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HomeMy WebLinkAbout0029 GENERAL PATTON DRIVE - Health 29 GENERAL PATTON DR. ,HYANNIS A= 0 it Ali Ik 4 TOWN OF BARNSTABLE LOCATION Aot G GI.P 5RAC,VATTM;DPSEWAGE# ={JILLAGE t4 ���! ASSESSOR'S MAP&&PARCEL oZ INSTALLER'S NAME&PHONE NO. C - .W Dr. SEPTIC TANK CAPACITY t t®OCR C'�-Lz)tJ'% LEACHING FACILITY:(type� 500 C-fAC,.CS(size) 1 NO.OF BEDROOMS OWNER FP'A X)CC. lL R 4S� PERMIT DATE: COMPLIANCE DATE: oZ 3 —,2-0( 7 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on // site or within 200 feet of leaching facility) Af A- Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility), ZA Feet hi FURNISHED BY ` APF—wi'ng Eii �� �5 i P ,< C7 r3 N �- U JO PI O DI No _Ole . •.. _. �: Fee f/WV,0 � f THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for �igpozal *pgtem Con0tructiou Permit Application for a Permit to Construct( ) Repair(14 Upgrade( ) Abandon( ) ❑.Complete System )(Individual Components Location Address or Lot No. AC, � )�(�mrvaj�, Owner's Name,Address,and Tel.No. o FPA 0 K AlARASA Assessor's Map/Parcel 5�3% 5:TG utdt2.aj-r S l Avp a QA 6p Installer's Name,Address,and Tel.No. t,®7''JZZ 8971 Designer's Name,Address and Tel.No.5*08-X7 3- 0377 C-46>;wl D e: leax ,►ses 3C cv e,t*t_s Type of Building: Dwelling No.of Bedrooms Lot Size 0 sq. ft. Garbage Grinder ( ) Other Type of Building kIESLDtVTtA4�- No.of Persons Showers( ) Cafeteria( ) Other Fixtures 2 A4,IA! Design Flow(min.required) 3 36 Pe�L-T'(Y`0 gpd Design flow provided 19,Q 4 gpd Plan Date -7 " (d - X0 I I ,Number of sheets I Revision Date Title &A)T Size of Septic Tank I .6 db ( e��Q/ Type of S.A.S. (a C Description of Soil Nature of Repairs or Alterations(Answer when applicable) ybjg�4;7V, 4 C VC*x ( 600 L 0� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date 7'z Application Disapproved Date for the following reasons Permit No. 73I7 " Z(S Date Issued /�Z/70t� -r— F lb Fee THE COMMONWEALTH OFMASSACHUSETTS Entered in computer: ✓/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for �Ngo!MU&p5tem Con!6tructton Permit Application for a Permit to Construct( ) Repair(V) Upgrade( ) Abandon( ) ❑ Complete System Individual Components Location Address or Lot No. ac' � } Owner's Name,Address,'and Tel.No. Assessor'sMap/Parcel �Cia _��`Ey '� �s`T U_u S'T -4VkO(Ar� t. t s �p8- 73- 0377 Installer's Name,Address,and Tel.No. JOTS '8 T / Designer's Name,Address and Tel.No. C49�;wt n eat- uses 34C AxAsu 67. Type of Building: Dwelling No.of Bedrooms Lot Size Q 1 _ sq. ft. Garbage Grinder ( ) Other Type of Building L C-S 6 b CV T 144► No.of Persons Showers( ) Cafeteria(£ ) Other Fixtures �. . I Design Flow(min.required) 3 P t1AVCr tra✓ gpd Design flow provided _ ?(29�_4 gpq, Plan Date -7 (D - a-O t 17 Number of sheets Revision Date Title > 's l 10 A t Yy"tJl 3 Size of Septic Tank 1 6dR ,t.nJU Type of S.A.S. ) - i� C.(�(•¢AG1$�4 C Description of Soil Q an CnA*2S ff 'y�sli]t Nature of Repairs or Alterations(Answer when applicable) U� GAL k/- (t006 O� �. C GF S� mac.+ D t (6 tid- Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed `\�./ �%n...� 1 Date i Application Approved by Date Application Disapproved,,,by Date for the following reasons Permit No.7017 r Z(9 Date Issued Liz/7---dt f L __—GGG�G G GG LsG _ THE COMMONWEALTH OF MASSACHUSETTS 1 BARNSTABLE, MASSACHUSETTS Certificate of Comptiance 5 THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired Upgraded ( ) Aban ned( )by gltil� C E �c'�.� t at G;Q EX*L- TIQr'?!We D L has been constructed in accordance with the provisions of Title 5 and the for DisposalSystem Construction Permit No. l i[7 dated � /2 ►� ' Installer����Wl 6 GGALSO: Designer _T C. S�J&M ye �Z Nc #bedrooms .. Approved design flow _ O gpd The issuance of this pen+mii�t,shhall otf b� m onstrued as a guarantee that the syste w 1'I ff nct of n s d� ign d. �.._—. Date / �/ Inspector _ No. - (/�g Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 'Wi5pont *p6tem Construction Permit Permission is hereby granted to Construct ..( l .Repair ( X) Upgrade ( ) Abandon ( ) System located at D.q�� �y !y` an . 1 --_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 followmg local provi-sions`or special conditions"-•-- Provided: Construction must be completed.within three years of the date:.of this pe it. 1 Date l Z/20 17 Approved ` /�/` 05632 P..001/001 Town of Barnstable Regulatory Services Richard z V. Scali,Interim Director�er�ate, t . MAM .� Public Health Division Thomas McKean,Director ZOO Main Street,Hyannis,MA 02601 Office: 508-862-4644 I Fax: 508-790-6304 I Installer& Designer Certification Form Date: N N 7 Sewl ge Permit# UVI ally Assessor's Map\Parcel 212 � 13`2. i Designer: TC% Evn)o r( �ee.r�r vj lor" Installer: Gaee.wicle �rnl4r�Cts�� Address: IS51 craebe l rx 6wa� Address: 155 (0mw%ercial s�ree,f East wwre t& MA azabo t'losheee_t HA p2taH On Gpew►de L=v►FwQ;iseS was issued a permit to install a (date) I' (installer) �-°I . (' eacral egtl n 'Or, septic system at based on a design drawn by (address) 'S G rrt�tn�erin`� rG dated 5u1 , to 2 6 l7 ` / (designer) V I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State& Local Regulations. Plan revision or certified as-built by Designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed ' e with the terms of the IW approval letters(if applicable) 0 MASS o q�yG JOHN L (J v ° CHURCHILL JR ( st r'S$ gn u aAA NO 1 IBpI • �O� I3T i esTgner,s Si e)� (Affix Des' er amp Here) PL AS]F RET TO BARNSTABLE PUBLIC HEALT DI SION. CERTIFICATE OF COMPLIANCE WILT. NOT BE ISSUED UNTIL BOTH THIS FORM AND A$- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC Y-IEALTH DIVISION THANK YOU. QASephc\Dcsigner Certification For i Rev 8-14-13.doc i I i i i i I I Town of Barnstable P# LI S Department of Regulatory Services I F '�. >,���, Public Health Division Hate im 200 Main Cr a Street,Hyannis MA 02601 i 'a E(! Date Scheduled Ti'me Fee P A, 1(, M. Soil Suitability Assessment for S • e Disposal W. Performed-By: lVllAod Pi(hPi1�P I � � CSC' Witnessed By: j I LOCATION&.GENERAL INFORMATIONS�s Location Address Owner's Name K•kJ It ok7t--.4Se4j Address 2 $ z 'C t112b0- 5 To �C) Assessor's Map/Parcel ' 3 l eo4BEwjt j>� p �C Enginaer'eNamo .TC c"RlEft���Cle�ra�t�C S6o'o�73-Q37� NEW CONSTRUUCnONa REPAIR Tele hono# M—1-71 Und Use , )Q d tC}Q��4 Slopes(96) r3 50/o Surface Stones N Distances Ilnm: 0 en WaterBod ISM P Y ft Possible Wct•Arca ft Drinking Water Well�J50 ft i Drainage Way Property Une 7 0 ft Other ft i SIMETCHI(Street name,dimensions of lot,exact locations of test holes&Para tests,locate wetlands-in proximity to holes) j. See A�6—ko� i i I . Paront material( cola la) WG � Y �;'✓� et 5 3/ g g �n Depth to ped�.00k �� �•, Depth to Groundwater. Standing Water in Hole: Weeping 1Yom Pit Rnoa > ' Estimated Seasonal High Groundwater )50„ R(S DETERMINATION FOR SEASONAL'HIGH'WATRR TABLE \ Method Used: �:ale. - 0*V-er\14ot\ I De th Observed standing in obs.hole: 5 In, Depth to soil mottles., � .1 5 d Do�th to weeping from side of obs.hole., n, ©roundwater MUAImont-- --AIT� Index Well-# Rending Date: Index Well lmvol� Adl,•thator. ;.�Adj.Grt .utldwatei,-Leval•z PERCOLATION TEST DAU dE V U11141 6QO am Observation j Hole# _ Time at 4" I Depth of Pero V'6 Time at 6" 77 Start Pro-soak Time @ 10'Oq erv� Time(9"•6") —T ! End Pro-sank f}• lam Rate Mln./Inoh j Site Suitability Assessment: Sltd Passed �� Sito Palled: Additional Testing Noodled(YIN) I Original: Public Health Division Observation Hole Data To Be Completed on Back ***If percolation test is to be conducted within 100' of wetland,you must.,drat notify the Barnstable Conservation Division at least one W week prior to beginning. • i Q:\SBPTICU'BRCFORM.DOC j I DEEP.OBSERVATION HOLE LOG Hole# Depth from Sall Horizon Sall Texture Shcl Color Sall. Other _ Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Mucci;Boulders. Consistency,%'Orival) Ll A Lowt r7 IC> v) U2. / IQ(A._&fs y 6/6 10'I5% Gcow' %,e(86l 5 DEEP OBSERVATION HOLE+ LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. COTISISMfloy, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, DEEP OBSERVATION HOLE LOG Hole# Depth from Sall Horizon Soil Texture Sall Color Ball Other Surface(in.) (U4DA) (Munsell) Mottling (Structure,Slopes;Boulders, � I Flood Insurance Rate Man: Above 500 yaar Mood boundary No— Yes Wlthln 500 year boundary No Yes ' Within 100 year flood boundary No. Yee Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pore o s mtiterial oxlst in all areas observed thrpughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material?,.___.___...... Cer'tlfication G I certify that on (date)I��7.�/ have p assed the soil evaluator examination.approved by the ' Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,oxperd a an xperience describod In 10 CMR 15.017. Signature Datb Q:%581yTICtP1111CPORM.DOC r -A oFtHEr Town of Barnstable Ana Department of Health,Safety, and Environmental Services &AM9�pr A��� Public Health Division P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health March 25, 1999 Mr. Frank Marasa 5538 Street,. Telluride Street Aurora, CO 80015 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE BOARD OF HEALTH NUISANCE CONTROL REGULATION NUMBER ONE The property owned by you located at 29 General Patton Drive, Hyannis was inspected on March 22, 1999, by Jerome Dunning, Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the Nuisance Control Regulation Number One Regulation and the Sanitary Code II were observed: 410.602: Piles of garbage, old tires and other debris on the ground behind the dwelling and at the side of the dwelling.. You are directed to correct violations within forty-eight (48) hours of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven(7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER-ORDER OF THE BOARD OF HEALTH W/ Thomas A. McKean Director of Public Health marasahvp/q/order/I s � .y6 1 7 Y . .iQ � r � +::'st _:.�_„�.s*e�:s+yam_.�_;,..-s, �; �ca ;� O _J Ul !") !_ i �_� _ II�, < ___�-..I.._ _ 1A a-v%� NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00 STATE SANITARY CODE II MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE BOARD OF HEALTH NUISANCE CONTROL REGULATION NUMBER ONE The property owned by you located at was inspected on 3 - - 1997, by ' Health Inspector for the Town of BarnstablY, be ause of a compfaint. The following violations of the Nuisance Control Regulation Number One Regulation and the Sanitary Code H were observed: y 1 G You are directed to correct violations within of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven(7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean Director of Public Health T PAR ] Real Estate System - General Property Inquiry] Help [ ] Parcel Id: 292 132- - Account No: 203274 Parent : Location: 29 GEN PATTON DR Neighborhood: 63AD Fire Dist : HY Devel Lot : 38 Lot Size : . 24 Acres Current Own: MARASA, FRANK A JR State Class : 101 5538 S TELLURIDE ST No. Bldgs : 1 Area: 930 Year Added: AURORA CO 80015 Deed Date : 050190 Reference : 7167/244 January 1st : MARASA, FRANK A JR Deed MMDD: 0590 Deed Ref : 7167/244 Comments : Values : Land: 18600 Buildings : 14500 Extra Features : Road System: 29 Index: 595 (GENERAL PATTON DRIVE ) Frntg: 169 Index: ( ) Frntg: Control Info: Last Auto Upd: 050695 Status : C Last TAGS Update : 090392 Land Reviewed By: Date : 0000 Bldgs Reviewed By: ME Date : 0987 Tax Title : Account : Taken: Account Status : Hold Status : Cancel [ ] Press XMT for more data Next screen [Q ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [292] [133] [ ] [ ] [ ] TOWW OF BARNSTABLE Vf U Cameo '. BAR-W 337 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager 4-'h/e-g sr; Address of Offender �� ( �P.a,i '� � � MV/MB Reg.# Village/State/Zip a6 ,6 Business Name pm, on 19 , Business Address Signature of Enforcing Officer Village/State/Zip Location of Offense GGhs� ;/ pgz&kda byd ye. Enforcing Dept/Division Offense OW2 a• �D� ci 4 ;Pik Yu 6 d- - 7�b r Facts 1 , E"h U a �. U.te be VC� I.P U 4 This will serve only ds alwa.rnifig. At this time no legal action had been taken. It is the goal of Town agencies to achieve voluntary compliance of. Town` .Ordinances,_ Rules and Regulations. Education efforts and warning /notices. are., '.. ,F,attgmpts �to gain voluntary compliance. Subsequent violations will, result in appropriate legal action by the Town. �- TOWNS OF BARNSTABLE V/ 01 ,¢ vo BAR-W 337 s J Ordinance or Regulation WARNING NOTICE i I Name of Off ender/Manager ,( 0''/�/C�° i'/ �i . P C:f Cl Address of Offender s Phlt-,„/ Pa 4,4 �, J r�r �. My/MB Reg.# Village/State/Zip /A r^414 1t^ ( (a is / Business Name l pm, on 2 /�S 19 Business Address �' � Signature of Enforcing Officer Village/State/Zip y- /0/' Location of Offense �? f G.haPr�r/ F' .� its �i V`� /� ``/ t Enforcing Dept/Division Offense ) FAP Facts —r,G- j r� ttr-0 L.-fAinA IV Uic This will serve only as aiwarning. At this time no legal action had been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning . notices are .. Attempts. .to gain voluntary compliance. Subseq i r tfvipjat� ons will,, result ,�in -appropriate legal action by the Town. ,, - - TOWN OF BARNSTABLE V f 0(a BAR-W 337 Ordinance or Regulation (�J►`�'{�� �`• WARNING NOTICE } r S Name of Off ender/Manager Address of Offender ,) ' , "s,r� ,, / /� � , '. MV/MB Reg.# Village/State/Zip .; �,� p {"� 1 t> fi / Business Name /pm, on 3 lg`/.S' Business Address (' r���t �` -rr � r, Signature of Enforcing Officer Village/State/Zip Location of Offense t Enforcing Dept/Division Offense /�fl l! 1 1 l�lr( �9'�11' (✓ "ar �tx'7P11,,»a r r; dWt "''A3� `r Facts l .1 r•.'l 1 t`»� r I Din t� t�� /. el p p _ - r !' ' y✓�'�C}dl'� f,�'N. . ..�sl� t 1f ! f li�i �d� 1-' �f~�1 This will serve only as a /warning. At this time no legal"action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices• are attempts to gain voluntary compliance. Subsequent,,violations will- result in appropriate legal action by the Town. yet i Assessor's office (lst Floor) Assessor's Map and Parcel # Building Department (4th Floor)' Zoning d C� INSPECTION FEE $50.00 RE-INSPECTION FEE $15.00 Request For A Housing Inspection For Certification Under the MA Rental Voucher Program Your Name &MA _��,�a Affiliation (Circle One) Owner Real EIS ate Agent Tenant Your Address ,5 _� 5 ,vsk oC.�sg'�; d_,,,�n� G Telephone Number (Day) ;j_71,�s y131, (Night) 7jp 3 Ago V1 3 Address of Property Where Inspection is Requested Unit/Apt. # d9 �.Rr,P��. Pam /dz ...ti. " A ;).60/ Name of Owner _ Address 3 a5 ° Mailing Address (if different) Telephone Number (Day) (Night) Will there be any children under the age of six (6) who will be occupying the rental unit? (circle one) <� No Was the dwelling constructed prior to 1979? es) No FOR OFFICE USE ONLY: Certification i • i The dwelling, dwelling unit, or rooming unit ' located at was inspected on by c„ Health Inspector for the, Town of B nstabl and was found to be in compliance with the provisions contained within 105 CMR 410.00, State Sanitary Code II: Minimum Standards of Fitness for Human Habitation. However, this certification does not include a determination as to whether this unit contains any lead paint because under 760 CMR 49.02 Massachusetts Rental ! Voucher Program, a separate lead paint inspection must be conducted. � I r Inspector's Signature Date _. TOWN OF BARNSTABLE LOCATION _3k A3 GEw .9"rTp ,J 1 SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. RiA� h�is�Ci✓� -71?��vy/y SEPTIC TANK CAPACITY loon GAL LEACHING FACILITY:(type) P&e-CAsr (size) loop GAL NO. OF BEDROOMS- PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER &6,j k M 19 AA S19 DATE PERMIT ISSUED: 96 DATE COUPLIANCE.ISSUED: .3 S 4{ VARIANCE GRANTED: Yes No .,9 e� a e a SsR.v.ec;E - 3J v .00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................OF.....f3hA4..s. A..6..L.r..--•---------......•---••-•------- Appliration for Disposal Works Cnonstrurtiion f rrmit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: . . .9gAV..... .. ..................... ......................-.............................................................._------ Locati n•Address --• or Lot No. ----------------------------------------- Owner Address - 14 ------------------------------------------ ..:--n .....�: :...................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms......... .............................Expansion Attic ( ) Garbage Grinder `k Other—T e of Building No. of persons............................ Showers — Cafeteria Q Other fixtures ..._..... ----------------------------------------------------- WDesign Flow............/J.0.......................gallons per person per day. Total daily flow....._._:_._...........---.................•gallons. WSeptic Tank—Liquid capacity.-APOA.gallons Length..............4. Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. x Other Distribution box ( ) Dosing tank ( ) 0.4 Percolation Test Results Performed by-••-•--•--••••--•••---•-•......._•-•...........................•-.--_... Date........................................ .4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ . 9+ •---•----...••••-•--••-•••---•-•---•---.....--•-•..........................•--- .. ------ ............... ODescription of Soil........................................................................................................................................................................ W V ...... ............ ................... ------------------- -------------------------------- --------- •-----------•------------------------------------------ ......------------- .....•----------- W U Nature of Repairs or Alterations—Answer �en applicable..�ST.,r-' LL-iA1Cx..w1 jam ..... Eonic,.5 ST..E i.._-•.__. / .14,w...Asr--...A-_, ox....A.00..G �° � t+K�1. ............ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITIS 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 Wealth. SimA..--.. c-- . • •------ - --------------------• .. . .O Application Approved 8� mar-•----- ------ ....... ....... ... ..._� ._ Date Application Disapproved for the following reasons:............................ .......................••--••--_............_......___.__••-- ...............__. •----...-•-----•-•---•--•.---•------------•--•---.....••••••---•-•---•---------••-•................•---._........•-••-••---•--••-••-•••••-••-•••---•---•-----------•---•-----.....••-Date.........._.. Permit No. �f1 Issued_--... � ............ ..-..y..•,-kv.. JO,,... �ehrn..-. �..�'sr'^�-~r'..r...r.S r-!'-IZ.. Y✓a.r+ .? a-.. - . .. .^- J� � _ _ ��r-•' b.�71.."3,�,.+ viy,,.MyI�'•* '"Y Yvf`�.-�Y.r t_:-+s, .-j 7^ 'r_.--.s,,.d-�.-,t•.-.:=c y,..wf•=r,_i ' +r.'. • - ' . - "� a .ro.._ . �is �° ,OO 94 e. _ Fns 3 0 No._ ... THE COMMONWEALTH OF MASSACHUSETTS Y BOARD OF HEALTH 0 AJ....................oF...... ?R .s:T'k.�.r- ..--------•--------................ Application for Dispusttl Works Tonstrurtiun Errant Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: ..................... .................................................................................... Location-Address or Lot No. •-•--------------------•............ -----......----.........---•-•--•--:.......... Owner - s ..................... Addres _...»_....... aR M�' .. ..................... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No, of Bedrooms............. ................. .Expansion Attic ( ) Garbage Grinder ( )p`�, Other—Type of Building ... No. of persons........................ Showers ( ) M P ( ) — Cafeteria 04 Other fixtures ..............................................................:-----................................................................................. W Design Flow............ / ......................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—' Liquid capacity j.,W .gallons Length..............:. Width................ Diameter................ Depth................ x Disposal'Trench—No.........:........... Width.................... Total Length..........:......... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter................._. Depth below inlet........ :......... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation,Test Results Performed by....,.................................................................... Date........................................ 0 Test Pit No. 1................minutes per inch Depth of Test Pit..................... Depth to ground water........................ Lz. Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth-to ground water........................ 0 I, --••------.---•---•.............................. :'....... :.__'_....__...._........._....._. Descriptionof Soil. -• ------...•-• --------- ----------• -- . ----......-----.......---••---................---.....--- WF{ r—.._...... —} t t- r i.. ..F. �_----.---•---------- -�---• •-•,--•------. x . ' .................................................................................•.-_..... U Nature of Repairs or Alterations—Answer when applicable 'r' 1.ST,A 1� e al t t2e F r�_...4.F!l�r..- �>c-t4......... Inn... Sl..-D__ n ..-.A2Q...rl ..... �'�-S..T'� lF ...._.-" Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1E 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 iealth. Signed..-.- �� byu•�..� t --�t�/ `-_n . r Da _ _.... to Application Approved B�..5_ '`,�/� --•------- �`� �---1`� ....... !Date Application Disapproved for the following reasons:............................... -= •----•-••••.........................•--•------•--•--••---............---- fi Date I' Permit No.. 0... .....................•---.... Issued......�.� _._..� =................. . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..... o. ?. ..............oF......... �4 q 6).5................................... k , Trrtif iratr of Tomplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired Q Installer at........... ".t2.q _...-----•------•.............................•-•....................._.................._.... tis has been installed in accordance with the provisions of TIT LE j of The State Sanitary Code ad described in the application for Disposal Works Construction Permit No..... �'_.f� ......... dated.-... ...11� ............. THE ISSUANCE OF THIS CERTLFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNC ON. S TISF CTORY. . e 1 N .. DATE.......:� ..: .....-!�!'�.'�.�-.....�--1.. ...:�................. Inspector.....: �:�::.�?1= ...... ..:.'.:`� :.� ...... f. THE COMMONWEALTH OF MASSACHUSETTS' BOARD OF HEALTH ................. F....... .A.A.:k1 . . . ..........-----........... . ....... � , o0 No..- ............. FEE.... ............ . Disposal Works Tonstru#iun Permit Permission is hereby granted. �.�. e.:ei?.... .... y;� s: ? +................................................... ............ ..............�,;ter. to Construct ( ) or Repair (.4 an Individual Sewage Disposal System atNo.-•-•••.............................................•---•--•--;........_....--•--•.....................-•------..............................................j......................... Street Q as shown on the application for Disposal Works Construction Permit ,7'OrQ D'ated-.-_? �''7 �C�............ �� Board of Health DATE._.... -•----------------------------------•---- T.O.F. EL.= 36.5t FINISH GRADE OVER D-BOX= 36.7'f FINISH GRADE OVER CHAMBERS= 367 PROP. VENT WITH CHARCOAL FILTER TO ABOVE GRADE- 37.4'f GENERAL NOTE S PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2% MIN. OVER SYSTEM 3/4„TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& RISER TO WITHIN 6" OF FINISHED GRADE 4" SCHEDULE 40 PVC OUTLET TO WITHIN 6" OF F.G. INSPECTION PORT WITH ACCESS METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE � , �� MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21 @ FND. EL.= 35.2 t F.G. OVER TANK EL. = 35.0 t 5 DIA. OUTLET(S) N OF G TO XTI DOUBLE WASHED _ ) STONE OR GEOTEXTILE FILTER FABRIC CODE AND ANY APPLICABLE LOCAL RULES. ...... 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE PROPOSED 4" 4.0' MAX. TOP OF SAS= 32.40' PLACE RISERS ON ALL DESIGN ENGINEER. E N MAX. CHAMBERS WITH 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL EXISTING 4' SCH. 40 PVC SEE NOTE 23 31 .40� SEE NOTE 23 � INLET PIPES TO 6" OF SEWER PIPE SEWER PIPE BREAKOUT EL = 31 .90 FINISHED GRADE SYSTEM UNLESS OTHERWISE NOTED. 6" Tf 3" DROP MAX ' 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 3„ 9„ = t = 2" DROP MIN MIN.SLOPE ,�� PROVIDE WATERTIGHT ELEVATION = 31.90' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 4" PVC IN Ue�JOINTS (TYP.) I� 10 �� I � * � SEPTIC TANK 4" PVC OUT TO o 0 � � Q � � � � 0 � �� 0 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 14 32 5 +, U °° 0 0 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. CONTRACTOR TO PROVIDE LEACHING FACILITY o0 0 0 o SLOPE ALL AT 1.0% MI o = = = = 5. SOLID PIPE MINIMUM. SPECIFIED DROP BETWEEN o0 INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL OUTLET TEE 31 .7T MIN. 6 31 ,6Q' 2' o0 0° 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48 VERIFY CONDITION OF °° iE�, o00 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES GAS BAFFLE 6" CRUSHED STONE °° o oo FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY 6o1 °° o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE 4.0' 8 5' (TYP) I 4•0 4.0' 4.0' AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX TYP' 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 40.00, TO BE INSTALLED ON A LEVEL STABLE 25.0' ( ) ESTABLISHED ON A BOLT IN HYDRANT AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET , GROUND WATER ELEV.= < 24.20' PIPES TO BE LAID LEVEL, 29.40 12.83' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK 2 - 500 H-20 GALLON CHAMBERS 5'MIN. CHAMBER END VIEV� THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT �r ®�� CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES ELEVATIONOilJfI IRTVERIFY YWORK&EXISTING SEPTIC TANK PROFILE H-20 DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE CHAMBER DETAILS TO THE DESIGN ENGINEER. 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM SWING-TIES PERC NO. 15393 APPROPRIATE AUTHORITY. HC-1 HC-2 z �r • INSPECTOR: Donald Desmarais 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED DESCRIPTION a UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR EVALUATOR: Michael Pimentel, E.I.T. TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. CORNER OF STONE (1) 22.4' 21A' • C.S.E. APPROVAL DATE: Oct. 1999 CORNER OF STONE (2) 31.5' 34.2' i -S0 a DATE: June 26, 2017 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. CORNER OF STONE (3) 50.4' 41.4' ' . . •// - TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE • i� MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. CORNER OF STONE (4) 45.3' 31.6' •/. . *14 I ELEV TOP = 36.70' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, • Z • ELEV WATER < 24.20' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). � � • y� h0 = MAP 292 09 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN a PERC RATE _ < 2 MIN/IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. LOT 134 MAP 292 • I T LOCUS LOT 133 . DEPTH OF PERC = 42"-60" 16. PROPOSED PROJECT IS LOCATED WITHIN: ®N E 2ASSESSOR'S MAP 292 LOT 132 TEXTURAL CLASS: 1 PROPOSED H-20 i / « OWNER OF RECORD: FRANK A. MARASA JR. ul '> - N \ DISTRIBUTION PROPOSED 4" i - PROPOSED ; . `` ADDRESS: 5538 S. TELLURIDE STREET m \ BOX PVC VENT PIPE; I i / • rA t` �,_r_ 0" 36.70' AURORA, CO 80015 a S83°56'05"E EXACT LOCATION INSPECTION • y Fill 144.77 PORT - PER OWNER " •. ? va �� f 41 36.37' FEMA FLOOD ZONE X _ y A Loam Sand COMMUNITY PANEL# 25001CO566J 4 / --� TREE LINE 15" PINE 39 i ,< - 8" 17. DEED REFERENCE: K 7167 ��CL�OTHES LINE - C . BOO PAGE 244 :aNE VVA-Li 1 " CHERRY / V 3' K 18. PLAN REFERENCE: PLAN BOOK 255, PAGE 109 5 S J Loamy Sand \ 3 \ \3� \ ! Q E B 10Yr 5/6 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. �� FIRE PIT 7 CHERRY \ J ' _ 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY _ O 18" PINE (3) \ ` - to 42" 33.20' FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY Perc FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. I N f" 60" 31.70' 21. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSIT EXISTING LEACHING PIT ',; m I \ / ION TO A PUMPED AND FILLED WITH 1 � DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A CLEAN, COARSE SAND - HC-2 TP 1 Q/ I /8 eii. ,' `! �� Med.-Coarse Sand REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALL F LP / OW OR INSPECTIONS. X C 2.5Y 6/6 sir ( PROPOSED TWO (2) 10-15% Gravel 22. OWNER/APPLICANT/CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL 1 500-GALLON H-20 X 36x7 REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. I � / Some Cobbles X I p � LEACHING CHAMBERS MAP 292 I / 2�4 O ry t LOCUS PLAN 23. IN ACCORDANCE WITH 310 CMR 15.401 -15.406,THE FOLLOWING LOCAL UPGRADE LOT 131 I / „ = APPROVALS ARE REQUESTED FROM 310 CMR 15.221 7 : SCALE: 1 1000 ) EXISTING DISTRIBUTION BOX l 150" 24.20, (1.) A 2.0'WAIVER (3.0' -5.0') FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY. TO BE ABANDONED (1) I Standing or Weeping Observed (2.) A 1.0'WAIVER (3.0' -4.0') FOR THE MAXIMUM COVER OVER THE DISTRIBUTION BOX. x #29 BUSH (TYP) TP 2 i ) No Mottling, 9 P 9 I � ��`ry DESIGN DATA TEST PIT DATA LEGEND x EXISTING 36x7 x EXISTING 1000 GALLON 2-BEDROOM (2) �v C� PERC NO. 15393 XSEPTIC TANK TO BE USED IN DWELLING - /J INSPECTOR: Donald Desmarals 50xO' EXISTING SPOT GRADE X THIS DESIGN TOF = 36.5'± HC-1 u' - - NUMBER OF BEDROOMS 3 (min. design per title 5) DESIGN FLOW 110 GAL/DAY/BEDROOM EVALUATOR: Michael Pimentel, E.I.T. 50 I � EXISTING CONTOUR C.S.E. APPROVAL DATE: Oct. 1999 PS TOTAL DESIGN FLOW 330 GAL/DAY' -, 50 PROPOSED CONTOUR MAP 292 I / M ` DATE: June 26, 2017 X LOT 132 ' \ S/ DESIGN FLOW x 200 % = 660 GAL/DAY TEST PIT#: 1 F5_0_1 PROPOSED SPOT GRADE I 10,377±S.F. I 17" PINE A BIT. DRIVEWY OCP USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 36.70' GAS EXISTING GAS LINE a ' �34 -J ' 4c, Benchmark ' ELEV WATER= <24.20' ❑/H/W EXISTING OVERHEAD UTILITIES \ � / PERC RATE _ Bolt in Hydrant l ; _ INSTALL 2 - 500 GAL. H-20 CHAMBERS W/ AGGREGATE W -W EXISTING WATER LINE 17" PINE �Ps Elev. =40.00' DEPTH OF PERC = / Approx. M.S.L. SIDEWALL CAPACITY ,\ TEST PIT LOCATION I TEXTURAL CLASS: 1 v (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAL/DAY (25.0'+ 12.83') (2 ) (2' ) ( 0.74 GPD/S.F.) = 112.0 GAL/DAY - - O EXISTING 1,000 GALLON SEPTIC TANK I V 0" 36.37' ' PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE S/ I I (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY BOTTOM CAPACITY Fill 36.37' cCIDV� (25.0'x 12.83') (0.74 GPD/S.F.) = 237.4 GAL/DAY 4" Loamy Sand 13 PROPOSED H-20 DISTRIBUTION BOX A 10Yr 3/1 8� 36.04' a PROPOSED 500 GALLON H-20 LEACHING CHAMBER TOTALS: m 0 E i� GPS \ TOTAL NUMBER OF CHAMBERS 2 B Loamy Said ° 2� 3 " g N80 00' `5h _� GA vEMEN� I TOTAL LEACHING AREA 472.2 SQ.FT. 10Yr 5/fi REV. DATE BY APP'D. DESCRIPTION 000liIIII 53 GAS /�c,EOF pP I TOTAL LEACHING CAPACITY 349.4 GAL./DAY I PROPOSED SEPTIC SYSTEM UPGRADE _ GAS I 42" 33.20' vE \ I L OF �1t I PREPARED FOR: .�-�ON DO Z �� ������ CAPEWIDE ENTERPRISES 1.PP`P`(Oun Med.-Coarse Sand � y GE eeRtVS��oE / C 2.5Y 6/6 NO.41 LOCATED AT 10-15% Gravel Q s a NOTES: I Some Cobbles 29 GENERAL PATTON DRIVE 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP U.P. 547/12 r /T HYANNIS, MA 02601 SCALE: 1 INCH = 110 FT. DATE: JULY 6, 2017 EDGE OF EACH SEPTIC SYSTEM COMPONENT. 132" 24.20' 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE No Mottling, Standing or Weeping Observed ° s 10 zo aI FEET LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE - __ _ _ .-.- _ ____ PREPARED BY: CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. RESERVED FOR BOARD OF HEALTH USE JC ENGINEERING, INC. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS 2854 CRANBERRY HIGHWAY ARE NOT CONSISTENT WITH TEST PIT DATA. EAST WAREHAM, MA 02538 3. PROPERTY IS NOT LOCATED WITHIN A DEP APPROVED ZONE 2. SITE PLAN- SCALE: 508.273.0377 __ 1" = 10' Drawn By: SJI I- Designed By:SJI Checked By MCP ( JOB No.3854