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HomeMy WebLinkAbout0181 FALMOUTH ROAD/RTE 28 - Health 181 Falmouth Rd50 s�- i aka 181=195 Falmouth Rd 193 311-080 Hya is co UPC 17734 : No®, 2153CR HASTINOS.UN v N V 1 v i k' o No... 3 V C OWC) F.Rs.....7 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH I A �Jip1' ati ifpr Disposal ark Tous trurtion rmit A licationis herebyaePermit to Construct (� ) or Repair ( ) an Individual Sewage Disposal System at: ... o_9. Via_/. Q.v.. i!.. .. 2 6 -- --------------------------------------------------------------•-----------------.............. . Location-Address or Lot No. / Address ,.a •--•..............••--------•••A-°)-- -----�'- .. —_------•-------- --•----•-•---------•........................ Installer Address Type of Building Size Lot_6Z!!? 8...Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ._ra ... No. of persons......z�._..._...... Showers ( ) — Cafeteria ( ) Otherfixtures ..... •-•---•...............•------•-•---•---•-----.--•••--••-•--•-••-•-•-••-•-••-•-•----••----•••••••-------•------------••......-•.......-••••-•• W Design Flow..................................®__gallons per person per day. Total daily flow...................... .....gallons. WSeptic Tank—Liquid capacity allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. ................... Width.................... Total Length.................... Total leaching area.....:..............sq. ft. Seepage Pit No-----------,1..°...... Diameter......e!� ..... Depth below inlet................ Total leaching area.. _sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by._,9F __-C'___._._��. Test Pit No. 1.........d6._minutes per inch Depth of Test Pit...../a......... Depth to ground water_4�eAo.w..'Z f14 Test Pit No. 2.........46._minutes per inch Depth of Test Pit------f-.X...... Depth to ground ° wa � . L2 M:CNOfa+ . , _O Descr�tion of Soil_./:.... `U .?r_.�.�!Z'�. ... D Go Q { ...5_4.�cs.G�s�!...�Q{-G✓El---••--•----•. .. pH ... �s �. �J ►�Wi 1._�`i--- Y.�aeG�f. �•T---Sf./�'..... B --•-•--•.............................•--••----••----• c� EAL- --•-- U Nature of Repairs or Alterations—Answer when applicable..............DESif�Nt 1G.910 NE ° ------------------------------------------•---------•------------------------------ -----------------.------------INSTAL-tATION--AND-C Agreement: rHE SYSTEM WAS INN ST 1 CT j The undersigned agrees to install the aforedescribed IndividtAbd in a ce with the provisions of TITI„. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance'has been issued by the board of health. Signed..................................................................................... ............Da........... _..._ .Date Application Approved By-------- '�'^"-"-3 ........................................ Date Application Disapproved for the following reasons----------------•-----------•--------------------------------•------------------•----------------•••-•-----••••- -•.........---••----•----.....--•.............•------•---•-•--------•--•--...•-----------•••••------....... -----------------•...-•--- Date Permit No. �--------------------- Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........OF......... .. . .................................. CUrrtifiratr of f ompliaanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed k or Repaired ( ) by-•_.........-•-�...f5.... r .rS ...................................................•----------..............--------...............-----•-•--•-•-----•--•------•--•-- Instal , at ->Q. -- ----•----•--------------------------------------••------------•---------. has been installed in accordance with the provisions of TITL 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.2g2.=._ ®_.7........... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH DESIGNING ENGINEER. . ...........pg MUST SUPERVISE INSTALLATION A D CERTIFY E•�SYSTEM W - IN WRITING Disposal Works Taantr ion 0 4NCE TO PLAN, �I.L'ED IN STRICT Permission is hereby granted.......A.....6.---•-�aF----------•------•-----•----------------------------------------------------------- to Construct k) or Repair ( an Indiv' ual Sewage Disposal System at No..------.. ....... Street as shown on the application for Disposal Works Construction Permit No.&&1 ip-,c Dated.......................................... ................................•----•------------------------------•-------••------•-•--...---•-..---•- DATE...................................................................................---- Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 7- No......................... FimB............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... d .......OF........ a................... Appfiratiou for Disposal Works Toustrurtiou thrutit Application is hereby made for a Permit to Construct (A) or Repair an Individual Sewage Disposal System at: . .................................................................................................. Location-Address or Lot No. " ............ .................................. V__e4p I I........................................ Installer Address Type of Building Size Lot.AK/,id.R�....Sq. feet U Dwelling—No. of Bedrooms______________________________ __ _Expansion Attic Garbage Grinder ( ) Other—Type of Building .... No. of persons.......ZZ............ Showers Cafeteria ( ) Otherfixtures .............. ...........................................i.......................................................................................... Design Flow.............................. gallons per person per day. Total daily flow..._._.___________.__-.O.tOVAO.....gallons. 04 Septic Tank—Liquid capacity=F,'dAQallons Length................ Width._.__.__.____._. Diameter................ Depth_____________... Disposal Trench—No_.................... Width.................... Total Length.._._______.________Total leaching area___;____________._..sq. ft. Seepage Pit No...........�...... Diameter..... ..... Depth below inlet...___.___..._.$.?............ Total leaching area._:5'_-!r42..sq. ft. Ili a Z Other Distribution box Dosing tank Percolation Test Results Performed Test Pit No. I..........(5',_.minutes per inch - Depth of Test Pit.....4tj—'----- Depth to ground water.&�./b.A.,,._AA Test Pit No. 2...........e ....... Depth to ground watero&'. ,minutes per inch Depth of Test Pit._.__ 4,;L /,r"w 'ez A 0 F ............................... ........................................................................................... ....... 0 Description of Soil../....... ......... U ----_-----------_ PHI P. ........... ...... -------------------------------------------------------------- U Nature of Repairs or Alterations Answer when applicable............................................. .....................................................................................................................I.................................... Agreement: FSSIONAI . The undersigned agrees to: install the aforedescribed Individual Sewage Disposal System in a with the provisions of TITTIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until.a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... ........................... .. ...�.. _:�D', I .....................Date Application Approved By.__..... .............. ----­---------- ------- ------------------------------------------- Date Application Disapproved for the following reasons:................................................................................................................ ........................................................................................................................................................................................................ Date Permit No........ Issued....................................................... ................................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ .........OF......... _ � ......................8........ (.................................. wrtifiratr of Tompliaurr THIS TO- i-CER—TIFY, That the Individual Sewage Disposal System constructed k or Repaired b .............................................................................................. .......... y ................................................................................ ............ Inst 17� ... .........at......................................................................................................V�........ ............................................................................ has been installed in accordance with the provisions of T -1 of T e State Sanitary Code as described in the application for Disposal Works Construction Permit No... ............. .. .............. dated_..........,......._.____._._.___..__..___._._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH — (/(7) .............. ...................... ......OF.....10 .................................................................. No.......................... FEE........................ Disposal I QUI,forkii,' nstrudivit rantit Permissio is hereby granted__ ��! r—) —5—. 'Fn i ------------------ .......................... ............................................................................... to Constru, 1 or Re air an Ind u I Disposal System �M a Oage atNo....................................................................­:•......................I.............................................I................................................ Street C7--? - as shown on the application for Disposal Works Construction Permit Dated.......................................... ........................................................................................................ DATE_ Board of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS m D rq r-q ru n r=1 _ - D Postage $ 3JJNVAI/ Certified FeeO 0 Return ReceiptFee(EndorsementRequired)Ostricted DeliveryFeeorsementReguired) Total Postage&Fees $ (g Ln _ p Sent To ) [ SYieet,Apt.No.; or PO Box No. Q City;State.TJP+4 4 d ^ O � s� oer ifie mailingM iilPPrOvides: (awana aJ zooz eunr'ooee uuo=1 Sd n A unique identifier for your mailpiece L n A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. n Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. n For an additional fee,a Return Receipt may be requested to provide proof of4 delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized a ent.Advise the clerk or mark the mailpiece with the endorsement"Restrictedgelivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail j addressed to APOs and FPOs. COMPLETE THIS SECTION ON DELIVERY rM omplete ifems 1,2,and 3.Also complete A. Signature em 4 if Restricted Delivery is desired. fI nn," r�A"�I' �(� ❑Agent rint your name and address on the reverse X �W�'vw ❑Addressee o that we can return the card to you. Received b (Pri d Name) C. Date of Delivery ttach this card to the back of the mailpiecer on the front if space permits. N Is delivery address diffe nt from item 1? ❑Yes 1. Article Addressed to: S,e nter delivery address below: ❑No o box �b.-,Service Type-/ rtified Mail ❑Express Mail ❑Registered 91:Return Receipt for Merchandise i ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Num4eY i (Trans r:t �eNfcA7abel) 7 0 0 5 1160 0000 0191 2113 ,�A ;. :: :. rl ! PS Form 3811,February'2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage--&Fees Paid USPS&1 Perr6i No.G-10 • Sender: Please print your name, address, an ZIP+4 his 66x • N cn� Public Health Division Town of Bamstable 200 Main St. Hyannis,Massachusefts 0260 i i Certified Mail#7005 1160 0000 0191 2113 afrt r Town of Barnstable ` ~ Regulatory Services w Bnrtrrrna Thomas F. Geiler, Director ,MASS. ,n Qua Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 15, 2006 Marcel R. Poyant TR PO Box K Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.000 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE The property owned by you located at 181 Falmouth Road, Hyannis (Map &Parcel 311-080) was connected to the town sewer system according to the Department of Public Works. The following violation of the State Environmental Code was observed: 310 CMR 15.354: Abandonment of Systems: No permit pulled to abandon septic system as required. You are directed to correct the violation listed above within thirty (30) days of your receipt of this notice, by getting a septic abandonment permit, and abandoning the septic system at said location. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure-to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable QAOrder letters\Sewage violations\181 Falmouth Road.doc � �. � ; � � � � �� s� `� � � � � �� I�i k a � � � o � �, � c � � � � � � � � � � P �� �� , e No._.�I JOtO !2 y Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS I� Yication for Miq onl item Con.5truction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon ❑ Complete System ❑Individual Components . Location Address or Lot No. /8 r '/q3 /,q)m o u4 h Ou�r's Nam ,Address,and Tel.No. �- Assessor's Map/Parcel 6 An 3// p d &t n c A b it �-) " Installer's NanieX&13,0APM Designer's Name,Ad�wss and Tel.No. 350 Main Street Su r'f i✓ �� os+. 02673 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd 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) /4vl 6vi -Le ie * �C 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 Heal Signed 1 Date o7 Application Approved by Date 2 Application Disapproved by: Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned X by C O at &!2� /776VA Pd. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No.-120O6 ©—/Z ll Fee G Entered in computer: `THE.COMMONWEALTH OF MASSACHUSET7S yes . PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS 01ppYtcatton for Mtgpo!6a1 �&pgtem Con5trurtton Permit Application for a Permit to Construct Repair Upgrade( ) Abandon,,X� ❑Complete System ❑Individual Components Locatijon Address or Lot No. /8 1 �Q�r� ;A)m o 4 i 1?� Own is Nara�j Address,and Tel.No. • - - ��AZ� �G 1 A✓1T ( n Assessor's Map/Parcel - - i Q � 1 A��1 c 1�(X• U Installer's Name,Address,and Tel.No. DesignerI's Name,Address and Tel.No. r i A-✓1 C v1� - • Type of Building: , ,.hd Dwelligg, /TNo.of Bedrooms Lot Size sq.~ft. ~Garbage Grinder ( )Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 1 Design Flow(min.required) gpd' Design flow provided gpd Plan Date Number of sheets Revision Date Title r' } Size of Septic Tank Type of S.A.S. Description of Soil s ^`t J . i • Nature of Repairs or Alterations(Answer when applicable) ..!- 1' 664 U Q kl z Date last inspected: A, , 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 Heal ` Signed I J ( (_ (, (. V Date o7 Q ( 6 Application Approved by —._ Date <) /2 Application Disapproved by: Date PP PP Y for the following reasons Permit No. a Date Issued -------------------------------------------- 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 r Q at / — /� F,4h-'1(Jv71 i 1 IDJ 1 141/ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date ' Inspector �� ., No. 24_CXo �.! ? _ Fee C%J r THE COMMONWEALTH OF MASSACHUSETTS r PUBLIC HEALTH DIVISION--BARNSTABLE, MASSACHUSETTS , Mi! ppo5aft�Otemi"Congtruction permit Permission is hereby granted to Construct ( )^Repair (r, ) Upgrade ( ) Abandon System located at /�/- f/a�17%1 U✓I A �i�f N V J 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 this pe mit. Date �/ 6 Approved by ` 02/17/2006 11:42 15087785688 RENE POYANT INC PAGE 02 Certified Mail#7005 1160 0000 0191 2113 Town of Barnstable y ' Regulatory Services Thomas F. Geiler,Director Public Health Division Thomas McKean,, Director 200 main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 50$-790-f 304 cel R:. Poyant�TR� February 15, 006 PO Box K Hyannis, MA 02601 .NOTICE. TO _ ABATE VIOLATIONS OF 31.0 CNM: 15.000 TH,E STAVE 0-MOlyMENTAL CODE TITLE V• MINIMUM REQUIREMENTS FOR THE -SUBSURFA.CE DISPOSAL OF SANITARY SEWAGE The property owned by you located at 181 Falmouth Road, Hyannis(Map &Parcel 311-080)was connected to the town sewer system a�cording to the Department of Public Works. The following violation of the State Environmental Code was observed: 310 CMR 15.3.54: 'Abandonment of Systems: No permit pulled to abandon septic system as required. You are directed to correct the violation listed above within thirty (30) days of your receipt of this notice, by getting a septic abandonment permit, mind abandoning the septic system at said location. You may request a hearing before the Board of Health if written petition. requesting sarr.e is received withizt ten'(16)days after the date the order is served, Non-compliance will result in a fine of$100.00 per violation. Each days failure to .comply-with an order shall constitute a separate violation. PER ORDER F THE BOARD OF HEALTH as A. McKean, R.S. Director of Public Health Town of Barnstable Q:10rder lftterslSewnge vjolatlons1181 Falmouth Road.doc • i1 ' Y7 • • - • .. .. .. ..;......^A:'. ,�,'+ �.iti.�a ty+r'ri4` .�fv� ,vi f`.:�•i:.(,iny+!� +•:'.�7- j.+'j;'!pa+y.. � +srC:F{:!w,•. ; �MlN�.S'<�'K� �4 .r.4' N..;i nY �'Wvi4.C. 4_L^ .� ,:rt: m:�. {::`:-..;„.:,��' )�Z) a::2, :c.Z k.;S•;i. .N,.A�. f:.:r.J W� .+G`\.)uS• .:Fu.7b-.v�•.�;:':'�'+• � :%))M�"ew,'`' ,w:i-��vr�'�^:•rl�.''+:�n; S ,yy�.l: S`l,Y.t...�. t'33J v, r �T4 n `.o ;fix:^r. � {{.:�Sa.'Kj:i�f.�ufi:y�✓<'�C:.;;`.�2::5'4�.�t25':a::..,.:.+w,.�.C��,+.:j?'.rr'?<.<.,.v:��.i+:.,`s :�t?�:.na.,..4,e�S'•� rJw�~ f �EY{CwF�)W ) yKPa°�ML C o�< 'y� � • 3r f„{ < >•t{ � .,,i.�. ! '� c �. "4 naiR � � ::i :y>':'� '�+ h Y}�yiR •• �� k,.H;.Q�$"'6.: �;., .#.;Z?.;Z.3:.>.:.N yto:?t;,'cJ?� a�i,: ,s:�:3<y» �xay �T'':Y`:4x,,•ii\\`C,L'r 3? ?.5.: iif�y. 't-��-.i :}a:`::5:: : S2":Cv'.i'':`.`.n"•.�,., 1- {.��;��:•. � • :\..,.:':G n:.2`Y:`S. ,..'a,: -4(:<3v .c�::4yit::�Y ir:\tf')���D!?`;\J.['�:t l:':H �:$�)'. �w M,.T>:� ::�;,i»�r•riy.^'yh�a:S�{:. "?'�• ?.>?S ii:` .`}: .;\,._: .sx.'w;>?x�Y; ?:y C".. ^,''' ��,.:.., ;')4.�..n:.c.rr. .:: :. " :>.. riS vvss�`i2��,±±.7•::Yl;�'a,ZJ!..n p. :: � v.: _ ♦ � �.4 �• i't�i'::;. �r;is:�.::�<�.,'-y.+;; .';.,-M2�'!°uy',' ` '.':eV;:b�ii::+wb%'`' .2 v„a.,.::✓.'. �. 1 �'i:., .�N'•:�vwfuici::M:��i:�6::�'3;i:,^.,�ri >3:«;SiXv.7nC'w _ ,.Sn .. PROJECT CONTACTS -PROPERTYSF-WER INSTALLER + pIng Addre J1 ♦ /. t SW MalnSUM W. �i Yarmoljfth, WA j29Ea&_ Lkanse No. OWNER'S AGENVENGINEER Addradas: • ` • r I REGULATORY ' - PROJECT • • "^±?.wL�{dV,*:�'� h"t' Q!:.,,��".�:w i.. �: _..'tt, - o,Via:: •(:!�i�;2F;f J,•.. C'.'a"A• ...;; %i6c:4r,S, `•o<�n>." :.cy,,,.,,�;:i.'4. .>.;`;.�.::%::i.: Y:bR:��:x`�:;:: SriiL•4:$^::;,.�;s?.�Y .v.��a�$• ..vS A.-.�-a2'iy4Ad�u:,.�`;; •. .:<. rbA�.�a ;..,,��::S xx^•S':''v;#:,_;•:..;t `";o +♦Si.: ryi;Fi; {. S :f%``9:,�i.. 6� h. `�. k) �{ _ - _ .,i : 1 .�.",�„'• '"�;^ ♦"):S' >•'+C�' )Ly.K;+-A#'.�fw,ti�+.9�k<:F:::4:':�L.a.�filY.S v^,'#,:�j •r-. 9-4 orn of - i'.�: KOM -'�. reguladom haLmd by Ow t tw&Wr RESIDENTIAL within a Town Way tm s"w Irtstaver must ulso obta n a Rw Opertir 9 t. IAL RESTAURANT- 1NDUSTRIAL ;•- = STANDARD INDUSTRIAL CLASSIFICATION NO. NO.OF BUILDINGS NO,OF BEDROOMS k SIZE OF { i ESTIMATED DAILY GALLONS } LENGTHDIAMETER EXPECTED • DATE Pam• •f , DATE L4 IdL SULL[VAN ENGINEERING INC. 7 PARKER ROADIP O BOX 659 OSTERVILLE, MA. 02655 Peter Sullivan P. E. Mass Registration No. 29733 psullpe@aol.com phone 508-428-3344 fax 508-428-3115 November 16, 2004 David J. Anderson Town of Barnstable DPW Engineering Division 367 Main Street Hyannis, MA 02601 RE: "As Built" Site Plan 181-195 Falmouth Road, Hyannis Dear Mr. Anderson, Please find attached the CA—s Built"-Site Pan for the sewer hook up at 181-195 Falmouth Road, Route 28, Hyannis. If you have any questions or require additional information, please do not hesitate to call our office. Very truly you s, Peter Sullivan, P. E. Sullivan Engineering Inc. Cc: Marcel Poyant A & B Canco c/o Jeff Cannon I Town of Barnstable #, Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. September 3, 2003 Mr. Marcel R. Poyant Plaza Twenty-eight Nominee Trust 282 Barnstable Road Box K, Hyannis,MA 02601 RUE Dear Mr. Poyant: You are granted an extension of time, until November 30, 2003, to connect the building located at the above referenced location to public sewer. This extension is granted to allow your professional engineer sufficient time to finalize the plan with the installer and the Department of Public Works. I If you should have any problems in the future in this regard, please feel free to call our Health Agent Thomas McKean at 508 862-4644. S4aynilk your , M Xlailan .D. Board of Health Town of Barnstable sewer rY RENE L. POYANC, Inc. .44 FAX: (508) 778-5688 .',,REALTORS TEL: (508) 775-0079 �;� �� •}R �� � 282�BARN&TA�LEROAD,BO�C�K� HYANNIS,MA 02601�� � RENE L.POYANT 1909-2000 MARCEL R.POYANT,President&Treasurer August 13, 2003 MARY J.POYANT,Exec.Vice President RENE M.POYANT,Vice President BY FACSIMILE TO 508-790-6304 Thomas McKean, Director PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE 200 Main Street Hyannis, MA 02601 R C 1V D RE: Map and Parcel 311-080 Plaza Twenty-eight Nominee Trust AU G 15 2003 181-195 Falmouth Road TOWN OF DEPTAf3LE Hyannis, MA 0260.1 .,;;_, : ,... � ..�: ,- : f„,• - Dear Tom: As a follow-up.to�your letter.of;.May.29'" and my response of June 3rd, I am writing to request asixty-day;ex' .tension for t}nng„into the sewer at the above location. My engineer, Peter.Sullivan, and installer, Jeff Cannon of A & B Canco, have been working with David Anderson to finalize an engineering sewer plan which should be completed shortly. Needless to say, I am anxious to complete this as soon as possible. In conclusion, I am requesting that you extend my deadline for connecting to the Town sewer from August 29, 2003, to October 29, 2003. I thank you for your consideration and hope that you and the Board of Health members will understand that we have been trying . + to finalize these plans for some time with delays from the Engineering Department and changes in the Town requirements. Ve ly your J cel R. yant, ru e J Plaza Twenty-eight o inee Trust MRP/mcm Copies•tO Jeff.Cannori, A&$ Can6o/via4ax.508-778-9628 Y Peter Sullivan/via fax 508-428-3115 a i u�tom�jt-epri�-� REALTOR@ "SERVING CAPE COD SINCE 1947" COMMERCIAL SALES, COMMERCIAL LEASING, & COMMERCIAL PROPERTY MANAGEMENT; APPRAISING AND CONSULTING r ` ' f , }.; u RE At L. POYANT9 Inc. FAX: (508) 778-5688 REALTORS TEL: (508) 775-0079 ','a m gw gg® � A Y VA$ BRN SABLEOADBOKHAI0 r , RENE L.POYANT 1909-2000 i' e , m��� MARCEL R.POYANT,President&Treasurer MARY J.POYANT,Exec.Vice President RENE M.POYANT,Vice President June 3, 2003 BY FACSIMILE TO �� 508-790-6304 JUN 0 4 2003 Thomas McKean, Director TOWN OF BARt -�,r r3LE PUBLIC HEALTH DIVISION HEALTH e�=�" TOWN OF BAR:NSTABLE ` `- -~ 200 Main Street Hyannis, MA 02601 MAP RE: Map and Parcel 311-080 PARCEL Plaza Twenty-eight Nominee Trust 181-195 Falmouth Road LOT t Hyannis, MA 02601 Dear Toni;,,,,,,. F,b .} _4 f� YY,`3b L{ (x S -( /1' ,.� ,• ice+ . ThisJs toy acknowledge your letter of May 29th with regard to the deadline for tying into the sewer,,by August 29, 2003, at the above location. . ?. Please be advised that part of the sewer connection has been,already completed. Now that my installer (Jeff Cannon of A&B Canco) and my engineer of Sullivan Engineering know the Town requirements, they are proceeding to complete the engineering so that this deadline can be met. Please correct your records. My address is P. J. Box K, not X. 'Thank you. Very t yours, Marc 1 R. Poyant, Truste } Plaza Twenty-eight Nominee Trust Copies ....r.. . _ .. Jeff Cannon, A&B Canco/via fax 508-778-9628 l; -;Peter Sullivan/via fax 508-428-3115 u�m tmp-- REALTOR® "SERVING CAPE COD SINCE 1947" COMMERCIAL SALES, COMMERCIAL LEASING, & COMMERCIAL PROPERTY MANAGEMENT; APPRAISING AND CONSULTING 06/03/2003 15:57 15087785688 RENE POYANT INC PAGE 01 RFJV* L. P0YANT9 Inc FAX: (508) 778-5888 MALTORS TEL: (508) 775-0079 1-.'rx�nI:S r •.•,. " y...�" '.., :r.�.. .:'.:..r .:y:;,:,r.. !::1r!:, i�.l:'�;=.I.. :�1:: ":m':. . ,.1 ,. ... r..:... .,: .. ... ',...�"•d:•:r a... .. ..,r.;,r..; ...a.n '%iiL �:.c{.. irei�n ^wiz I' i i0' :;O �R.- "n .� .• i. 51!;,si,:,.,,,.,.iair;r:,�....,I'•�,;,`i rl �Xl:.ry�. .t:. �I... .��4..�!n�.fr •..•�'�1:{rt:l..i.r.,: r 'i�llrl:' ���dr1":;�1��i�:�,llir!1r,;1� ....,...r[�! '� 1".. ,..,...r.,....... �'r.... , ., .(1.'•.r, !'1.'I I'F.�ir%J ...J.n I�u�Miiil:."�,�. ............. .....,. ... ..,,:u!..;.;r;cr.t.yn,.::..,ri,''t' •rJ:,, I rd.em;:e::: r.r�. y.,.ay,�.,l, .: " ,. .... ..:•...r^.'.;':• eCa'".r�':!':rr!;S.!i4;�ci%i::: , . .... ... r........ ......... ..... ��..;;'. �>'.. .. _..........i7i,%PS`_.r.y:i��ii,!r:d, ,r. r.. ...,.......l..,.........,.....,r r.r RENE L.POYANT 1009-2000 MARCEL R.POYANT,President&Treasurer MARY J.POYANT,Exec.Vice President June 3,2003 RENE M.POYANT,Vice President BY FACSIMILE TO 508-790-6304 Thomas McKean,Director PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE 200 Main Street Hyannis,MA 02601 RE: Map and Parcel 311-080 Plaza Twenty-eight Nominee Trust 181-195 Falmouth Road Hyannis, MA 02601 Dear Tom: This is to acknowledge your letter of May 291h with regard to the deadline for tying into the sewer by August 29,2003, at the above location. Please be advised that part of the sewer connection has been already completed. Now that my installer (Jeff Cannon of A&B Canco) and my engineer of Sullivan Engineering know the Town requirements, they are proceeding to complete the engineering so that this deadline can be met. Please correct your records. My address is P. O. Box K,not X• Thank you. Very yours, Marc 1 R. Poyant, Truste Plaza Twenty-eight Nomi ee Trust MRP/mcm Copies to: Jeff Cannon, A&B Canco/via fax 508-778-9628 Peter Sullivan/via fax 508-428-3115 rook REALTOR!' "SERVING CAPE COL!SINCE 1947" COMMERCIAL SALES, COMMERCIAL LEASING, a COMMERCIAL PROPERTY MANAGEMENT; APPRAISING AND CONSULTING I 06/03/2003 15:57 15087785688 RENE POYANT INC PAGE 02 Town of Barnstable t"! Regulatory Services Thomas F. Geller,Dirg0olr o� , Public Health Division hAY 3 4 2003 Thomas McKean,Director r 200 Main St, ~««•� �rrrrr�rrr Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 29, 2003 Marcel R. Poyant, Trustee Plaza Twenty Eight Nominee Trust PO Box X Hyannis, MA 02601 . IMPORTANT NOTICE RE: Map & Parcel 311-080 Dear Addressee: You are directed to connect your building located at 181 Falmouth Road, Route 28, Hyannis, MA.to public sewer on or before August 29, 2003. The Department of Public Works, Engineering Division, has notified us that your property abutts recently installed vacuum sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a complaint against you, in a court of law, due to your failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH r7 . Thomas A. McKean, R.S. CHO Health Agent for: TOWN OF BARNSTABLE BOARD OF HEALTH Wayne Miller, M.D., Chairperson Susan G. Rask, RS. Sumner Kaufman, M.S.P.H. Return receipt requested Cc: Barbara Childs, Water Pollution Control Mark Giordano, Engineering Q:Sewerorder.doc „r 3 t F F I C I A L I� ru Postage $ �. I3 Certified Fee i 0- -1- Return Receipt Fee , 75— (�, PtIN (Endorsement Required) O Restricted Delivery Fee , O (Endorsement Required) Total_Postage&Fees_.$__._�__. -_ - --- Marcel R..P.oyant, Trusf Er Sel Plaza Twenty Eight Nominee Trust_ a sie` PO Box X O or F o aiy--Hyannis; MA 02601 -- ... ........ I Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece o A signature upon delivery a A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. e For an additional fee,a Return.Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is 4otneeded,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Farm 3800,Janeary 2001 (Reverse) 102595-M•01-2425 SEOM: COM-PLETE THIS SECTION COMPLETE THIS SECTIbivb460LIVEhy ■ Complete:items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ,� p�fi,�l�1�� ❑Agent a Print your name and address on the reverse w VU ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mail lece, ���� or on the front if space permits. p Fene -o-f[1� D. Is delivery i�dr ss d�rent from item 1? ❑Yes T. Article Addressed to: If YES,en f delivery addresebelow: ❑No Marcel CD R. Poyant, Trustee `�0?DO Plaza Twenty Eight Nominee Trust I PO BOX X Se a Type,$ Hyannis, MA 02601 Certified Mail l 0 Vpress Mail ❑Registered I.d Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7001 1940 0004 9042 1907 (Transfer from service labeo PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Main' Pdstage&Fees Paid LISPS -, Permit No.G-10 I I • Sender: Please print your name, address, and ZIP+4 in this box• I I I I Town of Barnstable I Division of Health 200 Main Street p Hyannis, MA 02601 V � i i I i i � Town of Barnstable Regulatory Services Thomas F. Geiler,Director # BAMSPABLE, • 9�A 'rFD�. A Public Health Division MA'S Thomas McKean,Director 200 Main St, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 29, 2003 Marcel R. Poyant, Trustee Plaza Twenty Eight Nominee Trust PO Box X Hyannis, MA 02601 IMPORTANT NOTICE RE: Map & Parcel 311-080 Dear Addressee: You are directed to connect your building located at 181 Falmouth-Road, Route.28, Hyannis, MA to public sewer on or before August 29, 2003. The Department of Public Works, Engineering Division, has notified us that your property abutts recently installed vacuum sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a complaint against you, in a court of law, due to your failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for: TOWN OF BARNSTABLE BOARD OF HEALTH Wayne Miller, M.D., Chairperson Susan G. Rask, RS. Sumner Kaufman, M.S.P.H. Return receipt requested Cc: Barbara Childs, Water Pollution Control Mark Giordano, Engineering Q:Sewerorder.doc Y Town of Barnstable Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304. Sumner Kaufman,MSPH Wayne Miller,M.D. December 30, 2003 Mr. Marcel R. Poyant Plaza Twenty-eight Nominee Trust 282 Barnstable Road Box K, Hyannis,MA 02601 Dear Mr. Poyant: You are granted an extension of time,until May 30, 2004, to connect the building located at the above referenced location to public sewer. A permit was recently obtained to connect the building to public sewer on October 31, 2003. This extension is granted because it is not possible to complete the construction work and to re-pave the rear parking lot before the asphalt plant closes in December. If you should have any problems in the future in this regard, please feel free to call our Health Agent Thomas McKean at 508 862-4644. Sinc y yours ayne iller, M.D. Chai an Board of Health Town of Barnstable SewerExtensionPoyant2 I a \\ Ii1t I,. PoyAyr, Inc. FAX (508) 778 5688 REALTORS TEL (508) 775-0079 �� 2$2 BARNSTABLE ROAD,B�X�K� HYANNIS;MA,02fi01 RENE L.POYANT 1909-2000 November 17, 2003 MARCEL R.POYANT,President&Treasurer BY HAND AND MARY J.POYANT,Exec.Vice President BY FACSIMILE TO RENE M.POYANT,Vice President 508-790-6304 Thomas McKean,Director PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE 200 Main Street Hyannis, MA 02601 RE: Map and Parcel 311-080 Plaza Twenty-eight Nominee Trust 181-195 Falmouth Road Hyannis,MA 02601 Dear Tom: As a follow-up to our telephone conversation on November 14th, I am writing to request a further extension for tying into the sewer at the above location until May 30, 2004. My installer, Jeff Cannon, and engineer,Peter Sullivan, have been working diligently with the Town Engineer, but the permit for installation was only issued on October 31, 2003 (enclosed). Due to the lateness of the issuance of such permit, it is impossible to complete the remainder of the work and yet re-pave the rear parking lot before the asphalt plant closes in December. Without proper paving for the winter, the rear parking lot would become a quagmire and liability problem. Your cooperation.in granting this extension would.be most appreciated. Very yours a el R. Po ant, Tpsvt Plaza Twenty-eight No ee Trust MRP/mcm Enclosure: Board of Health Letter 9/3/03 Copies to: Jeff Cannon, A&B Canco/via fax 508-778-9628 Peter Sullivan/via fax 508-428-3115 . ruTru USTM�y tom tern REALTOR" "SERVING CAPE COD SINCE 1947" ' ' COMMERCIAL SALES, COMMERCIAL LEASING, & COMMERCIAL PROPERTY MANAGEMENT; APPRAISING AND CONSULTING I PERMIT NO: : ..SEPTz,C ABANDONMENT PEkLglT TOWN OF BARNSTABLE OBTAINED FROM HEALTH DEPT. SEWER CONNECTION PERMIT :Abandonment Petmt Not Required OFFICIAL USE ONLY Assessors Ma P No. <att 1€ t3.:::.....:::::::::. :::::::.•�. ..:::::::•- <:<>s::;::»::;:: Assessors Parcel No >' tA [ 51E:::::<::>:>t{.}}:•}::•:..:tt:<t.>:.:.>::.>:<ttt.>:;;t•::}:::::::>::;<..: .}:::--}:;:•::•}:,:; :::.::::: :3„ :w>z .............. �iit :{?w:.:v: } } :::`{.}:+i.4'r:-:.�:.:. •v$.J:;;......•... � /T '•...�'�.' �I;:{;:a�V'HJ:;:i;:ii;:::}::i:}�:::}is:r::iy::iiiitii::}:.... Street. I!L!� 4I�I�W :}��,....,�..,�f :�...�1:.�.�.;...:...:vim::.}:: ::vYi:.: :. :::r}\:ii:iiirii{-Yy.Y.•}i}:i•i: ::i1}it:•}�:iji:: w:n:v:w:::::. •. Village: .d ✓l� cc--. 9 " r. PROJECT CONTACTS PROPERTY OWNER (Mailing Address SEWER INSTALLER Name: PJA-Zp o18 Nom;,7-ene ����u(7,�5 f� Name: Address: !vim A��YI O i�f sC U� . Address: A & B CANCO 550 Main l Street /•L7rAnn i S, CL . W. Yarmouth. MA n.9F73 Phone: /V Phone: License No: OWNER'S AGENT/EN GINEER Name: PG T'r � Address: P• d Z�O yC (.' S 9 Phonw 4ldg — 33C/Y Ots-�--ru;Ite- , MaL 6a6-5 5 PROJECT DESCRIPTION REGULATORY REQUIREMENTS <>:?:>>::<:> :>:> ::t•:;.;...:.}}:.}::.;:.;};:{•}•;;.>:.}}:•}:;::•:::::::::::::::::::::::::.::.::.:::::::<.�::: _ done in accordance with the The installation of all sewer connections must be Town of Barn stable General By-laws aws and provisions of Article XXXVI Y rov , RESIDENTIAL regulations issued by the Department of Public Works. Before excavating within a Town Way the sewer installer must also obtain a Road Opening COMMERCIAL S/ permit and comply with the Construction Standards and Specifications outlined therein. At least 48 hours prior to the installation,the applicant must RESTAURANT notify the Department of Public Works,Engineering Division for the purpose of inspecting the instaliaton. The inspector will Complete the Compliance INDUSTRIAL Sketch locating the installed lines and connection. By signing the Application, the applicant acknowledges and understands the regulatory requirements and STANDARD INDUSTRIAL CLASSIFICATION NO. understands that pllr.with th `W s for revocation is �✓ of the Sewer Co tr�fs pplication. NO.OF BUILDINGS NO.OF BEDROOMS D SIZE OF PARCEL ACRES 1 ESTIMATED DAILY SEWAGE GALLONS PIPING:LENGTH DIAMETER EXPECTED INSTALLATION DATE ' 3U SIGNATURE(fNSTALLER/AGENT) DATE a ._ SIGNATURE(DPW APPROVAL) DATE Town of Barnstable anr�rrsrnar.;a, Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. E 18 2003 September 3, 2003 Mr. Marcel R. Poyant Plaza Twenty-eight NomL'.uP stw_O._e„.__p�, 282 Barnstable Road Box K, Hyannis, MA 02601 B"a'3 7 ` 41' v -,,.^, RE Extensron of Time to%1gonnect°Bu>ldaragto Public Sewer ; x P1azaTwen e> E � k Dear Mt. Poyant: You are granted an extension of time, until November 30, 2003, to connect the building located at the above referenced location to public sewer. This extension is granted to allow your professional engineer sufficient time to finalize the plan with the installer and the Department of Public Works. If you should have any problems in the future in this regard, please feel free to call our Health Agent Thomas McKean at 508 862-4644. Sinc ely your , t. Xyn filler, M:D. ai an Board of Health Town of Barnstable sewer 11/17/2003 16:09 15087785688 RENE POYANT INC PAGE 01- YANX Inc. REA L. PO FAX: (508) 778.6688 REALTORS TEL: (608) 775-0079 I- Af r..i.,rI.. r .,' " r•i:. �.:,•', ...,:.::_... .:1�i'i...,,,,,�, :'1,•' n!ftilf•1'��i ti..y�,.'•:J_:.'�.. t•C:��p. .:r.�.:, ...1"i�ii�i..,;.,i,. .S 5:.,1 .Li 1..r ..., ,..:r• I I i......: i i I. .., .. ...''..: 1 J ...., .�:...r..r..... ..... .... .....a.!'Y.1'� .ii,„,.:Illi':n::;,....l.q , .w... .................. ....., RENE L.POYANT 1909-2000 November 17, 2003 MARCEL R.POYANT,President a Treasurer BY HAND AND MARY J.POYANT,Exec.Vice President RENE M.POYANT,Vice PrQ*jd4nt BY FACSIMILE TO 508-790-6304 Thomas McKean, Director- PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE 200 Main Street Hyannis,MA 02601 RE: Map and Parcel 311-080 Plaza Twenty-eight Nominee Trust 181-195 Falmouth Road Hyannis, MA 02601 Dear Tom: As a follow-up to our telephone conversation on November 141h, I am writing to request a further extension for tying into the sewer at the above location until May 30, 2004. My installer, Jeff Cannon, and engineer, Peter Sullivan, have been working diligently with the Town Engineer, but the permit for installation was only issued on October 31, 2003 (enclosed). Due to the lateness of the issuance of such permit, it is impossible to complete the remainder of the work and yet re-pave the rear parking lot before the asphalt plant closes in December. Without proper paving for the winter,the rear parking lot would become a quagmire and liability problem. Your cooperation in granting this extension would be most appreciated. Very yours el R. Po t, st Plaza Twenty-eight No ee Trust MRP/mcm Enclosure: Board of Health Letter 9/3/03 Copies to:- Jeff Cannon,A&B Canco/via fax 508-778-9628 Peter Sullivan/via fax 509-428-3115 REALTOR'-' "SERVING CAPE COD SINCE 1947" - COMMERCIAL SALES, COMMERCIAL LEASING. d COMMERCIAL PROPERTY MANAGEMENT. APPRAISING AND CONSULTING 11/17/2003 16:09 15087785688 RENE POYANT INC PAGE 03 Town of Barnstable Board of Health 200 Main Street, Hyannis-MA 02601 office: 508-8624644 Susan Q.Rask,RS. FAX: 508-790.6304 Sumner Kaufman,MSPH Wayne Miller,M.D. SEP 18 2003 September 3, 2003 Mr: Marcel R. Poyant Plaza Twenty-eight NomiEnwW4. nut.............. 282 Barnstable Road Box K, Hyannis, MA 02601 ,It�:.,: •��� rai�'o ;T��..to;,,. -.tiz�ei�;B,i,�ldiri to�E;tib Yc�Sewi~r� h; �;:; •,` IT�ii'st 5�Va�i�'uth;�� Dear Mz. Poyant: You are granted an extension of time, until November 30, 2003, to connect the building located at the above referenced location to public sewer. This extension is granted to allow your professional engineer sufficient time to finalize the plan with the installer and the Department of Public Works. If you should have any problems in the future in this regard, please feel free to call our Health Agent Thomas McKean at 508 862-4644. Sinc ely your 1 ' ayn filler, M.D. h ' an Board of Health Town of Barnstable sewer 90'd -ld101 FAX N0 :506 420 1340 Oct. 21 2003 01:07PM P1 qj kk a°'. y M `-d i ti F ot r lit 54 to I fn r/ .o 4qj t a 1 f i 1 df ol woCA, wee r � i 1 Y. �90'd 6Z20 SL2 80S NOS-I I M 'W'd 6S:60 200E-2,T nON NOU-17-2003 09:58 A.M. WILSON 508 375 0329 P.05 Time of Depth Daytime Daytime Well of Water Month/Day High Tide Low Tide Reading Water Elevation Comments 11/04/03 9:02 a.m. 2:33 p.m. 9:45 7.4' 1.85' 2.4 0.3 11/05/03 9:52 a.m. 3:27 p.m. 11:06 7.3' 1.95' Rain 2.5 0.2 11/06/03 10:35 a.m. 4:14 p.m. (2.6) 0.1) 11/07/03 11:10 a.m. 5:20 p.m. 11:55 7.2' 2.05' Partly cloudy 11/08/03 11:50 a.m. 5:36 p.m. 9:50 8.0' 1.25' Full moon (2.6) (0.1) 10:40 7.8' 1.45' Partly cloudy 11:00 7.7' 1.55' +-40°F 11:30 7.6' 1.65' 12:05 7.5' 1.75' 12:35 7.5' 1.75' 1:00 7.5' 1.75' 1:30 7.6' 1.65' 1:55 7.65' 1.6' 11/09/03 12:25 p.m. 6:14 p.m. 1:40 7.8' 1.45' Clear 2.7 (0.1 11/10/03 1:00 P.M. 6:52 p.m. 1:16 7.65' 1.6' Clear 2.6 0.1 11/11/03 1:37 p.m. 6:59 a.m. 2:28 pm 7.45' 1.8' 2.6 0.4 __.. 11/12/03 2:16 p.m. 7:38 a.m. 2:35 p.m. 7.35' 1..9' 2.5 0.4 11/13/03 2.57 p.m. 8:19 a.m. 3:09 p.m. 7.F 2.15' High winds 2.5 0.5 11/14/03 3:41 p.m. 9:02 a.m. 3:47 p.m. 7.8' 1.35' Gale winds 2.4 (0.5) 11/15/03 4:30 p.m. 9:50 a.m. 7:50 a.m. 8.0' 1.25' 2.4 0.5) 11/16/03 5:23 p.m. 10:43 a.m. 2.4 0.5 NOU-17-2003 09:58 A.M. WILSON 508 375 0329 P.04 e COTUIT OYSTER CO. GROUNDWATER OBSERVATIONS Time of Depth Daytime Daytime Well of Water month/Day High Tide Low Tide Reading Water Elevation Comments 10/20/03 8:41 a.m. 2:11 p.m. 3.30 p.m. 8.3' 0.95' 2.2 10/21/03 t9:32 a.m. 10:30 7.4' 1.85' Overcast/rain 11:30 7.2' 2.05' 10/22/03 10:24 a.m. 4:01 p.m. 2.5 (0.2 10/23/03 11:12 a.m. 4:53 p.m. 11:20 8.0' 1.25' 2.7 (0.0) 10/24/03 11:54 am. 1:00 P.M. 7.2' 2.05' 10/25/03 12:44 p.m. 6:33 p.m. 3:10 7.6' 1.65' New Moon 3.0 -0.4 10/26/03* 12:30 p.m. 7:22 p.m. 2:40 7.2' 2.05' 3.1 -0.5 10/27/03 1:18 a.m. 8:13 p.m. 3.2 -0.5 10/28/03 2:09 p.m. 8:28 a.m. 4:00 6.95' 2.3' (3.1) (-0.1) 10/29/03 2.57 p.m. 8:40 a.m. 4:00 6.95' 2.30' Overcast 10/30/03 3:45 p.m. 3:57 p.m. 4:17 7.05' 2.2' Clear 10/31/03 4:49 p.m. 11/01/03 6:07 p.m. 11:18 a.m. 11:30 7.8' 1.45' 2.6 0.3 4:30 7.9' 1.35' 11/02/03 7:00 p.m. 12:25 p.m. 8:35 7.6' 1.65' (2.4) (0.4) 1:00 7.9' 1.35' 1:48 7.85' 1.4' 11/03/03 8:04 p.m. 1:31 p.m. 7:28 a.m. 7.55' 1.7' Clear (2.4) (0.4) 9:33 7.4' 1.85' *End Daylight Savings Time NOU-17-2003 09:58 A.M. WILSON 508 375 0329 P.03 Please don't hesitate to contact our office should you have any questions or require any additional information. Yours, A. M. WILSON ASSOCIATES, INC. Arlene M. Wil n,PWS Principal Env' onmental Planner Attachment: Groundwater Monitoring Results cc: Dick Nelson Atty. Edward Garguilo 1103AW08/csp 11/17/2003 16:09 15087785688 RENE POYANT INC PAGE 02 PERMIT NO:_ SEPTIg; ABANA ONMENT PEkritT TOWN OF BARNSTABLE 73 Yam), . OBTAINED FROM •HEALTH DEPT. SEWER CONNECTION PERMIT abandonment Petmit Not OFFICIAL USE ONLY Re uir.ed . AssessoB MaP No, 3 Assesaons Parcel No. ' Street I Wtage: � S PROJECT CONTACTS PROPERTY OWNER ailing Address SEWER INSTALLER A j S!-. Na": A B C�� Name: k-S - r Addresa: Address: W. Yarmouth. MA 2fi23— L411A n ; J / Phone:. Phone: License No. OWNER'S AGENT/ENGINEER /P fc r cSv /�✓ Addres9: +7- o 0 Name: Ph a� •33Y ornNr. . PROJECT DESCRIPTION REGULATORY REQUIREMENTS The bstdWdon of au sewcaulections must be done in accordance with the pnrrisk= of Arfide XkXVI. Town of Bmembie . Gerterai By-laws and e: MqUIOMWWd by the Dep a nent of Pubbe works. Before amaOng RESIDENTIAL wHfiln a Town Way the sewer insWier must also obtain a Road OPening t S/moo s permit and compy with the Construction Standaft and Spedficaaons COMMERCIAL c71� oWlned therelm Al leaaf 48 hours prior to the Iris aWon.the applicant must notify the Deponent of Publle Worts.En IMmng Division for Bee purpose RESTAURANT of Inspecting the Inslallatlon. The Inspector will complete•Bra Compliance Sketch We"the installed Ones and connection. By signing the Application, INDUSTRIAL tha appkw,aoW0wWge2 and underAa+ds the regulatory requirements and for revocation STANDARD INDUSTRIAL CLASSIFICATION NO. of theSew er C t PPN��n NO.OF BUILDINGS NO.OF BEDROOMS SIZE OF PARCEL ACRES wr 3 ESTIMATED.DAILY SEWAGE GALLONS PIPING:LENGTH DIAMETER EXPECTED INSTALLATION DATE 30 SIGNATURE(INSTALLERIAGENT) ( DATE a SIGNATURE(DPW APPROV)uL) DATE I $ TOWN OF BARNSTAB.LE y LOCATION SEWAGE INvnc VILLAGE ASSESSORS MAP INSTALLER'S NAME & PHONE NO;, 7r0,5_— Rffo® SEPTIC TANK CAPACITY 9,V/ le4e# LEACHING FACILITYAtype) s� (. ,�� �, (size) '1'ez � NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER O �' DATE PERMIT ISSUED: ?� — R' Cl DATE COMPLIANCE"ISSUED: VARIANCE GRANTED: Yes No ',� w f �- + � � 4 � . � .� �_ .. �' �•, � .; y _ F'? -s-o c LOCATIOk SEWAGE PERMIT NO. VILLAGE �/ l hY/-gij///s M (4 cd/int 4 7 i1 A & B CESSPOOL SERVICE "5eu QY' P-J 2lzl� I f 128 BISHOPS TERRACE, HYANNIS, MA 02601 4 1 / BUILDER OR OWNER Co,l� T /) I v- R jwe / L" pay/swr :7 A��461^ Gad -7-4 � `f(2��s. DATE PERMIT ISSUED �— DATE COMPLIANCE ISSUED VC , � A ca�� f (/ �j � � �• vo ru' No. .. / Fas._..__ ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Di!ipwial �ii orkii Tomitrur#iun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (4.1<an Individual Sewage Disposal System at tw�u... .......... 4 --------- -------------------------------------- L ocat'ii-Address or Lot No- tF.Y_ �+_....___-`(2.- +X-------------------------------•--•------- ----------=--------------..•------•----------•--- ...--•--- owner Address -•----•-•--•................... Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms--------------P-------------------------Expansion Attic Garbage Grinder aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 04 Other fixtures --------------------= ------•- W Design Flow............................................gallons per person per day. Total daily flow................................_...........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........................................ Test Pit No. 1................rninutes per inch Depth of Test Pit.................... Depth to ground water........................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------------------------•---------------------------•--------------...••-..............••......................................................... 0 Description of Soil......................................................................................................................................................................... V ................ ------------------------------------------------------------------------------------------------------------------------------------------------------•---___.........----------•- ••-•-------------------•---•------- -- -------------_-___--------------------------------------------------------___- ----------------------------------------------------------------•-------••...... U N ture of Repairs or Alterations—Answer when applicable.--_2-rt1.)4.1 .------ --`v m-.----`�°�(-__.----���-/��'� C_ •- ••--•--�'••.•-•-� � �® � � � �_�.[2 Q......4•-•...... .............................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the f system in operation until a Certificate of Compliance has been issued by th board o health. Signed ........... ......... . . ............. ... ............ ........ ' ....--. . .:�. ApplicationApproved BY ----- ......... ' ............4..----------- --- ---- '-� ............................... ............. Dace .-....-.. ...- Application Disapproved for the following re nr: ...._._....................................................................-....- . ...----... ....................................... ................................'- ........................... . ..... ............. ................................. Qr Dare Permit No. r. ....... .... . Issued ...... SJ .-.. ....... 0�" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (� TOWN OF BARNSTABLE Applirativlt for Diripinittl Work,6 Tottotrnrtion 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair (tan Individual Sewage Disposal System at: tt }} n n J 7�i GV10u h .............................................. _......-•----•._._.... _............_ Location-Address- - or Lot No. U .................. Owner Address a ...........-.�-ram c-�-•----....---•------•------- Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms..............P-------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ..-•--•-•-----------•--••-------------------------------•------•---••---.....---•------.................-••••-•-----------•----•--------......_------ 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_- ----------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water..._-................... fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•-•-------•-•-•---•-•--••--•-•.................•••----••••--------••-••••-••-•-•---........•••---.......---...._..•--•---•----....................------.... 0, Description of Soil......................................................................................................................................................................... w U Nature of Repairs or Alterations—Answer when applicable.__ E1>� t4.(.(--------__ __�vu o_.___ I .. :Q 1 ��. �..........i a....------� �--Q.....LAO.o......._--------.._.. .................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the�board of health. Signed ..-./----------1411) �- - - ...... ..-- .. ............ ........ .'./g. I oat Application Approved By ----�PA ---- - --©--- � =t -' - � . .-:..................................... ..... II; Application Disapproved for the following re(f- ns: ................................-----............................................ .... .................... ..t....................... /.... ... .. .... ..................... Permit No. ....�' ........ Issued C. .-... ..... Date Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertif rate of Tomplinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by .................................. '� /U(0............ ......._............... .. -- .............. ......... ...._._.......... — ° Inacdlct ...................... --................-............-..-..- at ......_........ ...-..----- .F_....r. .�'� -��..F ..Y j. -- ............................. .............. has been installed in accordance with the provisions of TITLE 5 f T e SOLK nv'ronmental Code as described in the application for Disposal Works Construction Permit No. .._............_ "�. dated ........_..........._..__................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B C NSTRUEA AS A GUARANTEE THAT THE SYSTEM WILL FUNC 1O l SAT,L�((FF�ACTORY. DATE-----_ .. .. ..................._.........._....._Y...--..._.............................. .... Inspector ...., ...............:........................ ------------..--------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No..q�'l........ 3 TOWN OF BARNSTABLE 1 �io�osttl or�o �un.�tr�tr#i.on rrutit Permissionis hereby granted-------- -------•----.-•--•---•--•--•------••-----•-•--••----•---••-•--•••--•----•-----•---•......................... to Construct ( ) or Repair ( )),"aein Individual Sewage Disposal System at No. r�`A !......... ... ! tl.2.......... Strcct . ......... as shown on the applicatio for Disposal Works Constructio Pe mit No. ._ � ----------------------- --••-•---•--•----------------• Board`of�Ficalth DATE....................... ---�...r...� '- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS No. ---••-`...... Fxs.......f�® THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � 11r ...........OF.......... / -�'................. Appliratiun for lliupusal Workii Tonstrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair X an Individual Sewage Disposal System at: . ........ .. ?!Q LI r�'. ... ......................t.. .............-• .fn•-V................................ Location Address r Lot No. .. Owner t e � .. V.. ..... �.... W -� Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..........................7-----------------Expansion Attic ( ) Garbage Grinder ( ) aOther—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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ GTo Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil --------------------------------•---•---•-....----------------------------.......•-•--•-------------------•------•------••-••••.......... x c, � ..--------•---------------- W --••---•--------------------------•-•------•--._...- ..------------------------------•. -- x U Nature of Repairs or Alterations—Answer when pplicable... i� �.. e.....___... .. ....._g/ o n-C......... �.E/r ••---•-•-•-•.. ...Z �... ----- --�!�j------------------- --------- Agreement: M�(� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAITI U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed.._..._..-•-•----._.-� ...- -•................... --Dat .........._ Application Approved By.................................................................................................. .................. ---- Da..e............... Date Application Disapproved for the following reasons:.............................................................................................................. _ -•------•-•-••----•--------...•-••-----•--•-••---------------------•--------••-.....................---...-•-...--•-----••-•----------•--------•-------•-----•--•-•-•-•--•------•--------••--:......----- �/ Date PermitNo..... .. ................................-- Issued........................................................ Date No....................... .......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..........A.40.04A.1�� ................. T Aplifiration for Uhipasal Workii Ton fturtion Vamit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: 0,P.7. 2.2 ;Z ..................... .............. ...................... ............................... Location Address Lot No I 1 . - K..............WX... Owner d _Lcel;.95ue......... ........ .......... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) �4 PL4 Other—Type of Building ............................ No. of persons_......._._..........._.._.. Showers Cafeteria ( ) Otherfixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. s:4 Septic Tank—Liquid capacity............gallons Length................ Width._.............. Diameter.._..........._. Depth................ Disposal Trench—No. .................... Width_.._._.............. Total Length_._................. Total leaching area....................sq. f t. > Seepage Pit No_____________________ Diameter.._.__...___.__..... Depth below inlet.................... Total leaching area.-................sq. ft. Other Distribution box ( ) Dosing tank.( -,by..Percolation Test Results Performed ....................................................................... Date........................................ Test Pit No. I. ..............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____........._......_... 04 ..?_ - ....... .................... 0 Description of Soil...........M4/4�0 ............................................................................................................................................ -----------------------*------------------------------------------*------­---------------**----------------------------------------------------------------------------------------------------------- - ------------------------------------------ ---- . U Nature of Repairs ---------------------------------------- -................................................................. .............or Alterationsl Answer when applicable------ .......... -00 'r A<' ..........1 .J.0 -art ....................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed, Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed•�c ... .......(f. ........ ....................... ..... .... .. ........3 Date ApplicationApproved By................................................................................................... ........................................ Date Application Disapproved for the following reasons-----------------W................i........................................................I...................... ........................................................................................................................................................................................................ Date PermitNo.---. """ ...................................... Issued L....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ,:HEALTH ....OF............... e . .. .............................. Tntifiratr of Tomptiantr T IS T s em f*ns,ruclg o D CERTIFY That the Iudividual Sewage Disposal S f 0�.g ;?R ............. . <Aft %n stall f - ----------- at.. ------------- ................ has been installed in accordance with the provision' of TITLE 5 of The State Sanitary Code a�describ d the application for Disposal Works Construction Permit No...... 13. nf.6........ dated_...? ............................. ... THE ISSUANCE F THIS CERTIFICATE SHALL NOT BE CONST RU S A GUARANTEE THAT THE I U U T SYSTEM W1 MON SATISFACTORY. .... .......... ... ....................................................... Inspector.......... ....................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD . OF HEALT7H -X�_'!V............ .dw_!!Z_e..-...0!r-C.......... 0 F......... No FEEAV ...................... ut-15110'Aal or p Tonotnution ramit Permission is hereby granted- ........ _;... .. ...................................... to Const t or Repair an Individug..Lsewa DVIS osawl S stemA . ......................... .... at NO... f ......49. ..... ..........AV.... ....44 -----_----------- - - ----------------- Street Permit as sho;w/n..on t/appl* ation for Disposal Works Construction Permit No. ---- Dated.... ..... Street ...................... . ......................................................................... Board of Health DAT ........................................................ FORM 1255 A. M. SULKIN, INC., BOSTON �SS�SSOR'S MAP NO. % PARCELC??6/ LOCATION SEWAGE PERMIT NO. VILLAGE ` � INST A LLER'Snn NAME i ADDRESS x, B U I L D E R OR OWN ER I DATE PERMIT ISSUED DA JE COMPLIANCE ISSUED _ �, ICI n^ �. �^ Q �4, . w � { ' v o � i �.. � M� .--- � .fir, �,g ,y �' '®� F 4 c ' LOCATION . __ - SEWAGE .ER�T N0• p? I _ -- _ VILLA6 Wei I'l-N-.S-.T A L L.E R'S R E S S _ `+i-utL,D R OR OWNER- F AC JM- .. _ ✓j G ,c D.A TE -. P ERMIT lSSY E_0 :c I ID:A T,EF,,, C 0 M PL-1-# N C,E 1 S_S U.E-O Qq%. - ---------- ASSESSORS MAP NO: PARCEL NO.: �t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF `HEALTH ------TOUJV..----------------OF.....i�;tt!!e........................................................ ApplirFation for Uiipnaal Works C omaraartion runfit Application is hereby made for a Permit to Construct ( ) or Repair (*A-) an Individual Sewage Disposal SyatA L /� �3.......".....P S�... ct.�n?�Im..Yk.�n` .�ru. tf+z'•`'~ - .. ......... n r�c ion ddress I o Lot N ene. .P ..K .. - ------------------------------------2.- � 21�._R _.__... s.�+� EiL - .. ... Owner Address aR __�'wxSO-------------------------- ... Nt �n_S -+..._4>��_ t ±: �...... Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------------- . W Design Flow............................................gallons per person per day. Total daily flow.........................._.................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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........................................ Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water....................... rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -----------------------------------•-----------------------................_._...--••---•-••----•-••......................................................... 0 Description of Soil........................................................................................................................................................................ ---------------------- ....................................................................................... ------------...... • . ------ --------------------------- VNatVur f Repairs or Alterations—Answer when applicable._ �_ ___�`�___10 .!Q __� _ t' ._w�.___. *,t4�,�,� s t-sgwj -1 -.!�?�} -�o ___ �OY14.} .�o. txasi► ssfa +• Agreement: U The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iT T Lim y g g p y of the State Sanitary Code— The undersigned further agrees not to Lace the system in operation until a Certificate of Compliance has been issued((y�the board of health. 4a�-------- . gate Application Approved By-••-••......--•-••--•--••-• •-. ..... ----- ----- Date Application Disapproved for the f ollowi q_re sons----------------•----••--------------------------------•----------------------------------------------•--------- .......................................................................-•------•-----•------••-•••-•--------------........_._._..•--••----------•••--••-----•-•..---------------•------••.._..._.._ Date Permit No. `-� ---------- Issued._.._.......® --- `v 06 Date No................-....... Fes$.... ':................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Apptiratiun for Disposal Works Tonstrurttun rrntit Application is hereby made for a Permit to Construct ( ) or Repair (V,) an Individual Sewage Disposal System,at: Y cC22 1 (� IE3 l•Cc.,t.•? 'n, ................_......_.__.-•----•........`._..........--<---------......•........._........... .......... ................................... .. F� k Locatio-ni�- dddress {':JIF{Ls�i' �-...0[.. t '7r:F� r:` �to t �i!. lm �rl M.1^ •. 1 ' .........................__.•....._......_.__._.....^' = ._........---------- ' Owner Address(`t tJ W F �[. it C: r.�7 II 1:I s'1 "O*X.f. X..'.�. Installer Address �l d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QIOther 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........................................ Test Pit No. I................mmutes per inch Depth of Test Pit-................... Depth to ground water----_-.-___-_-_--_-_-... GZq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----__--__-____-.--___- P4 -•--•-•--•-------------------••----••-•-•-•----•---•----...--•-...----•-.............----•-------......._....-------•-•--....-•-----•---•-•---•--•---....--•- 0 Description of Soil....................................................................................................................................................................... U ................•-•-•-•••-•-...-••-•--•----•-•-•----•-------•---------•-----••••••-•--------•-----•--•------•-•--••---••---••-•••-•-••--------•-••-•-•-•-•-•-------•-••-••----•-------•----•........... W UNature of Repairs or Alterqations—Answer when applicable�_�,-�:�L�_...��__�2 --.�C��.��.�±�._..�Lt��+ nr�._.L......_. ... +r•Pt. l... ..- ....... i:.r SlP_• i:nfe............................................ ................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI-11"111, 51 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued-by the board of health. -........`'.. --_.__.�....,............./--••-•------- pate Application Approved BY .....•-Po-.- �-- —.. `�` Date Application Disapproved for the f ollowQ9 r'asons:••-•--••--------••••--•••--------•-•---••-•-•••--••--•--•-••••-----•-•----•---•-----•-••------••......--•------- ...--••••-•-•-••••----••••...••----•-•--•--••-••••••----••--•----••••` ••........................ ---------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued-....................................................... Date fad THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF. Tatifiratr of Tomplianrr THIS IS TO CERTIFY, That the Individual Se e Disposal System onstructed ( ) or Reaired J� ) �..��"'Y �` 1 16't fj !�} DW I 1�k A.V\ i?, t�I V1 `) by......................................................... .......--•.._..... --------------�-----..----------------------------- at --------------I.ram_--_s ` - Y.1 i 3 vi I S ------------•---• ----•-- --------•--------•-••-••-•••-•-----••---••--••---•---•••----•-------------••------•......-••..........-•-•----.. has been installed in accordance with the provisions of W T iE The State Sanitary Code as described in the 'x application for Disposal Works Construction Permit Nou..''..l�_...�................ dated.--.__/�..�b- -�......._...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WIL4 FUNCTION SATISFACTORY. DATE........- �1 ............................................... Inspector_.------7--;;5�? ...._.......................................................... t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C b - 16 S 1 a�u,l ' F Y FEE...................... Permission is hereby gran�d------------------------------------------------------------ ----------------------------- ................... ..--------------------- to Construct ( ) of $Opa j ( ) ate I&�al Sew e%-.) - al W (1 i atNo................................................................................................................ ` ¢ Streett5`�(� 1� / as shown on the application for Disposal Works Construction Permit No.__...•..•...`q_-.,Dated ------f�----------------------------- .......................................... -- --------------------------------------------.,- v 6 6� hoard of Health DATE................. •... .................................................... FORM 1255 HOBBS & WARREN. INC.. 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Z \ -01 M� hole o / 1 0 .' 1 yQ,o-i m in 04, -104 Q) � , y 45 1 Z 181.21 . \ CLF_ o o ___—_— ___-- o m N CBdh\ ° I �o N 78'01 'S 7 E \ \ \ �\��. l z�10 NIF l �Z Rosebud Trust \ / Cert.111172 \ oL \ 0 t ' � ter••... y� ,.. -___ - •....................... ................................ ... .......... ....... ................................It . s: l } ittii FINISHED GRP.OE— MANHOLE FRt+M6d- ii ; si } t11 PAV EMUIT GOV ER t i f :. ...Q ti r7 �. �. t,..:ae:r.::;t;;;t"• - t} } '> t.. ... C _ ., }: i I- i M. 1 5`. }} 0 M. ` ................................. s. ;f@ t1 ii iit � �p } a •... >„ , ::u::ars:atr.:::::m:::r.::::::::a::::::^ r.::aa:rarsfss;:tfi' IS t• :a ..........ti .......... i' e o € i o ti o Ii ;i . .. .............................. Cod 5 }} o ` Proposed Drive � } • � �'• `. '""•.••.•...•..• ' } 2�FORCE M/V1V i ;• 40 FROM FNAMIP ng Bank) ;; }.................... iA PvG STATi ON r' ........................................................................:.t.................r..s.......f................ .................s................... .... .... p .i CONCRETE �i. Q_ } INve-RT �fl L: ;i i......................................N It !i y }. ���. Ittlif l:::{:t:aata Utai !! ; } }: _ ii..°°ii'"` }} DROP/SAMPLING MANHOLE t:ass:::r.:m:nsa:::::::::::::::::::::::::::::::::::r.:::a::::::::::::::r.::::::::::a:::::a:::::•:; fl s.st...., Not to Scale }t }: • srr:::r: ::r: �' •' ;r; � +:' it •f, {! } !: �.+ �_. i3 ii Sys ::r,:r::urrrtu::rr ♦}.::ti+ 1L•• f' 1i� � i} � � �� O Location of Utilities Shown on This Plan Are Approx. ii \ C At Least 72 Hours Prior to Any Excavation For This — G Project The Contractor Shall Make The Required \ Notification to DIG SAFE . 1-888-344. 7233. I ae ►ST. i 1 o, LL. I. ................................................. u a P o X yI I � ...............................s............:......................................................................................:.:..........c.....f...........a::::::t:srcfifi::: :::s:::::::ss:::::••.:::,:::::::::,:,:i:,:cic:ffcs:Isis::ts::uttt:::::::c::::i:::r:::::::::::::::.: :::i::::s::::::::::::t:::i APPRox.L.00A.n ON OFaLm S06'S835"E C "-T L Tork T6S / C016. Gqq N� CTOR TC� ` \ CAT loo, _ I FORCE tAAlr4 Jp orb PUMP 00 � Doctors -- — --n L Camb.r d�ge.:EYe \ -� J _ ' 'E�t1STi~G J pUMP L GRc t+.sE zo \ r NG�LoS loo, %%-INEouT' \ i RAP 2 L1NE`� -pt. \ —� i 1.NO.OF PUMPS REQUIRED: TW I j 2.STATIC HEAD: 8' i 3.TOTAL DYNAMIC HEAD AT FLOW: 10'@ 15 GPM METERS FEET j 4.IMPELLER DIAMETER: 5.625 f C�'Qil[:e proposed Sampling Manhole to existing Vacuum Valve Pit with minimum 20- 5.MANUF./MODEL(OR EQUAL): Gould RG-S2012 1101MODE[:RGS2012 .5 t gravity line set at 2%slope. Vent gravity line above ground with 4 inch PVC with - — DISCH:1'h•NPT stainless steel bird screen cap 6.HORSEPOWER/SPEEt?'m 2.0/3450 RPM 30 100 SPEED:3450 RPM 7.VOLTAGE:PHASE: 230 - — —-- t Contractor must confirm compatability of service — —_- Reducer required within 2 feet of vacuum value pit.Contractor must vty invert elevation and pipe size of existing vacuum Value pit. 90 71 CONTROL PANEL - MANUF:Gould Compatable TYPE:DUPLEX 25 —''— — -- — — PROVIDE MANUAL ON/OFF gp'SWITCH FOR FOR PUMP. - PUMPS TO ALTERNATE- 11 �FLASt!INu ALAFw LIGHT !.•_ f_ ° v�i,T+�ow.ca..-rm�..mx... ... .. e....,; ",,.,. ' ALARM. ISUAL 9 AtJ_DuO "a - .,..._ k.�/....._..�...,�.... ._ �:-- _ ._.._.... POWER SUPPLY CONDUIT NOTES.CONTROL PANEL LOCATION TO BE 7 60'r DETERMINED BY OWNER. I CORD SEAL CONNECTORS CO FOR _ -- - _+ _- --�- (NOT AND CONTROL CORDS Q- _- _— �tNOT sNowN) FLOATS ' 15 S0 "- ~— - --- -- -- - - H-20 Steel \ O HINGED ACCESS DOOR NO.REQUIRED:4 TYPE:MERCURY SWITCH —-- (Typ.l Gould Com able 40 _ _ TopE1.42.0 I I TOP RAIL SUPPORT - v— -- — ---- -`-�---. _— (SCLTS TO COVER FRAME, -__ FLOAT MTG. BRACKET - 10 •. •i C.�.,yJ # HONDHOLE FOR ::,/q;. .-::�: �_.: <'�T �-_--- --- - -- - JUNCTIONBOXf Goly — T i LIFTING CHAIN" 1 4'-0"I.D. _� ZUj "� I •'' "• 5 2" CHECK 2" ATE co VALVE VALVE '.'•• 1 -p __..__-._r--.-�_ -_- _ -___f____t--- _ _— - �- JUNCTION BOX i I i„" .� - - /` / IE.•510 .. i E -- _ _ _ _ - u ' pInv.36.20 ISCHAR = L 0 5 10 15 20 — _- -- -'40 45 U.S.GPM BELO. FROST LINE INL=T Trap 0 PIPE - O 2.5 5.0 7.5 10.0 m3/hr CAPACITY N HIGH WATER ALARM I _ 3 1 EI.32.0 INTERMEDIATE RAIL SUPPORT _ ( FOR EACH 12 FEET OF BASIN DEPTH IN EXCESS OF 2 FEET.) CHECK PUMP a2 ON •'d�.: +I VALVE I - N El.31.5 I 2" DISCHARGE PIPING - o o N 3/4"G.IV. PIPE GUIDE RAILS I I PUMP 1 O m x T a Ml.'S BE UI•L El.31.0 PLUM-- I � 1 PUMPS OFF MODEuSIBLE G INDERRGS20i2 GATE - SUBMERSIBLE GRINDER PUMP E1.30.5 VALVE 00 : . `•;.' LIFT-our ASS•Y.:SPDS5 EI t3 PIPE E _ e�ow BOTTOM OF BASIN MUST HAVE SMOOTH P.P_ . _ TRO We = SURFAC E FOR MT G SUPPORT C Sr2NG TEE I DUPLEX PUMP STATION Not to Scale _. _..__.___--_-- --. REvtSION 3 Lh�fO'1 ��AS Ciu1LT�• t Title: $�IL� �� PREPARED BY. PREPARED FOR: j -� SITE PLAN Sullivan g, Inc. En ineerin CapeSurv+,.� Marcel R. Poyan t g PO Box 659 7 Porker Rood t Trustee of Plaza Twenty—eight 181 - 195 FALMOUTH ROAD ostervilre, MA 02655 Ostervilie MA 02655 Nominee Trust ROUTE 26 (508)428-3344 (508)428-3115 fox (508)420-3994 (508)420-3995 fox 282 Barnstable Road HYANNIS MASS. PSuIIPE®uol.com copesurv�rapecod.neE P.0. BOX K Hyannis, Mo. 02601 Draft: MJD Field. WHK/MDH 20 0 10 20 40 Date: Scale Comp/Review: PS Comp/Draft: MDH/RLH August 20, 2003 As shown Proj # 98120 Drawing # C546c1 .-r 2.STATIC HEAD: 8 5:625 METERS FEET 3.TOTAL DYNAMIC HEAD AT FLOW: 10'@ 15 GPM \ 4.IMPELLER DIAMETER: \ \ \ \ I I 5.MANUF-/MODEL(OR EQUAL): Gould RG-S2012 110 MODEL:RGS2012 I DISCH::11/4m NPT �O 6.HORSEPOWER/SPEED:,, 2.0/3450 RPM SPEED.'3450 RPM 30 t00 �\ \0� 7.VOLTAGE:PHASE: 230 Contractor muss confirm computability of service - - - --- 51 CONTROL PANEL 90 � MANUF:Gould Computable; TYPE:DUPLEX 25 - -- - - PROVIDE MANUAL ON/OFF 80 r- SWITCH FOR PUMP. p-- -} -- PUMPS TO ALTERNATE- - - -- - J-- - - \ r 70 _ --- - - -- -- --r- -- -- - - '"ALARM: ivaT�si"CONTROL PANELL'"L`OCATION TO BE601 1 \ \ \ 0 60 f • DETERMINED BY OWNER. '. w �"- �- _,•_ __-_, _ _ � \ FLOATS 15 50 - ----}-- --- ---^ - — NO.REQUIRED:4 TYPE:MERCURY SWITCH -- —_ -- - _ \ Gould Com able —' -- -- - - �- - -- \ 50 40 ---- -- --- --- - - - — \ — - ---- -- -- O \ FLOAT MTG. --- -- --- — _ -- BRACKET - - 10 30' _-a--- -_ -j - -- _ - - FLOOD ZONE: \ -�-- Zone C � v \ —.:.: \ + — - - -- —r -- - - -�— -- -' — Community Panel No. c 20. \ 250001 0008 D O \ \ \ c July 2. 1992 r.s ASSESSORS RED \ =�R 1 0 00 5 10 15 20 30 35 40 1 45 'U.S.GPM Mop 311, Parcel 180 \ \ 0 2.5 5.0 7-5 10.0 m3/hr CAPACITY \ \ 1 OVERLAY DISTRICT. \ \ 1 GP — Groundwater Protection District \ CHECK AP - Aquifer Protection District \ VALVE - - i1 r As Shown on Pion Entitled c \ 1 "Revised Groundwater Protection \ 1 Overlay Districts" — April, 1993 O \ i GATE _ _ J ZONES. \ VALVE , L P z PE RF-1 HB e-50w Area (min.) 43,560 SF Area (min.) 40,000 SF TEE - .TEE' � f� .. Fronta a (min) 20' � Frontage (min) 20' 01 i 1 Width min) 125' Width (min) 100' Setbacks: Setbacks: Front 30' Front 60' m Side 15' Side 30' t r Rear 15' Rear 20 . ' REVISION 7fj��fo'{ AS C31_tIL-T __. - -. . ..__-- 4ED BY.• PREPARED FOR: Notes/Revision: 1.) The property line information shown was ivan Engineering, Inc. CapeSurv. Marcel R. Poyont compiled from available record information. g g' Trustee of Plaza Twent —el ht Cb 7 Parker Rood y 9 -cb PO Box; 659 2,) The topographic information was obtained OsterviUe, MA 02655 Osterville MA 02655 Nominee Trust from an on the ground survey performed on i08)428-3344 (508)428-3115 fax (508)420-3994 (survOc pecad. fax 282 Barnstable ROOCI or between 16/APR/02 and 05/MAY/02. PSu11PE®aol.com copesurv®ropecod.net P,Q, BOX K Hyannis, Mo. 026.01 J.) 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G��t/✓EiS/;�,4.C/C�- STca,�--�'S --�j�'o�� k/� r-.Lr'.:�T.4,(/•'�1.1/G ,�,/-.�r�..'� .�C�'I.U/Nc5 • YA411, .is BA , /,,/b 7~,�,41 T �J YA y Cal f 7'�-!> G �AN.C>� _SCt. ' /�w YOB 17, A. SA X I EH ST b� "Vil No........ ...._.... % F/ , ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '---------OF..... ........................ Appliratiuu -for Bitipma1 Works Tonstrurtion PPrutit i 6 Application is hereby for a Permit to Construct �/) or Repair O an Individual Sewage Disposal System at: ------------N----- t ocati n Add r ss or Lot No. oww er �µ dress 5 !&. --•-•--•--�y�-�G. dL.K. ---••-------•--••-•----------------•--•------ Installer Address ype of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............................. .'_ .Expansion, ttic ( ) Garbage Grinder ( ) p, Other—Type of Building X AWY�?__.__ No. of persons_______ _4-------------- Showers ( ) — Cafeteria ( ) a' Other fixtures ...................................................... Design en Flow.............�.. •__________________gallons per person per day. Total daily flow----/s 7------------------------------gallons. W .... WSeptic TankW- iquid capacity 10P.galions Length________________ Width................ Diameter-----..._....... Depth---------------- x Disposal Trench—No. _____ __________ Width....14----------- Total Length--_-___-_-_OF------- Total leaching area...fJ?_.-------sq. ft. Seepage Pit No..................... Diameter-------------------- Depth'below inlet...... ----------- Total leaching area......... --------sq. ft. Z Other Distribution box (?vj Dosing tank ( ) Percolation Test Results Performed by-------- --- ----•------_---------------- ----------------------------- Date-----------------------------------._.. Test Pit No. 1----------------minutes per inch Depth of Test Pit....._.___-._..__... Depth to ground water..------................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ n ..... O Description of Soil--- ! --------------------------------------------------------------------------------------------- -------------- ---------- ------------------------------------------------------------------------------------------------------------------------------------------------------- U Na re of P.epairs 4,Alterati s An wer when a�plicabl ._ '._. :-._fQdc�- ,� _ ar4_ ._ -------- -------_—1 ..../_1�(J.....Z1�.......... ;----------------------------------------------------------------------------- ----r 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 be issued by the board of ea h. g �� - d.Sine °� Date ApplicationApproved By----/f----/ -- --•------------------•-----•--•---------•--•----------.._.__.._.._..-•-•---- Date Application Disapproved for the following reasons------------------------------------•-_-__--_---_-_----__------______-..--•-•-••-•-:--.--------•------___-------- ---------------------------------------•--------•-•--•----------•-•----------------------------------_-- Date PermitNo-------?-j-------------------------------------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . f , ....-:. ".�.�->.>. ---------OF.......:...r% 2:... ` .-...' ApV iratiott -for Ii.4poiitt1 Workii Towitrurtiou Vrruift Application is hereby made for a Permit to Construct (_ ) or Repair (/an Individual Sewage Disposal System at l 7 ------------------------------------------------------------------------------------------------- Location-Address or Lot No. ........................................L . i 71 /._. 1 �/1..�,.�i.......................................i .�� -/,+ 1 r Owner f1� r f Address r1 71 .............................................................If ----------�- ----:./:.._--= rs n_s........... ..... Installer Address UType of Building u.,; 74 Size Lot-_------------------------Sq. feet Dwelling—No. of Bedrooms---------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ----- No. of persons.......Pt.............. Showers ( ) — Cafeteria ( ) Otherfixtures --------------- ----------------------------------•-----------•----- Design Flow....................'l.- ..._-__-_-........gallons per person per day. Total daily flow......5..7�5�--------------------------gallons. W 9 Septic Tank''—Liquid capacity.-----ngallons Length---------------- Width.............-- Diameter................ Depth.........-...... Disposal Trench—No.------f�----------- Width....jJ........... Total Length------------I....... Total leaching area... . `K-------sq. ft. 3 Seepage Pit No--------------------- Diameter-------------------- Depth below inlet...... _----------- Total leaching area._...._....._---sq. ft. Z Other Distribution box (t-y Dosing tank ( ) aPercolation Test Results Performed by--------------------- -----------------------•-----------------•---------- Date.-----------•--------------------------- a Test Pit No. 1---_-----_-..--minutes per inch Depth of "Pest Pit.................... Depth to ground water.........-..------------ (s, Test Pit No. 2................minutes per inch Depth of Test Pit..--------....._--_- Depth to ground water----------------------.-- --- Description of Soil.....%'+,.a; '. -�' ,4/t 0..�„f ........................ ------•--••-•---•---�••••••----------••------------•---- --------------------------------------------------- ------------------ V -- ------------------------ ---------.................................................................................................................------------------------------------------------- --------------W ------------------------------------------------------------------------------------------------------I-------- - ... V Nature of Repairs or Alterations—Answer when applicable---- ...._^_f_...-- ---- ' --' - --- -- --------------------------------------•---------------...----•-------------•-----------.....---------------...-----------------------•---------- 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 be_e-q issued by the board of�ea h. Signed... - ------ ----- -------------------------------- Date ApplicationApproved By--U--------------------------------............................................................. •--•------------------ ...... Date Application Disapproved for the following reasons:-------------------------------------•---------•-----....-----........-..------....----------------------------- ••--......----•-••••------•.....••---•----------------------------------------•-••---•-•-••••--•••-•-••--.......•••-•------.....-•••-•-----------•••.--------•....---------•--•--------.....------..•..•- Date 1ti's Permit No-----------3............................................. Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH .1/'rls':.. . ......._.........OF....../I..`[/ �r ..... !fp.......................... �ertifirate of Tout Iioaur THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by-------•------------ - --- - ----- -- -- . ...............� _ .. //.3��-------------------------------- r-, [ s - >' ,, --------------- --------------------------------- ---------•-------------------- has been installed in accordance with the provisions of Article XI�of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.......... ........................... dated.-.....__.............._-----.._-._....--------- THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT TIME SYSTEM WILL FUNCTION SATISFAAC ORY. DATES ..................... Inspector..��__�_. .... ---------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �1../... .........................of...:'. .....�.. No......................... Bi>iVapal ork Cnott trttrtio$i rrtttit Permission is hereby granted---26----1'_-�?j%_---!"� `--.. {( t. . r s ._:. r! ----- ............................................. Construct ( ) or Repair ( )man Individual Sewage Disposal System t at No.-- ��- .//. �, / — /i /l� ^�-, >� _-------------------------•_-•-----••-•....-- •_• --• '----------------------------------------=--------- Street _ as shown on the application for Disposal Works Construction Permit No............ J._.. Dated...................... ........... - - -- ---- f ' '4i Board of Health DATE FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS PROP OSEDSANITARY , SEWER SYSTEM I N I � . HYANNIS B A R N SORTABLE - . - -, MASS. s 'JOSEPH P. MACOMBER ej SON INC. t SCALE .' I " = 101 DATE: MARCH 23,1976 ( CHARLES N.SAVERY INC. REG. C.E. &LS. 712 MAIN ST. HYANNIS, MASS. LEACHING PIT 12 Di am.X 101 Depth. ( 31of 1.1/2"Stone) ' 10. Vt LEACHING PIT * . : 4 Pipe i " ! i s DIST. BOX -- -- 112 Diam.X 10'�p #t (3'of I•I/2'IStone) f {� ,r 5'a�' 131 f I - SEPTIC TANK r r 2500 Gal. Cap, H-20 Whee I Load 4 0 4- O r' GREASE TRAP P'pe art , , K 1000 Gal. Cap. ! ; :�> �I • H-20Wheel Load 1 ; 0 S-L ti •i ,� Y q , ",t' + k ^"i; 5`"-; 1 - .. as _ - - --. -..mot- •<'t z ,fir T `v zl� � REAR OF BUI DI NG K or i r ANGELO'S SUB SHOP SHOP SHOP '� ��RT ( 44 Seats ) � eun a►s � . :c /� F TE na N 0 WOO THE COMMONWEALTH OF MASSACHUSETTS BOAR....... OF HEALTH ..............OF. .L�.s2.t��z 1`� Gb... :.......... Appliration for Disposal Works Tonstrartion rrrntit Application is hereby made for a Permit to Construct ( ) or Repair (/<,) an Individual Sewage Disposal System at ................___...._..U...: a..... -..��?.�.. ... ......... _5....` ...._.........._.. ...... ......._........................ ......._.._.....__.... Location-Address or Lot No. ................_..____....,� +. ...... 1n......�..o::: sT:...�� c . .......... ....1:4. . .,a o:�t s................--••---•--- -- Owner Address ae?..l .�� ...., .. -��.............. .............•--............--•--..........--..............................................._.... Installer Address Type of Building Size Lot. Z:a`....A_...s5�-met U Dwelling—No. of Bedrooms......................... .Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building Td p,� yp g ...-:�----..JZ::,:'-*:.. No. of persons............................ Showers ( ) Cafeteria ( ) a' Othe fixtures W Design Flow..`-...- ..k 0..5 .................gallel7s-ge-� -day. Total daily flow............................. �.`�....gallons. WSeptic Tank— iquid ca.pacity.ICM-.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width........t.......... Total Length................j.... Total leaching area..._..._...._. sq. ft. Seepage Pit No.............I....... iameter...........�?... Depth below inlet.........&...... Total leaching area.�D..sq. ft, Z Other Distribution box ( ✓� Dosing tank ( ) 0-4 Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. l................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ p� ............ ........•..........................................................••••-•......-•-•-•-•-•....--.......................................................... 0 Description of Soil-•-•............................................••...--.---•----------•--••-••--•---.....-•--............-•-••---•----•-•-•. V ------------ .............. ............ . *---------- ..._..._...... •-•---- -------------- -•............ ..... ....------ ------•---••••------ W -----•--•--•--------------------•---------------•------••--•-------•------------------•......•••---•-----------•-----------------•......... •------------•.....................................•..--... UNature of Repairs or Alterations—Answer when applica.ble...... %.... ............................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewa a Disposal System in accordance with the provisions of II.L 5 of the State Sanitary Code—The u Signed f ther agrees not to place the system in operation until a Certificate of Compliance has been ' by oar ealth. 3 p �. Signed....... -:. .-- .• -.. ----- `3 --• .........._.... '0 D Application Approved By--•---••....- F... .....e ... . ....--- ------...--- - " Date Application Disapproved for the following reasons:..........................................................................................................___ ........................•----...------•--••--•--•-••----••--------•-•-••-------•-•----.............---------------••--••---•---•-•••---------•••-•••--•----•-•--------•-•---•-••----•-..........---•-- Date PermitNo............................at-..................--__ Issued......................................................- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD ff HEALTH U. ..........oF........... $ ......................... .................... f�a if irate of Tomplianrr TH:5; S TO C , That the Individual Sewage Disposal System constructed ( ) or Repaired by.......... .�..... -----•---•--•----•..........................._.._... Installer at.............- :...--�==�'-•------ = •-•-----•-••---.....-----........--------•-----.-----•----.... .....•-----------•--•-•-----------.. has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..e,,3.,,e1>2 .:......... dated................................................ THE ISSUA ICE THIS CERTIFICATE SHALL NOT BE CONS AS A GUARANTEE THAT THE SYSTEM WI FUN ION SATISFACTORY. DATE.... =-r ��.................................•---•-•----_.... Inspector. .... _:..:....•----•-••.....•----•---•-•---•••---••-----------.........._...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH > ,,� _ 1.I"w).........oF......... .., ._ ..�� / . ............................. NFn..................... Disposal rho Tonstrixrttion fermi# Permission�s,,hereby granted............... .... �d .................................................................................._--__ to Construct !!�� or pair ( ) an Individual S . age Disposal System atNo...... ............ Street as shown on the application for Disposal Works Construction Permit/No�I..................... Dated.......................................... . A. •-.z• ...•-_.----•......................................................_ Board of Health DATE...........................................................................•--- FORM C-1255 CITY& TOWN FORMS, INC.369-9708 �r i �"'Oox ..� , I � � i 1 l� v I ,4 XN ZI `V a tom. r" No G�A�'�S'ia�4�-r.��,�,':�,�.� /n/i r',�•�,��-.4,tr'.I=�/i<<� N�� .L..�'>�,J/��lc� • C�s,� /yQ�- GAS. • • 4?5vAmb 14Tt !" �LMIW cm LAW04• 7-1 o� ,T �J L AQ- IvL A:7'0 YA A-IT �FT 1,3A X 7-Z-:�,AZ Nye, /,Ovc A SAXTEA e