HomeMy WebLinkAbout0014 LORRAINE CIRCLE - Health LORRAINE CIRCLE, COTUIT
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YOU WISH TO OPEN A BUSINESS? .
ears. A Business
s Certificate ONLY REGISTERS THE BUSINESS NAME m
aces cost $40.00 for 4 y operate-) You must first obtain the necessary signatures
aturMeA
or Your Information: Business Certificate 1Ve ou permission to op
F G.L.- it does not g' Y the Town Clerk's Office, 15t FL., 367 Main Street, Hyannis,
town (which you must do by N�• leted form to
on this form at 200'Main St., Hyannis. Take the comp. . law..
Hall) and get the Business Certificate that is required by
02601 (Town H ) .. fill in please: Date: �C 1 5�
C, � _ a
_ APPLICANT'S NAME: G''t .G -
:>
YOUR O[v1E ADDRESS: / LG
� - ��31 HOME TELELPHONE #: .
BUSINESS TELEPHONE#
r #:
D
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. ;
EIN OR N: FI
PE OF BUSINESS
E OF CORPORATION: � � TYPE
197
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NAM 0 i (Assessing) .
NAME OF NEW BUSINESSNO
TION.
YES. — MANPARCEL NUMBER--!--
U PA w .
IS THIS A HOME OCC x ulations of the Town
ADDRESS OF BUSINESS+ - ��
i Hance with the°rules and reg
s ou must°'do to be in comp
anew busyness there are several thing Y need.
You MUST GO ?O 200 Main St, (co[ner of
the information you:may wired to,legally opkerate your
When starting ou in obtaining ro riate permits,and licenses .req
. „;
P
ofy Barnstable. This:form is to'assist y ., ou .have the.a .
Main Street) to make sure y
Yarmouth Rd.� & ,. r
business in,#own.
• , w
of business
a ertain to this type
BUILDING COMMISSIONER'S OFFICE
of an per,
requirements that p
al has been informed Y
T�hisindividu. r
r Authorize
Signature** k {u
Ar
COMMENTS.
h this t e of business
OF,HEALTH _ 4 r it'req ire
ments that.p'ertain to Yp
2. BOARD al hSs°b. en inf ed f the
This individu.
Authorized Si ature**
MUST,.:,OMPLY WITH
a
US MATERIALS RF.GIA
COMMENTS: ;ATIn^I.
3. CONSUMER AFFAIRS (LICENSING
rAU d ofRth e licensing requirements that p
ertain to this°type of business.
This individual has been info
Authorized Signature**
DATE: INSPECTOR: _
INSPECTOR'S ACTIO S/COMMENTS:
PAGE NO.
DATE: ASSESSOR'S MAP & PARCEL:
COMPLAINT LOCATION:
COMPLAINT DESCRIPTION:
ORIGINATOR OF COMPLAINT(NAME)-
ADDRESS:
PHONE: •
TOWN GF
LOCATION L 1- SEWAGE #
V LLAGE C67V IT ASSESSOR'S MAP & LOT010-0
INSTALLER'S NAME&PHONE NO. a R�7 S o A -C qJ
SEPTIC TANK CAPACITY 1.r08 64L.
LEACHING FACILITY: (type) 'Zvi f t i'tvhj e H S (size)
NO.OF BEDROOMS
BUILDER OR OWNS C.a tf SY
PERMTTDATE: COMPLIANCE DATE: C�Mqloo
Separation Distance Between the:
Maximum Adjusted Groundwater Table.and 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
Finnished by
A )
TANK
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T),: tax.
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WA &AS
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No. 6 THE COMMONWEALTH OF MASSACHUSETTS (FEE
BOARD OF HEALTH
�C111r' OF ffC'-✓'vtJA/66
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Appli • for a Permit to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components
40/ 5 Lorraine Circle Park Avenuedevelo�),ient Core
Location r Owner's Name
10/5 0/0- 0(0 -005" P.O. Box 367 Centerville ,Ma
Map/Parcel H Address
5 (508 ) 771-0800
t n Lot N telephone k
r,e�I_IJ ddWS Ferreira Associates
� 1 � ille�aaiy Designer' m s Nae'`SSzll��_ —i /l � 131 Spring
Bars RD
Address Address
&P7C-SLJCC-34S (508 ) 540-3699
Tele�tunc it Telephone#
Type of Building: Single Family Dweel l ing Lot Size 43561 Sq.feet
Dwelling—No.of Bedrooms Garbage Grinder ( )
Other—Type of Building No.of persons Showers ( ), Cafeteria ( )
Other fixtures
Design Flow(min. required) 3 3 0 gpd Calculated design flow 3 3 0 gpd Design flow provided 3 8 2 gpd
Plan: Date June 19 , 99 Number of sheets 1 Revision Date
Title Mark A. DeDecko
Description of Soil(s) ( See Plan )
Soil Evaluator Form No. 09168ne3Name of Soil Evaluator:R.Ferreira Date of Evaluation May 11 ,99
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE 5 and further agrees t to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed Date Oct 20, 99
Inspections
FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
Q
tNo. 9, THE COMMONWEALTH OF MASSACHUSETTS
` BOARD OF HEALTH
0
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Appl ) f)r a Permit to Construct ( ) Repair (/�) UJpgratde ( )"Abandon ( ) - Complete System ❑Individual Components
140 Looraine Circle .i .(l 077 Park Avenue development Card
10/5 0/0 10— 5- P.O. Box 367 Centerville ,Ma
Map/Parcel#. - Address
5 (508) 771-0800
RR Lot N 'telephone#
1nu ;a l�r� d614S Ferreira Associates
Inslalle"rNan c �s1 Designers Na
me
�`a�nvl 131 SFI:Agg Bars RD
Address Address
39S1 9508) 540-3699
- "; '- TcicPhone it - Telephone H. .
Type of Building: Sin ' a Family Dweelling Lot Size 43561 Sq.feet
9 Dwelling=No. of Bedrooms Garbage Grinder ( )
Other—Type of Building No. of persons Showers ( ), Cafeteria ( )
Other fixtures
Design Flow (min.required) 330 gpd Calculated design flow 330 gpd Design flow provided 382 gpd
Plan: Date June 19, 99 Number of sheets 1 Revision Date
Title Mark A. DeDeeko
Description of Soil(s)
( See Plan ) ,'
Soil Evaluator.Form No. 09168ncUame of Soil EvaluatortR.Ferreira Date of Evaluation May 11 ,99
t
DESCRIPTION OF REPAIRS OR ALTERATIONS
tF
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE S and further agrees of to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed �'f i�ti + i1�-a Date Oct 20, 99
Inspections
r .
FORM I - APPLICAT'vONO DSCP DEP APPROVED FORM 5/96 '
j
NO. THE COMMONWEALTH OF MASSACHUSETTS r' FEE C2
_lP�P.GL BOARD OF H E A LT H
CERTIFICATE OF COMPLIANCE
Description of Work: ❑ Individual Component(s) ❑Complete System
The undersigned hereby certify that the S a e Disposal Syste ;Constructed ,Repaired( ),Upgraded( );Abandonedkou ( )
JJ���
,by
l
is
has been installed in accordancetwt It the provisions of 310 CMR 15.00 (Title 5) and'-ihe-approved design plans/as-built
plans relating to application No. dated /0 Approved Design Flow (gpd)
Installer K�JaXS
Designer: Inspector i
�; ao
v
The issuance of this certificate shall not be construed as a guarantee that th a ystem(will function as designed.
FORM 3 - CERTIFICATE OF.COMPLIANCE DEP APPROVE FORM 5/96 J
��. ------ -- —---------- >- --..a.„—..:.:s—,.,.—_ _,---- ----_ — — ------._--"— ———, ._.,
j
i
No. THE COMMONWEALTH OF MASSACHUSETTS FEE /00
j •
BOARD OF HEALTH
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to Construct (�.x) Repair ( ) U grade ( ) Abandon ( ) an individual sewage
disposal system at 2�7 �� T-q- p as described
in the application for Disposal System Construction Permit No. dated /0- ' /
Provided: Construction shall be Xo mpleled within three years of the date of thi pe�miY rI. focal conditions must be met,
Date < (go Board of Healt� �f
t �
FORM 2 - DSCP DEP APPROVED FORM 5/96
FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM PUBLISHERS- BOSTON
O
. ��rJ
TOWN OF B
,
LOCATION � L SEWAGE # ILJ
VILLAGE CArt?I T ASSESSOR'S MAP & LOTOQ �'C
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY l.�ca &AL
LEACHING FACILITY: (type) N t i tyhl t—S (size)
NO.OF BEDROOMS
BUILDER OR OWNERG
PERMITDATE: COMPLIANCE DATE: D�
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
C
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r .
�n6'L ai1d3S y Ell
S L - Z �,
'-.rN a. A(pi_Y/.',plgi - --•(as l]I�K_"l iF.--M'✓:", .e ... <s.•.•- M.
I
AREA PL AN
SCALE.' 1 "= 50 '
S YS TEM PROFILE
f'rNISP GRADE NOT TO SCALE
APPLICA TION-.lE_ P-9429 A ... FINISH GRADE FINISH GRADE
DONNA Z. MIORADI - SAWS TABLE BOARD OF HEAL TH
_ --. _- ----.--- _ — 7b. ` '►_: "-- - — OVER TANK OVER TRENCI S
MAY 11. g199�- -`- •. ; . , ,�7,.,4 r,�l • , ♦,,♦ _
TOP FNOi
- SCH 40 PVC
NOTES.' —_ -
.• v 1
'' CAST IRON /EES S: \
' ' ;,.`r.o� •� :► y'• " as
1. EL EVA TIONS BASED ON USGS BSM'T FL R '
2. TOWN WATER ON SITE .1500 GAL. I! EOUAL IZERS
3. FL 000 ZONE 'C' --- �.:• ►p REINFORCED :r
4. NO WELLS WITHIN 100 ' OF - ` ' '-'i CONCRETE GAS DIS T.BOX
:�� s j, •: .. ••, ., y.
^ BAFFLE -
. .. .::: -- — TO BE INSTALLED ON A •• ;s:%;L'�;:.: :;::.;..':S:u1• i; .•
THE LEACHING AREA
LEVEL STABLE BASE
LINE BEARING• DISTANCE SEPTIC TANK . ;>
1 S 30'05'35 W 17.9E —------ ------ TRENCH LENGTH
' 2 S 89'33'I30E 26.97 TO BE INSTALLED ON A 92' - 0
LEVEL STABLE BASE
� ku
ku CU9VE RADIUS ARC NOTE' DO MOT RUN HEA V Y EOUIPMEN 5'MIN.HEIGHT_ T O VER S YS TEM ABOVE OBSERVED
}.� 1 25.00 95.22 -_ GROUND WA TER
(L 2 25.00 29.28
4 3 71. 72 17.53
L __A CHING INFIL TPA TOR SECTION
o — --�NOr TO SCALE SOIL AND PERCOLA TION DA TA
proposed 1NcA1ny
trenCn with (4/ ' FUR FINISH NO. P-94
:SHADE APPLICAT
infiltrators M1cn ` IOA/ 29
4' atone ell around SEE SYSTEM PROFILE ----~'--~--- - - - --__..
3e, x 10-1ox P•
(see proflle) Q a C` / "ii� / :s"/F�'.� /,/ctv '//�// /G(//.�'`iQN'�F"/9/�"�1�` c'�/• i� MIN.
' '� WA SHED S TONE PERC. RA TE
Q ti (12"MIN.%
TAKEN BY
krCHAW FERREIRA
M /,a _ norr•
t WORANOX
o/ WITNESSED BY DOAWA �pMc_ in/!n
.. -- — --
_-- '::• ..�• TE MAY 11, 1999
.. .............
_ 4"DIA.PIPE DA tai at 85'
tMn ids
- _ LANE TEST PIT ELEV. (11 67.4 (2) 68.5
,r.' — �- , . r_ TEST hvLE ! TEST MILE ? •
`I NA TURAL SOIL - .• ° ,. ..'F 0'
•' •0 EFFECTIVE 0/A i SU VY Law IOYR f/9
�40 2 42 R�127.1�J� ♦ 4 L °•�'• DEPTH S. ,SAAVY LOAN lOYR 4/9 6'
J + �� A�52.27 C?� fAgDVDVAMiX 3/4"1 1/2' 1 •°;�0•0�,���,�• e . •,. B ` B' ~
_ li
o �-i. ... •:•'• I LOANY SulARO lOYR 5/6 LOAMY SuIAD lOYR 6/6
! TAoAFhYA4AKT WASHED STONE -- • :'�'� :o;•" '•�e.° i• • ;•'.%.'.�;•::',• ':;;%'• .�' •" �• - -' --- ..._ -- - _ _ -.__ _- _ 4 ?B'
Q ' e lLfV: 7a.71 _
l EFFECTIVE WIDTH -__ 'C!'
'C!'
EXCA VA TED SIDEWAL L I SILT LOAN POa(ET
V 10'-JO' MEDILMI-Flhl� SAM7 2..SY 7/f '
; • 1 -_.-,,; _ � MEDIUM-FIRE SAN7 2.JY 7/4
I'-0" 4'-0' TO 96' SY 6/9 t
NUMBER OF TRENCHES 1 4e• 42
'CP' !!F • � a
4 MEDIMY SAAD 2.5Y 7/8 IMEDI(Av SHAD P.5Y 7/3
NUMBER OF INFIL TRA TORS cobbles 6 fOx avel +
L cobbles B JO.f gravel
• ester I "o 1.92'� 1N7 6190rA1DMATER -- __ ...... 120• �I
0servicep_g�
DESIGN DA TA
B1' NIF ��_._ S. F. SIDEW4LL AREA , 74 GALS/SF- IZ6— GALS.
p/ICHAEL BARBY NO. OF BEDROOMS •�
+Z r 346 S. F. BOTTOM AREA ._74 GALS/SF 256 GALS. DrsESTPOOTAL DAILY EFFLUENT 'S GALS. `
517 _ S. F. TOTAL AREA GALSISF_382 GALS. SEPTIC TANK 1500 GAL.
1 ao-eu,Lav
S&TIc TAAw
w GENERAL NO TES
l NO TE.'
� LOT 5 N f 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN `
W ACCORDANCE WITH TITLE 5 OF THE S TA TE SANITARY CODE
Z 43, 561 SF EXCA VA TE TO EL EV U OR L ONER AS REOUIRED
TO REMOVE ALL LOAM AND CLAY CON T4INING DATED MARCH 1995 AND ANY LOCAL RULES APPLICABLE
MATERIAL BENEATH THE LEACHING AREA.REPLACE 2. ANY CHANGE IN THIS PLAN MUST BE APPROVED
EXCA VA TED MA TERIAL WI TH CL EA CL A Y FREE GRA VEL
R °b BY THE BOARD OF HEALTH AND FERREIRA ASSOC.
MECHANICALLY COMPACTED IN PLACE 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFIL L ING
�-p NOTIFY BOARD OF HEAL TH FOR INSPECTION
4. FND. ELEV, MUST BE CHECKED WHEN COMPLETED f
/ o LEGEND_ 5. THESE EL E V. MUS T NO T BE CHANGED WI THOU
t \ THE BOARD OF HEALTH APPROVAL
\ l I NIF EXIST 6. BOARD OF HEA L TH INSPEC TION REG 'D WHEN EXCA VA TED
pIANTES
SPERO
` GROUND ELEV. RE'VISEa OCT.. 12 1999 HOUS SEPTIC LOCATIANS
FINISH GROUND ELEV.
�, •`PIPE INVERT ELEV. SEWA GE DISPOSAL S YS TEM PL AN F
,.
* f =� PREPARED FOR
TEST PI T L OCA TION
0 0� SEPTIC T i vK /� ;p�` PARK A VENUE DEVEL OPMENT CORP.
LOT s - LOT 5 LORRAINE CIRCLE
C [j DIaTRIBL TION BOX
BARNS TABL E (CO TUI TT) MA SS.
4'C.I. OR SCH 40 PVC
4✓i_
�,. 4'BIT.FIBER PIPE-TIGHT JOINTS ` ~
ZFO t
PROPER T,' LINES }
No. 1 f DESIGNED: SAP DA TE : .RUNE 19, 1999 a
FERREIRA A SSOCIA TES
--- SETBACK DISTANCE .
DRAWN: Hp SCALE.'AS SHOWN
10 /c�'-. 5 131 SPRING BARS ROAD
FALMOUTH — MASS.
MAP SEC PCL LOT JHSE CHECKED : BS DRAWING NO. 061999