HomeMy WebLinkAbout0599 SANTUIT ROAD - Health 599 Santult Road Nx ,
cotult
A= 007 - 031
LOCATION : 5EWo.GE PERMIT UO.
Lq- 13 A _ _
VILLAGE — — — —
W ST QLLER 5 1 &ME ADDRESS
BUII-LDER '5� , 1J l�V,AF— ADDRESS
Dt-\-TE PERNA T ISSUED n—
D ATE COMPLI W-ACE ISSUED ; �� ��
SAS!/
AF>v
Z J,
No......7... _ ..... ru$.... .............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH �
TOWN (COTU IT) "
...................... ......OF.............................
R "1A 1-- ._...........
0_1,Applira#ion for Disposal Works Toustrudion rrrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
y SANTUIT ROAD LOT # 13 A
-------•--•----------•------------------------------------•...---------------------..........----- ....................................................--.-..........................................
.
Location-Address or Lot No.
....DEMETRIOS.....PAPA.THOASION..................................... ..1D3___-WAIN----- ......
W 1410EIS BACKHOE & DO&ZntERVICE BOX 169 WHITE HORStdREACH, MASS. 02381
Installer Address
UType of Building Size Lot............................Sq. feet
�-, Dwelling—No. of Bedrooms..._.....T .__•....................Expansion Attic (- ) Garbage Grinder (^ )
�1 Other—T e of Building .. No. of persons..._SIX................ Showers 1 Cafeteria
Other fixtures ._.___KITCHEN--SINK}_•-�l_� W,Co� QUTSI9E SPTQUOT
W Design Flow............5.Q...........................gallons per person per day. Total daily flow............39 ......__.._.............gallons.
WSeptic Tank—Liquid capacity1009_-gallons Length---^:.......... Width............... Diameter._ '.._......_... Depth"..............
x Disposal Trench—No. .................. Width------"'...........Total Length.....°"............. Total leaching area...................sq. ft.
Seepage Pit No....... �q...... Diameter._..._6._FT•_ Depth below inle __.._.6 FT• otal leaching area._.__230..__..sq. ft.
Z Other Distribution box ( �) Dosing tank (� o n®�'�� - lof 7 7 ly
'-' Percolation Test Resul s R. H. GOX RPE# 13403 OCT. 1 1974
Performed by ................ ' Date ----------------------•-•••......----
a Test Pit No. 1_..V ._.._.minutes per inch Depth of Test Pit__...6FT Depth to ground water.NONE FFQTJ �
4q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water 'pi
O O: 9t1-Humus.. 1811 GRAVEL_.__COAI�,uI Glulnw LAND'TMU'•D'n''rIT ------ �%��:=�..........
.
Description of Soil...............................--•-------••------.................................................................................-•-----......•...---•-•-----•••------••-••••-•••-••••-----•--•-•--------••-•---• ..................
--
(� .....__... - ir°.� —
...;� �foli: i :'s3
V Nature of Repairs or Alterations—Answer when applicable............................................................................ �
1 nt EAU%`�
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been 'ssueA by the board of health.
Si . ... ......... '-' i --_-----------_-------- ..._OCTCtM..1.r 1971�
g%fie Date
Application Approved B s ..............�y��
Date/
Application Disapproved for the'following reasons:...................... ------**.................................................
. •---••-------------•--••-••--•-••-•--•----....-••--•---•••-•--•---•••.....•---•--------•-..........._.....•-•-•------•-•.....•-•••-•-•-••-•--••........•-•---•----••••---•-•-•----••---•.........-•--..--
Date
PermitNo......................................................... Issued.......................................................
Date
No......................... FEim .....................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................TOWN--•--._..._-•----OF............CO......................................' TT ..--.....-------------------------•-••••-
ApplirFation for Disposal Works Tonstrnrtion fumit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
SATEt i>*CT RQAZ? �3T 13 A
--- ....._._.
�'p eLoocca�tion-Address Q 1 ♦,�� or Lot No.
�nxiLrti c vt__...Rt+is+1�tay��efs j ��+�.�_q.r....--------------•---•--•---•-- -.1.8.11f--L-�A R=..L.SV3 ,� 1QT L tTR�.�i R�tp _
a ME,1G7 RACKHOE-8t Ski+[fg7eb�l4ivj(:E...................•-----•- BVJd--169--- �Y�F+ H0R&d ACH9--NM.•---02381
Installer Address
Type of Building Size Lot_______________ _______Sq. feet
Dwelling—No. of Bedrooms........2Ela.......................Expansion Attic (») Garbage Grinder (- )
a Other—Type of Building _______ .............. No. of persons.....S. ............... Showers (1) — Cafeteria (r )
Other fixtures .....K1`�_` --j53 •-----------
W Design Flow____ ......50___________________________gallons per person per day. Total daily flow------------300........................gallons.
WSeptic Tank—Liquid capacityQQQ__gallons Length___".......... Width...."_--------- Diameter_!___________ Depth!n_____________
x Disposal Trench—No. __...:............. Width______ ___________ Total Length...... ............ Total leaching area.........!...........sq. ft.
Seepage Pit No......U j...... Diameter._._._6.__' _!__ Depth below inlet......_?_KL__ Total leaching area.....2 0-----sq. ft.
z Other Distribution box ( .) Dosing tank 01 _ /o C 12-J, _ /�'/ 7 y•
Percolation Test Results Performed by-Xt... _�1 ______________________ Date__QqT'e_ s_.__.127 4____--
:n minutes per inch Depth of Test Pit______________ p g NONE F0�3I�D
Test Pit No. 1___���....____ ._____ Depth to round water_ _____________
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ct
V�.
O Description of Soil..... 41 Human 180 GRAVEL COARSE GRANULAR SM THRD DEPTH
W . ..................................._................. ______________________________________________________________________________,w___...._.__._..____________._..___..___..________ ;,_p e.
• U Nature of Repairs or Alterations—Answer when applicable________________________________________________________•._______: =•...ti ?...
-.-.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has beessue by the board of health.
.w
Sig : 1 6^ =:w .� A�� {o .._...._.. -OG"'�
e , 1974
Application Approved BY MI-4 ' �
Date
Application Disapproved for the following reasons:--------•--------• _______•--___..._.._•----•••-
....................................-.........................................................................................................................
Date
PermitNo......................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH 1 - 7— ,7
:...Q.. h................OF......... ...... .
(Irrtifuaatr of TompliFanrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (4-11), or Repaired ( )
bY____...........................................
T......
r
has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.......... Q_.` -1__________________ dated__/_4=n__'___-.._7_V-________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT-BE CONSTRUED AS A GUARANTEE THAIT� THE
SYSTEM /WILL FUNCTION SATISFACTORY.
DATE..... ...... ............................................. Inspector... --.......:. �.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH 4 - 7
No....'.......Gr__..___... FEE_M...............
Disposal Works Tonstrurtion Prrutit
Permissionis hereby granted^_••--••-----...--••••______________________••--•-••-._____---•------...-•--------•--.......................................................
to Constru f or Repair ^; ) div-.ual Sewage Di o 1 Lts!teat No-- , 1 -� -.i - --•-•---------••----•__________________________________________•---_____
Street
as shown on the application for Disposal Works Construction Pe t itTo_ _________ ___ Dated__ ,_-_, ___^_71�__.__.___`.
1 ............................
Board Board of Health
DATE................................................................................
r
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
f
POPONE"55 T . zpw
LOT 1-5 A .;� �NOF Mfr �1
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TOWN~_
��---TEST PVr
No EXI STMrs WV.LS
ON, kFlWTlt4G
c1�o..2L1 .T.lfa
- ANTWT ROAD
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' SE—EPAGE P�"T
4 ORG, PIPEA J � J 51 6 l� L
Q 1.q
IMLIt1 777 {� .�•f •14,
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cn
g. TGPI 50l L - 0-c)" HUN'iUS; ►B GRAVEL_
C Ri:,, ai Y%AR SAND 7 4RU TE5T VLP"'H CAN .
' . nL:�.�cION 'c� .� - <2.Mlr� 1N�► __" .'tO�TA� 57. i.� "; ilk _. . f� Q ' "
Lj . cy
250 . 1:7. v 5 S �-
17-r_r 7—2 0 1 fie- a
S
DEED RESTRICTION
WHEREAS, bpmKe�Lint 4 'VM \A4 , PAP A-�ikcts% 0y of
(owners name)
✓�v t/V A- lX40m� At4 6gLI�8' MA
(address)
is the owner of ' SR q SA ty T� it 20�n located
(address)
M 14 o a-6 3�' ,
MA (hereinafter referred to as A S L..,(t f VvI IV Nagy s
and being shown on a plan entitled "Subdivision of Land in
MA, Property of pe.+t e�-r s i l f'
et al, duly recorded in Barnstable County Registry
of
Deeds in Plan Book q , Page
Or on Land Court Plan Number
WHEREAS, c s t yrts) l I k, ply4,��am a"is'the owner of said lot has
(owners name)
agreed with the Town of Barnstable Board of Health to a restriction as to the
number ofbedrooms which can be included in any home built on said lot as a
pre-condition to obtaining a disposal works construction permit in compliance
with 310 CMR 15.000 State Environmental Code, Title V, Minimum
Requirements for the Subsurface Disposal of Sanitary Sewage;
WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to
granting a disposal works construction permit for a septic system in compliance
with 310 CMR 15.200, State Environmental Code, Title V, Minimum
Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing
ttwissuance of a building permit for the construction of a single family home on
this property, is requiring that the agreement for the restriction on the number of
bedrooms in any!house constructed on the lot be put on record with the
Barnstable County Registry of Deeds by recording this document,
dadr
a51
'�y v� Y p
NOW, THEREFORE,bpiu k vf4�+l iki Ark ,0� a�does hereby lace the
(owner's name)
following restriction on his above-referenced land in accordance with his
agreement with the Town of Barnstable Board of Health, which restriction shall
run with the land.and be binding upon all successors in title:
1. S� c—ftfyi�- ✓Q , l'o <nl-�- 0a2,6 may have constructed
(address)
upon the lot a house containing no more than Axree (3) bedrooms.
NoAt�( ?06 t V4 ;ki Para op a v-,agrees that this shall be permanent deed
(owner's name)
restriction affecting 51?q located on 4/y{- /, - kb . rci i+ MA, and
being shown on the plan recorded in Plan Book 2oq R , Paged i y/
Or on Land Court Plan
For title of see the following deed: Book 2 04 11 , Page _
q ( . Or Land Court Certificate of Title Number
Executed as a sealed instrument 3 day of � _ o r q
Owner's signature
Owner's signature
Owner's signature
COMMONWEALTH OF MASSACHUSETTS
�V X ss
20JT
Then II appeare a above- dbs Ln
I \ � a �)� -
known to me to be the person who executed Ithe foregoing instrument and
ac 'nowl d e
the same io be
free act and deed, before me,
PuNotary
Lb *
My commission expires:
IAORGAhl BERN
11���ublic
assay Commonwealth of Massachusetts
My Commission Expires Feb. 1 S,2014
BARNSTABLE REGISTRY OF DEEDS
10'-2" 9'-3" 4'-9" 6'-10"
Entry to Existing
Gallery
Pantry Master N
Bath
Master
Bedroom
N I
Dining Room Kitchen Bathroom Garage N
7,-6.,
Closet °O
Closet
ECloset
os 17 —0
i
Living Room Bedroom Bedroom *Note: This Drawing is
for Representational
Purposes Only. The
Dimensions Represented
Relatively Portray The
Interior Layout.
20'-3" 8'-3"
uo oeecsirnou s enaee.ue.
Cot _Santuit Road
Cot uite, Massachusetts Upper Level ,u a y=�,�
h'!Al
r—————————————————————-
I I
I I
I I
I I
I I
I I
I I
I I l C __—__�E__— --___--
I I T I � I
II
19'-9" i 10'-3" 9'-91,
I I I.IL_7-- I
, I II
II II
II II
II
Office/Craft Prayer/Reflection i I
II II
Breakfast Room Room Room
I
ih II I II
II ih II
II II
II II
II
II
II
II
II
II
II
II
II
II
II
F II
Entertainment ----_----------=--=-JI
K' Room
7 o Boiler Bath *Note: This Drawing is
Laundry/Storage for Representational
Room Room Room Purposes Only. The
Dimensions Represented
Relatively Portray The
Interior Layout,
6'-10" 5'-1" 14'-6"
599 Santuit Road are mrsci. �•l Leve A- 1
Cotuite, Massachusetts Lower