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Home My WebLink About0090 SKATING RINK ROAD - Health 90 Skating Rink Rd 291 -180+ n y' Hyanis - s� i TOWN OF ARNSTABLE . ®�� / LOCATION >�C� FU� SEWAGE # 3 . Yj.VILLAGE, /-/V/lo///Ud,3 ASSESSOR'S MAP & LOT t J. CRAIG MEDEIROS , e-5dei sTig37 j INSTALLER'S NAME & PHONE NO. 7R I.iNnF-N 4T_ 11 SEPTIC TANK CAPACITY o a o _VRANNIS, MA 02601 °i`�S' � LEACHING FACILITY:(type O (size •9 61 NO. OF BEDROOMS PRIVATE WELL OR6-U.$L1C WATER I �'7 OWNER DATE PERMIT ISSUED: \'-DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 3q.` � ..�`�i f�- � a j+i,-.^..� 1� *'l ..Q.3.t a P' *.3 ` n 4., l � .�;. x. p �� \. t 1 � �, t x p`J i,/ ,.`, - ' � ., n �- _ � � . � � 4 .� ,{ i � �5, �� f A t No. P" Fee f THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS M 0(pphration for 30f5po0ar *pgtem Construction 3dermit Application is hereby made for a Permit to Construct( )or Repair(,V-j"an On-site Sewage Disposal System at: Location Address or Lot No. qQ yj<&p)jkl& /fJX__Rt1 Owrieq Name,Address and Tel.Nov-r'C K Assessor's Map/Parcel �� 8"� / � 4,v 1"9T77/,* Install is Name,Al re and Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Garbage Grinder(� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of Repairs or Alterations wer when applicable) I F/d c 141 I /R R-N J Date last inspected: -?Z Y_j 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 issu d byj hs Board of Health. Signed ( ` Date Application Approved b Date � '� Application Disapproved for the following reasons Permit No. .J *CP Date Issued 2- -—————————————————— � �"- ---b— -t- - — - - � � .aJ� ,'.,4-• , � •.-, w . "' p..,F' iY 1"+.ft -' b.. t -7 �-^.�....- , -"ti.. _.1.. . 11 go s` No. # Fee f ' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS Zipplication for �Digpogar *p!6tem. Con.5truction Permit Application is hereby made for a Permit to Construct( )or Repair( Vl'*an On-site Sewage Disposal System at: Location Address or Lot No. /�ria/d� /- �Q SK t/�/� � Owner's Name,Address and Tel.No. H Assessor's Map/Parcel / vSv/C 7-�V TG r Installer's Name,Address,and Tel.No. Designer's Name,Address"and Tel.No. C2;q`G MFDr;Z-120 S Type of Building: r Dwelling No.of Bedrooms 10arbage Grinder(41,w Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures t Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Descri "fion of Soil' K Nature of Repairs or Alterations(Answer when applicable) %R s xI J f Date last inspected: -7 �i- Agreement: ! The undersigned agrees to ensurenstruction and maintenance of the afore described on-site sewage disposal system g S g P Y 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 s Board of Health. Signed L..�t �s�r-.t�t,. Date �f Application:Approved by _ Q Date 2= PP PP i ollowing reasons A licatton�isa roved fothe'f � p Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS -BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced(�on by �� , �� _: vt/1 -1 n.� . s Installer at 1 t. z tl ��I:C'' 1 ,— c. ,l? has been constructed in accordance- A: with the provisions of Title 5 and the for Disposal System Construction'Permit N " ! `✓ dated �e" 2;F,7'� Date Inspector hi THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYS- TEM WILL FUNCTION SATISFACTORY. ---- No. � � � -- ------------------------Fee THE'COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwigogal *pgtem Construction Permit Permission is hereby granted to to construct( )repair( t�),an On-site Sewage System located at No,.# y f K %i Ae2f* ,/14 11)4.-I )J /�/t r��t go 14 D Street Q and as described in the above Application for Disposal System Construction Permit. No. Date The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within three years of the date below. Date: < �-� Approved by 'Board of Health CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WO11KS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated '7�Z 9�� , concerning the property located at 1/011 meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system r • There are no private wells within 150 feet of the proposed septic system The observed groundwater table is 14 feet or greater below the bottom of the leaching facility There is no increase in flow and/or change in use proposed �• There are no variances requested or needed. SIGNED: ' DATE: i'-�IQ�`? LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. �- � 7 - � � o �s � �� 6� �1� PAR_. ] Real Estate System - General Property Inquiry] Help [ ] garcel Id: 171 010- - Account No: 9860 Parent : - Location: SKUNKNET RD Neighborhood: 37AC Fire Dist : CO Devel Lot : 20 Lot Size : .42 Acres Current Own: MANFREDONIA, KEVIN A & LYNN State Class : 101 202 SKUNKNET RD No. Bldgs : 1 Area: 1216 Year Added: CENTERVILLE MA 2632 Deed Date : 070195 Reference : 9752/053 January 1st : MANFREDONIA, KEVIN A & LYNN Deed MMDD: 0795 Deed Ref : 9752/053 Comments : Values : Land: 28400 Buildings : 83300 Extra Features : Road System: 202 Index: 1494 (SKUNKNET ROAD ) Frntg: 100 Index: ( ) Frntg: Control Info : Last Auto Upd: 052596 Status : C Last TACS Update : 013096 Land Reviewed By: Date : 0000 Bldgs Reviewed By: ME Date : 0188 Tax Title : Account : Taken: : Account Status : Hold Status : Cancel [ ] Press XMT for more data Next screen [PAR ] Action [ ] Owners Name [ ] Road Index [ ] Road Name [ ] Parcel Number [171] [011] [ 1 1 1 [ ] R LOCATION �� SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME & ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED 5-- 7e s DAT E COMPLIANCE ISSUED �y_/�- 7�• j No.--•--2... ..... Fps............................� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ------- ------ d Ls,T?'(.....OF......... ,.t--------------------------------------------.------ Applira#ion for Elhipoii al Workii Tomitrurtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at -q..0 Location-Addr s or C YL Lot No o (!.0 .. �:... . -- Owner Address Installer Address U Type of Building Size Lot--- Aj ........Sq. feet Dwelling—No. of Bedrooms.......... .............................Expansion Attic (40) Garbage Grinder (Ala) Other—T e of Building k�i O t-�.... No. of persons____________________________ Showers 1 — Cafeteria Other fixtures --- !...--------- W Design Flow........................ 4..........._gallons per person per day. Total daily flow..._...:".0...........................gallons. WSeptic Tank 2Liquid capacity.l°-�ogallons Length................ Width................ Diameter-------------_--- Depth................ x Disposal Trench—No..................... Width.................... Total Length......._._.. Total leaching area------------_..._._.sq. ft. Seepage Pit No......... ........... Diameter.._..._C-____-_- Depth below i et.... Total leaching area.Z�..�_..sq: ft. J ----. z Other Distribution box (I ) Dosi k 3 "'.�/• 7 A ' /r Percolation Test Resul Performed by_ _ :Q..._._ �f1. Date..... _��_�_-.__74---'- :� a Test Pit No. I-__�t--�t' minutes per inch Dep h of Test Pit.................... Depth to ground water........................ (Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ------ - -------- -- f............... .... ........... O Description of Soil :IU 2 .....�"....2_�....� U ----------------------------------------- -------- •--•---------------------- •---------------------------------------------------------------------------------------------------------------------------4 W ----------- - ---------------•--•-•--•-•--•-------------------------------------------•-------------------------------------------------------------------------•._...---•--••................... UNature of Repairs or Alterations—Answer when applicable.__________________________________________________________•__--__---------------------------__-4 ................ .............................-............................................................................................................................................................ +4 'Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL L 5 of the State Sanitary 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. Da Application Approved BY v-•� '(iL-�.trV� — 7 ' Date Application Disapproved for the following reasons:-------•-------------------••-------------...................................................................... -•------------•-----•---------------•----•---•----•------------------------------•------.....----•----------------------------...------------------------------------------------••-•----------•••--... Date Permit No......................................................... Issued--•-- � �- 7P ". �j Date 7ri No...... Fmm............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH I ------------- 4 , ... ..70?......OF........ ..... .................................................... .'Apphration for Bhipmaal Workii Tom1rurtion rprmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ......... e � .............. ...... Location ................)......o.r......L....o..t.....N.k.. o ... w .............. . .o. .. ............................................................................ Owner Q. ress 1�. ................... Installer Address Type of Building Size Lot..!?!P4 ........Sq. feet Dwelling—No. of Bedrooms..........Z.............................Expansion Attic (40) Garbage Grinder (146) Other—Type of Building ..... No. of persons____________________________ Showers Cafeteria Otherfixtures ...........................................................r----------------------------------------------------------------------------------------- Design Flow ........:r.> ........gallons per person.per day. Total daily flow......j!O............................gallons. 9 Septic Tank Flow___ capacity_!d!P.gallons Length................ Width________________ Diameter...-___.__..____ Depth___________._... :' a Disposal Trench—No. ..................!�,Width.................... Total Length.......... Total leaching area_..__...............sq. f t. 0 Z Other Distribution `• * '? — W let ...sq. ft. Seepage Pit No........./.......... Diameter.......1�__..... Depth below i e Z., Total leaching area.jO.25�... n box DosiVtank Percolation Test ResUI)s Performed b __ e .. ... ... Date.... Test Pit No. minute's.per inch Depth of Test .................... Depth to ground water----------............. Test Pit No. 2................nimutes'per inch Depth of Test Pit._.._._:::_._______. Depth to ground water------------------------ P4 .......I..... r..............44............... -.0................. ------------------------------ 0 .�/ ............. ........... ........ ... . ............................ Description of Soil.......... ------ CA "� U .................................................................................................I........................................................................................................ ----------------------------------------........................................-......................................................:......................................... ................ U Nature of Repairs or Alterations—Answer wheA applicable____________________............................................................................ ......................... --------------------*--------------------------------------------------------- -------------------I.................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions 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 been issued byih.e.board.of health. igned .................................................................. ................................ 0 4aL Application Approved By..---_ Date Application Disapproved for the following reasons:.......*.......................................................................................................... .............................................................. ..................................................................................................................................... Date PermitNo...............................................ris....... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O . HEALTH I.....OF............ 14;/15,7........... 01rdifiratr of. Tompfiattrr ' ., THI IS F0 CERVFY, at the ndividual Sewage Disposal System constructed (04<0r Repaired ..... ............. ............................................. t ler at.... ...... .......... ........... ---------------------- has been installed in accordance with the provisions of 1402EI 1.1he State Sanitary Co�;- es�ed in the 014Piication for Disposal Works Construction Permit Na.: _____ ra ......4(�............................. THE-ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRIJED AR�A GUARANTEE THAT THE SYSTEM W ALL FU,!J;TION I SATISFACTORY. tor DATE .................................... Inspecto,r. ................................ ... ........... ... ----------------- ---------- 40-.1k THE COMMONWEALTH OF:MASSACHUSETTS BOARD Of HEALTH .. -7 4 _OF ........................................... ...................... ................ X 2 No............:. ........... FEE.......-- -••-- . Wn rmit ' Permission L1 10 rm ............. .... .. .................................. ...................................... ................ y, e_u-isphs 4 to Construct, or Re iff an at No....... . .... ------ Street k Disposal.. -doft- e as shown on the'application for,,Dis rks Construe P;Y 0------- V .......................................... AT .mwl ------------ .............. ............................. ................. I ell Board'b(_M-aIth-,_ DATE ........................................................................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS Ludt��! �ww = 1 id � 3 = 33b �`P•D• 1E,P'T-t G T�•-t 1C = 33o,r (�G % � d.��6•P.D. �ySPorAt� PiT AV-SA LrC> 4-li Imo' SF � 2.'� � �'tS G,pt�• ,.-µ�«t t�'�T '� lao ism. A t .ca _ 1�,V C�.RD. f \ r4NI4 TOTAL Z->es,16 { = d25 eXp -o. 0rjo `rbTAt_ t�Qtuf FEW - 3306.PD• I c� a�a��o1.aT�oti.! ftZ&T'E ' Ctw SMI'O OIZ LAY,. AZ 1� wo To•P Vwuv i i c, G-1ex -3/211/717 LOW t 4 r�PEc DIST ,0 -Box to QG stc ��. (000 toy. GAL. C((i D qb 2. PIT e: wasu�D j� C.EQTtr- PLC)T PL- t ti PZ0�'t L-EI - LbGATlUt�1 �a LUe.T�elL U T�4A-r T(4c-. I�-cLAbxT{t4Jc� -i�.t?tca►,l Gc1C�t_�S W ►'Ct� T+-► AID t_►►-iE: Lc", ia "�'C)W►J GE= �,At��TA� � LA�a � �t,Al� ��r� S#4 r- C�A'i•G '�-� B h.'ACT C tZ. c;. tJ�f� t�..I�_ t2GGlSit=ZED LAti.t�j )U ZVaYUtT-: t_lc�C Lit: tj-,,L Tcf