HomeMy WebLinkAbout0088 IYANNOUGH ROAD/RTE 28 - Health 88 I annou h Rd/Rte 28 (,,Safeway mini-Storage)
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THE COMMONWEALTH OF MAPSACHUSETTS
BOAR® OF` HEALTH
............... OF......................................-......................--..........................
Appl ration for Utipoiial Works Tontrn.rtton Frrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
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Location-Aress / ,,or Lot Nq/�
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Owner Address
c ...........................•--............_., _..__._.._.._._..__..._....-----•----............-----..__.........--•--..__...........----•---•-•
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms......./____________________ ...--._Expansion Attic ( ) Garbage Grinder ( )
pa, Other—Type of Building®/5?7/_W.k:�—Ao"f`'Prsons____________________________ Showers (4-)-- Cafeteria ( )
Q' Other fixtures ---- 1�3.- ......S.-- _.------------- -- -
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
04 Septic Tank—Liquid*capacity............gallons Length................ Width................ Diameter.-.--._----_--- Depth................
Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area........._..........sq. ft.
j 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
i 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........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ••••-••-----•---•--•---------•••-•-••--••--------------•-•------•-•--•-••-•--•-•-•--......__.....---.........................................................
0 Description of Soil.....................................................................................................................................'..................................
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UNature of Repairs or Alterations—Answer when applicable.--.............................................................................................
--------•---------------------------------------------------------------------------------------------------------------------------------------------.................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'1"11 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
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operation until a Certificate of Compliance has bee su d by the board of h
a Signed -----..... f
F' Application Approved By-•-•-••••�'•�--•-•••.... ---------•-••-•--•----------•- ........................................
Date
w APplicatiori Disapproved for the following reasons-------------------------------------------------------------'4................................................
Date t
Permit No. ._.... -. Issued_......... .................................................
' - Date
NFim&.................... ...................
THE COMMONWEALTH OF MASSACHUSETTS
OF HEALTH
.........................................OF..............................
Appliration for Dispogal Works Tontitrurtion "amit
V
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at: 9-
/rn.../.......2 / * /=7- s W-.4-
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Location-Ad_qess or Lot No
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.Ad - I ly C....C ............. . .............................
.- Owner Address
.......... .........
Installer Address
Type of Building Size Lot............................Sq. feet
U
Dwelling—No. of Bedrooms........Y..................................Expansion Attic Garbage Grinder
P4 Other—Type of Building I!Mt.-t
./.Ik-- tMe s o n s............................ Showers Cafeteria
Otherfixtures ..... .................................................................................................
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
P41 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------------------------
rX4 Test Pit No. 2................minutes per inch Depth of Test Pit------ .........I..... Depth to ground water-_._-_____..___----____.
W -••--•••-••---------••----•••••-•-.........•-•••...•-•••••---•-...--•••-••-••-•................•-•.................7..... ..............................
0 Description of Soil.......................................................................................................................................................................
U ..............................................................................o..........................................................................................................................
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............... ........................................................................................................................................................................................
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U Nature of Repairs or Alterations—Answer when applicable...____.........................................................................................
-----------------------------------------------*.......*----------------------------*-
-------------------------------------------------------------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
theprovisions 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 beeils—u by the board of heafth
Signed
.
........... ......................
Date,'
ApplicationApproved By........... ,4..... ............................ ........................................
Date
Application Disapproved for the following reasons:..............................................................................................................
.............................................................................................................................................-----------------------------------------------------------
Date
PermitNo......................................................... Issued-.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........................I................................OF.....................................................................................
of Tontlifitutre
THISe. ER Th e Individual Sewage Disposal System constructed or Repaired
by............. ....... ... ��..Ll..........................................................................................................................
ee Installer
2. .............r i..........................................................................7..............................
at..................t:;;;.W4.0 �L,
........... I--------
has been installed in accordance with thepovisions of 'ITLE, 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.....49?._.T.11!60_----------- dated............ ...................................
I _Gr
THE ISSUANCA OF THIS CERTIFICATE SHALL NOT BE CONS ID AS A GUARANTEE THAT THE
SYSTEM WI FVNCTJON SATISFACTORY.
DATE....
IV...................................................... Inspector..... .. ........................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No._ez OF.....................................................................................- ..........................................
........... FEE........................
0 Iva ton prrmit
Permission is hereby granted__........ ... . . .. ... ........ ------- ------------------------------------------------ ..........................
P"i_ o / ..4 � "i
to Construct ( <or Repair an Individual Sewage Disposal System
atNo...... .........Z.. ........ .....
Street
as shown on the application for Disposal Works Construction Permit
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N��_I_ W P ed ----------------------------------
........................... .........................................................................
Board of Health
DATE................................................................................
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
L0CAT10N SEdYAGE HERMIT IdO.
�i�i��r✓�Y /lip//�ST PAC�� " /� �a —�S Y
VILLAGE
�/t� �T �-
INS.TA LLER'SS� NAIVE & ADDRESS
GUILDER OR OWNER
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DATE PERMIT ISSUED
DATE COCA ►LIAMCE ISSUED-
!Y L If 1/ 1511
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January 31 , 1983
Mr. John M. Kelly
Director of Public Health
Town of Barnstable
Hyannis, Ma.
Re: Property at 88 Iyanough Road, Hyannis
Dear Mr. Kelly:
This will certify that no more than three ( 3 ) employees
will be on the premises in the office area; that the
bathroom facilities in the office area will be used only
for those three ( 3 ) employees; that tradesman who utilize
the trade shops will not be working in or occupying the
trade shops, nor will they be on the premises for any ex-
tended length of time and will therefore not require any
bathroom facilities. It is understood that the occupancy
permit is granted on the condition of the foregoing.
Since e y yours
/Raymoifd C. Chasse
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Noi-18954
l 04P (9vnantrta rdt4 of f aass ark pffs
DEPARTMENT OF PUBLIC WORKS
-. 1- xml
PERMIT
BARNSTEBLE
Subject to all of the terms, conditions and restrictions printed or written below,
and on the reverse side hereof, permission is-hereby granted to
RAYMOND CHASSE, 299B White's Path, South_Yarmouth, Ma. 02664, to install a 24"
aluminum drainage pipe on Iyanough Road, Route 28. f-rom Station 136+50 to Station
134+62.61 on the Northeasterly side of the highway in the Town of Barnstable.
The pipe will begin..at an existing catch basin at Station 136+50 and run
Southeasterly to a proposed manhole at Station 134+62.61 , thence Northeasterly
off the State Highway Layout..
No hardened surface of Route 28 is to be disturbed. 'All areas disturbed must
be restored to their original condition.
Care must be taken not to interfere with underground structures that exist in
this area.
Necessary barriers, lights, and signs shall be installed by the Grantee.
Attention is called to the clauses on the back .3f this permit relating to
the laying of pipes, etc. All trenches must be backfilled at the end of
each day.
No trees or their major roots are to be disturbed. The Grantee must hand
dig by all major roots.
The Grantees shall indemnify and save harmless the Commonwealth and its
Department of Public Works against all suits, claims or liability of every
name and nature arising at any time out of or in consequence of the acts
of the Grantees in the performance of the work covered by this permit and/or
failure to comply with the terms and conditions of this permit whether by
themselves or their employees or subcontractors.
A copy of this permit must be on the job site at all times for inspection.
Failure to have this permit available at such site will result in suspension
of the r i g�S Eq r6WEV kID9e FOK ADDITIONAL CONDITIONS)
No work shall be done under this permit until the Grantee shall have communi.
cated with and received instructions from the District Highway Engineer of the Depart.
ment of .Public Works, at 1000 County St. ,Taunton Tel. 824-6633
This permit shall be void unless the work herein contemplated shall have been
completed before September 28, 1983
Dated at Boston this twenty-eighth day of September, 1982
Department of Public Works,
RLG:cap By S. J. 1TERSIGNI
C V, SSI ER
� iHMD-602
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- ID. J-18954
THE COfihf)H dEALTH OF hASSACHUSETTS
DEPARTMENT OF PUBLIC WORKS '
PERMIT BARNSTABLE
RAYMOND CHASSE (Cont.)
All required signs and traffic warning devices shall be, furnished by the applicant.
All signs and devices shall be in accordance with the Massachusetts Manuel on
Uniform Traffic Control Devices. The number .and -location of all signs and devices
shall be as deemed necessary by the Engineer for the safe and efficient performance
of the work and the safety of the travelling public.
All warning devices shall be subject to removal , replacement, and/or repositioning
by the applicant as often as deemed necessary by the Engineer.
Cones or non-ref lector ized warning devices shall not be left in operating position
on the highway when 'the daytime operations have ceased. If it becomes necessary
for the department to remove any construction warning devices or their apurtenances
from the project due to negligence by the applicant, all costs for this work will
be charged to the applicant.
All vehicles, excepting passengers cars, t,!hich are assigned to the permitted project
and which operating on the site at speeds of 25MPH or less, shall have an official
SLOW MOVING VEHICLE emblem displayed.
All personnel who are working on the travelled way or breakdown lanes and who are
not protected by traffic cones or similar protective devices shall wear safety vests.
Conditions Relating Particularly to Permits for the Laying of Pipes, Conduits, etc.
After any pipes, conduits, drains or other underground structures are laid, or any excavation is made in the roadway, the trenches or open-
ings shall be properly back-filled with suitable material, the bsrk-filling shall be thoroughly tsmped.and the surface of the road over said struc- '
turee shall be left even with the adjoining ground. If the work is done in cold weather no frozen material shall be used for back-filling.
Wherever the hardened surface of the roadway, gutters, or any Dirt of the surface of the highway is disturbed It shall be replaced in as
good condition as before it was disturbed, and if new materials are rstluired they shall correspond with those already in place on the road.
Where service pipes are to cross the highway the connections shall be made without disturbing the hardened surface of the roadway, by
driving the pipes under the roadway,-or the service_ pipes shall be carried under and across the road in a larger Dipe, unless otherwise ordered
by the Engineer. __.� ,;-.' .r`,. —rr.
The Grantee shall maintain the (surface of the roadway gver said structures as long as the Department may deem necessary, until all
signs of the trenches shall have been eliminated.-
Conditions Relating Particularly to Permits for the Erection of Poles, Wires, and
Overhead Structures, and the Cutting and Trimming of Trees
In"the erection of pole lines, unless otherwise herein provided.•no trees located within 'the limits of the State highway shall be cut or
trimmed. 'No guy wires shall be nttached-to trees without a special pbrmit from the Department, and in no evdnt shall they be so attached as to
girdle the trees or in any vaak interfere with their growth. .The wires shall be so.protected at all times and places that they shall not interfere
with or injure the trees either inside or outside the location of the highway. "
Where,the cutting or trimming.of trees'is authorized by this permit, only sua, cutting and trimming shall be dons as may be desig-
nated by the Engineer.
In the construction or reconstruction of pole lines no guy wires-shall be erected nearer to the surface of the ground than six feet: pro-
vided, however; that the owners of such lines may maintain such guy wires at a lower elevation than six feet from.the ground until such time
as the Department shall notify-them to remove said wires or to raise them to the elevation first stated.
.In order to protect the trees through which any wires may pass, said wires shall be insulated and such other tree guards used as may
'be directed by the Engineer. .... a•r,
Where high tension wires are erected under this permit, they shall be so located that, .under conditions of maximum severity as regards
a coating of ice or snow, there shall be a space of at least eight.feet between such'hikh tension wires and other wires: -
The Grantee shall, within sixty days from the date of completion of the work, file in the office of the Department a plan showing the
location of each pole erected in accordance with the permit, said plan to be of such size and in such form as the Department may direct.
General and Additional Conditions. .^ • ,. - ,.
Whenever the word "Department" is used herein it shall mean the Department of Public Works of the Commonwealth of Massachusetts.
Whenever the word."Engineer" is used herein it shall mean the District Highway Engineer or other authorized representative of the
Department. - . . _ . . , , i . . . . , _
Wherever the word "Grantee" is used herein it shall mean the person or persons, corporation or municipality to whom this permit is
granted, or their legal representatives.
During the progress of the work all structures under ground and above ground shall be properly protected from damage or injury: such '
barriers shall be erected Find maintained-as may be necessary for.the protection of the traveling_public: the same shall be properly lighted at
night: and the Grantee.shall be responsible for all damages An.persona or-property dui to or resulting from;any work done under this permit.
Except•as herein authorized, no excavation shall be made or obstacle placed within the limits of the State highways In such a manner
as to interfere unnecessarily with the travel over said road. •- - -
If any grading or sidewalk work done under this permit interferes with the drainage of the-State highway in any way, such catch basins
and outlets shall be constructed as maybe necesaary, in the opinion of the Engineer, to take proper care of Laid drainage.
Wherever the hardened surface of the roadway is disturbed and the Engineer may consider it necessary or advisable to do so, said sur•
face will be restored by the employees of the Department, at such time as the Department may direct, and the expense thereof shall be borne
by the Grantee, who shall purchase and deliver on the road the materials necessary !or said work if and when directed by the Engineer.
All payments to materialmen and to laborers, inspectors, etc., employed by the Department for or on account of the work herein contemplated
shell be made by said Grantee forthwith on the receipt of written orders, Day rolls, or vouchers approved'by the Department�-
IF THE GRANTEE DOES ANY WORK CONTRARY TO THE ORDERS OF THE: ENGINEER, AND, AFTER DUE NOTICE, FAILS
TO CORRECT-SUCH WORK OR TO REMOVE STRUCTURES OR MATERIALS ORDERED TO BE REMOVED, OR FAILS TO COW
PLETE WITHIN THE SPECIFIED TIME THE WORK AUTHORIZED BY THIS PERMIT, THE DEPARTMENT MAY, WITH OR WITHOUT
NOTICE, CORRECT OR COMPLETE. SUCH WORK IN WHOLE OR IN PART, OF REMOVE SUCH STRUCTURES OR MATERIALS. AND
THE GRANTEE SHALL REIMBURSE THE, COMMONWEALTH FOR ANY EXPENSE-INCURRED IN CORRECTING AND/OR COMPLET-
ING THE WORK OR REMOVING THE STRUCTURES OR MATERIALS. 1, , - . -
-ALL OF THE WORK HEREIN-CONTEMPLATED SHALL BE DONE UNDER THE .SUPERVISION AND TO THE SATISFACTION
OF THE DEPARTMENT'OF PUBLIC WORKS, AND. THE ENTIRE EXPENSE THEREOF SHALL BE BORNE BY THE GRANTEE.
On-the completion of the work herein contemplated all rubbisb and_ debris shall be removed'and the roadway and roadsides shall be left
neat and presentable and satisfactory to the Engineer..
The Department hereby reserves the!right'to older the change!of location or the removal of any structure or structures authorised by
this permit.at any time, said change or removal to be made by,and at the expense of the Grantee or its/their successors or assigns. .
This permit may be modified or revoked at any .time by the Department without rendering Bald Department or the Commonwealth of
Massachusetts liable in any way.
The Grantee shall Day the salary, subsistence and traveling expenses of any inspector appointed by the Department to supervise the work
herein contemplated.
All.of the above conditions shall be applicable to the work herein authorized, unless. the same are inconsistent with the conditions on
the face of the permit, in which aase the conditions written or printed on the face of the permit shall apply.
The acceptance of this permit or the doing of any work thereunder shall constitute an agreement by the Grantee to comply with all of
the conditions and restrictions printed or•written herein. -
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PROFI LE OF `
SANITARY. DI SPOSAL SYSTEM
NOT TO S*CALE DE -I G N' DATA _
CONSTRUCTION OF .SANITARY DISPOSAL �. '
DE S IGN FLOW GAL./DAY
SYSTE- M S'HALL CONFORM TO MASS • LEACH RATE M1NJINC-H
ENVIRON .MEUTAL C.-ODE TITLES PROPOSED LEACH CAPACIT Y .
A N D T H E T O W N + O F ' -
HEALT:H REGULATI-ONS
GAL./D A Y
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S I T E PLAN - SHOWING PROPOSED CONSTRUCTION ' ' '
L O C A T 1. 0 N ,/
FOR : All C' si APPROVED 19
SCALE /,/'0SC4 DATE* .. '' , 196 BOARD OF HEALTH
R E F E R E N C E: 64Z/A/<5.- 4-r DATE A G E N T
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J . M. MONAHAN, JR . & ASSOCIATES " -
REGISTERED LAND SURVEYORS & ENGINEERS
t 65! MAIN STREET DENNISPORT, MASS. 02639 : �. / '•�!
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PROFI LE OF
SANITARY . DISPOSAL SYSTEM � E IG "N DATA .
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SYSTEM SHALL CONFORM TO MASS . LEACH RATE-� ---- MINJINCH
ENVIRONMEX.TAL CODE TITLE -Z PROPOSED LEACH CA PAC IT Y :
AND THE TOWN OF *, .S"j3, - 77"/a 0,� %W-
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SITE PLAN s .S
LOCATIONS � �/� ss •
FOR '' '/r�l��,�'. t , �` APPROVED" ( 9
S C A L E ' D A T E .�. j / ,, BOARD OF HE A L T H
R E F E R E N C E AD"A-' -r / r f �4--s DATE A G E N T
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J . M. MONAHAN JR. & ASSOCIATES
REGISTERED LAND SURVEYORS & ENGINEERS
G51 MAIN STREET DENNISPORT, MASS. 02639
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