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HomeMy WebLinkAbout0018 MOUNT VERNON AVENUE - Health = 18 Mount Vernon 287-115 Hyannisport 6 0 II 'M o N L � t TOWN OF BARNSTABLE LOCATION If k11 1/ ler H a ti -SEWAGE # Jr y VILLAGE AJnAke-k ASSESSOR'S MAP & LOT -- /-IS INSTALLER'S N &PHONE NO. SEPTIC TANK CAPACITY /S-O D, LEACHING FACILITY: (type) �le air� � (size) _ 5 NO.OF BEDROOMS 5 BUILDER OR OWNER RDA e,-t � ��s'I �i• PERMITDATE: 17G • COMPLIANCE DATE: rAr Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility O Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 fe f aching facility} Feet Fumishe( 4 , i i o �v � V v\ d Q 1 l\ M ,t-d i TOWN OF BARNSTABLE LOCATION SEWAGE # �� 3 VILLAGE - Jr s'1'" ASSESSOR'S MAP & LOT1 ' - 1!a V INSTALLER'S NAME&PHONE NO. �,,_� SEPTIC TANK CAPACITY LEACHING FACILITY: (type) % (size) .S NO.OF BEDROOMS S BUILDER OR OWNER Rnc, ,- r PERMIT DATE: COMPLIANCE DATE: r A9 S- 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) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet-of leaching facility-)- Feet Furnished by_.. � 1'�4 i .Z L J No.... . f Fxs........17 ... .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Divi-poiial Work,i Tomitrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: \� M Location••Address/ D— --•-••-•---•------...... -•-•-'----.....-or t No. — Owner Address a ....................C ..CC GOtj... ... Y•—� 1-�tJ�?'------------- -------------------------------C'�S"l �(21L lU.�c........-•-•----------•-•---- Installer Address Type of Building Size Lot-- ....... feet Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) P4 Other fixtures ............................... .. W Design Flow...............IL.0....................gallons per person per day. Total daily flow-----------(o40C?.....................gallons. W Septic Tank—Liquid capacity1_570-.gallons Length---------------- Width._ ----------- Diameter---------------- De th___-________---. x Disposal Trench—No. - - --------------- Width..../Z--___-__- Total Length---4 ........ Total leaching area___.. ��4....sq. ft. Seepage Pit No-_----------------- Diameter--------------- .._. Depth below inlet.................... Total leaching area0. ..sq. ft. Z Other Distribution box (X/j Dosing tank ( ) Percolation Test Results Performed by--------- -----------------------------•-----------------------------•-_._ Date------------------------. Test Pit No. 1................minutes per inch Depth of Test Pit._._......._..__- Depth to round water._._ ..1 P P --• P g 6---------------- fi Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ ._...-----•--••----------------------------------------•----.......----••---•----------------...........--••----•------•----•-•---'•-•----------...----.---- 0 Description of Soil........................................................................................................................................................................ . x --•---•---- Nature-of Repairs or Alterations—Answer when applicable_______ W . -- ------ - ------- -- -----------•-------------•----------------------------------------------•---'-.......... ••-•------•-......----_-•--------•--•-•----••---------•----------------------•-------•---•--.........-------•.....-------------•---------•--•---------------....-•-------------.._..•--••'-'---•--'---•-- 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 .- ....6....... ....... �.:. .. ,�. Application Approved By ..........-., r .,. � � .. ,......... ` ..�-a.�� g �/ . Mm Application Disapproved for the following reasons: ................................ ------------------------------------------------------------------------------------------ ........... .......................................................................................................-- ---------------...-.-........:.............---------------------------- -- ------------------------------------ r Date Permit No. .. .' Issued .- .4....' .................. Fnz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ppliratiou for Dhip ial lVar1w Tomitrnrtinn Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 15 •.---• ---------•-•--•-•-----••--•-------------••- Location-Address or%Lot No. ........... 1 _` _�'�2 5....1'zo cy2 M o�2?c�F... Owner Address Installer Address C d Type of Building Size Lot_.:�2.. .___.....Sq. feet UDwelling—No. of Bedrooms----------- _____________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) d Other fixtures ..... :. =--------------------------- --- W Design Flow...............I1.0....................gallons per persori'per day. Total daily flow-.____.-__Ct o..._..............._.gallons. WSeptic Tank—Liquid capacity/00_gallons Length................ Width__.._.________. Diameter---------------- Depth.............. x Disposal Trench—No. _6............... Width_.../z_-_______ Total Length.__4.�..-.___- Total leaching area..___..................sq. ft. Seepage Pit No------------_------ Diameter.................... Depth below inlet.................... Total leaching area-0. ..sq. ft. Z Other Distribution box (V) Dosing tank ( ) a Percolation Test Results Performed by.......................................................................... Date..........................- ----------- 1 Test Pit No. i________________minutes per inch Depth of Test Pit-------------------- Depth to ground water...._`-____-_--._ --_. (i Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ P4 ........................••--------....._................------..._.......-------•-•--------...................--•------•-------------•--••••-•••-•-•---.••--- O. Description of Soil........................................................................................................................................................................ x U W 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 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 ..�� .. ..E........ ..... �..(/�------ ...7..y Application Approved By ........... .r .--� � J........ U .t ---------------------------------------------------- �..�.r1.: ..c......_�./.. Date Application Disapproved for the following reasons: ...................... .......................... . .. . .............................................. .. -- ......................................... . . . ...................... .......................................................... ............... ------------------ Permit No. � �� " � -------------- Issued ...... �y�+'J _ri....... te---------------------- ........ Date-- .. ...... _--------- ------ -- - °----_--.----------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (IlPr'ftfirate of TIImpli? nve THIS IS TO CERTIFY, That the Individual SewageDisposal-System constructed ( ) or Repaired (VI ) ata e. aC ..............�-----' -----_---- ----Vie---- -'" ----------- /Y�:. ��.:* --)--------------.-------------------. ------------ ---- 9----- -- �------ ,. y has been installed in accordance with the provisions of TITLE 5 of Th�JState Environmental Code as described in the application for Disposal Works Construction Permit No. .._: r_.:.. � --: dated ------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 5r DATE---------..............._......----------------------------------------------------..------- Inspector -- ..... .....---------------------•......-----------------------_--------------..... -------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I TOWN OF BARNSTABLE No..., FEE- �----..-- Dispoo l Vorkii Tuntrurtion Per Permission is hereby granted.............. �n ' -- =-------- -------- --- .� .............. to Construct ( ) or Repair (.-/) an Individual Sewage ID yem Disposal S- s at No............. 1 -_-- •--•------•-----C ""n^r" dam' � �C Street as shown on the application for Disposal Works Construction Permit No._ Dated--------9 UBpard of Health DATE..................9 ......`....------------------------•-•---. FORM 36508 HOBBS at WARREN.INC..PUBLISHERS Y 8 POLE EXISTING EXISTING 26.2' 600 GAL - - 20 SEPTIC ANK W I. EXISTING A O O 3 DOOR GARAGE AND GUEST HOUSE tO o PROPOLED ADDITIO - yyo OVER CRAWL S r f Sri% NEW PORCH b O.- > - �kt�a{'• v 5' 26.2' z m , 12" TREE ci � ��� DECK W = I STEPS 8.0. m ° - - m h— 2" TREE h �C ° 22o G cm 6.0' ,a 33.5' J EXISTING 2 1/2 STORY WOODEN HOUSE FIRST FLOOR ELEV 6B.82 f W 63.9' 6' CEDAR., Y4" MAPLE RESERVE AREA 0) 12, c . 38' ED FLAG cc N - POLE INFORMATIONTAKEN FROM LANDSCAPE DEVELOPMENT PLAN DATED AUGUST 2, 199 PREPARED BY WET-TECH LAND DESIGN and AS-BUILT SURVEY DATED AUGUST 1998 WAYNE M. BOYLAN ATTORNEY AT LAW 91 COURT STREET WESTFIELD, MASSACHUSETTS 01085 (413) 562-5474 March 3, 1980 Town of Barnstable Town Office Building Hyannis, Mass. 02601 Attn: Health Inspector Re: Target, Inc. Gentlemen: Enclosed please find a copy of my letter to the Building Inspector requesting approval for group residence at 18 Mount Vernon Avenue, Hyannisport. In that Mr. Topolski, the applicant and president of Target, Inc. , is from the Western Massachusetts area and would like to be present during the Building Inspector' s inspection for any suggestions he might have, so, too,- he would like to be present when you make -yours. Accordingly, I would like you to communicate some tenta- tive dates to me and possibly tie it in with the availability of the Building Inspector. Thank you for your consideration. Very truly yours, Wayn M. Boylan WMB:am Enclosure cc: Target, Inc. s . V�IAYNE M. BOYLAN; ATTORNEY AT LAW 91.COURT"STREET' WESTFIELD, MASSACHUSETTS O1OS5 (413) 562-5474 ,t • f.. March 39; 1980 ' - 5 ti Mr. Joseph -D DaLuz Building Inspector ` Town Office Building '-:dyanris,` Mass. 02601 , - Re: .Targ.et; I�n.c �-5 Dear Joe: Encaosed"'please- find the application of Target,, ,Inc; _ 'through `its' president; Len sTopolski, . '-for` ;your appr.oval,, 'as a group resid:ence `for retarded a.dults.; of the premises at 18 Mount Vernon Avenue, Hyannisport. � Thzs'. property is owned by Tillett s 'You- wilh:also find attached 'a Commonwealthf. o- Massachu-. , setts Certificate of Exemption and =Internal Revenue Service determination letter veryfying the, exempt status, of_ the said corporation.• E. If you can suggest , two or three alternate' dates upon r which you.will �'b-e' available 'for- inspection, I would like to have .my._clienty:there 'to answer any questions you might have concerning 11 i:s orgahi-nation and to receive 'any sugg;estions you might have c oncerning the use of the ,preminses'. x. Thank yot "for your usual-consideration° Very truly yours;, Wayne M. Boylan Enclosures S cc Target, Inc.. , ? POLE 129.16' 12'x4O' LEACHING FIELD EIOSTINC DIVERT TO BE CHECKED / 4 ACME FD 4x8-L FLOW DIFF'S TO BEiH CESSPOOL TO BE REMOVED MR ADJUSTMENT 7' 0 DRIVEWAY 0 �_ 0 15.4' ® ® 3 THE LOCATION OF THE •/ // // g . 0 0 EXISTING SEWERAGE SYSYTEILS ✓. EN C`O �� 3 DOORS� I'L' 1500 GAL PIPE to BB EXCAVATOR SHALL VERIFY THE i PIPE O F=o° DIGGING. O CATIONS PRIOR TO DGING O ACME H2O m ,GARAGE'-m O. SEPTIC TANK / © UNDERGROUND GUE S EST/ SEE NOTE 5 ELECTRIC GAS I - SERVICE OF 9.3' /•/� // // 14, /�13.7" 28.2' 12" TREE / °° o DECK cI° STEP 8.0' C 2' CONC. COVER (p EPING BENDS 2" TREE / ' / '�� ARBOR VI EES—j, EMTING PIPE AND CESSPOOL TO BE ABANDONED. PUMPED.AND.FILLED WITH CLEAN INERT MATERIAL © HED x WATER O ° GATE / / �/ �c°� I �//�/�/ C BED Poop i En sa�D / /s.0, LAP 33.5',- �// POOL °a I g 2 1/2 STORY",� w ° WOODEN HOUSE /FIRST FLOOR ELEV. 58.82 C� 8" CEDAR GARDEN BEDS 24" MAPLE BENCH _F 1z' RESERVE AREA -ARBOR �rn coo 38' 7O o I FLAG co POLE C� .,�—.,c,_,,, ��':. -..,..,¢-.--w,_.�,,,,,r..,;.......«....�......._.:s..-..,. z..:-.-�_---� ,P^^ >q* -.�. ++�,;.!~-_ _ _ ..- . ..,rq�•y,.,.,..:. ,�_�-c^.�:-.+ ,=J;,,.,.,..�'''.•,,�,. ,<.„_,.."+n�.;,:-�SR•s', ,re,.,�;«, NOTES: 1 THIS PLAN WAS PREPARED W I FROM AN ON-TH-GROUND INSTRUMENT SURVEY. 2 PROPERTY LINES TAKEN FROM LAND COURT RECORD PLAN 42214 A 3 ALL UNDERGROUND UTILITES AND IRRIGATION I � SYSTEM SHALL BE LOCATED ���`�w OFsA�y PRIOR TO ANY EXCAVATION. I O JOHN c D�ter y 4 A VARIANCE FROM TITLE V WILL BE REQUIRED FOR THE ft 35" LEACHING FIELD AND SEPTI TANK AS SHOWN. ' IAL' 5 FUEL FILLING CAPS WERE [—� I FOUND IN THIS VICINITY THE CONTRACTOR SHOULD EXPECT TO FIND TBM EL=50.00 ASSIGNED UNDERGROUND TANKS OR TOP OF FIRE HYDRANT OTHER UNDERGROUND O I BED THIS STRUCTURES IN "' AREA. ROSA RUGOSA(4-0' WIDE) t� / --129.65'- — — --- -- -- — — — - - — — -- WASHINGTON AVENUE SITE PLAN PREPARED FOR SCALE: 1" = 20' WETECH DESIGN SHEET: 1 OF 2 # P.O. BOX 4080 J.E. LANDERS-CAULEY P.E. PLYMOUTH, MA 02361 JOB #: 470 SDS ' ADDRESS: CIVIL ° ENVIRONMENTAL ENGINEERING DATE: JULY 8, 1994 16 MOUNT VERNON AVENUE P.O. BOY 364, WEST FALMOUTH. MA 02540 nm PLAN WAs PREpmw FROM BARNSTABLE, MA , SAUNRO�NYTHE-cRouxD INSTRt)YENT PLAN REF.: L.C. 42214 A (508) 540 - 3022 ASSESS. #: N/A REVISED; 08-25-9� 82 F.F. ELEV._---- . r 20' MIN. ELEV.= 54.5t , ,,_ •era 4" CAST IRON OR CONCRETE CO ELEV.=50.Of SCHEDULE 40 P.V.C. YERDIST.=38 SLP.= 0.03 12" MIN. 1�8 .of ELEV. 49.50 FLOW LINE ELEV.= 4_8.17 DIST.=11 SLP.= 0.0.2 47 9 WASHED STONE ELEV.= 48.4 -- ELEV.=-- °� yovoo, 10" 19" IIdVERT — 0 0„0 0 ' 4" CAST- IRON OR 000000.o 0000 00 0000000 INVERT O o000000 0000 0 000000o v0� SCHEDULE 40 P.V.C. O /4" TO 00000 0000000000000000000 0000�O0p000000000c WASHED STONE n n n ELEV.= 4_7.0 4 PRECAST FLOW 'DIFFUSORS 1500 GALLON SEPTIC TANK 5' USE STONE TO LEVEL THE BED AS NEEDED ��141 OF BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV =42.0 JONN. PROFILE OF LANDERS-GhULEY .� CIVIL No. 35101 NOTES: SEWAGE DISPOSAL SYSTEM ELEVATION OF UPLAND EDGE OF- WETLAND PLANTS NOT TO SCALE ASSIGNED VALUE. THE SEWERAGE INSTALLER SHALL . NOTIFY THE ENGINEER TO INSPECT THE SOIL CONDITIONS � .y AT .THE LEACHING AREA PRIOR TO PLACEMENT OF''THE FLOW. DIFFUSORS. IF NECESSARY THE SEWERAGE SYSTEM MAY HAVE TO BE REDESIGNED: SOIL LOG WITNESSED BYj -_-- _—_----_ i GENERAL NOTES: . PERCOLATION RATE: 2_**MIN/INCH --- • 1. THIS PLAN IS FOR THE REPAIR OF AN EXISTING SEWAGE DISPOSAL SYSTEM. TEST HOLE. 1 TEST HOLE 2 2. PLAN REFERENCE L C. 42214 A LOT. --- BARNSTABLE REG.-.OF DEEDS. DATE:_______ DATE: __ DESIGN DATA: 3. THIS PLAN IS FOR THE INSTALLATION /REPAIR OF SEPTIC SYSTEM ELEV.__—___— ELEV. NUMBER OF BEDROOMS _M46)----- AND NOT TO BE USED FOR SURVEYING AND ZONING PURPOSES. 4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. GARBAGE DISPOSAL TITLE 5 AND THE TOWN OF BARNSTABLE RULES .AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. TOTAL ESTIMATED FLOW11_-- GPD 5. ALL COVER TO SANITARY UNITS .SHALL BE BROUGHT TO WITHIN ( 112__ GAL./BR./DAY X' BR. ) 12 OFT HE FINISHED N HED GRADE. 6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE - SEPTIC TANK CAPACITY 100- GAL- SAME, UNLESS NOTED BY FINAL CONTOURS: 7. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE LEACHING AREA REQUIREMENTS OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER. OR SIDEWALL AREA -0--- GAL /S.F. WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARKING BOTTOM AREA _4 _ GAL./S.F. AREAS UNLESS NOTED. 8. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL LEACHING CAPACITY (BOTTOM & SIDEWALL) GAL: BE MORTARED IN PLACE. 9. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH RESERVE LEACHING CAPACITY 693.5 GAL. DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROPIATE AUTHORITY 10. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF APPLICANT: WETECH DESIGN TDATE: JULY 8, 1994 ALL UNDERGROUND UTILITIES PRIOR TO ANY EXCAVATION. SHEET 2 OF 2 JOB # 470PR0 ' J 1 12'X40' LEACHING FIELD EXISTING INVERT TO BE CHECKED 4 ACME FD 4x8—L FLOW . DIFF'S EXISTING CESSPOOL IN FIELD FOR ADJUSTMENT / 26• 2 / TO BE REMOVED ",� co 4 / �! -DRIVEWAY-. 7 0 a .. 0 15. 4' 0 THE LOCATION OF THE / r O O EXISTING SEWERAGE SYSYTEMS o : WERE PROVIDED BY TGENERAL HE . i / % ILL EXCAVATOR SHALL TVERIFY THE -P %OR. THE D 0'0 F 1500 GAL PIPE TO K OCATIONS PRIOR TO DIGGING. "O PIPE ACME H2O FIELD CONNE3C ED P � GARAGE- '-cp SEPTIC TANK & GUEST / W f UNDERGROUND SEE NOTE 5 / 'r ELECTRIC / HOUSE AS . SERVICE9. 3 d - w •/ ,� _ _ 1. 4 ., ... �13. 7 � w� _ 1277 TREE i r z /.� o o � DECK STEP 2' CONC. n /'��'� OVER ./yam/ , a < �, � �s� 8• 0 ��w � f ii EPING BE ' ° . j a . _ ARBOR ...: . . y U GE ETHEE REES PMPED AN "TA � E­4 BED . i . / ER13 o . E BIRD H \.. _ /r W a C BED OPOSED BAT cJTl �8.0 LAP �NoF33. 5 !./ �/ POOL °`. 1011, JOHN / j Zv DERS CAULFY CIVIL No. 35101 , ,o -C) xa IST a�S / TORY WOODEN / HOUSE / j / x EV.- 58. 82 FIRST FLOOR EL / ,