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Home My WebLink About0090 PINEY ROAD - Health I 90 PINEY RIACOTUIT ---- \ A = 035 003 j yl t 1t{ 'j ai TOWN OF BARNSTABLE �r LOCATION fF�t; SEWAGE # N7 VILLAGE r ASSESSOR'S MAP &.LOT o� INSTALLER'S NAME-&-PHONE NO. 6W 6 SEPTIC TANK CAPACITY LEACHING FACILITY: ( pe) �� (` �/('� /f A (size) "�� ` r3 't ;~ NO. OF BEDROOMS BUILDER OR OWNER- Wd Li PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: l 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 F..urnished,by - ' S 1 � . � � 0/ .__ . .._. .. ,9 � /' �T7 t � "t� ,t ii ' �' i� E k� 1y ,t� `/ El� 1:1 �+Y ate• No. d 17 Fee v r i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for Migoar *pgtem Congtruction permit Application for a Permit to C struct( )Repair(✓)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. n e y tZt Owner's Name,Address and Te No �O�7. 9( rl F 8 _C� �v I � C,c3-4-,t y 44)l�c� Assessor's Map/Parcel 3,S OU 3 60 P%ne Sit. #do Ncw Installer's Name,Addr*,&d ffe1CAN`0 Designer's Name,Address and Tel.No. 350 Main Street W. Yarmouth, MA 02673 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building C o 8"j No.of Persons I Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title / Size of Septic Tank / SOd Type of S.A.S. 6700 AAl Ac�r-f� Description of Soil Nature of Repairs or Alterations(Answer when applicable) L NHS fia l� '^ /SU 0 S-ea)<%C fv o>Z 4-0 a - S-n 0 9,4- Ch Ichge"/5 GJ / 5/" 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 Certifi- cate of Compliance has been issued by this Board of He-th) Signed i ..n Date /d - 3 4 9 Application Approved by Date I ^�� Application Disapproved for th following reasons Permit No. 914, - g 7 Date Issued . . Rio. 9/ - `J S ....'"�'L► _... .._ Fee Jed r r THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes .. PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Migooal *p5tem Construction Permit Application for a Permit to C struct( )Repair( ,I'Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. e� Owner's Name,Address and Te No (p 7. 9G 9• ��5'6 C'n�� C a+tn y j4,a yde,tJ Assessor's Map/Parcel O 3 J O U / Installer's Name,Address,A*W( ANCO Designer's Name,Address and Tel.No. 350 Main Street W. Yarmouth, MA 02673 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) -. Other Type of Building C a Kph No. of Persons I Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 U gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /Soo Type of S.A.S. 5 U o c�A C lee,r X Description of Sofl ar Nature of Repairs or A terations(Answer when applicable) 1 NS f a/� �^ /SU o Sea;,-,- ��q a/� o Gal. /,PU< 4/ 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 operationuntil a Certifi- cate of Compliance has been issued by this Board of Health) ; Signed V 1 1 � n Date /o) • 3 ' S 9 4 Application Approved by Date Application Disapproved for th following reasons ; Permit No. Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( ✓S Upgraded( ) Abandoned( )b at 6 U /Y;��e� �2�. ( o r��;t has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 7 dated Installer Designer The issuance of this per/d h 1 o be co trued as a guarantee that the sy 11 function as d�' ne*. ,1.4 Date Inspector o ---0—Q y----------------- ---------------- No. / U / _ Fee SU THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS x1h9pozar *p9tem Conttruction Permit Permission is hereby granted to nstruct( )Re air ✓jUpgrade( )Abandon( ) System located at l(G / i -7 P !i ��r Co w i f and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: Approved by ` 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) h _ t� _ hereby certify that the application for disposal works construction permit signed by me-dated /d - 3- F 9 concerning the -property located at 60 A n r v i ao meets all of the following criteria: ✓ • The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. ✓ • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. ,/• There are no wetlands within 100 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system �• There is no increase in flow and/or change in use proposed ✓ • There are no variances requested or needed. The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] r/ If the S.A.S. will be located with 250 feet of any vegetated wetlands the bottom of the proposed g P P leaching facility will not be located less than fourteen(14) feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W. Elevation �� +the N1AX. High G.W. Adjustment. 16 • ZL DIFFERENCE BETWEEN A and B SIGNED : �� DATE: �� • 3• �'' [Sketch proposed plan of system on back]. q:health folder:cert CD 0 0 TOWN OF:BARNSTABLE :.. LOCATION f/ref:Y �� SEWAGE # �`� VILLAGE �r ASSESSOR'S MAP & LOT W J INSTALLER'S NAME&PHONE N0. SEPTIC TANK CAPACITY = LEACHING FACILITY: ( pe) � 6421 441�� (size) -23 /,0 3 NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: . COMPLIANCE DATE: /.F—&V 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 Fumi.shed by J � L CAPE COD RUILDINC Richard Davis INSPEC� 1230 Newtown Road Cotuitq MA 2 0 635 508-420-0260 LETTER OF INITIAL LEAD NON-COMPLIANCE DATE ;t Dear eli.� ThTis 1-et-ter is to certify that I inspected the property located at _,apartment no. , and relevant common areas, in the city or town of CS�%),�� , for dangerous levels of lead according to 105 CMR 460 .730 (A) through(F) : Procedures For Initial Insnection,Regulations for Lead Poisoning Prevention and Control, and determined that there were VIOLATIONS. The inspection was conducted on Please be advised that Massachusetts law requires that only certain residential surfaces be free of lead paint . (Deleading must be done by a licenced deleader MASS. state law) NOTE: A copy of the report must be on site at the time of . re-inspection which is after the deleading process . STRIP ALL WINDOW WELLS OR COVER WITH FLASHING. SEE NOTE FOR FURTHER REQUIREMENTS. DO NOT PRIME OR REPAINT UNTIL THE INSPECTOR HAS SEEN THE BUILDING. NOTE: MASS. GL CHAPTER 111 S.S. 190-199 Requires that : On both the interior and the exterior of any dwelling, loose offending paints or putty, regardless of surface or height, must be removed. The surface should then be' sanded, reputtied and repainted with a non-leaded material in order to reduce further deterioration: Any chewable surface within (5) five feet of a standing surface must be stripped to the bare wood and repainted with a non- lead paint. FEDERAL LAW 24CFR Part 35 Dated 1 April 87 requires stripping be done to the (5) five foot level and as above. ** As of above date of regulation Sincerely it will be the responsibility f of the owner to be aware of any future changes in the law. Richard Davis I 1074 Inspector Licence# Report # R Op__S'G At the time of inspection children under 6 were living in the house 0 YES R O 0 INCONCLUSIVE �� Z_ �yI a, w , TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION t y ADDRESS: . � , � MAR NO. PARCEL NO. OWNER NAME: � ! ' f" VILLAGE: t INSTALLATION DATE: //lbkA.D20A) BY: ADDRESS: CERT. NO. 19. 7w1 TANK INFORMATION LOCATION OF TANK: _PE AA HWSIE i (i �/ E ' A CAPACITY (C60 TYPE AGE FUEL/CHEMICAL TESTING CERTIFICATION C ] PASS C. ] FAIL DATE LEAK DETECTION C Q- CHECK IF N/A TYPE%BRAND ` ZONE OF CONTRIBUTION C I YES C ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED E ] YES CvIINO DATE CONSERVATION Cw7 CHECK IF N/A DATE - ' BOARD OF HEALTH TAG NO. of ]C ]1 ]C .3 DATE . /�{ / co ro I PLEASE PROVIDE= A SKETCH SHOWING THE. TANKLOCATION ON •THE BACK OF'THIS _CARD i i,_ �1 .._�-4,Aa..._,,.�a dt...<:.1nAa..t S.s✓.zf�S..i...s�_e�r .5.Fr�L:i,�.x x� i�YJk ., ..�a;.�yne r, i.i.'. �-�v. r:=.. x,jzcv...,.1�',F �,.. _. ,. .., �s _,..x,Ef .._ .. ..-. _ ;k,.. .,��<..��-: --i.. - ..� ., . ..7._., SMEADI BEEPING YOU ORGANIZED No.10334 2.153L MAM W USA GET ORGANIZED AT SMEAD.COM :.ems, TOWN OF BARNSTABLECJ A LOCATION 90 A/ter/ 2EQ. SEWAGE# Z 7�✓ � VILLAGE f P{' ASSESSOR'S MAP &LOT 0 3 -003 "INSTALLER'S NAME&PHONE NO. i9.t��1� SEPTIC TANK CAPACITY r r � LEACHING FACILITY: (type) /W/9Y/)ff i e r (size)01" �Q 3C I f X ca NO.OF BEDROOMS / BUILDER OR OWNER 4 IAa/J1 PERMIT DATE: COMPLIANCE DATE: ly-I/ Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility ®2 d `t' Feet Private Water Supply Well and Leaching Facility (If any wells exist A-)/ 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) N Feet Furnished by P A I d7` 77 ed Ha e- TOWN OF B.ARNSTABLE. LOCATION d SEWAGE # VILLAGE czz �,E_ ASSESSOR'S MAP LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ,tJ , ¢'a (size) NO. OF BEDROOMSPRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE .COUPLIANCE ISSUED: .VARIANCE GRANTED: Yes No �,y-c�' it _�I__