•---------•-••-----------------•-----•----•-----------•----•-•-------------•-----------• ........................................... .........................................................
-------•-----------------•--------------•---------•-------------•---------------------------------------------------------------...--------•------•---•-•------------------------------------.......----
UNature 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'TT?E,
p 5 of the State Sanitary Code— The unde
rsigned further agrees not to place the system in
operation until a Certificate of Compliance has been sued y of health.
Sined---•-.._... ------- -- - -_..............•--•-------------...--- ---Dat
Application Approved By-•--•-. .�- _ `!'1�r--...�.... •---•--------- -.... ✓�
' Date
Application Disapproved for the following reasons------------------•----------•---•-•-----••-----------•----•---•-•---•--•......-------------------------•-•----•-
.......................:.................................................................................................................................................................................
Date
PermitNo......................................................... Issued.......................................................
Date
e
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
''-
.. ..... .........OF.......... ...............................
Trrfifir atr of TampIianrr
THIS IS 1j0 CERTIFY, That the Individual Sewage Disposal System constructed �or Repaired ( )
by.............• ....... ....................................................................................................................................................
...................
/ / //
at.---_---•.��' ---------�..... C. '_R_ ���----- .!.arc !,4 ---- r �/¢ --- --------
has been installed in accordance with the provisions of TI j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No ................ dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE........... ......_...._ ! Inspector e��..................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH/
_ ...... ...............OF......... ��a^�....................................
i ern nl nrk Cnnn#rnrtion amit
c,
Permission is ereby granted----_- -----..�_�.4-0*,...............................................................-.........................................
to Construct ( or Repair ( ) an Individual Sewage Disposal Systemm�
at No.----..... C� el..^s--� �-•vu '= ��Aa-A ._._.....k)'--- u�-.
Street
as shown on the application for Disposal `'Forks Construction Permit No....................� Dated..........................................
'Board of Health
DATE ...............-�---•-•------...----...----------------._.....----
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
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LEGEND
9 ISYI-N.Q--S-POT'._E:LEVAT-I.O.N— 0xO f— d- F CERTIFIED -__P—L—O '—Jt--- °
I�TING 'CONTOUR =-- p - -- tiP�
�6N1 ;DIED SPOT ELEVATION
5 I NED CONTOUR 0 �� LO ' / L_. . 1Zo ,
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